Orthodontic Concerns

First Visit


It would be our pleasure to meet with you for a complimentary orthodontic consultation.  Your first visit will consist of a careful examination of your or your child’s teeth and jaws and a discussion to address your and your child’s concerns along with our clinical findings.  Your initial consultation will take about 30 minutes.  Our orthodontist will discuss any orthodontic problems she has found and the treatment options she recommends, along with an estimated length of treatment, cost, and proper time to begin treatment.  Our office will discuss financial and insurance details.  It is our goal to build a relationship with you, to address any of your or your child’s concerns, share our orthodontic knowledge, and have you feel comfortable in your experience.

The American Association of Orthodontics recommends that an orthodontist examine your child’s teeth by the time they are 7 years old.

Pediatric dentists are trained to identify bite issues when your child is at an early age and will refer your child to our orthodontist at the appropriate time.  Orthodontic treatment is optimal when timed with your child’s dental and skeletal development.  In a growing child, orthodontic treatment can take advantage of your child’s oral growth and may prevent more complex orthodontic problems from arising and obviate the need for more drastic and invasive dental procedures.

Orthodontic Exam

There are many reasons a person may need orthodontic treatment. Although having a more beautiful smile is always one outcome, there are many other extremely important reasons to get braces. Correct tooth alignment is critical to healthy teeth, and good oral health is critical to our overall health. Good oral health helps to prevent many diseases and allows us to enjoy a healthy diet and feel good about ourselves when we smile.
Some orthodontic conditions requiring braces include:

Gaps Between the Teeth

Gaps between the teeth allow food particles to more easily get stuck and can also cause abnormal jaw growth or gum recession.


Overbite is the term used when the top teeth are positioned too far forward to correctly make contact with the lower teeth. This can be caused by thumb or finger sucking or simply by genetics or specific bone development patterns. This condition can lead to temporomandibular joint (TMJ) problems (causing pain in the jaw) or cause unhealthy wear patterns in the teeth.


Underbite is the term used when the lower teeth are further forward than the upper teeth. It can be caused by irregular jaw growth in either the upper or lower jaw, or both. Missing upper teeth can also contribute to the development of an underbite. This condition can lead to TMJ problems (with pain in the jaw) or cause unhealthy wear patterns in the teeth.


In a healthy bite, the outside ridge of the lower teeth will make contact with the middle of the upper teeth. A crossbite occurs when some of the lower teeth edges are outside of the upper teeth edges. This can be result of the upper and lower jaws being misaligned. This condition can cause unhealthy wear patterns on the teeth, gum disease and bone loss.

Open Bite

Open Bite describes the condition that occurs when several upper and lower teeth are unable to make contact with each other. This can be caused by thumb or finger sucking or simply by genetics or specific bone development patterns. An open bite can make it difficult (or even painful) to bite or chew and can sometimes interfere with speech. This condition can also lead to TMJ problems.

Excessive “Overcrowding”

Overcrowding occurs when there is not enough space in the mouth for all of the teeth to fit with correct alignment. There are several ways this condition may be treated but it is important to treat because crowded or crooked teeth can make it difficult to brush and floss to maintain oral health. Failure to correct crowded teeth may result in increased gum disease and tooth decay. Crowded teeth may become more crooked over time.