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

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?

Doctor Answers 10

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

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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.

Ashburn Orthodontist

There are options to achieve better facial harmony via smile design

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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.

Charles Sutera, DMD
Boston Dentist

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

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Many people believe that Invisalign is only effective at treating minor orthodontic issues. But the fact is that our 96% patient satisfaction rate1 is a result of successfully treating a broad range of cases, from overly crowded teeth and underbites to jaw problems and tooth . Midline shifting is one of the issues that can be taken care of with Invisalign, keep in consideration that a more detail examination is needed to guide you to the right treatment. Sure, there are other options out there for straightening your teeth, but none offers the level of comfort, convenience and confidence that you'll find with Invisalign. And no matter what stage you're at in life, you'll appreciate how our cutting-edge approach to treatment has minimal interference in how you live, but has a significant positive impact on how you look and feel about. 

Pamela Marzban, DDS
Fairfax Dentist

Both invisalign and braces can move midlines

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If the teeth are perfectly straight, midline asymmetries are often unnoticed.  If your teeth need to be straightened any way, then invisalign or regular braces can correct both problems.  Expansion and/or judicious stripping of the sides of some of the teeth will likely be necessary.  Good luck!

Michael Firouzian, DDS
Columbus Dentist

IMidline off.

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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.


Midline off

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It looks as if your midline may be off.  Sometimes it may not be the teeth at all that are the problem.  It could be a slightly deviated nose.  We would need more info to detemine the cause of the midline problem, but Invisalign or Braces can move midlines.  If the case does not require extractions of teeth, Invisalign may be a good choice.

Michael Minars, DMD
Miami Orthodontist

Slight movements are hard to treat with braces

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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.

Invisalign vs braces to correct midline

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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!!

Midline shift

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everybody has some facial asymmetry!...Sometimes we can move teeth to perfectly match the facial midline, other times we can only make sure that the upper and lower midlines match each other and the bite is perfect, even though the dental midlines might not match the facial midline.

Invisalign or braces can do wonders....only a well trained orthodontist can give you all your treatment options

Robert Waxler, DMD, MS
Saint Louis Orthodontist

Invisalign to correct midline

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As you stated your teeth are not aligned to the bridge of your nose or midline as we call it.  Invisalign could be used to correct this.  You would most likely need some slenderizing of your teeth to make the correction.  Consult with your dentist or orthodontist on how they would best approach your particular situation.  You asked also about braces and they would obvioulsy work as well.  Good luck

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.