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

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.

 

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 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!!