A sample assessment report

What we saw in Mia's photos

Comments by Dr. Phillip Stein · Reviewing dentist

1 Front of face

A relaxed, symmetrical resting face in this view.

2 Side profile

The profile suggests the lower jaw is sitting back relative to the upper face; worth monitoring as growth continues.

1 area needing attention

1Jaw growth imbalance

1. Jaw growth imbalance. The upper and lower jaws are not growing quite in step with each other, which shows in the way the bite and profile line up. Because Mia is still growing, this is the ideal window to guide the jaws toward better balance rather than correcting it later. We will look at this closely at the in-person examination.

3 Bite · teeth together

Crowding is visible as the adult teeth come through; the arches look short of room.

1 area needing attention

1Crowded teeth

1. Crowded teeth. The teeth are coming through with less space than they need, so they overlap or twist. Crowding is usually a sign the jaws need more room rather than a problem with the teeth themselves. Guiding jaw development while Mia is growing aims to make room so the adult teeth can come through straighter.

4 Upper teeth

The upper arch appears narrow with limited room for incoming adult teeth.

1 area needing attention

1Narrow upper jaw

1. Narrow upper jaw. The upper jaw is narrower than we would like at this age, which leaves less room for adult teeth and less space for the tongue to rest in the roof of the mouth. Because the upper jaw is still growing, gentle guidance now aims to create that room naturally, often reducing the need for extractions or complex braces later.

5 Lower teeth

Crowding visible in the lower arch as the adult teeth come through.

6 Tongue to the roof

No specific comments on this photo.

Doctor's Notes

Overall this is a mild pattern, and that is exactly when guidance works best: crowding as the adult teeth come through, a narrow upper arch, and a lower jaw sitting a little back in profile. Starting now, while growth is on our side, gives us the gentlest path. We will confirm everything in person before anything begins.

Treatment Goals

• Guide development of the upper jaw to create room for adult teeth
• Establish a correct tongue resting position
• Monitor jaw development with regular photo reviews

Dr. Phillip Stein's recommendation

Based on these photos and your answers, I recommend further evaluation for Mia: a free phone consult with our care team to talk through the findings, then a single in-person examination where I will confirm what I have seen here and decide the right approach. Nothing is charged before that examination. At the examination I will measure the width of the upper arch and check how the jaws meet, which will guide the approach we take.

Next steps

Based on this assessment, Mia appears suitable for our program and further evaluation is recommended. The next step is a free 15-minute phone consult to talk through the findings, followed by a single in-person exam, where Dr. Phillip Stein will confirm the findings and the right approach for Mia. You can book both from your dashboard, and your care team is here for any questions along the way.