Q. What are the options to correct dental midline shift?

Answered by
Dr. Prerna Jain
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 12, 2017 and last reviewed on: Jun 14, 2019

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 is, the tooth after my left canine. Then he will put braces to align the other teeth, and he said he will bring my teeth back in the center. I just want to know if there are any other options to correct my teeth. I do not want to loose a good tooth. Can you help me?

#

Hi,

Welcome to icliniq.com.

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 are a few options:
  1. One is to remove tooth on the other side (if indicated by bite) and create space on that side, so that midline can be shifted to the other side.
  2. If there is enough space already (unlikely), only then tooth need not be removed.  Very rarely there is space present to correct the midline shift.
  3. Other ways also include cutting a part of teeth to create space on the other side.
  4. Or teeth are cut, and dental veneers are placed.
  • All options include some form of change to the tooth structure or removing a tooth.

For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist


Was this answer helpful?

 | 

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


I need a second opinion about my orthodontic treatment.

Query: Hi doctor, I am currently having Damon braces for almost a year. I have attached a picture. What do you think about my teeth position, especially, my canine? I think it looks weird. What should be done by my dentist to make it look right?  Read Full »

Will other teeth shift if I get a tooth removed for braces?

Query: Hello doctor, I have a misalignment and mild crowding of teeth in upper jaw and have bite issues. I have consulted a maxillofacial surgeon and advised tooth removal prior to braces and removed upper left tooth, probably molar tooth, and advised to consult orthodontist for braces. I want to know whe...  Read Full »

Also Read


I get twitches on my calves, shoulders, and head after getting the Novavax COVID vaccine. Please help.
Hello doctor, I got the Novavax COVID vaccine. Since I had the vaccine, I had bad arm pain. But the scary thing that ha...  Read more»
It hurts when I push above my left breast bone. Please help.
Hi doctor, I have been having some chest pain issues. When I push above my left breast bone it hurts in only one spot. ...  Read more»
Bird Flu (Avian Influenza) - Causes, Symptoms, Mortality Rate, and Treatment
Bird flu or avian influenza is a viral infection that spreads among birds and can affect humans rarely. Read the article...  Read more»

Ask your health query to a doctor online?

Ask an Orthodontist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care 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.