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Orthodontics is the branch of Dentistry that corrects teeth and jaws that are positioned improperly. Crooked teeth and teeth that do not fit together correctly are harder to keep clean, are at risk of being lost early due to tooth decay and periodontal disease, and cause extra stress on the chewing muscles that can lead to headaches, TNJ syndrome and neck, shoulder and back pain. Teeth that are crooked or not in the right place can also detract from one’s appearance.

The benefits of orthodontic treatment include a healthier mouth, a more pleasing appearance, and teeth that are more likely to last a lifetime.

A specialist in this field is called an Orthodontist. Orthodontists, like Dr. Zambrano, receive two or more years of education beyond their four years in undergraduate studies, and four years in dental school in an ADA-approved orthodontic training program.

Who is a Candidate for Orthodontics?

People of all ages can be good orthodontic candidates but only your Dentist or Orthodontist can determine whether you can benefit from orthodontics. Based on diagnostic tools that include a full medical and dental health history, a clinical exam, plaster models of your teeth, and special X-rays and photographs, an Orthodontist or Dentist can decide whether orthodontics are recommended, and develop a treatment plan that’s right for you.

If you have any of the following, you may be a candidate for orthodontic treatment:

  • Overbite, sometimes called “buck teeth” — where the upper front teeth lie too far forward (stick out) over the lower teeth
  • Underbite — a “bulldog” appearance where the lower teeth are too far forward or the upper teeth too far back
  • Crossbite — when the upper teeth do not come down slightly in front of the lower teeth when biting together normally
  • Open bite — space between the biting surfaces of the front and/or side teeth when the back teeth bite together
  • Misplaced midline — when the center of your upper front teeth does not line up with the center of your lower front teeth
  • Spacing — gaps, or spaces, between the teeth as a result of missing teeth or teeth that do not “fill up” the mouth
  • Crowding — when there are too many teeth for the dental ridge to accommodate

How Does Orthodontic Treatment Work?

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:

  • Braces — the most common fixed appliances, braces, consist of bands, wires and/or brackets. Bands are fixed around the teeth or tooth and used as anchors for the appliance, while brackets are most often bonded to the front of the tooth. Arch wires are passed through the brackets and attached to the bands. Tightening the arch wire puts tension on the teeth, gradually moving them to their proper position. Braces are usually adjusted monthly to bring about the desired results, which may be achieved within a few months to a few years. Today’s braces are smaller, lighter 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.
  • Special fixed appliances — used to control thumb sucking or tongue thrusting, these appliances are attached to the teeth by bands. Because they are very uncomfortable during meals, they should only be used as a last resort.
  • Fixed space maintainers — if a baby tooth is lost prematurely, a space maintainer is used to keep the space open until the permanent tooth erupts. A band is attached to the tooth next to the empty space, and a wire is extended to the tooth on the other side of the space.

Removable appliances include:

  • Invisalign® — A state of the art, cutting edge alternative to traditional braces for adults. This series of clear, plastic 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. The manufacturers of these aligners recently named Dr. Zambrano one of their Top 100 Invisalign® Specialists worldwide, for the 3rd year in a row!
  • Removable space maintainers — these devices serve the same function as fixed space maintainers. They’re made with an acrylic base that fits over the jaw, and have plastic or wire branches between specific teeth to keep the space between them open.
  • Jaw repositioning appliances — also called splints, these devices are worn on either the top or lower jaw, and help train the jaw to close in a more favorable position. They may be used for temporomandibular joint disorders (TMJ).
  • Lip and cheek bumpers — these are designed to keep the lips or cheeks away from the teeth. Lip and cheek muscles can exert pressure on the teeth, and these bumpers help relieve that pressure.
  • Palatal expander — a device used to widen the arch of the upper jaw. It is a plastic plate that fits over the roof of the mouth. Outward pressure applied to the plate by screws force the joints in the bones of the palate to open lengthwise, widening the palatal area.
  • Removable retainers — worn on the roof of the mouth, these devices prevent shifting of the teeth to their previous position. They can also be modified and used to prevent thumb sucking.
  • Headgear — with this device, a strap is placed around the back of the head and attached to a metal wire in front, or face bow. Headgear slows the growth of the upper jaw, and holds the back teeth where they are while the front teeth are pulled back.


Braces are about more than just creating a beautiful smile and enhancing self-esteem. They can drastically improve oral health for adults and children.
When teeth are tipped, rotated or crowded, it is hard for your toothbrush and floss to reach all of the areas exposed to decay. Straightening the teeth makes the teeth and gums far easier to care for, while also giving you a million-dollar smile.

Braces can dramatically improve one’s appearance by aligning teeth and correcting a person’s natural bite. They can adjust for problems such as overcrowded or crooked teeth, as well as for an over or underbite. Modern advances in orthodontics have made braces a less noticeable and thus more desirable alternative for improving the appearance and health of the teeth. Braces help create straighter teeth, a proper bite, and a great smile.

Anyone who is dissatisfied with their existing teeth should consider braces as an effective way to attain aesthetically pleasing teeth. While anyone can wear them, braces are ideal for children between the ages of 9 and 16. It is during these years that the teeth and jawline are undergoing most of their growth and, therefore, are more easily aligned. Yet, as mentioned above, braces can straighten teeth for people of any age. In fact, more than ever before, adults are using braces to correct orthodontic problems. Nearly half our patients are adults.

And don’t forget to schedule regular visits with your Dentist. If you don’t have one, we’d be happy to refer you to someone we have confidence in.

Types of Braces

There are generally two types of braces. The first is plastic or metal brackets. These brackets are bonded onto the front of teeth. While metal brackets are more traditional, clear or neutral colored plastic brackets are now very popular because they are much less noticeable.

The second is the incredibly popular and effective Invisalign® treatment. A series of clear plastic aligners, this cutting-edge treatment moves teeth like traditional braces but are virtually invisible. Taken off only to eat and brush teeth, Invisalign® has proven to be an excellent option for adults (and responsible teens) to achieve a picture perfect smile.