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Dental Services
Cosmetic dentistry
Our range of cosmetic dental services includes Crowns, Bridges, Veneers, and replacement of silver amalgam fillings with tooth colours composite ones. more...
Implant dentistry
We use the Astratech Dental Implant system to replace missing teeth. We can replace a single tooth with an implant crown, or a full arch with implant supported bridges or dentures. more...
General dentistry
We provide a full range of general dental services for all the family, including routine scaling and fillings using a range of materials. We also provide routine endodontic (root canal) treatments, and can provide sports mouthguards and anti snoring devices where required. more...
Latest News
Durham City Smiles – Early February 2012 news
03/02/2012I’ve got some further exciting news regarding the sponsorship of the Durham City Hockey Club U16 team and the arrival more…
Durham City Smiles – January 2012
27/01/2012The busy start to the year continues. Our new team member We’d like to welcome Amy Little to the team. more…
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Diastemas
What is a diastema?
A diastema is a space or ‘gap’ between teeth – very often your front teeth. This is very common in children and is part of their normal dental development. About 50% of children between the ages of 6 and 8 have these. Most of these spaces close naturally as the mouth and teeth develop. In some cases this gap does not close naturally and Graeme’s advice is sought.
What causes a diastema?
There are many factors that can contribute to the development of a diastema. Some of them include:
- Abnormal bone structure – sometimes the bone between the incisors will have a W-shaped defect – which can be seen on an x-ray. Such a defect will prevent the teeth from touching.
- Occasionally, there may be some extra tissue between the teeth which prevents them from touching.
- If you bite your lower lip it may aggravate such a problem.
- If your teeth have developed in such a way so as to allow space for the front teeth to drift apart.
- If you have a large tongue it may push the teeth forward.
This is not an extensive list, but covers the main causes.
How will this gap affect me?
A gap between children’s teeth often causes concern. It can have an effect on speech – making ‘s’ sounds difficult to pronounce, aesthetics, balance and social behaviour.
What can Graeme do for me?
There are many innovative treatments available – restorative, surgery and orthodontic. Treatment choices vary, and can only be offered after the correct diagnosis has been made. Graeme will need to look closely at the patient’s medical and dental history, take x-rays and do clinical examinations.
Contributing factors may also need to be considered. These include spacing of teeth in the mouth, vertical tooth overlaps, normal growth and development, tooth size and tooth angles.
The best treatment for the particular patient needs to be chosen. It is often more important to treat the cause of the diastema, rather than simply focusing on correcting the gap.