In some cases, improper jaw alignment is the problem. Orthodontics alone will not be sufficient for creating and maintaining a proper bite.

In this case, the patient required orthognathic surgery in order to advance (move forward) her lower jaw (mandible).
All models, x-rays and related diagnostic studies were performed and utilized to maximize the end result.

  • First step is orthodontic therapy to align the teeth in their proper position PRIOR to surgery.
  • Second, after the teeth have been place in proper alignment, final determinations for surgery are made.
  • Third, surgery is performed.
  • Fourth, minor orthodontics to make final adjustments.
Note how there is significant changes in facial profile post surgically. This change can be determined before treatment utilizing "soft tissue" projections.

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Stuart A. Greene, DDS-FAGD
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