At Forma Smile, we specialize in solving complex orthodontic challenges that many practices overlook—like lateral incisor crossbites.

This case demonstrates the power of strategic tooth movement with Invisalign. The key to success? Careful sequencing. First, we moved the obstructing teeth out of the way to create space, then progressively pushed the UR2 and UL2 forward into their correct positions, correcting the crossbite and establishing proper occlusion.

The Treatment Journey:

✓ Phase 1: Strategic repositioning of blocking teeth

✓ Phase 2: Forward movement of lateral incisors (UR2 & UL2)

✓ Phase 3: Refinement and occlusal settling

✓ Duration: 12-15 months

✓ Result: Corrected crossbite, improved bite, enhanced smile aesthetics

Why Invisalign for Complex Cases?

Invisalign’s precision allows us to execute complex tooth movements in a controlled, predictable sequence. The aligners apply gentle, consistent pressure, making it ideal for intricate cases like lateral incisor crossbites that require careful planning and execution.

This patient now enjoys a corrected bite, improved facial balance, and the confidence that comes with a properly aligned smile—all achieved discreetly with clear aligners.

Ready to transform your smile? Book a consultation with Dr. Raj Kumar to explore how Invisalign can solve your orthodontic challenges.

O post Treating an anterior crossbite of the laterals apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.

In cases like these, the patients are looking for a dramatic improvement of both the teeth and face.

Take this teenager, her upper and lower lips are protruding. The nasolabial angle is an acceptable 90 degrees, but this is because the nose is upturned and the upper lip sticks out.

She had mildly proclined upper and lower teeth and her lip seal was strained due to hyperactivity of the Mentalis chin muscle.

We agreed to remove the UR4, UL4, LR4 and LL4. This would allow retraction of the front upper and lower 6 teeth and allow the lips to become more relaxed.

The teenager was at boarding school and so the teeth were extracted over 2 visits during the school holidays. Attachments were bonded and she went off to her studies.

She was told to wear the aligners 20 hrs a day and to change them every 10 days. No elastics, TADS or aligner cut out were required.

We did a single review at half term.

Approximately 11 months she returned for a review at the end of the aligners.

There were some minor refinements to do to the occlusion. So we carried out a new Itero scan and took photographs.

Refinement aligners were ordered and fitted 2 weeks later.

Treatment time would be 1.25 years in total with only 2-3 review appointments in-between.

The facial changes were dramatic however.

The face is slimmer, the lips are more relaxed, with the lower lip more so. She will complete the refinements and we will then provide her with 3 upper and 3 lower retainers to retain the occlusion. #invisalign #clear braces

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Having braces as a teenager is no guarantee that the smile will be acceptable in your early adulthood. Retainers given after orthodontic treatment are not designed to last too more than 1-2 years, and as a teenager you may still be growing.

This patient was 22 years old with moderate upper and lower crowding, centre line shift, premolar rotation and some tooth wear of the incisors.

The 2 lower incisors were forward, which was causing the upper 2 front incisors to drift forward. The 2 upper lateral or side incisors then started to fall behind the front incisors.

All in all, an unstable situation.

We agreed Invisalign aligner treatment. It took 13 months with no teeth extractions. The patient attended every 6-8 weeks for review appointments.

The patient received 6 retainers that will last 5-10 years. #invisalign #clear braces # braces # crooked teeth

O post Moderate crowding treated without metal braces apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.

Teeth can develop in many ways and sometimes an abnormal formation can cause occlusal/visual problems.

Dens in dente is an extra cusp formation usually on the incisors, which can interfere with the bite or cause tooth drift. The Dens in dente or talon cusp can be made of enamel, dentine and even nerve tissue.

It looks like a bump and sometimes you can feel it with your tongue. Most people grow up with them and think of them as normal.

They rarely are a massive dental problem.

Dental anomalies are rare and usually of a genetic nature or a disruption during tooth development, such as chicken pox or measles.

The case above shows the forward drift of the UL1 as the lower teeth bite onto the talon cusp, this can also be called an increased overjet.

The patient had a close/deep bite with a narrow arch and prominent UR1 and UL1.

Sometimes the teeth drift due to clenching, which can cause muscle forces to compress the back teeth, moving the front teeth forward, this is called arch collapse.

We advised Invisalign aligners with some minor recontouring of the UL1 incisor.

The lady wore Invisalign trays for about 9 months to expand the dental arch and bring in the upper incisors. The aligners were changed every 2 weeks. The lower teeth were also moved downwards to create space (deep bite reduction).

