Q. My midline is shifted to one side after braces treatment. How to correct it?
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.
Hello,
Welcome to icliniq.com.
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.
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