### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi.. i am 24 years old women. i have gap between my front upper teeths.. when i was in college its little compare to now.. from past twom months, everybody started to ask that, your teeth gap got increased. WHy?? I dont knoe the reason.. but am also feeling the same.. now i had a thought of taking resolution..for that What i should do first??

### output:

Hello & welcome, The gap between Upper Incisors is called as Mid-line disaster in dental language & is mostly seen in those individuals who have Thick Labial French. This may occur even with labial French with higher attachment between the upper two central incisors. Due to higher attachment, when patient smiles or talks, the labial French is stretched which in turn moves the central incisors apart from each other in opposite direction. Another reason for mid-line disaster is having a tongue thrusting habit. Here patient moves the tongue forward against the upper central incisor teeth while swallowing or even talking thereby causing bi-maxillary protrusion. Tooth goes on protruding creating the gap between them due to the pressure applied by the tongue. Periodontal or gingival infection specially in severe condition leads to bone resorption thereby creating the gap between the teeth. If oral hygiene is not maintained properly by the patient, then food & plaque accumulation is associated with gum & periodontal diseases. There is calculus formation on the teeth surface which may harbor the infection involving the periodontal fibers causing the teeth to move apart. Thumb sucking habit in childhood is also responsible for mid-line digested. Visit your Orthodontist as soon as possible. He will clinically examine the condition to exactly determine the cause of the gap & treatment will be depending upon the finding. You may have to undergo refectory if French attachment is thicker or higher in which only braces won't work alone. Take care.