Patient Case Study

From Poor Sleep and Crowding to Better Health and Facial Balance

This patient came to our office with chronic poor sleep, snoring, fatigue, and significant crowding caused by a Class II malocclusion related to mandibular retrognathia. Through a comprehensive treatment plan combining orthodontics, orthognathic surgery, and genioplasty, we restored healthy function, improved the airway, and created a balanced facial profile.

Treatment: Orthodontics + Jaw Surgery Time: 26 Months
01

Starting Point

Before Treatment

Patient Concerns

Before treatment, the patient experienced:

  • Poor sleep quality
  • Chronic snoring
  • Daytime fatigue
  • Dental crowding
  • Difficulty chewing properly
  • Concerns about facial balance
02

What We Found

Clinical Diagnosis

01

Class II Malocclusion

A bite relationship that placed the lower jaw behind the upper jaw.

02

Mandibular Retrognathia

Lower-jaw retrusion associated with condylar changes and facial imbalance.

03

Dental Crowding

Insufficient space for ideal tooth position and stable function.

04

Functional Bite Discrepancy

Compromised chewing mechanics with concerns involving airway function.

03

Personalized Plan

Treatment Plan

To address both functional and aesthetic concerns, treatment was coordinated in phases rather than approached as a one-size-fits-all orthodontic case.

01

Comprehensive Orthodontics

Braces were used to align the teeth and prepare the bite for the surgical phase.

02

Orthognathic Jaw Surgery

Jaw position was corrected to improve function, airway space, and facial balance.

03

Genioplasty

Chin position was refined to support a more balanced facial profile.

04

Finishing & Stabilization

Final orthodontic detailing created a stable bite and completed the 26-month treatment.

04

Outcome

Treatment Results

Clinical Results

Healthier Function

  • Improved occlusion and dental alignment
  • Increased airway dimensions
  • Restored facial balance and profile
  • Improved jaw function
  • Stable bite and smile

Patient Results

Better Everyday Life

  • Better sleep quality
  • Reduced snoring
  • Increased daytime energy
  • Easier chewing
  • Improved overall quality of life

Patient Testimonial

★★★★★

“My First Visit Changed My Life”

“My first visit to Phelps & Cohen truly changed my life—not just aesthetically, but in my overall quality of life. Before treatment, I struggled to chew food properly and had difficulty gaining weight. After working with Dr. Phelps and the team, I can finally eat normally and feel healthier than ever. I'm incredibly grateful for the care I received.”

Do These Symptoms Sound Familiar?

Find the Root Cause, Not Just a Temporary Fix.

If you struggle with poor sleep, snoring, daytime fatigue, or a bite that has never felt quite right, the problem may be more than just your teeth. A comprehensive evaluation can help determine whether jaw position is contributing to the issue.

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