Clinical Cases · Before & After

Orthodontic Clinical Cases by Dr. Mark Radzhabov

49 documented cases from everyday orthodontic practice: crowding, crossbite, transverse deficiency, aligner and bracket treatment, staged planning with and without extraction. Each case shows the initial situation, the clinical decision and the outcome — written for orthodontists and dentists.

Correcting Mesial Occlusion and Anterior Crossbite With MARPE

Correcting Mesial Occlusion and Anterior Crossbite With MARPE

MARPE combined with a facial mask corrected mesial occlusion and anterior crossbite by prioritizing skeletal movement for lasting stability.

MARPEFacial MaskClass III
Canine Space Recovery With Damon System and VectorTAS

Canine Space Recovery With Damon System and VectorTAS

Early primary tooth loss caused canine dystopia; over 3.5 mm of microimplant-anchored distalization restored space and a stable, 7-year result.

Canine DystopiaDamon SystemMicroimplant
Using Temporary Restorations to Guide Alignment and Bolton Index

Using Temporary Restorations to Guide Alignment and Bolton Index

Temporary restorations used during alignment addressed tooth shape, size, and Bolton index discrepancies, helping the patient visualize the outcome.

RestorationsBolton IndexCase Review
Correcting a Shifted Midline With Canine Space Recovery

Correcting a Shifted Midline With Canine Space Recovery

Early canine loss shifted the smile midline; recreating canine space with Invisalign restored arch symmetry and occlusal function.

Midline CorrectionAlignersCanine Space
Correcting Mild Crowding and Deep Bite With Damon Braces

Correcting Mild Crowding and Deep Bite With Damon Braces

Mild crowding, lower incisor misalignment, and deep bite were corrected with Damon braces in 18 months, stable after 3 years of retention.

Deep BiteCrowdingDamon System
Crowding and Deep Bite Correction With Six-Year Stability

Crowding and Deep Bite Correction With Six-Year Stability

Mild crowding, irregular lower incisors, and deep bite were corrected with the Damon system in 18 months, stable after 6 years of retention.

Deep BiteCrowdingDamon System
Class III Correction With Diastema Closure and Mini-Implant Anchorage

Class III Correction With Diastema Closure and Mini-Implant Anchorage

Skeletal Class III malocclusion with an edge-to-edge bite and diastemas was corrected using mini-implant-anchored distalization.

Class IIIDiastemaMini-Implant Anchorage
Two-Phase Treatment From Early Expansion to Damon Q Alignment

Two-Phase Treatment From Early Expansion to Damon Q Alignment

Early Haas expansion followed by Damon Q bracket treatment resolved lower arch crowding and canine space in a two-phase orthodontic case.

Two-Phase TreatmentHaas ApplianceDamon Q
Deciding Between Non-Extraction and Extraction in Severe Crowding

Deciding Between Non-Extraction and Extraction in Severe Crowding

Severe crowding was initially treated without extraction using the Damon system; excess protrusion later led to a planned switch to extraction.

CrowdingDamon SystemExtraction Decision
Severe Deep Bite and Crossbite Correction, Eight Years Later

Severe Deep Bite and Crossbite Correction, Eight Years Later

A severe deep bite, crowding, and second-molar crossbite were corrected non-extraction with the Damon system, stable after 8 years of retention.

Deep BiteCrossbiteDamon System
Skeletal Crossbite and Crowding Corrected at Peak Growth

Skeletal Crossbite and Crowding Corrected at Peak Growth

A growing patient with crossbite, skeletal narrowing, and crowding achieved a stable, harmonious result confirmed three years after treatment.

CrossbiteSkeletal NarrowingPediatric Orthodontics
Onplant-Anchored Facemask Protraction for Maxillary Deficiency

Onplant-Anchored Facemask Protraction for Maxillary Deficiency

Skeletal anchorage from onplants supported facemask therapy, enabling maxillary protraction with minimal dental side effects and a predictable outcome.

