Teeth Not Aligned to Bridge of Nose - Braces or Invisalign Better to Fix It?

Question

My two front teet are jutting out and is slightly shifted to the left from the bridge of my nose. Which one is better for treating it, braces or invisalign? What are some problems invisalign can pose during the correction?

Ira Shapira, DDS · Answer

After looking at the size and shape of the teeth I would suggest possibly reshaping teeth the teeth to reduce width which would make either braces or invisalign an easier process.  This would depend on depth of enamel as well, otherwise significant posterior widening will be needed and you might do a two step process.  Widen first, then ortho.

Lance Timmerman, DMD, MAGD · Answer

No matter what method used, when the issue is only a mm or two, satisfaction may not be met.  The effort needed to get some of these corrections can sometimes be extreme, so an acceptable compromise must be considered.

	As long as the teeth are straight, midline discrepencies are often ignored and not noticed (Tom Cruise is a common example).  As far as which is better, Invisalign or braces, I would likely go with braces.  However, in some cases an implant anchor (TAD or temporary anchor device) is needed for leverage.

	This type of case, when trying to get the last little mm of midline, can take a VERY long time to get right.  Having it stay that way is a challenge as well.

Kathy Frazar, DDS, FAGD · Answer

Invisalign can correct midline issues if they are subtle.  Invisalign is better for tipping the teeth.  Braces with wires a nd brackets are more predictable if you want to move the midline left or right.

	When teeth are straight, the midline is the least noticable quality.  Look at Tom Cruise!!

Zach Casagrande, DDS, MS · Answer

Both Invisalign and braces will be able to
correct a midline deviation. As long as Invisalign is worn as prescribed and
the case is treatment planned by an experienced doctor, it can treat any case.

Charles Sutera, DMD · Answer

From your photos it appears you have beautiful healthy teeth which is wonderful. In my practice, my expertise is evaluating a patient's smile in relation to their entire facial aesthetics. As you noted, your smile is slightly out of harmony with the rest of your facial features. If this bothers you, it may easily be corrected to be more ideal. Your dental midline is slightly slanted to the right and the front four incisors are very prominent in your smile which further draws attention to this discrepancy. By aligning the dental midline with the vertical midline of the face and achieving better contour/angulation of the incisors, it would better compliment the rest of your facial features. A  couple options for a patient looking to correct these aesthetic concerns are either porcelain veneers, or recontouring the teeth followed by Invisalign.

Teeth Not Aligned to Bridge of Nose - Braces or Invisalign Better to Fix It?

Answers (10)

Answer: Both Invisalign and braces will be able to correct a midline deviation

Answer: Both Invisalign and braces will be able to correct a midline deviation

Answer: There are options to achieve better facial harmony via smile design

Answer: There are options to achieve better facial harmony via smile design

Recommended reading

Everything you need to know about Invisalign

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

Teeth Not Aligned to Bridge of Nose - Braces or Invisalign Better to Fix It?

Answers (10)

Answer: Both Invisalign and braces will be able to correct a midline deviation

Answer: Both Invisalign and braces will be able to correct a midline deviation

Answer: There are options to achieve better facial harmony via smile design

Answer: There are options to achieve better facial harmony via smile design

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Recommended reading

Everything you need to know about Invisalign

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