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21st. Century Orthodontics

21st. Century Orthodontics

Crowded Teeth , Aligners . A case report 

By Dr. Kamsiah BDS, MDSc 

Patient didn’t have enough room in her upper jaw for her teeth to fit normally, her teeth bunched up, overlapped  and twisted and  getting pushed to the front . 

Crowded teeth can make it hard to brush and floss well. Then it’s easier for plaque, tartar, and harmful bacterial to build up — and down the line, this can lead to tooth decay and gum disease.Your crowded teeth can also get worse over time.

Yes, we did invisible braces to fix her problem. This is a five year follow-up case. 


Why Fix Teeth Crowding?

Teeth crowding is not only a cosmetic problem. Crowded teeth, if left untreated, can result in many serious short-term and long-term dental health issues. Here are just a few reasons to consider treating crowded teeth before they lead to more serious problems:

  • Fixing teeth alignment sooner rather than later will significantly lower the chances of needing major treatment later on.
  • Aligning your teeth and supporting bones into the correct positions will increase the durability and strength of your teeth for years to come.
  • Correcting crowded teeth will aid in the alignment of your jaws, making chewing more effective and reducing the likelihood of headaches and poor digestion. Tooth occlusion and jaw alignment will be more coordinated.
  • Repairing crowded teeth will make dental hygiene much easier and more effective, lessening the occurrence of tooth and gum decay and cavities.
  • Teeth crowding, if left untreated, can lead to an increased chance of gum disease. Crowded teeth can also cause premature wear and tooth loss from teeth rubbing against one another, and long term jaw joint damage.
  • Last but not least, properly aligned teeth will give you more confidence to show off your smile!

Crowded Teeth Treatment

So, what can be done to fix teeth crowding? Treatments range from minor intervention with a removable appliance, to possibly needing months or years of treatment, or in extreme cases, removal of one or more teeth. The best treatment needed to fix your teeth crowding problem depends on how severe your crowding is and your age when starting treatment. Possible courses of treatment include:

  • Braces: Braces are always an effective way to move teeth into proper alignment. Sometimes this may be combined with removing one or more teeth in order to make room for your other teeth to align. This will correct your crowding issue and give you a straight, confident smile!
  • Invisalign: A popular choice when it is an option, invisalign brace systems adjust your crowded or crooked teeth to get you the smile you want, while making it less obvious that you’re wearing them. Many times, no one will be able to tell that you’re wearing braces at all. This is a great choice for adults who would prefer to avoid traditional metal braces.
  • Retainers: This is another popular treatment for teeth crowding. Retainers are custom-made devices, made from molds specifically to fit your mouth and its needs. They are made from wires or clear plastic, designed to hold your teeth and jaws in place to realign teeth. Retainers may be adjusted regularly by you or your orthodontic provider to adjust with your changing smile and continue the straightening process.
  • Veneers : Porcelain veneers are some times used to correct crowded and crooked teeth. This is a more invasive procedure than cosmetic recontouring. It is often the fastest way to achieve a new smile and eliminate the cosmetic concerns of patients who have minor crowding and miss shape teeth.
  • Tooth removal : In more severe cases, tooth removal may be the only way to address crowded teeth. Those who simply have too many teeth for the size of jaw can have their symptoms relieved fairly quickly by an extraction. The other teeth then have the space to realign, or be guided into place with an aligner.
    Those are the five top treatments for crowded teeth and will usually be tackled in that order. Aligners are the least intrusive and have a very high success rate. Braces are also very effective, as is cosmetic recontouring. Only when we have tried those procedures or where they would be unsuitable would we consider surgery. It’s something we would discuss with you at the time.
    For fast, effective relief from crowded teeth, contact us @drkamsiah, today. We’re here to help!



Porcelain Veneers or Dental Veneers are very thin “shells” made of either porcelain or composite resin that are bonded to the front surfaces of teeth. Continue reading “PORCELAIN DENTAL VENEERS”

Whom Do I Trust to Do my own Porcelain Veneers?


My patients often ask me who usually treats my teeth.  Since I was born with a good set of teeth, I hardly see any dentist. However, I had a few mandatory dental treatments as Continue reading “Whom Do I Trust to Do my own Porcelain Veneers?”

Fluorosis, Orthodontics, Veneers using the Digital Smile Design treatment concept

Multidisciplinary dentistry in management of untreated Fluorosis in an adult using ceramic veneers. Malocclusion treated with Orthodontics and Bone Screws . Continue reading “Fluorosis, Orthodontics, Veneers using the Digital Smile Design treatment concept”

Utilising DSD in an Emergency Situation.

Clinical case. All photos with consent of this patient. S presented with a large chip on her two front teeth due to an accident. The  two front teeth were on borderline exposure  (the teeth’s pulp or known also as the nerve tissues) during the initial consultation.

Continue reading “Utilising DSD in an Emergency Situation.”