Why Does Orthodontic Treatment Usually Take About Two Years?

 

Many patients ask, “Why do braces or Invisalign take nearly two years?” It is a fair question. Teeth may look as though they could be straightened much faster. Some treatments even advertise a new smile in only six months.

The answer is that complete orthodontic treatment involves much more than making the front teeth look straight. An orthodontist must also create a healthy bite, guide growth when needed, protect the teeth and gums, and move each tooth into a stable position. Doing all of that safely takes time.

A tooth is not simply pushed through the jawbone. When gentle pressure is placed on a tooth, the body slowly removes bone on one side of the tooth and builds new bone on the other side. This natural process allows the tooth to move. This process cannot be rushed too much. Using heavier force does not always make a tooth move faster. Too much force may slow movement or increase the risk of problems. These can include gum recession, loss of bone support, or shortening of the tooth roots. Orthodontists use light, controlled forces to move teeth at a safe speed. Most teeth move only a small distance each month. The front teeth may begin to look straighter during the first several months of treatment. However, that does not mean treatment is finished. The upper and lower teeth must also fit together properly. The orthodontist may need to correct:

• Crowding or spaces
• An overbite or underbite
• Teeth that stick out too far
• A crossbite
• A deep bite or open bite
• The position of the back teeth
• The center lines of the upper and lower teeth

Some teeth must move forward, backward, upward, or downward. Others need to rotate or have their roots moved into better positions. Moving a tooth’s root through bone is usually slower than tipping the visible part of the tooth. In children and teenagers, a poor bite may be caused partly by the way the upper and lower jaws are growing. For example, the lower jaw may sit too far behind the upper jaw, creating a large overbite. In other patients, the lower jaw may be ahead of the upper jaw, creating an underbite. When growth is part of the problem, treatment is not only about moving teeth. The orthodontist may also use appliances, braces, aligners, or elastics to guide the teeth and jaws while the patient grows.

Growth happens gradually and cannot be completed in a few months. An orthodontist must also choose the right time to use that growth. Starting too early may mean treating for longer than needed. Starting too late may miss part of the patient’s strongest growth period. Orthodontic appliances cannot create unlimited jaw growth or completely change a person’s natural growth pattern. However, treatment during the right stage of development may improve how the jaws and teeth fit together. The orthodontist must watch the patient’s growth, adjust the treatment, and allow the body enough time to respond.

Orthodontic treatment is usually completed in steps. First, the teeth are lined up and major crowding is relieved. Next, spaces are closed and the bite is corrected. Growth may be guided during this stage. Finally, the orthodontist makes smaller adjustments to improve how the teeth fit together. These finishing changes may seem minor, but they are important. A good bite helps spread chewing pressure across many teeth and may make the result more comfortable and stable. Treatment may take longer if appointments are missed, braces are broken, aligners are not worn enough, or elastics are not used as directed. Keeping appointments and following instructions can help treatment remain on schedule. 

Some general dentists offer short-term treatments described as “Six Month Smiles,” cosmetic braces, or limited aligner treatment. These treatments usually focus on straightening the front teeth. Short-term treatment is not automatically bad. It may be reasonable for an adult with a healthy bite who wants to correct a small amount of crowding or spacing. However, it is not right for every patient. If treatment focuses only on the teeth that show, it may not correct problems with the back teeth, tooth roots, jaw relationship, or overall bite. Quickly lining up the front teeth may sometimes require them to be pushed outward. This can affect the gums, stability, or appearance of the smile. A result may look finished from the front while leaving important problems untreated.

General dentists provide many valuable dental services. Orthodontists are dentists who complete additional full-time specialty training in tooth movement, jaw growth, facial development, and bite correction. This helps orthodontists plan treatment for both the appearance and function of the entire mouth. Some simple problems can be treated in less than a year. More difficult cases may take longer than two years. Growth, age, crowding, bite problems, missing teeth, and patient cooperation all affect the schedule. The goal is not to keep braces or aligners on longer than necessary. The goal is to move the teeth safely, use growth wisely, and create a smile that looks good, functions well, and has the best chance of lasting.

 

Can My Retainer Straighten My Teeth Again?

You finished braces or clear aligners years ago, but lately you have noticed something annoying: one or two teeth have started to move. Maybe you forgot to wear your retainer for a while, or maybe your teeth simply shifted slightly over time.

So, can you just start wearing your old retainer again and straighten them out?

Sometimes—but there are limits.

