Concerns: Adult with skeletal Class III underbite due to retrusion of the upper jaw. Upper jaw is narrow. Lower jaw is in normal position. Patient has full underbite with traumatic anterior bite. There is a posterior crossbite due to a narrow palate.

Treatment: Comprehensive Orthodontics (braces) in conjunction with corrective jaw surgery to move upper jaw forward and widen palate. Total Treatment time = 25 months.

Concerns: Adult with severe crowding and rotations. Patient has an asymmetric bite and anterior tooth trauma as well as an underbite.

Treatment: Comprehensive Orthodontics. Total Treatment time = 27 months.

Concerns: Adolescent with a narrow palate leading to a bilateral posterior cross-bite/traumatic bite. Patient has a narrow smile. There is severe crowding and a lateral open-bite. There is an underbite tendency.

Treatment: Comprehensive Orthodontics with palatal expansion. Total Treatment time = 29 months (two phases of treatment).

Concerns: Adult with a narrow palate leading to bilateral posterior cross-bite and traumatic bite. There is an anterior open-bite with no anterior tooth function. Patient has moderate crowding. There is TMJ unloading of jaw joints due to fulcrum bite. An adaptive tongue thrust exists.

Treatment: Patient was treated without any corrective jaw surgery via non-surgical palatal expansion along with comprehensive orthodontics (braces). Total Treatment time = 19 months.

Concerns: Adolescent with lower jaw/chin retrusion (skeletal). The upper cuspids are blocked from eruption. There is significant crowding.

Treatment: Comprehensive orthodontics with skeletal growth modification using functional herbst appliance. Herbst was used instead of headgear to 1) create space for blocked upper cuspids, and 2) to accentuate lower jaw forward growth (see profile change). Total Treatment Time = 23 months.

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