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Diastema is a medical term meaning “space between”—or what Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team less formally call a gap between the teeth. Such gaps are common for children as they make the transition from baby teeth to adult teeth, and usually close when all the permanent teeth arrive. But not always!

Sometimes a gap, usually between the upper front teeth, stays with you into adulthood, but doesn’t affect your perfectly heathy teeth. Sometimes a diastema develops due to medical conditions or trauma. Whether you would like to close a gap for cosmetic reasons, or need to address gaps that have developed because of dental problems, your treatment will depend on the causes of the diastema.

• The Relationship of Jaws and Teeth

Most of the time, we think of braces as straightening crooked teeth. For many braces wearers, the jaw can’t accommodate all of the adult teeth without crowding. But it’s also possible to have too much space for incoming teeth, and this can lead to a gap between two or more teeth. Orthodontic treatment is a common choice to close this kind of gap, using braces or clear aligners to move the teeth closer together.

• Prominent Labial Frenulum

The labial frenulum is a band of muscular tissue that connects the upper lip and the top of the gums. If it is too large, tissue can extend beyond the top of the front teeth. A gap develops when the front teeth simply can’t meet because of the tissue between them.  Oral surgery can reduce the size of the frenulum, if necessary, and often orthodontic treatment is the go-to option to close the diastema.

• Small Teeth or Small Gap

Occasionally, a few teeth are noticeably smaller than their neighbors. Bonding, veneers, and crowns can be used to enlarge these teeth, making them proportionate to the teeth around them. These treatments can also be successful in reducing a gap between the front teeth.

• Missing Teeth

Sometimes people are born missing a tooth. Sometimes people lose a tooth to injury or decay. And while the space left by a missing or lost tooth is a noticeable gap in itself, the remaining teeth can shift to fill the void, causing other gaps to develop as well. A dental implant or bridge can both replace a missing tooth and maintain the normal spacing of the teeth that surround it.

• Gum Disease

Left untreated, periodontitis (gum disease) can damage or even destroy the bone tissue which holds and supports the teeth. This, in turn, leads to “tooth mobility,” or loose teeth. Spaces between the teeth become more noticeable and larger over time. After the gum disease is treated, patient and dentist can explore options for reducing or eliminating spaces between the teeth.

• Harmful Oral Habits

Tongue thrusting and thumb sucking are two habits that can affect the alignment of the front teeth. Both behaviors pressure the teeth to move forward, which can cause separations between them. Learning how to change these behaviors will help prevent or stop the expansion of a diastema and potentially serious malocclusions (bad bites).

If you would like to discuss your diastema for aesthetic reasons, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani for ways to reduce or eliminate the gap. If your diastema is the result of a medical condition, we will be able to recommend treatment options available at our Dallas office. If you’re teeth and gums are healthy, and you enjoy the individuality of your diastema . . .

• Embrace the Space!

A diastema can be a signature look for you and your smile. Normal brushing, flossing, and regular dental care will keep your smile bright, healthy, and uniquely you. And if you’re happy, healthy, and confidant, why, there’s no reason to mind the gap at all!

Now that you’re entering the working world, or heading off to college, or pursuing any of the many adventures awaiting you in adult life, you’re ready to take on more adult responsibilities. And one of those responsibilities is making sure you maintain your dental health.  

Luckily, it’s not that hard! Successful adulting often means simply making small proactive choices which add up to big long-term benefits. So, let’s look at a few of the everyday habits of dentally successful adults.

Choose a Healthy Lifestyle

• Eat well.

Just like the rest of our bodies, our teeth and gums need a healthy diet to thrive. Sugar-fueled study sessions and energy drink-filled work hours should be the rare exception, not the norm. A diet rich in vitamins and minerals keeps gums healthy and enamel strong.

• Don’t use tobacco products. 

Cigarettes, cigars, pipe smoking, chewing tobacco—any form of tobacco products, especially combined with alcohol use, can greatly increase your chances of developing mouth and throat cancers.

• Talk to your doctor about the HPV vaccine.

HPV (human papillomavirus) can also cause mouth and throat cancers. The American Academy of Pediatrics recommends the HPV vaccine for kids ages nine through 12. If you haven’t been vaccinated yet, talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about the potential benefits of the HPV vaccine. 

Keep Up with Your Orthodontic Care

If you’ve spent several of your teen years in braces or aligners creating a beautiful, healthy smile, you don’t want to see all your hard work go to waste. Retainers are designed to make sure your teeth stay just where they belong for a lifetime. 

When retainers aren’t worn as directed, especially when braces or aligners first come off, the teeth can shift back to their old positions. Sometimes going back to your regular retainer schedule can fix any minor movement, but sometimes patients need to go back for repeat orthodontic treatment.

How to avoid orthodontic do-overs?