Retainers Are Designed to Hold Teeth, Not Move Them

The main job of a retainer is right in its name: it retains, or holds, your teeth in position. Unlike braces or clear aligners, a traditional retainer is not designed to create carefully controlled tooth movement.

However, a retainer may sometimes help with a very small amount of relapse. The American Association of Orthodontists notes that if a retainer still fits completely but feels a little tight, wearing it more regularly for a few days may help with a slight shift.

Think of this as more of a gentle nudge than orthodontic treatment.

When Might Your Old Retainer Work?

Your retainer may be able to help if:

• The tooth movement is very minor.
• You recently stopped wearing the retainer regularly.
• The retainer still fits completely over all of your teeth.
• It feels snug but does not cause significant pain.
• Your bite still feels normal.

In this situation, returning to more consistent retainer wear may be enough to improve a very small change.  At Jarrell Orthodontics we would likely recommend full time wear for a couple weeks and returning to night wear at that time if the retainer is fitting passively at that point. 

When Should You NOT Force the Retainer?

Here is the important rule: If the retainer does not fit completely, don't force it.

If there is a visible space between the retainer and your teeth, it will not snap into place, or you have to bite down hard to seat it, the teeth may have moved too far.

Forcing an appliance that no longer fits correctly can put pressure on teeth in ways that were not intended. The AAO recommends contacting your orthodontist if a retainer does not fit properly or causes significant pain.

You should also have your orthodontist check things if you notice a change in your bite, significant crowding, a reopened space, or several teeth moving.

The Good News: You May Not Need Full Braces Again

Relapse does not automatically mean starting orthodontic treatment from the beginning.

If the movement is too much for a retainer, an orthodontist may be able to correct it with a short course of clear aligners or limited braces. The goal may simply be to move a few teeth back into position and then make a new retainer to keep them there.

The sooner you notice the problem, the easier it often is to address.

A Simple Rule to Remember

Snug is different from “doesn't fit.”

If your old retainer goes completely into place and is just a little tight, minor movement may be manageable with more consistent wear. If it won't seat completely, causes significant pain, or your bite has changed, don't try to force your teeth back yourself.

Bring the retainer with you and let your orthodontist take a look. Sometimes the solution is surprisingly simple.

And once everything is straight again, remember the lesson: retainers are a long-term commitment. Teeth can continue to change throughout life, which is why continued retainer wear is the best way to protect your orthodontic result.

 

Did You Know You Can Use Your Health Savings Account (HSA) to Pay for Braces?

Many families are surprised to learn that they can use money from a Health Savings Account (HSA) or Flexible Spending Account (FSA) to help pay for orthodontic treatment. If you or your child needs braces or Invisalign, using these accounts can make treatment more affordable.

What Is an HSA?

A Health Savings Account, or HSA, is a special savings account that lets you set aside money for qualified medical expenses. The money goes into the account before taxes are taken out of your paycheck. That means you pay less in taxes and keep more of your money.

If you have a high-deductible health insurance plan, you may already have an HSA through your employer or bank.

An FSA works in a similar way, but it is usually offered through your employer and has different rules. Both accounts can often be used for orthodontic treatment.

Can I Really Use It for Braces?

Yes!

The IRS considers orthodontic treatment a qualified medical expense. That means you can usually use your HSA or FSA to pay for:

• Traditional metal braces
• Clear ceramic braces
• Invisalign® clear aligners
• Orthodontic records and X-rays
• Retainers that are part of your treatment

Using HSA or FSA dollars means you are paying with pre-tax money, which can lower the overall cost of treatment.

How Much Can You Save?

The amount you save depends on your tax bracket, but many families save 20% to 30% compared to paying with after-tax income.

For example, if orthodontic treatment costs $6,000, paying with HSA or FSA funds could save you more than $1,000 in taxes. That's money you can use for other family expenses.

How Do You Use Your HSA?

Using your HSA is usually very simple.

Many HSA accounts include a debit card that can be used at your orthodontist's office. If you don't have a card, you can usually pay another way and then reimburse yourself from your HSA account. Be sure to save your receipts for your records.

Planning Ahead

If you know your child may need braces next year, it can be helpful to start contributing to your HSA or FSA now.

Some families also spread orthodontic payments over several months or years. That allows them to use money from more than one year's HSA or FSA contributions, making treatment even easier to fit into the family budget.

Ask Questions Before You Start

Every HSA and FSA plan is a little different. If you have questions about your account, contact your benefits administrator or HSA provider. They can explain exactly how your plan works.

Our office is also happy to help. We can explain payment options, provide receipts if needed, and help you make the most of your HSA or FSA benefits.

