I have proclined upper and lower front teeth with increased overjet. How can I correct them to an esthetic position?

Q. How to reduce my upper and lower front teeth proclination to an esthetic position?

Answered by
Dr. Bhargav Reddy Gutha
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Jul 08, 2022 and last reviewed on: Jul 25, 2023

Hello doctor,

I am a candidate for orthognathic surgery and would like to know how much I can increase my overjet by changing my teeth' inclinations (they were treated before with camouflage orthodontics). My current overjet is 5 mm. My IMPA (incisor mandibular plane angle) is 106 degrees. Am I correct to believe that the lower teeth can be reclined to around 86 degrees so that my overjet increases by 2 mm? I am unsure how many millimeters I could also gain by proclaining my upper teeth (so that it remains in an aesthetic position). The following are the measurements, U1/NA is 7 degrees, U1 /SN is 87 degrees, U1 to FH is 102 degrees.



Welcome to icliniq.com.

Upon review (attachments removed to protect patient's identity) I find an overjet of 5 mm with a normal overbite and camouflage orthodontic treatment. Ideally, the overjet is 2 to 3 mm. As in your case mandible stands behind and the X - ray shows proclined lower anteriors. First, it is necessary to bring them back to normal, and the orthognathic surgery advances mandible. Finally, correcting anteriors proclination and overbite. The provisional diagnosis is Angle's Class II malocclusion with end-on molar relation and proclined maxillary and mandibular anteriors with increased overjet. I would suggest, correction of maxillary and mandibular anterior proclination, molar relation and then overbite and overjet. You would have a fair treatment outcome.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I have pain in my neck and upper arm, with numbness and tingling in both arms. Please help.

.. sent me the verbatim report of the MRI of the cervical spine and the mastoids. This, however, is very little to help me as I do not know the exact symptoms you have. Do you have more problems with your mastoids or the neck?   Read full

Good and Bad Regarding Orthodontic Treatment

Presently we are witnessing numerous patients who after completing the treatment complain of periodontitis (gum problem in which loosening of teeth occurs), spacing between teeth, non-vital   Read full

I need a second opinion about my orthodontic treatment.

 From the image, I can see that the incisors are still not properly aligned, but the canines are not visible for me to be able to comment ... What do you think about my teeth position, especial   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Orthodontist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.