Pamela Steiger, DMD

There have been many studies done to determine whether a non-dentist notices the midline being off. There is actually a pretty big range before it is noticed or commented on. Midlines are a little harder to fix, sometimes teeth are different sizes and shapes and they may not be perfect. As an Orthodontist, mine are slightly off but nobody has ever commented on it. 




Best of luck! 

Yes, it would be better to take care of the cavities first. Even though they may not bother you, they can continue to grow and eventually cause much worse problems (which can be much more costly in the long run). I totally understand that you want to have straight teeth and a beautiful smile but it is very important to also make sure your teeth are healthy.

All the best,




Dr. Pam 

I understand it must be very frustrating to get different opinions! First of all, just take comfort in that they all recommended Invisalign treatment. Beyond that, different doctors may have different personal preferences. Some doctors do not like to use Invisalign express because it does not offer as much flexibility as the full Invisalign treatment -- there are more limitations in the number of trays allotted. Some doctors like to spread out the movement over more trays, which does not work logistically with Express treatment. Also, if there are bite issues, this takes time to correct with the elastics -- it is not something that happens over night. It would also require more trays, beyond the amount of Express. 

At the end of the day, choose who you feel most comfortable with as your Dr. to guide you through this process. 

All the best,


Dr. Pam

Yes, clear aligners would help to bring those top front teeth back. You may be able to do just the top only if there are no concerns with the bottom, however sometimes it is best to do both to get the proper bite established. Your doctor will be able to do a thorough exam and give you a better estimate on how long it would take. 

Good luck!



Dr. Pam

From your photos, it does appear that Invisalign would be a great option for you. Invisalign progressively moves the teeth little by little over time. I think you would see the canine teeth come down faster with braces, but ultimately you will get the same end result.

You should definitely get a consult from an Orthodontics specialist to determine what treatment options are best for you. I think you will be extremely happy with the outcome!

Good luck!




Dr. Pam