A Healthy Smile Is a Great Investment

A healthy, confident smile can last a lifetime. If you have been thinking about braces or Invisalign, don't forget to check your HSA or FSA balance. You may already have tax-free dollars waiting to help pay for treatment.

Using your HSA or FSA is one of the easiest ways to make orthodontic care more affordable for your family.

 

Airway Orthodontics: Separating Facts from Hype

If you have searched online about braces or expanders, you have probably seen claims that orthodontic treatment can cure breathing problems, sleep apnea, ADHD, or many other health conditions. Some websites even suggest that children as young as 3 years old should receive expanders to improve their airway.

These claims can be confusing for parents. So what does the science actually say?

The American Association of Orthodontists (AAO) believes orthodontists should carefully evaluate every patient's growth, bite, and airway. However, the AAO also states that there is not enough scientific evidence to claim that orthodontic treatment alone can predictably improve airway function or treat sleep-disordered breathing.

That is an important difference.

Airway Is Important

Breathing problems are real. Children who snore loudly, struggle to breathe during sleep, or seem unusually tired during the day should be evaluated by their pediatrician or an appropriate medical specialist. These problems deserve careful medical attention.

Orthodontists are trained to recognize possible concerns and refer patients when appropriate. We work as part of a healthcare team—not as the only solution.

What About Expanders?

Palatal expanders are excellent orthodontic appliances when they are used for the right reasons. They are commonly used to correct crossbites, create space for crowded teeth, and improve jaw development in growing children.

In some patients, expansion may also change the size or shape of the nasal cavity. However, studies have not shown that these changes consistently lead to meaningful improvements in breathing, sleep quality, or long-term airway health.

In other words, expanding the upper jaw does not automatically "fix the airway."

Should Every Young Child Receive an Expander?

No.

Some social media posts suggest that nearly every child should receive an expander as early as age 3 or 4 to prevent future health problems. At this time, high-quality scientific research does not support treating all young children this way.

Orthodontic treatment should always be based on a careful diagnosis. A child with a normal bite and no orthodontic problems does not benefit from treatment simply because someone hopes it might improve the airway.

Starting treatment earlier is not always better. In many cases, waiting until the proper stage of growth provides the same orthodontic result while avoiding years of unnecessary treatment.

Following the Evidence

Good healthcare should be based on strong scientific evidence, not exciting marketing claims.

Researchers continue to study the relationship between jaw growth, orthodontics, and breathing. This is an active area of research, and our understanding may continue to improve. But today's evidence does not support promising that braces, expanders, or other orthodontic appliances can reliably treat airway disorders or prevent future medical problems.

Families should be cautious of anyone making guarantees that go beyond what research has shown.

Our Philosophy

Our goal is to provide treatment that is necessary, effective, and supported by the best available evidence. We recommend orthodontic treatment when it is indicated to improve the bite, guide normal dental development, and create healthy, stable results.

When airway or sleep concerns are present, we work closely with pediatricians, ENT physicians, sleep medicine specialists, and other healthcare providers to ensure each patient receives the most appropriate care.

Medicine advances by following good evidence. We believe our patients deserve recommendations based on science—not on trends or unproven promises.

The Pros and Cons of Fixed Bonded Retainers

 The Pros and Cons of Fixed Bonded Retainers on the Lower Incisors

If you’ve just finished your orthodontic treatment, congratulations! Your braces or aligners are off, and your teeth look great. But keeping that perfect smile takes some work, even after your treatment is done. That’s where retainers come in. One option your orthodontist might recommend is a fixed bonded retainer on your lower incisors. This is a small, thin wire that’s permanently attached to the back of your lower front teeth to keep them from shifting. While this type of retainer has many benefits, it also comes with some challenges. Let’s take a look at the pros and cons of fixed bonded retainers on the lower incisors.

What is a Fixed Bonded Retainer?

A fixed bonded retainer is a thin wire that’s glued, or bonded, to the back of your lower front teeth (your incisors). It’s usually placed after you finish orthodontic treatment, and its job is to keep your teeth from moving back to their original crooked positions. Unlike removable retainers, which you take in and out, a fixed bonded retainer stays in place 24/7.

Pros of Fixed Bonded Retainers

1. No Need to Remember to Wear It: One of the biggest advantages of a fixed bonded retainer is that you never have to worry about forgetting to wear it. Since it’s permanently attached to your teeth, it’s always doing its job, even when you’re sleeping, eating, or brushing your teeth. This is great for people who might forget or lose a removable retainer.