Patient was happy with straightened front teeth and widened arch.

Tooth whitening was done and the patient received 6 Vivera retainers that so far have lasted 10 years.

O post Upper tooth drift related to a palatal tooth bump-Dens in Dente apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.

Why do you get an overjet?

Sometimes teeth can move forward from thumb sucking or pen chewing and even from teeth grinding at night.

Teeth grinding or clenching is caused by the cheek muscles that press onto the teeth, pushing the side teeth in and causing the front teeth to move forward.

If left untreated, the upper teeth can continue to push forward and upwards causing the front teeth gum to shrink/recede.

Also as the upper teeth move forward, they lose contact with the lower teeth and the lower teeth may drift upwards.

Do I need teeth out?

In most cases where the overjet is 7mm or more we recommend 2 upper teeth are removed. This happens quite frequently in children and so young or old adults should not be surprised that they too may need teeth removed.

Will extractions affect my face?

Patients with a large overjet sometimes have a long narrow face and or protruding upper or both upper and lower lips.

Extraction teeth and moving the teeth back will allow the lips to be a resting angle, and also to be flatter.

If you have very thin lips then extractions may not be advised, but with full lips, extractions will help improve the facial proportions.

Will extractions affect me later in life?

Remember most teenagers have 4 premolar teeth extracted for fixed braces, and they do not have any problems later in life.

Adult extractions are quite common with orthodontics, and much safer than interdental stripping (IPR).

The lower teeth therefore prevent the upper teeth from being moved orthodontically back.

This lady had a narrow arch and the upper teeth were sticking out. She had fixed braces as a teenager, did not wear the retainers and the teeth moved forward.

The patient was not happy with her profile but did not want a quick solution, she wanted the best solution that fitted around her teeth. She felt that her upper lip stood out and her lower lip was trapped under the upper teeth.

Her lower teeth were slightly angled forwards and the lower jaw was set back. The overjet was 12mm.
This is common in patients who have a shorter lower jaw or a longer upper jaw.

The upper teeth could have been tipped back but there would only be a slight change in the profile and overjet.
We recommended Invisalign with 2 upper premolar extractions, and the patient agreed.

2 teeth were removed at the clinic and plastic fake teeth were placed inside the aligners.

The patient collected 6 aligner packets at a time and came in every 60 days for a check up.

The aligners were changed every 10 days and taken out only for eating, brushing teeth and the odd social event.

Invisalign was used as the orthodontic treatment of choice and it took 15 months to finish the treatment.

The upper teeth were reshaped at the end although the UL1 could have been reduced more.

The patient received straightened teeth and a more relaxed profile. The lower lip no longer rested underneath the front teeth, and her lips became more relaxed and in a natural position.

Jaw surgery was not needed.

In summary what looked like a surgical case ended up as an Invisalign extraction case.

#invisalign #clear braces # clear aligners # straight teeth #braces

O post Using Invisalign to reduce the facial profile apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.

Not all patients have had the benefit of orthodontic treatment, and as they get older the problem gets worse.

Sometimes teeth have been orthodontically treated but without adequate retention, orthodontic relapse occurs.

The protrusion of upper teeth can be from tongue, thumb or even lower lip forces and this can create an unfavourable profile.

In this young lady we have a normal nasolabial angle but an increased upper E-line measurement, meaning that the upper lip protrudes out. protrusion. This can be from a longer upper jaw or a shorter lower jaw (asymmetric growth) but it can also be from upper teeth protruding outwards.

Sometimes the lower lip gets caught behind the upper front teeth and can cause protrusion.

This case study shows a young lady who did not have orthodontic treatment and she was not happy with dental appearance or the lip profile.

The only way to reduce the overjet was to remove upper premolar teeth. Nothing else would give a better result without also lower jaw surgery, which we normally do not recommend.

We agreed to do Invisalign with 2 upper teeth extractions.

We had 39 upper and 22 lower aligners, and the patient changed her aligners every 10 days.

After about 1 year we carried out a refinement scan for some new aligners; 11 in total.

The large overjet was greatly reduced to within 2mm and the patient was very happy.

We discussed using Invisalign retainers, that are rotated every 4 months, to stop them from stretching.

The upper lip profile has been relaxed and the patient can comfortably close her lips together. A great result with such a simple technique.

O post The only way is Out apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.

Many patients have narrow dental arches from thumb sucking or clenching their teeth. The facial muscles create forces that will compress the teeth, narrowing the dental arch and cause dental crowding.

