Orthodontists

About Orthodontists

Just as there are specialists in medicine (such as cardiologists, gastroenterologists, neurologists, etc.), there are specialists in dentistry. Orthodontists are dental specialists who dedicate their professional lives to correcting misaligned teeth and jaws.

Why Select Rand Center for Dentistry as your Orthodontist?

Waiting Room and front desk

Our Orthodontists are qualified dentists who, after graduating from dental school, went on to additional full-time university-based education in an accredited orthodontic residency program supervised by orthodontists. That training lasts at least two academic years — sometimes more. By learning about tooth movement (orthodontics) and guidance of facial development (dentofacial orthopedics), orthodontists are the uniquely trained experts in dentistry to straighten teeth and align jaws.

We offer traditional braces for children, teens, and adults. Invisalign braces are also offered for adults.

Dental chair in operatory

Invisalign

Invisalign straightens your teeth with a series of clear, virtually invisible custom-molded aligners. It's breakthrough technology that lets you have the smile you've always wanted — without the hassle of braces.

The Clear Alternative to Metal Braces

By using a series of clear, removable aligners, Invisalign straightens your teeth with results you'll notice sooner than you think. The course of treatment involves changing aligners approximately every two weeks, moving your teeth into straighter position step by step, until you have a more beautiful smile. And unlike braces, these clear aligners can be removed while you eat and brush your teeth as usual.

Less Treatment Time

An average Invisalign course of treatment takes about a year. You'll see your Invisalign Certified Orthodontist or Dentist every 6 to 8 weeks for adjustments and to check progress. At regular intervals you'll receive a new set of custom-molded clear aligners to continue the straightening process. The total number of clear aligners is specific to you, determined by your doctor for your course of treatment.

Clear and Comfortable

Since Invisalign is practically invisible, there's no unwarranted attention to your mouth. In fact, very few people will notice at all—unless you tell them. They're comfortable to wear and remove easily when you eat, brush, and floss.

All across the country, people like you now have great smiles and straighter teeth thanks to Invisalign. Why not join them?

Is Invisalign for Me?

Whether your smile needs minor improvements or more extensive adjustments, Invisalign can certainly help. It is successful in treating overly crowded or widely spaced teeth. It can also relieve more complex issues, including overbites, underbites, and even crossbites. In fact, an Invisalign Certified Orthodontist or Dentist can use Invisalign clear aligners in all or part of just about any treatment plan.

Made to Fit Your Lifestyle, Not Change It

Because Invisalign uses clear plastic aligners to position and straighten teeth, you can keep your active lifestyle during treatment. Unlike braces, Invisalign aligners have no metal bands or wires to irritate your mouth. So go ahead and be as active as you like. Since Invisalign is removable, just take the clear aligners out for special events or if you're going to indulge in a sticky, gooey snack.

Look Your Best During and After Treatment

Of course you want to look great; at work, at school, with friends. Maybe you speak to groups or conduct meetings. You still can. Because Invisalign is clear and nearly invisible, most people will never know you're straightening your teeth. And when your course of treatment has ended you can feel more confident, whether in front of people or not. You're going to have a stunning smile.


Children

Orthodontia for Children

Some children as early as 5 or 6 years of age may benefit from an orthodontic evaluation. Although treatment is unusual at this early age, some preventative treatment may be indicated.

By age 7 most children have a mix of baby (primary) and adult (permanent) teeth. Some common orthodontic problems seen in children can be traced to genetics; that is, they may be inherited from their parents. Children may experience dental crowding, too much space between teeth, protruding teeth, extra or missing teeth, and sometimes jaw growth problems.

Other malocclusions (literally, “bad bite”) develop over time. These are called "acquired malocclusions". They can be caused by thumb or finger-sucking, mouth breathing, dental disease, abnormal swallowing, poor dental hygiene, the early or late loss of baby teeth, accidents, or poor nutrition. Trauma and other medical conditions such as birth defects may contribute to orthodontic problems as well. Sometimes an inherited malocclusion is complicated by an acquired problem. Whatever the cause, our orthodontist is usually able to treat most conditions successfully.

Our Orthodontists are trained to spot subtle problems with jaw growth and emerging teeth while some baby teeth are still present. The advantage for patients of early detection of orthodontic problems is that some problems may be easier to correct if they are found and treated early. Waiting until all the permanent teeth have come in, or until facial growth is nearly complete, may make correction of some problems more difficult. For these reasons, we recommend that all children get a check-up with an orthodontist no later than age 7.

While your child’s teeth may appear straight to you, there could be a problem that only an orthodontist can detect. Of course, the check-up may reveal that your child’s bite is fine, and that is comforting news.

Even if a problem is detected, there is a chance your orthodontist will take a “wait-and-see” approach, checking your child from time to time as the permanent teeth come in and the jaws and face continue to grow. For each patient who needs treatment there is an ideal time for it to begin in order to achieve the best results. Our orthodontist has the expertise to determine when the treatment time is right.

