Difficult and Challenging Smile Makeover - One Central Tooth - Moving the Midline

[@100FoldFarm]

I teared up when you showed the picture of your childhood friend who was the Dad of the young man you helped. The happiness and Thankfulness and whole family impact is very special!

[@divinadelcastillo5549]

watching this again and again cause i had a same case as him:( i just hope and pray that someday i could smile with confidence.. btw thank you doc for sharing this:)

[@marshallosantos9035]

I’m going through this process right now. I’m missing the other front tooth. Happened when I was shoved into the sidewalk at age 12. My dad couldn’t afford to fix my teeth so I’ve had to never smile. In a few months I finally will. I’m so glad I came to America.

[@ashmasingh4738]

Same thing happened with at my 12 years old

[@manhalmajid5613]

I have the same problem this video touched my heart and my biggest insecurities I thought I’m alone and there is no solution and it’s my destiny and I have to accept it . Thank you doctor♥️

[@mariagil11]

This made me cry I have suffered for decades similar maybe worse 😢

[@ninitara4633]

I am going through the same thing! I lost one of my front teeth when I was 7. I hit the pavement face first riding a razor scooter and knocked it out. The dentists tried to shove it back in my mouth but in the end they couldn't save it. It rotted and got pulled back out of my mouth and was left with a gap. My mother was a single mother of 4 and couldn't afford to get it fixed. Jump ahead to me now at 30 and the gap has since closed and my teeth have shifted to wear my only front tooth is now front and center. I've been to multiple dentist that have never seen a case like mine and they don't know the proper way to fix it. I didn't know there were so many other people in the same position as me....this video gives me so much hope! Now I just need to find a dentist that has the same capabilities:) Thank you for sharing this story!!!

[@advanceddentalartistryperth]

We hope that you find your ideal dentist! :)

[@MarinaAndTheDevil]

I think his smile was beautiful and it’s also beautiful now.

[@advanceddentalartistryperth]

Marina thanks for watching and appreciate the comments and feedback - all the best. X May I ask where you are watching from?

[@gaylecheung3087]

You’re really great person Doctor ♥️

[@advanceddentalartistryperth]

Thanks Gayle. Really appreciate you watching and commenting. All the best. X

[@kaimac12]

Nice! My midline is off as one of my central incisor never grew. As a result my upper jaw is smaller and has a crossbite. However it doesn't interfere with eating and talking. An orthodontists said the only way to correct this was braces, jaw surgery and probably an implant. Would love to see if I could get veneers done to give the illusion of straighter teeth.

[@advanceddentalartistryperth]

Kai - midline is part of a smile which can only be fully corrected with braces, surgery etc. What we often discuss is alternative options where the treatment is not so complex (no surgery and often no braces) that corrects all the other issues but not the midline. The results are usually excellent but NOT perfect given the biological limitations. This is we have completed for Cameron. There are always options and as long as you understand the pros and cons of each you can then choose the best for you.

[@advanceddentalartistryperth]

kzbin.info/www/bejne/oKO8XmR5lNOLi7M is another example

[@kaimac12]

@@advanceddentalartistryperth thanks for your reply! If I was in Australia I would visit your clinic but I'm from NZ. Would you by any chance know of a dentist here who does this? I have been to 2 so far - one says to leave it and the other agreed with the orthodontist. This was 7-8 years ago when I was 16 and it kind of dashed my hopes of finding another dentist who could help.

[@advanceddentalartistryperth]

@@kaimac12 this been many years and you had not completed your growth at 16. I would suggest a new opinion given that no only have you changed but technology is better too. There is now the option to scan and plan things digitally - something that is relatively new. I hope this helps. Pls let me know how you go

[@morganlogman3948]

excellent result and story, well done

[@eplatt1987]

My daughter has a central insicor since birth. They said she can have braces when she's older to help her. SMMCI - check my video she made about her tooth, she is 7 years old.

[@84vietskater]

I have the same problem as his my front tooth fell off the same wya and my smile is uneven smile

[@advanceddentalartistryperth]

when did you lose the front tooth?

[@slash741]

Hey, sorry im a few years late but I also have this problem and I have braces on at the moment. What will happen after I get braces off?

[@arancini4458]

Hi,You are an amazing dentist.I have a question.I have an overcrowded teeth.And I lost my two central incisors due to trauma and left me a 1.5 space gap.Is it possible to close that gap? I have also an underbite.

[@sidneidossantosjunior3635]

verry cool. i live in brazil and i am dental technician. your work is amazing!

