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Pediatric Dentistry & Orthodontics

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Orthodontics

Orthodontic emergencies

True orthodontic emergencies are very rare, but when they do occur, we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem.

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What to do in case of EMERGENCY

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you schedule an appointment with our office. When working with your appliances, you need to know the names of the parts of your appliances, so you are able to identify what part is broken or out of place. After alleviating your discomfort, it is very important that you still call our office to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions in your treatment plan.

General Soreness

When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm saltwater mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in a pharmacy. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.

The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this.

General Soreness

When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm saltwater mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in a pharmacy. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain. The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this.

Loose Appliance

If any part of your braces are loose it might need to be adjusted or repaired. Place wax on the offending part of your appliance and call us for an appointment.

Loose Bracket

If you notice that one of your brackets or bands have become loose and is still attached to the wire, you should leave it in place and put wax on it to provide stability.

Loose Wire

Using a tweezers, try to put your wire back into place and add wax. If this doesn't help, use a small fingernail clipper to clip the wire behind the last tooth to which it is fastened. If your discomfort continues, place wax on the clipped wire.

Poking Wire

Using a pencil eraser, push the poking wire down or into its original position until it is no longer irritating the surrounding tissue. Place wax on it to alleviate the discomfort

Loose Appliance

If any part of your braces are loose it might need to be adjusted or repaired. Place wax on the offending part of your appliance and call us for an appointment.

Loose Bracket

If you notice that one of your brackets or bands have become loose and is still attached to the wire, you should leave it in place and put wax on it to provide stability.

Loose Wire

Using a tweezers, try to put your wire back into place and add wax. If this doesn't help, use a small fingernail clipper to clip the wire behind the last tooth to which it is fastened. If your discomfort continues, place wax on it.

Poking Wire

Using a pencil eraser, push the poking wire down or into its original position until it is no longer irritating the surrounding tissue. Place wax on it to alleviate the discomfort

 
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FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

 
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FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

Orthodontics

Your First Orthodontic Visit

WE'RE HAPPY YOU HOPPED OVER.

While it’s never too late to get an EverGrins smile, having a complementary evaluation while the child is still growing by leaps and bounds enables us to actually guide the growth of the jaw and position the teeth in the least invasive way. The doctor will carefully examine the teeth for a wide range of possible orthodontic problems, such as crowding, cross-bite, gaps, etc. Once the doctor has a clear picture of the most likely course of treatment, we’ll sit down with you to discuss what type of treatment is necessary, how long it will take, and estimate how much it will cost. You’ll understand everything you need to know in order to decide whether to proceed with treatment or not.

NEW PATIENT FORM
FINANCIAL FORM
Health History Form
 

What age should my child see an orthodontist?

We recommend that parents bring their children in by age 7 for a complementary evaluation with us.

How much does the first visit cost?

Your first visit to our office will be a free exam for you or your child.
 
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FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

Orthodontics

Orthodontic Services

Age 7 is when the first set of permanent molars and most of the permanent front teeth should be in. There are certain problems that should be corrected at this early age, but most 7-year-olds don’t need braces. It is very important to monitor the growth and development of the teeth and jaws at this age and as children get older.

Give us a ring to set up your consultation
 

Early Treatment

When children who have some permanent teeth and some baby teeth (typically 7-10 year old’s) need braces, this treatment is usually called Phase 1, Interceptive or Early Orthodontic Treatment. This type of treatment usually lasts 9 months to 1 year and has specific goals, like correcting a cross-bite or making more room for permanent teeth. This early treatment is almost always followed by another round of braces when all the permanent teeth grow in. Getting treatment at the right age is important to ensure the best long-term results. Investing in braces for your children sets them up for a lifetime of healthy, beautiful teeth.

Full Treatment

When children who have all their permanent teeth need braces, this treatment is called Full or Comprehensive Treatment. This usually involves a full set of upper and lower braces to align and position all the teeth in their ideal position for a beautiful smile and a healthy functional bite. The majority of children and teens who are candidates for a full treatment opt for metal braces with the colored bands they can customize at each appointment. At EverGrins we make braces cool and for many children it’s fun to be able to show them off.

Early Treatment

When children who have some permanent teeth and some baby teeth (typically 7-10 year old’s) need braces, this treatment is usually called Phase 1, Interceptive or Early Orthodontic Treatment. This type of treatment usually lasts 9 months to 1 year and has specific goals, like correcting a cross-bite or making more room for permanent teeth. This early treatment is almost always followed by another round of braces when all the permanent teeth grow in. Getting treatment at the right age is important to ensure the best long-term results. Investing in braces for your children sets them up for a lifetime of healthy, beautiful teeth.

Full Treatment

When children who have all their permanent teeth need braces, this treatment is called Full or Comprehensive Treatment. This usually involves a full set of upper and lower braces to align and position all the teeth in their ideal position for a beautiful smile and a healthy functional bite. The majority of children and teens who are candidates for a full treatment opt for metal braces with the colored bands they can customize at each appointment. At EverGrins we make braces cool and for many children it’s fun to be able to show them off.

 

TWO PHASE TREATMENT

A two-phase treatment is a common orthodontic treatment completed in two separate phases. Children can benefit tremendously from early phase treatment because it may prevent the removal of permanent teeth later in life, or the need for surgical procedures to realign the jaws. The first phase centers around specific problems that need to be addressed as early as possible, and the second stage is dedicated full alignment of the teeth, jaws and, facial structures. Certain circumstance necessitates handling orthodontics in two phases, this allows us at EverGrins to bring not only a healthy, beautiful grin to our patients but also a long-lasting one! 

Orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of models of the teeth, X-rays, and photographs. During your child’s initial consultation, your doctor will take records to determine if early treatment is necessary.

Phase 1

The goal of phase one treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and to improve the way the upper and lower jaws fit together. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age. If children, over the age of six, are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if children around the age of 8 have crowded front teeth, early treatment can avoid the need to extract permanent teeth later.

Resting Period

In this phase, the remaining permanent teeth are left alone as they erupt. Retaining devices may not be recommended if they would interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement. A successful first phase will have created room for permanent teeth to find an eruption path; otherwise, they may become impacted or severely displaced. 

Phase 2

The goal of the second phase is to make sure 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, the teeth will function together properly. Phase two usually involves full upper and lower braces. At the beginning of the first phase, orthodontic records were made, and a diagnosis and treatment plan established. Certain types of appliances were used in the first phase, to correct and realign the teeth and jaw. The second phase begins when all permanent teeth have erupted, and usually requires braces on all the teeth. Retainers are worn after this phase to ensure you retain your beautiful smile

 

Types of braces

Here at EverGrins we offer many options to help you get the smile you’ve always dreamed of! We are here to help you go through the options and find the best type of braces for you. Read the descriptions below of all the different types of braces and clear aligners and then call either of our offices to discuss your options with EverGrins today! At the beginning of the first phase, orthodontic records were made, and a diagnosis and treatment plan established. Certain types of appliances were used in the first phase, to correct and realign the teeth and jaw. The second phase begins when all permanent teeth have erupted, and usually requires braces on all the teeth. Retainers are worn after this phase to ensure you retain your beautiful smile.

Metal Braces

Metal braces are the most common type of braces and are more comfortable and efficient today than ever before. Made of high-grade stainless steel, metal braces straighten your teeth using metal brackets and arch wires. With metal braces, you have the option of adding colors for a more unique and colorful smile.​

Invisalign

Invisalign is a series of clear braces or aligners that move your teeth, step by step, from where they are now into the position you want them to be. Getting Invisalign is so easy! To get started, your orthodontist will take some pictures, x-rays, and an impression of your teeth.

Ceramic Braces

Ceramic braces are less visible on your teeth than metal braces. While they are visually less prominent, they do require more attention to oral hygiene as ceramic braces are larger and are more brittle than their metal counter parts. For these reasons, ceramic braces tend to be used more on upper front teeth than on lower teeth.​

Metal Braces

Metal braces are the most common type of braces and are more comfortable and efficient today than ever before. Made of high-grade stainless steel, metal braces straighten your teeth using metal brackets and arch wires. With metal braces, you have the option of adding colors for a more unique and colorful smile.​

Invisalign

Invisalign is a series of clear braces or aligners that move your teeth, step by step, from where they are now into the position you want them to be. Getting Invisalign is so easy! To get started, your orthodontist will take some pictures, x-rays, and an impression of your teeth.

Ceramic Braces

Ceramic braces are less visible on your teeth than metal braces. While they are visually less prominent, they do require more attention to oral hygiene as ceramic braces are larger and are more brittle than their metal counter parts. For these reasons, ceramic braces tend to be used more on upper front teeth than on lower teeth.​
 

Types of Appliances

Scroll down to learn about some common appliances used during your orthodontic treatment. If something breaks or gets lost this will help you identify what it is so you can give us a ring to repair or replace it!

Invisalign Retainer

The goal of phase one treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and to improve the way the upper and lower jaws fit together. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age. If children, over the age of six, are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if children around the age of 8 have crowded front teeth, early treatment can avoid the need to extract permanent teeth later.

Removable Retainer

When most people think of retainers, they’re thinking of removable retainers. Removable retainers are most commonly made of clear, thermoplastic material that is adapted to fit exactly over the teeth. The retainer encases the teeth in a clear, semi rigid, thin plastic shell that prevents any shifting of the teeth. These retainers are typically worn for a month or two full-time and then night-time long term.

Palatal Expander

The palatal expander “expands” (or widens) your upper jaw by putting gentle pressure on your upper molars each time an adjustment is made. Your orthodontist will instruct you about when and how to adjust your expander. When you achieve the desired expansion, you will wear the appliance for several months to solidify the expansion and to prevent regression.

Bluegrass Appliance

The bluegrass appliance is a simple device used to correct open bites (when the front teeth don’t come together) by re-training the tongue to rest in its ideal location, the roof of the mouth, versus against the teeth. This helps us not only straighten the teeth and bite but correct the cause of the problem.

Motion Appliance

The Motion appliance is a small, smooth and comfortable appliance when combined with rubber bands will assist in moving the upper and lower jaws together. This appliance is used when the jaws are unevenly matched. It works much more efficiently than traditional orthodontic appliances, 3 to 6 months, reducing overall treatment times and replacing outdated and uncomfortable devices such as Herbst, headgear and bulky springs. 

Elastics (rubber bands)

Wearing elastics (or rubber bands) improves the fit of your upper and lower teeth. Wear rubber bands as instructed and remember that the rubber bands work far more efficiently if they’re worn as prescribed.

Separators/Spacers

Separators are little rubber doughnuts that may be placed between your teeth to push them apart so that orthodontic bands may be placed during your next appointment. The separators will be removed before we place the bands. Separators do not mix well with sticky foods, toothpicks, or floss.

 
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FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

 
img-house-mustard

FROM THE HOUSE ON THE HILL

400 S 38th Ct, Ste A, Renton, WA 98055 / hello@evergrins.com / 425-255-6008
Mon-Thu 7:30 am – 4:30 pm / Fri-Sun CLOSED

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