Emad Deen Orthodontics Specialist Orthodontist · Malta
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Transformation Cases · Case 06 · Fixed braces

Moderate crowding

Overlapping teeth guided into alignment with fixed braces, improving the bite and how easy the teeth are to clean.

Moderate crowding with overlapping upper and lower teeth before treatment Aligned upper and lower arches after fixed appliance treatment Before After

The record

Concern
Moderate crowding, difficult hygiene access, raised decay risk
Appliance
Upper and lower fixed braces
Duration
Around 18–24 months, depending on tooth movement and compliance
Outcome
Aligned arches, easier cleaning, improved bite

Drag the register line to compare. Both frames are held at the same crop and scale, so the only thing that changes is the teeth.

What the treatment involved

This patient presented with moderate dental crowding — teeth overlapping because there is not enough space in the jaw to accommodate them all in line.

Crowding is not only a matter of appearance. Overlapping teeth are harder to clean properly, and the surfaces a brush cannot reach are where decay and gum problems begin. Treating crowding is as much a hygiene intervention as a cosmetic one.

Fixed braces were used to gently guide the teeth into proper alignment. Brackets and wires were adjusted progressively to create space and improve the bite, which took around 18 to 24 months — the range depends on how the teeth respond and on how well appliances and elastics are worn.

The result is a properly aligned arch, noticeably better access for cleaning, and a bite that works.

B.D.S. 2010FDS Glasgow 2012M.Orth. R.C.S. EdinburghM.Orth. R.C.P.S. GlasgowM.Sc. OrthodonticsF.D.S. R.C.S. Edinburgh 2020Ph.D. 2022M.Sc. Lingual Orthodontics 2025M.Sc. Aligner Orthodontics 2025M.Sc. Orofacial Pain and TMD 2026Lecturer in Orthodontics University of Malta9 peer-reviewed papersFive stars on Google
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