Spaced teeth
Gaps between teeth — known as diastemas — can be closed conservatively with composite, restoring harmony to your smile without drilling in most cases.
Agenesis
Dental agenesis is a congenital abnormality (which occurs before birth) where one or more teeth do not develop. Composite is a very conservative option, especially for younger patients, as it can provide harmony to their smile. Should the patient desire orthodontic treatment or implants in the future, the composite can simply be removed as no drilling was done and the teeth are intact.
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BeforeBoth of the upper lateral incisors were missing in this young teenager. The family opted for treatment with composite as it is a reversible and conservative option. Composite bonding was done with the aim of closing the gaps and masking the pointy canines by making them more rectangular and simulating the shape of the missing lateral incisors.
BeforeThis young teenager presented with agenesis of the right lateral incisor, and her left lateral incisor was cone-shaped (also known as a peg tooth). The left central incisor had a composite filling done due to a fracture. The family opted for treatment with composite veneers of the front six teeth.
Diastema closed with composite bonding
Diastemas are gaps between teeth that can be closed or reduced with composite. When teeth have the appropriate length, the composite can be added just in between both teeth with the objective of closing or reducing the space between them.
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BeforePatient presented with gaps between all the upper teeth. Since they were all of normal length, it was only necessary to fill in the gaps with composite bonding in between the teeth.
BeforePatient presented with gaps between the lower teeth. In this case, composite bonding was done to the lower teeth.
BeforePatient presented with a small gap between the lateral incisor and the canine that was bothersome. This gap was closed with composite bonding and without any drilling to the teeth.
Diastema closed with composite veneers
When teeth with gaps also present with some alterations to the shape, size and colour, an alternative is to correct these with the use of composite veneers. This is when the entire frontal surface of the tooth is covered with composite, which improves the aesthetic look and corrects the imperfections described above.
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BeforeIn cases where it is necessary to increase both the length and the width of teeth, veneers are highly recommended — the tooth is entirely encased in the restorative material. This patient opted for eight composite veneers without any drilling.
Diastema closed in posterior teeth
When gaps between posterior teeth are not large enough for implants or dental bridges, an alternative to orthodontic treatment is to close or reduce this undesired space with composite bonding.
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BeforePatient reported using orthodontic braces for many years, yet the gaps between his upper teeth on both sides had not closed. Not interested in further orthodontic treatment, he opted to close these gaps with composite.
BeforeThis patient had her second premolar extracted many years ago and, over time, the first molar shifted forward. The space was too small for an implant, and she was not interested in a fixed dental bridge — the agreed alternative was to reduce the space with composite bonding, with some bonding also done to the front teeth.
Incisal angle
This term also describes a gap between teeth but differs from a diastema in that it refers to a small space between the edges of the teeth.
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BeforePatient was bothered with the gaps, the shapes and the misalignment of her teeth. She opted for composite bonding with no drilling. In one sitting, it was possible to close the gaps, give a new shape to her smile and disguise the protruding lateral incisors.
BeforeA young lady presented with very yellow teeth and was unhappy with their shape. She opted for whitening and composite bonding applied to specific areas of the teeth in a very conservative manner.
Black triangle
Black triangles are spaces that appear between teeth near the gum. There are many reasons for this and, depending on the height of your smile, it can be the cause of an aesthetic concern.
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BeforePatient was very bothered by the gaps between her teeth near the gumline. Composite bonding was done without any drilling to fill the gaps and improve their appearance — absolute isolation with a rubber dam was important to keep a dry field of work and avoid excess composite next to the gum.