What can be done about crowded teeth?

May 15, 2025 Source: Cainiu Health
Disease description:

My teeth are particularly crowded, not only appearing misaligned but also frequently trapping food. How should this situation be addressed? Is there a way to make the teeth straight and aesthetically pleasing?

Doctor's answer (1)
Dr. Liu Chao

Dental crowding is a common issue in orthodontics, primarily caused by genetic factors, bad habits, premature loss of primary or permanent teeth, insufficient jaw development, and other related factors.

It is recommended to first conduct examinations such as cephalometric radiographs and panoramic radiographs to determine the severity and cause of dental crowding. Orthodontic correction is the most common and effective treatment method. By wearing traditional metal brackets, ceramic brackets, or invisible aligners, light forces are applied to gradually adjust the positions of the teeth, achieving an ideal alignment. Regular follow-up visits are necessary throughout the process to adjust the force magnitude and direction according to tooth movement.

Arch expansion is suitable for younger patients. By expanding the dental arch with orthodontic appliances, space can be created for the eruption of permanent teeth. Traditional orthodontic methods include fixed and removable appliances, which adjust tooth positions using fixed appliances or removable devices. Invisible orthodontic technology uses transparent aligners to gradually reposition teeth, offering aesthetic and comfortable results.

For mild cases of crowding, minor tooth movement techniques such as accelerated orthodontics or self-ligating bracket systems can be employed. These methods can improve dental alignment in a relatively short time, although their application is limited. During treatment, patients should maintain good oral hygiene habits and attend regular check-ups to ensure the treatment progresses smoothly.