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Relapsed Open Bite After Jaw Surgery Successfully Retreated with Invisalign
35-year-old female with prior double-jaw surgery and subsequent condylar resorption presents with a recurrent Class II open bite.
Orthodontics · Research & teaching
Dr. Bella Shen Garnett
Invisalign Orthodontist SF. Beyond Straight Teeth. Rethinking What's Possible in Orthodontics. Stanford-Educated. Harvard-Trained. Dedicated to Complex Cases and Lasting Results.
The Science Behind the Smile. The Art of Thinking Differently Dr. Bella Shen Garnett combines clinical expertise, research, and innovative treatment strategies to solve complex orthodontic challenges and create results designed to last.
Looking for treatment? Visit the clinical practice at Bella Smile ↗
Recent case reports
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Severe Skeletal Class III Correction with Invisalign and Two-Jaw Surgery
28-year-old female with severe skeletal Class III, underbite, open bite, posterior crossbites, and prognathic mandible
Phase I Treatment of Severe Crowding, Narrow Palate, and Posterior Crossbite
Seven-year-old female with a thumb-sucking habit, skeletal Class II, 8 mm overjet, right posterior crossbite, constricted palate, and severe crowding.
Selected publications
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Palatal Expansion and MARPE: Who Needs It, When to Do It, and What It Really Does for the Airway
When is palatal expansion needed? Learn the best age for treatment, how RPE and MARPE work in children and adults, and whether expansion can improve breathing and airway health.
Does Invisalign Release Microplastics? What the Research Says
You may have seen headlines asking whether clear aligners and retainers release microplastics. Here's the calm, science-based version: yes, lab studies show tiny particles can shed — but no study has shown this harms patients, and Invisalign has actually tested lowest of all aligner brands compared.
Why Age 7 Matters: A Parent's Guide to Early Orthodontic Visits
Why age 7? By then, most kids have a mix of baby teeth and their first adult teeth — the ideal window to catch developing bite and jaw issues while there’s still time to guide them. Screening doesn’t mean braces; for most children, it simply means a plan to watch and wait. But for underbites, crossbites, severe crowding, and a few other specific issues, timing really does matter.
Lectures
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Managing Skeletal Open Bites with the use of Clear Aligners
In this lecture, Dr. Shen Garnett will explain how clear aligners can be used to control the vertical, its capabilities and limitations. An overview of stability and mechanics used to close open bites will also be covered.
2016 Invisalign Shoot Out Winner Presentation
Dr. Bella Shen Garnett is the 2016 Invisalign Shoot Out Winner. Voted by fellow Orthodontists and Orthodontic offices nationwide for treating the most difficult case with the best finish and outcome.