Braces

Invisalign

Lingual Braces

Based on your photos, lingual braces or invisalign® should be excellent options for your concerns.&nbsp; If you are traveling a great distance for your treatment, Invisalign® may be the better option.&nbsp; Tooth movements can be programed during the digital setup of your prescribed tooth movements with invisalign® to accommodate your travel schedule.&nbsp; Problems that may arise with fixed orthodontic appliances may be difficult to address quickly and your treatment time may be prolonged. 

 

I hope this information was helpful.

 



Dr. Cassalia&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;

Travelling to a foreign country to get the work done so just want to make sure I'm clear on my options. Top teeth: On the left side, my third tooth from the last got extracted when I was younger. My right maximally central incisor slightly overlaps my lateral incisor. Bottom teeth: Right mandibular lateral incisor stands behind the teeth surrounding it; which completely twists my right canine tooth. (using vocabulary I found online, I apologise if it's just more confusing &gt;.&lt;) Thank you!

Lingual braces or Invisalign for overcrowding and mild overlap?

Braces are definitely an option.&nbsp; I would recommend a consultation with your local orthodontist to discuss your concerns and available treatment options. Alternative treatment options may include clear aligner therapy like invisalign®, removable retainer like devices (inman aligner), lingual (behind the teeth) braces, or other specialty techniques that align the anterior teeth (see attached video). 

 

I hope this information was helpful.

 



Dr. Cassalia

My top two front teeth over lap and I hate smiling and pictures can I have braces? Or any alternative Thanks (sorry not a great picture)

Over lap on top front teeth. Any suggestions? (photos)

The general appearance of your bite and smile line look good.&nbsp; It is hard to tell from the photos but there is most likely a midline shift toward the left of the facial midline due to the missing bicuspid.

 

If your main concern is your lower arch crowding, then there are several options you may want to consider. If you are looking for cosmetic options to align your teeth, Invisalign® or lingual treatment options are a consideration.&nbsp; There are some specialty lingual techniques available but are not provided by many practices that provide orthodontic treatment (see attached video). Personally I would not remove a tooth in your case but would recommend a slight amount of IPR.&nbsp; For a case like yours, I would estimate total treatment time to be 8 to 10 months to align the lower anterior teeth.

 





I hope this information was helpful.

 





Dr. Cassalia

Hello, I am looking for second opinion on my lower teeth crowding. I like my smile and I don't want to make major changes that will effect my face profile. is invisalign a good choice? how does my bite look? Does it look healthy or off? in terms on the space is extraction needed? or IPR? is there other ways to make space? How long should it take approximately? Thank you :)

Invisalign for lower teeth crowding, is that a good choice? (photos)

The small gap between your teeth is a “cosmetic” issue.&nbsp; It may not be necessary to close the space for any health related concerns but you are self-conscious of the space and it concerns you.&nbsp; If your dentist is not willing to discuss treatment options for your dental and cosmetic concerns, get a second opinion.&nbsp; Options may include full or limited orthodontic intervention or restorative dentistry in the form of bonding or veneers to close the space.&nbsp; You can also have a consultation with an orthodontist to discuss treatment options.&nbsp; 

 Based on the photos you provided, there appears to be spaces on both the upper and lower arches.&nbsp; Orthodontic treatment may be required on both arches to correct the spacing on the upper.&nbsp; The other factor to consider is maintaining the space closure.&nbsp; Long term retention may be required with a lingual bonded retainer (fixed retainer behind your teeth) if orthodontic treatment is recommended. 

 I hope this information was helpful.

 Dr. Cassalia

So ive been always self conscious about my gap . I have naturally straight teeth , but i do have a small to medium size gap in my 2 front teeth and a small over bite , I always try to talk to my dentist about it but they always say is cosmetic , and is not necessary.

Can my gap get fixed? (Photo)

There are a number of things to consider when a small space such as yours is a cosmetic concern.&nbsp; If the space is due to a tooth size discrepancy (teeth are small relative to other teeth), then bonding or veneers may be a viable treatment option.&nbsp; 

 Orthodontic treatment with braces or clear aligner products like Invisalign® may also be an option. I would recommend discussing your concerns with your dentist and have a consultation with an orthodontist.&nbsp; They can evaluate your situation and concerns and recommend the optimal treatment plan.&nbsp; 



 There are limited orthodontic treatment options available that can address small spaces when bite conditions are ideal (See attached video reference). I am not exactly sure what you mean by the “bands” but once again your overall tooth and bite relationship should be evaluated and treatment monitored by a dental professional. 



 Another thing to consider is maintaining the space after closure.&nbsp; Orthodontic intervention may require permanent retention.&nbsp; Be sure to discuss long term retention options with the orthodontist. 



 I hope this information was helpful.



