Accelerating Tooth Movement with Micro-osteoperforation

.  Treatment of Gummy Smile

​Excessive gingival display in the upper jaw, known as "Gummy Smile", makes people self-conscious when talking or smiling.  Utilization of TADs (mini-implants) and elastics (rubber bands) during orthodontic treatment remodels the jaw bone and corrects the gummy smile.  Placing TADs is a minimally invasive procedure, having a long-lasting outcome compared to repeated Botox injections, which is a temporary treatment with potential side effects.


Utilization of skeletal anchorage device (TADs) in treatment of Gummy-Smiles

 ​​We hope to change your life forever with possibilities and opportunities presenting themselves as you smile fully and confidently.

Airway Evaluation:

Dr. David believes orthodontics is not just about straightening teeth. The airway of all patients should be evaluated for possible signs and symptoms of a constricted airway.  In evaluating the patient's airway, Dr. David analyzes CT Scan (CBCT) images of the patient's Upper Airway in treatment planning.  Narrow upper and lower jaws, tongue tie, enlarged tonsils and adenoiditis are among the clinical findings in airway evaluation. Constrictions of the nasal and/or pharyngeal airways can affect Dental as well as Orofacial Development.  Significant systemic issues, such as ADHD, Autoimmune Symptoms (RA), Bedwetting, Narcolepsy, Hormonal imbalances, Vascular events and particularly Obstructive Sleep Apnea (OSA); etccan arise from a constricted airway.

Recognizing Signs of Airway Obstruction:

   Pharyngeal Airway Obstruction

          .  Bruxism/Tooth Wear

        .  Open Bite

        .  Anterior Spaces

        .  Scalloped Tongue

        .  Abfraction Lesions 

  Nasal Airway Obstruction

          .  Narrow Upper Jaw (Maxilla)

        .  Posterior Crossbite

        .  High Mandibular Plane Angle (MPA)

        .  Vertical Maxillary Excess (VME)

        .  High Caries Risk (Tooth Decay)

        .  Short Upper Lip


Gummy Smile

Before  and  After  Treatment

. MOPs (Micro-Osteoperforation):

Micro-osteoprforation (MOPs) is a University developed technique, used to accelerate the rate of orthodontic tooth movement.

​.  Tongue Thrust Therapy and More

Impression  Free!

Intraoral scanners from iTero scan the mouths of patients, capturing images to create three-dimensional dental images in minutes.  Intraoral digital scans help us to create accurate physical dental models for orthodontic treatments as well as crowns and implants.

​.  Carriere Appliance

​​​​​​Types of Orthodontic Treatments:

 Early or Phase One Treatment
The American Association of Orthodontists recommends a check-up with an orthodontist no later than age 7. Usually, by this age several permanent teeth have erupted, allowing Dr. David to effectively evaluate potential problems with jaw growth and emerging teeth while some baby teeth are still present in some cases, we may recommend early interceptive treatment – called 'Phase One' treatment.
Addressing orthodontic issues while your child's bones are growing gives us the ability to: Take the least invasive approach to everything from making room for permanent teeth to advancing and/or expanding your child's jaw if necessary. Correct issues that, left unchecked, could require surgery or more invasive approaches in the future.
Whenever possible, we prefer to do comprehensive or one-phase orthodontic treatment during a child's pre-teen and teenage years. If early treatment is necessary, we prefer to keep it as simple and short as possible.

(early) orthodontic treatment should be done only on select patients with specific types of bite problems. Otherwise, the ideal time to straighten teeth and correcting the bite can be done in one phase, when nearly all of the permanent teeth have erupted.

When needed, early treatment can:
   .Create space for crowded, erupting and incoming permanent teeth
   .Create facial symmetry by influencing how the jaw grows
   .Correct harmful oral habits, such as thumb sucking
   .Simplify and/or shorten treatment time should your child need orthodontic         care later
   .Improve some speech problems

 Adult Orthodontic Treatment

  1.  Metal
       Metal fixed braces are made from stainless steel and are most commonly             used.  There are 2 types, one using colorful elastics (O rings) to tie the               braces and the other using self-locking clip called self-ligating brackets.
2.  Ceramic
       Ceramic fixed braces are tooth-colored and are less noticeable compared             to metal braces.

Invisalign treatment is a technique that straightens your teeth without braces, using a series of clear, removable aligners that are custom made to fit your teeth. The aligners gradually reposition your teeth into a smile of which you will be proud.
Unlike traditional braces, Invisalign has no metal bands or wires to trap food and plaque. Maintaining a good oral hygiene program will also reduce chances of plaque buildup, tooth decay and periodontal disease.

Invisalign® is made to fit your lifestyle:

  Clear, virtually invisible aligners
  Removable, will not get in the way of your activities
  Easy to remove to eat, brush, and floss
  Graduate to a new set of aligners every week
  Easy to monitor your progress with regular appointments

Effective for a wide range of smiles. The Invisalign system has been successful in giving hundreds of thousands of amazing smiles to both teens and adults. Dr. David will create your individual treatment plan using Invisalign´s clear, custom-molded aligners to solve a range of issues, including: Crowding, spacing, early to moderate overbites, underbites, and crossbites.

Not everyone is a candidate for the Invisalign aligner system. Please contact our office to schedule a consultation with Dr. David to see if the Invisalign system is right for you.

Invisalign Teen

.  Palatal Expander:

A major benefit of receiving orthodontic treatment in childhood is that it’s possible to take full advantage of a youngster’s own natural growth process to treat or even prevent malocclusion (bad bites). 

Palatal expanders create more space in child’s mouth by gradually widening the upper jaw.  Although this may sound scary, it’s really quite easy – both to do and to tolerate.  That’s because the upper jaw actually develops as two separate halves that don’t completely fuse together until sometime after puberty.  Before that happens, the two bones can gently be separated and stabilized, expansion screws are built into the appliance, and when activated, slowly separate and stretch the soft cartilage of the palate over several months.  Upper expanders are traditionally attached to the molars with metal bands.  MAX2000 is the first keyless expander designed to help us achieve that.