Protrusion / Flaring Before and After

Before

After

Dental flaring refers to the outward tilting or angling of teeth, where they lean away from their normal upright position toward the lips or cheeks. Protrusion occurs when teeth extend forward beyond their ideal position, creating an overjet where the upper teeth stick out significantly past the lower teeth. Both conditions can result from factors like thumb sucking, tongue thrusting, genetics, or orthodontic issues, and they often affect the front teeth most noticeably. These alignment problems can impact bite function, speech, facial aesthetics, and may increase the risk of dental trauma or difficulty with oral hygiene.

Before

After

What causes flaring and protrusion of teeth?

Flaring and protrusion of teeth can be caused by several factors: oral habits like thumb sucking, finger sucking, or prolonged pacifier use that push teeth forward and outward, tongue thrusting where the tongue pushes against the front teeth during swallowing or at rest, and mouth breathing that can alter jaw development and tooth positioning. Missing back teeth can cause front teeth to drift forward to compensate for lost chewing function, while genetics naturally predispose some people to protruded or flared teeth through inherited jaw size and tooth positioning patterns. Gum disease can weaken the supporting structures allowing teeth to shift forward, and certain developmental conditions or injuries can also contribute to abnormal tooth positioning over time.

How it’s treated

Flaring and protrusion are most commonly corrected using orthodontic treatment with traditional braces or clear aligners that gradually move teeth back into proper alignment through controlled force application. In severe cases, tooth extraction may be necessary to create space for proper alignment, particularly removing premolars to allow front teeth to be pulled back. Oral habit modification is crucial, involving techniques to stop thumb sucking or tongue thrusting, sometimes with appliances like tongue cribs or habit-breaking devices. For cases involving significant jaw discrepancies, orthognathic surgery may be combined with orthodontics to reposition the jaws themselves, and retainers are essential after treatment to maintain the corrected tooth positions and prevent relapse.

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