Complex Aesthetics: Anterior Skeletal Class I/ III Open Bite
Examination, study models, photos and x-rays confirm the presence of general discolouration. There was also general canting of the tooth alignment and of the centreline. The smile line also canted to the left (lower). There is also canting of the midline and uneven gum line, where the premaxillary (upper front part of the jaw) segment has tipped upwards and maxilla normal growth downwards.
Because the patient tends to grind on the back teeth, this can result in possible propagating crack, hence the suggestion of a night guard once treatment is completed to protect the teeth and the new restorations.