A gap between the teeth, called “diastema,” are common among many dental patients and can be found between any teeth in the mouth, but usually between the two upper front teeth. Why do these spaces develop, and what are the differences between a diastema in children versus adults? Diastemata develop through a variety of reasons, such as misaligned jaw bones, missing teeth, and thumb-sucking. Not all spaces can be prevented, but many can be adjusted through orthodontic treatment. If you have a diastema that you would like to have treated, learn what your treatment options are through this guide!
Changes in Orthodontic Care
Orthodontic treatment options have been revolutionized through modern technology and dental science. Poorly aligned teeth have been a nuisance for dental patients for hundreds of years, and orthodontic work was even performed on willing subjects dating back to the ancient Egyptians and the Romans. From crude metal bands to catgut, archaeologists have discovered that even ancient societies performed orthodontic care on patients in an effort to straighten teeth. For those suffering from malocclusion, or misalignment, a common practice for moving emerging teeth into their correct position was by regularly pushing them with the fingers, a practice that has long been outdated since the invention of custom-fit metal appliances in the 18th century. Eventually, orthodontics treatment evolved into the process that we see today: brackets being cemented to each individual tooth with a metal wire attached to cinch the teeth together. Options for invisible treatments, such as lingual braces or even Invisalign, further allow patients to choose how they straighten their teeth. While there are so many options to choose from to decide how to straighten our teeth, how our teeth first develop and erupt in our mouth is a separate process. Since every patient is different and will experience a variety of dental issues, some patients may face something called “diastema,” which can have certain dental complications and be caused by a variety of reasons. Understanding how diastemata form and what you can do to fix them can give you the freedom to be in control of your oral health and appearance.
Gaps Between Teeth
Many people across the world are born with a diastema, or a gap between their teeth. These spaces can form anywhere in the mouth, but are most commonly found between the two upper front teeth. Both children and adults can have a diastema, and many times a child’s diastema will disappear once their permanent teeth grow in. While some gaps are relatively small and barely noticeable, others can be quite large and can cause cosmetic issues for some patients. While relatively harmless, most patients who fix their diastema do it for aesthetic reasons.
There are a variety of reasons why a diastema develops. A mismatch between the size of the jawbone and the size of teeth that develops can cause gaps to appear, or even too small of teeth (or a missing tooth) can create spaces, as well. Sometimes a diastema can be caused by an oversized labial frenum. This part of the mouth is a piece of tissue that extends from the inside of your upper lip to the gum just above your upper front teeth. Occasionally, this will grow too much and pass between the two front teeth, causing a gap. Bad habits, such as thumb sucking, can also lead to gaps between the teeth as the movement of the thumb tends to push teeth forward, creating a gap. A diastema can also develop due to incorrect swallowing reflexes. Normally, the tongue will push against the roof of the mouth when swallowing, but some people’s tongues may push against the teeth, which causes separation. This is called a tongue thrust. Lastly, gaps can form from periodontal disease in which inflammation damages the gums and teeth, which can cause teeth to loosen and fall out, or decay.
A diastema can result from a mixture of orthodontic problems, or it can develop on its own. Many people who fix the gap in their teeth do it for appearance, but for those patients who have missing teeth, they might need to have a dental implant or bridge inserted. More often than not, braces are needed to close the gap between teeth, no matter where the gap is located. Fixing a diastema affects the entire mouth structure, so braces will be installed on both the top and lower teeth for proper alignment. If your diastema is due to an oversized labial frenum, a frenectomy will be performed to help the gap close on its own. If there is any sign of gum disease, periodontal treatment will be needed first to restore gum health before any braces will be put on. See open bite symptoms and causes.
Keeping The Gap Closed
Spaces will tend to stay closed when done through orthodontic or dental repair. To prevent any gaps from developing in the future, make sure to wear your retainer that you will receive after treatment and use it according to your orthodontist’s instructions. For extra protection, your orthodontist might also splint (attach) the backs of the teeth to other teeth with composite and a wire to prevent them from moving. If you notice a space between your teeth or in your child’s mouth, contact your dentist for an evaluation to determine what kind of orthodontic treatment you might need. For more information on how to fix a diastema and improve your oral health, call Belmar Orthodontics at (303) 225-9016 to start improving your smile today!