• • If you have a retainer, wear it as scheduled to maintain your alignment and healthy bite. 
  • Put your retainer in a case when you’re not wearing it. A bent or broken retainer won’t keep your teeth aligned properly and can damage delicate oral tissues!
  • If your retainer is damaged, see the dental team at Dallas Dental Arts in Dallas ASAP for repair or replacement.

 Practice Good Oral Hygiene

• Brush at least twice a day, for two minutes each time. 

Plaque begins to build up within hours after your last brushing. Removing plaque morning and evening also removes the cavity-causing bacteria which live in plaque. These bacteria erode enamel and lead to cavities.

• Floss at least once a day. 

Flossing helps remove plaque from your gumline. When plaque accumulates over time, it becomes tartar, a substance so hard that you’ll need a dental professional to remove it. The bacteria in plaque and tartar irritate your gums, and this irritation is the beginning of gum disease. Early-stage gum disease (gingivitis) can often be reversed with better brushing and flossing habits—but, even better, help stop gum disease before it starts with daily flossing.

• See your dentist regularly. 

If you’ve had the same dentist since childhood, you’ve probably developed a great partnership, typically visiting your dentist twice each year for an exam and a professional cleaning. 

Make sure you make space in your busy adult life to keep your smile its healthy, sparkling best by continuing to schedule regular cleanings and exams. This is the best way to clean away any plaque or tartar you may have missed, and, most important, to catch any small problems before they become bigger ones. 

Not so difficult, right? In fact, you’ve probably adopted most of these healthy habits already. Take charge of your dental health now, make good habits a part of your daily routine, and you’ll be prepared to enjoy a lifetime of healthy, attractive, adult smiles!

Decades ago, it was just expected that getting older meant losing teeth. But today’s dental practices and treatments help us defy expectations. How can we keep our teeth healthy as we age? Here are some great habits to continue or begin at any time of life:

• Brush and Floss Regularly

Brushing and flossing two minutes carefully twice a day is a habit we should never break. If using a manual toothbrush has become difficult, an electric model might be just what you need. We also have many suggestions if you have mobility or other issues, so please talk to Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about making regular dental hygiene as comfortable and effective as possible.

• Keep Up with Exams and Cleanings

As we age, gum recession is common. This recession leaves the root areas of our teeth more exposed, and more vulnerable to cavities. Also, old fillings can break or loosen, and cavities can develop around their edges. Keeping a regular schedule of exams and cleanings at our Dallas office helps us discover any problems before they become serious.

• Let Us Know about Changes in Your Health and Medications

If you are taking certain medications, you are at risk for developing a condition called dry mouth, where saliva production greatly decreases. Since saliva washes away the food particles that fuel bacteria growth, reduces acidic elements in the mouth that weaken enamel, and helps fight diseases, dry mouth sets the stage for increased chances of cavities and gum disease. If you are experiencing this condition, we have suggestions for hydration, dental rinses, and sugarless gums that can help.

• Prevent Gum Disease

Regular brushing, professional cleanings, and routine check-ups are the best way to keep your gums healthy. Since untreated gum disease is one of the leading causes of tooth loss in older adults, call us if you have any symptoms such as puffy, red, or swollen gums, bleeding, or persistent bad breath. We can treat periodontitis at any stage, but prevention is always best.

• Don’t Smoke

Studies show a link between smoking and the health of our teeth and gums, as well as a much greater risk of oral cancer. It is never too late to stop smoking! We have suggestions on ways to quit—please let us provide them.

Feel free to talk to us about any concerns you might have. With proper dental care, your teeth can last a lifetime. And that’s a great expectation!

At Dallas Dental Arts, we are well-aware of the 25 million Americans who fear having to visit the dentist. Dental phobias are known to range anywhere from feeling mildly nervous to experiencing sweaty palms and even a racing heartbeat upon entering a dentist’s office. This anxiety can sometimes be so severe that it prevents people from visiting a dentist for years, postponing dental procedures that often result in costly problems down the road.

For those of our patients who have dental anxiety or dental phobia, it may be time to look into sedation dentistry, a safe and effective option for patients who are anxious or afraid, have a bad gag reflex, limited jaw opening, or for those who have a difficult time getting numb.

Sedation dentistry, a term that we use to refer to the use of anesthesia during treatment to put patients into a relaxed state, comes in many forms of sedation, from simply easing anxiety, to “conscious sedation,” which places patients in what we call a “twilight sleep.” Sedation dentistry at our Dallas office allows our patients to drift through their appointments—including complex dental work—as well as feel completely relaxed throughout their visits, without any discomfort or pain. Sedation dentistry can turn a nerve-wracking visit into a comfortable and enjoyable one.

Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani and our team will be more than happy to discuss any concerns, issues, or fears you may have before or during your visit, and will be able to tell you if you are a candidate for sedation dentistry.

By talking with Drs. Sheena Allen, Mark Margolin, and Moein Sadrkhani about sedation dentistry, you can feel more comfortable and relaxed during your next visit to Dallas Dental Arts. Give us a call today!