Case of the Month



Non-surgical elimination of gummy smile. There have been a lot of studies on what constitutes the most "ideal" smile. When it comes to how much gum tissue is diplayed, the most esthetic smiles show all of their upper teeth and 2-3mm of gum tissue. Some people don't show enough of their teeth when they smile and others, like this patient showed excessive gum tissue when smiling. New innovations in orthodontics allow Dr. DiGiovanni to properly position the upper anterior teeth while decreasing the 8-9mm of gums showing to the ideal 2-3mm. Use of small removable "temporary anchorage devices" make contemporary orthodontic tooth movement accomplish things that once could only be accomplished using surgery. But now, like in this patient braces and TADS dramatically improve the smile without surgery. 22 months of treatment with braces


WHY would my child need 2 phases of braces.... Great question!


ANTERIOR CROSS BITE (underbite) (8 year old)

Interceptive treatment was used to expand the upper jaw and with braces to position the upper front teeth ahead of the lower front teeth. Notice the difference in the gum tissue display when the upper teeth are properly aligned. Interceptive treatment at this dental stage is predictable and stable. Leaving this condition until all the permanent teeth erupt (age 11-12) could result in strain on the jaw by constantly protruding it and breaking the front teeth. She is now wearing a retainer and the result is stable! Success!

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