Many patients I have met over the years in my Burbank, California office have spaces or “gaps” between their front teeth that they like and WANT to keep. Madonna and David Letterman have a space between their front center teeth. It is part of their character and I doubt they would want to close it
If you lost or you are about to lose a tooth and have a space you want to preserve this is going to prove very important to you!
The real name for a space between teeth is “diastema.”
The ONLY way to keep that space is to replace the tooth with a dental implant. Dental implants allow your teeth to remain separated.
A bridge connects teeth together so the gap must be filled. Should you decide to do this you may end up with an asymmetric smile because the teeth now look too wide and too “square.” Once the teeth have been ground down for a bridge, irreversible damage to the anchor teeth has occurred.
If you already had a bridge and want your space back, the bridge could be removed, new crowns made and a dental implant placed in the middle! This is a great option if you are trying to make your teeth look the way they used to.
Here are two patients that I personally treated. The photos are before, during and after dental implants to keep the natural space.
Another dental implant example where both of the front teeth were lost:
Can you see how the the teeth would look too square if you didn't keep the gap?
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry