Common Orthodontic Issues

Crowding of the teeth

crowding of the teeth beforeBefore
crowding of the teeth afterAfter

This boy started treatment at age 11 and wore braces for 26 months. He loves his new smile.


Open bite: front teeth don’t touch

open bite beforeBefore
open bite afterAfter

This girl sucked her thumb as a young child. She started treatment at age 13. She had braces and a special appliance — called a crib — to retrain the tongue, for 28 months. Now she can bite the lettuce out of a sandwich.


Deep overbite: lower front teeth bite into palate

deep overbite beforeBefore
deep overbite afterAfter

This adult patient, age 25, required braces and jaw surgery to correct his severe overbite. Treatment lasted two years. His problem could have been corrected without surgery if he had been treated before he was a teenager.


Missing lateral incisors

missing lateral incisors beforeBefore
missing lateral incisors afterAfter

This woman’s lateral incisors were missing since birth. She had braces for 20 months to move the teeth into their correct positions, then the missing teeth were replaced with bonded “Maryland” bridges.


Underbite: lower front teeth in front of upper teeth

underbite beforeBefore
underbite afterAfter

This woman’s underbite was causing her jaw joint discomfort and excessive wear patterns on her teeth. After about 30 months of treatment starting at age 32, she now finds smiling and chewing much easier.


Spacing of teeth

spacing of teeth beforeBefore
spacing of teeth afterAfter

This patient was bothered by the spaces between his teeth. Braces closed the spaces and gave him an ideal bite in 24 months. Special glued-in retainers help keep the spaces closed.


Overjet: protruding front teeth

overjet beforeBefore
overjet afterAfter

At age ten, this girl had a big overjet with the top teeth protruding beyond the bottom. She had two phases of treatment. The first helped her jaws to grow more harmoniously and the second aligned her teeth and bite. At age 13, she was proudly displaying her new smile.


Non-braces treatment

non braces treatment beforeBefore
non braces treatment afterAfter

Sometimes braces are not needed to get noticeable improvements in tooth alignment. This patient was first seen at age seven for crowding of the lower permanent teeth. A procedure was performed to reduce the width of the adjacent baby teeth and the permanent incisors aligned on their own in nine months.


Phase-One

phase 1 beforeBefore
phase 1 afterAfter

This boy’s parents were concerned about both aesthetics and the health of the erupting permanent teeth when they brought him to the orthodontist at age eight. The lower front teeth were crowded and touching the palate, and the upper front teeth were extremely displaced from their normal positions. After 12 months of Phase-One treatment with an expander and partial braces, the patient’s appearance and dental function were vastly improved.

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from Troy
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from Clawson
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from Pleasant Ridge
We are very happy with the work you are doing with our kids
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from Pleasant Ridge
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from Oak park
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from Royal Oak
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from Clawson
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from Royal Oak
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from Royal Oak
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from warren
My daughter feels very comfortable when she goes for her appointments
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from Royal Oak
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from Grosse Pointe Farms
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from Troy
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from Oak park
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from Warren
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from Clawson
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from Berkley
Happy with the care our child receives with his braces
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from Center Line
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from Northville
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from White Lake
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from Ferndale
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from Madison Heights
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from Troy
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from Troy
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from Royal Oak
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from Royal oak
They have been great in setting our expectations for what needed to be done with my daughter and how long it might take. Even though it took longer than expected, I truly appreciated their patience in wanting to get it right and not just getting it done. A plus service from all staff and convenient times.
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from Royal Oak
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from Fraser
Everyone is so caring and friendly. Dr. Bruno takes time to ensure you understand the process. We probably could have found an orthodontist closer to our home but have found that working with Dr. Bruno and his team is well worth the drive for us! Thank you.
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from Madison Heights
We have been very pleased with our daughters treatment so far. Very friendly doctor and staff.
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from ROYAL OAK, MI
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