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What should be done with dystopic teeth? Teeth straightening. Dystopia of the upper canines

Dystopia of the tooth– this is one of the anomalies in the position of a tooth in the dentition, which manifests itself in the fact that the tooth moves towards the cheek, tongue or rotates around its axis.

Dystopia of the tooth Most often it is observed either on the lower jaw in the area of ​​​​erupting wisdom teeth, or (somewhat less often) on the upper jaw in the area of ​​\u200b\u200bthe canines or wisdom teeth.

Much less often, dental dystopia affects the upper and lower premolars.

In the upper jaw, with dystopia, the tooth, as a rule, moves towards the vestibule of the mouth or hard palate, as well as towards the zygomatic process of the upper jaw.

In the lower jaw, tooth dystopia is observed towards the vestibule of the mouth, oral cavity or towards the body of the lower jaw.

Causes of the disease

One of the most common causes of dental dystopia is problematic eruption of wisdom teeth. When there is no place for a wisdom tooth in the dentition, when it erupts, it puts pressure on other teeth, forcing them to shift and take an incorrect position on the jaw.

Dental dystopia can cause serious negative consequences:

  • Malocclusion
  • Trauma to the soft tissues of the oral cavity due to dystopic teeth protruding from the dentition
  • Dysfunction of breathing, swallowing, chewing, speech

Dystopia of fangs

A very common dental anomaly is dystopia of fangs – abnormal arrangement of fangs (most often the upper ones) in the dentition, which in everyday life has received the ironic definition of a “vampiric smile.”

Fangs (the third conical teeth on both dentitions) are teeth that perform the most important function of tearing food when eating. In addition, the canines are involved in the formation of a proper smile and “hold” the corners of the mouth.

As a rule, canines are among the last of all permanent teeth to erupt (between the ages of 9 and 12 years). Sometimes, by the time the permanent canines erupt, their place may be taken by other teeth, and the canines are forced in this situation to take place in the second row, which leads to the occurrence of such an anomaly as canine dystopia.

Most often, canine dystopia occurs when the size of the teeth does not correspond to the size of the jaw (if, for example, one parent inherited large teeth, and the other a small jaw).

Canine dystopia can also be caused by untimely replacement of baby teeth with permanent ones.

Traumatic dystopia of the tooth

Traumatic dental dystopia is a displacement of a tooth in the dentition caused by mechanical trauma to the tooth,
as a rule, by dislocation - that is, displacement of the tooth beyond its socket (alveoli).

Tooth dystopia as a result of dislocation can be caused by a blow, fall, sports injury, etc.

Traumatic dystopia may be incomplete when the tooth only partially changes its position, while maintaining its connection with the socket.

With complete traumatic dystopia of the tooth, the tooth completely extends beyond the socket, maintaining contact with it only through soft tissues.

Treatment of tooth dystopia

Dental dystopia is diagnosed quite easily. Treatment for this anomaly of dental development depends on the type of dental dystopia and the degree of development of the anomaly.

  • If tooth dystopia is associated with difficulties in the eruption of a wisdom tooth, then most often the wisdom tooth in such cases is removed.

It is especially recommended to remove a wisdom tooth if there is insufficient space in the alveolar part of the jaw, destruction of bone tissue at the neck of the tooth, as well as in the case of the development of inflammatory processes in the area of ​​the erupting wisdom tooth.


If the fang is completely missing, a place is created for it and then prosthetics are performed. In some cases, cosmetic conversion to a canine first premolar may be possible.

  • Traumatic dystopia of a tooth with incomplete dislocation is treated by placing the displaced tooth in place (reposition) under local or general anesthesia and then fixing it (immobilization) using special wire ligatures or splints (made of filling material or in the form of mouth guards).

Complete traumatic dystopia is treated by removing the dystopic tooth and subsequent prosthetics.

If you start treating dental dystopia in a timely manner (before 14-15 years), then it is possible to get by with conservative treatment using special orthodontic equipment.

