Initial situation
- Mild crowding
- Misalignment of the lower incisors
- Deep bite
The decision
Treatment was carried out with the Damon braces system over a total duration of 18 months to correct the crowding, lower incisor misalignment, and deep bite.
A neat, harmonious result after 18 months of treatment remained stable even after 3 years of retention.
The result
The final result was neat and harmonious. After 3 years of retention, the outcome remains excellent and stable.
Deep bite and crowding correction with a fixed appliance system can produce results that remain stable years into retention when the retention protocol is followed.
About skeletal expansion & MARPE
Mild crowding paired with a deep bite is a common presentation, but the two findings interact: incisor misalignment can mask or worsen bite depth, and correcting one without the other risks relapse. In cases like this, clinicians typically plan alignment and bite opening together rather than sequentially, then rely on a structured retention protocol to hold the result. Long-term stability checks, well beyond the end of active treatment, remain the clearest measure of whether that planning succeeded.
Questions clinicians ask
What was the initial presentation in this case?
The patient had mild crowding, misalignment of the lower incisors, and a deep bite.
How was the case treated?
The Damon braces system was used over a total treatment time of 18 months.
How stable was the result?
The result remained excellent and stable even after 3 years of retention.
Learn the decision-making behind cases like this
Get Dr. Mark Radzhabov's free guide to skeletal-expansion appliances — which appliance to choose at which age — plus a free introductory MARPE lesson.
Get the Free Guide →More clinical cases
Original case shared by Dr. Mark Radzhabov on Instagram @orthodont_mark · Published for professional education.
