My Two Front Teeth Are Not in the Middle and I Dont Have a Canine Tooth, Can I Do Anything Dentist Answers, Tips
Smile Makeover: Q&A
Ask a Question

My Two Front Teeth Are Not in the Middle and I Dont Have a Canine Tooth, Can I Do Anything

just over 3 years ago i had my right canine tooth taken out because it had become flat in my gum and it wasn't in the right position to come out. I had my braces taken off today after 3 years and four months and can see that my top teeth are going slightly to the right and feel that my two front teeth doesnt look like they're in the right position. I feel that my othordontics lady does not do a very good job and would like to go to another place. Please help me.

5 Doctor Answers | Asked by tasnim1993 in Guildford, gu1 1 rl
+2

Instant orthodontics.

This is a difficult case to manage at this point there are 3 options: 1) go back into braces open up the space for right canine and replace with implant supported restoration. This could take up to 3 years to accomplish but offers good results that are long lasting. 2) accept the current tooth position but try to reshape the teeth with some aesthetic bonding based an a functional aesthetic wax-up This option will be quick but is limited on the amount of change in the smile. 3) use porcelain... more
+1

Dental Midline Shift and Mismatch

In looking at the facial photos you included I do not think the midline is very far off the center of the face, probably 2 mm. or less. Most people will never notice a midline discrepancy up to 2 mm. and it only becomes really noticable at about 4 mm. (kokich) When the decision was made to extract the cuspid it must have been in a pretty bad position or most orthodontists would certainly have tried to save it. I would give it some time to see if you get used to the... more
+1

ReTreat the Case

Your case is a difficult one but you do have choices. In my opinion, the most conservative way to treat this is to see another orthodontist to re-open your canine space, then place an implant. This will also allow for straightening of your upper anterior teeth and alignment of your midline. Any other choice will involve removal of tooth structure (probably significant removal to reverse the canting) and future replacements of the restorative work throughout your lifetime... more

You might also like...

Real Stories

Mini Dental Implants and Crowns - Hickory, NC

I was able to have 2 mini dental implants and 2 crowns for my front two top teeth to get...

Before + After Photos

View 111 Smile Makeover photos
+1

Replacing a missing tooth with an implant

Do your research and find an experienced cosmetic dentist who can: 1) offer a non-ortho solution with cosmetic dentistry or 2) refer you to another orthodontist who can open up the canine space for possible implant. In case #2, you would want to ask your cosmetic dentist to also refer you to a periodontist or an oral surgeon to explore your options for a single tooth implant to replace the missing canine. You might also consider whitening all your teeth... more
+1

How to give the illusion of straight teeth with restorations

Orthodontics on a case like yours is a challenge due to the spaces that have to be corrected. The cant that you have is noticeable but not terrible. If you want things to be perfect then i feel that some veneers will be in your future to fix the spacing issues. they will be able to fix the spacing and "leaning" of the front teeth. This is an aggressive option but will give good results and be predictable with the right lab and dental cosmetic team. Going back into ortho is another... more
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (0)

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok