Functional Orthodontics (Adults & Adolescents)

From 11 to 99 years old.

Examples of functional orthodontic treatments completed without surgery and without premolar extractions. Correction of all classes of dental misalignments and occlusal dysfunctions.

Severe skeletal and dental Class III

Symptoms and history

Symptoms and history

Teeth abrasions, discomfort around the frontal teeth area, aesthetic complaints. Over the course of the last 5 years, the patient had been systematically advised by specialists to undergo an orthognathic surgery.

Diagnosis

Diagnosis

Skeletal and dental Class III, bilateral posterior and anterior crossbite, mandible deviation to the right, multiple enamel abfractions and gum recessions due to occlusal trauma.

Treatment

Treatment

Functional diagnostic, functional orthodontics with fixed appliances (multi-loop edgewise archwire [MEAW] and brackets), occlusal restorations. Full treatment completed in 18 months.

Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery

Before and after functional orthodontic treatment, without orthognathic surgery

Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery
Before and after functional orthodontic treatment, without orthognathic surgery

Before and after functional orthodontic treatment, without orthognathic surgery

Before and after, no lip asymmetry, better head and neck posture
Before and after, no lip asymmetry, better head and neck posture

Before and after, no lip asymmetry, better head and neck posture

Results

Results

Harmonisation of the occlusal scheme, unloading of the TMJs, better aesthetics - wider upper dental arch, no “black corridors”, brighter smile, better phonetics, enhanced profile. 

Skeletal and dental Class II

Symptoms

Symptoms

Muscle tension, cervical pain, frequent headaches, compromised aesthetics.

Diagnosis

Diagnosis

Skeletal and dental Class II, crowding and headaches attributed to a retruded mandible and TMJs compression.

Treatment

Treatment

Functional diagnostic, functional orthodontics with fixed appliances (multi-loop edgewise arch wires [MEAW] and brackets), occlusal restorations. Full treatment completed in 16 months.

Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction

Before and after functional orthodontic treatment, without premolar extraction

Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction

Before and after functional orthodontic treatment, without premolar extraction

Mandible lateral displacement (MLD) & crossbite

Symptoms

Symptoms

Severe neck and shoulder pain and stiffness on the left side, discomfort from teeth abrasions and fractures.

Diagnosis

Diagnosis

Mandible lateral displacement to the left, anterior crossbite, traumatic occlusion with multiple abrasions and teeth fractures, missing molar, interdental spaces, due to the decreased vertical dimension of the bite, and reduced space for the tongue. Severe TMJ compression on the left. Functional restriction of the second cervical vertebrae (C2).

Treatment

Treatment

Functional diagnostic, functional orthodontics with fixed appliance (multi-loop edgewise archwires [MEAW] and brackets), occlusal restorations. Full treatment completed in 14 months.

Before
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction
Before and after functional orthodontic treatment, without premolar extraction

Before

Functional treatment with hand-made multi-loop edgewise archwires (MEAWs)
Functional treatment with hand-made multi-loop edgewise archwires (MEAWs)
Functional treatment with hand-made multi-loop edgewise archwires (MEAWs)

Functional treatment with hand-made multi-loop edgewise archwires (MEAWs)

After the treatment, centered and stabilised lower jaw, no symptoms in the neck.
After the treatment, centered and stabilised lower jaw, no symptoms in the neck.
After the treatment, centered and stabilised lower jaw, no symptoms in the neck.

After the treatment, centered and stabilised lower jaw, no symptoms in the neck

Harmonised occlusion and aesthetic restorations. No surgery
Harmonised occlusion and aesthetic restorations. No surgery
Harmonised occlusion and aesthetic restorations. No surgery
Harmonised occlusion and aesthetic restorations. No surgery

Harmonised occlusion and aesthetic restorations. No surgery

Harmonised occlusion and aesthetic restorations. No surgery

Crossbite with crowding

Symptoms

Symptoms

Speech and phonetic difficulties, uncomfortable chewing with digestive problems, closed and  introverted personality.

Diagnosis

Diagnosis

Unilateral posterior and anterior crossbite, lateral openbite.

Treatment

Treatment

Functional diagnostic, functional orthodontics with fixed appliance (multi-loop edgewise archwires [MEAW] and brackets). Full treatment completed in 20 months.

Before and after
Before and after
Before and after
Before and after

Before and after

Before and after
Before and after
Before and after
Before and after
Before and after
Before and after

Before and after

Results

Results

The upper jaw physiologically overlaps the lower one, allowing for a clear speech and phonetics. The lower jaw is centered with an unloading of the TMJs and a better mastication thanks to a harmonised occlusion. Improved aesthetics, positive changes in character with a greater self-confidence and communicative abilities. 

Positive character changes with a greater self-confidence. Evened smile, re-balanced facial and cranial symmetry
Positive character changes with a greater self-confidence. Evened smile, re-balanced facial and cranial symmetry

Positive character changes with a greater self-confidence. Evened smile, re-balanced facial and cranial symmetry