A young lady came to our clinic complaint that her smile was not nice as the lateral incisors were hid behind her lower teeth :

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Patient smiling — ‘missing’ lateral incisor

 

We suggest her to wear braces. Three years after braces and here is the result:

 

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Before

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Before

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After

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After

 

Below are the sequences of event of her orthodontic treatment

2012 Oct 11

Patient came to correct her smile. She presented with crowding and her teeth were overlapping.

After consultation, we planed to have two of her right first premolars and two of her left second premolars removed. We choose to extract left second premolars due to badly carious and rotated.

 

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Upper Arch

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Right

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Front

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Left

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Lower Arch

 

2012 Nov 06

After teeth removal, braces were placed onto her teeth

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Right

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Front

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Left

 

2012 Dec 04

Retraction of the left first premolars start at her second visit.

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Right

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Front

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Left

 

2013 Jan 07

Retraction of her right canines start at this visit.

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Right

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Front

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Left

 

2013 Feb 01

 

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Right

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Front

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Left

 

2013 Mac 01

 

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Right

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Front

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Left

 

2013 Apr 02

Bracket cemented on left lateral incisor to pull it out to the line.

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Right

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Front

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Left

 

2013 Apr 23

Bracket cemented on right lateral incisor.

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Right

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Front

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Left

 

2013 May 20

Continue to align upper lateral incisors and canines retraction.

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Right

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Front

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Left

 

2013 Jun 17

 

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Right

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Front

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Left

 

2013 Jul 15

 

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Right

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Front

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Left

 

2013 Aug 20

 

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Right

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Front

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Left

 

2013 Sep 17

Continue alignment and closing the gaps.

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Right

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Front

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Left

 

2013 Oct 28

 

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Right

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Front

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Left

 

2013 Nov 18

 

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Right

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Front

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Left

 

2014 Jan 16

 

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Right

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Front

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Left

 

2014 Feb 17

Wire bend to close the left open bite.

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Right

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Front

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Left

 

2014 Mac 14

 

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Right

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Front

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Left

 

2014 Apr 28

 

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Right

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Front

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Left

 

2014 May 20

 

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Right

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Front

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Left

 

2014 Jun 10

 

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Right

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Front

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Left

 

2014 Jul 04

 

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Right

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Front

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Left

 

2014 Aug 04

 

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Right

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Front

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Left

 

2014 Dec 05

 

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Right

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Front

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Left

 

2015 Jan 02

 

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Right

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Front

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Left

 

2015 Feb 25

This is the final result. Patient very happy with her new smile.

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Smiling

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Upper Arch

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Right

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Front

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Left

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Lower Arch

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End Result — Well aligned teeth

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