Gaps among front teeth

Aside from the dental malocclusion, patient had an underlying skeletal discrepancy with the lower jaw slightly retruded.

Options available were:

• Conventional full braces (fixed appliance, brackets on front surfaces) with elastics wear -- either metal brackets or ceramic brackets
• Lingual braces (brackets on inside surfaces of teeth, ie tongue side)
• Invisalign or similar serial-aligner style clear aligners
• Removeable orthodontic plate

Considering the time frame available, patient's lifestyle, finance etc, it was decided that we would simply correct the appearance of those upper front teeth with a removeable orthodontic plate, without addressing the underlying skeletal discrepancy. Should the patient feel the need to address that at a later stage of life, he would then look at the options available at that point.