Before & After Pictures

Note results will vary from patient-to-patient.

Open bite, Anterior

Pre-treament:
Open bite issues can be caused by a strong forward tongue thrust.

Post-treatment:
When trying to maintain the closure of an open bite, wearing a retainer will often be required in order to prevent the tongue from pushing the teeth open.

Open bite, Posterior

Pre-treament:
The patients back teeth were being prevented from touching caused by a strong sideways tongue thrust.

Post-treatment:
For maintaining this orthodontic correction, retainers have been critical to the treatmentís success.

Open bite, Surgical Closure

Pre-treament:
Open bite corrections often involve a surgical closure in non-growing adult patients.

Post-treatment:
This patient required a surgical procedure, in addition to an orthodontic treatment, to reposition his upper jaw to close the open bite. The surgery plus orthodontic treatments were able to greatly improve his ability to function while also providing a very nice esthetic result.

Overjet (Class II, Division I Malocclusion)

Pre-treament:
Since the front teeth are so prominent, a big overjet greatly increases the risk of injury to the upper front teeth. Shortly after taking this picture, the patient did fracture his left upper incisor.

Post-treatment:
The risk of future injury has been greatly reduced now that the teeth have been corrected and the proper overjet is much less prominent. Fortunately, the patientís left upper incisor was effectively repaired and he did not require a root canal treatment.

Overbite (Class II, Division II Malocclusion)

Pre-treament:
A deep overbite has numerous disadvantages, such as the obvious compromised appearance of a smile. Deep overbites can also impede proper TMJ (jaw joint) functioning and can cause excessive wearing of the lower anterior teeth.

Post-treatment:
By correcting this overbite has allowed for more normal functioning as well as a well-balanced, beautiful smile.

Underbite (Class III Malocclusion)

Pre-treament:
Underbites can cause significant functional issues in addition to cosmetic concerns. Common with underbites are TMJ (jaw joint) injuries and excessive tooth wear.

Post-treatment:
By correcting this particular underbite, the patient gained a handsome smile and great functional improvement.

Crowding (Class I Malocclusion): Arch Development

Pre-treament:
By encouraging development of the upper and lower jaws, moderate-to- severe crowding can be addressed in growing patients.

Post-treatment:
When you are able to keep all the permanent teeth, this allows for nicely balanced facial features.

Crowding (Class I Malocclusion): Extraction

Pre-treament:
Severe crowding is being caused by excessively large teeth. This is often treated with the removal of some of the permanent teeth to make more room for the ones we want to keep.

Post-treatment:
Even with the removal of four permanent teeth caused by this patientís large tooth size, there is still a full handsome smile with a well-balanced bite.

Missing Teeth: Lateral Incisors, Canines Substituted

Pre-treament:
As indicated by the arrows on the radiograph, this patient was missing both of her upper lateral incisors. Her canine teeth drifted too far forward into the position of the lateral incisors.

Post-treatment:
We were able to reshape her cuspid teeth in order to substitute them for the missing lateral incisors. Now, it is hard to tell that she is missing permanent teeth.

Missing Teeth: Lateral Incisor, Replaced with Artificial Tooth

Pre-treament:
The arrow indicates the area of the missing upper right lateral incisor due to a malformed upper left lateral incisor which was malformed into a pegged shape. Sometimes it is not possible to close the space that is left by missing teeth.

Post-treatment:
We have opened up the space and corrected the imbalances in her bite. The right upper lateral incisor has been replaced with a temporary bridge (indicated by arrow) and veneer to help improve its shape. Eventually, the upper right lateral incisor will eventually be replaced with a permanent implant.

Missing Teeth: Lower Premolars, Spaces Closed

Pre-treament:
The arrows are indicating the areas that the patient was missing both of her lower second bicuspid teeth.

Post-treatment:
We decided to remove her upper second bicuspids since they were so crowded. This helped to balance the number of teeth in the upper and lower jaws. We have closed the spaces left by the missing teeth without the need for any teeth to be artificially replaced. Also, we were able to provide her with a beautiful and balanced bite.

Crossbite: Anterior Crossbite

Pre-treament:
An anterior crossbite poses more risk of injury and risk of excessive wear in addition to the cosmetic concerns.

Post-treatment:
Now the patient has a full, healthy, and balanced smile.

Crossbite: Posterior Crossbite (Interceptive)

Pre-treament:
Under-development of the upper jaw can cause a posterior crossbite, which is where the upper back teeth fit inside the lower back teeth. This issue can also result in a shifting bite, an asymmetric facial form, in addition to crowing of the permanent teeth.

Post-treatment:
We were able to implement an orthodontic treatment without braces that were able to assist the development of the upper jaw to its proper size. This helped to eliminate the crossbite, the shifting bite, and help to generate sufficient room for the permanent teeth. The need for braces was greatly reduced.

Spacing

Pre-treament:
There are no significant functional concerns with the spacing of permanent teeth; however, treatment can create dramatic improvements to the overall appearance of the patients smile.

Post-treatment:
A new, beautiful, and healthy smile can be a big boost to your self-image.

Impacted Teeth

Pre-treament:
Canine teeth and second bicuspid teeth are notorious for becoming impacted due to their late eruption. See the arrows on the radiograph.

Post-treatment:
We are able to get these impacted teeth into their ideal functional and aesthetic position using a minor surgical exposure and orthodontic treatment.

Impacted Incisor

Pre-treament:
A traumatic injury during childhood caused this incisor to become impacted. The space for the permanent tooth was lost because the injury occurred so young.

Post-treatment:
We were able to bring it down into a very healthy and beautiful position with orthordontic treatment and a minor surgical exposure of the impacted incisor. However, there was a little gum loss due to the severity of the impaction.

Crowding without Extractions

Pre-treament:
It is never too late for orthodontics treatment, but some techniques are different for adult patients. Adult orthodontics is becoming more popular thanks to the newer techniques and appliances. Nowadays, we are also addressing certain problems of the past that could only be addressed as an adolescent.

Post-treatment:
A balanced, beautiful healthy smile.

Crowding with Extractions

Pre-treament:
In adult patients, it is more likely to involve the extraction of permanent teeth, due to the lack of any remaining facial growth.

Post-treatment:
It is difficult to tell that two permanent teeth were removed due to overcrowding. A great result.

Surgical Overjet/Overbite Correction

Pre-treament:
Correcting a large overjet or underbite in non-growing adult patients will require orthodontic treatment in conjunction with orthognathic (jaw) surgery.

Post-treatment:
This particular patient had a surgical procedure to help lengthen his lower jaw. The result was better functioning and a more handsome smile.

Surgical Under-bite Correction

Pre-treament:
An underbite is perhaps the most destructive type of occlusion and can pose a considerable imbalance to facial function and form.

Post-treatment:
This patient had a surgical lengthening of his upper jaw and shortening of his lower jaw in conjunction with orthodontic treatment. The result is an attractive and very functional smile.

Complex

Pre-treament:
Many adult patients have not been thrilled with the idea of wearing visible braces and some have even postponed orthodontic treatment because of it.

Post-treatment:
New techniques and orthodontic appliances like Lingual and Invisalign allow us to correct even the most complex malocclusions. This patient achieved great results without the need for fixed, visible braces.


Testimonials

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