We provide orthodontic exams and treatments for all ages. The treatment will depend on what phase of growth and development you or your child are. All our orthodontic services are performed by our board-certified orthodontist, Dr. Jasleen Raina.
INITIAL EXAM AND SUBSEQUENT GROWTH OBSERVATIONS
When should my child schedule the first orthodontic exam?
It is recommended that a child’s first orthodontic appointment occur at age 7 or 8 unless advised earlier by your family dentist or pediatric dentist.
Why is it recommended that my child see the orthodontist at age 7 or 8?
Around 7 to 8 years of age is when the adult incisors and first molars appear or are fully emerged. This is a good time to seek a consult to catch any prospective issues with the erupting and developing adult teeth and exfoliating baby teeth early on.
What occurs at my child’s first orthodontic appointment?
At your child’s first visit, Dr. Raina will listen to any concerns you or the child’s family dentist may have. She will perform a comprehensive examination which will include-
- Health/medical history
- Dental history
- History of trauma to teeth, face, jaws
- Existing or past oral habits
- Examination of the teeth and checking the bite and jaw functions
- Panoramic X-ray of the child. *Additional X-rays may be advised.* This will allow Dr. Raina to look for any deviations from the usual and make recommendations accordingly.
What happens after my child’s first orthodontic visit?
If there are any potential issues that present at this first visit, Dr. Raina will make recommendations on a further course of action.
If everything is within normal realms of development, we will advise the child to be seen semi-annually, annually, or bi-annually.
My child has no issues; why should I still see the orthodontist?
At your first orthodontic evaluation, all may be within normal limits. However, through yearly exams and growth observations Dr. Raina is able to monitor any potential issues closely that may arise, such as crossbites, deep bites, impacted teeth, missing adult teeth, over-retained baby teeth, pre-mature/early loss of baby teeth causing space loss, ectopic eruptions, skeletal growth, and much more.
EARLY INTERCEPTIVE ORTHODONTICS, or PHASE 1 ORTHODONTICS FOR CHILDREN
How do I know my child needs Phase 1 early orthodontic treatment?
At your first consultation or follow-up recall exams, our team may notice certain problems that might require immediate correction or regular monitoring. We will discuss with you what course of action, if any, you may take at that appointment.
What are some problems that may need Phase 1 early orthodontic treatment?
The problems that may cause complex immediate or future issues can include: crossbites, impacted teeth, missing adult teeth, over-retained baby teeth, pre-mature/early loss of baby teeth causing space loss, etc. These may need Phase 1 orthodontic treatment.
It is important to understand that Phase 1 treatment is to address limited specific goals and is not similar to comprehensive/phase 2/full orthodontic treatment.
What is the right age or time to start orthodontic treatment?
Phase 1 treatment is performed in mixed dentition (mix of baby and adult teeth) to address the effects of scenarios that can lead to complex problems later on. This stage can vary in children anywhere from 6 to 10 years of age.
What are the types of Phase 1 early orthodontic treatment?
Phase 1 treatment types can range from referral to your family dentist for baby teeth extraction and space maintainers, to passive appliance therapy, limited braces, expanders, and more.
How long does Phase 1/limited/interceptive/early orthodontic treatment last?
This depends on what kind of treatment your child needs. On an average, it can last anywhere from 6 to 20 months.
Rarely, a child may be ready for Phase 2 comprehensive treatment right after Phase 1 treatment ends.
Why should I get Phase 1 early orthodontic treatment for my child if he or she will need a second round of treatment?
Sometimes, Phase 1 treatment may lead to minimal or no treatment in the future. Some complex orthodontic problems will demand a second round or Phase 2 treatment for children and adolescent patients.
However, a Phase 1 may avert complex issues like surgeries, multiple extractions, extended treatment times, non-ideal bite, extensive wear of teeth, etc.
COMPREHENSIVE ORTHODONTIC TREATMENT FOR CHILDREN, ADOLESCENTS, ADULTS and ELDERS
Why does my child need a second round of orthodontic treatment?
With yearly exams, growth observations, and early Phase 1 orthodontics, many complex scenarios can be avoided or simplified. These may in turn lead to requiring minimal to no treatment in the future.
However, some complex orthodontic problems will demand a second round or Phase 2 comprehensive treatment for children and adolescent patients after all or most adult teeth have erupted.
What to expect with full/comprehensive orthodontic treatment?
Depending on problems you may have, this treatment is scheduled to fix minor or complex teeth alignment issues with or without bite correction in a comprehensive manner.
