Going Beyond Before & Afters
Dr. David Sarver is committed to documenting cases for as long as possible. This led him to create video morphographies that show patients’ progress over decades. See where cases started and where they are now, as well as the impact of aging on soft tissue.
This patient had a significant open bite resulting in functional issues such as an inability to bite into sandwiches. Esthetically, he had a nice smile, but not a great smile. Our task was to close his open bite first, which was significant enough to warrant or orthognathic surgery (better known as jaw surgery), but because of insurance complications, that was not an option.
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This patient was first brought in at age 6 because of the severity of his underbite. When you think of an underbite, you generally think of a big lower jaw which needs to be "pushed back." However, in this case variables such as how little upper incisor he showed when smiling and the chin neck contour all entered into the orthodontic/surgical plan-maxillomandibular surgery with a clockwise occlusal plane rotation.
A 12-year-old female was treated with expansion of the arch form to accommodate the canines, and of particular interest is the attainment of ideal axial inclination of the posterior buccal segments. Also, in the finishing phase of treatment, crown lengthening was performed, resulting in an ideal smile presentation.