Diastema – Understanding What It Is, What Causes It, How to Deal with It

Diastema is a term orthodontists use to describe a gap that exists between two teeth that should be touching or otherwise close together.1 Diastema is more commonly known as “gap teeth.” For many people, deciding whether to close the gap is a matter of style, looks, and preference. For others, diastema can cause oral health problems including loose teeth,2 gum inflammation,3 bacterial growth,4 and more.

Fortunately, whether people are choosing to deal with their diastema for cosmetic or health reasons, there a variety of options available to help them close the gap in their smile.

What is diastema?

Diastema is a condition where gaps exist between two teeth.5 These gaps can form anywhere in your mouth but can be most noticeable between the two upper front teeth. Sometimes the gaps in your smile can be small, and sometimes they can be large.

Diastema affects both kids and adults but is more common in children. According to one study, almost half of kids between the ages of three and 12 had a gap between their teeth that was 0.5mm wide or greater.6

What causes diastema?

Baby teeth can be a major cause of diastema in children. Baby teeth are much smaller than the adult teeth coming in behind them, so when they fall out gaps can appear enlarged. These gaps usually close on their own once adult teeth come in.7 Some behaviors can also cause gap teeth, like sucking your thumb,8 grinding your teeth.9 For some people, the gaps between their teeth are due to the size of their jaw or teeth10 or their genetics.

Other possible causes include:

  • Shifting Teeth – new gaps, or gaps that appear to have gotten larger can be a warning sign that your teeth are shifting in your mouth.

  • Tongue Positioning – if your tongue continuously adds pressure to the back of your front teeth, it can create a gap over time.11

  • Gum Disease – pockets12 of plaque and other bacteria found in people with even mild periodontitis can cause teeth to move and gaps between teeth to form.

  • Age – typically, diastema in children resolves on its own,13 as gaps are more prevalent with baby teeth; as kids age and their permanent teeth come in, the gaps often close.

Treating diastema with aligners or braces

Closing the gap in your teeth can improve your life for the better.14 According to one study, correcting certain forms of diastema improved the quality of life in young people by as much as 50%.14

Your specific treatment plan will depend on your situation and your orthodontist. In many cases, your orthodontist may choose to use aligners or braces to close the spaces between teeth. This is especially true if the gap is large.11 Compared to braces, Invisalign® aligners are less painful,15 more comfortable16 and faster.17

Alternative treatments

Depending on your situation, your orthodontist might choose other treatments instead of aligners and braces, or in addition to these forms of treatment. These treatments include:

  • Dental bonding – conceals the gap with a special material.

  • Veneers – ceramic shells that adhere to your teeth to close the gap between teeth.

  • Surgery – in some cases, orthodontists may suggest surgery in addition to other procedures, such as bonding or veneers.

  • Dental Bridge – often recommended in situations where a tooth is missing.

  • Dental Implants – implants also help close gaps caused by missing teeth

See how closing the gap could change your smile

Want to know what your new smile might look like? Invisalign SmileView™ helps you picture it by simulating your smile after correcting diastema. Ask your orthodontist to try out SmileView™ so you can picture it for yourself.

Talk to your orthodontist to learn more

If you want to learn more or you’re ready to correct your smile, talk to an Invisalign provider. They can review your specific situation and develop a treatment plan that works for you. Don’t have an Invisalign provider? Try the Invisalign Doctor Locator – it can help you find an Invisalign provider near you.



Disclaimer: The information contained in this website are for educational and informational purposes only and does not constitute medical advice. It is not intended to be a substitute for medical advice, diagnosis or treatment. Please seek the advice of your health care provider with any questions you may have regarding any dental or medical-related condition and never disregard or delay seeking such advice because of something you have read on this website.

Wonder if Invisalign treatment is right for you?

  1. American Association of Orthodontists. The Aging Smile: Embracing Changes with Grace (https://aaoinfo.org/whats-trending/4-ways-your-smile-changes-as-you-age/). Accessed 4/28/24
  2. Colgate. Diastema (Gap Between Teeth). (https://www.colgate.com/en-us/oral-health/early-orthodontics/diastema-gap-between-teeth) Accessed 5/1/24
  3. Renaissance Dental Center. What Are The Causes of Diastema? (https://renaissancedentalcenter.com/what-are-the-causes-of-diastema/) Accessed 4/27/24
  4. Colgate. Why Does Teeth Shifting Happen? (https://www.colgate.com/en-us/oral-health/adult-orthodontics/why-does-teeth-shifting-happen). Accessed 4/30/24
  5. American Dental Association. Glossary of Dental Clinical Terms. (https://www.ada.org/publications/cdt/glossary-of-dental-clinical-terms) Accessed 5/1/24
  6. Nuvvula et al (2021 June 8) Etiological Factors of the Midline Diastema in Children: A Systematic Review Int J Gen Med. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8197578/
  7. Leonard (2023 September 24) What is a diastema? Medical News Today. https://www.medicalnewstoday.com/articles/diastema
  8. Authority Dental. What is a diastema? (https://www.authoritydental.org/diastema) Accessed 5/26/24
  9. The Brace Place Tulsa. What Is Diastema and How Can It Be Treated? (https://www.thebraceplacetulsa.com/what-is-diastema-and-how-to-treat-it/) Accessed 5/1/24
  10. McMahon, S, (2014 October) Simplified Diastema Closure Using a Single Composite Shade Inside Dentistry. https://www.aegisdentalnetwork.com/id/2014/10/simplified-diastema-closure-using-a-single-composite-shade Cleveland Clinic. Diastema. (https://my.clevelandclinic.org/health/diseases/23477-diastema) Accessed 4/25/24
  11. Cleveland Clinic. Diastema. (https://my.clevelandclinic.org/health/diseases/23477-diastema) Accessed 4/25/24
  12. Cleveland Clinic. Periodontal Disease (Gum Disease). (https://my.clevelandclinic.org/health/diseases/21482-gum-periodontal-disease). Accessed 4/25/24
  13. WebMD. What Is Diastema? (https://www.webmd.com/oral-health/what-is-diastema) Accessed 5/2/24
  14. Nagalakshmi, S. (2014 July) Changes in quality of life during orthodontic correction of midline diastema Journal of Pharmacy & BioAllied Sciences. https://journals.lww.com/jpbs/fulltext/2014/06001/changes_in_quality_of_life_during_orthodontic.37.aspx
  15. In a study by Miller et al, with adults measuring pain in the first week of treatment. Kevin Miller et al. “A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment.” American Journal of Orthodontics and Dentofacial Orthopedics. Volume 131, Issue 3, pp. 302. e1-302.e9, March 2007.
  16. Study sponsored by Align Technology and based on adult Class I, nonextraction, mild to moderate crowding cases with SmartTrack material. David W. White, Katie C. Julien, Helder Jacob, Phillip M. Campbell and Peter H. Buschang, Discomfort associated with Invisalign and traditional brackets: A randomized, prospective trial. The Angle Orthodontist Nov 2017, Vol. 87, No. 6 pp. 801-808
  17. Gu, J et al. Evaluation of Invisalign treatment effectiveness and efficiency compared with conventional fixed appliances using the Peer Assessment Rating index. Am J Orthod Dentofacial Orthop February 2017;151:259-66Buschang, P et al. Comparative time efficiency of aligner therapy and conventional edgewise braces. Angle Orthodontist, Vol 84, No 3, 2014