09/01/2026
We are SO excited for our sweet patient to finish her first round of braces! 🥳💙
This sweet girl came to us with:
• Severe upper crowding preventing her permanent incisors from erupting
• Moderate–severe lower crowding with permanent teeth developing in unfavorable positions
• Developing teeth competing for space, with concern for impaction and root damage
Our Phase 1 goal: create enough space for her permanent teeth to erupt naturally within the limits of healthy bone and gum support, while beginning to align the permanent front teeth.
Our treatment! 👏🏼
🦷 Lower braces → gentle alignment, conservative space creation, and intentional lateral incisor root positioning to help protect from canine eruption
↔️ Upper expansion → skeletal width + space for permanent teeth to erupt.
🦷 Upper braces → redistributed that space throughout the arch as the permanent incisors erupted. We intentionally maintained the lateral root position while the canines descend, with final lateral alignment planned for Phase 2.
And then… we stopped. 🙌🏼
Once our Phase 1 goals were met, we removed the appliances and let her grow, lose her remaining baby teeth, and allow her permanent teeth to continue erupting. We want our patients in appliances for as little time as necessary—not feel like they’re in treatment forever!
For now, she’ll wear her upper and lower retainers nightly. Phase 2 will focus on aligning the permanent teeth and completely correcting the bite. 😁
We could not be more proud of this girl! She brings so much energy and laughter to our office and has the sweetest heart. 🥰
And to make the end of Phase 1 even sweeter, she made Dr. Z the most thoughtful bracelet. 🥹 Safe to say, Dr. Z will be rocking this gift for a LONG time! 💙
Congratulations sweet girl! We are so proud of you! ✨