orthodontic crowding

CROWDING

teeth spacing orthodontics

SPACING

Missing Tooth Orthodontics

MISSING TOOTH

Deep Bite Orthodontics

DEEP BITE

crossbite orthodontics

CROSSBITE

flared teeth orthodontics

FLARED TEETH

narrow arch orthodontics

NARROW ARCH

open bite orthodontics

OPEN BITE

Orthodontic Treatment Options

Over hundreds of years, dental specialists and doctors (back before dentists even existed!) were looking for ways to improve a patient’s oral health by straightening and adjusting their smile.  You wouldn’t believe the contraptions people invented and used.  For example, in Egypt, there was a time when a dentist would drill a hole in a patient’s tooth just to fit a wire in it.  Thank goodness, we do not have to deal with any of that!  In fact, most patients prefer to use clear aligners for their orthodontic treatment and our practice is devoted to doing so!  However, just because we choose to solely treat our patients with clear braces, that doesn’t mean that our clinically trained orthodontists do not understand the full spectrum of metal, surgical and multi-phase treatment options available.  When you come on board with GoClear Orthodontics, you can rest assured that our orthodontists will make the best decision for you.

Aligners are clear, thin, plastic-like trays that are formed to fit an individual’s teeth. Patients are responsible for putting in and removing their aligners. A series of aligners is created to move teeth. Each aligner is worn for 2-3 weeks, and moves teeth a fraction of a millimeter at a time. Patients must remove aligners for meals and when brushing/flossing. The number of aligners needed to correct misaligned teeth varies based on the individual’s orthodontic problem and its correction.(1)

Traditional Braces
Traditional braces are comprised of brackets that are affixed to teeth and wires that are threaded through slots in the brackets. Some patients may also have metal bands encircling back teeth. Wires are held to brackets by tiny rubber bands called “ligatures” or “o-rings.” Brackets are generally made of stainless steel. Wires are made of metal alloys and deliver a constant, gentle force to move teeth.

Traditional Ceramic Braces
Traditional ceramic braces are tooth-colored, making them next-to-invisible. They are affixed to teeth, and wires are threaded through slots in the brackets. Wires are held to brackets by tiny rubber bands called “ligatures” or “o-rings.” Brackets are made of ceramic or porcelain materials. Wires are made of metal alloys and deliver a constant, gentle force to move teeth.

Self-Ligating Ceramic Braces
Self-ligating ceramic braces are tooth-colored, making them next-to-invisible. They are affixed to teeth, and wires are threaded through slots in the brackets. Built-in clips hold the wires to the brackets. Brackets are made of ceramic or porcelain materials. Wires are made of metal alloys and deliver a constant, gentle force to move teeth.

Self-Ligating Metal Braces
Self-ligating metal braces are comprised of brackets that are affixed to teeth and wires that are threaded through slots in the brackets. Some patients may also have metal bands encircling back teeth. Built-in clips hold the wires to the brackets. Metal brackets are generally made of stainless steel. Wires are made of metal alloys and deliver a constant, gentle force to move teeth. (2)

Archwires
Archwires fit into the slots in brackets and actually move the teeth.

Round Archwires
When viewed in cross-section, the shape of the wire is round. Round archwires are often used in earlier stages of orthodontic treatment to level and align teeth. Archwires fit into the slots in brackets and actually move the teeth.

Rectangular Archwires
When viewed in cross-section, the shape of a rectangular archwire is rectangular – square on both ends with a long segment in between. Rectangular archwires are often used in later stages of orthodontic treatment to control and refine tooth movement. Archwires fit into the slots in brackets and actually move the teeth. (3)

Removable retainers are clear, thin, slightly flexible, and made of a plastic-like material. They fit the exact shape and placement of the teeth.