Dr. Raina will discuss the details pertaining to your or your child’s treatment at the consult appointment. In complex treatment scenarios, more than one appointment may be required to plan out the best treatment options and reach a decision.
I am ready to start my child’s/my orthodontic treatment. What is my first step?
At the consultation appointment the doctor will discuss with you treatment options and which course of treatment might be best for your child/you. The treatment coordinator will address financial questions and what to expect through the course of your time at the office during treatment.
At this time, Dr. Raina may acquire initial diagnostic records: photos, digital scan of the mouth, and X-rays as needed. This is required for the completion of a thorough and complete evaluation to assure the best available treatment option is chosen and decided.
If your child’s/your oral health is up to date, most times treatment can be initiated the same day or at the first available appointment.
*All the steps mentioned above may be done at the same visit or at separate visits. It depends on several factors: good oral health, appointment time availability, patient’s schedule for the day, pre-orthodontic preparation for appliance, specialty consultations, extractions, etc.
Will I need teeth pulled/extracted for my orthodontic treatment?
Extractions of some adult teeth and or wisdom teeth may or may not be required. The requirement depends on how much crowding you have, are any teeth impacted, is your bite not aligned, etc.
If required, they will be performed by your your family dentist or another dental specialist.
Will my orthodontist extract my teeth?
Most orthodontists focus on their specialty and will refer you back to your family dentist or another dental specialist for extractions.
What kind of braces should I get?
You can choose metal braces or clear ceramic braces. However, for certain bites, clear ceramic braces may not be advised because they can cause aggressive wear on your teeth.
Do you offer clear aligners?
Yes, clear aligners may be a good aesthetic option in some treatments. We will make recommendations with aligners based on your treatment needs.
What are the differences between braces and clear aligners?
Some of the differences between the braces and clear aligners are:
- Braces are fixed; aligners are removable.
- You can eat with braces and don’t have to keep track of hours. Braces work around the clock. You must remove aligners to eat or drink. You can only drink water with aligners in your mouth. Aligners must be worn 22 hours a day for them to work. You must keep track of the hours aligners are worn each day for a successful on-time treatment outcome.
- You have limitations on what you can eat with braces so you do not break them. You can eat anything with aligners, since you remove them before eating.
- Metal braces are most visible. Clear braces are less visible. Aligners and their attachments are least visible, which makes them an aesthetic choice.
How many visits before I can get my braces?
Depending on the patient’s oral health status, schedule availability, and treatment plan, the answer to this question can vary. You can get your braces put on anywhere from the first visit to the office to the subsequent.
How much time will my orthodontic treatment last?
In the majority of patents, depending on the problems your teeth and bite present, full orthodontic treatment can last anywhere from 6 months to 30 months (2.5 years).
Why did my friend have braces for more than 2 years? What are some of the reasons my treatment may go beyond the estimated treatment time?
Every patient is unique and presents with unique challenges. Some of the common reasons you may have braces for longer than 2 to 2.5 years can include but not be limited to:
- Complex problems requiring longer treatment times
- Unexpectedly slow-moving teeth
- Not seeing the orthodontist for adjustment visits as advised
- Repeated/multiple breakage of orthodontic appliances (brackets, wires, bands, aligners, etc.)
- Not complying with elastic/rubberband wear
- Not maintaining good oral hygiene that can delay treatment and cause infection and cavities
- Patient stops seeing the orthodontist and halts treatment for unknown reasons.
Will my braces hurt?
Braces today have evolved and are made with advanced technology that keeps them as small as possible and uses light forces on your teeth. You will be aware of their presence when you first get them on your teeth, just like you notice a new shoe on your foot.
However, in a couple of weeks you will get used to them. There might be some discomfort after your adjustment visits, which can be easily controlled by OTC pain medications.
How often do I visit my orthodontist after starting treatment?
This varies from patient to patient, and at what stage of treatment you are. Typically, you will be advised to have an adjustment anywhere from 2 to 8 weeks. You must follow Dr. Raina’s recommendation on the interval of visits because it is a very critical for a successful treatment outcome.
Do I have to wear rubber bands/elastics?
Some orthodontic treatments require the wearing of elastics to correct and/or stabilize your bite. When they’re necessary, Dr. Raina will discuss with you whether they need to be worn all day and night, or at night only. You will be told how many hours to wear them for, how to put them on, how often to change them, and so on.
If you are compliant with your elastic wear, you can assure a successful outcome.