Treatment & Care

How do I Know if I Need Orthodontics?

The Staff at Doshi Orthodontics can determine whether you can benefit from orthodontic treatment by performing an assessment of your condition. Our assessment may include a full diagnostic exam, that includes a review of your medical and dental health history, a clinical exam, plaster models of your teeth, and special imaging and photographs, an orthodontist or dentist can decide whether orthodontics are appropriate and/or beneficial, and develop a treatment plan that’s custom-tailored to your needs.


Symptoms that Often Require Orthodontic Care:



An overbite occurs when the top front teeth overlap the bottom front teeth when biting. Overbites can disrupt the balance of a healthy bite and lead to early wear of teeth.



Sometimes called “buck teeth”, Overjet occur when development or environmental conditions have forced the upper top teeth too far forward over the lower teeth.



An Underbite can be best described as where the lower teeth are too far forward or the upper teeth rest too far back. Often referred to a crossbite of the front teeth.



This condition occurs when the upper teeth do not come down in front of the lower teeth when biting. Often times this results in a shift when you bite and can lead to jaw asymmetries.


Midline Discrepancy

A Midline Discrepancy happens when the center line of your upper front teeth does not line up with the center line of your lower front teeth. This often is a result of an incorrect bite, such as a crossbite.



This is what happens when there are too many teeth and not enough space for them all to fit. Crowding makes oral hygiene difficult to maintain and can cause many other problems, such as impactions.



Gaps, or spaces, appear between the teeth as a result of undeveloped, surgically removed, or missing teeth. Coupled with poor hygiene, it can be damaging to the teeth.



An Openbite occurs when there is space between the top front teeth and bottom teeth even though the back teeth are touching – the opposite of an overbite.

Dr. Milan Doshi

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How Does Orthodontics Treatment Work?

People of any age can benefit from orthodontic treatment. Teeth that are crooked, spaced unevenly, crowded, or that protrude, affect the way your teeth look and work. Orthodontic treatment not only improves the look of your smile but your health as well. Straight teeth are easier to clean and less likely to get tooth decay or injured. If you are not happy with the way your teeth look or work, orthodontic treatment may help.

Many different types of appliances, both fixed and removable, are used to help move teeth, retrain muscles and affect the growth of the jaws. These appliances work by placing gentle pressure on the teeth and jaws. The severity of your problem will determine which orthodontic approach is likely to be the most effective.


Fixed Appliances Include:


The most common fixed appliances, braces consist of wires and brackets. Brackets are most often bonded to the front of the tooth while arch wires are passed through the brackets. Tightening the arch wire puts tension on the teeth, gradually moving them to their proper position. Today’s braces are smaller, lighter, faster, and show far less metal than in the past. They come in bright colors for kids as well as clear styles preferred by many adults.

Palatal Expander

A device used to widen the arch of the upper jaw, most commonly in the presence of a crossbite or narrow upper jaw. Expanders are most successful when used at a young age (before puberty) while the patient is still growing.

Special Fixed Appliances

Used to control thumb sucking or tongue thrusting, these appliances are attached to the teeth by bands. Stopping habits like these before age 5 is important so that oral development is not effected.

Removable Appliances Include:

Clear Aligners (ex. Invisalign)

An alternative to traditional braces for adults, serial aligners are being used by an increasing number of orthodontists to move teeth in the same way that fixed appliances work, only without metal wires and brackets. Aligners are virtually invisible and are removed for eating, brushing and flossing.


Can be made for both upper and lower teeth, retainers are used to prevent the shifting of teeth. Most often made after orthodontic treatment, retainers are essential to ensuring teeth remain aligned in their ideal position.

Spring Retainers

These retainers have ‘active’ components which allow for minor tooth movement. Great for patients who have had slight tooth movement and are looking for a quick way to align teeth.