Services

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[dm-name] is excited to serve our patients. Our ultimate goal is to craft you a perfect smile that you are proud to show off.

After your first examination and completion of X-rays, we will be happy to discuss all of your options. We are proud to offer several different treatment options for straighter teeth and a beautiful smile. We understand the importance of showing you all of our options and discussing them thoroughly with you. We want you to find the best treatment option for you, no matter what you choose.

We are proud to offer the following services to achieve the smile of your dreams:

• Child Treatment
• Adolescent Treatment
• Adult Treatment
• Traditional Metal Braces
• Ceramic Braces
• HYBRID Treatment
• Orthopedic Treatment
• Surgical Orthodontics
• Space Maintainers
• Retainers
• Emergency Orthodontic Care
• 3D Digital Technology

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Child Treatment

The earlier we catch problems with your child’s bite, the simpler they are to fix. The results are often better than if we wait and will require significantly less work. Early intervention can be beneficial as it can prevent problems from getting worse. We will watch how your child’s mouth and teeth grow and develop, so if we see something that needs to be done, we can do it as soon as possible. We will also know exactly when to start treatment, if needed.
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What age should I see the Orthodontist?
The American Association of Orthodontics (AAO) recommends that children visit an orthodontist as soon as their dentist notices that there might be a problem, or before they are seven years old. At this age, we may not have to do anything other than monitor the child’s mouth. However, if we continue to monitor your child, we can start treatment right away if something arises.

What are the indications of phase I treatment?

• Thumb-sucking continued after age 5
• Biting or chewing problems
• Losing baby teeth early (before age 5)
• If the teeth don’t come together properly when opening, or any evidence of crossbite
• If front teeth become excessively crowded at age 7 or 8
• Protruding upper or lower teeth that can increase risk of trauma
• Underbite

Why is early treatment recommended?
The earlier we catch problems with your child’s bite, the simpler they are to fix. We will watch how your child’s mouth and teeth grow and develop, so we can treat any problems that arise as soon as possible. We will also know exactly when to start treatment, if needed. One of the main objectives in early treatment is regaining space for permanent teeth to come in. In mild crowding cases, early treatment can create space that otherwise wouldn’t have had room. Treatment results are often better than if we wait and will require significantly less work. Most children who undergo early treatment will require braces or aligners down the road but may not need to keep braces for as long thus making treatments shorter and less complex.

What are the benefits of early treatment?

• Make room for the permanent teeth when there is overcrowding
• Ensure facial symmetry
• Reduce trauma when the front teeth are protruding
• Place space maintainers if the child lost his primary teeth earlier than normal
• Early treatment also reduces the time patients must wear braces when all permanent teeth comes in
• Crossbite correction can prevent any unfavorable growth and uneven tooth wear
• Open bite correction can prevent any tongue-thrusting habits and speech impediments
• A healthier mouth since crowded teeth can be hard to brush causing cavities and gum disease

What treatment is commonly used during early treatment?

• Expanders
• Space Maintainers such as Nance appliance and lower lingual holding arch
• Limited Braces
• Habit breaking appliance such as thumb sucking prevention appliances

What is the difference between phase I and phase II treatment?
Phase I treatment is also called early treatment. Phase I orthodontics is when we intervene at a younger age while many baby/primary teeth are still present in order to address a problem that could worsen without correction which will increase treatment complexity and future treatment cost. For example, use of a habit breaking appliance to prevent thumb sucking could prevent or correct an open bite. If untreated, an open bite can get worse and affect speech. Phase II orthodontics is provided typically around age 11-12 and is designed to correct orthodontic concerns such as overbite, underbite, severe crowding and fixing improper bite using elastics or fixed appliances.

To determine whether your child needs phase I treatment, please schedule an appointment at Smile City Orthodontics in Sunnyvale, Tx. Our highly trained team and modern technology equipped office is committed to achieve a beautiful smile that you deserve.

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Adolescent Treatment

Orthodontic treatment during adolescence is a teenager’s right to passage. It is a great time to start braces as most children have lost their baby teeth and have permanent teeth in. Furthermore, they are also excited to have braces at this age since all their friends are in braces as well.

