OUR TREATMENTS

Everyone is different. That’s why we offer numerous types of treatment options for designing your smile.  We believe that fees shouldn’t dictate which treatment option you choose, which is why we charge the same fee for each option available.  This is done to ensure you are the happiest you can be during your orthodontic journey!

Invisalign ®

The Invisalign System ® of customized removable clear aligners is a great option for those patients who would prefer to not have traditional braces. This is the most comfortable treatment option, which allows patients to eat, clean, and brush without having to work around wires and brackets.

Metal Braces

Metal braces are the “traditional” treatment option. Many patients choose this option as they are durable and one of the most widely used treatment options in the world, especially for children and adolescents.

Ceramic Braces

Ceramic braces are a great option for patients who don’t qualify for Invisalign or for those who want braces, but want a more esthetic appearance than traditional metal braces. 

Phase I Early Orthodontic Intervention

Typically, orthodontic treatment is performed once all or most permanent teeth erupt.  However, some children require orthodontic intervention when they are younger (as early as 6 years of age). 

Invisalign®
Our doctors are highly trained in Invisalign ® and are able to treat many different types of bites utilizing this system. However, some cases may not be ideal for this method of treatment to achieve optimal results. In these types of cases, we would recommend an appliance system more suited for that case. Patients who want Invisalign ® but are not found to be ideal candidates are often happy with our highly esthetic clear ceramic braces.
Invisalign®

Invisalign ® is a system of clear removable aligners that are customized to you. Each tray has very slight movements designed into them. Wearing a series of trays in sequence, transforms your smile to the desired end result. The trays must be worn 22 hours per day, but you can remove them to eat and brush your teeth. Tooth colored attachments may be placed on your teeth in order to give the trays some retention and to allow us to “grip” your teeth when making specific movements. These attachments will be removed when you are done with treatment.

Before beginning treatment, you’ll have digital x-rays and photos taken, as well as a 3D intraoral scan using our iTero Digital Scanner. The scan will be sent to Invisalign and Dr. Manzella who will review your case and work with Invisalign’s laboratory technicians to design your smile. The tray fabrication and planning process takes approximately 3-4 weeks to complete. Once your custom trays arrive, you’ll come in to have your tooth colored attachments placed and we will deliver your first set of trays. We’ll monitor you every 10-12 weeks as you move through your trays (case difficulty and movements required dictate the total number of trays). The majority of patients require at least one more scan and another set of trays half-way through treatment in order to further detail your smile. Once you have a ROCK STAR smile, we remove the attachments and give you your retainers!

Either type of treatment requires a patient to take responsibility for their orthodontic care. Traditional braces are glued to teeth and have wires connecting them which means that flossing and keeping teeth clean can be a challenge. Invisalign ® trays can be removed so patients are more easily able to eat, floss, and brush their teeth. If new patients have a history of difficulty keeping their teeth clean, Invisalign ® is often suggested to prevent the risk of cavities during treatment. As Invisalign ® trays must be worn for 22 hours a day, compliance with wearing the trays is highly critical to achieve your new smile. If new patients have a history of losing things and difficulty complying with the time requirements of wearing trays, it may be best to have traditional braces placed as they are glued on and can’t be removed, misplaced, or wrapped up in a napkin and thrown away during lunch. Knowing and understanding the differences between these treatment types is very important when choosing the option that is right for you.

Metal Braces

Our doctors glue braces onto your teeth in a specific position. These braces act as handles for us to tie wires onto your teeth. We use special space-age nickel titanium wires that retain their shape (the shape of your desired final arch) no matter how much they are deflected while tying them into your braces. As the wires recapture their shape, your teeth move with them. We no longer “tighten” braces, we just use a series of gentle wires that increase in size as you move through treatment.

Ceramic Braces

Ceramic Braces

Ceramic braces have a clear appearance due to them being made out of ceramic.  These brackets more easily blend in with your teeth and are less noticeable. Although they are a premium product, we do not charge any extra for this treatment option.  We just want you to be happy with the option you choose!

Our doctors glue braces onto your teeth in a specific position. These braces act as handles for us to tie wires onto your teeth. We use special space-age nickel titanium wires that retain their shape (the shape of your desired final arch) no matter how much they are deflected while tying them into your braces. As the wires recapture their shape, your teeth move with them. We no longer “tighten” braces, we just use a series of gentle wires that increase in size as you move through treatment.

Phase I Early Intervention

The American Association of Orthodontists suggests that ALL children visit the orthodontist by age 7 in order to allow orthodontists to screen them for early intervention.  X-rays and clinical evaluation allow our doctors to determine if an early (Phase I) of treatment is required or if no early treatment is required.

Typically, Phase I treatment involves an expander and some braces on the upper front teeth.  When required, partial braces may be placed on the lower teeth. Although an expander and partial braces are the most commonly used set up, other treatments may be required depending on specific needs.

One year of early intervention typically allows us enough time to resolve the problems at hand.  We attempt to keep to this short treatment interval, as children who undergo early orthodontic intervention are likely to require a second phase of orthodontic treatment once their permanent teeth erupt later in life (Phase II).  This problem focused approach ensures that our patients don’t get “burned out” with orthodontics before the definitive final phase (Phase II) of treatment even begins.

A few examples of what we screen for:

  1. Lack of space for teeth to erupt
  2. Crossbites (narrow upper arch) with a shift of the lower jaw
  3. Risk of trauma due to flared teeth
  4. Excessive lower jaw growth (“underbite”)
  5. Oral habits affecting teeth

The American Association of Orthodontists suggests that ALL children visit the orthodontist by age 7 in order to allow orthodontists to screen them for early intervention.  X-rays and clinical evaluation allow our doctors to determine if an early (Phase I) of treatment is required or if no early treatment is required.

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