The closure of diastemas with buttons is a modern and efficient technique in orthodontics to eliminate spaces between teeth, especially in the front part of the smile. This discreet and controlled solution allows for the closure of diastemas without the need for traditional braces.
What is a diastema?
A diastema is an abnormal space between two teeth. The most common occurs between the upper central incisors (the two front teeth), although it can appear between any pair of teeth.
Main causes of diastemas:
- Unequal size between teeth and maxillary bone
- Prominent upper labial frenum
- Habits such as pushing the tongue or thumb sucking
- Tooth loss without replacement
- Periodontal disease
- Genetic factors
🤔 What are buttons in orthodontics?
Orthodontic buttons are small devices that adhere to the surface of the teeth and are used as anchor points to place inter-dental elastics or elastic chains.
The orthodontic buttons are small devices (they can be made of metal or dental resin) that adhere to the surface of the teeth. They are used as anchor points to place inter-dental elastics or elastic chains, with the aim of gradually moving the teeth and closing spaces such as diastemas.
Although they are usually used alongside invisible aligners (such as Invisalign), they are also employed with conventional or aesthetic orthodontics.
🛠️ How are diastemas closed with buttons?
The procedure is straightforward but requires professional planning. Below is a description of how it is performed:
1. 📋 Evaluation and diagnosis
The orthodontist reviews the size and cause of the diastema. If it is feasible to close it with buttons, a personalized treatment plan is designed.
2. 🛠️ Placement of the buttons
Two buttons are adhered: one on each tooth that defines the space (for example, on the central incisors). These are fixed with special resin without damaging the dental enamel.
3. 🧩 Placement of the elastic or chain
An orthodontic elastic or chain is placed between the buttons to generate the necessary tension that will move the teeth towards the center, closing the space.
4. 📅 Periodic check-ups
The orthodontist monitors the progress of the diastema closure. Depending on the case, the treatment may last from 4 weeks to 3 months.
5. 🗑️ Removal of the buttons
Once the space is closed, the buttons are removed and retainers are placed to maintain the result.
The closure of diastema with buttons is recommended when the diastema is mild or moderate and complex movements are not required.
🤔 In what cases is this technique recommended?
The closure of diastema with buttons is recommended when:
- The diastema is mild or moderate
- The patient uses clear aligners
- A less visible solution than metal braces is desired
- Complex movements are not necessary
| Feature | Description |
|---|---|
| Discreet aesthetics | The buttons and elastics are less visible than traditional braces. |
| Localized and quick treatment | It focuses on the specific area of the diastema, reducing treatment time. |
| No need for braces throughout the mouth | They are only placed on the teeth that define the space to be closed. |
| Reversible and conservative | They can be removed without damaging the dental enamel if the treatment is not effective. |
| Ideal in combination with invisible aligners | Perfectly complements treatments with clear aligners. |
💰 How much does it cost to close a diastema with buttons in Peru?
The price depends on the city, the orthodontic clinic in Lima, and whether it is part of a complete orthodontic treatment. Here is a general reference:
| Treatment | Estimated price |
|---|---|
| Only closure with buttons (2 to 4 teeth) | S/ 300 – S/ 600 |
| Part of a plan with aligners | From S/ 3,500 |
| Subsequent check-ups and retainers | S/ 100 – S/ 200 |
In Lima, prices may be higher in specialized clinics.
🌟 Advantages of closing diastemas with buttons
- Discreet aesthetics
- Localized and quick treatment
- No need for braces throughout the mouth
- Reversible and conservative
- Ideal in combination with invisible aligners
🤔 What are the disadvantages?
- Requires frequent professional supervision
- May cause discomfort at the beginning
- Needs good hygiene to avoid inflammation
- Not suitable for very wide spaces or severe malocclusion
🌟 Care during treatment
- Brush well around the buttons and elastics
- Use mouthwash if there is gum inflammation
- Avoid sticky or very hard foods
- Do not manipulate the elastics on your own
- Attend check-ups punctually with the orthodontist
⏰ How long does it take to close a diastema with buttons?
It will depend on the size of the space and the individual response of the patient, but in general:
- Small spaces (1-2 mm): 3 to 6 weeks
- Moderate spaces (2-4 mm): 1 to 3 months
It is essential to use a retainer upon completion to prevent the teeth from separating again.
👩⚕️ Who performs this procedure?
The closure of diastemas with buttons must be performed exclusively by a certified orthodontist. Buttons should never be placed on your own nor should improvised elastics be used, as this can cause serious damage to the gums and teeth.
| Comparison | Buttons and Elastics | Metal Brackets |
|---|---|---|
| Visibility | Less visible | Very visible |
| Treatment time | 3 to 6 weeks – 1 to 3 months | 1 to 3 years |
| Comfort | More comfortable | Less comfortable |
| Cost | S/ 300 – S/ 600 | S/ 2,000 – S/ 5,000 |
| Reversibility | Reversible | Not reversible |
The closure of diastemas with buttons is a modern, efficient, and minimally invasive option to eliminate spaces between teeth aesthetically.
The closure of diastemas with buttons is a modern, efficient, and minimally invasive option to eliminate spaces between teeth aesthetically. In Peru, more and more dental orthodontic clinics in Lima are offering this technique, especially as a complement to treatments with clear aligners.
If you are looking for a discreet way to improve your smile without braces, this technique could be ideal for you. Always consult a qualified professional and request a personalized diagnosis.
