To a degree, yes. Clear aligners and fixed appliances can achieve dental expansion in adults — moving the back teeth outward within their supporting bone. True skeletal expansion is not achievable without surgery in adults, because the palatal suture has fused.
Most often a dental arch that did not develop to full width during childhood. The main contributors are genetics, habitual mouth breathing with low tongue posture, prolonged thumb-sucking, and premolar extractions during earlier orthodontic treatment. Frequently more than one is involved.
Often best to wait. Many childhood diastemas close spontaneously as the canines erupt in late childhood. We typically defer cosmetic intervention until late teens at earliest, by which point the alignment has stabilised.
Almost certainly yes, in months to years. Teeth drift without retention. Lifetime nightly retainer wear after any orthodontic treatment, including gap closure, is non-negotiable for stability.
That's a personal call. The honest test is: would you keep it if treatment were free and instant, no commitment? If yes, keep it. If no, treatment is reasonable.
Yes for most gaps under 4-5mm. Invisalign closes the gap by moving the adjacent teeth together, which is the most natural-looking result. For larger gaps, closure may leave the teeth narrower than surrounding teeth and benefit from light composite refinement at the end.
Depends on the cause. If the underlying alignment is stable, composite or veneer closure holds well for the lifespan of the restoration. If there's an unaddressed cause — tongue-thrust, frenum positioning, periodontal drift — the gap will reopen regardless of how it was closed.
Usually not. A stable diastema with healthy gums and a sound bite is a cosmetic feature, not a health concern. It only becomes a clinical issue when the gap is a symptom of something else — active gum disease, a tongue-thrust habit, or drift from a missing tooth.
Neither is universally better — they suit different cases. Composite bonding is right for an isolated, stable gap where you want to preserve enamel. Invisalign is the better long-term answer when the gap is one feature of a wider alignment picture, because it corrects the underlying tooth positions rather than masking them.
Depends on the route the case needs. Composite bonding starts at £175 per tooth (typically £350-£700 for a midline closure across two teeth). Invisalign is £2,200 (Express), £3,400 (Moderate) or £4,500–£4,900 (Unlimited). Porcelain veneers are £750-£1,500 per tooth. The dental examination is £65.
Five common causes: a tooth-to-jaw size mismatch (the most frequent), a low-set labial frenum mechanically blocking closure, a persistent tongue-thrust habit, periodontal drift from gum disease, or compensatory drift from a missing tooth elsewhere in the arch. Identifying which one applies determines the right treatment sequence.
A visible improvement, rarely complete removal.
When filler would make bags or puffiness worse, or when the cause needs a medical or surgical opinion.
At Dental & Wellness London, pigment treatment is from £80, polynucleotides from £250 and tear trough filler £250 for 0.5ml.
SPF, and products with ingredients such as vitamin C, niacinamide and retinol for the eye area.
DNA-fragment injectables that improve thin, crepey skin without adding volume.
Only for a genuine hollow with good skin quality. Filler can make bags look worse.
The one matched to the cause, assessed at consultation.
Pigment, thin skin showing vessels, a hollow casting a shadow, or puffiness, often in combination.
A visible improvement, not a surgical-level lift.
Laser tightening from £195, Profhilo £350 or £625 for two, filler from £350, PDO threads from £600 for a single area, and the Korean V Lift mono-thread lift £1,600. Consultation £65.
Dissolvable threads lift and support tissue and stimulate collagen. A PDO thread lift starts from £600 for a single area; the Korean V Lift, a separate mono-thread lift, is £1,600.
It heats deeper layers of the skin to stimulate collagen, gradually firming mild laxity.
With heavy jowls or significant loose neck skin. We will refer you if surgery is the better option.
It depends on how much laxity there is. We match the treatment at consultation.