Crowding Functional Brace Sticking out Teenage

Correcting Protruding Teeth with Functional Braces

Teenage Protrusion correction with crowding|FIRST Ortho

Treatment time: 10 months

Braces: Functional and Steel Two Stage treatment

At 13, James came to us looking to improve his smile. Although he was a confident young man, his upper teeth protruded forward, and he wanted a solution to enhance his appearance.

James had minimal crowding, so we didn’t need much space to straighten his teeth. However, his lower facial height was slightly reduced, and his jawline was set back. To address these concerns, we created a personalised two-phase treatment plan. The first phase used a functional brace to adjust his jaw position and improve the fit of his teeth

This was followed by a short fixed brace stage, allowing us to complete his treatment in just 10 months with only six visits.

Functional braces, designed to align the jaws, are highly effective when timed with the teenage growth phase. By tailoring James’s treatment to his growth stage, we achieved a harmonious smile and jaw alignment without removing any teeth.

Adult Crooked Female Incognito Lingual Braces Sticking out

Incognito, Teeth Sticking Out

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

Treatment Time: 16 Months

Brace: Incognito

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.

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

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.

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.

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Adult Bite Problem Ceramic Crooked Crowding Deep Bite Female Senior

Crooked & Deepbite

Treatment Time: 24 Months

Brace: Steel

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Adult Crooked Female Incognito Lingual Braces

Crooked Teeth Incognito

Treatment Time: 18 Months

Brace: Incognito

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Bite Problem Female Teenage

Jaw and Bite Asymmetry

Teenage Expander and Steel Brace Smile Transformation | FIRST Ortho

Treatment Time: 31 Months

Brace: Expander and Steel

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.

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.

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.

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Arch form Male Teenage Underbite

Expander for underbite reverse bite

Treatment Time: 16 months

Expander and Steel Brace

Ridwan grew from a quite young boy to adulthood during which time he visited FIRST Ortho.

His treatment took just 16 months during his teenage years and his mature development to a young man was exceptional.

Memorable moment: Meeting with his mother soon after fitting the brace. She wanted the expander removed as he was having difficulty in the first few days. Ridwan listened to our explanation to give it a bit more time. He did and explained to his mum he will be alright – and he was. Something I will always remember.

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Adult Bonding Dark Triangles Female Protrusion Senior

Protrusion, deep bite, crowding, dark triangles

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

Treatment Time: 24 Months

Brace: Steel

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.

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.

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!

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Adult Male Sticking out

Lean of the teeth and affect on the facial profile

Treatment Time: 18 months

Ceramic Clear and Steel Brace

Simon came to us in his 30’s after undergoing orthodontics with Invisalign. However, he did not like the forward lean of his teeth and its effect on the facial profile. He had already one lower incisor removed as part of the previous treatment.

There was only one mathematical way to correct the lean of the teeth. It involved the replacement of the lower tooth and the more recognised way of four teeth removal and fixed braces. He opted for ceramic braces for cosmetic reasons.

We placed a temporary composite bonded tooth in the lower arch prior to his implant. However, he kept this for many years as he liked the result.

Memorable moment/s: Simon’s option to keep the ‘temporary’ replacement lower tooth for a few years then have an implant.

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Damon Female Functional Brace Teenage

Teenage Damon Ultima and Functional Brace

Treatment Time: 18 month

Functional and Damon Ultima Brace

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:

We wanted to avoid extraction in the lower jaw is this may have created a more convex profile in time.
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’

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Bite Problem Female 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.

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