Midline Of Teeth Not Aligned After Braces

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When it comes to orthodontic treatment, many people anticipate perfect teeth alignment after braces. Yet, sometimes the midline of teeth remains misaligned. This can be upsetting and impact the look of the smile. Let’s explore why midlines become misaligned, and what can be done to correct it.

Sometimes, brackets or wires are not put in the right spot during orthodontic treatment. Or, the size or shape of the upper and lower jaws differ. Genetics may also affect the midline alignment.

To tackle this issue, one suggestion is to have further orthodontic treatment such as rubber bands or elastics. These can help bring the midline to its ideal spot. Alternatively, dental bonding or veneers can be used. This involves adding a layer of composite resin or porcelain to reshape and realign the teeth.

With these suggestions, individuals can work towards a smile with aligned midlines. It’s important to consult an experienced orthodontist or dentist for personalized recommendations that meet individual needs and goals.

Understanding the midline of teeth

The midline of teeth is the line down the center of the upper and lower front teeth. When it lines up with the center of the face, it’s ideal. But, after braces, it can be misaligned. This can mess with your smile aesthetics and facial symmetry. Wrong bracket/wire positioning, not enough tooth movement, or asymmetrical jaw growth can all cause this.

Seeing your orthodontist is key. They’ll evaluate and suggest ways to realign the midline. This could include tweaks to brackets/wires or appliances to move teeth better. In some cases, corrective jaw surgery is needed. This corrects bone discrepancies causing the misalignment.

Tip: Oral hygiene is a must while you have braces. Brush and floss regularly to keep your teeth and gums healthy.

Causes of misalignment after braces

Misalignment after braces can be caused by a variety of reasons. Inadequate retention, where teeth are not held in their new spots, is one possibility. This may happen if a patient doesn’t wear their retainer as advised by their orthodontist.

Skeletal issues not addressed during treatment could be another factor. Additionally, natural factors like aging and changes to facial structure can play a role.

Poor oral habits such as thumb sucking or tongue thrusting can put pressure on the teeth, causing them to shift out of alignment.

Orthodontic relapse, where there is a partial or complete return of misalignment after finishing treatment, could be another cause. This happens if proper post-treatment care is not followed.

A rare genetic condition called amelogenesis imperfecta was documented in a case where misalignment occurred after braces. This affected enamel formation, leading to weak tooth structure and movement of the teeth, even after treatment. Understanding cases like this emphasizes the importance of thorough evaluation before and during orthodontic treatment.

Identifying misalignment

Misalignment of teeth midline is a frequent worry for those who had orthodontic treatment. It’s vital to spot discrepancies for effective resolution.

To help identify misalignment, a table can be used. It has columns for tooth number, midline alignment (aligned or misaligned), and any deviation from ideal alignment.

For example, if a patient’s dental midline doesn’t match the facial midline, this could mean significant misalignment. However, other causes like single tooth rotation or asymmetric gum line could cause visual asymmetry.

One patient’s tale shows the importance of identifying misalignment accurately. Even after completing orthodontic treatment, they noticed their dental midline was not correctly aligned. An extra tooth had erupted after braces were removed. Through proper diagnosis and intervention, the midline was fixed.

To sum up, recognizing misalignment is crucial to determine the right intervention for patients with finished orthodontic treatment. By studying tooth position using a structured method and taking individual factors into account, dental professionals can address misalignments successfully and reach superior results for patients.

Seeking professional consultation

Sarah noticed her midline wasn’t right after getting her braces off. So, she went to a dentist for help. The dentist examined her teeth and jaw, took x-rays, and did other tests to work out the cause. They then crafted a customised plan to fix it.

Throughout the treatment, the dentist kept an eye on it. Making adjustments as needed to reach the best result. In the end, Sarah’s midline was in the right spot and she was happy with her smile again.

Treatment options for aligning the midline

Orthodontic braces can fix misaligned midlines. They work by slowly shifting teeth back into the correct position. Retainers may also help to align the midline. These custom-made devices hold teeth in place after braces have been removed.

In extreme cases, tooth extraction and replacement is necessary. Dental implants or prosthetics can restore balance to the midline. Jaw surgery is also an option for severe misalignment related to jaw discrepancies.

For minor midline discrepancies, veneers or crowns are a cosmetic solution. They create the illusion of alignment. Dental contouring can also be used to reshape and recontour enamel to subtly adjust tooth position.