If treatment is started later, it is most often carried out through surgery and removal of either the dystopic tooth or the teeth interfering with it.

At the same time, the removal of dystopic teeth is considered a very complex procedure, caused by the peculiarity of the position of such a tooth.

Therefore, it is necessary to try to treat dental dystopia as early as possible in order to avoid more serious problems (both functional and cosmetic), when the treatment of this anomaly will require more complex procedures.

Various anomalies in the growth and development of teeth can become a serious challenge for a person. Such pathological processes not only worsen the aesthetics of the smile and facial proportions, but can also cause a number of serious complications. Malocclusion, the development of inflammatory processes, aching pain, difficulties with chewing food - these are the main, but not the only consequences of improper tooth growth.

The most common problems in dentistry are retention and dystopia of teeth. Why are such pathologies dangerous and how to recognize them correctly?

More about tooth impaction

Tooth retention is an anomaly in which the crown does not erupt and remains under the mucous membrane. It is accompanied by painful sensations that increase with palpation, as well as redness and swelling of the gums in the area of ​​the impacted tooth.

The pathology is most typical for wisdom teeth, which often do not have enough space to erupt. Retention of canines, lateral and central incisors is less common.

There are complete and partial recessions:

  • full - the crown is completely hidden under the gum and may be located in the bone tissue of the jaw;
  • partial – a small part of the crown is visible when examined using special dental instruments.

Retention is a rather dangerous problem that can lead to the formation of cysts, resorption of the roots of adjacent teeth, as well as chronic periodontal inflammation.

Tooth impaction: main reasons

  • - infectious processes in the oral cavity;
  • - too thick layer of dental sac, which prevents teething;
  • - delay in changing the temporary bite to a permanent one;
  • - presence of rudiments of supernumerary (extra) crowns;
  • - some serious diseases in the body;
  • - improper artificial feeding of the child.

What is a dystopic tooth?

Dystopia is an abnormal position of the crown in the dental arch. It is characterized by a displacement of the molar or incisor in the direction of the cheek, palate, or by turning it around its axis (tortoposition).

The main cause of dystopia is the problematic growth of a wisdom tooth, for example, when it is located horizontally and puts pressure on neighboring molars. The crown can also change position and go beyond the socket after severe mechanical trauma.

Dystopia in 99% of cases leads to malocclusion. It can also cause permanent injury to the oral mucosa, problems with breathing, swallowing and chewing.

Dystopia of fangs

Congenital dystopia of the canines is a fairly common phenomenon, which makes itself felt even during the period of growth of permanent teeth. The fact is that “threes” are the last to appear, when the child is already 10-12 years old. Therefore, there may simply be no room left for new teeth due to a too narrow jaw or incorrect position of the molars. Then the fangs erupt in the second row, causing a pathology such as dystopia. The risk of anomaly increases with late replacement of the primary occlusion with a permanent one.

Fangs play a vital role in chewing food well, and they also play a role in the formation of a harmonious smile. That is why their displacement leads not only to discomfort, but also to the child’s psychological complexes.

Dystopia and retention require urgent correction. A timely visit to the dentist will prevent a number of disorders in the oral cavity. Our website will help you find a competent specialist, where all the information on dentists in your city is collected.

When an ordinary person, when visiting a dentist, comes across the concepts of “dystopia” and “retention,” these terms often confuse, frighten and force them to look for an answer to what it means. In reality, everything is not so scary. When it comes to dystopia, this means that the crown is incorrectly positioned in the jaw and grows at the wrong angle, disrupting the harmony of the dentition. When we talk about tooth retention, this means that although it has grown, it has not erupted, and is completely or partially located in the gum or even in the bone jaw.

What do the terms retention and dystopia mean in dentistry?