 Dr. Cassalia

I have relatively straight teeth considering the fact I haven't gotten braces and my front two teeth got knocked out when I was a kid, gums were indented and everything . I need help wondering what should I do for fixing a little happy gap of mine. It just bugs me to death and really makes me cringe about my smile. Help. It's approximately like a 1mm maybe 2mm, I was thinking about the bands but too risky.

Small Gap in teeth, I need some info and options. Any suggestions? (photos)

In any case, braces are typically the best option for aligning your teeth.&nbsp;&nbsp;&nbsp; There are several other cosmetic options such as clear aligner products (invisalign®) and lingual (behind the teeth) options.&nbsp; In my experience, most patients that had facial or visible braces that experienced relapse would like to consider the cosmetic options to re-align their teeth. 



Another factor to consider is the plan for retention.&nbsp; A removable retainer works well when worn as prescribed.&nbsp; I think most orthodontists would agree that long term and possibly life time retention would be required to maintain the alignment of your teeth. There are many different factors that may be responsible for tooth movements over the years.&nbsp; 



A permanent bonded lingual (behind the teeth) retainer may also be considered in your case.&nbsp; I would recommend discussing re-treatment options and long term retention options with your orthodontist.&nbsp; &nbsp;



I hope this information was helpful.

 Dr. C

I had braces on for a year and a half. I got an invisaline for a retainer and wore it for a year then my teeth started shifting up and my retainer didn't fit anymore so I had to stop wearing it. Then the two teeth that shifted up moved behind all my other teeth. Also my top tooth has a chip in it so it makes my top teeth look crooked when they're not.

What is the best option to fix my teeth? (photos)

It is possible to just straighten your lower teeth.&nbsp; However there are many factors to consider when treating a single arch such as your bite relationship and the possibility that the position of the upper teeth may interfere with the movement of the lower teeth.&nbsp; 

I would recommend having a consult with an orthodontist to discuss your concerns and treatment options.&nbsp; There are many different treatment modalities that are available and they will provide the optimal treatment recommendation.&nbsp; If your concerns are limited to the anterior part of the arch, there are some limited lingual (behind the teeth) options and limited clear aligner systems (invisalign® express) that you may want to consider. &nbsp;

I hope this information was helpful.&nbsp;

Is it possible to only straighten your bottom teeth?

Can I straighten my bottom teeth only?

Invisalign® should be a viable option in your case.&nbsp; I would recommend having a consultation with an orthodontist to discuss your treatment options.&nbsp; It is possible that your case may require only a few aligners and could be submitted as an express case of invisalign® which is typically less expensive.&nbsp; In reference to the question of effectiveness, Invisalign® does have some limitations with certain tooth movements.&nbsp; The crowding of the lower arch should not be a problem using aligner therapy.&nbsp; Vertical movements and leveling of your upper teeth may be a challenge.&nbsp; There are techniques that are used with clear aligners that address these difficult movements.&nbsp; I would recommend discussing these concerns at the consultation.&nbsp;&nbsp;I hope this information was helpful.&nbsp;Dr. C

My teeth have always bothered me. I have crowded bottom teeth and relatively straight top teeth (2 top teeth are set back a little). I was wondering how effective Invisalign would be for my teeth. Also, what would an estimated cost range be to straighten my teeth based on the pictures. Thanks so much!

Invisalign effectiveness and cost?

Lingual braces may be a viable option in your case. I would recommend having a consultation with an&nbsp;orthodontist that specializes in Lingual orthodontics.&nbsp; Dr. Jeffrey Twohig provides lingual braces and other specialty lingual treatments that might interest you.&nbsp; His office is located in Fond Du Lac WI.&nbsp;&nbsp; 



Dr. C

I have very crowded teeth on the bottom and an overbite. I'm an older professional and don't want traditional braces. Would lingual braces work for me? How long would it typically take?

Will lingual braces help my crowded teeth and overbite? (photo)

Limited treatment options to align your 4 front teeth should not take long (4-6 months). Overbite correction is usually more involved and typically requires more time to correct depending on your situation.&nbsp; Invisalign® or lingual braces may be excellent treatment choices if you are looking for aesthetic treatment options.&nbsp; 



I would recommend a consultation with an orthodontist to discuss your concerns and treatment options. Treatment consultations are sometimes complimentary and they can discuss treatment options, length of treatment and cost.&nbsp; 



&nbsp;If your main concern is the four front teeth and you are considering limited lingual treatment options, then you may want to consider a fixed procedure that is available and does not require braces.&nbsp; Please see the attached video and web reference.&nbsp; Dr. Chris Pine is very familiar with this procedure and has an office located in Tyrone PA.&nbsp; 



I hope this information was helpful. &nbsp;Dr. C

Hello I was wondering how long it would take to straighten my teeth, how much you estimate the cost, and if it possible to get braces on the back of the teeth or if Invisalign would be a better choice? My front 4 teeth are the problem and I have an overbite.

I have questions about getting Braces. Any suggestions? (photos)

Benjamin Cassalia, DMD, MSD

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