Initial situation
- Mild crowding
- Irregular lower incisors
- Deep bite
The decision
The Damon bracket system was used for treatment, with a total treatment time of 18 months to correct the crowding, irregular lower incisors, and deep bite.
A stable result maintained through 6 years of retention is a clear indicator of high-quality orthodontic treatment.
The result
The final result is neat and harmonious. The patient has been in retention for 6 years, and the outcome remains stable, with the patient still satisfied with her smile.
Long-term retention monitoring, not just the immediate post-treatment result, is what demonstrates the true stability of crowding and deep bite correction.
About skeletal expansion & MARPE
Crowding and deep bite often present together, and the durability of their correction depends heavily on what happens after active treatment ends. In cases like this, clinicians typically plan retention as part of the treatment itself rather than an afterthought, anticipating how incisor position and bite depth may drift over time. Multi-year follow-up, well beyond the typical one- or two-year check, offers the clearest picture of whether the original correction and retention plan were successful.
Questions clinicians ask
What was the initial presentation in this case?
The patient presented with mild crowding, irregular lower incisors, and a deep bite.
What treatment was used and how long did it take?
The Damon bracket system was used, with total treatment time of 18 months.
How long has the result remained stable?
The patient has been in retention for 6 years, and the result remains stable with continued patient satisfaction.
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Original case shared by Dr. Mark Radzhabov on Instagram @orthodont_mark · Published for professional education.
