Email: info@dugonismile.com
Phone: 650.585.5042

Treatment

Best Time toBegin Orthodontics

Though an orthodontist can enhance a smile at any age, there is an optimal time period to begin treatment. Beginning treatment at this time ensures the greatest result and the least amount of time and expense.

Early Treatment Adult Treatment

Early Treatment

Though an orthodontist can enhance a smile at any age, there is an optimal time period to begin treatment. Beginning treatment at this time ensures the greatest result and the least amount of time and expense. The American Association of Orthodontists recommends that the initial orthodontic evaluation should occur at the first sign of orthodontic problems or no later than age 7. At this early age, orthodontic treatment may not be necessary, but vigilant examination can anticipate the most advantageous time to begin treatment.
Early evaluation provides both timely detection of problems and greater opportunity for more effective treatment. Prudent intervention guides growth and development, preventing serious problems later. When orthodontic intervention is not necessary, an orthodontist can carefully monitor growth and development and begin treatment when it is ideal.
By the age of 7, the first adult molars erupt, establishing the back bite. During this time, an orthodontist can evaluate front-to-back and side-to-side tooth relationships. For example, the presence of erupting incisors can indicate possible overbite, open bite, crowding or gummy smiles. Timely screening increases the chances for an incredible smile.
Some of the most direct results of interceptive treatment are:
  • Creating room for crowded, erupting teeth
  • Creating facial symmetry through influencing jaw growth
  • Reducing the risk of trauma to protruding front teeth
  • Preserving space for unerupted teeth
  • Reducing the need for tooth removal
  • Reducing treatment time with braces
Orthodontics is not merely for improving the aesthetics of the smile; orthodontic treatment improves bad bites (malocclusions). Malocclusions occur as a result of tooth or jaw misalignment. Malocclusions affect the way you smile, chew, clean your teeth or feel about your smile.
According to studies by the American Association of Orthodontists, untreated malocclusions can result in a variety of problems:
  • Crowded teeth are more difficult to properly brush and floss, which may contribute to tooth decay and/or gum disease
  • Protruding teeth are more susceptible to accidental chipping
  • Crossbites can result in unfavorable growth and uneven tooth wear
  • Openbites can result in tongue-thrusting habits and speech impediments
Ultimately, orthodontics does more than make a pretty smile – it creates a healthier you.

Adult Treatment

Braces aren’t just for kids anymore. Tooth alignment can be changed at any age if your gums and bone structure are healthy.

We offer a variety of treatments that are designed for different age groups – including adults. A new smile can begin today.

Orthodontic treatment at later stages in life can dramatically improve your personal appearance and self-esteem. Improving the health of your teeth and gums is equally important. Crooked teeth and a bad bite can contribute to gum and bone loss, tooth decay, abnormal wear of the tooth enamel and surfaces, headaches and jaw joint (TMJ/TMD) pain.

Good news! The new techniques and appliances we use greatly reduce discomfort levels, decrease the frequency of visits, shorten treatment time and may allow you to choose from several options. Your options may include metal braces, translucent braces or transparent aligners that can be worn at night to improve mild cases of misaligned teeth.

During the initial examination, we will be able to determine the best possible treatment for your individual needs. During this initial examination, we can outline the treatment plan, time of treatment expected and the approximate cost

A large percentage of our patients are adults, and they agree that it’s never too late to improve their greatest asset - their smile.

Types of Braces

Thanks to today's technology, patients now have more options when it comes to earing braces. While regular metal braces are still widely used, clear braces are becoming increasingly popular alogn with removable appliances that can be used for mild cases of misaligned teeth.

The Straightest Way

Invisalign®to a Great Smile

Invisalign® straightens your teeth without wires and brackets, using a series of clear, customized, removable appliances called aligners.

It’s virtually undetectable, which means hardly anyone will know that you’re straightening your teeth.

Clearly Different

The Invisalign® system combines advanced 3D computer graphics technology with the 100-year-old science of orthodontics.

Invisalign® aligners are designed to move your teeth in small steps to the desired final position prescribed by your orthodontist. Each aligner is precisely calibrated and manufactured to fit your mouth at each stage of the treatment plan. Your first step is to visit our office to determine if Invisalign® is right for you. After sending precise treatment instructions, Invisalign® uses advanced computer technology to translate these instructions in a sequence of finely calibrated aligners – as few as 12 or as many as 48. Each aligner is worn for about two weeks and only taken out to eat, brush and floss. As you replace each aligner with the next, your teeth will begin to move gradually, week by week, until the final alignment prescribed is attained. Then you'll be smiling like you never have before.

If you want to learn more about Invisalign® and how it works, please visit the Invisalign® Homepage.