The term “retentio” is of Latin origin and can be interpreted as “delay”, “retention”. In dentistry, this concept means that for some reason the crown did not cut through the gum tissue, did not take its proper place, and therefore cannot cope with the load placed on it.

The word “dystopia” has Greek roots, means “displacement” and refers to the location of an organ in an unusual place. In other words, the crown is located in the dental arch in the wrong position or even beyond its boundaries. This not only spoils the smile, but also complicates the eruption and growth of other teeth, which can lead to their displacement and various pathologies.

Symptoms of an impacted tooth

Retention can be complete or partial. A semi-retinated tooth means that only the edge of the crown is visible from the gums. Pathology can be caused by various reasons. For example, an erupting unit will collide with a nearby already grown crown, which will stop the growth of the young ear and it will remain in the jaw. Another reason for tooth retention is excessively dense gum tissue, which does not allow the growing crown to break out. The appearance of an impacted canine can occur when the dental sac is too large, through which the crown cannot cut through.

You can identify an impacted tooth by the following symptoms:

Tooth impaction occurs for various reasons. Congenital may be caused by incorrect position of the bud. Also among the reasons for tooth retention is poor-quality nutrition of the mother during pregnancy, when there is a deficiency of useful elements necessary for the formation of the rudiments of strong dental tissue.


Pathology may occur if, during growth, the child’s body experienced a lack of calcium, vitamins and other substances necessary for the formation of a strong crown. Because of this, the canines and molars were too weak to make their way to the surface. The appearance of an impacted tooth can be caused by injuries associated with the loss of a milk unit from an impact, due to which its hard part remains in the gum. As a result, when the permanent crown begins to push upward, it will encounter an impassable layer.

The cause of tooth retention may be a delay in replacing temporary crowns with permanent ones. The appearance of an impacted fang can be triggered by infectious or chronic diseases that lead to a general weakening of the body.

Signs of a dystopic tooth

Crowns that grow with an inclination or displacement, as well as those that erupt outside the dental arch, are dystopic. Sometimes the displacement is so great that the pathological unit turns out to be located in the hard palate, the wall of the nasal cavity, the orbit, etc.

Tooth dystopia is most often caused by improper formation of buds during the embryonic period. Among the causes of dental dystopia are the following:

  • excessively large sizes of one or more crowns;
  • discrepancy between the size of the crowns and the size of the jaw;
  • presence of supernumerary teeth;
  • early removal of milk units;
  • incorrect sequence of cutting crowns or violation of the timing of their appearance;
  • Hand biting, thumb sucking and other bad habits;
  • injuries.

In dental practice, canine dystopia is often encountered (see photo). The reason is their late eruption compared to other crowns. This can lead to the fact that there is no room left for them in the dentition, which is why they begin to grow from above, and a dystopic canine appears.

Why are wisdom teeth often impacted?

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The weakest teeth in the dentition are wisdom teeth, or “eights.” Among the reasons for wisdom tooth retention is the lack of previous crowns that would prepare their way out. “Eights” have to break through the bone tissue, which can cause tooth retention. The causes of impacted units are collision with adjacent teeth or lack of space, causing the crown to become embedded in the gum tissue. If an impacted wisdom tooth is detected, the doctor recommends its removal.

The development of wisdom tooth dystopia is also facilitated by the fact that “eights” appear late and are in the most extreme position. In addition, their placement on one side is not adjusted by the other crown, which causes wisdom teeth to grow incorrectly.

Diagnostics

A semi-retinated fang is easy to detect because its edge protrudes from the gum and is clearly visible. If the crown is completely hidden, diagnostics is needed. To determine tooth retention, prescribe:


If there is any doubt, the doctor will prescribe a computed tomography scan to diagnose tooth impaction. With its help, the dentist can evaluate the layer-by-layer structure of the jaw and create a 3D image that will accurately determine the position of the impacted tooth in relation to other units.