Facemask TherapySkeletal AnchorageOnplants
Canine Dystopia Corrected With the Damon System

Canine Dystopia Corrected With the Damon System

An ectopic canine linked to early primary tooth loss was corrected with the Damon system, producing a stable smile confirmed three years later.

Canine DystopiaDamon SystemPediatric Orthodontics
Class II Correction With Extraction and TAD Anchorage

Class II Correction With Extraction and TAD Anchorage

A teenage patient with Class II malocclusion, spacing, and anchorage loss achieved a wide, symmetric smile using extraction, Damon brackets, and a TAD.

Class II MalocclusionExtractionTAD
TAD-Assisted Intrusion for Smile Arc Symmetry

TAD-Assisted Intrusion for Smile Arc Symmetry

Dental crowding and an occlusal plane tilt were corrected using a TAD to intrude one segment, restoring a symmetric smile arc stable after years.

TADSmile ArcOcclusal Plane
Severe Crowding and Scissor Bite Resolved Without Extraction

Severe Crowding and Scissor Bite Resolved Without Extraction

Severe crowding and a scissor bite at the second molars were resolved with the Damon system and IPR, avoiding extraction over 26 months.

CrowdingScissor BiteIPR
Deep Bite and Incisor Protrusion Corrected With Extraction

Deep Bite and Incisor Protrusion Corrected With Extraction

A deep distal bite with incisor protrusion was corrected using premolar extraction and the Damon system, remaining stable five years later.

Deep BiteIncisor ProtrusionPremolar Extraction
Slow, Controlled Expansion With the Damon System

Slow, Controlled Expansion With the Damon System

A 20-month course of Damon bracket treatment used slow, controlled arch expansion, letting the wires do the work of aligning the arches.

Damon SystemArch ExpansionNon-Extraction
Skeletal Class III With Facial Asymmetry Resolved by Surgery

Skeletal Class III With Facial Asymmetry Resolved by Surgery

A skeletal Class III case with facial asymmetry and a shifted chin was treated with pre-surgical orthodontics and orthognathic surgery.

Skeletal Class IIIFacial AsymmetryOrthognathic Surgery
Damon System Alignment Achieved in Sixteen Months

Damon System Alignment Achieved in Sixteen Months

A 16-month Damon bracket treatment achieved well-aligned arches and a stable, aesthetic smile, efficiently and predictably.

Damon SystemEfficient TreatmentNon-Extraction
Canine Space Deficiency Resolved Without Extraction

Canine Space Deficiency Resolved Without Extraction

Crowding and a lack of space for the canines were corrected with the Damon system and IPR, remaining stable two years after treatment.

Canine Space DeficiencyIPRDamon System
Narrow Arches, Crowding, and Midline Correction with Braces

Narrow Arches, Crowding, and Midline Correction with Braces

Narrow upper and lower arches causing crowding, tilted teeth, and a displaced midline were corrected with fixed appliances in 12 months.

CrowdingMidline CorrectionDamon System
Agenesis Management with Space Planning for Prosthetic Restoration

Agenesis Management with Space Planning for Prosthetic Restoration

Congenital agenesis of two lower premolars was managed with the Damon Q system over 26 months to prepare sites for future prosthetic restoration.

AgenesisDamon SystemSpace Management
Narrow Maxilla and Severe Crowding Corrected with Arch Expansion

Narrow Maxilla and Severe Crowding Corrected with Arch Expansion

Severe upper arch crowding with a disrupted smile arc and narrow maxilla was corrected through expansion and alignment over 23 months.

CrowdingNarrow MaxillaSmile Arc
Crowding and Canine Infraposition Resolved into a Symmetric Smile

Crowding and Canine Infraposition Resolved into a Symmetric Smile

Dental crowding, canine infraposition, and midline and arch asymmetry were corrected to produce a wide, symmetric smile.

CrowdingCanine InfrapositionMidline Deviation
Crossbite and Narrow Maxilla Corrected with a Wide, Even Smile

Crossbite and Narrow Maxilla Corrected with a Wide, Even Smile

A posterior crossbite with a narrow upper jaw and bilateral crowding was corrected in just over 20 months to produce a wide, even smile.

