
Problem:
• Crowding
Cause:
•Discrepancy in tooth and jaw size
•Lack of enough space to fit all teeth
•Incorrect extraction of milk teeth
Treatment done:
•Braces
Duration:
•1yr 4months
Shared with consent

Problem:
• Mild Crowding
Cause:
• Lack of enough space to fit all teeth in the jaw
Treatment Done:
•Braces
Duration:
• 12 months
Shared with Patients Consent

Problem:
• Upper Midline Diastema
• Lower Crowding
Cause:
• Upper Diastema due to Habits, Flaring of Teeth, Discrepancy in Tooth and Jaw Size
• Lower Jaw, Lack space to fit all the teeth.
Treatment Done:
• Braces
Duration:
• 12 Months (1yr)
Shared with consent

Problem:
• Crowding
Cause:
Lack of enough space to fit all the due to:
•Difference in jaw:tooth size relation
•Premature extraction of some milk teeth
Treatment Done:
• Braces ( Space created via stripping, no extraction of a tooth)
Duration:
•11 Months
Shared with Consent

Problem:
• Crowded upper and lower front teeth
• Discolored front tooth after a fall
Cause:
• Small jaw size,slightly bigger teeth hence lack of enough space to accomodate the teeth
Treatment done:
• Braces with dentoalveolar expansion and interproximal stripping “shaving of teeth” on the lower side
Period of Treatment:
• 8 months
What Next:
1. Retainers: Essix on upper jaw and bonded lingual retainer on lower
2. Elective Root Canal Treatment and Internal “Walk in” bleaching of discolored front tooth
Shared with Consent

Problem:
• Fluorosis
Cause:
• Consumption of too much Fluoride in Water in the first 8yrs of Life! Very common especially in people from Nakuru and Naivasha.
Note: It’s becoming common in Nairobi as well and especially in people residing in high rising apartments!
Treatment Done:
• Direct Stratification Veneers (Masking)
Duration:
•3HRS
Shared with Consent