Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.5
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2015, vol. 52, nr 3, July-September, p. 341–344

Publication type: review article

Language: English

Creative Commons BY-NC-ND 3.0 Open Access

Maxillary Median Diastema – Review of the Literature

Diastema pośrodkowa szczęki – przegląd piśmiennictwa

Agnieszka Elżbieta Osmólska-Bogucka1,A,B,D,E,F, Barbara Siemińska-Piekarczyk1,A,E,F

1 Department of Orthodontics, Medical University of Warsaw, Warsaw, Poland


Diastema in the dental literature is most frequently referred to as space between the central incisors. Observations show that it is not only an aesthetic flaw, but that it can cause periodontal, prosthetic or speech pathology complications. The causes leading to formation of diastema may be various. Based on the available literature, we attempt to analyze the definition of the diastema, to review the nomenclature, typology, and to compare the Polish and English terminology. Based on the literature review, we highlighted many discrepancies regarding the definition and typology of diastema, which as a result leads to significant discrepancies in the interpretation of examination results. Knowledge of the morphological features of the maxillofacial group in conjunction with developmental age allows for the assessment of standards and pathologies of the anterior section of dental arches. The median diastema is usually part of normal bite development during growth and tooth replacement in anterior maxillary arch. When choosing a method of treatment the following factors should be considered: developmental age, degree of irregularity, etiology as well as setting of the incisors, canines, location of a lip frenulum.

Key words

diastema, false diastema, true diastema

Słowa kluczowe

diastema, diastema rzekoma, diastema prawdziwa

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