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.
October 3, 2011
Answer: 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 appearance and try to leave it alone. You just got your braces off today and you are not at all used to what the teeth look like even if they were perfect. I would certainly not go back into 3 years of ortho to open up space and put in an implant. From what I could see in the front, the result looked resonably good for a situation where the cuspid had to be taken out for whatever reason. Give it some time.
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October 3, 2011
Answer: 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 appearance and try to leave it alone. You just got your braces off today and you are not at all used to what the teeth look like even if they were perfect. I would certainly not go back into 3 years of ortho to open up space and put in an implant. From what I could see in the front, the result looked resonably good for a situation where the cuspid had to be taken out for whatever reason. Give it some time.
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July 22, 2011
Answer: 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 veneers to camouflage the tooth shape and position making the tooth currently in the right canine position look like a canine and correct the midline position of the front teeth. Because of the amount of change needed to get ideal aesthetics this option will require aggressive reduction of some of your front teeth. The veneers are quick to do but will need multiple replacements over you're lifetime. You need to find a cosmetic dentist and review these options. Maybe doing nothing is best. Find someone you trust and talk things over with you're doc. Hope this helps.
Helpful 1 person found this helpful
July 22, 2011
Answer: 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 veneers to camouflage the tooth shape and position making the tooth currently in the right canine position look like a canine and correct the midline position of the front teeth. Because of the amount of change needed to get ideal aesthetics this option will require aggressive reduction of some of your front teeth. The veneers are quick to do but will need multiple replacements over you're lifetime. You need to find a cosmetic dentist and review these options. Maybe doing nothing is best. Find someone you trust and talk things over with you're doc. Hope this helps.
Helpful 1 person found this helpful