How to fix crooked teeth and bimaxillary protrusion without extraction? (Photo)

Using crowns and fillings to fix crooked teeth and bimaxillary protrusion without extractions is less common but can be considered in specific situations. Here's how these options might be applied:1. Crowns for Crooked Teeth- Reshaping Teeth with Crowns: Crowns can be used to correct the appearance of mild crookedness by reshaping the visible portions of the teeth. This involves:- Preparing the teeth by reducing their size. -Placing custom-made crowns to create the illusion of straight and aligned teeth.- Limitations: - This approach is primarily cosmetic and doesn't address underlying misalignment issues. - It works best for minor cases where the crookedness is not severe. - It may require significant tooth structure reduction, which can weaken the teeth over time.2. Fillings for Crooked TeethCosmetic Bonding: - Tooth-colored filling material (composite resin) can be used to reshape or add volume to teeth to make them appear straighter or more aligned. - Advantages: Less invasive than crowns, as minimal tooth preparation is required. Can provide a quick aesthetic solution.- Limitations: This is a purely cosmetic fix and doesn’t actually align the teeth or adjust the bite. Composite materials are less durable than crowns and may require frequent maintenance.3. Bimaxillary ProtrusionIf the protrusion is primarily due to the teeth (rather than jaw structure), crowns or cosmetic veneers can reduce the bulk of the teeth and make them appear less protruded.For filling materials, reshaping or contouring teeth may help slightly reduce their forward projection.4. Combination ApproachIn some cases, orthodontic pre-treatment (like braces or aligners) is done first to partially align teeth and reduce protrusion, followed by crowns or fillings to perfect the shape and aesthetics of the teeth. - Key Considerations: Crowns and fillings are cosmetic fixes and don't correct the functional or skeletal issues of crooked teeth or bimaxillary protrusion. They work best in mild cases or when the patient seeks an aesthetic improvement rather than complete functional alignment. If there’s an underlying bite or jaw issue, orthodontic treatment is the preferred solution.Consultation with a dentist or orthodontist is crucial to assess the suitability of these methods for your case. They may recommend a combined approach to achieve the best results without extractions.Dr. Miller Vieira