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Teeth can be in improper position in the dental arch in various ways. Front teeth can be flaring outwards, also called ‘jetting out’ .The cause of such condition can be due to periodontal disease (loosening of gums) or dental malocclusion. Such condition can be treated by orthodontic therapy if patient factors such as treatment span (1-2 years), oral hygiene, age and bone condition permit. If not orthodontics, smile designing can be done using a combination of aesthetic crowns, veneers and bridges. The advantage of this strategy is the time period as it can be done in The teeth are prepared in such a manner that they receive the crowns and veneers of proper shape, giving an ideal alignment to the arch and a natural look that suits best to the patient. If there is chance of pulp exposure (nerve of tooth) during preparation is anticipated, an intentional root canal treatment (RCT) is done before hand.
In other condition compromising aesthetics, jaw bones can also be at improper position (skeletal malocclusion), with teeth either in normal position or abnormally placed. Hence, the condition can be either due to skeletal reason or both skeletal and dental reason which can be judged with the help of radiographic examination along with study models. If just skeletal, orthodontics is the only right choice of treatment. A dental malocclusion superimposed on skeletal one can be treated by just orthodontics, provided if patient factors permit or by crowns and veneers as discussed above. Sometimes, a combination of orthodontic treatment along with crowns and veneers can also be done as per requirement.