Early Treatment

At Monterey Bay Orthodontics, we understand the importance of laying the foundation for a lifetime of healthy smiles. Early orthodontic treatment, also known as Phase One treatment, plays a critical role in identifying and addressing dental and facial development issues before they become more complex. Our approach focuses on guiding the growth and development of the jaw and teeth to ensure adequate space for emerging teeth, improving the relationship between the upper and lower jaws, and correcting bad habits that can impact oral health.

When Earlier is Better

Initiating orthodontic treatment at an earlier age allows us to take advantage of a child’s growth spurts to guide the development of their jaw and teeth into more favorable positions. The American Association of Orthodontists recommends that children have their first orthodontic evaluation by the age of 7. At this stage, we can identify potential issues with jaw growth and emerging teeth while some baby teeth are still present.

Early intervention is particularly beneficial in addressing:

  • Crowding Or Spacing Issues By guiding the growth of the jaw, we can create adequate space for permanent teeth to emerge correctly, reducing or eliminating the need for tooth extractions later.
  • Bite Discrepancies Malocclusions such as overbites, underbites, crossbites, and open bites can often be corrected more effectively while the jaw is still growing.
  • Harmful Oral Habits Early orthodontic treatment can help correct bad habits like thumb sucking, tongue thrusting, and prolonged use of a bottle or pacifier, which can lead to dental and speech issues.

Correcting Bad Habits

Bad oral habits, if left unaddressed, can hinder a child’s oral development and lead to long-term issues. Early orthodontic interventions can include the use of appliances that help to retrain the muscles associated with harmful habits, encouraging the development of healthy ones in their place. Correcting these habits early on not only contributes to the proper alignment of teeth and jaws but also aids in the normal development of speech and chewing functions.

Our team at Monterey Bay Orthodontics is committed to providing personalized care tailored to the unique needs of each child. We believe that early orthodontic treatment is not just about correcting teeth and jaw alignment; it’s about setting the stage for healthy oral habits and boosting self-esteem through improved aesthetics. Our goal is to ensure that every child we treat is on the path to a lifetime of beautiful, healthy smiles.

Choosing Monterey Bay Orthodontics for early orthodontic treatment means entrusting your child’s smile to a team that values preventive care and early intervention. We use the latest technology and techniques to diagnose and treat potential orthodontic issues, providing compassionate, comprehensive care from the very first visit.

Begin Your Child’s Journey to a Healthy Smile

If you’re considering early orthodontic treatment for your child, we invite you to schedule a consultation at Monterey Bay Orthodontics. Taking the first step towards addressing orthodontic issues at an early age can lead to a smoother treatment process and more stable, lasting results. Together, we can help your child achieve a beautiful, healthy smile that will last a lifetime.

Airway Orthodontics

At Monterey Bay Orthodontics, we are dedicated to the comprehensive health and well-being of our patients, which extends beyond traditional orthodontic treatment. Airway orthodontics represents a critical aspect of our holistic approach, focusing on ensuring that patients have proper airway function, which is essential for overall health, optimal development, and quality of life.

Airway orthodontics is an innovative field that addresses issues related to restricted airways, which can lead to sleep-disordered breathing conditions, such as obstructive sleep apnea (OSA) in both children and adults. These conditions not only affect sleep quality but can also have significant impacts on physical health, cognitive function, and behavior.

The goal of airway orthodontics is to identify and treat any dental or facial structural issues contributing to airway obstruction. By focusing on the development of the jaws and alignment of the teeth, we can help improve airway function and promote better breathing, which is crucial for overall health.

Early intervention can play a pivotal role in airway orthodontics. Identifying and addressing potential airway issues in children can lead to improved outcomes. In many cases, treatments can guide the growth and development of the jaw and facial structures to ensure that the airway remains open and functional. This proactive approach can mitigate the need for more invasive treatments later in life and contribute to healthier development during crucial growing years.

How Airway Orthodontics Can Help

Airway orthodontics employs a variety of treatment strategies tailored to each patient’s unique needs. For children, this might include orthodontic appliances that encourage proper jaw development and expansion. For adults, treatment may focus on correcting misalignments and malocclusions that contribute to airway obstruction.

By addressing these issues, airway orthodontics can help alleviate symptoms associated with sleep-disordered breathing, such as:

  • Chronic snoring
  • Daytime sleepiness and fatigue
  • Difficulty concentrating
  • Frequent morning headaches

At Monterey Bay Orthodontics, our commitment to airway orthodontics is part of our broader dedication to providing comprehensive care that addresses the full spectrum of our patients’ needs. Our team is trained to recognize signs of airway dysfunction and work collaboratively with other healthcare professionals to ensure that our patients receive the most effective, holistic treatment possible.

