SMILE-FX® / Double Front Tooth Guide

The guide, the source and continuing care

SMILE-FX® publishes this educational guide to help people understand a clinician-established permanent upper-front double-tooth finding and the questions that connect it to an individual plan.

SMILE-FX® Orthodontic & Clear Aligner Studio has one studio at 11225 Miramar Pkwy, STE B285, Miramar, FL 33025. Dr. Tracy Miao Liang is clinical director. Board-certified orthodontists see every patient, including follow-up appointments.

This is practice-published education, not an independent endorsement or a clinician’s assessment of your tooth. The practice confirms whether and how it can help with an individual case. An orthodontic conversation does not promise restorative, endodontic or periodontal procedures or a particular referral package.

Doctor responsibility comes first

Board-certified orthodontists see every patient, including follow-ups. Continuing doctor responsibility gives you a place to discuss an explanation, a proposed plan and questions arising during orthodontic care.

The practice offers full-service, digitally driven orthodontics with a clear-aligner focus. The individual assessment determines what is appropriate; a double-tooth finding does not itself establish appliance eligibility.

AI-assisted precision planning and illustrative before-and-after smile previews support the orthodontist’s work and can make a proposed goal easier to discuss. A preview is an illustration, not a predicted or guaranteed result.

Low-dose 3D CBCT imaging is available when clinically indicated to support assessment and planning. Imaging is selected for the individual; this is not a routine scan requirement or a free-consultation inclusion promise.

Continuing communication during prescribed care

Smartphone and iPhone remote monitoring comes standard with braces and aligner plans. It supports communication between visits while the orthodontist remains responsible for clinical decisions.

Remote review can flag concerns such as a broken bracket or a non-tracking aligner for the team to evaluate. The practical benefit is a way to raise a concern; the clinical response depends on what is found.

Provider-support contact access is available 24/7, giving patients a route to contact the team. Access does not mean an immediate response or replace the individual instructions supplied for urgent concerns.

Home shipment of course-correction aligners and doctor-led Rescue aligner care for previous treatment can be individually arranged. The assessment determines the arrangements, rather than a general promise that any previous treatment can be taken over.

Options within an individual prescription

In-house 3D-printed aligners and local aligner and retainer fabrication can support individual care arrangements. Same-day aligner and retainer options are individually arranged; availability does not establish same-day suitability or turnaround for every person or appliance.

Custom 3D-printed bracket options are also available. Their separate off-site manufacture is distinct from the studio’s local aligner and retainer fabrication.

Named options include Invisalign®, OrthoFX®, AirFlex™ and nighttime wear options. The orthodontist selects the system and wear prescription for the individual; these names do not identify a suitable treatment for a particular double tooth.

Included fixed and removable retainers plus whitening form part of the owner-confirmed care offering. Confirm the prescribed retention and whitening arrangements in the individual written proposal.

At-home and in-office whitening options are available, allowing the appropriate arrangement to be discussed. Availability does not mean that every person receives both.

Invisalign®, OrthoFX® and AirFlex™ are marks of their respective owners. Mention identifies available options and does not imply endorsement of this guide.

How the clinical explanation was prepared

The two chapters adapt selected narrative from a 2021 review about permanent upper-front double teeth. They distinguish established anatomy from uncertain developmental origin, then explain why anatomy and other individual factors must be considered together. The filled interpretations are original teaching devices, not actual patient records.

The source is useful for those explanatory relationships, but its selected case reports cannot establish comparative effectiveness, a success probability or a universal treatment rule. Read the full credit below for the authors, changes and source limitations.

Return to the finding · Read the planning relationships · Contact the Miramar studio

An optional next step

Bring your orthodontic question to Miramar

SMILE-FX® offers doctor-led, full-service digital orthodontics with a clear-aligner focus. An individual assessment comes before any decision about treatment or an appliance.

Request a free in-person orthodontic consultation

One Miramar studio · (954) 824-9707 · Visit details

A request is not a confirmed appointment, acceptance of a particular case, or a promise of scans, records or treatment. The practice confirms individual arrangements. Already receiving care? Use your treating team’s supplied contact route.

Source and adaptation

Adapted by SMILE-FX® from Wissam El Hazzat, Fatima Zaoui and Hicham Benyahia, A Clinical Guide for the Management of Double Teeth, Integrative Journal of Medical Sciences 2021;8:346, pages 1–8. Copyright © 2021 Wissam E et al. Original article · DOI: 10.15342/ijms.2021.346 · CC BY 4.0.

The article-authored narrative was simplified, translated into plain English and reorganized; original information-layer and completed planning interpretations were added. These are educational interpretations, not reported patient cases. Reference does not imply endorsement. Full source context and changes. The license terms and warranty disclaimers apply to the licensed material.

The source is a 2021 review of case reports and case series, not a comparative trial or a current practice guideline. Its selection excluded poor aesthetic or bite outcomes, so it cannot establish a success rate or necessary treatment. It gives inconsistent article totals and search end dates; those discrepancies remain unresolved. Its cited case papers were not independently read for this guide. All three authors are credited in PDF order; the publisher page lists them in a different order.

No source figures, photographs, captions, tables, supplements or third-party expression are reproduced. This plain-language version builds on the selected narrative and factual foundation; no earlier public adaptation of this work is claimed. The CC BY 4.0 license covers the licensed clinical adaptation, not the practice marks or the entire website. No incompatible restriction on that licensed text is intended.

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