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Treatment Gallery

Since my graduation in 1993 I have treated a wide variety of orthodontic patients. In this gallery I displayed a selection of patients that I have treated orthodontically. These patients presented with a wide range of malocclusions and were treated using fixed appliances (braces) combined with various methods like expansion, extraction, headgear, surgical exposure of impacted teeth, temporary anchorage devices and orthognathic (jaw) surgery.


Case 1

Crowding of upper and lower front teeth, proclined upper and lower front teeth.

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before treatment
after treatment

Case 2

Adult young lady with a lower jaw that was positioned too far back in combination with moderate upper and mild lower crowding and too much vertical overlap of upper and lower front teeth (deep bite). Treatment was done through a combination of upper and lower braces and surgery to move the lower jaw forward.

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before treatment
after treatment

Case 3

Deep bite (too much vertical overlap of upper and lower front teeth), upper first molars rotated forwards and mild upper and lower crowding.

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before treatment
after treatment

Case 4

Severe upper- and moderate lower crowding.

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before treatment
after treatment

Case 5

Moderate upper- and mild lower crowding with 180 degree rotation of the upper right second premolar and deep bite.

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before treatment
after treatment

Case 6

Upper and lower crowding with a deep bite.

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before treatment
after treatment

Case 7

Severe upper and lower crowding with a deep bite (too much vertical overlap of upper and lower front teeth).

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before treatment
after treatment

Case 8

Moderate upper and lower crowding.

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before treatment
after treatment

Case 9

Moderate upper and lower crowding with a deep bite (too much vertical overlap of upper and lower front teeth).

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before treatment
after treatment

Case 10

Proclined upper incisors with lower anterior crowding and a deep bite (too much vertical overlap of upper and lower front teeth).

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before treatment
after treatment

Case 11

Teeth in the upper jaw were too far forward with mild upper and lower crowding and a deep bite (too much vertical overlap of upper and lower front teeth).

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before treatment
after treatment

Case 12

Severe upper arch crowding in combination with 2 missing premolars in the lower arch. The teeth in the right side of the lower jaw were too far forward.

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before treatment
after treatment

Case 13

Moderate to severe crowding in the lower jaw and too much vertical overlap of the front teeth (Class I with lower crowding and deep bite).

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before treatment
after treatment

Case 14

Crowding in her upper jaw and too much vertical overlap of her front teeth (Class I with upper arch crowding and increased vertical overbite).

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before treatment
after treatment

Case 15

Moderate crowding in her upper jaw, too much vertical overlap of her upper front teeth and her lower front teeth and the teeth of her upper jaw were too far forward compared to her lower jaw (Class II crowding, deep bite).

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before treatment
after treatment

Case 16

Adolescent female presenting with hardly any contact between her upper and lower teeth. When she would bite down only her last back teeth touched and she had a minimal overlap of her front teeth, making it almost impossible to chew. Her upper jaw was too narrow compared to her lower jaw and there was severe crowding in her upper jaw, leaving no space for her upper canines. Fortunately treatment was successful and accomplished by orthodontics alone without surgery and removal of teeth (Class I bilateral open bite, minimal anterior overbite, maxillary crowding with impacted 13 and 23, bilateral buccal crossbite).

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before treatment
after treatment

Case 17

Crowding in the upper and lower jaw (Class I with crowding).

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before treatment
after treatment

Case 18

Crowding in the upper and lower jaws and quite a lot of irregularity in the upper jaw (Class I with crowding).

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before treatment
after treatment

Case 19

Teeth in his upper jaw too far forward compared to his lower jaw and too much vertical overlap of his upper and lower front teeth. He could not close his lips without significant lip strain (Class II, large overjet and deep bite).

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before treatment
after treatment

Case 20

Moderate to severe crowding in his upper jaw, blocking out his upper left canine, mild crowding in his lower jaw and a midline shift to the left of his upper front teeth (Class II crowding, deep bite, midline deviation).

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before treatment
after treatment

Case 21

Moderate to severe crowding in his upper jaw and mild to moderate crowding in his lower jaw. The teeth in his upper jaw were too far forward compared to his lower jaw (Class II crowding, deep bite).

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before treatment
after treatment

Case 22

Asymmetric bite, in which the teeth on the lower right side were too far forward compared to the upper right side. This caused the midline of the upper front teeth to be to the right the midline of the lower front teeth. The upper front teeth were not properly aligned and had spaces between them (Unilateral Class III with midline deviation).

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before treatment
after treatment

Case 23

Missing upper right lateral front tooth, a narrow upper left lateral front tooth, teeth in het upper jaw being too far forward compared to her lower jaw, too much vertical overlap of upper and lower front teeth and a shift of the upper midline to the right (Class II, agenesis of 12, deep bite, midline deviation).

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before treatment
after treatment

Case 24

Crowding in the upper jaw, where the upper central front teeth were tipped backwards and the lateral front teeth flared forward. The central front teeth overlapped the lower front teeth too much (Class II div 2).

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before treatment
after treatment

Case 25

Impacted upper right canine that is positioned behind the upper incisor roots (see X ray image), a blocked out upper left canine, back teeth on the right side not fitting well. The upper front teeth overlapped the lower front teeth too much, there was crowding of the upper front teeth, but spacing between the central front teeth as well as in the lower front teeth (Unilateral Class II with impacted 13 and blocked out 23).

