Cant of upper teeth, asymmetric gum line, little or no deviation of chin. What causes this? What treatments are possible?(Photo)

Question

As can be seen from the photos I have a maxillary cant (well, at least the upper teeth are canted), but there would appear to be little or no cant of the mandible, and little or deviation of the chin to the left (in addition the midlines are at different angles). Is this a regular occlusal cant, or is there something else going on? Is any surgery or orthodontistry required, or would vaneers suffice? Is this problem associated with, or likely to cause, TMJ problems?

Sarah Thompson, DMD · Answer

You have a few different options with this.  You can go a surgical route, which would likely include crowning most of your teeth after re-positioning your mandible.  This would be a major process with a long painful recovery period.  The other option would be to only get veneers and crowns.  A good cosmetic dentist could use veneers and crowns to camouflage the imperfections in your smile.   Good luck and I hope this helps. Follow me if you have more questions.Sarah Thompson, DMDReal Self 100

Neville Richter, DDS · Answer

You need a doctor who can use CB-CT to analyze your skeletal planes and determine the source of canting.

Cant of upper teeth, asymmetric gum line, little or no deviation of chin. What causes this? What treatments are possible?(Photo)

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