asymmetric arch

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Sunshine101
Posts: 5
Joined: Wed Sep 14, 2011 9:17 am

asymmetric arch

#1 Post by Sunshine101 »

I posted on here a few days ago about one side of my mouth responding better to expansion and just thought of something else. (recap: right side of mouth expanded further than left side. so my mouth is not aligned AT ALL with my eyes/nose. looks goofy)

At my last appt., ortho says he thinks it's a skeletal issue and maybe the tooth positioner i will be getting soon will help some. (not happy with that response!)

However, i've been doing research about asymmetric arches and came across a statement about if you have a tooth missing on one side you should have tooth pulled on other side to prevent asymmetric arch during treatment. I am missing back tooth on upper left side (side that didn't expand as much as right). When I first asked my orth if that could be reason for the uneveness, he said maybe.

I'm wondering if that could be the reason . . .any input?
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ArchWired28
Posts: 636
Joined: Mon Jun 20, 2011 10:44 am
Location: Tampa, FL, USA

Re: asymmetric arch

#2 Post by ArchWired28 »

So are you missing the 2nd left upper molar? Do you have a midline deviation?
Had full mouth metal braces for 21 months. Debonded April 2013. Now wearing clear plastic retainers every other night.

I have no formal dental or orthodontic education. Hence, all opinions expressed by me on this forum are those of an "informed consumer" and by no means intended as an expert advice.
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ArchWired28
Posts: 636
Joined: Mon Jun 20, 2011 10:44 am
Location: Tampa, FL, USA

Re: asymmetric arch

#3 Post by ArchWired28 »

Molars are very important for chewing and bite support. If I were you, I would have asked that ortho opens and preserves space for an implant. They also could have done a fake tooth in braces to hold the space. I would imagine that would have evened your expansion, if of course this has to do with the missing tooth...
Had full mouth metal braces for 21 months. Debonded April 2013. Now wearing clear plastic retainers every other night.

I have no formal dental or orthodontic education. Hence, all opinions expressed by me on this forum are those of an "informed consumer" and by no means intended as an expert advice.
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Sunshine101
Posts: 5
Joined: Wed Sep 14, 2011 9:17 am

Re: asymmetric arch

#4 Post by Sunshine101 »

the very back tooth upper left hand side.
my upper and lower midlines are lined up - its just appears as if my mouth shifted to the right of my nose. Unfortunately I cannot post any pictures yet.
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Sunshine101
Posts: 5
Joined: Wed Sep 14, 2011 9:17 am

Re: asymmetric arch

#5 Post by Sunshine101 »

throughout my treatment (3 years), he has never mentioned the fact that I have a tooth missing on one side.
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ArchWired28
Posts: 636
Joined: Mon Jun 20, 2011 10:44 am
Location: Tampa, FL, USA

Re: asymmetric arch

#6 Post by ArchWired28 »

Sunshine101
I cannot be certain what your situation is exactly. I am missing two teeth (2nd bicuspid on the upper left, and 1st bicuspid on the upper right), and my ortho immediately asked what is the plan for those. We agreed that he will open spaces for implants to be inserted after I am done with braces. Have your ortho never asked what your plans are regarding the missing molar?
From what I know, an asymmetrically missing tooth can cause midline deviation, but I am not sure if it can cause the whole mouth shifted to one side. This is just one tooth, 4-5mm - not that much space.
There are ways to diagnose skeletal facial asymmetry, with frontal cephalogram being one of the most used. Have you had that done?
Had full mouth metal braces for 21 months. Debonded April 2013. Now wearing clear plastic retainers every other night.

I have no formal dental or orthodontic education. Hence, all opinions expressed by me on this forum are those of an "informed consumer" and by no means intended as an expert advice.
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