Q. Will I need corrective jaw surgery for the front tooth protruding forward while the rest are properly positioned?

Hello,

Welcome to icliniq.com.

I understand your concern.

As you mentioned that only the front four teeth of the upper jaw are your main concern, your treatment plan will be made according to it. The other corrections required will also be done, but the priority will be on the front teeth. As per your query, jaw surgeries are only suggested once the patient completes his or her growth. This is actually the correct time for you to visit a certified orthodontist to get a detailed checkup done and look for the best possible treatment plan after discussion. There could be various options for you at the current stage, which I would like to discuss. But for the same, I would like to have a look at your teeth and the side profile view of your face. That would enable me to diagnose the case and give you the best option possible. Kindly share the pictures, and we can discuss this further.

Do reach out for further queries or clarifications.

Do rate the response and drop feedback to enable us to enhance the quality of answers. Have a nice day.

Kind regards.

Please share pictures of your teeth and side profile view of your face.

Hello,

Welcome back to icliniq.com.

Based on your profile (the attachments are hidden to protect patient's identity), you do need orthodontic corrections but do not require surgery for the same.

Your front four teeth are outwardly placed. Your plan might involve the extraction of four teeth (two from the upper and two from the lower teeth), but I suggest not going with it immediately. You can ask the orthodontist to initially go with leveling and aligning of teeth, during which teeth align in the way they should be, and we do gain spaces when alignment is done. Following that, space closure has to be done, and if enough spaces are present, extraction will not be required. If the alignment does not give enough space to take the teeth back, we will go with four teeth extraction, as mentioned earlier.

Hope this gives you clarity on your orthodontic treatment procedure.

Do reach out for further informations or clarifications if required.

Have a nice day.

Regards.

Hi,

Welcome back to icliniq.com.

Definitely, surgery is not required. It can be managed with braces or aligners based on your choice. Braces are metal or ceramic brackets placed on the teeth with wires that align the teeth, are fixed, and come with certain restrictions and instructions to be followed. Aligners are clear thermoplastic trays that align the teeth without any wires and come with lesser restrictions and instructions to be followed. Your teeth are at appropriate positions only. Just the inclination is a bit wrong. They are outwardly inclined. It is a moderate category issue and is seen frequently in orthodontic cases. Do not worry about any surgical procedures. It is not required for your case. Did you have any tongue-thrusting habits? Meaning unintentionally, you are pushing the tongue outward, which puts pressure on the teeth to incline forward.

Have a nice day.

Regards.

Hi,

Welcome back to icliniq.com.

If there are no tongue-related habits, it is a good sign. Regarding lip biting habit, it is also due to the malalignment of teeth and how they close. Once you undergo orthodontic treatment, the alignment will be better, and it will not be proclined (meaning it will not be inclined forward the way they are). And the overjet (horizontal distance between the front and lower teeth) will be better, so lip-biting habits will also stop.

Hope this helps in your guidance to good orthodontic treatment.

Please let us know if you have any related queries.

Have a nice day.

Regards.

Hi,

Welcome back to icliniq.com.

Yes, the pictures are a bit hazy, but they give the details which are required. Definitely, you do not require jaw surgery. These are regular orthodontic cases where extraction of teeth and space closure works well. There are both things present in everyone's teeth: overjet as well as an overbite. Overjet is the horizontal distance between the upper and lower teeth. Overbite is the vertical overlap between upper and lower teeth.

Still, if you can send a complete side profile picture clicked through a friend or relative's assistance, which is clear, I can re-confirm the treatment plan. Side profile view of the patient, smiling and in normal resting. You can check how these pictures should look on the internet and ask the person to click for you at 90 degrees to the camera, and the full face should be visible (head to neck, nose to back of head).

Regards.

Hi,

Welcome back to icliniq.com.

Yes, I have seen your attached pictures (attachments are hidden to protect the patient's identity), and I am 100 percent sure you do not require any corrective jaw surgeries. I confirm that you do not require surgery. As your front teeth are outwardly inclined, I suggest braces or aligners for your treatment. Braces would be a better option, in my opinion. You will need to undergo extraction of teeth to gain some space to retract (pull back) your front teeth. This needs to be evaluated clinically to determine how many teeth need to be extracted. Either it would be the upper two teeth or a total of four teeth (upper two and lower two). With the attached photos, the chances of two teeth extraction are more (clinical confirmation will be required), but I would suggest not getting extraction done initially. Get the initial alignment done, followed by extraction and then the retraction process.

To summarize,

• You have proclined upper front teeth.
• You do not require any corrective jaw surgeries.
• Braces or aligners are your options (braces more preferable, but you can decide otherwise).
• Initial leveling and alignment of teeth.
• Followed by extraction of teeth (two teeth it should be, less chance that four extractions are required).
• Once extraction is done, retraction or space closure by pulling the teeth is suggested.
• Followed by approximately one year of retainer therapy.
• Total expected duration - 15 to 18 months of active treatment (it could be shorter as well, depending on how your teeth respond to the forces) followed by one year of retainer therapy.

Hope this clarifies your queries regarding the orthodontic treatment process.

Do inform me if some more details are required.

Have a nice day.

Regards.

Hi,

Welcome back to icliniq.com.

You have an excess overjet. No, your case is not complicated but quite a regular one. No need to worry about it. I am glad to help you throughout your orthodontic treatment process.

Sure, do reach out for any queries or clarifications.

All the best for your braces.

Have a nice day.

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

Dr. Mayank Khandelwal

Experience: 2 + Yrs

Orthodontist

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