Before and after: orthodontic treatment photos

Fixed braces to distribute the spaces evenly, then composite bonding of the lateral incisors

Crossbite of tooth 12, spacing, undersized lateral incisors

Fixed braces close the space, with canine 23 moved into the lateral incisor position

Missing upper left lateral incisor, retained primary canine

Closing the spaces of the missing teeth with fixed braces

Congenitally missing second premolars

Extraction of four teeth, fixed braces

Severe upper and lower crowding, proclined upper incisors, triangular teeth, right-side crossbite

Extraction of four premolars, fixed braces

Severe upper and lower crowding

Distalization or extraction of two upper premolars was discussed; extraction was chosen because it removes a crowned tooth. Fixed braces

Deep bite, Class II

Extraction of four premolars, fixed braces

Crowding, open bite at the upper right canine, edge-to-edge incisors

Distalization or extraction of two upper premolars was discussed; the patient chose extraction to avoid an extra appliance. Fixed braces

Proclined upper incisors, narrow upper jaw, Class II

Extraction of four premolars, fixed braces

Severe crowding with no room for the canines in either arch, open bite at the front and canines

Extraction of two upper premolars, fixed braces

Not enough space for the upper canines

Extraction of four premolars, fixed braces

Severe upper and lower crowding, no space for the upper canines

Premolar extractions, fixed braces

Markedly protrusive, crowded upper and lower teeth, severe lack of space

Fixed braces closing all the spaces

Extreme upper crowding with no room for the canines and flared incisors; lower first molars lost to decay on both sides

Extraction of four premolars, fixed braces

Severely proclined front teeth, difficulty closing the lips, severe upper and lower crowding

All photos (6 stages)

Extraction of four premolars and fixed braces, preserving the facial profile

Severe upper and lower crowding, no space for the canines, deep bite

Re-treatment after an unsuccessful earlier treatment with braces: extraction of four premolars, fixed braces

Severely proclined upper teeth, lack of space for the lower teeth, Class II, reduced overbite

Extraction of four premolars, tongue crib, fixed braces

Severely proclined upper incisors, crowding, tongue-thrust habit

Extraction of four premolars, fixed braces

Proclined front teeth, strained lip closure, severe lower crowding, left-side crossbite

Extraction of four premolars and fixed braces to retract the lips

Large, protrusive teeth, lips cannot close at rest, moderate crowding, bite shifted to the right

Extraction of four premolars, fixed braces

Open bite, severe crowding, bilateral Class II, proclined upper teeth

Extraction of four premolars to retract the teeth, fixed braces

Proclined front teeth and strained lip closure – the main concern of the patient and parents

Asymmetric premolar extractions, fixed braces

Severe crowding, open bite at tooth 13 13

Extraction of two upper premolars to retract the upper teeth and relax the lips, fixed braces

Narrow upper jaw, protrusive upper incisors, upper crowding, moderate lower crowding

Extraction of the rotated premolar to restore midline symmetry, clear aligners

Congenitally missing upper left lateral incisor, severely rotated upper right first premolar

Compensating extraction of two lower premolars to correct the bite, fixed braces

Two upper premolars previously extracted, anterior crossbite, open bite at the canines

Extraction of two upper premolars to retract the upper teeth and of one lower incisor for periodontal reasons; sapphire braces

Severely proclined upper incisors with spacing, compromised periodontium (gum disease)

Distalization or extraction was discussed; the patient chose extraction of four premolars. Fixed braces

Upper and lower crowding, narrow arches, Class II on the right

Extraction of four premolars to gain space and retract the teeth, fixed braces

Proclined upper and lower incisors, severe crowding, high risk of gum recession, crossbite of tooth 12

Compensating extraction of the upper left premolar to correct the midline, fixed braces

Midline shift and crowding on the right, upper right premolar previously extracted

Extraction of four premolars, fixed braces

No space for the upper and lower incisors, open bite at the canines, crossbite of 12 and 22

Arch expansion with fixed braces, guided eruption of tooth 35, deep bite correction; check-up after 6 months

Deep bite, tooth 35 unable to erupt for lack of space

Distalization of the upper back teeth, deep bite correction with fixed braces

Very deep bite, upper and lower crowding, Class II

Clear aligners

Posterior crossbite, moderate upper and lower crowding, deep bite

Early treatment: inclined bite plane to stimulate the lower jaw and upper arch expansion, then fixed braces

Deep bite with Class II, lack of space for the erupting teeth

Distalization appliance and fixed braces, midline correction

Very deep bite, moderate crowding, Class II on the right, midline shift

Fixed braces; finished with clear aligners after the patient moved abroad

Deep bite, moderate crowding

Carriere Motion distalizer and fixed braces

Deep bite, severe lack of space in the upper arch, bilateral Class II

Arch expansion with fixed braces, finished with composite bonding

Very deep bite, crossbite of tooth 15

Clear aligners

Deep bite, moderate crowding

Clear aligners

Deep bite, moderate crowding

Fixed braces

Deep bite, no space for tooth 12, moderate upper and lower crowding

Fixed braces, finished with clear aligners

Mild deep bite, Class II on the left

During treatment, early treatment with a 2x4 appliance, then fixed braces: front view of the teeth

Before treatment: Deep bite, marked Class II

Treatment in progress

Early treatment with a 2x4 appliance, then fixed braces

Deep bite, marked Class II

Fixed braces

Edge-to-edge front teeth, open bite at the lateral incisors and the upper right canine (13)

Fixed braces

Crossbite, open bite at the canines

Extraction treatment was discussed; the patient preferred non-extraction treatment. Fixed braces

Open bite at the canines, severe upper and lower crowding

Expansion appliance, then fixed braces and elastics

Anterior open bite, posterior crossbite, skeletal asymmetry

Four-premolar extraction or distalization without changing the profile was discussed; the patient chose distalization – Carriere Motion and fixed braces

Anterior open bite, severely proclined upper incisors, moderate upper and lower crowding

Fixed braces and cross elastics, contacts refined with clear aligners

Open bite with contact only on the back teeth, mild crowding, crossbite of 16 and 26

During treatment, clear aligners and mini-implants: front view of the teeth

Before treatment: Severe skeletal open bite, contact only on the first and second molars

Treatment in progress

Clear aligners and mini-implants

Severe skeletal open bite, contact only on the first and second molars

Carriere Motion on the left for distalization, then clear aligners

Class II on the left, strongly proclined upper incisors, moderate crowding, narrow upper arch

All photos (7 stages)

Fixed braces and elastics

Proclined upper front teeth, Class II on the left, deep bite, moderate lower crowding

Fixed braces and mini-implants for distalization

Bilateral Class II, deep bite, moderate crowding, retroclined upper and lower incisors

Carriere Motion for distalization, arch expansion with fixed braces

Very narrow arches, severely proclined upper incisors, difficulty closing the lips, convex profile, bilateral Class II, deep bite

Four-premolar extraction for a straighter profile was discussed; the patient and parents chose Carriere Motion distalization and braces, accepting a fuller profile

Severe upper and moderate lower crowding, crossbite of 15, bilateral Class II, deep bite

Carriere Motion for the right-side Class II, then fixed braces to close the spaces and correct the midline

Upper midline shift, upper spacing, protrusive upper front teeth, Class II on the right

Carriere Motion, fixed braces and cross elastics

Severely retroclined upper incisors, deep bite, crossbite of 15–16, bilateral Class II

Bilateral Carriere Motion, then clear aligners

Moderate upper and lower crowding, bilateral Class II

Arch expansion, Class II correction with elastics, reopening space for a future implant with fixed braces

Moderate lack of space in both arches, blocked-out canines 13 and 23, reduced space at missing tooth 26

Fixed braces and elastics

Class II on the right, deep bite, no space for tooth 12

Carriere Motion and clear aligners

Mild deep bite, moderate upper and lower crowding, Class II on the right

Fixed braces

Deep bite, no space for teeth 12 and 33, Class II on the left

Bilateral Carriere Motion and fixed braces

Deep bite, bilateral Class II, no space for tooth 22

Carriere Motion, fixed braces and miniimplants to correct the cant

Canted occlusal plane, Class II on the right

Upper distalization with Carriere Motion, then space closure and retraction with fixed braces

