Where to start

The American Orthodontic Association recommends children start orthodontic screening around the age of 7 to begin early monitoring. At this stage, we are able not only to observe their dental development but also identify whether early intervention may be beneficial. In certain cases, children may require a Phase I treatment, typically beginning around age 9, which enables us to guide the proper eruption of their permanent teeth.

Phase 1

Phase I treatment typically begins once the patient has their permanent incisors and first molars. This stage allows for early alignment of the teeth, helping to create sufficient space for the remaining permanent teeth to erupt properly. Phase I treatment generally lasts one year and may be followed by a Phase II once all of the adult teeth have erupted.

Comprehensive Treatment

Comprehensive treatment begins once all of a patient’s permanent teeth have erupted and no primary teeth (baby) remain, which typically occurs around age 12. This type of treatment is suitable for individuals of any age seeking to straighten their teeth. Treatment duration varies based on individual needs; Dr. Larkin will evaluate your specific case during your consultation and provide an estimated treatment timeline.

Orthodontic Appliances

Sometimes in treatment orthodontic appliances are necessary to make corrections. Dr. Larkin offers Herbst appliances as well as Rapid Palatal Expanders. Both of these appliances are bonded during the treatment stages mentioned above as needed.

Herbst Appliance

A Herbst appliance is a device that helps move the lower jaw forward to correct malocclusion. It is used in conjunction with braces and is worn for a year to help remodel the jaw. The appliance is designed with metal crowns that are cemented to all four first molars with rods that connect the upper crowns to the lower ones, which positions the lower jaw forward. The ideal time to start treatment with a Herbst appliance (if needed) is around puberty when the patient is still growing and maturing.

Rapid Palatal Expander (RPE)

The rapid palatal expander is an orthodontic device that widens the upper jaw to create space for permanent teeth to erupt. This appliance is designed with metal bands that fit around the upper first molars with a bar that extends across the palate where a key is used to turn and expand the appliance, thus expanding the palate. Turning times vary and Dr. Larkin will demonstrate how to turn it and for how long before you leave the chair. Expanders are usually used in Phase 1 treatments and are worn for about 6 months.