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What is the timing for getting braces during teens?
Most children have their permanent teeth by age 12. Any issues such as crowding, overbite, improper bite, and spacing can be addressed during this stage. During this time, patients are also in their peak pubertal growth spurts which allows for certain appliances that can be used in conjunction with braces to help in the growth of their jaws. Since bone density is still less compared to adult teeth, movements are faster with shorter treatment time.

What treatment options are offered?
At Smile City Orthodontics, we are excited to provide, Braces, Aligners, and Hybrid treatment for our teens.

Braces: Braces are the most common treatment modality that most teens opt for. Braces consist of metal brackets and wires. They are composed of high grade stainless steel. The brackets are attached to the teeth and then connected by a wire which will pull or push the tooth to the correct position. The wires are connected to the brackets using O-rings (we have a variety of colors !) or power chain. The brackets have hooks to which you will connect the elastics.

If your teen does not want metal braces, we also offer ceramic braces (clear braces). The ceramic braces are transparent and are less noticeable than traditional metal braces.

Aligners: We have seen several teens also opting for clear aligners. Aligners have progressed over the years and are now offered to teens. Patients wear the aligners for 22 hours/day. You will be provided with a series of aligners and you switch to new ones every two weeks. Each set of aligners will slowly move the teeth until they reach the final position to achieve the perfect smile. With aligner treatment, the number of office visits are less and with the help of technology we can also do virtual visits to check the progress of your treatment.

The process of aligners is simple. We scan your teeth using our 3D scanner and the image is sent to an aligner company who will fabricate your aligners. Rather than wait 5 weeks to receive your aligners, your first few aligners will be provided in about 2 days of starting treatment with aligners that are created by our in-house 3D printer. Come check out our office to see this new technology.

Hybrid treatment: Even though aligner treatment has progressed over the years, there are still some limitations when it comes to treating severe cases. For these cases, we offer Hybrid treatment which is a combination of aligners and braces. We will start with braces and let it do the heavy lifting. Following which we will remove the braces and then scan for aligners. The final finishing and detailing will be completed with aligners. The combination of both aligners and braces will help in achieving our goals and see quick results.

To see which is the best option for your child, schedule an appointment at Smile City Orthodontics in Sunnyvale, Tx to learn more about your treatment options. Our highly trained team and modern technology equipped office is committed to achieve a beautiful smile that you deserve.
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Adult Treatment

No matter your age, you deserve a smile that gives you confidence. Braces are not just for children anymore. With the latest advancements in technologies, we can get you the smile you deserve! Here at Smile City Orthodontics, we work hard to give you the smile you’ve always wanted. We offer several different treatments that can be effective no matter how old you are. More and more orthodontic treatments are becoming available to give adults the smile that they want. Orthodontic treatments are not just for your smile. Fixing your teeth can also dramatically change your oral health. When you have crooked teeth or a malocclusion (uneven bite), you may be prone to oral health problems such as gum disease and tartar buildup.

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Am I too old to get braces?
I am sure you are thinking about this question. No matter your age, you deserve a smile that gives you confidence. Braces are not just for children anymore. With the latest advancements in technologies, we can get you the smile you deserve! Today, one in four orthodontic patients is an adult. Leaving misaligned teeth untreated may lead to other dental problems such as tooth decay, gum disease, teeth wear, and difficulty chewing. Orthodontic treatment creates a better bite, making teeth fit better and decreasing the risk of future dental problems regardless of age.

What are my treatment options?
With recent orthodontic advancements, there are now more adult treatment options than ever before. These treatment modalities are more comfortable and less noticeable for individuals of all ages. Many of today’s treatment options are designed to minimize the appearance of the appliance to better fit any lifestyle. Your Smile City orthodontist will consult with you about the options that fit best for your goals, needs and lifestyle, but here are some of the most common options for adult patients: 1) Traditional metal or Clear braces 2) Clear aligners and 3) Hybrid treatment (combination of aligners and Braces). Please read our services offered page for more details about these options.