Severely proclined upper incisors with spacing, Class II, deep bite, protrusive lips that cannot close at rest

Carriere Motion and fixed braces

Crowded, protrusive upper teeth, bilateral Class II

Fixed braces and a mini-implant for rightside distalization

Mild upper and lower crowding, Class II on the right

Correction with expansion and fixed braces

Narrow upper arch, right-side crossbite

Carriere Motion, then fixed braces, preserving the full profile

Severe upper and lower crowding, Class II on the left, no space for 13 and 43

Fixed braces and elastics

Crowded, severely proclined upper incisors, deep bite, mild lower crowding, Class II

Orthodontic treatment with braces

Severe crowding, blocked-out upper and lower canines

Fixed braces, a mini-implant to stabilize the upper arch, Class II elastic

Retroclined upper and lower incisors, moderate upper and mild lower crowding, Class II on the left, midline shift

During treatment, carriere motion for upper distalization, anchored on mini-implants: front view of the teeth

Before treatment: Severely proclined upper incisors, previous orthodontic treatment with extractions

Treatment in progress

Carriere Motion for upper distalization, anchored on mini-implants

Severely proclined upper incisors, previous orthodontic treatment with extractions

Clear aligners and mini-implants to correct the bite and close the spaces

Edge-to-edge front teeth, upper spacing, severely rotated tooth 35

Habit correction with a speech therapist, Carriere Motion in the lower jaw and fixed braces

Edge-to-edge front teeth, crossbite of 22 and 23, moderate crowding, tongue resting against the lower front teeth

Extraction of one lower premolar, space closure and bite correction with fixed braces

Anterior reverse bite, bilateral posterior crossbite, spaces from earlier extractions

Fixed braces and tongue-position correction

Edge-to-edge incisors, crossbite of 22 and 23, upper and lower spacing

Early treatment with a removable appliance

Single-tooth crossbite

Bite correction with fixed braces, keeping space for upper composite bonding

Edge-to-edge incisors, tooth wear from poor contact, undersized upper incisors

Early treatment: rapid palatal expander and face mask (phase 1)

Anterior reverse bite, posterior crossbite, narrow upper jaw

Camouflage treatment with fixed braces, finished with clear aligners

Anterior crossbite, upper spacing – a severe surgical case

Extraction of four premolars, fixed braces

Anterior and posterior crossbite, severe upper and lower crowding, skeletal lowerjaw asymmetry

Non-extraction camouflage: upper expansion appliance, fixed braces and a mini-implant to move the lower teeth back

Anterior and posterior crossbite – a severe surgical case

Extraction of four premolars, fixed braces

Edge-to-edge upper incisors, crossbite of 12 and 16, open bite at 13 and 23, moderate crowding, strained lip closure

Early treatment with 2x4 braces

Crossbite from the primary dentition

Surgical exposure of the canines, fixed braces

Impacted canines 13, 23, 33 and 43, retained primary teeth, congenitally missing 35 and 45

All photos (6 stages)

Surgical removal of the supernumerary tooth, exposure of the impacted tooth, fixed braces

Anterior reverse bite, supernumerary tooth blocking the eruption of tooth 22

During treatment, surgical exposure and traction of the canines, fixed braces: front view of the teeth

Before treatment: Impacted upper canines

Treatment in progress

Surgical exposure and traction of the canines, fixed braces

Impacted upper canines

During treatment, exposure of the canine, traction from a mini-implant, clear aligners: front view of the teeth

Before treatment: Impacted lower right canine

Treatment in progress

Exposure of the canine, traction from a mini-implant, clear aligners

Impacted lower right canine

All photos (7 stages)

Clear aligners

Diastema between the upper central incisors, deep bite, marked wear of the back teeth

Fixed braces

Upper and lower spacing, deep bite

Extraction of two lower premolars, fixed braces

Right-side crossbite, severe lower crowding

Self-ligating braces

Crossbite on the right and of tooth 12, no space for upper canines 13 and 23, narrow upper arch

Fixed braces

Crossbite of tooth 15, severe lower incisor crowding

Rapid palatal expander

Narrow upper arch, mixed dentition

Rapid palatal expander (Hyrax)

Narrow upper arch, crowding, mixed dentition