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Ortho TIDBIT:
    Because healthy teeth can be moved at any age. We can improve the smile of anyone at any age. Orthodontists regularly treat patients in their 60's and older. But it's best to seek treatment at an early age while the jaw is still growing.

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"Before and After" Gallery

BEFORE

AFTER

CROWDING
Crowding is an orthodontic problem when one has too much tooth structure in too little of a space.

SPACING
Spacing is the opposite of crowding where tooth structure has to be consolidated (upper photos) or added (lower photos). Arrow points to a diastema which is simply a space between two teeth.

OPENBITE
An openbite results when all the teeth do not close together at the same time. Thumb-sucking can cause an openbite. This can be corrected with standard orthodontic means most of the time. (The top photo is of an improper jaw requiring surgery in an adult. The patient in the bottom photo only required a thumb guard)

OVERBITE
An overbite is when the upper teeth come over and cover the lower teeth.

UNDERBITE
An underbite results when the upper teeth fit inside the arch of the lower teeth. This is usually a growth discrepancy and may require surgery if excessive.

CROSSBITE
Normally, the upper teeth are in front of the lower teeth Blue arrows point to an anterior crossbite. Red arrow points to a posterior crossbite.

OVERJET
An overjet is the projection of the top jaw forward of the bottom jaw. There may be crowding, additionally. Depending on the severity, growth modification appliances, extractions, or surgery in adults may be required.

PROTRUSION
The teeth are angled outward, "protruding" from the mouth. (More commonly called "buck teeth")

RETRUSION
Opposite of a protrusion... teeth are angled inward.

HIGH SMILE LINE (GUMMY SMILE)
Very common with an overbite--Too much gum shows when smiling.

IMPACTED TEETH
An impacted tooth is one that has somehow gotten stuck and cannot come in. Red arrows show over-retained baby teeth. Yellow arrows show recovered permenant teeth and blue arrows show the impacted teeth in the panoramic x-ray.

SUBSTITUTION
Substitution is replacing missing teeth with otherwise crowded back teeth. Blue arrows point to baby teeth with no permenant teeth underneath (congenitally missing). Red arrows point to permenant cainines moved forward to take the place of the missing lateral incisors.

IMPLANTS
Implants can be used when there is too much space for substitution to be effective or if there is a missing tooth. The yellow arrow points to an implant replacing a missing lateral incisor.

ASYMMETRIES (Midline Shift)
An asymmetry exists when the center spaces between the two upper and lower teeth do not align vertically with each other. Yellow arrows show the alignment before treatment. Blue arrows show the alignment after treatment.

TRANSPOSITION
These teeth were impacted and somehow exchanged places, but cannot be switched back. The blue arrows point to the cuspid and bicuspid that have switched positions. The red arrows show a first bicuspid on the right side and a cuspid on the left side (both are in the cuspid position). Treatment sometimes requires reshaping or restorations to complete cosmetics.

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