What kind of surgery would I need for a crooked smile? (Photo)

Question

It appears that I have asymmetrical jaw line that makes my nose look crooked a d my smile as well. I had an accident as a child on my face by my bottom right side of my chin and received over 50 stitches. I'm not sure if that contributed a cause to my smile being the way it is. I have to smile a certain way in order for it not to be too noticeable.

Ira Shapira, DDS · Answer

There are several ways to correct this problem.Oral Surgeons can move the entire maxilla surgically as part of orthodontic treatment plan.Cranio therapy in conjuction with  neuromuscular dentistry may be able to non-surgiclly correct the cant of the maxilla.   I would have laughed at this idea until a few years ago and now work with an A?o Chiropractor who does Cranial and know you can non-surgically move the maxilla.  Because of your narrow maxilla I would begin treatment with a DNA Appliance to orthopedically grow the maxilla through Epigenetic Orthodontics.If the problem did not self correct I would add cranial manipulation thought they can be done simultaneously.  If the cant remains you lad forces to seat the right side.It is possible to utilize crown lengthening and prosthetic dentistry to make things look straight.The SARPE procedure can also be done to widen the maxilla but I prefer a non-surgical approach when possible.Ira L Shapira DDSDiplomate, American Academy of Pain ManagementDiplomate, American Board of Dental Sleep MedicineRegent & Fellow, International College CranioMandibular OrthopedicsBoard Eligible, American Academy of Craniofacial PainChair, American Alliance of TMD OrganizationsThinkBetterLife.com

Majid Jamali, DMD · Answer

I believe there is a skeletal problem here. You show way too much gum on your right hand side than the left. The chin is also tilted in the same direction as your upper jaw. This means there is moderate skeletal deformity. Orthodontics and surgery is the answer.

Gerry Curatola, DDS · Answer

Invisalign is a very effective (non-surgical) treatment to correct a "crooked smile" also known as canting This is usually due to a malocclusion (crowding) of yourdentition and less often a skeletal problem of your jawbone which would require surgery. Based on the photos you submitted, I believe Invisalign therapy could correct the canting of the upper right side while restoring a properocclusion (bite). I would also consider using a dental laser to recontour your gums to diminish your "gummy smile." However my experience has been that this also improves with both fixed and removable (Invisalign) orthodontics as your teeth and bite are properly aligned.

What kind of surgery would I need for a crooked smile? (Photo)

Answers (3)

Recommended reading

Everything you need to know about Smile Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.

What kind of surgery would I need for a crooked smile? (Photo)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Smile Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.