Spaces between teeth are another common problem associated with the need for orthodontic care. Like crowding, spacing may be related to a tooth-to-jaw size disharmony. Gum tissue attachment called “frenae” are also a common cause of spacing between the front teeth. Excessive vertical overlap of the front teeth as well as incisor protrusion may lead to spacing. Other contributing factors include atypical or unusually narrow teeth, and missing or impacted teeth.