When to see an Orthodontist?

If you recognize any of these signs in your child or yourself, it might be time to schedule a consultation with an orthodontist: * 


 - Early or late loss of baby teeth

 - Difficulty chewing or biting

 - Mouth breathing

 - Sucking the thumb or fingers, or other oral habits

 - Crowded, misplaced or blocked-out teeth

 - Jaws that shift, make sounds, protrude or are recessed

 - Speech difficulty

 - Biting the cheek or biting into the roof of the mouth

 - Protruding teeth

 -Teeth that meet in an abnormal way or don’t meet at all

 - Facial imbalance or asymmetry (features out of proportion to the rest of the face)

- Grinding or clenching of teeth

- Inability to comfortably close lips. 

*AAO recommendations


Before and After Gallery               Dr. Marianela Cardenas DDS, MS 

Treatment Options


Metal Braces

Metal braces are the most common type. They are made of high-grade stainless steel. Today's metal braces are smaller, more comfortable and more attractive.


Clear Braces

Ceramic/Sapphire braces are made of translucent material. They are most popular with adult patients, due to their cosmetic appeal. 


Invisalign®

The Invisalign System is a series of clear overlay templates—called aligners—that have been generated by computer simulation to gradually move the teeth. This system is available to adult patients with certain orthodontic bite problems. Ask us if you are a candidate for the Invisalign system.


Interceptive treatment (often called Phase I) 

Usually 10-12 months of treatment

Mixed dentition (baby and permanent teeth present)

Correction of : Habits (e.g. thumb sucking), crossbites, skeletal discrepancies, severe underbite or overbite, open bites, severe crowding., early loss of baby teeth.

Appliances: Habit breakers, expander, brackets, Forsus, Head Gear, face masks, braces, space maintainers, etc.

May be followed by a shorter treatment with braces in the future.


Comprehensive (Full treatment)

Treatment time depends on the complexity of the case and patient compliance.

Usually done during late mixed dentition or full permanent dentition.


Limited Treatment

Treatment time depends on the specific patient needs. This treatment is frequently done in adults to improve spacing, correct malposition of teeth or poor tooth structure for future prosthetic work done by your dentist (Implants, bridges, crowns, veneers, etc).

Mini Screws (Temporary Anchorage Devices TAD's) are often needed.