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How to correct slight midline shift in Invisalign treatment?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am undergoing invisalign treatment. My teeth have straightened out, bite is correct and the midlines of my top and bottom arches are aligned. However, both arches are about 1mm off from the midline of my face. Is this something that can be fixed with elastics? Or if I were to have more IPR, how much enamel can be safely removed from canines or front incisors?
Answered by Dr. Mousam Chattopadhyay

Education:

BDS

Professional Bio:

Dr. Mousam Chattopadhyay is a Dental Surgeon with expertise in restorative dentistry, root canal treatment, cosmetic procedures, and minor oral surgeries. He is skilled in smile designing, dental implants, and preventive dental care for patients of all age groups. Dr. Chattopadhyay is committed to providing precise, pain-free, and patient-focused care, ensuring optimal oral health, functional restoration, and confident smiles through personalized treatment plans.    

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Hello,

Welcome to icliniq.com.

Kindly upload an image of your teeth in closed position and lips wide open as much possible for assessing the current situation. As you have mentioned rest all of your complaints have been resolved but still there is 1 mm shift from the midline joining your nose and lips. Although it is a complicated matter as if you use elastics or any kind of further aligning appliances can change your overall appearance and tooth may be misaligned as before. Invisalign is also a costly procedure. So kindly do not go for any of those. Luckily I have an answer that will resolve your issue and will perfectly align your tooth to the midline. You need to place Crown over the upper and lower central incisors on both sides (four crowns total). So once your dentist does this, he can brilliantly match the midline accordingly and the rest of your teeth or the jaw position will not be disturbed. So just by doing this, you can have a picture-perfect smile forever. Although I would like to see the image of the tooth, kindly upload it. I guarantee your complete correction and life long perfect smile. I hope this helps.

Treatment plan

You need to place crowns over the upper and lower central incisors (four crowns total). Zirconia crowns are top of the line. Best in esthetics and permanent solution unlike Veneers. Veneers are only for esthetics and tend to fracture-out upon biting, but crowns are lifelong and looks best.
Medically reviewed by Dr. Vinodhini J.
Published At July 31, 2020
Reviewed At July 11, 2023

Education:

BDS

Professional Bio:

Dr. Mousam Chattopadhyay is a Dental Surgeon with expertise in restorative dentistry, root canal treatment, cosmetic procedures, and minor oral surgeries. He is skilled in smile designing, dental implants, and preventive dental care for patients of all age groups. Dr. Chattopadhyay is committed to providing precise, pain-free, and patient-focused care, ensuring optimal oral health, functional restoration, and confident smiles through personalized treatment plans.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mousam Chattopadhyay
Dr. Mousam Chattopadhyay

Dentistry

Consult this doctor

Education:

BDS

Professional Bio:

Dr. Mousam Chattopadhyay is a Dental Surgeon with expertise in restorative dentistry, root canal treatment, cosmetic procedures, and minor oral surgeries. He is skilled in smile designing, dental implants, and preventive dental care for patients of all age groups. Dr. Chattopadhyay is committed to providing precise, pain-free, and patient-focused care, ensuring optimal oral health, functional restoration, and confident smiles through personalized treatment plans.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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