To identify dental dystopia, orthopantomography is also prescribed. To evaluate the dental system and subsequent treatment, an impression is taken, on the basis of which a plaster model is made. Teleradiography allows you to assess the conformity of the jaw and crowns. An assessment of the bite is also performed to determine whether defects or abnormalities are present.

Principles of treatment

After receiving all the necessary data, the dentist makes a decision on the treatment method. In most cases, removal of the impacted tooth is necessary. Sometimes the doctor decides to use a method of pulling the semi-impacted tooth out of the gum or bone.

If the diagnosis shows that the roots have not yet formed and the crown can erupt on its own, the doctor performs a minor operation, cutting through the tissue to allow the impacted tooth to grow on its own. If the roots of an impacted tooth are fully formed and the crown cannot erupt on its own, the method of orthodontic traction using braces is prescribed.

It is better to treat dental dystopia before the age of 15-18 years. With the help of a braces system, you can correct the situation and put the crowns in place. At older ages, treatment of dental dystopia provides various options.

If the tooth does not cause a serious functional or aesthetic problem, it is left. If the mucous membrane is injured by the crown, the doctor can polish the sharp corners. If the presence of tooth dystopia leads to serious health problems, the doctor recommends removing the pathological crown.

  • a cyst that can provoke inflammation of the nerves, cause purulent sinusitis, lead to resorption of the jaw bones, etc.;
  • resorption of the roots of nearby healthy units, which leads to their loss;
  • improper cutting of crowns next to an impacted tooth;
  • violation of facial aesthetics;
  • shift of the lateral units towards the pathological one.

Retention is often combined with tooth dystopia, open bite and other problems. Pathology can cause dysfunction of chewing and negatively affect diction.

A dystopic tooth also has many negative consequences. The pathological unit does not allow other crowns to erupt normally, which leads to the creation of a malocclusion. A displaced crown often injures the tongue, lips, and cheeks, which leads to the appearance of ulcers. Crooked teeth do not allow for normal oral care, since it is difficult to remove stuck food debris and plaque with a toothbrush and toothpaste. This leads to caries and the appearance of tartar.

Complications during surgery

If the operation to remove a pathological tooth was performed incorrectly, or the patient did not adhere to the doctor’s recommendations during the postoperative period, various complications are possible. These include:

  • Bleeding from the socket.
  • A “dry” hole, the bottom of which acquires a grayish-brown color, a putrid odor, and persistent dull pain appear. It is treated with a medicinal compress, the duration of recovery is 14 days.
  • Alveolitis is infection of the socket followed by inflammation, which leads to the appearance of pus and acute pain.

To prevent such consequences, after surgery you must follow your doctor’s recommendations. During the first hours, a cool compress should be applied to the cheek to reduce pain. If you experience severe pain, you can take a painkiller. You cannot rinse your mouth, but you can irrigate the wound with anti-inflammatory medications and herbal infusions (sage, oak bark, chamomile).

A dystopic tooth is one with an incorrect location relative to the entire dentition, which may extend beyond the border of the alveolar processes. As a rule, such an anomaly can be predicted in childhood and appropriate therapeutic or preventive measures can be taken. In the case of wisdom teeth, this is more difficult to do, since the rudiments of eights form much later than those of other teeth. Moreover, pathology can harm neighboring teeth, so when a specialist discovers a dystopic wisdom tooth, the question of its removal is almost always raised. Symptoms of a dystopic wisdom tooth usually manifest themselves in the form of inflammation and pain.

Causes of dystopic wisdom teeth

Most experts agree that the main cause of dystopic teeth is genetic predisposition. This is also true in the case of wisdom teeth: if the structural parameters of the parents’ jaws contributed to the occurrence of such an anomaly, then their children also have a high risk of developing dystopic teeth. In addition to genetics, there are a number of other factors that affect the position of the wisdom tooth during eruption:

  • incorrect formation of tooth buds at the stage of intrauterine development;
  • malocclusions, including those caused by mechanical damage;
  • macrodentia, presence of supernumerary teeth, small jaw;
  • early loss of baby teeth.

