Smile Gallery
Severe Crowding
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.




Underbite - Child
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.




Underbite - Adult
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.






Crossbite and Open Bite
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.




Overbite
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.




Orthodontic Extrusion
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.




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