I am 30 years old and I have a gap between my two upper front teeth.  What can be done about it? 

Midline Diastema is the medical term for a space or gap between two upper front teeth.  Diastemas are extremely common, especially among children. It may correct on its own. In fact, up to 97 percent of children have diastemas, and that number significantly decreases as children grow and these spaces close up naturally. It is good to keep in mind that diastema is a cosmetic issue—not a dental health issue. In other words, your dental health is not compromised due to the space between your two upper front teeth.

Diastema is often the result of a discrepancy between the size of the jaw and the size of the teeth. Crooked teeth usually come from overcrowding, when the teeth are too big for the jaw. The opposite is true for a diastema — teeth that are too small for the jaw may have gaps between them.

A midline diastema such as the one you describe can also be caused by a large labial frenum. Frenum is the tissue that connects your lips and gum. Place your tongue between your front teeth and lip, reaching the uppermost part of your mouth. The tissue you feel protruding in the center is your upper labial frenum. When that tissue is too large, too wide or too tight, it can cause a diastema between your two front teeth.

Corrective Treatments


 If a midline diastema is the only dental problem, veneers (Lumineers) or dental bonding may be used to cover the space.  In many situations, Lumineers present a convenient solution for cosmetic enhancement. In addition to creating a painless option, this patented technology can last up to 20 years with the proper care.  Your initial consultation will provide us with the information necessary to craft a plan that matches your goals, dental needs, and budget.

Lumineers were created to eliminate the need for shaving the surface of teeth. Unless otherwise indicated, the impressions can be created in the first visit. These are then sent to highly experienced laboratory technicians, who custom craft the Lumineers according to specifications and impressions that match your unique dental needs.  Lumineers can be applied in about 2 visits.

Dental Surgery (frenectomy)

If a large labial frenum is the cause of your diastema, dental surgery may be needed (rarely). This type of dental surgery is referred to as a frenectomy. The oral surgeon removes or loosens the tissue and prepares the space for diastema closure. It is possible to close this gap without surgery but the chance of it opening back up is great without removing this excess tissue.  (Note:  frenectomy alone will not correct the problem. The patient must also undergo additional corrective procedures such as the installation of Lumineers, dental bonding or braces.)

Call  Lakewood Emergency Dentist today. We provide patients with complete mouth care for whatever the issue may be. Dr. Timmons Farah and her staff take every precaution necessary to ensure comfort during a patient’s procedure.  281-320-0400.


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