Types of wisdom teeth dystopia

All types of dental dystopia differ in the position of the tooth relative to the dentition. Diagnosis of pathology is carried out by a dentist-therapist or an orthodontist. To determine the type and characteristics of pathology in dentistry, an orthopantomogram is used, as well as targeted x-rays.

Type of distopped tooth Description
Medial impacted tooth The tooth protrudes forward (from the outside of the dentition).
Distal impacted tooth The tooth protrudes backwards (from the inside of the dentition).
Angular dystopic tooth An impacted tooth is located at an angle in relation to neighboring teeth.
Tortoposition The tooth is rotated around its axis
Horizontal impacted dystopic tooth The impacted dystopic tooth is located horizontally relative to the dentition.
Reverse dystopic impacted tooth (rare) The root part is located at the top, and the coronal part at the bottom (in the bone tissue).

Impacted dystopic wisdom teeth are the most difficult case. The tooth not only has an incorrect position, but also has problems with eruption. Retention can be either partial (part of the tooth is visible on the surface) or complete (the tooth is completely hidden in the soft tissues).


Removal of dystopic wisdom tooth

Unfortunately, in most cases, the dystopic wisdom tooth is removed. This is due to the fact that incorrectly positioned “eights” injure surrounding tissues, causing inflammation and abscesses, and also negatively affect neighboring teeth and the bite as a whole. This is especially true for impacted dystopic teeth, which can become a source of severe pain and cause osteomyelitis (inflammation of bone tissue). However, there are options in which a dystopic wisdom tooth can still be preserved, but the attending physician must convey to the patient information about potential complications.

Stages of removing a dystopic wisdom tooth:

  1. consultation, x-rays, oral cavity sanitation;
  2. anesthesia;
  3. peeling off a section of soft tissue to access the tooth;
  4. preparation of bone tissue to extract an impacted tooth;
  5. removing the entire tooth with special forceps or sawing it into pieces;
  6. suturing (if necessary) and anti-inflammatory gauze pad.

How much does it cost to remove a dystopic tooth?

Removing impacted dystopic wisdom teeth is considered a more difficult and invasive procedure. In particularly difficult cases, plastic surgery of soft and hard tissues may be required, which increases the rehabilitation period. In Moscow dentistry, the price for removing a dystopic wisdom tooth is quite high (compared to regular tooth extraction). The cost of the operation starts from 4,000 – 5,000 rubles (moderate pathology) and can reach up to 12,000 rubles (the price for removing an impacted dystopic wisdom tooth).

A fairly common orthodontic problem is canine dystopia. The smile has a specific appearance with protruding fangs, reminiscent of a “vampire smile”
Do not confuse canine dystopia (dystopic fangs) with canine retention (impacted canines).
Here is a photo that perfectly illustrates the dystopic canine of the upper jaw on the left side:

Cause of impacted fangs

What is the reason for the formation of such a far from normal dentition structure?

There is a very vivid picture circulating on the Internet that well illustrates the reasons for the development of such a pathology.

Let me comment on the illustration. Milky bite. All permanent teeth are located deep in the jaw bones and are just preparing to erupt. Baby teeth are marked with Roman numerals. Permanent teeth - Arabic numerals. The teeth of each jaw form three levels. The first row is the level of baby teeth. The second level is permanent teeth. The fangs are located separately - this is the third level. On the upper jaw, the canines are located highest. On the bottom - below everyone. That is why fangs will erupt last. And the “sixth” teeth erupt first. Their movement is not impeded by any milk teeth.

If the IV or V milk teeth are removed ahead of schedule (this happens if the milk teeth are not treated or treated poorly), then the 6 teeth are moved to the vacant space. Thus, when they eruptfangs (and they eruptlast but not least) it turns out that all the space in the jaw is occupied. There is no room for the fangs to be in a normal position. Therefore, they are placed atypically - or 1) outside the dentition or 2) from the palatal surface.