2. Keeps Your Teeth in Place Long-Term: The lower incisors (your bottom front teeth) are the most likely to shift after orthodontic treatment, especially as you get older. A fixed bonded retainer ensures that these teeth stay in their new, straight positions for the long term, preventing them from becoming crooked again.

3. Invisible from the Front: Because the wire is glued to the back of your teeth, no one can see it when you smile or talk. This makes it a great option if you want to maintain your straight smile without the appearance of a removable retainer.

4. Durable and Long-Lasting: Fixed retainers are made from strong materials, like stainless steel or titanium, that are designed to last for many years. With proper care, your fixed bonded retainer can keep your teeth in place for a long time without needing to be replaced often.

Cons of Fixed Bonded Retainers

1. Harder to Clean: One of the main challenges of having a fixed bonded retainer is keeping your teeth clean. Since the wire is glued to the back of your teeth, it can be difficult to floss around it. You’ll need to use special tools, like floss threaders or water flossers, to make sure you clean between your teeth properly. If you don’t clean around the retainer well, plaque and tartar can build up, which can lead to gum problems or cavities.

2. It Can Break: Although fixed retainers are durable, the wire can sometimes break or come loose, especially if you bite down on something hard. If this happens, you’ll need to visit your orthodontist to get it fixed. A broken retainer can cause your teeth to shift if it’s not repaired quickly.

3. No Control Over Removal: A fixed bonded retainer is, as the name suggests, fixed in place. This means you can’t take it out whenever you want, unlike a removable retainer. If you need to have it removed for any reason, such as dental work or discomfort, you’ll need to go to the orthodontist to have it professionally removed and possibly replaced.

4. Can Feel Uncomfortable at First: Some people find that a fixed bonded retainer feels strange or uncomfortable when they first get it. The wire on the back of your teeth might take some time to get used to, especially when eating or brushing. However, most people adjust to the feeling after a while.

Conclusion

A fixed bonded retainer on your lower incisors can be a great way to keep your teeth straight and your smile looking great. It’s convenient because you don’t have to remember to wear it, and it’s invisible from the front. However, it also comes with some challenges, like needing extra care when cleaning and the possibility of it breaking. If you’re considering a fixed bonded retainer, talk to your orthodontist about whether it’s the right choice for you. By weighing the pros and cons, you can make sure you choose the best option to maintain your perfect smile!

Do Dental Extractions for Orthodontics Cause Airway Issues?

 Do Dental Extractions for Orthodontics Cause Airway Issues?

When you get braces, your orthodontist may recommend removing one or more teeth to make room for the others to move into the right position. This is called a dental extraction. Some people worry that having teeth removed for braces could cause problems with their airway, making it harder to breathe. But is there any real evidence to support this concern? Let’s take a look at what we know about dental extractions and how they might affect your airway.

Why Do Orthodontists Recommend Extractions?

First, it’s important to understand why extractions are sometimes necessary during orthodontic treatment. If your mouth is too crowded, there might not be enough space for all your teeth to fit properly. This can cause your teeth to overlap, twist, or stick out in odd directions. In these cases, an orthodontist might suggest removing one or more teeth to create enough room for the remaining teeth to be straightened and aligned correctly.

What is the Airway?

The airway is the path air takes when you breathe in and out. It includes your nose, throat, and the passages leading to your lungs. A clear, open airway is essential for easy breathing, both when you’re awake and when you’re sleeping. Some people worry that removing teeth could change the shape of the mouth or jaw in a way that might narrow the airway, making it harder to breathe, especially at night.

What Does the Research Say?

The idea that dental extractions could affect the airway is a concern for some, but what does the scientific research actually say about it? Here are some key points:

1. No Strong Evidence: Most studies have not found a direct link between dental extractions for orthodontics and airway problems. When orthodontists remove teeth, they are careful to plan the treatment so that it doesn’t negatively affect the airway. The goal is always to improve the overall function of the mouth, teeth, and jaw, which includes maintaining a healthy airway.

2. Different for Each Person: Everyone’s mouth and airway are different, so it’s important to remember that what might be true for one person isn’t necessarily true for another. Some people naturally have narrower airways, while others have more space. This means that orthodontists need to evaluate each patient individually to decide whether extractions are the best option.

3. Improved Breathing for Some: In some cases, orthodontic treatment, including extractions, can actually improve breathing. For example, if crowded teeth are causing problems with how the tongue rests in the mouth or how the jaw is positioned, removing teeth can create more space and lead to better airflow and easier breathing.

