Case Studies
Another Happy Patient With BEYOND Outcomes
Clinical Diagnosis
Narrow palatal width, crowding, deep bite, underdeveloped nasomaxillary complex, and mandibular deficiency.
2-Phase Treatment Objectives
- Palatal expansion (fixed maxillary expander)
- Create space for permanent tooth eruption
- Retention with myofunctional practices, coaching, and exercises
- Alignment and leveling with light-force fixed appliances
- Broaden dentoalveolar arches
- Achieve ideal occlusion with intraoral elastics
2-Phase Treatment Outcomes
- Optimized airway and palatal width development
- Nasomaxillary development
- Ideal Class I physiologic occlusion
- Long-term stability through retention
- Support for healthy nasal breathing, tongue position, and lip seal
Narrow, high-vaulted palate, deficient lower jaw, deep overbite, and flared upper teeth.
Before Treatment
After Phase One
Final Outcome
2-Phase Treatment Objectives
PHASE ONE TREATMENT
- Palatal expansion
- Broaden dental arches
- Encourage full expression of lower jaw growth
- Retention with myofunctional exercises to support nasal breathing and optimal tongue posture
PHASE TWO TREATMENT
- Alignment and leveling of teeth
- Focus on detailing the smile and bite
2-Phase Treatment Outcomes
Increased palate width
Improved facial balance
Optimal Class I bite
Excellent smile aesthetics
This Patient Was Treated With the Beyond Braces Approach
The Treatment Timeline
Nasal airway obstruction, chronic mouth breathing, and myofunctional issues.
Address underlying airway issues, myofunctional therapy, and transition to nasal breathing.
Nasomaxillary development using maxillary transverse and AP expansion, improved mandibular anterior growth expression with a removable functional appliance, and dentoalveolar development using light-force fixed appliances.
Maintenance of the “Big 3”: nasal breathing, proper tongue position, and lip seal.
Maintenance of the “Big 3”
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