Login      Sign Up

Esthetic Era - Treatment for Midline Diastema

Author: Dr. Nivedita Dalmia - Dental & Oral Health
Last reviewed at: 06.Sep.2018  

13

Abstract:

In this article, we will discuss various treatment options for a gap in upper front teeth, medically known as midline diastema.
Image: Esthetic Era - Treatment for Midline Diastema

What Is Midline Diastema?

Midline diastema is the gap present between the upper front teeth irrespective of spacing present between the lower front teeth.

If the gap present between the upper front teeth is more than 0.5 mm proximally, space is visible between the upper central incisors. Usually, midline diastema is seen in children during mixed dentition period (6 to 12 years), which is also called ugly duckling stage. Generally, the spacing present in the upper front teeth during mixed dentition period closes after the eruption of permanent canine.

Other Reasons for Midline Diastema

  1. Enlarged labial frenum.
  2. Oral habits such as thumb sucking, tongue thrusting, etc.
  3. Unerupted mesiodens (the extra tooth sometimes present between the upper front teeth).
  4. Abnormal maxillary arch (the upper jaw is known as maxilla).
  5. After mesiodens extraction.
  6. Missing teeth, leading to a shift of the incisors.
  7. Peg laterals and missing laterals.
  8. Hard and soft tissue pathologies such as a cyst, tumor, odontomes (benign tumor), impacted tooth.
  9. Other dental abnormalities.
  10. Periodontitis, that is gum disease.

Diagnosis

  • Blanch test: Lift the upper lip and pull it outward and look for blanching (whitening of the skin) of the soft tissues at the backside of the tooth and between two central incisors. If the blanch test is positive, it indicates high frenal attachment as the cause of midline diastema.
  • Radiograph: to check for impacted tooth, cysts, tumors, or any other pathology present.
  • Check for oral habits such as tongue thrusting, and thumb sucking.

Treatment

  1. Ugly duckling stage - no treatment required. It gets self-corrected after canine eruption takes place, in most of the cases.
  2. Fixed/removable appliance - breaking oral habits through guidance and fixed or removable appliances.
  3. Composite build-up.
  4. Veneers - if peg laterals are present, the space can be covered by veneers or crowns.

Thus, correction of midline diastema will improve the esthetics of an individual and also enhance the smile. It will build confidence, improve wellbeing, and the personality of an individual. Proper teeth alignment is the gateway to perfect smile.

For more information consult a cosmetic dental procedures specialist online --> https://www.icliniq.com/ask-a-doctor-online/dentist/cosmetic-dental-procedures


RATING

13
 


Ask your health query to a doctor online?
 
* guaranteed answer within 4 hours.
 

Related Questions & Answers


Query: Hi doctor, I have teeth gaps and I want to know whether by using the braces, these gaps can be filled or not. And also I want to know how much time will it take to fill the gaps. Gaps are at: Upper front teeth. Lower front teeth.
Dr. Muzaffer Hissain Parray
Dentist

Answer: Hi, Welcome to icliniq.com. I had gone through your question I can understand your concern about your spacing. Yes, the gaps or space can be treated with braces (orthodontic appliances). It will take you at least a year. You have upper midline diastema (gap between two upper front teeth), it take...  Read Full »
 

How to Maintain Good Oral Hygiene?

Article Overview: This article discusses the steps to maintain proper oral hygiene for a healthy living.
Dr. Naveen Thomas
Dentist

In an individual, oral health is one of the foremost indicator of any underlying infection, disease or medical condition. Everyone should remember one important thing that, mouth along with its intraoral environment is an important indicator of many underlying dieases. So, maintaining per ...  Read Full »
 
Query: Hello Doctor, I am 19 years old. My teeth are yellow from childhood (from 10 years of age). A black layer is formed at the backside of teeth. When I see my teeth it seems very dirty and too much of creamy layer is formed on my teeth especially in lower canines and lower incisors. In the lower teeth...
Dr. Subha
Dentist

Answer: Hello, Welcome to icliniq.com. Yellowing of teeth is mainly due to one of the following or a combination of these: Tartar or plaque deposits (soft yellowish deposits) on the teeth. Calculus deposits (calcified hard deposits) on the teeth. Fluorosis - internal discoloration of the teeth due to ...  Read Full »
 
Query: Hi doctor, I was looking into veneers and invisalign to fix the gap between my front teeth. I am not sure what would fix them. So, I am looking for some initial advice. I have attached a picture for you to view. Thank you.
Dr. Nupur Prashant Shah
Dentist

Answer: Hi, Welcome to icliniq.com. I have gone through your query and attached photograph (attachment removed to protect patient identity). First of all, let me know you that the space between upper front teeth, which you are having, is called midline diastema. It can occur due to many reasons like abnorma...  Read Full »
 
Query: Hello doctor, I have a misalignment and mild crowding of teeth in upper jaw and have bite issues. I have consulted a maxillofacial surgeon and advised tooth removal prior to braces and removed upper left tooth, probably molar tooth, and advised to consult orthodontist for braces. I want to know whe...
Dr. Muzaffer Hissain Parray
Dentist

Answer: Hi, Welcome to icliniq.com. I have gone through your question. I can understand your concern. Yes, there will be shifting of teeth to fill the gaps and release the crowding by removing teeth. So you do not need to worry anything about the issue if your orthodontist consulted. The shifting will not...  Read Full »
 
Query: Hello doctor,How to fix the blood leak in gums or gum bleeding? I am facing this problem for the last two years. I tried two times brushing but no improvement till now. Anyone help me.
Dr. Purva Jingar
Dentist

Answer: Hello, Welcome to icliniq.com. Gum bleeding is a common problem faced by many people. Mainly it is due to improper tooth brushing, bad oral health, food lodgement, and poor gum health. All you can do is visit a dentist soon and get it checked properly. After the checking, go for cleaning of teeth....  Read Full »