Dr. Ashley Kahen
Portfolio · 2026

Trained to handle
what others refer out.

A small set of cases that show the range of my experience. All photos are anonymized and shared with patient consent.

Class III Surgical — Pre-treatmentClass III Surgical — Panoramic radiographClass III Surgical — Cephalometric radiographClass III Surgical — Frontal cephalometricClass III Surgical — FinalClass III Surgical — Final cephalometric radiograph
Pre-treatment
0101 / 05 — Case

Class III Surgical

Patient presents with an U5-5 open bite and crossbite. Pre-surgical set up consisted of archwire expansion to level, align, and coordinate archforms. Finishing and bite settling achieved post-surgery.

Patient
19 y.o.
Surgical Movements
Maxillary advancement, yaw correction, BSSO setback
Duration
24 months
Outcome
Class I, resolved crossbite, balanced profile
Spacing - Invisalign — Pre-treatmentSpacing - Invisalign — Panoramic radiographSpacing - Invisalign — FinalSpacing - Invisalign — Final panoramic radiograph
Pre-treatment
0202 / 05 — Case

Spacing - Invisalign

Invisalign was utilized to to close central diastema with root first movement, coordinate archforms, and deepen the bite. Fixed retention U1-1 was placed, in addition to Vivera.

Patient
19 y.o.
Appliance
Invisalign
Duration
21 months
Outcome
Ideal overbite and overjet achieved, closure of diastema
Class III — Pre-treatmentClass III — Panoramic radiographClass III — Cephalometric radiographClass III — In treatmentClass III — Final
Pre-treatment
0303 / 05 — Case

Class III

Skeletal expansion and lower 4s extraction were utilized to resolve anterior and posterior crossbite, severe crowding, class III occlusion and CO-CR shift. T-loops were used for space closure.

Patient
14 y.o. M
Appliance
Hyrax, T-Loops
Duration
36 months
Outcome
Positive overjet, resolved crowding, resolved anterior and posterior crossbite
Class II correction — Herbst — Pre-treatmentClass II correction — Herbst — Panoramic radiographClass II correction — Herbst — Cephalometric radiographClass II correction — Herbst — In treatmentClass II correction — Herbst — FinalClass II correction — Herbst — Final panoramic radiographClass II correction — Herbst — Final cephalometric radiograph
Pre-treatment
0404 / 05 — Case

Class II correction — Herbst

This case consisted of utilizing MBT brackets and a Herbst appliance (9 months) to correct patient's convex profile, skeletal class II (ANB 4.2 to 2.6), proclined maxillary incisors and crowding.

Patient
13 y.o. F
Appliance
Herbst
Duration
25 months
Outcome
Class I, reduction of facial convexity, increased chin projection
Impacted Canine — Pre-treatmentImpacted Canine — Panoramic radiographImpacted Canine — Cephalometric radiographImpacted Canine — In treatmentImpacted Canine — In treatmentImpacted Canine — Final
Pre-treatment
0505 / 05 — Case

Impacted Canine

Impacted UL3 surgically exposed and brought into the arch after skeletal expansion with a MARPE. Class III resolved,

Patient
16 y.o. M
Appliance
MARPE
Duration
48 months (transfer case; pt disappeared mid-tx)
Outcome
Saved impacted UL3, no damage to adjacent teeth. achieved ideal OJ and OB, resolved class III.