09/03/2026
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This case was a unique one. The patient’s bite was quite off at the beginning, and it was determined that the cause was the lower jaw not growing forward enough. The treatment plan included the use of a Bionator appliance, which helps modify the growth of the lower jaw, helping it grow forward and catch up to the upper jaw. However, the lower jaw could not come forward because the upper front teeth were too crooked.
A few braces were used to quickly align the upper front teeth, then removed, and the Bionator used to modify the lower jaw growth. Once the growth was achieved, the patient was transitioned back to braces and the small amount of bite correction still required was finished using elastics. Not only did the bite improve, but the patient’s profile improved as the lower jaw came forward to a better position, giving better balance to the facial features.
As a final esthetic touch, the edges of the teeth were carefully smoothed to remove the chips and bumps. Spectacular! ✨