[@advanceddentalartistryperth]

Thank you very much! :)

[@advanceddentalartistryperth]

There are some amazing dentists and technicians in Brazil. I was there training with Christian Coachman and visiting many great clinics, clinicians and ceramists. X

[@shenettah]

I have the same problem as Cameron. My front teeth are not in the middle. Midline. Thats why im always kinda shy to smile wide open, cos of my teeth. Feeling sad. I hope theres a dentist here in Philippines to help me with my problem... godbless us

[@advanceddentalartistryperth]

Thanks for your comments Sanem. There are great dentists in the Philippines. We are also here to help or answer questions. All the best

[@gentlewave8995]

No no no. Something is missing It seems like even final prosthesis has gingivitis. And why didnt you go for root canal for better symmertry

[@advanceddentalartistryperth]

Hi Dr Sunami, Thanks for your feedback. If you are referring to Cameron's trial smile image at 7.04, it is actually straight after the temporary/trial smile insert hence the reason why the gums look a little red and sore. If you see his final portrait at his review 8.15 Cameron's gums look great :-)In terms of a root canal, elective root canals are not something we do here at ADAP. The tooth goes dark and long term the prognosis is not great as it is more prone to go brittle and fracture in the future. With all our treatments we try and do the best for the patient long term. We hope this helps!

[@bronnikovp]

Thank you for explanation. I had similar experience. I wanted to cover a gap that I was visible when I smiled. My dentist did root canal on a healthy tooth and made a crown with a false tooth to cover the gap. I was happy with it but it only lasted about 8 years before the tooth fractured. It couldn’t be saved so I am in the process of getting an implant now.

[@RahulJain-cd3cn]

How can I take your consultation ?

[@blasfemiaviviente1424]

Tengo la misma condicion y ahora se que tiene solucion! Gracias

[@cherjulious5785]

I have the same problem. I currently have braces and for 2years now and the alignment is still the same. I don't know what my dentists are planning to do with it but as far as I can see they will put veneer on one of my teeth just like what they have done in this video. but after that I don't know what will be their next action. I can see that once I got the veneer my teeth will just look like in his first trial smile.

[@advanceddentalartistryperth]

I would ask them to clarify the treatment plan and discuss you options. After 2 years your teeth should be straight and perfect however sometime movement is more difficult.

[@christopherbryant5178]

I beleive the same thing happened to Tom Cruise. Some people get dental trauma like this confused with solitary median maxillary incisor.

[@aramishernandez6109]

Where are you located??

[@mikec9938]

I have this same problem how can I get in contact with this guy? He's great

[@jamesazlan4301]

Why dentist in Australia are so silence when come to prices.

[@advanceddentalartistryperth]

Just ask away. :)

[@mentallydisturbedscience8900]

Why would an orthodontist put a single front tooth right in the middle?! And why would his parents agree to such shenanigans?!

[@lacoquine4900]

Hello doctor, i had braces when i was 15yrs old for 2yrs at that time just let my mom and dentist do the work later on in my early mid 20's i notice that i don't have one latéral incisor which make my midline teeth is not good and show no missing teeth as the gap was filled by the next teeth but my smile is ackward. Even in my lower teeth i am missing a lot of teeth which gives them some space even i already had braces again to.fix the gap.still if i dont wear my retainers at night the tend to seperate with each other. I only got 28 teeth in all 14 in upper and 14 in the lower...i feel like i was been experimented

[@newnii]

Do I have this option for my son I really liked his results in the first picture with moving the lateral and shaping it to look like the central incisor... my son was born with only one central incisor can I do what Cameron did?

[@andrew-isac]

I m inspired by you as a younger dentist

[@advanceddentalartistryperth]

Thanks Andrew. Pls if you have any questions about work or patient care always ask. All the best

[@andrew-isac]

Advanced Dental Artistry thank u very much dr, certainly i will ☺️

[@aluvinewton1544]

So if you miss a front tooth, can braces work to close the gap if the midline is not an issue? Watching from Kenya

[@advanceddentalartistryperth]

It depends on which tooth is missing and what the overall cosmetic result the patient is looking for. Braces can close any gap however may not give the ideal cosmetic result if one front tooth is missing - the space may go but the symmetry and harmony of the smile may not be ideal.

[@aluvinewton1544]

@@advanceddentalartistryperth Thanks for the feedback? Am actually planning to extract my front left tooth. And an implant is too expensive. Can I get braces and later get veneers as seen here?

[@advanceddentalartistryperth]

@@aluvinewton1544 Braces and veneers would be a more costly option than an implant. Is the tooth infected or pain and this is why it needs extraction?

