Dr. Michelle F. Couto,
Certified Specialist in Orthodontics


22971 Dewdney Trunk Road, Suite 108
Maple Ridge, BC V2X 3K8
604-463-1125

E-mail: office@ridgemeadowsorthodontics.com

Common Treatments


Before

After
Crowding of the teeth
Patient started treatment at age eleven and wore braces for twenty-six months. He loves his new smile.
open bite before
Before
open bite after
After
Openbite: Front teeth don't touch
Patient sucked her thumb as a young child. She started treatment at age thirteen. She had braces and a special appliance called a crib to retrain the tongue, for twenty-eight months. Now she can bite the lettuce out of a sandwich.
deep overbite before
Before
deep overbite after
After
Deep overbite: Lower front teeth bite into palate
This adult patient (age twenty-five) required braces and jaw surgery to correct his severe overbite, with treatment taking two years. His problem could have been corrected without surgery if he had been treated before he was a teenager.
missing lateral incisors before
Before
missing lateral incisors after
After
Missing lateral incisors
This patient's lateral incisors were congenitally missing. She had braces for twenty months to move the teeth into the correct position, then the missing teeth were replaced with bonded "Maryland" bridges.
underbite before
Before
underbite after
After
Underbite: Lower front teeth in front of upper teeth.
Patient's underbite was causing her jaw joint discomfort and excessive wear patterns on her teeth. After thirty months of treatment starting at age thirty-two, she now finds smiling and chewing much easier.
spacing of teeth before
Before
spacing of teeth after
After
Spacing of teeth
Patient was bothered by the spaces between his teeth. Braces closed the spaces and gave him an ideal bite in twenty-four months. Special glued-in retainers help keep the spaces closed.
overbite before
Before
overbite after
After
Overbite: Protruding front teeth
At age ten, patient had a big overbite with the top teeth protruding beyond the bottom. She had two phases of treatment. The first helped her jaws to grow more harmoniously; the second aligned her teeth and bite. At age thirteen, she was proudly displaying her new smile.
non braces treatment before
Before
non braces treatment after
After
Non-braces treatment
Sometimes braces are not needed to get noticeable improvements in tooth alignment. This patient was first seen at age seven for crowding of the lower permanent teeth. A procedure was performed to reduce the width of the adjacent baby teeth and the permanent incisors aligned on their own in nine months.
phase 1 before
Before
phase 1 after
After
Phase I
Patient's parents were concerned about both aesthetics and the health of the erupting permanent teeth when they brought him to the orthodontist at age eight. The lower front teeth were crowded and they touched the palate, and the upper front teeth were extremely displaced from their normal positions. After twenty months of Phase I treatment with an expander and partial braces, patient's appearance and dental function was vastly improved.
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