Orthodontic Care

Here at Gundersen Dental Care we are excited to offer orthodontic care to our patients.  It is a wonderful partnership to be able to assist our patients in achieving the smile they desire, but also to correct any bite issues or jaw problems that may be due to the alignment of their teeth.  We offer traditional braces and clear aligners (Invisalign).

About Orthodontics

For most people, a beautiful smile is the most obvious benefit of orthodontics. After your braces come off, you'll feel more self-confident. During your treatment, we want you to feel as comfortable as possible.

How Orthodontic Treatment Works

Orthodontic appliances can be made of metal, ceramic, or plastic. They may be removable or they may be brackets bonded to the teeth. By placing a constant, gentle force in a carefully controlled direction, braces slowly move teeth to a corrected position. This is a great time to wear braces! Gone are the days when a metal band with a bracket was placed around each tooth. Wires are also less noticeable than they used to be, and the latest materials move teeth faster with less discomfort to patients.

Duration of Treatment

Treatment time typically ranges from one to three years, depending on the growth of the patient's mouth and face, and the severity of the problem. Patients grow at different rates and will respond variously to orthodontic treatment, so the time until case completion may differ from the original estimate. The patient's diligent use of any prescribed rubber bands or headgear is an important factor in achieving the most efficient treatment. Most often, orthodontic treatment is begun once all baby-teeth have been lost, however in certain cases interceptive or early treatment procedures are necessary in which case orthodontic treatment may occur in two phases.

Two-Phase Treatment

What is the advantage of two-phase orthodontic treatment?

Two-phase orthodontic treatment is a specialized process that combines tooth straightening and physical, facial changes. The purpose of two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, and aesthetic result that will remain stable throughout your child's life.

What if treatment is put off?   

In these cases where two-phase treatment is recommended, putting off treatment can result in a need for more invasive treatment later in life that may not completely fix your child's smile. Early treatment is most effective for achieving lasting results.

Phase One

A Foundation for a Lifetime of Beautiful Smiles

The goal of Phase One treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and improve the way the upper and lower jaws fit together. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age. If children over the age of six are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if children around the age of eight have crowded front teeth, early treatment can prevent the need to extract permanent teeth later.

  • Planning now can save your child's smile later
    Children benefit tremendously from early-phase treatment. Receiving early treatment may prevent the removal of permanent teeth later in life, or the need for surgical procedures to realign the jaws.
  • Making records to determine your child's unique treatment
    Orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of models of the teeth, X-rays, and photographs. During your child's initial consultation, the doctor will take records to determine if early treatment is necessary.

Resting Period

In this phase, the remaining permanent teeth are left alone as they erupt. Retaining devices may not be recommended if they would interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement. A successful first phase will have created room for permanent teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

  • Monitoring the teeth's progress
    At the end of the first phase of treatment, teeth are not in their final positions. This will be determined and accomplished in the second phase of treatment. Selective removal of certain primary (baby) teeth may be in the best interest of enhancing eruption during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.

Phase Two

Stay healthy and look attractive

The goal of the second phase is to make sure each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, tongue, and other teeth. When this equilibrium is established, the teeth will function together properly. Phase Two usually involves full upper and lower braces.

At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan was established. Certain types of appliances were used in the first phase to correct and realign the teeth and jaw. The second phase begins when all permanent teeth have erupted, and usually requires braces on all the. Retainers are worn after this phase to ensure your child retains his or her beautiful smile.

Orthodontic Retention

You've worked hard for your beautiful smile; keep it that way!

Finally, your braces have been removed and your smile is beautiful, straight, and best of all, metal-free! However, your orthodontic journey isn't quite completed. To keep your smile looking its best, you'll have to wear a retainer to preserve and stabilize your results. Retainers are needed to control or limit potential changes in tooth position. They are used after braces treatment to hold teeth in their correct alignment while the surrounding gums, bone, and muscle adjust to the new positioning of your teeth.

Types of Retainers

Retainers are custom-made and can be removable or fixed.

  • Traditional removable retainers typically include a metal wire that surrounds the front teeth and is attached to an acrylic arch that sits in the roof of the mouth. The metal wires can be adjusted to finish treatment and continue minor movement of the front teeth as needed.
  • Aligner-style retainers, or Essix retainers, look similar to clear aligners and offer a more aesthetic alternative to wire retainers. This clear retainer may fit over the entire arch of your teeth, or only from canine to canine (clip-on retainer). It is produced from a mold of your newly aligned teeth.
  • Fixed retainers consist of wires bonded behind the bottom and/or top teeth. While the device is usually required no more than a year after wisdom teeth have been extracted, it is often kept in place for life.

Pros and Cons

  • Removable retainers can be taken out for eating and hygiene routines.
  • Removable retainers can get lost easily, so remember to keep yours in the case whenever you remove it to eat or brush.
  • A fixed retainer is great if you don't want to keep track of it, or if you don't want to worry about how many hours per day it must be worn.
  • Teeth with fixed retainers require a little extra attention to remove tartar while flossing. Patients with fixed retainers often must use floss threaders to pass dental floss through the small spaces between the retainer and the teeth.
Location
Gundersen Dental Care
115 Cleveland Avenue SE
Tumwater, WA 98501
Phone: 360-205-5826
Fax: (360) 352-2784
Office Hours

Get in touch

360-205-5826