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Smile Transformation with Incognito Braces – Adult Case Study | FIRST Ortho

Treatment Time: 16 Months
Brace: Incognito
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This lovely 26-year-old client came to FIRST Ortho seeking a solution for upper teeth, which were sticking out, and the irregular lower teeth. She wanted straighter teeth but did not want the brace to show at all, as she was an architect supervising a lot of men on building sites. She felt that with her youthful appearance a metal brace would make her feel like a teenager and wanted to present herself with confidence and knowing they were listening to her rather than looking at her brace.

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She had protrusion, a deep bite and crowding. These issues affected her confidence.

After a thorough assessment, Dr Patel discussed her options. These being aligners and the lingual Incognito brace. Incognito braces were the option for convenience, comfort, being completely hidden while delivering incredible and exacting results compared to aligners.

Treatment took 16 months

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Dr Patel designed a thin brace to minimise impact on her speech.

She adapted well to the incognito system, with minimal discomfort and inconvenience. Progress was visible as the teeth began aligning beautifully. Her confidence increased rapidly as she become secure of the expected result.

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In just 16 months, the patient achieved a straight and natural looking smile and healthy gums.

She no longer felt conscious of her protrusive and irregular teeth.

 

53107 Mahesh Patel Copyright©

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    Teenage Expander and Steel Brace Smile Transformation | FIRST Ortho

    Treatment Time: 31 Months
    Brace: Expander and Steel
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    This little girl came to FIRST Ortho when she was 10 with several baby teeth in her mouth, with the issue of crowding and a bite problem. X-rays showed our concern with her canine teeth impacted in the palate. Teeth left in this position are an issue as they can damage the front teeth causing root resorption and are more difficult to align when older.

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    At age 10 she had impacted canine teeth. These teeth would have remained in the palate unless we helped. The crossbite gave an asymmetrical facial appearance and caused extra wear of her teeth.

    After a thorough assessment, Dr Patel chose the best treatment: By timely extractions of her baby teeth, it allowed the canine teeth to erupt over a period of years without the need for oral surgery. Left alone surgical intervention is required.

    At the age of 15, we reviewed the treatment bearing of mind extreme cases of asymmetry and crossbites, can result in surgical treatment to align the teeth and jaws. We opted to start orthodontics with an expander and standard steel braces.

    Facial and dental asymmetry is one of the most difficult treatments if one is trying to avoid a surgical option. The client underwent a long treatment plan of 31 months. This is quite a severe case resolved to a good level with orthodontics only – without surgical intervention at any stage.

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

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

    The parents and the child were delighted with the outcome considering we avoided surgery for the canines and the jaws. These are the challenging presentations we specialise in.

     

    54612 Mahesh Patel Copyright©

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      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: 18 month

        Functional and Damon Ultima Brace

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        This is a fabulous result for the daughter of a follow colleague and friend.

        There are two features here that are of interest in the planning:

        1. We wanted to avoid extraction in the lower jaw is this may have created a more convex profile in time.
        2. Our concern for the lower gum which was thin around a lower front tooth.

        We planned a two phase approach: a Damon Ultima brace after a functional brace.

        The functional brace for 4 months to advance the lower arch and then a Damon brace to gently improve the lower arch shape and create space. By keeping forces low, it allows for better protection of the thin biotype. The region will be monitored long-term for possible specialist periodontist opinion.

        Most Memorable moment: Her co-operation through some challenging stages to get this wonderful and rewarding result. As she said, ‘it was worth it’

        65901 Mahesh Patel Copyright©

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          Treatment Time: 1 month

          Simple removable Brace

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          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.

          63735 Mahesh Patel Copyright©

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            Treatment Time: 12 months

            Functional Harvold Brace

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            Moderate to marked protrusions in children deserve attention for a few reasons:

            1. The aesthetics and possible affect on their development of confidence or self esteem.
            2. Teeth are more prone to damage due to trauma and follow complication with the management.
            3. Intercepted at the right stage, the changes are rapid and remarkable. This window of opportunity gets smaller with increasing age and can be markedly difficult age 15+.
            4. Some may add affect on mouth breathing, facial development, nasal blockages, sleep disturbance, mental development etc etc. We take a more practical view as alarmist overtones is not a good start off point when it is not backed up by evidence based research.

            The orthodontics was completed in 12 months and was stable into her teens when permanent dentition treatment is considered.

            Most Memorable moment/s: Her lovely smile on meeting at the first visit and meeting her father.

            60316 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.

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                Treatment time 16 months
                Gum Disorder
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                Comments: A remarkable transformation for someone who was clearly very self aware of her smile.

                We worked with specialist periodontist Dr Roula Tsirba and we carried out her teeth alignment and the replacement of her missing lower teeth. The lower teeth were zirconium which allowed thin wings which could be bonded to the adjacent teeth – see image above- which was sandwiched under our bonded retainer. It was a ‘stress broken’ design to absorb small movements of the teeth without breaking the retainer. A very rewarding treatment to undertake and I am sure it ws well received.

                Memorable Moment: From the moment I met her she always smiled and personified contentment. It is a lovely place to be.

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                Mahesh Patel Copyright©

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