attachment
attachment
attachment
attachment

I want the allignment of these upper teeth. What should be done?

analyse_media
analyse_media
Based on both photos, here is a clear picture of what's going on and what can be done:

What's Visible in Your Photos

From the front and side views, the upper teeth show:
  1. Proclination (forward flaring) - The upper front teeth (central incisors) angle outward toward the lip rather than sitting upright.
  2. Increased overjet - The upper front teeth project significantly forward of the lower teeth, creating a prominent horizontal gap.
  3. Mild-to-moderate crowding - The lateral incisor overlaps the central incisor, suggesting insufficient arch space.
  4. Class II malocclusion (Division 1) - The upper jaw/teeth sit noticeably forward relative to the lower jaw. This is often called "buck teeth" or an "overjet."
  5. Possible anterior open bite tendency - The upper and lower front teeth don't appear to meet vertically in a normal way.

Treatment Options

1. Fixed Metal or Ceramic Braces (most reliable)

  • Best suited for your case because of the combined crowding + proclination + overjet.
  • Brackets and wires gradually retract and upright the front teeth.
  • Duration: typically 18 to 30 months depending on severity.
  • May require extraction of premolars (usually upper first premolars) to create space to move the front teeth back - this is very common in Class II cases with proclination.

2. Clear Aligners (e.g., Invisalign, ClearCorrect)

  • An option if the crowding and overjet are in the mild-to-moderate range.
  • More aesthetic and removable.
  • May be slightly less effective for significant overjet correction compared to braces.
  • Duration: 12 to 24 months.

3. Jaw Considerations

  • If the lower jaw is significantly underdeveloped (skeletal Class II), a functional appliance or even orthognathic surgery may be discussed in severe cases. However, from the photos this looks primarily dental (tooth position) rather than a severe jaw discrepancy - an orthodontist will confirm this.

What You Should Do Next

  1. See an orthodontist (not just a general dentist) for a proper evaluation.
  2. They will take:
    • A panoramic X-ray (to see all teeth and roots)
    • A cephalometric (lateral skull) X-ray (to measure the jaw relationship)
    • Possibly a 3D CBCT scan or dental impressions/digital scan
  3. Based on those findings, they'll recommend whether extractions are needed and which appliance is best.
Important disclaimer: This is a general visual assessment only and is not a substitute for a professional orthodontic examination. Only a licensed orthodontist can diagnose and plan treatment after clinical and radiographic evaluation.
This is a shared conversation. Sign in to Orris to start your own chat.