Our goal is to provide each patient with the most appropriate treatment at the most appropriate time.

Smile

In some cases, our orthodontist might find a problem that can benefit from early treatment. Early treatment may prevent more serious problems from developing and may make treatment at a later age shorter and less complicated. For those patients who have clear indications for early orthodontic intervention, early treatment gives your orthodontist the chance to:

  • Guide jaw growth
  • Lower the risk of trauma to protruded front teeth
  • Correct harmful oral habits
  • Improve appearance and self-esteem
  • Guide permanent teeth into a more favorable position
  • Improve the way lips meet

It’s not always easy for parents to tell if their child has an orthodontic problem. Here are some signs or habits that may indicate the need for an orthodontic examination:

  • Early or late loss of baby teeth
  • Difficulty in chewing or biting
  • Mouth breathing
  • Thumb sucking
  • Finger sucking
  • Crowding, misplaced, or blocked out teeth
  • Jaws that shift or make sounds
  • Biting the cheek or roof of the mouth
  • Teeth that meet abnormally or not at all
  • Jaws and teeth that are out of proportion to the rest of the face

If any of these problems are noted by parents, regardless of age, it is advisable to consult an orthodontist. It is not necessary to wait until age 7 for an orthodontic check-up.


Teens

Braces

Orthodontic treatment has come a long way since the days of heavy metal wires and brackets, bulky headgear, and the associated "nerd factor." Today's teenagers get more than straight teeth at the doctor's office — they get fashion accessories.

Smile with colored braces

Image-conscious teens can now choose from a wide range of options to straighten their teeth while maintaining their "cool factor," including tooth-colored or clear brackets; rainbow-colored wires and bands; or nearly invisible, removable appliances called Invisalign.

All those same benefits of Invisalign, described above, apply equally to teens. Sometimes moreso! Invisalign's near-invisibility is still the most popular feature for some teens; treatment is very inconspicuous, making it easier for them to fit in rather than call attention to their treatment.

With Invisalign and the wide range of more visible treatment options, teens can choose the option that is best suited to their personality and personal style — to blend in or stand out while straightening their teeth.


Adults

Braces are Not Just for Kids Anymore

Ashley Judd with invisible braces Ashley Judd with braces

How Does Adult Treatment Differ From That of Children and Adolescents?

Adults are not growing and may have experienced some breakdown or loss of their teeth and the bone that supports the teeth. Orthodontic treatment may then be only a part of an adult patient's overall treatment plan. Close coordination may be required among the orthodontist, oral surgeon, periodontist, endodontist, and family dentist to assure that the treatment plan is managed well.

Below are the most common characteristics that can cause adult treatment to differ from that of children.

No Jaw Growth

Jaw discrepancy problems, including both width and length, in an adult patient may require jaw surgery. For example, if an adult’s lower jaw is too short to match properly with the upper jaw then a severe bite problem results. The amount that the teeth can be moved in some cases with braces alone may not correct this problem. Establishing a proper bite relationship could require jaw surgery, which would lengthen the lower jaw and bring the lower teeth forward into the proper bite.

Gum or Bone Loss (Periodontal Breakdown)

Adults are more likely to have experienced damage or loss of the gum and bone supporting their teeth (periodontal disease). Periodontal disease is a chronic bacterial infection that affects the gums and bone supporting the teeth. The word periodontal literally means “around the tooth.” Many people are unaware that they have gum disease because there is usually little or no pain.

Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes inflammation in the gums. The mildest form of the disease is called gingivitis. The gums redden, swell, and bleed easily. Gingivitis is often linked to inadequate oral hygiene, but by the same token it is often reversible with professional treatment and good oral home care.

Untreated gingivitis can advance to periodontitis, a more severe form of gum disease. With time, plaque can spread and grow below the gum line. Toxins produced by the bacteria in plaque irritate the gums. The toxins stimulate a chronic inflammatory response in which the body, in essence, turns on itself and the tissues and bone that support the teeth are broken down and destroyed. Gums separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected. As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed. Eventually teeth can become loose and may have to be removed.

The good news is that teeth which are properly aligned are less prone to gum disease.

Special treatment by the patient’s dentist or a periodontist may be necessary before, during, and/or after orthodontic treatment. Bone loss can also limit the amount and direction of tooth movement that is advisable. Adults who have a history of or concerns about periodontal disease might also see a periodontist (a dental specialist who treats diseases of the gums and bone) on a regular basis throughout orthodontic treatment.

Worn, Damaged, or Missing Teeth

Teeth may gradually wear and move into positions where they can be restored only after a treatment of precise orthodontic movement. Damaged or broken teeth may not look good or function well even after orthodontic treatment unless they are carefully restored by the patient's dentist. Extra space resulting from missing teeth that are not replaced may cause progressive tipping and drifting of other teeth, which worsens the bite, increases the potential for periodontal problems, and makes any treatment more difficult.