Introduction by Dr. Afzali
Last year, this lovely lady came to my office. She had given up on the idea of having a beautiful smile as she was told by every dentist that she had consulted with, that surgery is the only solution to her skeletal disharmony of her upper jaw. Once I examined her, I found the she had a V shape palate with both vertical and horizontal bone deficiencies, resulting in her upper jaw protruding significantly (a 16 millimeter over-jet). This means that her upper teeth were 16 mm in front of her lower teeth and she had a large open gap between her upper and lower teeth.
The despair in her eyes hit me hard as she repeated, “I’ve been told no one can fix my teeth and I can’t have orthodontic work, because I’m a tongue-thruster. They said, surgery is the only solution, but I don’t want to have surgery.” I gave her a warm smile, and told her, “I’d love to help you AND I can help you.” I started her Orthodontic treatment in September and completed it in April the next year, with amazing results.
Case Notes
- Horizontal & vertical open bite
- Front teeth not functioning
- Stiffness in the neck
- Horizontal discrepancy
- 16 mm over-jet


















