CASE STUDY Figs. 29-31: Dental occlusion started with anterior and posterior crossbites and progressed into dental Class I with no crossbites and matching anterior midlines. The patient’s not being able to meet this fourth challenge caused premature loss of one of the mandibular TADs. The patient took 27 months from initial consult to the beginning of orthodontic treat-ment and the total active treatment time was 35 months. At the time of final records, she had a Class I dental relationship with adequate overjet and overbite. The patient’s face was balanced with improved facial and dental aesthetics. She was pleased with the results and all initial objectives were met (Fig. 23, 25, 27-33). The orthodontic, anchorage and surgical portions were successful and allowed a transformation of a challenged occlusal and esthetic dental situation to transform into a normal appearance for an adult patient. The dental changes brought a remarkable transforma-tion in the patient’s confidence and personality. In her husband’s words, while smiling, “What have you done to my wife, she will not stop smiling?” Figs. 32 & 33: Initial, midpoint and finish point showed improvement of soft tissue profile reflected in patient’s appearance. Patient showed she was learning to smile with her new appearance. 16 Fall 2018 JAOS
Journal of the American Orthodontic Society Fall 2018: Page 16
