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Dark Triangles

Correcting Protrusion, Deep Bite, Crowding and Dark Triangles with Braces and Composite Bonding | FIRST Ortho

Treatment Time: 24 Months
Brace: Steel
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Amanda came to FIRST Ortho on recommendation from her daughter who also had treatment here.  Amanda has a protrusion of her upper teeth, overcrowding and dark triangles. Her goal was to straighten the misalignment and preserve any teeth that were prone to gum recession.

Gum recession of often the cause of the dark triangles which appear as we get older.

Amanda meeting lots of people in her teaching classes. Her confidence was not an issue but as her teeth were getting worse over some time, she wanted to straighten them and improve her smile.

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After speaking to her and learning about her objectives, Dr Patel carried out a detail treatment plan. This involved the loss of teeth. She had beautiful facial proportions which we wanted to preserve. Amanda initially thought this gap would never close! See the video below to see what she thought.

Amada did not mind fixed steel braces. The initial alignment was rapid as was the space closure. However the deep bite, the detailing of the teeth shape and composite bonding took time.

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Despite the relatively long time, partly affected by the Covid outbreak, it was all worth it for a beautiful and functional result.

Most memorable moment: How surprised she was on how we managed to close the dark triangles.  I never knew she doubted we could not close the lower gap!

 

64244 Mahesh Patel Copyright©

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    Treatment Time: 9 months

    Steel Braces

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    As orthodontists we can overlook, or underestimate, the value of our work. Probably as we can get engrossed on a technical levels to ensure a result. Then, someone comes over and says something simple, yet profound, that touches on the very essence to the meaning of our work and being. This is Carmen’s story.

    Carmel recently came for a 9 year review. I asked her for a video testimonial and I must say there was a very moving moment which caught me unaware which really underlined the benefit of orthodontics.

    Adult tooth movement is similar to teenagers. It can be affected if teeth have been lost either for previous orthodontics or dental health reasons or reduced bone support. We planned a conservative approach which was a wise decision.

    The orthodontics was completed in 8 months and was very stable 9 years on.

    Most Memorable moment/s: Carmel video testimonial.

    Ref: 53026 FIRST Ortho Copyright©

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

      62167 Mahesh Patel Copyright©

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        Treatment Time: 8 Months
        Brace: Metal
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        A beautiful example of our practical multidisciplinary teamwork between periodontal care, restorative care and orthodontics. This young lady was unfortunate to be affected by by periodontal disease at a relatively young age with drifting of the teeth due to bone loss, gum recession, gaps and dark triangles between the teeth.  Gaps and dark triangles are disliked by patients for poor appearances and cause of food/plaque traps. They are disliked by dentists as they can be a severe challenge  to correct.

        After being managed by Rana at AlFa-Perio initially for the important gum and bone treatment she was seen by Ash, at the SmileDesignByAsh,  and ourselves. We arrived at a solution that met her needs to for a better smile, enhancing her periodontal care and addressing her missing teeth.

        There are alternative solutions ranging from veneers, Invisalign and composite bonding. However, for the best result the option is clear: no veneers, avoid composite bonding as far as possible and place teeth in the ideal placement for implants. The result is precise and exacting and carried out to a very high quality in just 8 months.

        The key to the orthodontic management is the intrusion of the teeth into healthy bone and gum structure which enhances the aesthetics and the provides increased bone support. Ongoing monitoring with a specialist periodontist is essential in these delicate cases. Merely closing the spaces without reshaping the teeth and intrusion of the teeth would not have given this result.

        54091 Mahesh Patel Copyright©

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