A 26 year-old patient with upper incisors that are in crossbite with the lower teeth. Patient was interested in esthetic options and was treated with Invisalign© and laser gingivectomy, resulting in an incredible improvement in her smile in less than 15 months.
A 31 year-old patient presented with crowding in lower arch, and an underbite –primarily due to increased skeletal growth of the lower jaw. Treatment included orthodontics to straighten his teeth and lower jaw surgery to correct his bite and provide greater facial balance. Notice the significant improvement in his facial profile after treatment.
A 23 year-old patient presented with significant crowding on the lower arch and an anterior crossbite. The anterior crossbite was contributing to significant wear on the enamel of the upper front teeth and stressing the gum tissues on the lower teeth. Four premolars were extracted as part of the treatment plan, resulting in a functionally and esthetically pleasing smile in 20 months.
Imani presented with significant spacing between her teeth on the upper and lower arches. Using traditional braces, her spaces were closed and teeth aligned in less than 18 months. Permanent retainers on the tongue side of the teeth were placed to help keep the spaces closed.
Phuc presented with severe crowding on the lower arch which led to difficulty maintaining ideal hygiene in these areas. He was also concerned about the alignment of the upper teeth and the large space present from the missing tooth on the upper left side. A big benefit of treatment in his case was that the large upper left space was closed with orthodontics alone. This negated the need for an implant to replace the missing tooth.
Severe upper and lower crowding combined with an anterior crossbite were present at the beginning of treatment in the case of Elias. Additionally, his upper and lower midlines were not centered with each other or the facial midline. The outcome was fantastic with all major issues addressed and corrected. Elias was retained with a bonded lower lingual retainer on the tongue side of his teeth.
Crowding and poor alignment were the main concerns in this case. Additionally, the lower right second molar was partially impacted and needed more room to be brought into the arch form. We were pleased with the end result and feel a great benefit was achieved with orthodontic treatment.
Patient A presented with a large underbite and crowding in the front teeth due to his traumatic occlusion. He had been told on several occasions that the only way to correct his bite would be to have orthodontics and orthognathic jaw surgery. He was not only treated non-surgically, but he also obtained a fantastic result with the use of Invisalign.
Avery presented with flared upper front teeth and excess overbite. With the use of braces on the upper teeth and Avery’s fantastic headgear wear at night time, we were able to achieve an awesome Phase 1 result. Now that Avery’s front teeth have better alignment, he will wear his retainers to hold the teeth in place until he is ready for the second phase of treatment once the remaining adult teeth erupt.
Nicolas presented with upper and lower crowding and a missing upper front tooth due to early childhood trauma. Prior to orthodontic treatment, the missing tooth was covered with a cantilevered fake tooth. Braces were used to create more room for the missing front tooth, resolve the crowding, and improve the function of the bite. The tooth was eventually replaced with an implant and crown by Nicolas’ general dentist.
Hong presented with severe crowding, deep overbite, and several missing teeth. Our main goals of orthodontic treatment were to align the teeth, close spaces if possible, and improve overall esthetics. In this case, one big benefit of orthodontics was that the space on the lower right was closed, thus negating the need for an implant in this area. All of our goals were achieved and we were very happy with the outcome.
In this case, several premolars on the patients left side were drastically out of place. After a short period of time, the teeth were aligned and in an esthetically pleasing position. Sruthi was elated with the outcome and we were too.
Crowding and a significant open bite were the two main issues when Chelsea started orthodontic treatment at RVO. An anterior open bite, as shown in this case, occurs when the upper and lower front teeth do not touch each other. Clear porcelain braces were used to straighten the teeth and provide contact between the upper and lower front teeth. Orthodontic treatment resulted in an esthetic enhancement and likely improved chewing ability due to open bite reduction.
In this case, the primary goals of treatment were to align the teeth and create an ideal space for an implant for the missing tooth on the lower right side. Teeth surrounding an implant site need to be in an ideal position prior to placing the implant so that there is adequate space for the crown and to maintain the health of the surrounding tissues. Prior to treatment the adjacent teeth had tipped over towards the future implant site preventing the ability of placing the implant without orthodontics. We decided to extract a single lower front tooth in this case to help align her teeth and create additional space for the implant site in the back of the mouth.
Our patient had started treatment at a different office years earlier and was frustrated by the lack of progress and her impacted upper left canine. After a short period of time we were able to make more room for the “stuck tooth” and move into an ideal position.
Orthodontics combined with orthognathic jaw surgery is necessary in some cases to achieve the best outcome possible. Our patient had a poor alignment of her teeth, excess overlap of her front teeth and a very convex profile with recessed lower jaw. With the amazing work of an oral surgeon colleague we were able to significantly enhance the esthetics of her profile and provide a more balanced bite.
With certain younger patients it is necessary to do early treatment prior to the eruption of all of the adult teeth. We call this Phase 1 treatment. In this case, our patient had a severe underbite with some of his adult and baby teeth. This type of bite is not ideal because it can cause recession of the gums on the lower teeth and damage to the upper front teeth. A face mask appliance with expander and braces on the upper teeth were used to help move this patient’s teeth out of the traumatic underbite.