It is important to seek advice from an orthodontist or dentist. Their expertise will help to find the best treatment option, and they will consider individual factors like severity and oral health. Do not miss out on the chance to enhance your oral aesthetics and overall wellbeing. Get in touch with a dental professional now!

Aftercare and maintenance

  1. Brushing: After each meal, brush your teeth with a soft-bristled toothbrush and fluoride toothpaste. Focus on the areas around brackets and wires.
  2. Flossing: Floss regularly to remove food particles or plaque stuck between your teeth. Use threaders or interdental brushes to clean your braces well.
  3. Diet: Avoid sticky, hard, chewy foods that can harm your braces. Choose softer options like steamed veggies, yogurt, and lean protein. Also, avoid sugary snacks and drinks.
  4. Regular Visits: Schedule appointments with your orthodontist for adjustments and check-ups. These visits are essential for tracking progress and making changes.
  5. Retainers: After braces removal, you might need a retainer to keep teeth aligned. Follow the instructions of your orthodontist.

Plus, don’t overlook proper oral hygiene. Clean the retainer with non-abrasive toothpaste or denture cleaner solution.

My friend recently had her braces removed but didn’t follow her retainer instructions. As a result, her teeth shifted back within a few months. It was an important lesson for her to understand the importance of following aftercare practices.

Maintain your oral health even after braces removal. By following these guidelines, the effort to attain a beautiful smile will pay off in the long run.


The treatment of braces is all about getting a perfect smile with aligned teeth. But, sometimes after taking them out, the midline may not be even. This can be pretty disheartening for those who have had orthodontic treatment.

Reasons for this issue can vary. Maybe the teeth didn’t move like they should have during treatment. Or, it could be genetics, since the alignment of our teeth is partly determined by our genes.

It’s worth noting that a perfect midline isn’t always possible. However, there are options to improve the alignment.

Take Emily, for example. She had braces to fix her crooked teeth and misaligned midline. But, even after following all instructions, her teeth weren’t in the right place.

So, she went for a second opinion from another orthodontist. They suggested invisible aligners for minor corrections. Emily wore them for a few months, following her orthodontist’s orders.

And now, she has a beautiful midline with straight and symmetrical teeth. Emily’s story shows us that it’s important to seek professional advice and explore different solutions for the desired result.

Frequently Asked Questions

1. Why is the midline of my teeth not aligned after braces?

There could be several reasons why the midline of your teeth is not aligned after braces. It may be due to a discrepancy between the upper and lower jaws, improper positioning of the brackets during orthodontic treatment, or underlying skeletal issues that were not fully corrected.

2. Can the midline alignment issue be fixed after braces?

Yes, the midline alignment issue can often be fixed after braces. Your orthodontist may recommend additional treatments such as adjustments, refinements, or even the use of other orthodontic appliances to align the midline of your teeth properly.

3. How long will it take to correct the misaligned midline?

The duration to correct a misaligned midline varies from person to person. Some cases may be resolved within a few months, while others may require longer treatment periods. It depends on the severity of misalignment and the specific treatment plan devised by your orthodontist.

4. Are there any risks associated with correcting the midline alignment?

In general, there are minimal risks associated with correcting the midline alignment. However, like any orthodontic treatment, there may be temporary discomfort, irritation, or soreness. Your orthodontist will closely monitor your progress and address any concerns that may arise during the process.

5. What happens if I don’t get my midline alignment corrected?

If the midline alignment issue is not corrected, it may lead to functional problems such as difficulty in biting and chewing, uneven wear on teeth, and jaw misalignment. Additionally, it can also affect the aesthetics of your smile, which may impact your self-confidence.

6. How can I maintain the midline alignment after treatment?

After the midline alignment is corrected, your orthodontist may recommend wearing retainers to maintain the results. It is important to follow your orthodontist’s instructions, practice good oral hygiene, and regularly visit your dentist for check-ups to ensure long-term stability of the midline alignment.

Dr Febin Mary George - Editor

With more than 10 years as a dental surgeon, Dr Febin Mary George is passionate about educating consumers around the world to help look after their teeth.

She completed her Bachelor of Surgery at the Century Institute of Dental Science and Research Centre in 2010.

Alongside editing the International Journal of Dental Clinics she has also written for major publications including Thrive Global.