My Orthodontic Diagnosis

DIAGNOSIS:

• Jaw joint rubbing or grating was found on the right and it may be due to arthrosis
• Excessive grinding of teeth (bruxism) may result in enamel wear and muscle fatigue
• The upper jaw did not develop as much as the lower jaw in relation to the forehead
• The upper jaw did not develop as much as the lower jaw in width
• Lower jaw has developed more than the upper jaw in relation to the forehead
• Chin is positioned to the left of facial midline
• Improper relationship of posterior teeth on right side
• Improper relationship of posterior teeth on left side
• Improper relationship of right cuspid teeth
• Improper relationship of left cuspid teeth
• Space available for upper teeth is insufficient resulting in dental crowding. This condition tends to worsen with age.
• Space available for the lower teeth is insufficient resulting in dental crowding. This condition tends to worsen with age.
• An underbite is present
• Upper dental midline is symmetric and coincides with middle of the face
• Lower front teeth are left of center midline
• Improper width relationship of upper and lower teeth. This condition may affect jaw growth and may also reflect in enamel wear and periodontal trauma.
• Soft tissue facial asymmetries noted
• Lower jaw (chin) is positioned too far forward in relation to the forehead
• Upon smiling, tooth exposure seems insufficient. Records will be evaluated to determine means to achieve a nicer smile.

TREATMENT RECOMMENDATIONS:

Orthognathic jaw surgery in combination with braces: estimated treatment time = 22-26 months

TREATMENT OBJECTIVES:

Correct existing malocclusion to improve "bite" relationship
Eliminate existing crowding
Achieve normal overbite/overjet
Broaden dental arches to maximize smile line
Align dental midlines with each other and facial midline
Cosmetic alignment of anterior teeth
Stop and prevent further enamel wear of anterior teeth due to heavy and end to end tooth contact
Correct existing cross-bites to improve chewing function
Improve jaw relationship and function
Improve profile; lip relationship, function and posture