Choosing Orthodontic Treatment
Which Ortho Treatment is Right for You?
In our office, we evaluate many aspects of a patient's oral condition. In addition to
their Oral Cancer, Oral Pathology, Caries, Restorations and Periodontal Examinations, the patient's Orthodontic
situation is evaluated.
In terms of Orthodontic Treatment, there is generally three choices, which are
discussed in more detail below:
Aligner Orthodontic Care
Six Month Smiles Short Term Orthodontic
Ideal Treatment (Children) Vs. Realistic Treatment (Adults)
In children and teenagers, we seek to recommend Ideal Treatment and those with
orthodontic problems are referred to Board-Certified Orthodontist specialists. They are in the "growing years" with
their lives ahead of them and they deserve treatment that will last a long lifetime.
Adults generally are seeking more Reasonable Care. Those with severe Orthodontic
Problems who would benefit from Comprehensive, Conventional Orthodontic treatment are like-wise referred to the
Orthodontist from their consultation, evaluation and treatment.
"I don't want to spend two years in Metal Braces"
With both Invisalign and 6-Month Smiles treatment we can deliver excellent cosmetic
improvement of smiles. Invisalign often takes longer and there are movements not easily done with the Invisalign
system. In 4 to 9 months, the Six Month Smiles system gives results with nearly invisable clear braces and
tooth-colored wires that are fixed to the teeth.
For Adults seeking more Cosmetic Focused care, we have offered Invisalign Care since
2005. Small problems requiring 10 or fewer aligners (each aligner is worn for two weeks and moves the teeth up to
0.2 mm each time) have been well treated with Invisalign Express. Those with more involved Orthodontic problems,
who did not want referral to an outside Orthodontist, were treated with the Full Invisalign product with treatment
extending from 9 months to two years.
Since I had treated patients with full-band metal braces in my General Practive
residency and Neighborhood Health Center practices back in 1975-1978, I had an interest in a fixed orthodontic
approach for short term treatment. Recent advances with the Six Month Smiles® system, led me to get trained and
certified with that system.
Below you see Dr Kent Smith (6-Month Smiles Instructor) and Dr Simon Rosenberg at the
two day Continuing Education and Certification Course with the Six Month Smiles® system.
What are the Pro's and Con's of Each Orthodontic
Comprehensive Orthodontics --
1) Provides tooth alignment that addresses Esthetic, Functional Occlusion and Skeletal
Jaw Relationship problems.
2) Provided by a Specialist with 3 years of Specialty Training in Orthodontics and who
has met all of the rigorous requirements to become recognised by the American Board of Orthodontists.
3) The Orthodontists that I refer my patients to are fully trained in the wide range of
techniques of conventional ortho, orthognathic (jaw position altering) surgerical approaches, as well as being
Instructors for teaching and certifying other dentists to use Invisalign. Those they have the full armamentarium of
virtually all Orthodontic techniques to chose from that would result in predictable and complete tooth, jaw and
1) Generally requires 1 to 3 years of treatment.
2) Treatment is more costly than more limited approaches of Invisalign or Six Month
3) Patients have to be seen in both our office for routine care, cleanings and any
needed restorations and by the Orthodonist for their Ortho care.
"Dr Rosenberg has been doing various orthodontic procedures since 1975, But he is a
Prosthodontist and not an Orthodontic Specialist."
Invisalign Clear Aligner Orthodontic Care
1) Can usually be done in our office. More advanced problems needed out of the ordinary
Invisalign therapy are still referred to the Orthodontist.
2) The most "Invisible" form of Orthodontic Therapy
3) Usually less expensive that Orthodontist based therapy.
4) Aligners are removed for eating and cleaning the teeth. Easier to eat and clean the
teeth than either Traditional Ortho or 6 Month Smiles.
1) While less expensive than Conventional Orthodontic therapy with long-duration
braces, it is still a rather pricey dental service.
2) Achieving extrusion of teeth and moving the teeths roots into proper placement and
alignment is not predictable.
3) Must be worn 22 hours a day to be effective. Compliance can be a problem and if not
worn as directed, teeth can relapse back so that all new impressions and aligners may be needed.
Six Month Smiles Short Term Orthodontic Care
1) Addresses the most common need to improve the smile by focusing on aligning the
front 6 or 8 upper and lower teeth.
2) Less costly than Conventional or Full Invisalign therapies.
3) Rapid results in 4 to 9 months.
4) Clear Brackets and tooth-color wires are nearly invisable.
5) Nothing to remember to do -- brackets are fixed to the teeth and work to align the
1) Fixed wires and brackets make oral hygiene (regular brushing and flossing) harder to
do, just like regular Braces.
2) To prevent breaking off the brackets while chewing or grinding the teeth,
bite-opening composite guards are placed which can make eating a bit difficult in the beginning. These are taken
off as soon as possible when cross bites are corrected or the teeth have moved so that they no longer hit the
brackets while closing the teeth together.