Our smiles:
Ceramic

Antoine P.

I HAVE AN ANTERIOR CROSSBITE

Here is a case of anterior articulation, managed in 10 months with ceramic attachments on the front teeth. Its second phase has just started after a long break of two or three years. It is expected to last about 12 months and will reduce the overlay and finalize the treatment. Rigid wire restraints will be placed on the lingual surfaces from cuspid to cuspid at the top and bottom. Safety splints will also be made.

Isis A.

A GAP CORRECTION WITH CIRCUIT BREAKER

Here is another case of a bilateral crossbite hinge, this time completed. The treatment lasted a total of 25 months, with a one-year hiatus, and required placement of a circuit breaker followed by a hiatus and then a second phase with ceramic braces. Rigid restraining wires were placed superiorly and inferiorly from canine to canine on the lingual surfaces. Safety splints were also made.

Nina B.

A GAP CORRECTION WITH A CIRCUIT BREAKER AND AN ANTI-TONGUE OBSTACLE

NB presented to an orthodontic consultation for advice. Clinical and radiological examination revealed a skeletal narrowness of her upper jaw associated with a bilateral cross bite (upper teeth inside the lower teeth behind) and an anterior gap of mixed origin: thumb sucking and skeletal component.

The simplified treatment plan was as follows:

Phase 1: a circuit breaker (fixed and rigid upper jaw widening appliance with skeletal effect) associated with a retroincisal relief to prevent thumb sucking and reduce tongue interposition between the teeth.
Phase 2: One to two years after phase 1, treatment with ceramic braces without extractions. Extractions were absolutely not necessary because the expansion and use of the space generated by the size differential between the deciduous molars and the permanent premolars was sufficient to align all the teeth. You will note that you have attached the starting and beginning photos of the second phase, but not the second phase. This illustration is quite interesting, because looking at the end of the first phase photos, one could think that there is not enough room to align all the teeth, but this is not the case.

The first phase lasted 12 months and the second phase should last about 15 months. Rigid wire restraints will then be placed on the lingual surfaces from cuspid to cuspid at the top and bottom. Safety splints will also be made.

Valentine B.

I HAVE A CROSS JOINT

VB presented to an orthodontic consultation for advice. Clinical and radiological examination revealed a crossbite on 21 and a narrowness of the upper jaw responsible for a lack of space for the evolution of her lateral incisors.

The treatment plan chosen was as follows:

Phase 1: A fixed maxillary expansion appliance, associated with anterior ceramic braces, for a period of 12 months.
Phase 2: After a two-year interruption, the first phase of treatment has just started and should last about 15 months.

Laura C.

I HAVE A CROSS JOINT AND A DEVIATION OF THE LOWER JAW

LB presented to an orthodontic consultation for advice. Clinical and radiological examination revealed a right crossbite, with a deviation of the lower jaw to the right. The treatment plan chosen was as follows:

Phase 1: a circuit breaker for about ten months,

Phase 2: a global treatment with ceramic rings.

Between the two phases, there was an 18-month interruption. After an interruption of two years, the first phase of treatment has just started and should last about 15 months. Rigid wire restraints will be placed on the lingual surfaces from cuspid to cuspid at the top and bottom. Safety splints will also be made.

Alma C.

I HAVE A VERY IMPORTANT OVERHANG AND A TOTAL COVERING

AC came to the orthodontic clinic because she had already broken her upper incisor, and her parents thought orthodontic treatment was a good idea.
Clinical and radiological examination revealed an 8-mm overhang, total overlap, and narrowing of the jaws. The treatment plan chosen was as follows:

Phase 1: a fixed expansion and shift correction appliance for 18 months, to avoid breaking his upper teeth, followed by a break until his growth peak two years later, which was about the time his baby teeth were replaced.
Phase 2: treatment with ceramic braces and extraction of two maxillary molars.

Rigid wire restraints were placed superiorly and inferiorly from canine to canine on the lingual surfaces. Safety splints were also made.

Jeanne H.

I HAVE SPACES BETWEEN MY TEETH

HJ presented in consultation with the reason of her spaces. Clinical and radiological examination revealed a recessed mandible. The treatment plan chosen was as follows: treatment with ceramic brackets, lasting 2 years. Rigid wire restraints were placed superiorly and inferiorly from canine to canine on the lingual surfaces. Safety splints were also made.

Alice L.

I HAVE AN OVERLAY AND AN ANTEROPOSTERIOR SHIFT

LA presented for a consultation. Clinical and radiological examination revealed a 6mm anteroposterior shift between her upper and lower teeth, with a high traumatic risk for her upper teeth, a major overlap and a narrowness of the upper jaw. The treatment plan chosen was as follows:

Phase 1: 15 months fixed expansion and offset correction device, followed by a two-year break.
Phase 2: A comprehensive treatment with ceramic braces and Class II elastics, over 15 months.

By proceeding in two phases, we avoided or reduced the risk of trauma and made the treatment phase in adolescence much shorter than if the treatment had been done in one phase. Rigid wire restraints were placed superiorly and inferiorly from canine to canine on the lingual surfaces. Safety splints were also made.

Iris M.

I HAVE A SIGNIFICANT GAP BETWEEN THE UPPER AND LOWER TEETH

MI went to orthodontics because her parents were afraid she would take a hit on her upper teeth, and they were right.
Clinical and radiological examination revealed a significant mismatch between her upper and lower teeth, and a gap between her two incisors.
The treatment plan chosen was as follows:

Phase 1: Expansion and correction of the offset with a fixed device, lasting 18 months followed by a one and a half year break
Phase 2: a treatment with ceramic braces lasting 15 months.

At the end of the treatment, rigid restraining wires were placed superiorly and inferiorly from canine to canine on the lingual surfaces. Safety splints were also made.