Orthodontic treatment of dystopic canines

There are two main ways to treat dystopic canines:

  1. Orthodontic treatment without tooth extraction;
  2. Orthodontic treatment with tooth extraction.

Using two different clinical cases, we will consider the features of treatment of abnormally located canines.

Clinical example of treatment with a brace system for a dystopic canine

without tooth extraction. Kharkov CKS

The problem the patient presented with was a dystopic canine in the upper jaw on the left. What we find when examining the patient: in addition to the atypical position of the canine, there is a shift in the midline of the upper dentition to the left side, and a crowded position of the teeth in the lower dentition.

There is an article on my blog “Determining the deficiency of space in the dentition of an orthodontic patient.” This clinical case again touches on the topic of lack of space. The canine marked with position “1” is about 7 mm wide. The arch space for this tooth (indicated by position "2") is about 2 mm. The space deficit is about 5mm.

A treatment plan without tooth extraction assumes that it is necessary to move the lateral group of teeth distally (in the direction from the midline towards the wisdom tooth).

It is also necessary to move the midline of the upper dentition to the right - indicated by a blue arrow.

It took 8 months to prepare the space for the dystopic canine. As you can see in the photo, we did not use a bracket on the canine. The main movements were carried out using an expanding spring. As the space in the alveolar process increased, the canine lowered itself into a more correct position.

Here we want to make a retreat. Much has been written in various sources about the good and bad sliding of archwires along the bracket groove. On the Internet and in print publications they write about the high advantages of some braces over others. For example, self-ligating braces are often praised. I have already written that I do not share the opinion of many colleagues that certain braces have “miracle abilities”. I think patients are being deceived.

I will apologize and write a refutation if I am offered illustrations of clinical examples that self-ligating braces will do the same job faster or better.))))

We do not intentionally install braces on the upper and lower teeth at the same time:

Firstly: Treatment of this patient requires longer wearing of braces on the upper jaw compared to the lower jaw. There is no reason to wear the system on the lower dentition as long as on the upper one. Therefore, braces on the lower dentition can be installed later.

Secondly: It is easier for the patient to adapt to the brace system if the braces are not installed at the same time. First the upper jaw and then the lower jaw. In some patients, it is better to start with installing braces on the lower dentition - this is decided individually

Third: Patients often delay the installation of braces on the lower jaw due to financial considerations. In the case of our patient, the third aspect greatly delayed our work on installing the brace system on the lower jaw.

The treatment of the upper dentition is coming to an end. On the lower dentition, the stage of initiation of treatment. The installation of the brace system on the lower dentition was delayed by the patient.

Photos before and after treatment of dystopic fangs without removal


This case demonstrates good orthodontic results when treating a dystopic canine without removing permanent teeth.

Attention: such treatment necessarily leads to lengthening of the dentition. In many cases, lengthening the dentition can worsen facial proportions. If lengthening the dentition worsens the proportions of the face, then you should abandon this treatment option. It is better to choose the option of removing permanent teeth.

Orthodontic treatment with tooth extraction is not a bad option! It is not of poor quality! It is not second-rate! In medicine this is called "indication". Indications are about choosing the best option for each patient. To each his own. For a huge army of patients, there are indications for treatment with tooth extraction. That is, for many, the best choice is the option of removing permanent teeth.

We will demonstrate a case when a patient has indications for treatment with tooth extraction.

Clinical example of treatment with a brace system for dystopic canines

With tooth extraction. Kharkov CKS

If such a case is treated without extraction, the front teeth will deviate forward.
We choose a treatment plan from two possible options:

  1. Treatment without tooth extraction will result in the dentition matching the blue line. The front teeth lean forward, changing the proportions of the face.
  2. Treatment with tooth extraction will result in the dentition matching the yellow line. The front teeth will remain in their original position.
After discussing these aesthetic aspects with the patient, we decided to undergo treatment with tooth extraction.
Let us demonstrate schematically the mechanism of orthodontic movements:
First. Removal of first premolars.

