Dental Malocclusion and Tooth Crowding | Dental Case Study

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Dental Case Analysis: Malocclusion With Irregular Tooth Alignment

Case Overview

The image shows irregular alignment of upper and lower teeth, with noticeable crowding and bite imbalance. The anterior teeth appear uneven, and posterior teeth show alignment discrepancies that may affect chewing efficiency and long-term oral health.


Clinical Findings (Zoom 100% Analysis)

Tooth Alignment

  • Upper front teeth slightly protruded

  • Lower teeth show crowding and uneven positioning

  • Inconsistent contact between upper and lower teeth

  • Signs of malocclusion affecting bite harmony

Enamel Condition

  • Enamel surfaces appear generally intact

  • No obvious deep cavities visible in this image

  • Mild discoloration likely related to plaque accumulation

Gum & Soft Tissue

  • Gums appear generally healthy

  • No visible swelling or pus

  • Slight redness in some areas due to tooth positioning and plaque retention


Primary Diagnosis

Dental malocclusion with tooth crowding


Secondary Considerations

  • Increased risk of plaque accumulation

  • Difficulty maintaining oral hygiene

  • Potential uneven tooth wear over time

  • Jaw discomfort if left untreated


Recommended Treatment Process

Step 1: Diagnostic Phase

  • Full dental examination

  • Bite analysis and dental impressions

  • Panoramic or cephalometric X-ray if needed

Step 2: Corrective Treatment

  • Orthodontic treatment (braces or aligners)

  • Interproximal reduction if required

  • Monitoring of bite correction

Step 3: Maintenance Phase

  • Regular scaling and polishing

  • Oral hygiene reinforcement

  • Retainer use after alignment correction


Expected Healing and Correction Timeline

Initial Adjustment Phase

  • Mild discomfort during first 7–14 days

  • Soft tissue adapts to appliances

Alignment Improvement

  • Visible changes within 1–3 months

  • Continued correction over 6–18 months depending on severity


If Untreated Beyond 14 Days

Issues That May Scale Up

  • Progressive tooth wear

  • Increased risk of cavities

  • Gum inflammation and recession

  • Jaw pain or temporomandibular discomfort

  • Higher cost and longer treatment later


Professional Comment

Early correction of malocclusion improves oral hygiene, chewing efficiency, and long-term tooth preservation. Delaying treatment increases complexity and risk.


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