Braces for Children, Teenagers and Adults
 as well as Adult Surgical Orthodontics

Treatment Options     

Since every patient's teeth and jaws is different, a personalized treatment plan is
developed for each patient. Depending upon the orthodontist's  findings and your
goals, you may be able to choose among different options. Your treatment plan may
include one or more of the following:

    1. Braces:
    Braces are the most common form of treatment. They are bonded (fixed) onto the teeth where they
    apply pressure. This pressure can be adjusted accurately and move the teeth into their ideal positions.

    A)  Metal Appliances are most common. They're durable and allow the archwires to fit securely on the
    teeth. These brackets are easier to maintain and are less likely to need replacement.  Therefore,  
    treatment progresses smoothly and appointments with your orthodontist are shorter.

    B)  Ceramic Appliances Blend in with the color of your teeth, which makes them less noticeable than
    metal.  However, ceramic braces may move the teeth more slowly. This means treatment could take
    longer.  Also, even though the bracket doesn't stain, the ligature or elastic may.



    2.  Active Removable Appliance. Unlike braces, an active removable appliance
    can be taken out of the mouth. Although the appliance also puts pressure on the teeth, it can't always
    move the teeth as accurately as braces. This treatment may be an option if you don't want braces, or if
    your teeth only need to be moved slightly.

    A)  Wire Appliances use wires to put pressure on teeth. The wires are attached to a piece of plastic
    that's molded to fit your mouth. This comes in various colors to blend in with your mouth.

    B)  "Invisible Appliances" are made of clear plastic that fit over the teeth. The plastic puts pressure on
    the teeth.




    3.  Oral (Orthognathic) Surgery. If braces alone aren't enough to fix your bite
    problem, surgery may be needed. This can be done to change the shape or position of the jaw. It can
    also correct problems with the way the jaw brings the upper and lower teeth together.


    A)  Problems That Orthodontics and Surgery Best Correct

    There are many types of jaw development and alignment problems. Some are inherited, some are
    growth problems, and some are caused by an accident or other trauma.
  • A retruding chin (one that is too far back).
  • An unsightly display of gum tissue above the upper front teeth.
  • An inability to achieve lip contact when the lips are relaxed.
  • An elongated face.
  • Asymmetry (facial imbalance).
  • Cleft palate (in young children).


    B)  Orthodontics Come First

    Most orthodontic patients undergo an initial period of orthodontic treatment to align the teeth so they
    will fit properly after surgery is performed. Your orthodontist and oral surgeon will schedule surgery
    after the teeth have been  properly aligned.
    Usually braces, or other orthodontic devices used to align teeth before surgery are left in place during
    the surgical procedure to help stabilize the teeth and jaws. After surgery there is usually an additional
    period of orthodontic treatment to bring teeth into their final, desired positions, complementing the
    new facial symmetry.   

    C)  The Rewards of Treatment

    While the prospect of undergoing surgery as part of your overall treatment plan may seem daunting, it
    really is not uncommon. The rewards for such treatment can be very dramatic. Following completion of
    orthodontic treatment and surgery, you'll enjoy better dental health and have a better facial
    appearance. Best of all, you'll have a more beautiful smile that reflects a healthier, happier you for the
    rest of your life.
PAUL M.COTTONE, DDS, M.S.
2715 Breezewood Avenue, Suite C
Fayetteville, NC 28303
Phone:  (910) 485-5193