An orthodontist is a dental specialist that has received a four- year dental degree and then completed at least a two-year residency in the study of orthodontics at an accredited dental school. As an orthodontic specialist, our practice is limited to the prevention and correction of irregularities in the teeth and jaws by managing tooth movement and guiding facial development.

American Board of Orthodontics certification represents the culmination of 5-10 years of written and oral examination and independent expert review of actual treated patients. The distinction, Diplomate of the American Board of Orthodontics, is held by fewer than 14% of orthodontists nationwide.

An attractive smile is a priceless asset that can last a lifetime. A super, healthy smile can build one's confidence and self-esteem. But it's not just about appearance. Crooked teeth and "bad bites" can affect the way we talk or chew and even lead to more serious oral health problems. Orthodontics guides teeth into more favorable positions, allowing better long-term health of teeth and gums. Increased ability to clean the teeth and better function of the teeth reduce risk of tooth decay, gum disease, jaw joint problems and tooth loss.

• Upper front teeth protrude excessively over the lower teeth, or are bucked
• Upper front teeth cover the majority of the lower teeth when biting together (deep bite)
• Upper front teeth are behind or inside the lower front teeth (underbite)
• The upper and lower front teeth do not touch when biting together (open bite)
• Crowded or overlapped teeth. The center of the upper and lower teeth do not line up
• Finger or thumb sucking habits which continue after six or seven years old
• Difficulty chewing
• Teeth wearing unevenly or excessively
• The lower jaw shifts to one side or the other when biting together
• Spaces between the teeth

The American Association of Orthodontists recommends that every child first visit an orthodontist by age 7 or earlier if a problem is noticed by parents, the family dentist or child's physician. Orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment can often avoid surgery and more serious complications. An early, timely examination by Dr. Frey at no cost can give you "orthodontic peace of mind."

No, it is not necessary. Family dentists refer many of our patients after they have detected a concern, but if you have a particular question or concern, just call our office to schedule a complimentary, initial exam.

Phase I or early interceptive treatment is limited orthodontic treatment. If necessary, it usually is initiated between ages 6-10 years of age, before all permanent teeth have erupted. This treatment is recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase I usually lasts about 6-12 months and by addressing problems early helps to prevent them from becoming more severe. Following Phase I treatment, the teeth and jaws are in a "resting period" or maintenance phase. At this time we closely monitor growth and permanent tooth eruption by visits approximately 2 times per year and we will keep parents informed of any future treatment recommendations.

Phase II is also called comprehensive treatment, because it involves full braces when almost all of the permanent teeth have erupted, usually between the ages of 10-15. This stage can require full braces for 14-24 months. 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 all of the teeth function properly, stay healthy and look attractive.

Everyone wants a beautiful, healthy smile. 25% of orthodontic patients today are adults. With the smaller, lighter brackets and wires today, braces are more comfortable, practical and less conspicuous than ever before. There are even crystal, clear brackets or the new Invisalign technology for options that are very aesthetic.

Treatment time depends on each patient's specific orthodontic problem, but the average time is from 12-24 months. At your orthodontic examination we can estimate your treatment time but the actual treatment time can be effected by rate of growth, severity of correction necessary and the way your body responds to the specific treatment. Patient cooperation is the single best predictor of staying on time with treatment. Patients who cooperate by wearing rubber bands, headgear or other needed appliances as directed, maintain good oral hygiene and keep regular appointments will achieve on-time and excellent orthodontic results.

Generally, braces do not "hurt". After the placement of brackets and archwires on your teeth, it may take 1-2 two weeks for your lips and cheeks to get used to your new braces. Using your orthodontic wax, rinsing with diluted salt water and following our instructions can give relief if there is any soreness. After some visits, teeth may be a little sore for a few days. In these situations, pain medications such as Advil or Tylenol will ease the discomfort.

No. However, there may be an initial period of adjustment.

If your braces are causing extreme pain or if something is broken, call our office immediately. In most cases we can address the problem over the telephone. If you need an appointment we can set a specific time aside for you.

If the emergency occurs after normal office hours, call one of our offices and listen for Dr. Frey's beeper #. Call the beeper # and leave your call back number. Dr. Frey or one of his orthodontic technicians will contact you very quickly. We are available for your emergency needs 24 hours, 7 days a week.

Yes! It is very important to continue to see your family dentist every six months for your regular checkups and cleanings. Dr. Frey and your family dentist will work together to achieve a healthy, beautiful smile.