Jaw and Bite Asymmetry

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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