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

asked 10 months ago by tasnim1993 in Guildford, gu1 1 rl
Latest answer by Clark L. Jones, DDS, MSD
Question viewed 780 times
Tags: canine tooth, missing teeth, options, uneven

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

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

Dan Hagi, DDS
Toronto Cosmetic Dentist

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

Clark L. Jones, DDS, MSD
Phoenix Orthodontist

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

Gary Nack, DDS
Philadelphia Cosmetic Dentist

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

Lorin F. Berland, DDS
Dallas Cosmetic Dentist

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

J. Willis Baker, DDS
Wichita Cosmetic Dentist

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