The teeth may begin to overlap, rotate or even protrude.

Teeth out o their natural positions are more prone to damage from trauma or tooth wear.

Sometimes you may notice one front tooth is shorter than the other.

Simply by moving the teeth back to their original positions will recreate the space and solve the crowding issue.

This Invisalign case was a 28 year old student who had severe upper and lower crowding and a missing tooth.

We used Invisalign to expand the dental arch and move the teeth back to their original positions, using the missing tooth space.

It took 15 months of treatment and the patient attended every 8 weeks.

At the end we provided 6 Invisalign retainers and tooth whitening as well.

The 3 pairs of retainers are rotated every 4 months which keeps the teeth locked in their final positions.

#invisalign#aligners#braces#crooked teeth

O post Arch expansion apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.

Invisalign is the world’s most advanced clear aligner system.

Only Invisalign clear aligners use SmartTrack material to shape your smile with precision,

comfort and predictability.

Here at FormaSmile we have been using Invisalign to create beautiful smiles since 2000 and have

created over 1100 new smiles.

Paula’s Patient Journey

Paula came to Forma because she was unhappy with her smile and very conscious of her teeth. For years she had been considering teeth straightening but as a young working professional didn’t want metal braces. After the initial consultation and given all the possible treatment options, she decided to go with Dr Kumar’s advice and proceed with Invisalign.

Paula presented with an overjet of 10mm, where her upper teeth stuck out over her bottom teeth. Her treatment consisted of the removal of 2 upper premolars and then using Invisalign to widen her arch and move the upper teeth back.

So that she did not have gaps in her smile during treatment, the aligners were fitted with 2 fake resin teeth, so that no one could tell she’d had extractions.

Reviews were every 2 months and she changed aligners every 10 days. Her total treatment plan was 15 months.

Aimee’s Patient Journey

After having visited several other dentists and being a nervous patient, Aimee came to Forma on a friends recommendation. Here at FormaSmile Aimee was given all the treatment options, costs and time for her to go away and make an informed decision. The Forma team were always at hand for any further questions or advice needed. Aimee started her Invisalign journey with us 2 weeks later.

Aimee presented with upper and lower crowding, a deep bite and deformed lower jaw. As a result of this Aimee was biting the sides of her lower teeth.

Invisalign was given to widen the lower arch, correct the over crowding and the deep bite. The jaw deformity could not be corrected but as a result of Invisalign Aimee no longer bites the sides of her mouth.

Reviews were every 2 months, aligners were changed every 2 weeks. Her total treatment plan was 12 months and to finish her treatment, Aimee received free tooth whitening.

For more patient journeys please see our website.

O post Start your Smile with Invisalign at Forma apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.

“From the start Dr Kumar and the FormaSmile team have been absolutely brilliant – always quick to answer any questions and really made me feel comfortable. You really get the feeling that Dr. Kumar actually cares about getting you the best results, not just going through the motions! The treatment has been great, and my teeth look fantastic”

Anna

“Very very happy with my Invisalign treatment & FormaSmile. My teeth are now lovely and straight. Dr Kumar was very professional and made sure I got the best results. I would definitely recommend. Every penny well spent!”

Dave

“I cannot recommend Dr Kumar and his team highly enough. As someone who was not comfortable at the dentists, he completely put my mind at ease and was very patient and professional in explaining all the possible treatment options. After an 18 month plan the results are more than what I was hoping for and I believe most of that was down to Dr Kumar himself. I would completely recommend FormaSmile to anyone looking to correct their smile.”

Ellie

“Amazing results from Dr Kumar & FormaSmille. I had lost my confidence to smile, I was self-conscious of my teeth. But with Invisalign & Raj’s careful attention to detail, I can now smile with pride”

Melanie

“Dr Kumar is a fantastic dentist – I met him many years ago & still go to him for my dental care. I had Invisalign which gave me the confidence to smile again. Thank you so very much”

Simon

“A flawless experience with FormaSmile. I paid one price up front and that was all (even when I required further adjustments to get my stubborn teeth in line). Dr Raj was always available (at short notice) and flexible and I’m really happy with the final results. I’m so glad I got my Invisalign done here”

Helen

“Great service! I started my Invisalign 18 months ago, the result is outstanding”

Keith

“Dr Kumar and his team have been perfect throughout my Invisalign journey and I couldn’t be happier with the results. If you’re seeking a honest, reliable and professional dentist then I highly recommend Forma Smile & Beauty- an investment that’ll keep you smiling!”