[@newnii]

Are you guys located in California my sons smile look just like this and I need someone like him to treat me son

[@Amazingvideos-ni8yx]

can anyone tell how much it would cost please

[@DeepakPoojary]

i have the same problem, got braces so hoping for th best❤️

[@Amazingvideos-ni8yx]

like u too have only one teeth ha bro ?

[@loverajasthan]

Hi Adrian, lovely case. Thank you for presenting it. I have a query at 3.42 you have a first trial smile, is this a digital image or how did you create this? Thank you.

[@advanceddentalartistryperth]

Hi! Thanks for your question :-) the trial smile in this case is what we call a wax up or skins concept - this is not an image it is actually placed on the tooth! It gives patients an idea of how their new teeth will look before accepting treatment.

[@shazlargo5357]

Hi if he choose braces how long will it take to bring back to its original position of his teeth? Can you also add fake teeth to cover the gap?

[@advanceddentalartistryperth]

Hi Shazam, this patient had already had braces when younger. Generally orthodontics you would be looking at around 2 years. We used porcelain cosmetics in this case, so essentially 'fake teeth'' you refer to. I hope this helps!

[@aramishernandez6109]

Any clinic around miami

[@elizaldebaron2895]

Thanks

[@micaelvergara6749]

Hi doctor i have the same problem..i missed my front tooth in an accident..and now the gap in between are now closed..am i a good candidate for a veneers?hope u read my message thank u doctor

[@محمدعليخالد-ي4ح]

Well done, you are creative and your work is accurate. Which country are you from? I am from Jordan. I have a problem with my teeth. I hope to find them.

[@advanceddentalartistryperth]

Hi - We are in Perth, Australia! Thanks so much for watching and your comments.

[@GullyQueen23]

Hi there, I have the same issue with my teeth. Lost my front tooth when I was 11years old now am 30. I've been given mix reviews from orthodontics and I just need some done. I would love to do this treatment to own teeth and feel abit confident.

[@advanceddentalartistryperth]

Hey GullyQueen23! We would love to help you :-) are you based in Australia?

[@GullyQueen23]

No unfortunately not, am based in the UK

[@ernestocasas5457]

Amazing i hope one day I'm gonna meet you...good job doc

[@advanceddentalartistryperth]

Ernesto thanks for watching and your comments. Hopefully we will meet! Perth Australia is a great place to visit!

[@ernestocasas5457]

@@advanceddentalartistryperth im hoping to visit there someday,.godbless and more power

[@sa-art]

Again what a great job

[@mikopabillo8561]

In this case can you use a different ways like using a braces? Cause this case is similar to my case and I actually what to use the brace to bring back the semetry of my teeth

[@advanceddentalartistryperth]

Braces may not get you to where you want to be. If you have very consistent sizing and shape of teeth, then braces are great for realignment. The problem in this and other case is that even if we were to use braces the teeth would still not look too pleasing aesthetically. With veneers it ensures that we have total control on the out come and final smile. The best thing to do is to consult a professional as there are many factors that could make certain treatments available or unavailable to you.

[@bo93grace]

Advanced Dental Artistry i disagree with you. If you used braces first to make sure teeth are in correct position. Then you could use veneers to make it look perfect. At the minute it looks awful and asymmetrical. Teeth are not in centre. Sorry

[@istahilgodor4871]

Doctor I'm a 17 year old boy. One of my two front insicors grew on my gums my dentist removed it when I was 14 since then I haven't went to a dentist. I now have one front tooth haven't put on bracets yet though.

[@advanceddentalartistryperth]

has the midline shifted? are you thinking of having braces?

[@vze21gwa]

Cameron and his father sure look alike.

[@michaelcrawford8803]

I have this same problem how can I meet this doctor??

[@advanceddentalartistryperth]

Hi Michael - where do you live? If I can see you perhaps I can recommend someone in your area... We are in Perth Australia

[@maniautomechchailchowk4259]

what is the life of tooth after this treatment

[@reguret2976]

honestly, he should've gone for braces+implant.

[@alonsomendoza1775]

this is the first and probably only video that I feel is an accurate description of what my teeth look like minus that severe staining. I had a failed root canal on my number 8 tooth when I was 12. i had a partial to take up the space. I quickly lost it and my parents couldn't afford to replace it. so over the years the matching front tooth has moved into a more central position as well but there still a small space. I am now 30 and currently have damon braces on for about 4 months now. I would like to know how to approach my orthodontist about this situation because it looks like he is trying to go the easy route and just give me the one central front tooth which I really do not want. are there any options that he may not know about that I can bring to his attention to recreate a gap for a dental implant???

