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Which treatment can align the midline and replace my canine?

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

Patient's 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 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?

Answered by Dr. Prerna Jain

Education:

MDS Orthodontics and Dentofacial Orthopaedics

Professional Bio:

Dr. Prerna Jain is a passionate Orthodontist with 12 years of clinical experience. She completed her BDS from the Manipal Academy of Higher Education in 2011. She then completed her MDS in Orthodontics from the Manipal Academy of Higher Education in 2015. She is well-specialized in treating all malaligned teeth and malocclusion for aesthetic and functional purposes. She is currently working in Mumbai.

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

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 into that space. Thus shifting the midline to one side. To correct this, there are a few options: One is to remove tooth on the other side (if indicated by bite) and create space on that side, so that the midline can be shifted to the other side.

If there is enough space already (unlikely), only then tooth need not be removed. Very rarely is there space present to correct the midline shift. Other ways also include cutting a part of the teeth to create space on the other side. Or teeth are cut, and dental veneers are placed. All options include some form of change to the tooth structure or removing a tooth.

I hope this information helps you.

Feel free to ask further queries.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At August 12, 2017
Reviewed At June 13, 2026

Education:

MDS Orthodontics and Dentofacial Orthopaedics

Professional Bio:

Dr. Prerna Jain is a passionate Orthodontist with 12 years of clinical experience. She completed her BDS from the Manipal Academy of Higher Education in 2011. She then completed her MDS in Orthodontics from the Manipal Academy of Higher Education in 2015. She is well-specialized in treating all malaligned teeth and malocclusion for aesthetic and functional purposes. She is currently working in Mumbai.

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

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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

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

Education:

MDS Orthodontics and Dentofacial Orthopaedics

Professional Bio:

Dr. Prerna Jain is a passionate Orthodontist with 12 years of clinical experience. She completed her BDS from the Manipal Academy of Higher Education in 2011. She then completed her MDS in Orthodontics from the Manipal Academy of Higher Education in 2015. She is well-specialized in treating all malaligned teeth and malocclusion for aesthetic and functional purposes. She is currently working in Mumbai.

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

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