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Before

  • Sucked thumb until age 10
  • Upper teeth stick out from lower teeth 16mm
  • Front teeth do not touch
  • Molars are in cross bite
  • Severe upper and lower crowding


After

  • Twin blocks were inserted to bring the lower jaw forward
  • Partial upper and lower orthodontic appliances were placed to straighten front teeth
  • Full appliances were then bonded after 12 months to straighten all the teeth
  • Debanded into a positioner
     


Before

  • Underbite
  • Cross bites front and back
  • Moderate upper crowding
  • Mild lower spacing


After

  • Orthodontic appliances were placed with an upper expansion appliance and a face frame to correct the underbite
  • Debanded into a positioner
     


Before

  • Cleft lip and roof of mouth on left side
  • Upper left second tooth missing
  • 3mm underbite
  • Upper midline is 6mm to the left
  • Moderate upper and mild lower spacing
  • Some speech problems


After

  • Full orthodontic appliances and an upper expansion appliance were placed
  • Orthognathic surgery was performed to advance and reposition roof of mouth
  • Debanded into retainers with an artificial tooth
  • Implant and crowd to replace missing tooth
     


Before

  • Cleft lip and palate on the left side
  • Narrow upper jaw
  • Moderate upper crowding
  • Upper left second tooth is missing and upper right second tooth is large


After

  • Orthodontic appliances placed
  • Space was maintained for missing tooth
  • Bone graft done in cleft area to provide more stability for teeth
  • Debanded into retainers with a false tooth
  • Implant to be completed at a later date
     


Before

  • Open bite
  • Only the back teeth touch
  • Narrow upper arch with back teeth in crossbite
  • Tongue thrust
  • Lower jaw slides to the right


After

  • Full orthodontic appliances were placed
  • Surgery performed to shorten the upper jaw and widen it. The lower jaw was moved back and her chin moved forward
     


Before

  • Gummy smile
  • Open bite
  • Moderate upper crowding
  • Mild lower crowding
  • Slight cross bite in molar teeth
  • Upper midline to the left
  • Retained deciduous canine tooth on the left
  • Tongue thrust


After

  • Full orthodontic appliances were placed
  • Deciduous tooth was extracted and permanent canine tooth was surgically exposed, bonded and pulled into position
  • Jaw surgery was performed to shorten upper jaw, bring lower jaw forward and chin advancement

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