Orthodontics Phase I:
Age: 5 years
Concern: Severe cross bite and narrow upper jaw creating a 'duck bill' protrution of her front teeth.
Plan: Series of permanent appliances and removable retainers that will widen the upper jaw and help correct the cross bite in hopes of avoiding jaw surgery later on.
Orthodontics Phase II:
Age: 7 years
Concern: Continued cross bite but, also, widening the upper jaw has created spacing that needs to be addressed in order for perminent teeth to come in properly.
Plan: Braces on top teeth, continued permanent appliance in upper jaw.
Orthodontics Phase III:
Age: 9 years
Concerns: While the upper jaw has shown significant improvement and most spacing issues are resolved, potential surgery is still probable. Spacing also needs to be retained until all perminant teeth are in place. Perminant teeth that have grown in so far are HUGE, needing more space than previously expected.
Plan: A new series of perminent retainers that will hold the spacing in place while perminent teeth come in and continue widening the jaw to allow room for the teeth.
Orthodontics Phase IV:
Age: 13 years
Concerns: Perminent teeth are in and jaw has widened nicely, but teeth are not straight and alignment between top and bottom teeth is not matching up. Surgery is still a possibility.
Plan: Full braces on top and bottom teeth with continual rubber band placements that will hopefully forgo surgery to expand upper jaw with plates, screws and implants.
But results like this...