What is Diastema? Treatment Options and More

An illustration of showing overbite
Published Date:
June 25, 2025
Updated Date:
June 25, 2025
Reading Time: 7:min
Published Date:
June 25, 2025
Updated Date:
June 25, 2025
Reading Time: 7:min

A perfect smile is often viewed as one where the teeth are straight and close together (in nature's perfect design). One of the most obvious traits that deviates from this image is the spacing between the teeth, which usually appears in the upper front teeth. This dental spacing condition is called diastema. And people often ask questions like: Is diastema normal? Yes, it is. It is much more common than people typically think.

While some people rock their diastema as a badge of uniqueness and charm, for others, it can put a hamper on self-confidence, speech, or oral health in general. Whether you just want some clarity around this condition or you want to do something about it, this complete guide covers everything from causes and possible concerns associated with diastema to treatment options, including the leading brands of clear aligners.

What is Diastema?

Diastema is defined as a space or gap between teeth, and it can exist anywhere in the mouth. It’s most commonly seen between the two upper front teeth, also known as the central incisors. When people talk about diastema, this is usually the gap they’re referring to.

Many people don't understand how common diastema really is. A study by the University of Nevada, Las Vegas in 2022 showed a prevalence of gap between front teeth (midline diastema) among a population of between 3.7% - 36.8%. In the vast majority of cases, the gap was small (1-2 mm). Additionally, there was a higher prevalence of diastema in females: 56.7 % of patients with diastema were female, while 43.1% were male.

Typically, diastema does not present a functional problem, but is a concern more related to aesthetics. However, it also may signal bigger problems, such as alignment issues caused by discrepancies in development, between tooth size and jaw size, or even unconscious habits that can throw the alignment off over time.

Whether for aesthetic reasons or dental health, tens of thousands of individuals are becoming aware of diastema and are going to their dentist for treatment. From aligners to traditional braces, there is more choice than ever in dental care if individuals want to close the gap or keep it confidently.

Is Diastema a Cause for Concern?

In children, diastema, or the presence of gaps between teeth, is usually regarded as a normal and temporary aspect of dental development. When baby teeth start to fall out to make way for adult teeth, it's common for temporary gaps to appear. Typically, these gaps close naturally as the remaining permanent teeth emerge and the jaw structure continues to grow and mature. This process is a normal part of development and often resolves without any intervention.

However, when diastema persists into adulthood or manifests as a new condition later in life, it can be beneficial to investigate the underlying causes. While many adults with diastema do not experience significant issues, there are practical concerns that can arise from having these gaps. For instance, speech challenges may occur; certain sounds might be difficult to articulate clearly if air escapes through the gap.

Moreover, an improper bite alignment, known as malocclusion, might develop as a result of diastema. This misalignment can lead to uneven pressure distribution on the teeth while chewing, potentially resulting in discomfort or increased wear on specific teeth. Additionally, maintaining optimal oral hygiene can become problematic, as food particles may become trapped in the gaps. This retention can contribute to a higher risk of plaque buildup and decay, increasing the chances of dental health issues.

Beyond these functional concerns, cosmetic factors also play a significant role in the decision to seek treatment for diastema. Many individuals desire a more uniform smile, particularly if the gap is prominent and affects their self-esteem. The perception of attractiveness and confidence can be closely tied to one's smile, leading many to pursue cosmetic solutions such as dental bonding, veneers, or orthodontic treatment to close the gap.

So, while diastema can often be a harmless aspect of dental growth in children, its persistence or emergence in adults warrants consideration of both functional and aesthetic factors.

Usual Causes of Diastema

Diastema can result from a variety of biological, behavioral, and anatomical factors. Identifying the root cause is crucial in determining the most suitable treatment method. Here are some of the most common contributors:

Jaw-Tooth Size Discrepancy

A mismatch between the size of your jawbone and your teeth is a leading cause of diastema. If your teeth are too small relative to the size of your jaw, they may not have enough mass to fill the entire arch, leaving visible spaces.

Oversized Labial Frenulum

The labial frenulum is the connective tissue that runs from the inside of the upper lip to the gum area above the two front teeth. If this tissue is unusually thick or extends too far down, it can physically prevent the front teeth from coming together.

Habits Developed During Childhood

Childhood behaviors like thumb-sucking and prolonged use of pacifiers can create unnatural pressure on the teeth, gradually forcing them apart. Another common cause is tongue thrusting, where the tongue presses against the front teeth when swallowing, which can push them outward over time.

