Fixed Orthodontics | Teeth Protrusion _ Orthodontic Cases

Orthodontic cases

Bracket Orthodontics

Case Presentation:
The child presented with a relatively convex facial profile, felt unable to close the lips fully when relaxed, and had a retruded (recessed) chin, which noticeably affected facial appearance. The child also had a habit of mouth breathing during sleep.

Treatment Plan:
Following cephalometric measurement and detailed data comparison, the child was found to have mandibular skeletal deficiency with a retruded mandibular position, an abnormal hyoid bone position, and tension of the mentalis and perioral (chin-lip) musculature, along with maxillary skeletal protrusion, a narrow dental arch, and occlusal abnormalities, including a deep overbite and increased overjet. The correction plan employed fixed bracket orthodontics to address the underlying etiological mechanism. Four first premolars were extracted to create space, and dental compensation was performed to allow the soft tissues to return to a normal state.

Treatment Outcome:
Following treatment, the protrusive facial profile improved dramatically, achieving an ideal straight profile. The previously everted lips became relaxed, and the chin was advanced into a forward (anterior) position. The favorable dental alignment restored normal respiratory (airway) function. With the overjet restored to normal, incising efficiency returned to normal. The bilateral molar relationships achieved proper cusp-to-fossa interdigitation, restoring normal masticatory efficiency. Both aesthetics and health have been fundamentally transformed.

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