Instead of just looking at the smile and teeth, have you considered we should be thinking about and looking at facial symmetry? The body should be in the best position 24/7, NOT just while wearing an appliance at night.  In this episode Dr. Tim Adams discuses the Lightwire Open Loop Cricket (OLC) to address cranial facial posture, airway, tongue position, cranial bone movement, and autonomic nervous system. Dr. Adams contact: tadamsdds@gmail.com 28 page article mentioned: https://asba.net/the-cricket-oral-appliance-a-history-introduction-to-the-interdisciplinary-concepts-and-an-open-loop-cricket-olc/