Opinion: Final Fine Adjustment Phase

[christianlee]

Hi All,

My orthodontic treatment has come to the final phase of fine tuning. My orthodontist asked if I'm satisfied with the current state, and if I have any other concerns.

(1) The main thing I want to improve is that the top midline seems a bit asymmetrical, and that the top right central incisor (my right, FDI 11) seems a bit more tipped towards the midline than the top left central incisor (FDI 21). My ortho told me that from what he sees (visually, not by x-ray), the root is currently approximately in its neutral/straight position, and that if I decide to rotate it, then it might go slightly away from this neutral/straight position. Even if this estimate was true, would it be a concern to have the tooth slightly off from neutral/straight to achieve better midline symmetry, and do you think I should go ahead with rotating this tooth (top right central incisor) by what seems to be a little bit?

(2) Any other fine tuning suggestions?

Thanks,
CL

 

[Dr M]

What is the plan for after the ortho has been completed? What I can see from your photo is that the one central incisor seems chipped and that there is also some black triangles present between the upper incisors. You can perhaps consider crowns or veneers in order to eliminate the black triangles, improve the chip and achieve your desired aesthetic outcome, without tilting the root out of its neutral position, which might increase the risks of relapse at a later stage.
If you want to keep it as non-invasive as possible, you can also consider resin veneers.