Orthodontic Treatment

Orthodontic Treatment for Children

While there is no exact age for children to begin orthodontic treatment, the American Association of Orthodontists recommends visiting the orthodontist around age seven.
By this age, most children have a mix of baby teeth and adult teeth, making it easier for the orthodontist to diagnose and correct tooth and jaw problems sooner and without surgery.
Early treatment allows your orthodontist to:
  • Correct and guide the growth of your child’s jaw to help the permanent teeth come in straight
  • Regulate the width of the upper and lower arches
  • Create more space for crowded teeth
  • Avoid the need for permanent tooth extractions later in life
  • Correct thumb-sucking and help improve minor speech problems
  • For parents, it’s not always easy to know if your child may need orthodontic treatment
Here are a few things to look for that may mean your child needs to see an orthodontist:
  • Early or late loss of baby teeth
  • A hard time chewing or biting food
  • Mouth breathing
  • Finger or thumb sucking
  • Crowded, misplaced, or blocked teeth
  • Jaws that pop or make sounds when opening and closing
  • Teeth that come together abnormally, or do not come together at all
  • Jaws and teeth that are not proportionate to the rest of the face
  • Crowded front teeth around age seven or eight

Please contact our practice to schedule an appointment for an orthodontic evaluation. Early treatment now will give your child a healthy, beautiful smile for the future.

Orthodontic Treatment for Adults

Orthodontic treatment is no longer just for teens. In fact, the American Association of Orthodontists states that one in five orthodontic patients is over the age of 21. Many adults are choosing to receive treatment because they understand the importance of maintaining their health, and they want to feel better about their appearance. Adults everywhere are taking advantage of the opportunity to receive orthodontic care, and now you can too.
Common reasons why adults are considering orthodontic treatment:
  • A bad bite or malocclusion, causing teeth to fit together incorrectly
  • Teeth are crowded or spaced apart, possibly leading to tooth decay or gum disease
  • Abnormal jaw pain or pressure that is caused by crooked teeth
  • Desire for a healthier mouth and a more confident smile
Treatment options for adults
For many adults, the thought of having metal braces is enough to discourage them from receiving treatment. However, today’s orthodontic treatment options offer a variety of braces and appliances that are comfortable, aesthetic, and customized to meet your needs. Types of braces include:
  • Clear braces
  • Ceramic braces
  • Self-ligating braces
  • Lingual (behind the tooth) braces
  • Invisible braces
  • Traditional metal braces
The difference between adult orthodontics and orthodontics for children and teens:
The main difference between treating adults and children or teens is that the jawbones of younger patients are still developing. For adults, these bones have stopped growing, which may make orthognathic surgery possible to align the jawbones. Other differences include:
  • Gum or bone loss (periodontal disease) — Adults are more likely than children to experience gum recession or even bone loss due to gingivitis or advanced periodontal disease. Patients with straighter teeth are less likely to get gum disease.
  • Worn or missing teeth — Over time teeth can become worn down and shift into different positions that can only be corrected with orthodontic care. Missing teeth can cause other teeth to shift and tilt, creating a bad bite and increasing the possibility of gum disease.
  • Incomplete orthodontic treatment as a teen — Many adults received some orthodontic treatment as a child or teen, but never completed their treatment. As an adult, they choose to complete their orthodontic treatment to achieve the healthy, beautiful smile they always wanted.
Our practice also recognizes that adults and children have different needs, and require a different level of attention and care. We will work with you to ensure that you receive the most appropriate treatments, and that your needs are met with understanding and respect from us.
Why should you consider orthodontic treatment?
  • Straight teeth are healthy teeth — Teeth that are properly aligned are easier to keep clean with flossing and brushing, and may help prevent other health problems.
  • A beautiful, straight smile builds confidence — Orthodontic treatment can help boost your self-confidence, giving you a better quality of life and the freedom to smile without holding back!
  • Mouths left untreated can get worse — Not receiving orthodontic treatment when it’s needed can create long-term health issues costing you more in the end.

To learn more about the benefits of adult orthodontics, please contact our practice to schedule an appointment. We understand that you have a busy schedule, and we will work with you to make sure each office visit is as convenient as possible.

