Midline shift & occlusal plane canting

57 Rating(s).

Posted on 12.05.2021 04:22 PM By A C In Orthodontics

Patient here - How can this treatment be improved?

I've got 3 main issues
1. My upper midline is about 2-3 mm to the left
2. All teeth including molars on my upper right side are lower than on upper my left side - occlusal plane canting
3. Lower teeth are too high up

Raised issue with orthodontist and they cannot see/understand what the problem is

Any advice is greatly appreciated, thanks in advance!

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3 Comments

Maurice Salama says on 12.07.2021 11:10 AM

Hard to tell just off these images. You don't seem way off? Detailing and finishing is the KEY. Sme midline rubber bands should help midline shift. IF you are concerned go see another orthodontist in your area for a 2nd opinion. Good luck

A C says on 12.07.2021 01:43 PM

Thank you Dr Salama! How would the elastic band configuration look like? Both the upper arch and lower arch are shifted to the left. I've had my attachments replaced about 4 times in 6 months because there's always something wrong with their placement. I've lost trust in my current orthodontist, and I'll also be looking for 2nd opinions. Worth noting that I had a first treatment done in 2015 that I was very happy with and lost my retainer after one year. Midline and tilting were not issues before this treatment

Greggory Wilde says on 01.27.2023 12:07 PM

Would PAOO be indicated in this case?