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Orthodontic Case Presentation

Patient Info: 24 years old, Female

Patient’s Chief Complaint: Open bite, severe crowding, never smiles in photos.

Assessment & Evaluation Prior to Treatment: Severe crowding, constricted maxillary arch, tongue thrusting habit.

Treatment: First, we widened the maxillary arch with a screw appliance (banded Hyrax) to create space.  Patient wore appliance for six months, then wore traditional brackets and wires in varying sizes for approximately nine months.  Patient also wore rubber bands on front teeth to close the bite.

Patient did not want orthodontic surgery to correct the open bite.  Patient also needed to limit treatment time to twenty months, due to her personal time constraints.  The patient is very proud of her smile now!

Before treatment:


Treatment in progress:


After treatment: