Gappy Smile

Cosmetic Dentist Serving San Jose, Sunnyvale and the Bay Area

Spaces between teeth are a common problem in cosmetic dentistry. Unless you are Lauren Hutton, big gaps between teeth are not going to enhance your appearance.

Any space can be closed with orthodontics (braces) or cosmetic dentistry. Orthodontic procedures usually take years, but can take as little as 3 months. Most cosmetic space closure is accomplished with bonding, porcelain veneers, or all-ceramic crowns and can be completed in two weeks.

The cosmetic procedure has some advantages over orthodontics alone because these procedures can change the size, shape, and color of teeth as well as improve the position. In severe gap situations, the spaces are closed with a combination of orthodontics and cosmetic dentistry.

Causes of tooth gaps

Spaces are either congenital from birth or more commonly develop over time due to occlusal problems (poor bite), habits (grinding or clenching teeth), or periodontal disease (loss of bone support)

Congenital spaces. This usually “runs in the family” and is an inherited trait. It is often found with small teeth, which is an advantage in cosmetic closing of spaces since the dentist can close the spaces by using an appropriate larger size tooth.
A malocclusion or bad bite can also cause spaces to develop over time. This happens when a malocclusion causes one tooth to touch before other teeth when closing the teeth together. This extra force can move the tooth into a new position and create a space. This problem must be corrected before the space can be closed; otherwise the space will probably reappear over time.
Habits such as grinding or clenching teeth can move teeth and cause spaces to appear. Most clenching and grinding takes place while sleeping and can be controlled or eliminated with appliances worn over the teeth while sleeping. Other unusual habits that can move teeth and create spaces are pipe smoking and job related habits such as a carpenter holding nails between the teeth.
Periodontal disease (gum disease) is probably the most common reason for spaces developing gradually. This is a serious problem and needs to be controlled before any cosmetic procedures can be started. Periodontal disease is caused by bacteria (plaque) that attack the gums and underlying bone. In severe cases of the disease the bone support for the teeth is damaged and the tooth becomes mobile. This allows spaces to develop. Usually these patients are not good candidates for cosmetic dentistry or orthodontics.

Most patients with gaps or spaces between their teeth can be helped.

Common Dental Problems

Frequently Asked Gappy Smile Questions

If you would like to learn more about instant orthodontics or any of the procedures or treatments Dr. Wayland provides, or if you would like to find out what cosmetic dentistry techniques he can use to correct your smile, contact him today to schedule your initial consultation.