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- This little girl had two upper lateral teeth where there should only be one.
- One behind the outer in the arch. This extra tooth is called a supernumerary.
- When she bites down, the outer visible one is flared outward,
- the other one is hiding (in crossbite) behind the lower incisors.
- First step, as usual, while she still had her baby teeth,
- it was to address the jaw foundation with a removable jaw orthopedic appliance
- to develop her upper arch.
- By the time she started losing the baby teeth, we were ready to transition into fixed braces.
- Her extra lateral incisor was extracted, and brackets were placed on the upper incisor.
- A Wilson expander / palatal holding wire was placed, which allowed us to continue a slow rate of expansion
- While providing an anchor to align the front teeth into a straight line.
- An incisal ramp was bonded behind her upper incisors to provide a vertical bite gain.
- As the permanent teeth grow into position, they will meet at that dimension and provide a more favorable alignment.
- A few months later, the rest of the teeth received braces as they emerged.
- Since the lower jaw had an adequate arch size and straight teeth,
- we decided to remain conservative and not place braces on the lower teeth.
- Her smile is already wide and beautiful.
- After less than a year, treatment is complete, and we have a spectacular result.
