Dr. Michelle Fogg Neal
Orthodontist

Diplomate,
American Board of Orthodontics
Juanita Professional Plaza
9750 N.E. 120th Place, #5
Kirkland, WA 98034
Phone: (425) 823-1234
Fax: (425) 825-0894

Your dentist may have discussed with you the benefits of having healthy teeth and proper jaw alignment. Crooked and crowded teeth Patient Education are hard to clean and maintain. This can result in tooth decay, worsen gum disease and lead to tooth loss. Other orthodontic problems can contribute to abnormal wear of tooth surfaces, inefficient chewing function, excessive stress on gum tissue and the bone that supports the teeth, or misalignment of the jaw joints. These can lead to chronic headaches and face or neck pain. Treatment by an orthodontist can be less costly than the additional care required to treat dental problems arising as a result of orthodontic problems. For most people, a beautiful smile is the most obvious benefit from orthodontics. Straight teeth and a beautiful smile can increase your self-confidence, which is extremely important in the developmental years, as well as throughout life.

Braces for Children

The American Association of Orthodontics recommends that your child get an Patient orthodontic check-up no later than age 7. At this time, the first permanent molars and incisors have usually come in and crossbites, crowding, and other problems can be evaluated. While your child's teeth may appear to be straight, there could be a problem that only an orthodontist can detect. Conversely, Dr. Neal is conservative when in comes to Phase I or interceptive treatment. Her goal for treating her patients is to have "the best treatment, in the shortest amount of time." Sometimes a 1st phase of treatment is necessary to achieve this goal. This age gives Dr. Neal the chance to:
  • guide jaw growth
  • lower the risk of trauma to protruded front teeth
  • correct harmful oral habits such as thumb sucking and tongue thrust
  • improve appearance and self esteem
  • guide permanent teeth into a more favorable position
  • improve the way the lips meet
Second phase treatment, or comprehensive treatment, consists of finishing alignment and bite of the newly erupted adult teeth. This occurs usually between the ages of 11 and 13. After Phase II, the retention phase begins.

Braces for Adults

You are never too old to look your best. The biological process involved in tooth movement is the same for adults as it is for children. As long as your teeth and gums are in good health, orthodontics can help make your smile more beautiful. A consultation with an orthodontic specialist is the best way to determine if you can benefit from treatment. At the initial examination, Dr. Neal will explain your treatment options and their approximate costs. If you decide to proceed, complete diagnostic records of your mouth can be taken at the initial examination Adult Treatment appointment to save you time by initiating treatment immediately.

Invisalign

Some adults are candidates for having teeth straightened without braces. If your teeth fit together properly with mild crowding or spacing, orthodontic treatment may be achieved by using invisible aligners. Dr. Neal was one of the first orthodontists in the area to start using this revolutionary technology. She will let you know at the initial exam whether you are a candidate for Invisalign. For more information, go to www.invisalign.com.

How Orthodontic Treatment Works

Orthodontic appliances can be made of metal, ceramic, or plastic. They may be removable or they may be brackets bonded to the teeth. By placing a constant, gentle force in a carefully controlled direction, braces slowly move teeth to a corrected position. This is a great time to wear braces! Gone are the days when a metal band with a bracket was placed around each tooth. You can choose brackets that are clear or metallic in color. You can choose the color of the ties that hold the wire in brackets. Wires are also less noticeable than they used to be and the latest materials move teeth faster with less discomfort to patients.

Duration of Treatment

Treatment time typically ranges from one to three years, depending on the growth of the patient's mouth and face and the severity of the problem. Patients grow at different rates and will respond variously to orthodontic treatment, so the time to case completion may differ from the original estimate. The patient's diligent use of any prescribed rubber bands or headgear is an important factor in achieving the most efficient treatment. Interceptive, or early treatment procedures, may take as few as six months.