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Case Study Three -
Dr. S. Choubal

Male - Age 13 years
Crowded upper & lower arches with a Class II malocclusion,
ie: a receding lower jaw with protruding upper
front teeth.This patient presented to our office for
a second opinion after being advised by an orthodontist
to have four permanent premolors extracted to make room
in the upper & lower arches.Rather than extracting
permanent teeth, we expanded the upper & lower arches
with functional appliances. After making room
with the appliances, this patient wore braces for approximately
one year to straighten & align his teeth.
Case Study Four -
Dr. S. Choubal

Female - Age 9.5 years
Anterior open bite as a result of a thumb sucking habit,
ie: large space between the upper & lower
front teeth. With a simple device, this patient's bite
was corrected over an eight to ten month period. The
thumb sucking habit was also stopped.If this bite was
not corrected in this patient as a child, the only solution
as an adult would be surgery.
Case Study Five -
Dr. S. Choubal

Female - Age 9 years
Class III malocclusion, ie: under development
of the upper jaw & a protruding lower jaw.
With funtional appliances, this patient's jaw relation
was changed so that the lower jaw no longer protruded.
She wore braces for approximatley one year to
straighten & align her teeth, & will wear retainers
to keep her teeth stable in their new position.In summation,
early treatment is essential. Children with malocclusion
due to habit (thumb sucking) should be treated as early
as age six. Children with any other malocclusion
(crowded teeth, rotated teeth, or blocked out teeth)
should be diagnosed and treated as early as age eight
and a half. These problems are the result of there
not being enough room in the arch. As the teeth
grow, they will move into any space available, whether
it be turned or tilted. At this age, they will have
mixed dentition, ie: a mixture of permanent &
baby teeth. While the child is still growing,
the dentist can manipulate the bone growth & direct
the permanent teeth in the proper direction for the
best result.
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