Dental Case Analysis: Lower Teeth with Orthodontic Braces

Case Overview

The image shows the lower dental arch fitted with fixed orthodontic braces (metal brackets and archwire). Teeth are in active alignment phase, with visible crowding correction in progress.

Zoom 100% Visual Examination (Lower Arch)

Observed Findings

• Fixed metal brackets bonded on all lower anterior and posterior teeth

• Archwire in place with elastic ligatures

• Mild to moderate lower anterior crowding

• Teeth are currently being leveled and aligned

• No visible broken brackets or detached wires

• Gingival tissue appears mildly inflamed (common during early orthodontic treatment)

Diagnosis

Primary Diagnosis

• Malocclusion – Lower arch crowding

• Orthodontic treatment in active alignment stage

Secondary Considerations

• Plaque accumulation risk around brackets

• Mild gingival inflammation due to orthodontic appliances

Treatment Objective

• Align lower teeth into proper arch form

• Reduce crowding

• Improve bite stability and long-term oral hygiene access

Treatment Process to Execute

Step-by-Step

1. Continuous orthodontic force via archwire

2. Gradual tooth movement using brackets

3. Regular adjustments every 3–4 weeks

4. Strict oral hygiene maintenance (brushing + interdental cleaning)

Healing & Adjustment Time Frame

First 14 Days

• Tooth soreness or pressure (normal)

• Mild gum sensitivity

• Initial tooth movement begins

After 14 Days

• Pain usually subsides

• Teeth start adapting to new positions

• Inflammation reduces with proper cleaning

If Treatment Is Delayed or Poorly Maintained

Issues That May Scale Up

• Increased gum inflammation

• White spot lesions around brackets

• Slower tooth movement

• Risk of decalcification or cavities

• Extended overall treatment time

Professional Comments

• Orthodontic progress appears on track

• No emergency issues visible

• Patient must maintain excellent oral hygiene

• Regular follow-ups are critical for success

Recommendation

Visit the nearest dental or orthodontic clinic for:

• Adjustment checks

• Professional cleaning

• Gum health monitoring

Find a clinic near you:
https://cebudentalimplants.com/map-dental-clinic