Second. Moving the canines to the area of ​​the removed first premolars.

Third. Moving the lateral incisors to the level of the central incisors.

Fourth. The remaining space between the canine and the second premolar can be used in two ways. The first is used to move the frontal group of teeth deeper into the oral cavity, if this is required by correction of the shape of the face. We described this option in detail in the article "Treatment with braces. The advisability of tooth extraction."
Second. Move the side group of teeth forward. This process is called "burning the anchorage." This is optimal for our case; we want to maintain the position of the front teeth in the position corresponding to the start of treatment.

This demonstration was structured schematically.
Next we will tell you how this happened in real time.

Treatment


At the first stage of treatment, the first two premolars of the upper jaw were removed and braces were installed on the upper dentition.

The canines of the upper jaw have moved significantly downwards and deeper into the dentition.

The canines of the upper jaw are placed in the dental arch, the time has come to install braces on the lower dentition.

The ninth month of treatment is marked by a sharp deterioration in oral hygiene. Although our patient is an adult, he clearly lacks personal discipline. He is well informed that poor hygiene is associated with possible treatment complications.
The stage of treatment when the gaps from the extracted teeth are already closed. Further movements will be minor in magnitude, but they are also important.
Final stages of treatment. We use square steel arches.

Advantages of orthodontic treatment with removal of first premolars:

  1. We have already said - often (in a certain category of patients) this is the only way to get a harmonious face;
  2. Aesthetically, the smile will look great, the teeth will not have an excessive forward tilt;
  3. The chewing function of the dental system will not lose its effectiveness, but will increase;
  4. Getting a proper bite through tooth extraction will improve your dental health. The loads will be balanced.
  5. The roots of the teeth in the body of the jaw will be located more freely, without interfering with each other. Scientifically speaking, there will be no signs of a stress-strain state in the bone tissue. This means that the result of orthodontic treatment will be more stable and less prone to relapse.

Photos before and after treatment of dystopic fangs with removal

This article demonstrates two treatment options for cases with severe canine dystopia. Both cases were treated with standard metal braces. For the final result, it doesn’t matter what kind of braces the treatment is used with. It is important which treatment option should be chosen for each of the patients seeking orthodontic treatment. You can read more about different brace systems in the article “The best braces for ideal orthodontic treatment”

 The point in the treatment plan about removing or not removing teeth is the most important link. And remember, if a doctor offers a treatment plan that involves removing teeth, this does not at all characterize the doctor as a bad specialist. The doctor is obliged to justify each proposed treatment plan, describing the result of treatment from the position of occlusion and facial structure.

Incorrect treatment of cases with abnormal canine position

Sometimes patients ask: “Is it better to remove the fangs? And then there will be no need for braces.”
Indeed, if you remove abnormally located fangs, then outwardly everything will look many times better. But treatment with the removal of fangs is the wrong option.

Canines are a very important tooth in terms of both aesthetics and function.

  1. The dentition without fangs looks unnatural, and therefore ugly;
  2. During chewing movements, the canines perform the important function of guiding the movement of the lower jaw relative to the upper. Dentists call this "canine guidance." Premolars cannot fully replace canines functionally.
    Firstly. Premolars do not have the same shape of the inner surface of the tooth.
    Secondly. The premolar does not have a long enough root - it is shorter than that of the canine. Therefore, it cannot withstand high chewing loads, which are absolutely normal for the canine.
Incorrect orthodontic treatment based on the removal of fangs forces patients to repeatedly seek orthodontic treatment. We describe such a case in the article “The best braces. Which braces straighten teeth faster?”

Removal of fangs can lead to such a serious complication as jaw joint dysfunction (TMD).