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before treatment
after treatment

Case 26

Impacted upper right canine that is positioned behind the upper incisor roots (see X ray image). The upper front teeth overlapped the lower front teeth too much and the midlines of the front teeth were not aligned (Class I with palatal impaction of 13).

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before treatment
after treatment

Case 27

Mild to moderate crowding combined with protrusion of his front teeth, making it difficult to close his lips without strain (Class I bimaxillary protrusion).

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before treatment
after treatment

Case 28

Crossbite of her upper left canine and moderate crowding in her upper jaw and mild crowding in her lower jaw (Class I with mild to moderate crowding and crossbite of 23).

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before treatment
after treatment

Case 29

Crowding in upper and lower jaw and too much vertical overlap of his front teeth (Class I with crowding and deep bite).

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before treatment
after treatment

Case 30

Narrow upper jaw, causing a crossbite on his left side and a shift of his lower jaw, combined with mild crowding in his upper and lower jaw and too much vertical overlap of his front teeth (Unilateral buccal crossbite with mandibular shift, mild crowding and increase vertical overbite).

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before treatment
after treatment

Case 31

Severe crowding in upper and lower jaw and too much vertical overlap of his front teeth (Class I with severe crowding and deep bite).

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before treatment
after treatment

Case 32

No vertical overlap and contact of the front teeth and some of the back teeth. She had crowding of the upper front teeth of which one was severely rotated and her lower right first molar had been removed years ago (Class I open bite, missing 46, maxillary crowding, mandibular spacing).

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before treatment
after treatment

Case 33

Adult male presenting with a lower jaw that was positioned too far backward compared to his upper jaw and severe crowding in his lower jaw. To correct this situation a combination of orthodontics and surgery of the lower jaw was needed. Because the discrepancy between upper and lower jaw was very large, a regular lower jaw advancement surgery (sagittal split osteotomy) was not possible. The lower jaw was advanced 18 mm through a surgical process called distraction osteogenesis, through which the lower jaw was advanced 0,75 mm per day (Class II severe retrognathia with mandibular crowding).

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before treatment
after treatment

Case 34

Crossbite of the upper canines and too much vertical overlap of the front teeth (Class I adolescent male with crossbite of 13 and 23 and deep bite).

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before treatment
after treatment

Case 35

Too much overlap of her front teeth, back teeth on her left side not fitting well and the midline of the upper front teeth shifted to her right side (Unilateral Class II with deep bite and mild to moderate crowding).

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before treatment
after treatment

Case 36

Adolescent (almost adult) female presenting with a lower jaw that was positioned too far backward compared to her upper jaw and moderate to severe crowding in her upper and lower jaw. She could not close her lips without significant lip strain. In order to create a balanced profile a combination of orthodontic treatment with surgery to advance her lower jaw was needed (sagittal split osteotomy) (Class II retrognathia with crowding).

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before treatment
after treatment

Case 37

Moderate to severe crowding in her upper jaw, mild crowding in her lower jaw. The teeth in her upper jaw were too far forward compared to her lower jaw. Her upper front teeth overlapped her lower front teeth too much. She had a midline shift of her upper front teeth to her left (Class II crowding, deep bite, midline deviation).

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before treatment
after treatment

Case 38

Lower jaw was positioned too far backward compared to her upper jaw and mild to moderate crowding in her upper and lower jaw. Her front teeth in upper and lower jaw were flared outward too far, making lip closure difficult. In order to fit her teeth and jaws properly orthodontics and surgical advancement of her lower jaw was needed (sagittal split osteotomy) after completion of her jaw growth (Class II retrognathia with deep bite and crowding).

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before treatment
after treatment

Case 39

Adult female presenting with crowded teeth in the upper and especially in the lower jaw. She also had difficulty closing her lips without straining her lower lip (Class I adult with crowding).

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before treatment
after treatment

Case 40

Crowding in her upper and lower jaw, too much overlap of her front teeth, back teeth on the right side not fitting well and the midline of her upper front teeth shifted to her left side (Unilateral Class II with maxillary and mandibular crowding, deep bite and midline deviation).

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before treatment
after treatment

Case 41

Lower jaw was positioned too far backward compared to his upper jaw and too much vertical overlap of his front teeth. To create a balanced profile a combination of orthodontics and surgical advancement of his lower jaw was needed (sagittal split osteotomy). Treatment was initiated towards the end of his growth (Class II retrognathia with deep bite).

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before treatment
after treatment

Case 42

Too much incisor overlap, a crossbite of his upper right canine and his back teeth on the right side not fitting well causing a midline shift of his upper front teeth to the right (Unilateral Class II deep bite and crowding).

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before treatment
after treatment

Case 43

Teeth in het upper jaw were too far forward compared to the lower jaw, crowding in the upper jaw, upper front teeth overlapping the lower front teeth too much and the midline of the upper front teeth shifted to the right (Class II crowding ,deep bite).

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before treatment
after treatment

Case 44

Teeth in het upper jaw were too far forward compared to her lower jaw, crowding in the upper jaw and a bit too much overlap of upper and lower front teeth (Class II crowding).

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before treatment
after treatment