Does orthodontic treatment differ for adult patients?
The main difference in orthodontics for adults vs. children/teens is that adults are no longer growing. Adult treatment may be slightly longer than treatment for children/teens with a similar problem due to the increased bone density and maturity that adults have. Adult patients may also have some medical conditions or using medications that can prevent tooth movement and affect treatment outcome. Adults may also have periodontal problems such as bone loss that will require us to place gentle forces on your teeth and move teeth slowly through the bone. Some adult treatment plans may need a multidisciplinary approach to achieve optimal dental health.

What are the benefits of Orthodontic treatment in adult patients?
Orthodontic treatments are not just for your smile. Fixing your teeth can also dramatically change your oral health. When you have crooked teeth or a malocclusion (uneven bite), you may be prone to oral health problems such as gum disease and tartar buildup.

If you are interested in learning more about treatment options, please schedule an appointment with Smile City Orthodontics in Sunnyvale, Tx. Our highly trained team and modern technology equipped office is committed to achieve a beautiful smile that you deserve.
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Traditional Metal Braces

Traditional metal braces are the most common type of braces that are more comfortable today than ever before. At Smile City Orthodontics, our braces are made up of high-grade stainless steel. Braces can fix crowded teeth, gap teeth, misaligned bites, and more. Metal braces straighten your teeth using metal brackets and archwires. Depending on your needs, other corrective appliances may be required. They work by applying pressure on your teeth and gums to move your teeth into the right position.

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Ceramic Braces

Were you recommended braces but you don’t want to wear the metal ones? Well, there is an option. At Smile City Orthodontics, we want everyone to enjoy their braces experience. Hence, we also offer ceramic braces or clear braces to offset display of metal brackets on your teeth. Ceramic braces are used for the same purpose as metal braces. Most adult patients choose these braces as they are less noticeable. This may be a great choice if you feel you don’t want to show the traditional metal braces or even if you are not a candidate for aligners. At the time of your orthodontic consultation, Dr.Jacob will go over pros and cons of metal and ceramic braces.

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Clear Aligners

Clear aligners are the newest and increasingly popular choice for aligning teeth. The aligners are invisible and removable, making them a top choice for teenagers and adults. The system uses clear, acrylic trays that straighten teeth just like braces and are much more comfortable.

Clear aligners are convenient choice because you can remove them to eat, drink, brush, and floss your teeth as normal. Clear aligners need to be worn as much as possible and need to be cleaned and adjusted regularly for optimal results.

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What aligner company do we use?
We use SPARK aligners from ORMCO, a leading brand in the orthodontic industry who manufactures these aligners. Spark aligners are more clear, more comfortable, and stains less compared to other aligner brands. We want to give you the best hence we work with Spark aligners to build you the perfect smile that you deserve. Please click this link to learn more about spark aligners https://sparkaligners.com/en-us.

What is the process to obtain clear aligners?
At Smile City Orthodontics, we want to make sure the process is easy. We scan your teeth using digital 3D scanner (https://www.medit.com/dental-clinic-i700). Your teeth images are uploaded to the spark website (https://sparkaligners.com/en-us) where the orthodontist will move the teeth in a 3D software. We share you the outcome of the treatment and once it’s approved by the orthodontist, the aligners are manufactured and shipped to the office in a couple of days.

In fact, Smile City Orthodontic office has the unique advantage of using our 3D printers (https://dental.formlabs.com/) to even print the first couple of aligner trays without waiting several weeks. With our high-tech software and equipment, we can get someone started much faster if they want to (even within the same day). We upload the 3D scan of your teeth into our virtual software and plan out your tooth and bite movements. After the movements have been planned, staged and approved, we print out your first 3 aligners in office. The rest of the trays will be available in the office within couple of weeks. This is a cutting edge technology that are making same day treatments with aligners so no more waiting for your aligners that you will see with other labs, manufacturing or even shipping delays

Please schedule an appointment at Smile City Orthodontics to learn more about The In-Office Aligner advantage!!
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HYBRID Treatment

For many patients who really prefer to avoid longer months of treatment in braces, HYBRID treatment is a great option that Smile City Orthodontics offer. Hybrid treatment combines the use of braces and clear aligners. For the first couple of months, braces are used to quickly alleviate crowding, align teeth, and de-rotate severely rotated teeth. Essentially all the heavy lifting is done by braces. After the braces are removed, rest of the tooth movements such as finishing and detailing are done by aligners.

