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11066 5th Ave NE, Seattle, WA, 98125
  










Considering a dental restoration? There are many different restoration materials to choose. For a comparison of the pros and cons check out the ADA's comparison chart here.
Before & After Smile Gallery
Patient A
This patient was treated for severe crowding. She was especially concerned about the protruded position of her upper left canine, and was having trouble cleaning between her crowded incisors.

    


The orthodontic treatment provided were upper/lower full braces for 20 months. The 1st premolars were extracted to create space to align severely crowded front teeth.
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Patient B
This patient was treated for her "underbite" using only a headgear and expander for just 6 months. This treatment was successful in such a short time because the patient was still growing. An adult with this same condition would most likely have needed jaw surgery to correct the problem.





Patient C
This patient was treated for his severely crowded teeth, which was making it difficult for him to brush properly. His treatment included extraction of 4 permanent teeth along with braces, and took 2 years to complete.





Patient D







Patient E
This patient was treated for her Class 3 problem (underbite) at age 10. You can see that the patient was able to make initial contact with the front teeth together, but then shifted forward and left into a full underbite. If left untreated, this shift would have become permanent as an adolescent. In that case, the only viable treatment would be jaw surgery along with orthodontics as an adult. If treated orthopedically by age 10, it is often possible to avoid (or lessen the need for) future jaw surgery in these patients. Class 3 patients should be referred to an orthodontist as soon as possible, ideally around age 7-8 when the facial bones still respond well to orthopedic forces. For this reason, evaluation and treatment of this problem is probably one of the most time-sensitive concerns that orthodontists face.


Orthodontic Treatment: Upper braces with "reverse" or Class 3 headgear for only 8 months. Excellent compliance is required in a case like this, as the removable headgear required is bulky and un-esthetic. Typically it is worn 8-10 hours per day, mostly while asleep. This patient's dramatic change was possible in such a short time due to her diligence in wearing the appliance as directed. After skeletal maturity advances into the adolescent years, this treatment is not nearly as effective, and may only produce dental change rather than movement of the upper jaw. For this reason, treatment timing is critical.




Patient F
This patient was treated with dual jaw surgery and orthodontics for her Class 3 problem (underbite). This approach can only be used when the orthodontist and surgeon are confident that the patient is finished with their growth. This is because patients who are still growing may "outgrow" a surgical correction and need a second surgery, which is not typically recommended. In this case, the maxilla was moved forward and widened, and the mandible was moved backwards. Braces are used to align the teeth before surgery, and to help hold the jaws together and refine the occlusion after surgery. Note the dramatic change in the facial profile and in the occlusion. This is a life-changing treatment, which improves not only a person's appearance but also their functional capacity.

The dramatic change in incisor relationship is shown in the two photos above. By moving the upper jaw forward and the lower jaw back, this treatment was able to correct the severe underbite. In the lower photos, compare the relative widths of the upper and lower jaws. By widening the upper jaw, the surgical treatment was successful in correcting the crossbite of the back teeth.






Patient G
This patient had a 3-unit fixed partial denture (bridge) from #8-10 that he wished to replace. The porcelain shade was too light, and the metal margin on #10 was visible. Also, the gum line of #10 is 3mm too high (top photo out of series below). Pre-restorative orthodontic treatment was provided to improve the gum position of #10 prior to replacement of the bridge. #10 was sectioned from the bridge so that it could be moved independently. The tooth was orthodontically brought down by 3mm over 6 months to bring the gum line down to the appropriate level. The crown of this tooth was progressively reduced during the movement (center photo of series below). The final bridge is placed with much improved gum line and color match (lower photo of series below). Orthodontic "extrusion" of #10 provided the environment for an ideal restorative solution in this case.






Patient H
This patient was treated for an impacted upper right canine #6. The position of impacted teeth is important to determine, as damage to adjacent roots is possible. If impacted upper canines are detected early (while there are still baby teeth present) and BEFORE they cross the middle of the lateral incisor's root, there is 90+% chance of spontaneous improvement after simply extracting the primary canine tooth. This is a particularly important reason to take a panoramic radiograph of patients by age 10. In this case, #6 had drifted so far to the midline that it was overlapping half of the central incisor root. Therefore, surgical exposure with orthodontics was indicated.



Orthodontic Appliances: upper/lower braces for 26 months (transpalatal arch for 18 months of that time) Adjunctive Procedures: surgical exposure/orthodontic bonding of the impacted canine, wisdom tooth removal.





Patient I
This patient was treated for her crossbite on both sides, impacted upper left canine, underbite, and lack of contact of the front teeth ("open bite").



Orthodontic Appliances: upper/lower braces, 24 months with upper expander for first 8 months. #11 (upper left canine) erupted spontaneously after space was created within the arch.




Patient J
This patient was treated for her deep overbite and protruding upper left canine. She also had a significant lower midline deviation, and reverse ("Brodie") crossbite of the left premolars.

Orthodontic appliances: upper/lower braces, 20 months with Class 2 force on the right side. #19 (lower first molar) will need to be restored.




Patient K
This patient was treated for an impacted upper left canine. Luckily, it was partially erupted on the palate, and so it did not require surgical exposure.


Orthodontic Appliances: upper/lower braces for 16 months. This patient also had the retained primary tooth #H extracted, in order to clear a path for #11 to be brought into the arch.



Avoid Frequent Consumption of Sports Drinks
The summer is almost upon us, which means that kids are playing more sports. With more sports usually means a higher consumption of sports drinks. Rather than sugar filled sports drinks, however, you should encourage your child to consume water while playing sports. Sports drinks have a high sugar content which causes erosion of the enamel on your child's teeth. This erosion can eventually lead to cavities. If your child insists on drinking sports drinks, try to limit the number of them that are consumed and to encourage the consumption of water alongside the sports drinks to minimize the risk of cavities.






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