Surgical Orthodontics

Surgical orthodontics, also known as orthognathic surgery, is a type of orthodontic treatment used to correct severe cases that include bad bites, jaw bone abnormalities, and malocclusion. Oral and maxillofacial surgery is one of the nine recognized dental specialties, and it focuses on treating complex craniofacial cases that involve the mouth, jaw, face, and skull. If you need surgical orthodontics, your orthodontist will work with an oral and maxillofacial surgeon to ensure that you receive the best care possible.
When might surgical orthodontics be needed?
Surgical orthodontics may be used to treat adults with improper bites or other aesthetic concerns. Typically, jaw growth stops by age 16 in females and 18 in males. In order to receive orthognathic surgery, the jaw must be done growing. The need for surgical orthodontics occurs when the jaws do not line up correctly, and a proper bite cannot be achieved with orthodontic treatment alone. Orthognathic surgery will help properly align the jaw, and orthodontic braces will then be used to move the teeth into their proper position.
How do I know if I need orthognathic surgery?
Your orthodontist can tell you if orthognathic surgery is needed as part of your treatment. Depending on the severity of your case and the alignment of your jaw, you may or may not need surgery.
How does orthognathic surgery work?
An oral and maxillofacial surgeon will perform your orthognathic surgery, and the surgery will take place in a hospital. Orthognathic surgery can take several hours depending on each individual case. Once the surgery is complete, you will have about a two-week rest period. Since orthognathic surgery is a major treatment, we recommend that you schedule some time away from work and school during the healing process. After your jaw has healed, your orthodontist will once again “fine-tune” your bite. After surgery, you will have to wear braces, and most braces are removed within six to 12 months following surgery. After your braces are removed, you will wear a retainer to help maintain your new smile.
What are the risks associated with orthognathic surgery?
As with any major medical surgery, there may be certain risks of having orthognathic surgery. However, the process of orthognathic surgery is not new, and it has been performed for many years in practices and hospitals. If you’re concerned about an upcoming treatment with orthognathic surgery, please contact our practice and let us know. We are happy to answer any questions that you may have, and provide you with any additional information. Your comfort is important to us.
What are the rewards of having orthognathic surgery?
For many patients, the most important reward of having orthognathic surgery is achieving a beautiful, healthy smile that lasts a lifetime. Whether you need orthodontic treatment to correct a bad bite, malocclusion, or jaw abnormality, orthognathic surgery can help restore your confidence and leave you smiling with confidence for many years to come.

Incognito™

Incognito™ the secret behind a beautiful smile!

Incognito Orthodontic Braces are placed behind your teeth, so no one will even know you are wearing braces — unless you want them to! These unique braces are created using state-of-the-art technology and are the only 100% customized, invisible, fixed braces system on the market today. Incognito Braces can give you a beautiful smile, even while you’re wearing them. A consultation with your doctor can determine if Incognito Braces are right for you.
How does Incognito work?
Incognito brackets are placed on the back side of the teeth and they are not visible from the front. Working just like traditional braces, lingual braces straighten a patient’s teeth within the same amount of time metal braces would. Because Incognito Braces are customized to fit your unique mouth, your teeth are used to make an impression. Then, a laboratory will use computerized technology to create the metal brackets to fit onto the back of each tooth. These brackets are cemented into place by your doctor and you’re on your way to a beautiful smile without anyone noticing!
Who can wear Incognito Braces?
Just about anyone! Men and women, teenagers or adults, from 13 years to over 60 years of age, from students to professionals, all can choose invisible braces. Odds are, if you can be treated with traditional braces, you are a good candidate for Incognito Braces.
The advantages of Incognito Braces are clear!
Improving your dental heath is an important investment for your future, both in terms of your health and appearance. There are many advantages to choosing Incognito Braces for your orthodontic treatment.
Comfort – Incognito Braces are custom-fit to each patient, ensuring a higher comfort level.
Aesthetics – Incognito Braces are a great option for both adult professionals and teens who would feel more confident with invisible braces.
Convenience – Incognito Braces can also be extremely convenient for those who play wind instruments or contact sports.

Sleep Apnea

Are you drowsy during the day with no explanation? Do you snore loudly or wake up breathless in the middle of the night? If you’re experiencing any of these symptoms, you may be one of more than 12 million Americans who are affected by sleep apnea.

