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16 июля 2021

How to fix the aesthetics of a smile?

I need to correct my upper teeth, my canines are protruding, my front tooth is protruding over another tooth, and another tooth is chipped. Can you tell me how I can achieve a beautiful smile?

The doctor's answer

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Answer Petrova Elena Alexandrovna

Orthodontist, Team lead TMJ, experience 10 years

Based on the data provided, we can note that you are characterized by:

  • Moderate crowding of teeth in the upper jaw.
  • Slight crowding on the lower jaw.
  • Narrowing of the smile

Bite correction and teeth alignment is possible using several methods:

  1. Moving the lower teeth forward – increasing the inclination of the incisors.

    Limitation: in this case we are limited by the bone volume in the area of the anterior teeth. This can only be assessed on a 3D image.

  2. Moving the upper teeth back - this requires the space in the tooth row that we can get as a result:
    • wisdom teeth extractions (in question);
    • Separation – grinding the teeth in a safe volume, as a result of which they are reduced in size and free the necessary space (up to 2-3 mm on each side);
    • combination of the above methods.

    Limitation: the slope of the upper front teeth – it is necessary to estimate the initial slope on a 3D X-ray image;

  3. Combining 1 and 2 methods.

To maximize aesthetic and functional results, it is recommended to perform orthodontic treatment on both jaws. In this case, the treatment will be as effective and stable as possible.

It is possible to cover a chipped tooth with veneers or a composite restoration. A consultation with an orthopedic dentist will be required to determine the best method of aesthetic correction.

Possible treatment options:

Combination bracket system

Based on your wishes, we recommend treatment with Damon Clear clear braces on the upper jaw and Damon Q metal braces on the lower jaw. They will give you aesthetics in the smile area and stable and predictable treatment.

An alternative treatment option may be clear mouthguards — eligners.

The cost and duration of treatment depends on the complexity of treatment in each specific clinical situation. Information on the level of complexity, the number of caps and the calculation of the duration of treatment is provided by the manufacturer after receiving the diagnostic results.

Please note that these recommendations are for informational purposes only. To make a diagnosis and prescribe a treatment plan, you need to consult and diagnose an orthodontist.

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