Dr Topolanski’s patients Before/After smiles

First case – Surgical orthodontics

Her problem: the anterior-posterior shift, the receding chin, the upper right canine too long, the incisors tilted too far forward.

Treatment plan: it was necessary to correct the arch shape: transverse expansion +++. And perfectly align the teeth.

Start of treatment: December 2016

Mandibular advancement surgery: October 2017

End of processing: January 2018

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Second case – Class 1 DDM

Her problem: narrow arches and overcrowding +++. The dental arches must be widened and the incisor inclinations (too retracted) and crowding corrected.

Treatment plan: transverse expansion, incisor buccal version and stripping (minimal reduction of the width of the teeth to save space)

Start of treatment: October 2017

End of treatment: November 2018

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Third case – Classe 1DDM with crossed articulated

Her problem: narrow arches and overcrowding +++. The dental arches must be widened and the incisor inclinations (too retracted) and crowding corrected.

Treatment plan: transverse expansion, alignment, stripping, centering the media

Start of treatment: July 2017

End of processing: July 2018

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Fourth case – [IN PROGRESS]

His problem: Class 2 div 1 treated by water extractions 14 and 24 when he was little

Treatment plan: Alignment, leveling, expansion, stripping

Duration: 6 months

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Fifth case – Class 2 div 1 DDM

Her problem: anterior open bite.

Treatment plan: closure of the open bite, center the media. Wearing rubber bands during most of the treatment.

Start of treatment: December 2016

End of treatment: December 2018

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Sixth case – Class 2 div 2 DDM

His problem: Misalignment of the mediums.

Treatment plan: alignment, leveling, expansion

Duration of treatment: 6 months

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Seventh case – Class 2 div 2 with supraclusion +++

Treatment plan: night wear only

Start of treatment: October 2017

End of treatment: September 2019

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