4. Importance of Proper Diagnosis: The most important factor is a proper diagnosis and a well-thought-out treatment plan. Orthodontists use X-rays, 3D imaging, and other tools to carefully study the mouth, teeth, and airway before deciding on extractions. They take all these factors into account to ensure that the treatment plan won’t cause any airway issues.

What Should You Do If You’re Worried?

If you or your parents are worried about the potential impact of dental extractions on your airway, it’s a good idea to talk to your orthodontist. They can explain why they recommend extractions in your specific case and how they plan to avoid any potential problems with your airway. You can also ask if there are alternative treatment options that don’t involve extractions. It’s important to have an open conversation with your orthodontist so you can feel confident in your treatment plan.

Conclusion

While it’s understandable to be concerned about any treatment that affects your mouth, there isn’t strong evidence that dental extractions for orthodontics cause airway issues. Orthodontists carefully plan each treatment to make sure it’s safe and effective for your teeth and overall health. If you have concerns, be sure to discuss them with your orthodontist, who can help you understand the benefits and risks of your specific treatment plan. Remember, the goal of orthodontic treatment is to create a healthy, beautiful smile that also supports good overall health, including proper breathing!

How Invisalign Has Improved Over the Last 20 Years

 How Invisalign Has Improved Over the Last 20 Years

Invisalign is a popular way to straighten teeth without using traditional metal braces. Instead of brackets and wires, Invisalign uses clear, removable aligners to gradually move your teeth into the right position. Over the last 20 years, Invisalign has come a long way, making it more effective, comfortable, and convenient than ever before. Let’s take a look at how Invisalign has improved and why it’s become a great option for people who want a straighter smile.

What is Invisalign?

Invisalign is a type of orthodontic treatment that uses clear plastic aligners to straighten your teeth. The aligners are custom-made to fit your teeth and are designed to be nearly invisible when you wear them. You’ll switch to a new set of aligners every week or two, and each new set gradually shifts your teeth into the desired position. Because the aligners are removable, you can take them out when you eat, brush your teeth, or play sports.

Early Days of Invisalign

When Invisalign was first introduced in 1999, it was a revolutionary idea. People loved the idea of straightening their teeth without the noticeable metal braces. However, in the beginning, Invisalign had some limitations. The aligners worked well for simple cases, like slightly crooked teeth or small gaps, but they couldn’t handle more complex dental problems, like severe crowding or major bite issues. This meant that many people still needed traditional braces to get the results they wanted.

Major Improvements in Technology

Over the past 20 years, Invisalign has made huge improvements, thanks to advances in technology and research. Here are some of the ways Invisalign has gotten better:

1. Better Materials: The original Invisalign aligners were made from a plastic material that wasn’t as strong or flexible as it could be. Today, Invisalign uses a special material called SmartTrack, which is more comfortable, fits better, and applies just the right amount of pressure to move your teeth. This new material also makes the aligners more effective at moving teeth faster and more accurately.

2. Treating Complex Cases: At first, Invisalign was mostly used for simple orthodontic issues, but now it can handle much more complex cases. Thanks to new attachments and techniques, Invisalign can treat problems like overbites, underbites, crossbites, and even severe crowding. These attachments are small, tooth-colored bumps that help the aligners grip your teeth better and make more precise movements.

3. Faster Treatment Times: In the early days, Invisalign treatment could take a long time, especially for more complicated cases. But with improvements in technology and aligner design, treatment times have become much shorter. Some patients can achieve their desired results in as little as six months, depending on the complexity of their case.

4. More Precise Planning: Invisalign uses advanced 3D imaging technology to create a digital model of your teeth. This allows your orthodontist to plan out your entire treatment from start to finish with great accuracy. The digital planning also means that you can see a preview of what your smile will look like before you even start wearing the aligners. Over the years, this technology has become even more precise, leading to better results and fewer adjustments during treatment.

5. Increased Comfort: One of the best improvements in Invisalign over the years is how much more comfortable the aligners have become. The aligners are now thinner and fit more snugly against your teeth, making them easier to wear and less likely to cause irritation. Plus, because you can take them out to eat and brush your teeth, they fit seamlessly into your daily routine.

Conclusion

Invisalign has come a long way since it was first introduced 20 years ago. With better materials, more advanced technology, and the ability to treat more complex cases, Invisalign has become a powerful tool for creating beautiful, straight smiles. Whether you have a simple case or a more complicated one, Invisalign is now a great option for achieving the smile you’ve always wanted, all without the noticeable metal braces. As technology continues to advance, who knows how much more Invisalign will improve in the future?