Not only are there removable retainers, but there are also fixed retainers. Both types of retainers hold teeth in their new positions after “active” orthodontic treatment is completed. This allows newly formed bone to harden around the teeth. Wearing retainers as instructed is the key to maintaining the success of orthodontic treatment. Patients may be advised to wear retainers full-time for the first six months after “active” treatment ends, with subsequent wear time reduced to night-time only. When not in the mouth, removable retainers should be kept in the case provided by the orthodontist. (4)

Elastics are tiny rubber bands that apply extra force to a tooth or teeth in ways that braces alone cannot, so that teeth move into their ideal positions. Tiny hooks on selected upper and lower clear aligner attachments or brackets as used as attachment points.  The configuration of the elastics can be vertical or diagonal, depending on the individual’s need.  Patients are responsible for placing and removing their elastics.  Elastics should be worn as prescribed by the orthodontist. Do not wear more elastics than prescribed. Doing so places excessive force on the teeth and can be harmful. (5)

A mouth guard is used by athletes of all ages to protect teeth from trauma during competitive and individual sporting activities. They are made of a variety of materials, some relatively flexible and others relatively rigid. Custom-made mouth guards deliver the greatest protection. Over-the-counter mouth guards are available in “boil and bite” versions, which are formed to the individual’s mouth, and “ready to wear” versions, which cannot be customized and offer the least protection. The American Association of Orthodontists advocates the use of mouth guards by children and adults during organized and recreational sporting activities. (6)

(1-6) Information as provided by the AAO https://www.aaoinfo.org/orthodontic-treatment-options/.

Types of Cases

Are you wondering if orthodontic treatment is the right choice for you? For many prospective patients, the answer is yes, but only if the course of treatment can fit your lifestyle (not the other way around!). Whether you just want to make a minor correction, you think you have a uniquely difficult case, or you’re a teen and your teeth are still growing in, see what treatment can do for you.

What are crowded teeth?
When you don’t have enough room in your jaw for your teeth to fit normally, your teeth can bunch up, overlap and twist, sometimes getting pushed to the front or the back.

What kinds of problems can crowded teeth cause?
Crowded teeth can make it hard to brush and floss well. Then it’s easier for plaque, tartar, and harmful bacterial to build up — and down the line, this can lead to tooth decay and gum disease.(1, 2) Your crowded teeth can also get worse over time.

Can Invisalign clear aligners fix crowded teeth?
Yes, Invisalign clear aligners can fix crowded teeth.

  1. Staufer, Kirsten, and Helga Landmesser. “Effects of Crowding in the Lower Anterior Segment – a Risk Evaluation Depending upon the Degree of Crowding.” Journal of Orofacial Orthopedics, vol. 65, no. 1, pp. 13–25.
  2. Sven Helm & Poul Erik Petersen (1989) Causal relation between malocclusion and periodontal health, Acta Odontologica Scandinavica, 47:4, 223-228, DOI: 10.3109/00016358909007705

What is an overbite?
An overbite is when your upper front teeth overlap with your lower front teeth. Most people have at least a little overbite.

What kinds of problems can an overbite cause?
When your overbite is too large, your doctor might tell you you have a deep bite. This can cause problems, from your teeth wearing down to pain in your jaw.(1,2) Doctors use a percentage to describe overbites, and 5 to 25 percent is ideal.(3)

Can Invisalign clear aligners fix an overbite?
Yes, Invisalign clear aligners can fix an overbite or deep bite.

  1. Van’t Spijker, A, et al. “Occlusal Wear and Occlusal Condition in a Convenience Sample of Young Adults.” Journal of Dentistry, vol. 43, no. 1, Jan. 2015, pp. 72–77., doi:https://doi.org/10.1016/j.jdent.2014.11.001
  2. Riolo, Michael L., et al. “Associations between Occlusal Characteristics and Signs and Symptoms of TMJ Dysfunction in Children and Young Adults.” American Journal of Orthodontics and Dentofacial Orthopedics, vol. 92, no. 6, 1987, pp. 467–477., doi:10.1016/0889-5406(87)90228-9
  3. Current Therapy in Orthodontics, Nanda & Kapila, 2010

What is an underbite?
An underbite is when you close your mouth and your lower front teeth are in front of your upper teeth. In many cases, this is actually a problem with your lower jaw being too far forward.

What kinds of problems can an underbite cause?
An underbite can make it hard to chew properly and speak clearly, and it might cause your teeth to wear down more quickly.1, 2

Can Invisalign clear aligners fix an underbite?
Yes, Invisalign clear aligners can fix some underbites. Severe underbites might require Invisalign treatment combined with surgery.

