Orthodontic care helps our patients achieve a healthy, beautiful smile. If you or your children are self-conscious about your smile, braces will correct any issues and will improve the way you look and feel.

Once the orthodontic treatment is finished, you will have the confidence to show off your beautiful smile. We are committed to you feeling comfortable and confident throughout your orthodontic treatments, and our practice is dedicated to making sure you receive the best care.

How Orthodontic Treatment Works

Orthodontic treatment may either be bonded to the teeth or be removable. The process places constant, gentle force in the appropriate direction to slowly move teeth to their proper position.

Orthodontia has come a long way in recent years. Patients can choose clear or metal brackets, or in some cases, the color of the appliance. Wires are much less noticeable and the latest technology and materials are designed to move teeth faster and with more comfort than in the past. Today, patients of any age can wear orthodontia.

Treatment time varies and is generally between one and three years. Length depends on several factors, including age, treatment method and the amount of correction your teeth need.

Patients can shorten their treatment time by being involved and diligent in their care. Early intervention and treatment for children also makes for a quicker treatment time.

Before beginning orthodontic treatments, our doctors will discuss all options available and will provide an estimate for the length of treatment of each option. Contact our practice today to schedule an appointment to discuss how beautiful your smile can be.

American Excellence Medical and Dental Centers use a two-phase treatment that combines tooth straightening and physical changes to the face. A two-phase process maximizes the stability of the changes, giving our patients the ideal aesthetic, healthy and functional smile throughout life.

Phase One

The basis of a lifetime of beautiful smiles

Dr. Dakkak uses the American Association of Pediatric Dentistry (AAPD) guidelines for early orthodontic intervention. The AAPD recommends a first orthodontic exam by the age of seven. At this age, only 15 percent of patients will require early intervention, but the earlier the intervention, the faster and easier the procedures will be. Children who exhibit the following symptoms will benefit from early intervention:

  • Improper skeletal development, where one jaw grows out of proportion to the other
  • Thumb and finger habits
  • Cross bites
  • Open bites
  • Crowding of teeth
  • Deep bites

Planning now can save your child’s smile in the future. Early treatment may prevent the need for surgical procedures to realign the jaws or removal of permanent teeth.

During the first phase of orthodontic treatment, records, including models of teeth, X-rays, and photographs, will be taken to determine whether early intervention is required. These records will help the doctor determine the best appliances to use, duration of treatment time, and frequency of visits.

Resting Period

After the first phase of treatment, the remaining permanent teeth are allowed to emerge naturally. Retainers may not be recommended at this point if they would interfere with the new permanent teeth. A successful first phase will ensure appropriate room for permanent teeth, ensuring they are not impacted or displaced.

During the resting period, our doctors will monitor the progress of all teeth, ensuring a healthy mouth. It may be necessary for certain baby teeth to be removed to facilitate the health of the primary teeth.

Teeth are not in their final positions during the resting phase.

Phase Two

A healthy and attractive smile

The second phase of orthodontic treatment ensures each tooth has an exact location in the mouth and the entire mouth structure is in proper alignment. The lips, teeth, cheeks and tongue will work together properly and provide appropriate function when the patient is speaking, eating or smiling.

Phase two generally involves full upper and lower braces. In the first phase, records were taken and a treatment plan was established. Often appliances were used to align and correct the teeth and jaws. The second phase begins once all permanent teeth have emerged and often requires upper and lower braces for 24 months. After the second phase, a retainer is worn for short periods of time every day (often while the patient sleeps) to maintain both smile and alignment.


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