Common "Midline Shift" queries answered by top doctors | iCliniq

Midline Shift

A midline shift in dentistry is a shift from the center of the two front teeth in the upper or lower with the tip of the nose. It is a sign of dental asymmetry. Any shift less than 2mm is barely noticeable. The midline is the main focus in esthetic smile design. Braces, Invisalign, veneers, direct restorations can help correct this defect.

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My centers are not in the midline and the chin is too big. Am I a candidate for jaw surgery?

Query: Hello doctor, My teeth were not straight in the past, so I had braces to straighten them up (just finished my treatment last year). However, I still think there are multiple odd things in my face and upper/lower bites. When I open my mouth wide, the right side of my face pops and my chin does not m...  Read Full »

Dr. Srinivas Saketh. G

Answer: Hi, Welcome to I read your query, but the picture links you sent are not opening at all. Kindly send me the pictures again so that I will be able to answer better.  Read Full »

I want to fix the asymmetrical alignment of my front teeth. Please help.

Query: Hi doctor, I lost one of my front teeth in an accident when I was 11, and due to some complications, I did not get a replacement tooth for it. So I grew up with a gap in the front part of my mouth. As I grew up, the gap started to slowly disappear. The teeth on the left and right sides of the gap ...  Read Full »

Dr. Ummah Mohammad

Answer: Hello, Welcome to I read your query and can understand your query. Yes, you can go for an orthodontic treatment and your teeth will be settled as you want them. Look for an orthodontist, get an appointment, and you will surely get all your satisfactory answers there. You may even go t...  Read Full »

My child's dentition is maligned. What should I do to correct it?

Query: Hello doctor, Kindly suggest the treatment for the following conditions for a child of growing age. The problems are brachyfacial tendency, mildly convex profile, mildly prognathic maxilla, mildly prognathic mandible, moderate maxillary constriction, moderate mandibular constriction, class II molar ...  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to You have given excellent details for your case. As the signs enlisted and details of x-rays and photos attached (attachment removed to protect the patient's identity), you know that she does not have an aligned dentition. Your child is of growing age and still has the...  Read Full »

Can midline shift be treated with elastics?

Query: Hello doctor, I have this issue where my midline is shifted. It is not centered as it should be, and like the whole arch (mandibular and maxillary) is shifted as if you just pulled it from one side. It shows in the picture, especially with the back camera, which made me insecure about myself. I am ...  Read Full »

Dr. Bharat Joshi

Answer: Hello, Welcome to I can lessen your discomfort. Yes, as per seeing your picture (attachment removed to protect patient identity), you have mid-line asymmetry, but this asymmetry will decrease as age advances. You can ask for a quad-helix or RME (rapid maxillary expansion) appliance to...  Read Full »

Is it wise to undergo interproximal reduction to help my midline shift?

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 mor...  Read Full »

Dr. Mousam Chattopadhyay

Answer: Hello, Welcome to 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...  Read Full »

How can dental midline deviation be treated?

Query: Hello doctor, I am a female, and I have an issue with my upper teeth. I lost the right canine tooth when I was young, which made my upper front teeth to move to the side. And my front two teeth are a little big. I consulted a local dentist, who said the solution is to take out one normal tooth, that...  Read Full »

Dr. Prerna Jain

Answer: Hi, Welcome to Without any clinical pictures, it is hard to comment on the situation. However, I will give you some basic facts. When a tooth is lost or removed on one side, the rest of the teeth tend to move in that space. Thus shifting the midline to one side. To correct this, there...  Read Full »

How much time will it take to fix my problems like dead teeth, partially asymmetrical jaws, and midline shift for both upper and lower teeth?

Query: Hi doctor, I had already put on braces when I was 13 years old, but they could not fix my tooth in proper alignment. After that, last year, when I was 20 years old, I found a slight color change in my upper central incisor and consulted a dentist. He said that my tooth was partially dead. And the ve...  Read Full »

Dr. Gaurav Kumar Pandey

Answer: Hello, Welcome to I thoroughly read your query and understand your concern. Your case is not so complicated. Nowadays, root canal treatment is so simple. I think your dentist could take two or three sittings to finish. One more thing I would like to add is that you should see a good ...  Read Full »

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