Key points
If facial asymmetry still appears after orthodontics, record jaw movement, pain or sounds, chewing habits, and neck posture in addition to tooth alignment. Dr. Hong explains what to prepare before consultation.
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Hello, I am Dr. Hong Myeong-hwi, Chief Physician at Hyunginjae Korean Medicine Clinic Gangnam.
Some people still notice uneven facial lines in photographs after orthodontic treatment. Straightening the teeth and making both sides of the face look identical are not the same outcome.
Jaw movement, chewing preference, pain or sound, and head and neck posture should be recorded together.
Tooth alignment and facial contour use different criteria
Alignment is important, but facial contour is also influenced by bone structure, soft tissue, expression, and camera angle. A single photograph cannot establish the cause or show that orthodontic treatment failed.
Questions about the bite or tooth movement should be assessed by an orthodontic or oral and maxillofacial professional.
Record jaw movement and accompanying symptoms
Observe whether the jaw shifts while opening, and note pain, locking, stiffness, or limited motion. Painless clicking is common and does not always require treatment.
Pain, locking, restricted motion, or a sudden bite change can warrant dental or oral and maxillofacial assessment.
Neck posture and habits are observation points
Record habitual head turning, one-sided chewing, or resting the chin on one hand. These habits cannot be assumed to cause facial asymmetry, but they can help interpret expression and jaw movement.
Prepare standardized photographs and a symptom log
Take front photographs at rest, with the teeth gently together, and while slowly opening the mouth, using the same distance and lighting. Rate pain from 0 to 10 and date episodes of clicking or locking.
Structural and dental concerns should be separated and directed to the appropriate specialty.