Most orthodontic patients receive their braces at a young age, typically during the teenage years. Are the teenage years the best time to receive braces, or will treatment work just as well as an adult? With the technological advances that have occurred, adult orthodontics have more options than ever to straighten smiles of all ages. Some benefits of adult orthodontics include correction of life-time dental issues, faster treatment time than former technology, and increased confidence. If you’re ready to change your smile, learn how adult orthodontics can help you through these tips!
Braces Throughout The Years
Modern advances in orthodontic treatment has revolutionized how quickly children and adults alike get the healthy and straight smiles they want, and allowed people of all ages to improve their oral health, no matter their age. For many years, traditional metal brackets were the only option to straighten teeth, but as technology has advanced, a variety of aesthetic bracket systems have been developed to give you the smile you want with braces that are less noticeable and easier to maintain. Permanent braces now come in two options: metal or ceramic. Ceramic braces are matched to teeth color, making them nearly invisible during treatment. Lingual braces are also an option, which are completely disguised from others as they are attached to the back of the teeth. Removable orthodontic appliances have recently come into play as a clear plastic aligner that is used and removed as needed. These aligners are advantageous to adults because they are less visible and easier to clean and maintain, which comes in handy for those adults busy with work and family life. As the options for braces have broadened throughout the years, so has the number of adult patients being treated for braces. Technological advances in the orthodontic industry now allows for more patients, even those who have passed the prime age for orthodontic care, to change their smiles during any part of life.
Benefits of Adult Orthodontics
The American Association of Orthodontists reports that of the 4.5 million Americans that are currently receiving orthodontic care, 25% of them are adults. Although childhood is the ideal time to receive braces, adult orthodontics has become a popular option for those who couldn’t receive treatment during adolescence. Some benefits of adult orthodontics include:
More discreet treatment methods
Correction of lifetime dental issues
Faster treatment time
Increased self-esteem and confidence
Adults ultimately have more options when choosing what braces and treatment plan is best for them. Orthodontic care protects both kids and adults against tooth decay, tooth loss, gum disease, impaired speech, chewing and jaw problems. While cost is a factor, you will still need an oral evaluation and orthodontics consultation to determine your candidacy for certain procedures and treatments. For the first time, adults of any age who have otherwise healthy teeth can benefit from orthodontic treatment at any point in life.
What To Expect With Adult Orthodontics
Typically, it is more difficult to manipulate an adult’s fully-developed jawbone compared to the pliable jawbone of a child, but modern-day advances now allow orthodontists to correct crooked teeth with great success and precision. Any oral health issues, such as periodontal (gum) disease, will have to be resolved before teeth can be straightened, so meeting with your dentist and orthodontist will be an important first step to take before treatment can begin. If you’re considering orthodontic treatment to correct any cosmetic or bite issues, consider the following:
The entire process may take longer for an adult than a child. Typical treatment time averages two years, but varies from person to person.
Fully-developed bones in adults have stopped growing, so some structural changes cannot be achieved without surgery.
Adults may need to see a periodontist, as well as a dentist and orthodontist, to ensure that treatment will not be complicated by bone loss due to gum disease.
Adults who have had teeth removed in the past might have difficulties with orthodontic care as old extraction sites might not be suitable for teeth to move into. Adult patients receiving treatment also have a higher risk for root absorption than children do as their bodies reabsorb the root of the tooth, leaving no room for anchorage. This process causes teeth to loosen and fall out over time due to gum instability. Since braces and other appliances are cemented directly to the teeth themselves, it is important that all patients, even adults, maintain good oral health practices that will prevent the areas around the brackets from developing plaque and tooth decay, which will ensure that they get the best (and healthiest) smile possible.
Schedule An Appointment Today
If you are interested in adult orthodontics or are wanting to improve the look of your smile, call Belmar Orthodontics at (303) 225-9016 for a consultation to learn about which options are available for you. Our dedicated team of professionals are determined to help you get the smile that you want and improve your oral health!