CrossbiteNarrow MaxillaCrowding
Facial and Smile Transformation with Orthognathic Surgery

Facial and Smile Transformation with Orthognathic Surgery

A combined orthodontic and orthognathic surgery case produced a complete facial and smile transformation over about two years.

Orthognathic SurgerySurgical OrthodonticsFacial Transformation
Skeletal Class III Correction with Expansion in a Teenage Patient

Skeletal Class III Correction with Expansion in a Teenage Patient

A 16-year-old with skeletal Class III, crossbite, and crowding was treated with controlled expansion and elastics, stable at 5-year follow-up.

Skeletal Class IIICrossbiteCrowding
Severe Crowding and Edge-to-Edge Bite Corrected with Full Alignment

Severe Crowding and Edge-to-Edge Bite Corrected with Full Alignment

Severe crowding, a disrupted posterior occlusion, and an edge-to-edge anterior bite were corrected, changing the smile arc and facial shape.

CrowdingEdge-to-Edge BiteOcclusion
From Preventive Expansion at Age Six to Comprehensive Treatment

From Preventive Expansion at Age Six to Comprehensive Treatment

Early preventive expansion at age 6 followed by comprehensive Damon treatment at 13 corrected the bite and a bothersome canine in 16 months.

Preventive TreatmentTwo-Phase TreatmentDamon System
Midline and Smile Arc Restored Through Arch Expansion

Midline and Smile Arc Restored Through Arch Expansion

A mismatched midline, disrupted smile arc, and narrow, crowded arches were corrected through expansion and alignment in 22 months.

Midline CorrectionSmile ArcCrowding
Severe Crowding Corrected Through Jaw Widening and Canine Closure

Severe Crowding Corrected Through Jaw Widening and Canine Closure

Severe crowding was corrected by widening the jaws, repositioning the lower jaw, and restoring proper canine closure.

CrowdingJaw WideningCanine Correction
Distal Bite and Crowding Corrected with Canine Position Considered

Distal Bite and Crowding Corrected with Canine Position Considered

A distal bite with a retruded lower jaw and crowded teeth was corrected in 25 months, with the patient's canine preference addressed.

Distal BiteCrowdingCanine Position
Crowding and Canine Supraposition Corrected to a Symmetrical Smile

Crowding and Canine Supraposition Corrected to a Symmetrical Smile

A crowded, asymmetric smile with canine supraposition treated over three years to a wide, symmetrical result.

CrowdingCanine SuprapositionCenterline Displacement
Correcting Narrow Arches, Crowding, and Crossbite With Aligners

Correcting Narrow Arches, Crowding, and Crossbite With Aligners

Treatment addressed narrow dental arches, canine supraposition, midline shift, and partial crossbite, achieving an even, symmetrical smile with aligners.

CrossbiteCrowdingAligners
Crowding and Cheek Corridors Resolved for a Symmetrical Smile

Crowding and Cheek Corridors Resolved for a Symmetrical Smile

A case of crowding, dental misalignment, and dark cheek corridors treated to a wide, open, symmetrical smile.

CrowdingCheek CorridorsSmile Symmetry
Maxillary Narrowing and Canine Supraposition Corrected

Maxillary Narrowing and Canine Supraposition Corrected

A narrow maxilla and mandible with canine supraposition, midline shift, and open bite treated to an even, symmetrical smile.

Maxillary NarrowingCanine SuprapositionOpen Bite
Pediatric Skeletal Expansion with MARPE and TAD-Supported Anchorage

Pediatric Skeletal Expansion with MARPE and TAD-Supported Anchorage

A 9-year-old with skeletal narrowing and ENT pathology treated with MARPE and TAD-supported anchorage, followed by bracket therapy.

MARPETADSkeletal Expansion
Jaw Base Narrowing and Partial Crossbite Corrected to Symmetry

Jaw Base Narrowing and Partial Crossbite Corrected to Symmetry

Upper and lower jaw base narrowing with canine supraposition, midline shift, and partial crossbite treated to a smooth, symmetrical smile.

