Spacing between the teeth can result from oversizing of the jaw and undersizing
of the teeth, from oral habits such as thumbsucking and tongue thrust which
cause the upper teeth to protrude and space and due to congenital absence of
permanent teeth.
In adults, spacing can result from weakening of the supporting tooth structures
due to periodontal disease associated with bone loss and gum recession.
This is particularly noticeable when posterior teeth have been lost due to
decay or gum disease resulting in excessive occlusal forces on the front
teeth during function.
Spacing between the teeth can result in damage to gum and bone supporting
tissue due to food impaction when chewing. Spacing can result in an
unstable occlusion due to continued shifting of the teeth during function.
Many people are self conscious and unhappy with their smile due to
excessive spacing.
Treatment of spacing problems is successful with orthodontic treatment at
any age. In children, once oral habits are controlled, spaces can be
closed successfully. In most children, braces are used to close spaces
but in adolescents and adults, Invisalign treatment is ideal for esthetic
reasons.
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