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How to Fix Gap Between Front Two Teeth Without Braces?
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Rammer24 posted:
How do I fix a gap between my front two teeth without braces? I do not want braces, and was looking for an alternative to fix that problem. I have heard of white composite fillings, so what are the pros and cons of them? How long do they last, will it be a hassle for the rest of my life? And how easily do they stain?
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Zev Kaufman, DDS responded:
Dear Rammer24:

The easiest, most cost effective, immediate way to close a diastema (the space between your front teeth) is with composite bonding (fillings). They require virtually no tooth preparation (grinding down of the tooth), and can be removed at will.

Typically the composite will last 3-7 years, however, with proper care and re-polishing they can last much longer. The shade (color) will also darken slightly through the years, but your teeth will do that as well.

In addition, the cost of the restorations ($200-$1000 per tooth, depending on size of the restoration, location, and dentist's expertise) is very reasonable and much more affordable than the alternatives (porcelain veneers or braces).

As usual, I do recommend going to a Prosthodontist, who is the specialist in this area, but most general/family/cosmetic dentists will be able to give you a nice result.

It is always better to ask to see pictures of this type of work. Most dentists who enjoy doing this type of work will be more than happy to show you pictures of their work.

Best wishes,
Dr. Zev Kaufman
 
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Rammer24 replied to Zev Kaufman, DDS's response:
I have about a 1.5 mm gap, how long will this take with braces? I heard braces close about 1mm per month, so in theory I will only have them not very long, right?
 
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Zev Kaufman, DDS replied to Rammer24's response:
Dear Rammer24:

The estimation as to the time can only be decided upon careful examination of your situation physically and with x-rays.

Don't forget that if you "move" the two front teeth together, the teeth behind have to be "moved" inwards too.

If your case is simple, it might be able to be done with Invisalign Express. It is the shortest duration treatment (less than 20 weeks) and it will offer you cost savings as well (about half of a regular Invisalgn case).

The best way to proceed is to go to an orthodontist and have the situation evaluated properly.

Best wishes,
Dr. Zev Kaufman
 
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Rammer24 replied to Zev Kaufman, DDS's response:
I have come to realize that braces or invisalign are too expensive and that I may have to explore a different route. Are veneers more expensive than braces? Also which are better to fix my gap, veneers or a white filling?

But I am really concerned about the maintenance and staining of white fillings. Will they forever be a hassle in my life? I don't want to deal with that. Also will the white fillings make my teeth look abnormally wider?
 
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Zev Kaufman, DDS replied to Rammer24's response:
Dear Rammer24:

Porcelain laminate veneers are expensive. They are essentially the same price as getting a crown placed on a tooth (in my office I charge the same). The price will also be a reflection of the doctor's training, expertise and location. A prosthodontist (the specialist in restorative, cosmetic and implant dentistry) in NY or LA will be probably the most expensive. For reference, the price of a veneer in New York is around $1500-$2500 per tooth.

If braces are expensive, then veneers are way expensive.

A quality, nicely done composite restoration will last you 3-7 years and then might just have to be re-polished.

Teeth do change shade over time and the chances are that your own teeth will darken prior to the composite restorations.

You are correct about the width. If your own central incisors are very wide, then adding composite restorations will make them wider. Many times, in order to get a proper result a combination of orthodontic work and restorative work (veneers or fillings) has to be performed in order to get a great result.

Now you have some "food for thought". You have to see your dentist and discuss the options. However, from the sounds of it, properly made composite restorations are probably your best option.

Best of luck,
Dr. Zev Kaufman
 
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GODCHILD88 replied to Zev Kaufman, DDS's response:
DR. ZEV KAUFMAN,

I have a 5mm gar in front of my teeth and I really want to get fillings because they are less expensive then braces or venners. Also, i dont plan on closing my gap all the way but i would just want to have a les noticeable gap to smil with. Would you more likely suggest braces? Can i go ahead with the composite bonding?
 
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Zev Kaufman, DDS replied to GODCHILD88's response:
Dear Godcild88:

Go and ahead with the composite bonding. It is the most convervative, cost-effective, least invasive treatment and most dentists will be able to give you a nice result, if you describe exactly what you want.

Orthodontics will be the most effective way, followed by proper porcelain laminate veneers of the front 4 to 8 teeth to get the most perfect effect, yet is will be MUCH more expensive and is much more involved.

Best of luck,
Dr. Zev Kaufman


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