An orthodontic problem that frequently occurs (or reappears afterward) is the absence of a gap in between the teeth. You may have difficulty seeing the teeth due to the teeth themselves, the bone surrounding the teeth, or teeth in the other arch. Here are the possibilities.
It may be due to the shapes and sizes of your teeth
The size, shape, or position of the teeth themselves are the most common reasons for spaces, not closing (or staying closed). It may be that a tooth is too narrow on top, too narrow on the bottom, or too small all around. Two normal-sized, correctly positioned teeth can’t fit between two teeth of such a size. An unnaturally shaped or too small tooth has to be resized or reshaped. A dentist or an orthodontist may remove tooth structure or place restorative material (composite or porcelain).
Spaces can be prevented from closing because of the angle of the teeth
Additionally, some teeth are angled in ways that prevent a full space closure. It may be difficult to fully connect the crowns of two teeth if the roots of the teeth are touching beneath the bone. Teeth that are tipped towards each other may leave a triangular-shaped space below the contact point if the crowns are brought together. The orthodontist uses an x-ray to determine whether to move a tooth or reshape it to eliminate space between the teeth.
Teeth may be affected by the gums, bones, and ligaments around them
There are times when the teeth are healthy, but there are problems with the surrounding structures. As a result of ankylosis, a tooth may not be able to be moved to close a space. If the tooth needs to be made wider, veneers or crowns may be required. Patients may have tissue between their teeth that is too dense or thick for full space closure (such as the frenum between their upper central incisors). It can be treated by removing the extra tissues through a procedure called a frenectomy or a gingivectomy.
Space closure can also be hindered by tumors or pathologies of the tongue
In addition to developing spaces between teeth that are difficult to close and maintain, patients with tongue thrusts may also experience tongue posturing issues (or “tongue thrust”). Tongue exercises are effective for some patients (myofunctional therapy), whereas for others, “tongue spurs” are required during treatment and permanent retention afterward. Rarely, there may be a cyst or growth between the roots of the teeth, which creates a space or prevents it from closing. By removing the pathology, oral surgeons can eliminate it.
An opposing arch (the bite) may prevent spaces from closing
The problem may be the teeth on the other arch (the bite) if there are stubborn spaces that won’t close or reopen after they have been closed, and none of the above causes seem to be the problem. The lower front teeth can push against the backs of the upper front teeth, creating spaces. An adjacent cuspid or bicuspid in one arch can also wedge between two teeth in the opposite arch to create a space or prevent one from closing. By moving or reshaping the involved teeth, spaces caused by the opposing occlusion can be closed.
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- Smile Design Mumbai
If you are concerned about your oral health, Smile Design Mumbai is the right place for you. Their primary goal is to provide complete dental care that lasts a lifetime, but patient comfort is our number one priority.
Smile Design Mumbai Dental Clinic offers local anesthetics or sedatives to ease patients during their dental appointments. With world-class facilities and internationally trained professionals, they offer a unique and comfortable dental experience.
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- Aesthetic Smiles Dental Clinics and Facial Rejuvenation
Dr. Urmil and Dr. Ritika Arora own and operate Aesthetic Smiles DENTAL CLINIC & FACIAL REJUVENATION in BANDRA. In addition to dentistry, Aesthetic Smiles also specializes in facial aesthetics.
Ritika Arora is a Master of Periodontics (Gum Surgery) and Implantology, with further training in facial aesthetics. Her experience as a Dentist spans more than 16 years, and she has mastered various aspects of Dentistry. Currently, she focuses on Cosmetic Dentistry, Smile Designing, Dental Veneers, Laser Teeth Whitening, Dental Implant Treatment, and Facial Aesthetics.
Dr. Urmil Arora’s 45 years of experience as a General Dentist and Oral Maxillofacial Surgeon make Aesthetic Smiles unique.
At Dentalesthetix, we believe in treating patients the way we want to be treated. They take a holistic approach to all situations, creating a personalized treatment plan based on rigorous diagnosis, cost-benefit analysis, patient comfort, and evidence-based dentistry.
Dr. Nikita Ambegaokar graduated from Mumbai University with a Bachelor of Dental Surgery (B.D.S.) in 2014. She decided to pursue a higher degree of study after working as an associate for a year, earning her Masters in Dental Surgery (M.D.S.) in Periodontics and Oral Implantology from Mumbai in 2015.
Her hunger for education, competence, and perseverance earned her a Gold Medal for excelling in her University exams. Her specialties include gum disease and dental implants, but she also excels in general dentistry.
- Hai Dent
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