Priya

“At FormaSmile I had Invisalign treatment as well as a tooth removed and dental implant put in. As a result of the professionalism, high quality work, and good humour of Dr Kumar and his colleagues, I will be using FormaSmile for all my dental work going forward. I would also recommend to anyone that is in need of dental work”

Louisa

“Outstanding professionalism and incredibly pleasant atmosphere. I highly recommend Dr Kumar  and FormaSmile to anyone thinking of undergoing any dental treatment”

Sara

“I’ve just finished my Invisalign treatment and I’m very pleased with the results. I always got quick responses to any queries and it was easy to arrange visits. I would highly recommend”

Paul

“I completed my Invisalign treatment, 1 filling and a root canal treatment at FormaSmile. Dr Kumar is professional, explains the treatments clearly and is accommodating. I’m very happy with my Invisalign results, I now have a lovely smile and healthy teeth. I would recommend FormaSmile”

Gemma

To read more reviews from happy patients please see our website or search FormaSmile google reviews.

O post Patient Reviews apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.

1. Experts in our area

With over 30 years’ experience in dentistry, cosmetic dentistry, Invisalign & Implantology you are in very experienced hands. Here at Forma we offer a personal tailor-made experience in a stress-free, relaxing environment and using the most advanced dental and cosmetic treatments currently available.

2.Variety of different dental treatments offered

Invisalign – Forma has provided Invisalign invisible braces for over 15 years, we have successfully treated over 1100 patients. With Invisalign clear aligners it’s easy to achieve the perfect smile with minimal impact to your lifestyle. With custom-made aligners that you change every 2 weeks yourself at home and check-ups every 6-8 weeks, having your teeth straightened could not be easier. We’re confident in the technology Invisalign’s clear braces provides and our patients are always satisfied with their finished smile.

Implants – With the most up to date technology and full assessment including CT & X ray scans we can provide a long-term solution for missing or failing teeth. Using a titanium screw placed directly into your jaw bone which acts as the tooth root, we can then permanently and securely fix a new porcelain tooth/teeth onto this. These teeth are always a similar size shape and colour to the rest of your teeth. We also offer All on 4: teeth in a day. We can replace your failing teeth with implants and a fixed bridge on the same day.

Smile makeovers – Is literally creating a new smile. When teeth are worn, discoloured, misshapen, we can replace these with new crowns/veneers giving you an instant perfect smile. At Forma all our dental crowns are made from porcelain for longevity, some of our smile makeovers have lasted over 30 years. We can give you your perfect smiles in just 3 appointments; consultation, preparation and final fit.

Forma Beauty – Offering a wide range of anti wrinkle treatments. Dermal fillers to create volume and vitalise the skin and cryotherapy services to rejuvenate the skin.

3. Central London location

Our London practice is situated in the heart of the city at 65 London Wall, very near to Liverpool Street Station, easily accessible via public transport.

All our treatments are personal and tailor-made, we offer a one-to-one consultation at the surgery but are available for any queries by phone or email. We want to make sure your treatment is easy and that you always feel help is never far away.

4. Thousands of happy patients

Forma has been established for over 30 years; within that time we have created thousands of new smiles. Our aim is to turn your frowns into smiles. We want to see beautiful, straight teeth behind confident, healthy smiles. Check out our website for before & after photos and patient reviews.

 5. Evening and weekend appointments

Here at Forma we understand that life sometimes just gets in the way. So, we want to make it easier for you make your appointments/checkups so therefore we offer evenings and Saturday appointments.

6. Interest free payment plan options

Once we have met you at our initial consultation, we will go through your treatment options and the different ways to pay.  We offer interest free payment plans if you would like to spread the cost of your treatment.

7. Removable retainers

Once you have completed your treatment with Invisalign, we want to make sure your new perfect smile stays in place. We offer you 3 sets of Invisalign Vivera clear retainers which will last up to 10 years, for you to wear at night.

8. Free teeth whitening.

Once you have finished your treatment, we give you complimentary Philips Zoom teeth whitening, which you will do in the comfort of your home. This adds the finishing touches to your new perfect smile.

FormaSmile

O post 8 Reasons to choose FormaSmile. apareceu primeiro em Forma Smile | Dentist in London - Dental Clinic London - Invisalign Clinic in London - Invisalign Specialist - Dental Implants in London - Dental Care - Dental Boutique based in Central London EC2.