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Amrit Burn Orthodontics

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S: Amrit Burn Orthodontics

BC: 206.362.5911

1: Dr. Amrit Burn is a specialist in Orthodontics, and maintains a private practice in North Seattle. She teaches orthodontics at the University of Washington School of Dentistry, and serves on various committees for the Seattle-King County Dental Society. Dr. Burn and her staff regularly attend orthodontic continuing education courses and study clubs, as she is committed to providing her patients with high quality orthodontic care and an experience in her office that is second to none. Originally from Calgary, Canada, Dr. Burn earned her doctorate in dental surgery from the University of Texas in San Antonio. Afterwards, she came to Seattle to complete the orthodontic residency at the University of Washington. She liked the Seattle area so much that she decided to stay and make it her home. Dr. Burn now lives in West Seattle with her husband and dog, and enjoys the many wonderful things that life in the Pacific Northwest has to offer.

2: This patient was treated for severe maxillary and mandibular crowding. She was especially concerned about the protruded position of her left maxillary canine, and was having trouble cleaning between her crowded incisors. | Pre-treatment: Patient NS

3: Orthodontic Appliances: maxillary/mandibular braces, 20 months Adjunctive Procedures: 1st premolars extracted to create space to align severely crowded anterior teeth | Post-treatment: Patient NS

4: This patient was treated for her bilateral posterior crossbites, impacted maxillary left canine, negative overjet, and anterior open bite. | Pre-treatment: Patient KA

5: Orthodontic Appliances: maxillary/mandibular braces, 24 months with maxillary expander for first 8 months Adjunctive Procedures: none, #11 erupted spontaneously after space was created within the arch | Post-treatment: Patient KA

6: This patient was treated for her deep anterior overbite and protruding maxillary left canine. She also had a significant mandibular midline deviation, and reverse ("Brodie") crossbite of the left premolars. | Pre-treatment: Patient JG

7: Orthodontic appliances: maxillary/mandibular braces, 20 months Class 2 force on the right, last 8 months Restorative work pending: #19 distal/occlusal (under-contoured) | Post-treatment: Patient JG

8: This patient was treated for her severe crowding in both arches. Beyond cosmetics, the crossbite of #7 and the labial displacement of the permanent canines (especially #27) presented multiple potential future problems if left untreated. | Pre-treatment: Patient YP

9: Orthodontic Appliances: maxillary/mandibular braces, 20 months Adjunctive Procedures: 1st premolars extracted in order to align the incisors, correct the anterior crossbite, and to bring the displaced teeth back into the center of the alveolar ridge. | Post-treatment: Patient YP

10: This patient was treated for an impacted maxillary left canine. Luckily, it was partially erupted on the palate, and so it did not require surgical exposure. | Pre-treatment Patient SC

11: Orthodontic Appliances: maxillary/mandibular braces, 16 months Adjunctive Procedures: extraction of retained primary tooth #H, in order to clear a path for #11 to be brought into the arch. | Post-treatment Patient SC

12: This patient was treated for an impacted maxillary right canine. The position of impacted teeth is important to determine, as damage to adjacent roots is possible. If impacted maxillary canines are detected during the mixed dentition, BEFORE they cross the middle of the lateral incisor's root, there is 90+% chance of spontaneous improvement after simply extracting the primary cuspid. This is a particularly important reason to take a panoramic radiograph of patients by age 10. In this case, #6 had drifted so far mesial that it was overlapping half of the central incisor root. Therefore, surgical exposure with orthodontics was indicated. | Pre-treatment: Patient JL

13: Orthodontic Appliances: maxillary/mandibular braces, 26 months (transpalatal arch for 18 months of that time) Adjunctive Procedures: surgical exposure/orthodontic bonding of #6, with extraction of #C and all 3rd molars. #6 was initially moved palatally to avoid #7 and 8, then moved into place. #7-10 exhibit moderate root remodeling, despite careful maneuvering of #6. | Post-treatment: Patient JL

