Adult Expansion and Braces in Kendall

Orthodontic treatment for adults often involves managing complex dental histories. This patient in his 40s presented with a collapsed, square-shaped maxillary arch, a crossbite, and shifted midlines. Complicating the case were congenitally missing lower second premolars and over-retained primary first molars. Under the specialized care of Dr. Jesus Martinez, we utilized Rapid Palatal Expansion (RPE) to restore proper arch width and traditional braces to correct the alignment and bite. Strategic management of the primary teeth and missing permanent teeth allowed us to achieve a stable, functional result secured with fixed retainers. Orthodontic care in your 40s and beyond requires a deep understanding of complex dental histories and skeletal limitations. This case demonstrates that even with a collapsed arch and missing permanent teeth, a specialized approach using RPE and traditional braces can restore a wide, functional, and healthy smile. If you have been told your case is too complex or that you've missed your window for treatment, contact our office for a clinical evaluation to discuss your options.