[@advanceddentalartistryperth]

Hi Aero - thanks for your comments. We need to always consider the END result and final clinical result when starting treatment. So hence your treatment should be guided by a cosmetic dentist as the end result is to place a dental implant and new tooth in the right position. They can complete a Digital Smile Design to estimate the correct final position of the central tooth. Ideally, in the digital world, it's possible to complete a bone scan (CBCT), mouth scan (e.g. 3Shape Trios) and facial scan (e.g. Bellus 3d) and plan the FINAL teeth position first. From here the orthodontist could have a 3D printed guide to the final teeth position, the implant surgeon would know if there is enough bone in the implant position and the cosmetic dentist (and patient) would know the final outcome.

[@aluvinewton1544]

Doesn't he have an imbalanced bite

[@advanceddentalartistryperth]

He had good centric contact on all back teeth after his braces many years ago. Did you pick something up in the video that made you comment?

[@jukokololy5188]

Seems after that his face became assymetrical cause of that bad bite Can unaligned teeth can cause one side jaw assymetry? Face assymetry? Sir i am concerned bout me

[@advanceddentalartistryperth]

Change the bite only c changes the lower 1/3 of the face. So if the lower 1/3 - mainly the lower jaw - is off, then yes, bite changes may change the symmetry of the face. Facial analysis such as Digital Smile Design can help with determining this.

[@jukokololy5188]

@@advanceddentalartistryperth so is there any chances make his face symmetry/ or any excercises will do to make the jaw symetrical?

[@advanceddentalartistryperth]

@@jukokololy5188 if the bite is leading to the jaw meeting in a certain position and the cause of asymmetry then exercises will not help.

[@jukokololy5188]

@@advanceddentalartistryperth so what to do?😭i am still 18years old will this fix?

[@advanceddentalartistryperth]

@@jukokololy5188 Consider a consultation with an orthodontist and get there opinion first

[@angelfiremimosa]

Hi. Who do you recommend in melbourne?

[@advanceddentalartistryperth]

Hi Reuben and the Team at Dental Boutique are great!

[@KhanhLe-zr6jt]

Wow very nice

[@advanceddentalartistryperth]

Thanks Khana Le! :-)

[@chehdez6106]

I have the same situation! I lost my other front incisor at the age of 8, I’m 46 now. Back then in the Philippines I guess dentists weren’t too concerned with saving the tooth because I had only chipped half of it when I fell and hit my face into a tree 😢. So they pulled it out. So in time the other incisor tooth moved in the middle. Would it be advisable to do braces to move my teeth to open a space for an implant?

[@advanceddentalartistryperth]

Braces would correct the midline and give a better result - however bone grafting may be needed.

[@jhi6915]

hi cherryl we have the same situation , I'm glad i found someone same on my case i felt terrible growing up with my one front tooth only 😢

[@florarsua9408]

Hi doc, im 21 now i have same situation like him i lost my one of my upper front teeth when im in high school . But i never done braces instead i get some to fill the gap now its like a bunny smile and not in midline too. What can you suggest to me?.Or better option to me thanks.

[@advanceddentalartistryperth]

Porcelain Veneers are a great cosmetic solution with minimal preparation.

[@aramishernandez6109]

Same case as me

[@w9s992]

I hope god give me new teeth’s, Im tired of this life

[@advanceddentalartistryperth]

Amen to that... and I wish you all the best. Take care. X

[@souradip_m]

I have also the same problem..I lost one of my front tooth due to an accident at the age of 10and now I am 18....Other teeth have filled the gap of one missing tooth but it gives a very bad smile...I also have crooked teeth...Can you say How can I get back my smile?? Is it possible to make a gap in the front using braces and a tooth be implant there...

[@advanceddentalartistryperth]

Yes it's possible to have braces and make space for a dental implant however when we do this generally there won't be enough bone for the implant - when the teeth are pulled apart this "stretches" the bone and therefore the best option then is bone grafting before the dental implant. Every case is very different and it's very important that you seek a few opinions before you have the treatment started. Wishing you all the best.

[@souradip_m]

@@advanceddentalartistryperthWill bone grafting be a major surgery???And after how many days of bone grafting , the implant will be done??

[@advanceddentalartistryperth]

​@@souradip_m bone grafting is a complex procedure because bone tissue is a very slow healing/growing tissue. Generally when we're doing bone grafting the time depends on the amount of bone that needs to be created and it will be at least 9 to 12 months before implant can be placed. There are many different types of bone grafting including using the patients own bone or artificial bone (e.g. Bioss, Ethoss, etc) . Each technique is different and it really depends on the volume of bone that is required to build the area to a level which can then have the implant treatment. We would generally say to a patient that it would take at least 12 to 15 months before the tooth can be finalised.

