Problem: Open bite mainly dental in origin with peg shaped upper lateral incisors.  

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Solution:   Fixed expansion to begin followed by braces and mechanics to prevent posterior tooth eruption.  

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Notes: Initial problem was caused by a thumb habit. The small upper lateral incisors will be built up by the dentist. 

Patient 1

Problem: Marked open bite and top teeth forward.

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Solution: Monitored the patient for a number of years and then initiated treatment, extracted upper second pre molars and aligned teeth, improving the bite.

Patient 2