Surgical orthodontics is sometimes needed for those patients whose upper and lower jaws don’t align correctly and a proper bite cannot be achieved. Surgical orthodontics will change the alignment of your jaw, which will affect your teeth. Braces are normally involved in this process to correct teeth movement. Since this is a surgical process, there are many different options for patients to choose from to fix misaligned jaws. Find out whether you’re eligible for surgical orthodontics and what it can do to fix your smile!
What Surgical Orthodontics Entails
In some cases, surgical orthodontics is recommended for patients whose upper or lower jaws do not line up properly and thus cannot obtain a correct bite with orthodontics alone. Known also as jaw surgery or orthognathic surgery, this process involves correcting irregularities of the jaw bone and realigns the jaw and teeth to function together properly. Surgical orthodontics also can be used to fix aesthetic concerns about a patient’s profile or jaw shape/size. Since this type of orthodontic work involves correcting the alignment of your jaw, your teeth will most likely shift, as well, so braces are used in combination with this treatment.
Those patients who suffer from problems with their chewing, breathing, or speaking due to a misaligned jaw are prime candidates for surgical orthodontics. As mentioned earlier as well, patients who have aesthetic facial concerns can also benefit from these treatments to see what improvements can be made, after consulting with their orthodontist. The downside to treatment is that it cannot be performed until a patient’s jaw is fully formed, so for children and children who struggle with any of the aforementioned issues, they must wait to fully develop before any surgery can be performed. For males, jaw growth typically finishes at age 18, and for females it is completed earlier, at around 16 years of age.
What To Expect During Surgery
Surgical orthodontics include both pre and post-surgical phases in which treatment is tailored to the individual patient’s needs and jaw structure. Pre-surgery involves aligning your teeth and moving them into a more ideal position before surgery. In many cases, braces are put on 12-18 months prior to surgery to level and align your teeth in preparation for surgery. Orthodontic surgery on your upper jaw can shift it backward, forward, upward, and downward, while surgery on the lower jaw shifts the jawbone either forward or backward. Surgery is performed by an oral surgeon on the inside of the mouth, so there are no facial scars on the mouth, chin, or other surrounding areas. The surgeon makes cuts in the jawbone, which are then moved into the correct position. Tiny bone plates, screws, wires and rubber bands are used to hold the newly aligned jawbone into their new position. While smaller than the bracket that is fixed onto a tooth with braces, these screws eventually become integrated into the bone over time. In some cases, extra bone may be added to the jaw from your hip, leg, or rib, and secured with screws and plates. During your consult with your orthodontist, you will both discuss the pre and post-surgical treatments that you will be receiving, dependent upon your needs.
After surgery, the oral surgeon will provide you with certain instructions to help in the healing process, such as:
Typically, you will need to wait at least two weeks after surgery to resume your normal activities. Initial jaw healing occurs at around six weeks, but complete healing can take up to twelve weeks. After the one month post-operation check up, most patients will be in braces for 6-12 months after surgery, in which the orthodontist will then check the progress of your smile and alignment of the jaw. The entire process, including surgery and your time with braces, can last several years, depending on the severity of the issue and what adjustments are needed.
The results of surgical orthodontics are varied and can lead to a balanced appearance of your lower face, improved function of your teeth, health benefits from improved sleeping, eating, and chewing, and improvement in speech impediments. Secondary benefits include improved self-esteem and appearance for those who seek out surgical orthodontics for aesthetic purposes.
Preventing Surgical Orthodontics
It is recommended that children visit an orthodontist between the ages of 7 to 8 for the main purpose of preventing invasive or drastic treatments later on in life. If a jaw abnormality is discovered earlier on in a child’s life, it can be evaluated and treated sooner without surgery having to be involved. If you or your child are suffering from troubled chewing, eating, breathing, or swallowing, or if you have a misaligned jaw, call Belmar Orthodontics at (303) 225-9016 for an evaluation. Our trained staff can help prepare you as you make this important step in your oral health and guide you to a healthier smile.
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February 3, 2023
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