If you or your child are experiencing symptoms related to airway issues, or if you’re simply interested in learning more about airway orthodontics and how it might benefit you, contact Monterey Bay Orthodontics today. Our team is ready to provide you with the care and information you need to make informed decisions about your health and start you on the path to better breathing and a better life.

TMJ/TMD Treatment

At Monterey Bay Orthodontics, we understand the discomfort and disruption that temporomandibular joint disorders (TMD), commonly referred to as TMJ syndrome, can cause in your daily life. TMD affects the joint that connects your jaw to your skull, leading to symptoms such as pain, difficulty chewing, clicking sounds, and even lockjaw. Our dedicated team offers personalized TMJ treatment plans aimed at relieving your symptoms and improving your jaw function.

TMD can stem from various factors, including misalignment of the teeth, stress, arthritis, or injury to the jaw. These conditions can lead to a range of uncomfortable symptoms, impacting not just your oral health but your overall quality of life. Recognizing the signs of TMD early and seeking professional advice is crucial for effective management and relief.

Monterey Bay Orthodontics takes a comprehensive approach to diagnosing and treating TMD. Our treatment plans are tailored to each patient’s specific needs, leveraging the latest advancements in dental and orthodontic research. Here’s how we address TMD:

  • Thorough Evaluation Our first step is a detailed assessment of your jaw’s health, function, and alignment. This may include digital imaging techniques to get a clear picture of your jaw structure and the state of your temporomandibular joint.
  • Customized Treatment Plans Based on our findings, we’ll develop a personalized treatment strategy. This might involve orthodontic solutions to correct misalignment issues, oral appliances to reduce strain on the joint, or exercises to strengthen jaw muscles. In some cases, we collaborate with other specialists to ensure a multidisciplinary approach to your care.
  • Focus On Relief & Function Our primary goals are to alleviate your pain, restore normal jaw function, and prevent future complications. Whether through corrective orthodontic work or specialized appliances like splints or mouthguards, we aim to reduce stress on your jaw and promote healing.

Living with TMD symptoms can be challenging, but help is available. If you’re experiencing jaw pain, difficulty chewing, or any other signs of TMD, contact Monterey Bay Orthodontics today to schedule a consultation.

Craniofacial Orthodontics

At Monterey Bay Orthodontics we also offer specialized care in craniofacial orthodontics, a unique branch of orthodontics focused on the treatment and management of congenital and acquired craniofacial anomalies. Our dedicated team is committed to offering comprehensive care to patients with conditions affecting the growth, development, and function of the face and jaw, including cleft lip and palate and other syndromic conditions.

What is Craniofacial Orthodontics?

Craniofacial orthodontics combines traditional orthodontic techniques with an in-depth understanding of craniofacial development and anatomy. This specialization is essential for treating complex craniofacial conditions that not only affect a patient’s oral health but also their overall physical and psychological well-being. Our approach is holistic, addressing both functional and aesthetic aspects to improve the quality of life for our patients.

At Monterey Bay Orthodontics, our team has the expertise to provide tailored craniofacial orthodontic treatments. We work closely with a multidisciplinary team of specialists, including surgeons, speech therapists, and otolaryngologists, to ensure comprehensive care. Treatment may include:

  • Growth Modification For younger patients, we employ techniques to guide the growth of the facial bones, ensuring proper alignment and balance.
  • Orthodontic Appliances We utilize a variety of appliances, both fixed and removable, designed to address specific craniofacial abnormalities.
  • Pre- & Post-Surgical Orthodontics For patients requiring surgical intervention, such as those with cleft lip and palate, we provide orthodontic treatment before and after surgery to prepare for the procedure and refine the results.
  • Customized Care Plans Every patient’s condition is unique, necessitating a personalized care plan developed in collaboration with craniofacial specialists to achieve optimal outcomes.

We understand the challenges faced by individuals with craniofacial conditions and are dedicated to providing a supportive, caring environment. Our team is not just specialized in craniofacial orthodontics; we’re also compassionate professionals who are invested in each patient’s journey to achieving their best smile.

Common Appliances

At Monterey Bay Orthodontics, we are dedicated to providing the most effective and comfortable orthodontic care possible. Our practice utilizes a variety of orthodontic appliances designed to address specific dental and skeletal issues, ensuring personalized treatment for every patient. Here, we highlight some common appliances you might encounter during your orthodontic treatment with us:

Orthodontic Headgear

Orthodontic headgear is a type of appliance used to correct bite discrepancies by guiding the growth of the jaw and teeth. It is typically used in growing patients to correct overbites or underbites by applying gentle pressure on the teeth and jaws. Depending on the individual case, headgear may be worn for a specified number of hours each day. While it might seem daunting, orthodontic headgear plays a crucial role in achieving a balanced, functional bite.