What is sleep apnea?
Sleep apnea is a condition in which your breathing stops periodically during sleep, as many as 20-30 times per hour. Each time you stop breathing in your sleep, the resulting lack of oxygen alerts your brain, which temporarily wakes you up to restart proper breathing. Since the time spent awake is so brief, most people with sleep apnea don’t remember it, and many feel like they are getting a good night’s sleep when, in fact, they are not. The constant wake-sleep, wake-sleep cycle prevents those with sleep apnea from achieving deep sleep, resulting in a constant drowsy feeling during the day.
What are the signs of sleep apnea?
The following symptoms can indicate the presence of sleep apnea. If you notice one or more of these, contact our practice.
  • Insomnia or difficulty sleeping
  • Loud snoring at night
  • Waking up at night short of breath
  • Snorting or choking sounds during the night (indicating a restart of breathing)
  • Headaches upon waking in the morning
  • Falling asleep unintentionally during the day
  • Extreme drowsiness throughout the day
Are there different types of sleep apnea?
There are three categories of sleep apnea. The most common is called obstructive sleep apnea (OSA), and occurs due to a physical blockage, usually the collapsing of the soft tissue in the back of the throat. Less common is central sleep apnea (CSA), in which breathing stops because the muscles involved don’t receive the proper signal from the brain. And some people suffer from “mixed” or “complex” sleep apnea, which is a combination of obstructive and central.
What are risk factors for sleep apnea?
Obstructive sleep apnea is more common in males than females, and more common in older adults (40+) than younger adults and children. However, anyone — regardless of gender or age — can suffer from sleep apnea. Other risk factors include obesity, smoking, drinking, use of sedatives or tranquilizers, and family history. Central sleep apnea strikes most often in people with heart disorders, neuromuscular disorders, strokes, or brain tumors. It is also more common in males.
Is sleep apnea dangerous?
Sleep apnea is considered a serious medical problem and if left untreated it can lead to high blood pressure, increasing the risk of heart failure and stroke. The ongoing state of fatigue caused by sleep apnea can lead to problems at work or school, as well as danger when driving or operating heavy machinery. Sleep apnea can also cause complications with medication or surgery; sedation by anesthesia can be risky, as can lying flat in bed after an operation. If you know or suspect you suffer from sleep apnea, let your family doctor know before taking prescribed medication or having surgery.
How is sleep apnea treated?
Treatments for sleep apnea depend on the severity of each individual case, and the type of apnea. Basic treatment can be behavioral — for instance, patients are instructed to lose weight, stop smoking, or sleep on their sides instead of on their backs. Beyond that, oral devices can be used to position the mouth in such a way that prevents throat blockage. In more severe cases, surgery may be the best option.
What should I do if I suspect that someone in my family suffers from sleep apnea?
Contact our practice, and we can refer you to a sleep apnea specialist. The specialist may recommend a “sleep study” to diagnose the precise extent of the problem, and can prescribe appropriate treatment. Depending on the patient’s situation, treatment may involve an oral device that we can custom-create for you.

AcceleDent™

You want to improve the look of your smile, but does the thought of spending months, or even years, in braces sound like too much of a hassle? With the AcceleDent® System, you can now reduce the time of your orthodontic treatment by 38 to 50%! Using this pain-free, easy appliance, you’ll achieve your most perfect smile in no time at all.
How does AcceleDent work?
AcceleDent is a light, comfortable, and hands-free appliance that is used 20 minutes per day as a complement to braces to accelerate tooth movement. The patented technology gently vibrates the teeth and surrounding bone, allowing teeth to move more freely. The best part of the AcceleDent System is that it’s completely safe! You may experience a slight tingling sensation, much like that of the vibration of an electric toothbrush, but it should diminish after you become accustomed to using the appliance.
The benefits of AcceleDent will make you smile!
The following symptoms can indicate the presence of sleep apnea. If you notice one or more of these, contact our practice.
  • You’ll accelerate your orthodontic experience without sacrificing aesthetics
  • AcceleDent can be used for adolescents, teens, and adults, and it is completely safe for patients of all ages
  • The AcceleDent appliance is lightweight and comfortable. You may even forget you’re using it!
  • The hands-free design allows you to achieve a beautiful, straight smile faster than you ever thought possible – even while reading, watching television, listening to music, or doing school work

iTero Impressionless Scanner

Our practice now offers the iTero Impressionless Scanner in our office. The innovative iTero Impressionless Scanner is an advanced technology used to take oral impressions for braces, Invisalign®, Appliance and retainers. Impressionless scanning uses confocal imaging to digitally capture the shape of teeth and gums, providing a multitude without the use of traditional impressions.
Traditional impression techniques requires a patient to be uncomfortably seated while having a messy substance in their month. However, with the iTero Impressionless Scanner it takes 1/3 the time to take an impression andwhe get a much more detailed result.
iTero Impressionless Scanners have several benefits over traditional impressions. First, a patient’s movement does not distort the scan while eliminating the invasiveness and discomfort caused by impressions. Second, the real-time digital display of scans allows for immediate adjustment, assuring accurate scans the first time. Finally, the image quality of impressionless scans is superior to conventional impressions.

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