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What is the benefit of Hybrid treatment?
The main benefit of Hybrid treatment is addressing the problem faster with braces initially. The same tooth movement with aligners may take longer and thus take longer treatment time. This is a great option for patients who were not candidates for aligner treatment due to the severity of the problem. For e.g a severely rotated tooth may not de-rotate using aligners as well as braces. Braces will de-rotate the tooth and we will then digitally scan your teeth to obtain your sets of aligners.

Am I a candidate for Hybrid treatment?
At Smile City Orthodontics, we believe that everyone deserves a smile. During our consultation, Dr. Jacob will go over pros/cons of all treatment options and offer Hybrid treatment if you are a suitable candidate. We believe in tailoring our treatment plans based on patient needs and its a personalized approach to each individual.

Please schedule an appointment at Smile City Orthodontics to learn more about the Hybrid treatment.
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Surgical Orthodontics

At Smile City Orthodontics, we offer Orthognathic surgery for advance cases that require a combination of orthodontics and oral surgery. Surgical orthodontics, also called orthognathic surgery, is used for severe cases of bad bites, jaw bone abnormalities, and malocclusions. For some adults, orthodontic treatment alone cannot fully correct their orthodontic problem. They may also need surgery in combination with orthodontic treatment to achieve a functional, healthy bite. Surgical orthodontics, also called orthognathic surgery, is corrective jaw surgery performed to remedy skeletal problems that affect the ability to bite, chew, and speak. If your case requires surgical orthodontics, we will work with an oral and maxillofacial surgeon to provide you with the best and most comprehensive care possible.
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What is the process of jaw surgery treatment?
Just like your regular orthodontic consultation, we will take all your records using our 3D diagnostic tools. After discussing potential treatment options, we will then provide you the contacts for oral surgeons. We will also provide you the referral letter. After you meet with the oral surgeon, we will collaborate with them to diagnose and treatment plan. Orthodontic treatment is most commonly done before and after surgery so that upper and lower teeth meet appropriately. During the initial pre-surgical phase we will level and align your teeth. After aligning your teeth, we will then refer you to the oral surgeon. The operation will be completed in a hospital and can take up to a few hours, depending on your needs. After surgery, you will need to rest for about two weeks. Most patients take some time off of work and school. After you heal, your orthodontist will work on finishing and detailing your teeth to their final positions. Most people have to wear braces for six months to a year after surgery. Then, you will need a retainer to maintain your beautiful smile and hard work. Like all surgeries, there are risks. However, orthognathic operations have been around for years and are proven to be safe and effective overall. If you have any concerns, don’t hesitate to ask questions before the procedure. Most people can’t wait to have the smile they dream of. Whether you need surgery to correct your bite, a malocclusion, or a jaw abnormality, we can help you have a smile you want to show off.

When is the appropriate timing for surgery?
Surgery can only be completed after the jaw is finished growing. This typically happens by age sixteen for females and age eighteen for males. However, your orthodontist will determine the right time to begin the process based on your age and growth of your jaws.

What conditions are recommended for surgery?

• Skeletal crossbites (adult patients)
• Deficient mandible (lower jaw)
• Deficient chin
• Deficient maxilla (upper jaw)
• Facial asymmetry
• Severe underbite
• Severe overjet
• Relief for sleep apnea patients
• Patients with cleft lip/palate

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If you have been recommended jaw surgery or you are looking for an Orthodontist specifically for orthognathic cases, contact us at Smile City Orthodontics, TX and schedule an appointment with Dr. Jacob today.

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Space Maintainers

A space maintainer is an oral appliance to maintain space left behind by missing baby tooth. If a child looses a baby tooth prematurely due to decay, trauma, or extraction it is important to maintain the space for future teeth to erupt. If space is not maintained, teeth adjacent can shift into the missing tooth space and create lack of space for future permanent teeth. This can lead to permanent teeth come in crooked and in some cases, teeth can get impacted in the bone which can increase treatment complexity and cost. Hence, we will recommend a simple passive space maintainer in these cases.