  1. Prado, Daniela Galvão De Almeida, et al. “Speech Articulatory Characteristics of Individuals With Dentofacial Deformity.” Journal of Craniofacial Surgery, vol. 26, no. 6, 2015, pp. 1835–1839., doi:10.1097/scs.0000000000001913
  2. Cooper, Barry C., and Israel Kleinberg. “Examination of a Large Patient Population for the Presence of Symptoms and Signs of Temporomandibular Disorders.” Cranio®, vol. 25, no. 2, 2007, pp. 114–126., doi:10.1179/crn.2007.018.

What is a crossbite?
When you close your mouth and some of your upper teeth are sitting inside your lower teeth — rather than on the outside, like they normally would — your doctor calls this a crossbite.

What kinds of problems can a crossbite cause?
A crossbite can make your teeth wear down or chip. It can also make your gums start to recede or make little notches above your gum line.1 This kind of damage can lead to painful gum problems or even bone loss.2

Can Invisalign clear aligners fix a crossbite?
Yes, Invisalign clear aligners can fix some types of crossbite.

  1. Sven Helm & Poul Erik Petersen (1989) Causal relation between malocclusion and periodontal health, Acta Odontologica Scandinavica, 47:4, 223-228, DOI: 10.3109/00016358909007705
  2. José M Barrera-Mora, Eduardo Espinar Escalona, Camilo Abalos Labruzzi, José M Llamas Carrera, Emilio Jiménez-Castellanos Ballesteros, Enrique Solano Reina & Mariano Rocabado (2012) The Relationship Between Malocclusion, Benign Joint Hypermobility Syndrome, Condylar Position and TMD Symptoms, CRANIO®, 30:2, 121-130, DOI: 10.1179/crn.2012.018

What are gap teeth?
When you have extra space between two or more of your teeth, your doctor calls this spacing issues or gap teeth.

What kinds of problems can gap teeth cause?
Gap teeth can create pockets between your teeth and gums where food can get stuck. It can make your gums tender and sore and even lead to gum disease.

Can Invisalign clear aligners fix gap teeth?
Yes, Invisalign clear aligners can fix gaps in teeth.

What is an open bite?
If your upper and lower teeth don’t touch when your mouth is closed, your doctor calls this an open bite.

What kinds of problems can an open bite cause?
An open bite can make it hard to chew or difficult to bite into some common foods, like apples.1 – 3

Can Invisalign clear aligners fix an open bite?
Yes, Invisalign clear aligners can fix an open bite.

  1. Egermark-Eriksson, I., et al. “A Longitudinal Study on Malocclusion in Relation to Signs and Symptoms of Cranio-Mandibular Disorders in Children and Adolescents.” The European Journal of Orthodontics, vol. 12, no. 4, Jan. 1990, pp. 399–407., doi:10.1093/ejo/12.4.399.
  2. Laufer D, Glick D, Gutman D, Sharon A: Patient motivation and response to surgical correction of prognathism. Oral Surg 41:309-13, 1976.
  3. Ngan, P, and H W Fields. “Open Bite: a Review of Etiology and Management.” Pediatric Dentistry, vol. 19, no. 2, 1999.

What you need to know about transforming your child’s little smile with Invisalign® First clear aligners.

What is Phase 1?
As a child grows, their smile grows with them. And even with baby teeth, it may be the perfect time for children ages 6 to 10 to start orthodontic treatment. This is known as Phase 1 treatment.

What are the advantages of Phase 1 treatment?
The goal of Phase 1 treatment is to develop young jaws and/or arches to make room for existing teeth and for incoming permanent teeth.

  • Can prevent pre-existing bite issues from getting worse.
  • Can fix existing teeth straightening conditions.
  • Can improve the appearance of a growing child’s smile.
  • Can help with oral habits such as thumb sucking or tongue thrusting.
  • Can make Phase 2 treatment shorter and easier.
  • Can Invisalign First aligners be used for Phase 1 treatment?

Yes, Invisalign First aligners can fix a broad range of teeth straightening issues, including crowding, spacing, and narrow dental arches.

Crooked Teeth seem like a little thing. Why should you fix it?
You like your smile — but you really want to love it. Maybe you have a special event coming up, or you want the confidence to take on the world at work or at school. Small fixes can make a big difference, and with Invisalign treatment you can now see the difference up to 50 percent faster.(1)

  1. With weekly aligner changes, compared with two-week aligner wear.