Malocclusion
Hello Doctor: My teeth were originally very straight, but for the past six months, I have noticed that one of my lower incisors and one of my upper incisors have developed a slight inward and outward protrusion, respectively, which has become increasingly noticeable.
Occasionally, I also feel a pressure-like pain in my teeth (which is completely different from the pain associated with cavities).
I have sought help from dental professionals several times, but they all said that my incisors appeared to be fine and only suggested orthodontic treatment.
They did not provide much explanation for why my teeth suddenly became misaligned.
I once thought it might be periodontal disease, but I haven't seen any bleeding or swelling of the gums while brushing, and my teeth are not excessively loose.
Coincidentally, I have been experiencing wisdom teeth eruption during the past six months.
Could this be causing pressure on my incisors, or could there be another reason? Thank you, Doctor, and Happy New Year to you! :)
CC, 20~29 year old female. Ask Date: 2005/02/20
Dr. Zeng Guanghui reply Dentistry
The lower and upper incisors each have one tooth that is displaced inward and outward, and this misalignment is becoming increasingly noticeable.
Occasionally, there is a feeling of pressure.
Generally, this may be caused by occlusal interference or occlusal trauma leading to tooth displacement, resulting in malocclusion.
This type of malocclusion may exacerbate the situation of occlusal interference or trauma, creating a vicious cycle.
Additionally, during the eruption of wisdom teeth, if there are symptoms of pericoronitis, it can cause discomfort when biting with the posterior teeth, further leading to occlusal interference.
Therefore, it is recommended to consult a dentist for a thorough examination to identify the underlying causes of the malocclusion, so that appropriate treatment can be administered to resolve the issue.
Reply Date: 2005/02/20
More Info
The sudden misalignment of your teeth, particularly the lower and upper front teeth, can indeed be concerning, especially if they were previously straight. The discomfort you’re experiencing, described as a feeling of pressure, is also noteworthy. While it’s good that you’ve consulted with dental professionals, it’s understandable that you’re seeking further clarity on the potential causes of these changes.
One possible explanation for your teeth shifting could be the emergence of your wisdom teeth. Wisdom teeth, or third molars, typically erupt in late adolescence or early adulthood. As they push through the gums, they can exert pressure on adjacent teeth, potentially causing them to shift. This is particularly true if there is limited space in your mouth for these teeth to emerge properly. If your wisdom teeth are impacted (meaning they are unable to fully erupt due to lack of space), they can create pressure that may lead to discomfort and misalignment of nearby teeth.
However, it’s important to consider other factors that could contribute to your situation. For instance, changes in your oral habits, such as grinding your teeth (bruxism), can also lead to misalignment and discomfort. Stress and anxiety can exacerbate this habit, leading to further complications. Additionally, if you have had any previous dental work, such as fillings or crowns, these could also affect the alignment of your teeth over time, especially if they are not fitting properly.
Another potential cause could be periodontal disease, which, while you mentioned you haven’t noticed bleeding or swelling, can sometimes progress without obvious symptoms. Periodontal disease can lead to the loss of bone and tissue that support your teeth, resulting in shifting or loosening of teeth. Regular dental check-ups are crucial for monitoring the health of your gums and the supporting structures of your teeth.
In terms of treatment, orthodontic intervention may be necessary to correct the misalignment. Braces or clear aligners can help reposition your teeth into a more desirable alignment. If your wisdom teeth are indeed the culprit, your dentist may recommend their extraction to alleviate the pressure and prevent further shifting.
It’s also advisable to maintain good oral hygiene practices, including regular brushing and flossing, to keep your gums healthy and to prevent any potential periodontal issues. If you are experiencing significant discomfort, over-the-counter pain relievers may provide temporary relief, but it’s essential to address the underlying cause with your dentist.
In summary, while the eruption of wisdom teeth could be a contributing factor to your dental misalignment, it’s important to consider other potential causes such as bruxism or periodontal disease. A thorough examination by a dental professional, possibly including X-rays, can provide more insight into the situation. If necessary, a referral to an orthodontist may be beneficial for a comprehensive evaluation and treatment plan. Remember, maintaining open communication with your dental care providers is key to addressing your concerns effectively.
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