Jaw and Bite Asymmetry

Treatment time: 31 months

Expander and Steel Brace

This little girl came to FIRST Ortho when she was 10 with a number of baby teeth in the mouth with the issue of crowding and a bite problem. X-rays showed our concern with her canine teeth impacted in the palate. We helped her through the transition stage and then in her early teens started orthodontics with an expander and then standard steel braces.

This is quite a severe case resolved to a good level with just orthodontics.

Retention is critical on a long-term basis. The end pictures are two years post treatment.

Memorable moments: All the fine detailing to set the bite.

Bite Problem Prevention Young

Reverse Bite Preventative Young Simple

Treatment Time: 1 month

Simple removable Brace

This is minimalist perfection. With just 1 month of orthodontics with a simple brace and NO FURTHER treatment we corrected a reverse bite (underbite), which caused her jaw to sift to the side, and allowed the lower gums to improve with recession.

She returned 7 years later and her second teeth, although not mathematically perfect, are ‘perfectly acceptable’ both aesthetically and cosmetically.

Most Memorable moment: Meeting her 7 years later.

Adult Bite Problem

Crossbite and jaw asymmetry

Treatment Time: 9 Months

Brace: Metal Fixed and quadhelix

At the age of 33, prior to seeing us, this delightful lady received advice that her reverse bite could only be corrected through jaw surgery due to the asymmetry in her lower jaw. From a mathematical standpoint, this approach seems straightforward, directly addressing the root cause of the issue. However, it comes with a radical and high-risk element. A critical question arises: Why alter the entire face if the concern is solely focused on the teeth?

Our philosophy advocates for enhancing facial aesthetics within the established parameters. This introduces a constraint to the treatment, demanding an additional skill set. When successful, navigating these constraints becomes one of the most gratifying aspects of tackling orthodontic challenges.

What was our plan? We mutually agreed on a treatment course involving a quadhelix to widen the upper arch and the application of fixed braces. Remarkably, within just 9 months, the treatment was concluded in 2015 and has since remained stable.

Bite Problem Young

Reverse Bite Impaction Young Child

Treatment Time: 8 Months

Brace: Metal

In cases of reverse bite, timing is crucial because growth can make the situation worse and lead to additional issues. The reverse bite was fixed in two to three months, but the therapy took an additional 10 months because an impacted tooth broke through rotated into the palate.

Nevertheless, the transformation of the facial structure is astounding. In his adolescent years, some small remedial therapy is expected for a perfect result.

Bite Problem Young

Profile Face Change with Reverse Bite Headgear Faceframe

Treatment Time: 8 Months

Brace: Metal and Headgear

Here is an illustration of how to correct a backward bite caused by an undeveloped upper jaw using an expanded upper arch and a reverse headgear/facial frame.

Early treatment in the young is crucial because reverse bites worsen with growing and develop more negatively. Early intervention can reduce the need for future surgery or more complicated medical care.

In more complicated cases like this one, it won’t completely remove the need for more treatment in the future.

Adult Bite Problem

Overbite Reduction with Props

Treatment Time: 8 Months

Brace: Metal

Adult Bite Problem Gaps

Adult Reverse Bite with Missing Tooth

Treatment Time: 13 Months

Brace: Metal

Experience a treatment reward like no other – a genuinely remarkable transformation in both facial appearance and dental structure.

Our delightful client, known for her cheerful personality, had received advice twice recommending jaw surgery to correct her bite. Fortunately, she attributes her life-changing transformation to being referred to FIRST Ortho, eliminating the need for surgery.

Additionally, her missing upper front tooth, expertly replaced by her overseas dentist, was further enhanced by our skilled team through precise composite bonding. See image 9 for a closer look at the skillful restoration.

Adult Bite Problem Crowding

Adult Reverse Bite – No Jaw Surgery

Treatment Time: 21 Months

Brace: Metal

Reverse bites in adults can be corrected with braces without the trauma, risks or waiting time for surgery.

After careful analysis we presented a solution to improve the profile and correct the teeth just with braces.

Adult Bite Problem Gaps Protrusion

Spacing, Protrusion and Overbite

Treatment Time: 9 Months

Brace: Ceramic

The key to this excellent result was the overbite and canine position correction.

The efficient use of individualised brackets early in treatment led this beautiful result.

Adult Bite Problem Dark Triangles

Openbite and Dark Triangles

Treatment Time: 15 Months (6 Months out of the Country Managed by Emails and Video Calls)

Brace: Metal

A natural, good looking result.

This client’s teeth were variable in shape resulting in dark triangles after straightening, which were corrected with composite bonding to give a natural looking finish.

Bite Problem

Jaw and Bite Asymmetry

Treatment time: 31 months

Expander and Steel Brace

Reverse Bite Preventative Young Simple

Treatment Time: 1 month

Simple removable Brace

Crossbite and jaw asymmetry

Treatment Time: 9 Months

Brace: Metal Fixed and quadhelix

Reverse Bite Impaction Young Child

Treatment Time: 8 Months

Brace: Metal

Profile Face Change with Reverse Bite Headgear Faceframe

Treatment Time: 8 Months

Brace: Metal and Headgear

Overbite Reduction with Props

Treatment Time: 8 Months

Brace: Metal

Adult Reverse Bite with Missing Tooth

Treatment Time: 13 Months

Brace: Metal

Adult Reverse Bite – No Jaw Surgery

Treatment Time: 21 Months

Brace: Metal

Spacing, Protrusion and Overbite

Treatment Time: 9 Months

Brace: Ceramic

Openbite and Dark Triangles

Treatment Time: 15 Months (6 Months out of the Country Managed by Emails and Video Calls)

Brace: Metal

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