Nathan’s upper and lower teeth were in a good relationship with a normal class I bite apart from a little asymmetry. However his face had noticeably swung downwards and he had developed a reverse swallow pattern using his lower lip and cheeks when swallowing. This abnormal swallowing pattern had sucked back the lower front teeth, leaving the cheeks enlarged and the lips in a bad position.
He is still undergoing therapy but so far the facial change has been impressive and almost certainly life changing.
Before: Age 7 years 7 months
After: Age 12 years 10 months