It is possible to get braces only on your top teeth, an approach known as single-arch treatment. This method focuses on aligning teeth in either the upper or lower jaw, rather than both simultaneously. While it might seem like a straightforward solution, its suitability depends on individual dental conditions and the overall relationship between your upper and lower teeth.
When Upper-Only Braces Are an Option
Single-arch treatment can be an option for individuals with minor cosmetic concerns or slight alignment issues affecting their upper teeth. This includes mild crookedness, minor spacing, or a slightly misaligned “smile zone.” Patients who have previously undergone orthodontic treatment and experienced minor shifting might also be suitable candidates to correct relapse.
A very mild overbite, where lower teeth are already well-aligned, might also be addressed with upper-only braces. This approach is considered when adjustments are minimal and do not significantly impact how upper and lower teeth meet. For younger patients, single-arch treatment may be used as part of a “Phase 1” interceptive orthodontic plan to guide development before more comprehensive treatment.
Situations Where Upper-Only Braces Are Not Recommended
Single-arch treatment is not recommended for individuals with significant bite discrepancies, as it can lead to new or worsened problems. Conditions like severe overbites, underbites, crossbites, or open bites necessitate treatment on both arches for proper alignment and function. Correcting these complex issues by moving teeth in only one arch can disrupt the natural harmony between upper and lower teeth, potentially creating an unbalanced bite.
Moving teeth in one arch without coordinating with the other can result in uneven tooth wear, jaw pain, or temporomandibular joint (TMJ) disorders. For instance, straightening crowded upper teeth might worsen an overbite, while closing gaps could lead to an underbite. The upper and lower teeth function as an integrated system, and altering one part in isolation can have unintended consequences.
The Importance of Comprehensive Orthodontic Assessment
The decision to pursue single-arch treatment requires a thorough evaluation by a qualified orthodontist. A comprehensive assessment involves a detailed examination of your teeth, gums, and jaws, including your medical and dental history. This assessment includes diagnostic records such as X-rays, photographs, and digital scans to create models.
These diagnostic tools allow the orthodontist to analyze tooth alignment, jaw relationship, and any underlying issues. They consider the entire oral system to ensure proposed treatment leads to a stable, functional, and aesthetically pleasing outcome. Consulting with an orthodontic professional is the most effective way to determine the appropriate treatment plan for your specific needs.