the Causes of Shifting Front Teeth: A Dental Inquiry - Dentistry

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Dental issues


Hello, doctor.
Recently, I've noticed that my upper right central incisor seems to be getting more crooked (I am currently developing a wisdom tooth that hasn't erupted yet), but the doctor said that the wisdom tooth shouldn't affect the central incisor.
Could you please explain what might cause the central incisor to become misaligned? I haven't fallen or bumped my mouth, and I also feel like my teeth are being pushed forward when I lie down.
Thank you.

Niming, 20~29 year old female. Ask Date: 2016/11/14

Dr. Zeng Guanghui reply Dentistry


The loss of the front teeth may be caused by a narrow dental arch, which does not provide enough space for the incisors, leading to crowding.
Additionally, non-functional oral habits, such as the tongue unconsciously pushing forward, may also contribute to the misalignment of the front teeth.
It is advisable to consult a dentist for further evaluation.

Reply Date: 2016/11/14

More Info


The shifting of front teeth, particularly the incisors, can be a concerning issue for many individuals. In your case, you mentioned that your right central incisor appears to be tilting more and more, and you are currently in the process of having your wisdom teeth emerge. Although your dentist indicated that the wisdom teeth should not significantly affect the position of your front teeth, there are several factors that could contribute to the misalignment of your incisors.

Firstly, it is important to understand that teeth can shift for various reasons, including natural changes that occur with age, dental habits, and the eruption of new teeth. As we age, the bone structure and the periodontal ligaments that support our teeth can change, leading to slight movements in tooth position. Additionally, if you have been experiencing any habits such as teeth grinding (bruxism) or clenching, this can exert excessive pressure on your teeth, causing them to shift or become misaligned over time.

Another potential factor is the presence of wisdom teeth. While it is true that wisdom teeth (third molars) can sometimes cause crowding or pressure on adjacent teeth as they erupt, this is typically more pronounced in individuals who have limited space in their dental arch. If your dental arch is already crowded, the emergence of wisdom teeth could exacerbate the situation, leading to further misalignment of your front teeth.
You also mentioned feeling as though your teeth are being pushed forward, especially when lying down. This sensation could be related to the position of your jaw and how your teeth come together when you are in a reclined position. If your bite is not aligned properly (a condition known as malocclusion), it can create pressure points that may cause discomfort and a feeling of teeth being pushed forward.
In addition to these factors, periodontal disease (gum disease) can also play a role in tooth movement. If the supporting structures of your teeth are compromised due to inflammation or infection, this can lead to tooth mobility and shifting. Regular dental check-ups are crucial to monitor the health of your gums and the stability of your teeth.

To address your concerns, it is advisable to consult with an orthodontist or a dentist who specializes in occlusion and tooth alignment. They can conduct a thorough examination, including X-rays, to assess the positioning of your teeth and the health of your supporting structures. Depending on the findings, they may recommend treatment options such as orthodontic braces or aligners to correct the misalignment, or they may suggest other interventions to alleviate any discomfort you are experiencing.

In summary, the shifting of your front teeth could be attributed to a combination of natural aging processes, dental habits, the eruption of wisdom teeth, or potential underlying dental issues. It is essential to seek professional advice to determine the exact cause and appropriate treatment to ensure the long-term health and alignment of your teeth. Regular dental visits and maintaining good oral hygiene practices will also help in preventing further complications.

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