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After
Single Tooth Whitening and Orthodontic Correction in Thailand – Case Study
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BIDH Dental Hospital Bangkok
Before
The patient presented with irregular dentition, protrusive upper front teeth, mild dental crowding, and Class II Division 1 malocclusion, which affected appearance, occlusion, chewing function, and long-term oral health.
After
After standardized orthodontic treatment, the anterior protrusion was significantly improved. The dentition became well-aligned, occlusion was normalized, facial aesthetics were enhanced, and both masticatory function and long-term oral health benefited.
I. Initial Examination and DiagnosisChief complaint: Irregular dentition with protrusive front teeth, affecting appearance and occlusion.Findings:Protrusion of the upper anterior teeth with mild denta
My teeth are beautifully aligned, my bite feels perfect, and I finally love my smile!
I. Initial Examination and DiagnosisChief complaint: Irregular dentition with protrusive front teeth, affecting appearance and occlusion.Findings:Protrusion of the upper anterior teeth with mild dental crowding;Lower arch crowding with Class II malocclusion;No obvious periodontal disease or history of dental caries.Based on panoramic radiographs, cephalometric analysis, and intraoral examination, the diagnosis was Class II Division 1 malocclusion.II. Treatment PlanAccording to the patient’s condition, the following plan was designed:Fixed appliance therapy (metal self-ligating brackets), with an estimated treatment duration of 20–24 months;Extraction of the upper first premolars to provide sufficient space for alignment and retraction;Placement of mini-screws for anchorage control to prevent relapse of anterior protrusion;Post-treatment retention with retainers to maintain long-term stability.III. Treatment ProceduresExtraction phase: Extraction of upper first premolars performed safely, followed by healing of the alveolar bone;Bonding of brackets: Placement of self-ligating brackets on both arches, with progressive archwire changes;Tooth movement and alignment: Application of light continuous force to align teeth and close extraction spaces;Occlusal adjustment: Use of intermaxillary elastics to improve interarch relationship;Finishing and retention: Final detailing of occlusion, removal of appliances, and delivery of retainers.IV. Instructions and PrecautionsOral hygiene: Maintain meticulous brushing and interdental cleaning during treatment to prevent caries and gingivitis;Dietary advice: Avoid hard and sticky foods to prevent damage to brackets;Regular follow-ups: Visit every 4–6 weeks for adjustments according to tooth movement;Retention phase: Wear retainers for at least 1–2 years after treatment to prevent relapse.V. Expected OutcomeWith standardized orthodontic treatment, significant improvement in anterior protrusion is expected. The dentition will become well-aligned, occlusion will be normalized, facial aesthetics will be enhanced, and both masticatory function and long-term oral health will benefit.
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