Missing or Undersized Teeth

Sometimes, diastema develops because of missing lateral incisors or congenitally small teeth. The surrounding teeth may drift or spread apart, causing gaps in places where tooth support is absent.

Periodontal (Gum) Disease

Advanced gum disease can result in bone loss around the teeth, making them less stable. As the supporting bone deteriorates, teeth may shift or become loose, creating gaps like diastema.

Treatment Options for Diastema

Treatment for diastema is not always necessary, especially if the gap is minor and not causing any functional issues. However, individuals also often ask: How to fix a diastema? Probably because they are concerned about aesthetics, speech, or dental health. There are multiple effective diastema treatment options, each suitable for different causes and severity levels.

Clear Aligners

A girl smiling while putting on clear aligners

One of the most popular, modern, and affordable methods to treat diastema is through the use of clear aligners. These are transparent, removable trays that gradually move your teeth into the correct position. Aligners are especially effective for mild to moderate gaps and are often chosen for their discreet appearance and at-home convenience.

Here are some best recommended clear aligner brands:

  • Caspersmile: Caspersmile is recognized for its clear aligners and proactive customer support. Their dentist-approved hybrid model delivers fast, convenient, and affordable treatment.
    • Treatment Model: Remote
    • Starting Cost: £599 (All-Day Single Arch) / £749 (All-Day Dual Arch)
    • Treatment Duration: 3–5 months (All‑Day), 5–7 months (Nightlong)
    • Wear Time: 22 hours/day (All‑Day) / 10 hours/night (Nightlong)
  • NewSmile: NewSmile is best known for its fully remote clear aligner treatment, offering convenience without compromising on professional care. Their aligners are supervised by licensed dentists.
    • Treatment Model: Remote
    • Starting Cost: CAD 1,549
    • Treatment Duration: 4–6 months (Day) / 8–10 months (Night)
    • Wear Time: 22 hours a day (Day Aligners) / 10 hours (Night Aligners)
  • Diamond Whites: Diamond Whites is known best for clear aligners, along with their great customer support. Their prices are affordable, and they offer remote monitoring along with dentist supervision.
    • Treatment Model: Hybrid
    • Starting Cost: £1,850
    • Treatment Duration: 3-6 months
    • Wear Time: 22 hours a day

These brands have been evaluated for safety, effectiveness, affordability, and customer experience, making them reliable options for people seeking non-invasive correction.

Braces

a boy smiling while pointing at his braces

Traditional metal or ceramic braces remain a highly effective option for treating more severe spacing issues, particularly when diastema is accompanied by other bite or alignment problems. Braces exert controlled, constant pressure on the teeth and can reposition them over time. This option is more comprehensive but may be less aesthetic and involves a longer treatment duration.

Dental Bonding

A guy holding a fake tooth for dental bonding

Dental bonding is a cosmetic approach used to close small to moderate gaps. A tooth-colored resin is applied to the teeth and shaped to close the space. While this procedure is quick, non-invasive, the results may not be as long-lasting as orthodontic treatments, especially if the underlying cause of the gap remains unaddressed.

Veneers

A girl in a dentist’s clinic picking her veneers

Veneers are thin porcelain or composite shells that are bonded to the front of your teeth. They are custom-made to your natural tooth color and shape, making them a one-of-a-kind solution for gaps. You might get veneers simply for aesthetic reasons, and depending on your reasons, the appearance of your smile can improve and look great, especially if you are willing to pay the cost and live with the permanence of veneers.

Frenectomy

Two doctors performing a frenectomy (dental surgery) on a patient

When an oversized labial frenulum is the primary cause of diastema, a minor surgical procedure called a frenectomy may be required. This involves trimming or removing the tissue to allow the front teeth to move closer together. A frenectomy is often followed by orthodontic treatment to guide the teeth into the desired position.

Diastema: Causes and Treatment Options Explained

Diastema is one of those conditions that varies massively in cause and importance. For some, diastema gives character to their smile and does not affect the function. For others, it can become a problem, either because it is an insecurity or because it is a dental issue. A great thing about modern dentistry is that there are plenty of treatment options available, ranging from discreet clear aligners to cosmetic care, which can make it easier for patients to select a method that works for them.

Brands like Caspersmile, NewSmile, and Diamond Whites have introduced affordable and effective aligner plans, which are particularly effective for treating diastema. They allow you to close your gaps or spaces without traditional braces and frequent in-office visits, so you can easily access these products and bring yourself that much closer to modifying your smile with confidence.

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