Jaw NarrowingCrossbiteCanine Supraposition
Skeletal Narrowing and Crowding Treated with MARPE and Damon Brackets

Skeletal Narrowing and Crowding Treated with MARPE and Damon Brackets

Skeletal narrowing of the upper jaw with crowding and hygiene issues treated using MARPE and the Damon Q2 bracket system.

MARPEDamon SystemSkeletal Narrowing
Correcting Severe Space Deficit With MARPE and Molar Distalization

Correcting Severe Space Deficit With MARPE and Molar Distalization

A severe space deficit and skeletal maxillary narrowing were addressed with MARPE-assisted molar distalization, avoiding extraction.

MARPEMolar DistalizationNon-Extraction
Correcting Mesial Bite With MARPE and Face Mask Therapy

Correcting Mesial Bite With MARPE and Face Mask Therapy

MARPE and Face Mask therapy addressed a mesial bite with reverse anterior overlap, achieving maximum skeletal effect during growth.

MARPEFace MaskMesial Bite
Correcting Open Bite and Jaw Narrowing for a Symmetrical Smile

Correcting Open Bite and Jaw Narrowing for a Symmetrical Smile

An open bite with jaw narrowing, crowding, and a reverse smile arc was corrected to achieve a wide, open, symmetrical smile.

Open BiteCrowdingArch Narrowing
Resolving Severe Crowding and Midline Shift With Braces

Resolving Severe Crowding and Midline Shift With Braces

Severe crowding from narrow jaws, rotated teeth, and a shifted midline was corrected with braces in collaboration with a partner clinic.

CrowdingMidline CorrectionBraces
Correcting Deep Bite, Cheek Corridors, and Smile Asymmetry

Correcting Deep Bite, Cheek Corridors, and Smile Asymmetry

A deep bite with narrow arches, gummy smile, and cheek corridors was corrected to a normal bite with a wide, symmetrical smile.

Deep BiteCheek CorridorsGummy Smile
Correcting Narrow Arches and Inward Lateral Incisors

Correcting Narrow Arches and Inward Lateral Incisors

Narrow jaws with inward lateral incisors, arch asymmetry, and a misaligned midline were corrected to a wide, symmetrical smile.

Arch NarrowingLateral IncisorsMidline Correction
Correcting Narrow Arches, Asymmetry, and Midline Shift

Correcting Narrow Arches, Asymmetry, and Midline Shift

Narrow jaws with misaligned lateral incisors, arch asymmetry, and a shifted midline were corrected to a wide, symmetrical smile.

Arch NarrowingArch AsymmetryMidline Correction
Correcting Crowding and Canine Overlap Without Veneers

Correcting Crowding and Canine Overlap Without Veneers

Narrow jaw bases, canine overlap, crowding, and midline misalignment were corrected, achieving a straight smile without needing veneers.

CrowdingCanine OverlapMidline Correction
Narrow Arches With Anterior Open Bite and Occlusal Wear

Narrow Arches With Anterior Open Bite and Occlusal Wear

Severe crowding, an anterior open bite, and posterior occlusal wear from narrow arches were resolved with staged orthodontic treatment.

CrowdingOpen BiteOcclusal Wear

More before & after results

Additional outcomes from Dr. Radzhabov's practice — mostly MARPE skeletal expansion in adolescents and adults — shared as photo documentation without a full written breakdown.

Why we publish cases

Orthodontic decision-making is learned from outcomes, not from theory alone. These cases are shared for professional education: how the transverse dimension, crowding and skeletal maturity shape the plan, when expansion is enough and when it is not, and why a staged, transparent agreement with the patient produces stable results. For skeletally mature patients with true maxillary constriction, MARPE (miniscrew-assisted rapid palatal expansion) is the subject of Dr. Radzhabov's fundamental course.

Learn the full MARPE protocol

Get the free guide to skeletal-expansion appliances — which appliance to choose at which age — plus a free introductory lesson from the course.

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