To ensure the best possible results, only an orthodontist who has been trained and certified by Align Technology can diagnose and treat using Invisalign®. Invisalign® is not intended for children and is not appropriate for every adult. Only an orthodontist can determine if this treatment is an effective option for you. To see if Invisalign® can help you achieve the smile you've always wanted, contact us to make an appointment.

Retention

You will begin the retention stage of your treatment when we remove your braces. This phase lasts for a minimum of two years. Your final orthodontic result depends on wearing your retainers, so follow through with the hard work you’ve already put in.

Important to follow

Remember to remove your retainer before brushing/flossing, and remember to always brush your retainer before putting it back into your mouth

Removable Retainers

Maxillary wrap-around retainers are your upper retainers, which are removable. You must be very careful when handling your upper retainers, as they are fragile and costly to replace. You are given a special case for your retainer; please make sure you keep them in this case when not wearing it! To clean these retainers, brush them with toothpaste (sometimes with denture cleaner) using warm water.

Your retainers should be worn at all times with the exception of eating and brushing your teeth. Your retainer should also be removed when participating in sports that require a mouthguard or while swimming. After 12 months of full-time wear, we may revise your retention treatment, allowing the retainer to strictly be worn at night.

Your final orthodontic result depends on your retainers, so follow through with the hard work you’ve put in so far.

Orthognathic surgery

Jaw SurgeryTreat & Correct

Orthognathic surgery (corrective jaw surgery) can treat and correct abnormalities of the facial bones, specifically the jaws and teeth.

Oftentimes, problems in the jaw can cause other difficulties, such as with chewing, talking, sleeping or other routine activities. Jaw surgery can potentially correct these problems and, when used with orthodontic treatment, can improve the overall function of the jaws and the appearance of the facial profile.

Using the latest in digital imaging technology, we will demonstrate the overall functional and aesthetic benefits of orthognathic surgery. Computerized treatment planning minimizes treatment times, recovery periods and the overall efficacy of your surgery. State-of-the-art materials such as titanium plates and miniature screws provide stability, strength and predictability to your treatment. These advances in technology, procedures and equipment reduce post-surgical recovery time, thus allowing patients to return to their normal routines soon after the surgery.

Orthognathic surgery may be unnecessary if orthodontic treatment can correct the problem. With the latest advances in orthodontics, this is sometimes the case. We will determine if orthognathic surgery is the correct treatment option for you.

Common Problems

When a person's teeth or jaw structure do not fit together properly, orthodontic treatment may be necessary to straighten teeth and promote ideal function. These problems, often referred to as malocclusions (or bad bites), can cause speech difficulty, premature wear of the teeth and protective enamel and even increase of the chance of injury to teeth and jaw joints, if left untreated.

In an underbite, the lower jaw extends out, causing the lower front teeth to sit in front of the upper front teeth.
Spacing problems may be caused by missing teeth or they may only be a comsetic issue.
The appearance and function of your teeth are impacted by upper front teeth protruion. It is characterized by the upper teeth extending too far forward or the lower teeth not extending far enough forward.
Crowding occurs when teeth have insufficient room to erupt from the gum. Crowding can often be corrected by expansion, and many times, tooth removal can be avoided.
In a crossbite, the upper teeth sit inside the lower teeth, which may cause tooth stratification and misaligned jaw growth.
In an overbite, the upper front teeth extends out over the lower front teeth, sometimes causing the lower front teeth to bite into the roof of the mouth.
Proper chewing is impacted by an openbite, in which the upper and lower front teeth do not overlap. Openbites may be caused by habits such as thumb sucking or tongue thrusting.
Dental midlines that do not match are evident when the back bite does not fit and match appropriately. This may negatively impact jaw and proper dental function.

Before & After

Case 1

Before
After
Crowded teeth requiring extractions

Case 2

Before
After
Spacing and anterior openbite

Case 3

Before
After
Severe protrusion of upper teeth

Case 4

Before
After
Severe anterior spacing and deep overbite

Case 5

Before
After
Severe overbite with mal position incisors. Treated with one phase of treatment at age 8

Case 6

Before
After
Severe anterior openbite with spacing and narrow arches requiring two phases of treatment at age 8 and age 12.

Case 7

Before
After
Severe overbite with severe crowding and narrow arches. Treated non extraction.

Case 8

Before
After
Severe dental protrusion and spacing.

Case 9

Before
After
Class III “under bite” with multiple missing teeth requiring jaw surgery and implants to replace missing teeth.

Case 10

Before
After
Narrow arches with posterior crossbite requiring extraction of lower incisor.

Case 11

Before
After
Crowded with impacted cuspid requiring extractions.