[@JB-qg9ho]

his midline is still fucked up yeah

[@Luhamarion]

Hello, I have the exact same problem and is there a way I can get your contact info?

[@advanceddentalartistryperth]

Hi. You can email [e-mail] and we can help you. Take care.

[@spikefivefivefive]

He would be too self-conscious with braces yet only has one central incisor?

[@melearina]

I am very happy for your patient. To be honest, I have the same case as him. My midline is missing and I cannot smile comfortably. Seeing my pictures makes me sad. Your clinic made a wonderful effort ♥️

[@georginaorchard9281]

I didn’t know it could happen like that, I was born with only one front teeth

[@Roman-kg8qs]

Me too😭😭🥺

[@mmmloljhgg589]

It's like my case

[@mrjonnie8237]

I need help am in kenya

[@dummyaccount1146]

His midline is still fucked up

[@advanceddentalartistryperth]

I totally agree, the midline is still way from perfect. However the overall smile is better. This is a case were we cannot promise a perfect smile. There are too many biological limitations that would mean either a compromised result using just porcelain treatment or a combination of braces, surgery/implants and porcelain to get it perfect. Time and costs considered he opted for porcelain cosmetics only. Thanks for watching and your direct comments - often just better to say it straight ;-) Take care

[@dummyaccount1146]

Haha I wasnt expecting a reply, sorry for being rude, but yes makes sense!

[@advanceddentalartistryperth]

@@dummyaccount1146 No problems... Thanks for your honest feedback. All the best.

[@steevadams1750]

Wow Dr Kat.... what’s your secret to not ageing??? Before I watched this video, I assumed you were about 30 at the most!!

[@advanceddentalartistryperth]

Hi Steev - the secret is good camera lights! 😄 I'm 51 this year... thanks for watching and commenting.

[@kynjohborlyngkhoi9437]

Help my tooth sir

[@advanceddentalartistryperth]

Has the tooth fractured?

[@kelonparris1041]

@@advanceddentalartistryperth im going through the same thing i have 1 central incisor and the orthodontist was trying to open the space as much as possible but its not enough for a dental implant because the space is to small he want to close the space and use my lateral incisor as a central insicor by making it larger should i let him or should i let him open it as much as possible and leave the space as its not to big or close the space leaving one front teeth because its pretty large idk what to do

[@9osdean492]

hi i see you’re a great dentist so i have a question, i hope you can help me: my midline is wrong it’s a little bit to the right like tom cruise’s, it isn’t where it should be and i feel so uncomfortable with my smile, i told my dentist about this and he told me “oh we can’t do anything about that, you don’t have enough space but don’t worry no one will notice” but i honestly don’t feel good like this, i don’t care if he or any other person notices it, i do and i would really love to have a normal smile like normal people and not one with the midline off :( is there a way a dentist can fix this without removing any of my tooth?

[@advanceddentalartistryperth]

As in Cameron's case there were no teeth removed and we use porcelain veneers to ensure very other aspect of his smile was correct so that the midline issue was hard to see. The only other way would have been braces (orthodontic) to move the teeth with either a dental implants and/or porcelain veneers to reshape a few teeth. It really depends on your end goal. There is always treatment options however they must be matched with what the patient wants.

[@9osdean492]

+Advanced Dental Artistry my dentist told me that if i really wanted the midline on the center he’d have to remove one tooth so there could be enough space to move my teeth but he also said it wasn’t 100% safe bc there are cases where they remove the tooth and it doesn’t work and the face gets disfigured so i don’t know what to do, thank you so so much for answering it means a lot !

[@advanceddentalartistryperth]

Hello again! I would consider going to a specialist cosmetic dental practice - not a general practice. Research a practice that deal with complex smile makeovers every day. They will be able to assess you properly and advise you on the best treatment options. I would suggest looking into porcelain veneers/cosmetics, that way there would be no need to remove the tooth. It may not give you a perfect midline, but it could certainly help to improve things e.g. like Cameron's case in the video :-)

[@9osdean492]

+Advanced Dental Artistry thank you so so much :’)

[@ozzyozzy6728]

Still looks bad

[@poohbear11]

SMH aim higher sir...

[@advanceddentalartistryperth]

Hi Momo - I agree this is a compromised result and this was mentioned in the video. With orthodontics and implant treatment, we could have completed a more ideal result and this was discussed with the patient at length. The patient declined this option (due to multiple reasons including having seen an orthodontist previously) and understood the compromised outcome. Thanks for your comments - its draws attention to biological limitations and ultimately the patients decision to have treatment completed.