Anterior spacing is a common problem in patients seeking esthetic treatment. The most common etiology for spacing is tooth size and arch length discrepancy. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A multidisciplinary approach is sometimes necessary to correct the esthetics and to improve the occlusion. The main aim of this study was to analyse the number of patients choosing restorative treatment for correction of spacing in the upper anterior region over fixed or removable orthodontic treatment. This retrospective study had a sample size of 1613. It was conducted among patients who visited the outpatient Department at the institution with a chief complaint of upper anterior spacing. The data was collected from the patient records. The following data were retrieved from the dental records: patient age, gender, and preference for restorative treatment, fixed or removable orthodontic treatment was analysed. The coding was done in MS excel and data was transferred to a host computer and processed using SPSS software version 20.0 (SPSS Inc., Chicago, IL, USA). Descriptive statistics was used to study the data collected and to analyse frequency distribution. Chi square test was used to assess the association at 5% significance level (P<0.05). The results showed no significant association between either age or gender against the treatment option preferred. Only 2.9% opted for restorative management of upper anterior spacing, 84.6% preferred fixed orthodontic treatment and 12.5% preferred removable orthodontic appliance.