If a patient presents with a very large diastema, what is the recommended action?

In cases of a very large diastema, the recommended action is to conduct an orthodontic evaluation. A diastema, or gap between teeth, can be a result of various factors such as tooth size discrepancies, positional issues, or even periodontal health factors. Understanding the underlying cause is crucial for determining the best approach to treatment. An orthodontist can assess whether the diastema is a result of dental alignment that can be corrected with braces or other orthodontic devices.

While leaving it alone might seem like a plausible option, it may not address any potential underlying problems, such as gum health or alignment issues, which could lead to further complications in the future. Immediate corrective surgery, while it may be appropriate in limited cases, is generally not the first line of action without understanding the dental or orthodontic issues at play. Composite bonding can be effective for cosmetic improvements but, similarly, it does not address any underlying causes of the diastema. Hence, an orthodontic evaluation allows for a comprehensive approach to diagnosing and treating the condition effectively.