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What is the process to obtain a space maintainer?
The process of space maintainer is simple and easy. First, Dr. Jacob will evaluate your child’s teeth and determine if the missing tooth requires a space maintainer. The need for space maintainer is also based on your childs age and position of the permanent teeth which will be determined using our 3D X-rays. Using our 3D X-rays we will be able to exactly determine the position of the permanent teeth and need for type of space maintainer. If your child is recommended space maintainer, we will scan the teeth using our 3D scanner. The scans are sent to a digital lab that will create a custom fitted space maintainer that will hold the abutment teeth into place. The space maintainer will be cemented into place with minor adjustments.

What are the types of space maintainer?
There are two types 1) Removable and 2) Fixed spaced maintainer. We strongly recommend the fixed space maintainer as it requires less patient compliance thus effectively maintaining the space. They are also available in unilateral and bilateral space maintainer meaning they can maintain space on one or both sides of the mouth. During your consultation, Dr. Jacob will discuss different designs of space maintainers which can vary based on treatment needs.

How often do I see the Orthodontist?
Your child will return for dental check ups (once every 3 months). Depending on how early the tooth was lost and based on position of the permanent tooth, the space maintainer may be worn for a few years. When the permanent teeth erupts into the space that was maintained, Dr.Jacob will remove the space maintainer.

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If your child has lost a primary tooth or needs a space maintainer, contact us at Smile City Orthodontics, TX and schedule an appointment with Dr. Jacob today.

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Retainers

At Smile City Orthodontics, we offer three options of retainers.

• Hawley Retainer
• Clear Retainer
• Fixed Retainer

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Which is the recommended retainer?
At the end of treatment, Dr. Jacob will discuss your retainer options and which type is best for your situation. It is very critical to wear your retainer as recommended by your orthodontist. If you don’t, your teeth will likely shift over time. Teeth shifting is a normal aging process that happens during the persons lifetime and they tend to go forward or backward even after treatment. Hence, it’s important to wear your retainers to prevent teeth from shifting.

What is the process of obtaining a retainer?
We scan your teeth at the end of the treatment using our 3D scanner (Yes, you heard it right!! No Messy gooey impressions). After we scan your teeth, we send the digital scan to our 3D printer to create models following which the thermoplastic material is adapted to the model using our Biostar machines. If you are interested in receiving a Hawley retainer we send the digital scans to our lab to make the retainers.

Is retainer included in my treatment?
Absolutely. We always include one pair of retainer for your upper and lower teeth with your treatment. If you need additional ones, just let us know and we can make some extra ones for you at additional cost. Do not worry about need for multiple impressions. We use a digital scanner that can make as many models and retainers with just one scan.

How many pair of retainers can I get?
With our digital technology, we can use your digital teeth scans to get as many clear retainers you prefer. We offer single retainers either for your upper or lower teeth, 1 pair of upper/lower, and 4 pair of retainers.

Can I get retainers if I received orthodontic treatment from another orthodontic practice?
Absolutely! We understand how important your smile is and we don’t want the teeth to shift. Moreover, we are always happy to meet new smiling faces in our office.
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Please call Smile City Orthodontics, TX if you are interested in getting new retainers.
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Emergency Orthodontic Care

If you need urgent orthodontic care, we are here for you. Please do not hesitate to contact your emergency orthodontist, Dr. Jacob at Sunnyvale, Tx right away. If you are in need of orthodontic urgent care, please call our emergency line at (214) 663-9144. Many problems can be solved through temporary solutions until we are able to see you. Please go over the information below to address your orthodontic emergency in Sunnyvale, TX.
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Steps during an Orthodontic emergency:

Step 1: Call on the emergency line
Give us a call to our emergency number listed on our website. Whether its during business hours or after, give us a call and we will schedule you for an emergency appointment.

Step 2: Phone care instructions
We will listen to your situation and the doctor will provide you the necessary steps to best handle the situation until your appointment.

Step 3:Identify and assess the problem
When you arrive, Dr.Jacob will assess the problem during the appointment. We will start right away to evaluate your situation and alleviate any pain.

Step 4: Formulate a treatment plan
After we assess the problem, we will deliver the treatment. All orthodontic emergencies will be handled at our practice but may recommend to see your dentist if there is any discomfort from certain dental issues.
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