How to correct dystopian canines?

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

1. Distal bite.
2. Severe crowding of teeth in the upper and lower jaws.
3. The displacement of the center of the upper dentition to the right.

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 to 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:
   • tooth extraction;
   • distalization – when the entire dentition is moved backwards (up to 2 mm on each side): micro-implant support is required;
   • Separation – grinding the teeth to a safe extent, as a result of which they are reduced in size and free up the necessary space (up to 2-3 mm on each side);
   • a combination of the above methods.

   Restriction: inclination of the upper anterior teeth – it is necessary to evaluate the initial inclination on a 3D X-ray; also part of the freed up space should be spent on flattening the crowding

3. Combination of 1 and 2 methods.
4. The alignment of crowding on the lower jaw may require tooth extraction or distalization and separation.

Please note that these recommendations are for informational purposes only.  Consultation and diagnosis by an orthodontist is required to make a diagnosis and prescribe a treatment plan.