14: This patient was treated for her Class 3 problem (underbite) at age 10. You can see that the patient was able to make incisal contact in centric relation, but shifted forward and left into a full anterior crossbite in centric occlusion. If left untreated, this shift would have become permanent as an adolescent. In that case, the only viable treatment would be jaw surgery along with orthodontics as an adult. If treated orthopedically by age 10, it is often possible to avoid (or lessen the need for) future jaw surgery in Class 3 patients. | Class 3 patients in the mixed dentition should be referred to an orthodontist as soon as possible, ideally around age 7-8 when the facial sutures are still patent and respond well to orthopedic forces. For this reason, evaluation and treatment of this problem is probably one of the most time-sensitive concerns that orthodontists face. | Interceptive Orthodontics | Pre-treatment: Patient VT

15: Orthodontic Treatment: maxillary braces (anterior only) with "reverse" or Class 3 headgear, 8 months Adjunctive Treatment: none, wait for full permanent dentition to refine occlusal result | Excellent compliance is required in a case like this, as the removable headgear required is bulky and un-esthetic. Typically it is worn 8-10 hours per day, mostly while asleep. This patient's dramatic change was possible in such a short time due to her diligence in wearing the appliance as directed. After skeletal maturity advances into the adolescent years, this treatment is not nearly as effective, and may only produce dental change rather than anterior movement of the maxilla. For this reason, treatment timing is critical. | Post-treatment: Patient VT

16: Here is a pre-treatment lateral cephalometric tracing of the same patient. Note the maxillary incisor position relative to the mandibular incisors, and also the concavity of the facial profile in the upper lip. The maxilla is positioned posteriorly relative to the mandible. | Pre-treatment: Patient VT

17: Here is a post-treatment lateral cephalometric tracing of the same patient. Note the change in the maxillary and mandibular incisor relationship. The anterior crossbite has been corrected primarily due to two factors; the maxilla was moved anteriorly relative to the mandible (due to the headgear), and the maxillary incisors were flared forward slightly (due to the braces). | Post-treatment: Patient VT

18: This patient was treated with dual jaw surgery and orthodontics for her Class 3 problem (underbite). This approach can only be used when the orthodontist and surgeon are confident that the patient is finished with their growth. This is because patients who are still growing may "outgrow" a surgical correction and need a second surgery, which is not typically recommended. In this case, the maxilla was moved forward and widened, and the mandible was moved backwards. Braces are used to align the teeth before surgery, and to help hold the jaws together and refine the occlusion after surgery. Note the dramatic change in the facial profile and in the occlusion. This is a life-changing treatment, which improves not only a person's appearance but also their functional capacity. | Surgical Orthodontics | Pre-treatment | Post-treatment

19: The dramatic change in incisor relationship is shown in the two upper photos. By moving the upper jaw forward and the lower jaw back, this treatment was able to correct the severe anterior crossbite. In the lower photos, compare the relative widths of the upper and lower jaws. By widening the maxilla, the surgical treatment was successful in correcting the bilateral posterior crossbites. | Pre-treatment | Post-treatment

20: Pre-Restorative Orthodontics | This patient had a 3-unit fixed partial denture (bridge) from #8-10 that he wished to replace. The porcelain shade was too light, and the metal margin on #10 was visible. Also, the gingival margin on the facial surface of #10 is 3mm too far apical (top photo on opposite page). Pre-restorative orthodontic treatment was provided to improve the gingival margin height of #10 prior to replacement of the bridge. #10 was sectioned from the restoration so that it could be moved independently. After undergoing a prophylactic endodontic procedure, the tooth was orthodontically extruded by 3mm over 6 months to bring the gingival margin down to the appropriate level. The crown of this tooth was progressively reduced during the extrusion to maintain the occlusion (center photo on opposite page). The final restoration is placed with much improved gingival margin levels and color match (lower photo on opposite page). Orthodontic extrusion of #10 provided the environment for an ideal restorative solution in this case. | Post-treatment | Pre-treatment

21: Post-restorative | Pre-treatment | Post-ortho

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  • By: Amrit B.
  • Joined: over 5 years ago
  • Published Mixbooks: 1
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About This Mixbook

  • Title: Amrit Burn Orthodontics
  • Before and After photos of orthodontic treatments, with detailed descriptions, provided by Dr. Amrit Burn.
  • Tags: orthodontist, teeth, braces
  • Published: about 5 years ago

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