Before & After Gallery

Orthodontic treatment can truly transform smiles and people’s lives. Our staff treats mild to severe cases on a daily basis.

These are some examples of orthodontic problems we can correct. These photos are all actual patients of Dr. Kendall J. Barrowes. Treatment options and results obtained vary from case to case.

Palatal Expansion

A palatal expansion appliance can change a narrow, tapered arch form to a broader, ovoid-shaped arch, and a broader smile.

BEFORE
AFTER
Posterior Crossbite

A palatal expansion appliance can also correct a Posterior Crossbite.

BEFORE
AFTER
Severe Class II Malocclusion

A Class II bite, or malocclusion, is a bite where the upper teeth protrude too far forward of the lower teeth, and is often referred to by patients as having an “overbite”. The Herbst and the Forsus are non-compliance appliances which can be used instead of Headgear in many cases to correct a severe Class II malocclusion and can often be used in place of removing teeth or undergoing jaw surgery. Note how the chin advanced, in this case, after wearing the Herbst Appliance 11 months.

BEFORE
AFTER
Severe Class III Malocclusion and Anterior Crossbite

An anterior Crossbite, often referred to as an “underbite”, renders the front teeth non-functional. In this case, jaw surgery was needed in conjunction with braces to achieve an optimal functioning bite and a pleasing profile.

BEFORE
AFTER
Severe Class III Malocclusion Early Treatment

Correcting the Class III anterior Crossbite, or underbite, early, between the ages 5 and 10 years of age, can often prevent the need to later perform Jaw Surgery.

BEFORE
AFTER
Spacing Problems Tooth Size Discrepancy

A tooth-size-discrepancy occurs when the upper teeth are too narrow to adequately fit over the lower teeth, as in this case, or it can be the other way around, the lower teeth too narrow for the uppers. In this case, the palate was expanded to correct a posterior crossbite, spurs were used to correct a lateral tongue thrust habit, and composite resin was added to the upper four incisors to make them bigger, after bleaching the teeth white.

BEFORE
AFTER
Crowding

Although most cases can be treated without removing any permanent teeth, some cases like this one are so crowded that they require the removal of teeth in order to obtain an aesthetic, functional and stable bite.

BEFORE
AFTER
Bimaxillary Dentoalveolar Protrusion

In some cases, even though the teeth are not all that crowded, the front teeth are so protrusive, removal of four bicuspids are needed to upright the incisors and improve the profile, as in this case. This patient transferred into our practice from another state. Although the patient was anticipating getting his braces off soon, we had to break the bad news that his result would be much improved with removal of four first Bicuspids. Note the profile change after removing four Bicuspids.

BEFORE
AFTER
Open Bite

A severe open bite renders the front teeth non-functional in tearing off food. It can be closed with the help of a tongue thrust habit breaker alone in some early cases. In this case, tongue spurs, as well as braces, headgear, extractions, transpalatal archwires and a palatal expander were also used.

BEFORE
AFTER
Open Bite – Tongue Thrust early treatment

Sometimes an open bite can be corrected early simply by breaking the tongue thrust habit, as in this case. This 8-year- old boy wore spurs for 13 months to break the habit, and the open bite corrected itself.

BEFORE
SPURS
AFTER
Gummy Smile

A gummy smile can sometimes be corrected simply by moving the upper front teeth up with a Cetlin Intrusion archwire, as in this case. As the teeth go up, the gums can go up with the teeth. Note how the smile shows less gums, and the bite got less deep.

BEFORE
AFTER
Gummy Smile

In this case the upper teeth were brought up with temporary anchorage devices until the front teeth were almost in on open bite, after which the upper incisors were lengthened with composite resin to close the open bite and add length to the short teeth. A gingivectomy and teeth whitening were performed before the cosmetic dentistry to build up the upper incisors.

BEFORE
AFTER
Gummy Smile

This is another example of the same treatment to intrude the upper incisors and reduce the gummy display.

BEFORE
AFTER
Missing Teeth

The most common teeth to be congenitally missing are the wisdom teeth. Next most common are the lower 2nd Bicuspids, followed by upper Lateral Incisors. In this case of missing lower 2nd Bicuspids, we elected to close the spaces using Temporary Anchorage Devices, keep the lower wisdom teeth, and thereby avoid costly implants or bridges later to replace the congenitally missing bicuspids.

Missing Teeth

This patient was congenitally missing both upper lateral incisors and the upper left permanent canine. We elected to close the incisor spaces, build up the canines with composite resin to look like lateral incisors, and build up the deciduous (baby) canine to look like a permanent canine. This option saved the expense of implants, and left the patient with healthy, attractive gums and no artificial tooth implants, with their possible complications, infections, and esthetic challenges.

BEFORE
AFTER
Missing Teeth

This patient was missing her upper left permanent incisor. We elected to remove the narrow upper right lateral incisor and the deciduous (baby) left lateral incisor and close space, rather than have her get an implant to replace the missing lateral incisor. We bleached the teeth white and built up the canines with composite resin to look like lateral incisors, and added to the First Bicuspids to make them look like canines.

BEFORE
AFTER