Q. My midline is shifted to one side after braces treatment. How to correct it?

Answered by
Dr. Bharat Joshi
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 03, 2021

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 wearing braces, and I have been wearing them for a year and a half now. My orthodontist removed the lower braces and is willing to remove the upper one in the next appointment. Although I told him about my problems, he says that it is not that much, but your age pictures show the opposite. What are the treatment in my case like? Can it be treated with elastics or what? I have pictures of my teeth.



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 appliance to improve the mid-line shifting. Right now, you can wait for one to two years.

The Probable causes:

Growing body and excess force on one side.

Differential diagnosis:

Mid-line shifting (picture confirmation).

Probable diagnosis:

Mid-line shifting (picture confirmation).

Treatment plan:

Wait for 1-2 years.

Preventive measures:

Quad helix or RME.

Regarding follow up:

I think you may wait for 1-2 years. After that discuss the two techniques. As per my knowledge, elastics alone are not useful.

Was this answer helpful?


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

Related Questions:
What does an MRI finding of mild cerebral atrophy suggest?

.. shows mild cerebral atrophy with some small vessel disease changes. I would like to know about your memory, speech, gait and urinary symptoms. Are there any abnormalities? These changes are much common at the age of 70 but still, you have to take ...   Read full

Please go through my dad's CT and tell me how long we can wait for surgery.

He has a subdural hematoma, that is, accumulation of blood outside the brain pushing on the brain tissue ...   Read full

Homeopathic Medicines for Halitosis (Bad Breath)

Poor oral hygiene is when a person does not brush or floss his teeth regularly ... Dental problems like cavities, gum diseases, or impacted teeth may cause halitosis ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ...  Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also...  Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte...  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.