Palatal Expanders

A palatal expander is designed to widen the upper jaw by gently separating the growth plates in the palate. This appliance is most commonly used in children and adolescents whose jaw has not fully developed. Expanding the palate can create the necessary space for permanent teeth to erupt properly and can also improve the fit of the upper and lower jaws. Patients usually adjust quickly to palatal expanders, and parents are often involved in the adjustment process.


Temporary Anchorage Devices, or TADs, are small titanium anchors used in certain orthodontic cases to provide a fixed point from which to apply force to move teeth. They can be used for a variety of purposes, such as closing gaps, adjusting midline discrepancies, or correcting severe malocclusions. TADs are minimally invasive and are typically placed under local anesthesia. They offer a powerful and efficient way to achieve desired tooth movement that might not be possible with braces alone.


The Herbst appliance is frequently used to correct overbites by encouraging the forward growth of the lower jaw in adolescents. Unlike headgear, the Herbst appliance is fixed and allows for natural mouth movements, making it more comfortable and easier for young patients to adapt to. It’s often installed for about 12 months and can drastically improve jaw alignment and facial appearance.


The Carriere Distalizer is an innovative appliance designed to correct bites without the need for headgear or extractions. It works by moving the upper molars back into their correct positions before traditional braces are applied to align the rest of the teeth. This appliance significantly reduces overall treatment time and is less invasive than other corrective options. It’s highly effective in creating a harmonious bite and a beautiful smile.


At Monterey Bay Orthodontics, we believe that the final stage of your orthodontic treatment is just as crucial as the first. That’s why we emphasize the importance of retainers in maintaining the beautiful smile you’ve worked hard to achieve. Retainers are custom-made devices designed to hold teeth in their new positions after braces have been removed. Without them, teeth can gradually shift back to their original positions — a process known as relapse. To ensure that your smile remains straight and healthy, understanding the different types of retainers and how to care for them is key.

Retainers play a pivotal role in the orthodontic process by stabilizing your teeth as the surrounding bones and gums adjust to the new alignment. This period is critical for maintaining the results achieved through braces or Invisalign, making retainers an essential investment in the longevity of your smile.

Types of Retainers

Monterey Bay Orthodontics offers three main types of retainers, each designed to fit the specific needs and lifestyles of our patients:

  1. Hawley Retainers One of the most traditional types of retainers, the Hawley retainer is made of metal wires and sturdy acrylic. It’s adjustable and can be removed easily, providing a durable solution for keeping teeth in place. Its design allows for minor adjustments if necessary, and it comes in various colors for a personalized touch.
  2. Aligner-Style Retainers Similar to Invisalign trays, these retainers are made from clear plastic and fit snugly over the teeth, making them virtually invisible. They are a popular choice for their aesthetic appeal and comfort. However, they require careful handling to avoid damage.
  3. Fixed Retainers Also known as bonded or permanent retainers, these consist of a thin wire that is bonded to the back of the front teeth. Fixed retainers are particularly effective for patients at high risk of relapse and can remain in place for years.

Maintaining Your Retainer

Proper retainer maintenance is essential to ensure its effectiveness and longevity. Here are some tips for taking care of your retainer:

  • Clean Regularly Clean your retainer daily with lukewarm water and a soft-bristled toothbrush. For deep cleaning, use a dentist-approved solution. Avoid hot water, as it can warp the retainer.
  • Safe Storage When not in use, store your retainer in its case to protect it from damage and contamination. Never wrap it in a napkin, as it may accidentally be thrown away.
  • Handle With Care Always remove your retainer with both hands to prevent warping or breaking. Be mindful of pets, as they can be attracted to and damage retainers.
  • Regular Check-Ups Bring your retainer to your follow-up appointments at Monterey Bay Orthodontics, so we can ensure it’s in good condition and fitting correctly.

Retainers are a vital component of your orthodontic treatment, ensuring that your smile remains straight and beautiful long after your braces are removed. By choosing the right type of retainer and committing to proper care and maintenance, you can enjoy the lasting results of your orthodontic treatment. If you have any questions about retainers or need assistance with your current retainer, don’t hesitate to contact Monterey Bay Orthodontics. We’re here to support you every step of the way on your journey to a healthier, more confident smile.

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