My smile is crooked and I wear braces. Should I expect this to be corrected by my braces or not? (Photos)

Can my crooked smile be corrected with my braces? My orthodontist is ready to remove braces soon but even though my teeth are straight I will have a crooked smile still. I paid alot for braces and was supposed to have them on 18months and it has been 2.5 years. I dont mind about the time as long as everythibg is fixed after. Right not it looks like my teeth will be straight but my smile will still be crooked? Should I mention this to my orthodontist or is it not a orthopedic issue? Thanks

Doctor Answers 1

Crooked Smile After Braces

Orthodontics move the teeth but much of you problem is orthopedic in nature.  You have a severely underdeveloped maxilla and it looks like a functional jaw shift.  Do you have TMJ issues, headaches, migraines, neck pain or other pain issues?

I would suggest talking to your orthodontist about an orthopedic approach to your case.  You can work with an Oral Surgeon and your orthodontist and have a SARPE procedure, Surgically Assisted Rapid Palatal Expansion for fastest results.

I prefer the Epigenetic Orthopedic/orthodontic approach that utilizes the DNA Appliance to orthopedically grow and increase volume of maxilla. 

Both of these procedures will help with your deep nasal labial lines, effectively increase facial symmetry and secondarily improve the ratio of your facial and nasal dimensions.

The downside to the SARPE procedure is surgical risks, pain and expense but results are very rapid.

The advantage to DNA Appliance therapy is that it is gradual and virtually pain free.  Orthodontics is four step process 1. Force 2. Inflamation 3. movement 4 Consolidation   Epigenetic orthodontics is a two step process Very light force and Growth & Movement.  This avoids the inflamation and pain.

Epigenetics takes more time and is a gradual process that resembles normal growth.  This is good because it correct previous abnormal growth.  Downside is time required and the appliance is worn 12-16 hours/ day.

It can be taken out to eat, go to work or school but needs 12 hours wear at a minimum.


Ira L Shapira DDS, D,ABDSM, D,AAPM, FICCMO 

Chair, Alliance of TMD Organizations 

Diplomat, American Academy of Pain Management 

Diplomat, American Board of Dental Sleep Medicine 

Regent & Fellow, International College of CranioMandibular Orthopedics

Board Eligible, American Academy of CranioFacial Pain

Dental Section Editor, Sleep & Health Journal

Member, American Equilibration Society Member, 

Academy of Applied Myofunctional Sciences



These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.