Moving teeth downward - suggestions please

Hi, I currently have braces and noticed that my two front teeth look slightly different lengths (aka. left tooth a bit longer down than the right tooth). Initially, my orthodontist said he could adjust the bracket on my right tooth HIGHER UP so that the tooth can be pulled downward to match the same length as the left tooth. However, during the next visit, my orthodontist assessed my teeth and this time he said he would not suggest moving the bracket, saying that my "gumline" is on the same horizontal plane and that if I moved my right tooth downward by adjusting the bracket higher, that the gumline on my right front tooth would be lower than the gumline on my left front tooth. He said my right tooth is probably shorter due to me eating on my right side more often (wear-and-tear) and that he could file down my left tooth to make them the same length. He said he thinks its more important for the gumline to be on the same horizontal plane than having the bottom of my two front teeth be on the same horizontal plane. I just wanted to ask if this was true - that the gumline also moves down if I move my right tooth downward?

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Answer: Moving teeth downward

By Sarah h
Dental Professional

Your tissue is attached to your tooth by a periodontal ligament that surrounds the tooth and helps support it in the bone.  If you move the tooth, this ligament will move with the tooth, in turn changing the gum tissue.  Gingival recontouring with a soft tissue laser is an option but is a more invasive procedure.  There is a very slight difference in length and it may be a better option to have some cosmetic recontouring.  Cosmetic recontouring is a very simple procedure where a small amount of enamel will be removed in order to reshape the tooth.  I have had this procedure on my front teeth myself and have no side effects from the procedure, it was simple and painless.  Not only did it correct the imperfections, but it smoothed out all my small wear defects present.

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