Can gaps in teeth exist even after getting braces?

Question

Hello doctor,

I have a gap in my front teeth even after orthodontic treatment. Please suggest me a proper treatment for my concern.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

Firstly, a physiologic space between front teeth is known as midline diastema. The gap may also be caused by weak, infected gums (periodontitis). The gap can also be due to low positioning of the labial frenum, i.e., a fold of gums under the upper lip that may sometimes extend between or near teeth. The cause of the space plays a critical role in deciding the treatment plan in your case because if a filling is done directly without knowing the cause, then the space may come back and increase.

If a periodontal or gum problem causes the space, then scaling and curettage (teeth cleaning) can be done, and the space can be closed with a direct composite veneering (laminate).

But suppose this is due to the low positioning of the labial frenum. In that case, the surgical removal of the labial frenum (frenectomy) can be performed with a laser. Then the space closure can be done with a direct composite tooth-colored filling (veneer).

I suggest you send pictures of your front teeth to analyze the condition better.

I hope this has helped you out.

Thanks and regards.