Spaces that will not close - what can be done?

I agree that it appears that you have lip incompetence that you may not have had prior to orthodontic treatment. If you had a lot of crowding before braces, the only way to fit everything in without extractions is to expand the arch and procline the front teeth. If this is done too much, lip...

You have not provided any photos or documentation. In general ,it is almost always a mistake to amputate healthy body parts. I would suggest evaluation by an oral Myofunctional Therapist as a first step. Open bites are frequently associated oral habits. Orthodontics has already failed...

Although it is difficult to access your situation with just the front photos you have provided, it may be possible to widen your upper jaw (we have successfully done this for thousands of adults) to give you a much broader smile, with straight teeth. Other orthodontists may recommend removal of...