The patient presented to the office at the age of 9 having been sent by her pediatric dentist due to a mandibular incisor erupting ectopically.
The total treatment time for the interceptive treatment was 7 months and the picture below shows the lower incisors in better position.
We then proceeded to place full braces on both arches. After aligning and leveling each arch, the remaining extraction space needed to be closed. The patient did a great job wearing rubber bands for us and otherwise did not need any other kinds of appliances. The pictures below show the nice finish with excellent alignment, great esthetics and all teeth positioned well within their bony housing for long-term good periodontal health.
The total treatment time for phase II or her comprehensive treatment was 20 months, which is pretty typical for extraction cases. If you look carefully, you can see that we are missing all of the first pre-molars, but no one would ever be able to tell. Many people you know may have been effectively treated with extractions by their orthodontist. As I stated earlier, we only extract when we absolutely have to (about 10% of cases in my practice), but extraction cases can work out very nicely when the proper diagnosis and treatment plan is followed.