Teeth alignment by metal brackets

The treatment of this clinical case was a quite difficult task because the patient had several serious problems, including:

• protruding lower jaw due to the peculiarities of the structure of the facial skeleton (excessive growth of the lower jaw, mesial occlusion)
• anterior open bite (lack of sufficient contact of the front teeth)
• cross-bite on the right, crowding of teeth
• additionally he had a noticeable facial asymmetry and displacement of the centerline.

Usually, in similar situations, it is necessary to perform an orthognathic surgery on jaws besides installation of a bracket system for treatment of the above-stated pathologies. Doctors in our clinic know techniques that in most cases allow avoiding such surgical interventions.

In this case, we managed to do without jaw surgery (orthognathic surgery). A positive result was achieved by using a standard metal bracket system when the patient constantly wears elastic rods (elastics).

The duration of treatment was 12 months. The patient was recommended to wear retainers for the next 3–5 years to completely stabilize the position of the teeth and to avoid recurrence (re-curvature of the dentition).