top of page
  • Writer's pictureDr. Alex

Open Bite Closure

This patient came to us with an open bite that she didn't like. Her dentist had identified that her front teeth had short roots and that orthodontic movement could shorten these roots further. We started our planning process for this patient buy taking a low-dose 3D x-rayus (CBCT) to accurately measure root length. We planned out treatment with uLab and in-house aligners as well as low force elastics. We also incorporated tongue tamers to help reduce the heavy forces the tongue was placing on the teeth to open the bite. Amazingly this patient finished treatment in just 7 months! Here are some photos of our finish:


Bite closure before and after of orthodontic patient at Genuine Orthodontics in Brentwood TN

Above you can see the tongue thrusting between the open bite before treatment and a closed bite after treatment.



Class III bite correction before and after of orthodontic patient at Genuine Orthodontics in Brentwood TN

The left side bite was class III before treatment and finished class I.



Smile esthetics before and after of orthodontic patient at Genuine Orthodontics in Brentwood TN

Smile esthetics show that the upper anterior teeth have moved down relative to the patient's lip line and improved smile esthetics.



Initial CBCT of tooth length of orthodontic patient at Genuine Orthodontics in Brentwood TN

The tooth length before treatment shows all anterior teeth between 14-15 mm and an unfavorable crown-to-root ratio.



Final CBCT of tooth length of orthodontic patient at Genuine Orthodontics in Brentwood TN

CBCT slice after treatment shows roots were maintained at a length of 14-15 mm!



Maxillary structural superimposition of orthodontic patient at Genuine Orthodontics in Brentwood TN

The maxillary structural superimposition shows that the upper anterior teeth moved downward and backward while the posterior molar moved forward slightly with class III elastics.



Mandibular structural superimposition of orthodontic patient at Genuine Orthodontics in Brentwood TN

The mandibular structural superimposition shows that the lower incisors were retracted (using interproximal reduction or IPR and class III elastics).

Comments


bottom of page