Straightening your teeth is a meaningful decision, and knowing what lies ahead makes the process far less stressful. Whether you are a parent exploring options for your child or an adult thinking about your own smile, a little preparation goes a long way.
At Greater Hartford Orthodontics in Newington, CT, we work with patients of all ages. This guide walks you through four things worth knowing before you begin:
- What orthodontic treatment can address
- What to expect at your first consultation
- The treatment options we offer
- Practical factors to consider before you start
What Orthodontic Treatment Can Address
Orthodontic care does more than improve how your smile looks — it also improves how your teeth fit together when you bite. Treatment can correct malocclusions such as overbites, underbites, crossbites, deep bites, and crooked teeth, as well as other imperfections of the teeth and jaws. In some cases, braces work alongside other orthodontic appliances to make those corrections.
A well-aligned bite supports better long-term dental health in ways that go beyond appearance. When teeth come together properly, everyday tasks like chewing become easier. Our focus on orthodontics means we have the technology and training to build a treatment plan suited to your specific needs, whatever your age.
What to Expect at Your First Consultation
Your treatment begins with a consultation with Dr. Edward Cos, our orthodontist in Newington, CT. This is a relaxed conversation — not a commitment. Dr. Cos reviews the best alternatives for your orthodontic care, addresses any questions you have about your treatment, and provides a plan for your orthodontic therapy.
Come prepared with questions. Here are a few worth thinking about in advance:
- Which treatment options fit your situation
- What the recommended plan involves
- How the process supports your goals
By the end of the visit, you will have a clear picture of the path forward.
Treatment Options Available at Our Practice
No two smiles are the same, so we offer several ways to straighten teeth. The right choice depends on your needs, your preferences, and Dr. Cos's recommendation. Here is what we provide at Greater Hartford Orthodontics:
- Metal braces – The traditional method of straightening teeth, still the most popular option for their high-quality results.
- Clear braces – A ceramic option that adults and teenagers favor when they want results without the look of metal.
- H4® self-ligating braces – Braces that thread the wire through the brackets rather than using elastics or metal ties.
- Invisalign® – Virtually invisible clear aligners that offer a more discreet way to transform your smile.
- Retainers – Custom appliances we make using advanced technology to fit your mouth and help you maintain your results.
- Palatal expander device (PED) – An appliance designed to space teeth and expand the palate when needed properly.
- Early treatment – Care for younger patients that addresses developing concerns before they worsen.
During your consultation, we help you weigh these options so you can move ahead with confidence.
Practical Considerations Before You Start
Age and Timing
Orthodontic treatment works for patients of all ages. We strongly believe in early treatment, which can begin as early as age 7. Starting early lets us prevent problems from forming rather than waiting for them to appear and correcting them later — a more effective approach that can also mean less time in braces as a teenager. For braces specifically, we typically wait until the adult teeth have erupted, usually between ages 11 and 14. However, exceptions exist — for example, we may use braces to help pull down a partially erupted tooth in cases involving impacted canines.
Retainers and Ongoing Commitment
Finishing active treatment is not quite the end of the journey. Wearing your retainer as directed helps you avoid dental relapse, and we determine the length of retainer wear on a case-by-case basis depending on your needs and the type of retainer you have. Staying committed to your care plan — including follow-up visits and any appliance instructions — protects the results you worked toward.
A Quick Checklist Before You Begin
- Confirm the treatment option that fits your goals
- Understand your recommended plan and what it involves
- Plan for retainer wear after active treatment
- Be ready to keep up with scheduled appointments
Ready to Take the Next Step?
Orthodontics can correct a wide range of bite and alignment concerns. Your first consultation provides a personalized plan, and we offer several treatment options to suit your needs. Keeping timing, retainers, and ongoing care in mind sets you up for lasting results.
When you are ready, schedule a consultation with Dr. Cos. We will review your options, answer your questions, and help you decide whether treatment is right for you.
Frequently Asked Questions About Orthodontics
Is it better to get Invisalign from a dentist or orthodontist?
After graduating from dental school, orthodontists complete an additional 2 to 3 years of education focused on orthodontics. This provides us with advanced knowledge and training in tooth movement and the correction of malocclusions — making an orthodontist the best-qualified provider for Invisalign treatment.
Can I get Invisalign instead of braces?
Invisalign suits most patients, but it is not right for everyone. During your consultation, we assess your orthodontic needs and recommend the course of treatment best suited to help you meet your goals and achieve a beautiful smile.
Do braces hurt?
Braces can feel uncomfortable at first — it takes time to get used to the constant pressure on your teeth, but that pressure is exactly what moves them into place. After the first week or so of soreness, you may feel mild discomfort for a day after each tightening appointment, and over-the-counter pain relievers work well to ease it.
When should you start orthodontic treatment?
Early treatment can begin as young as age 7. Starting sooner lets us prevent problems from forming rather than correcting them later, which is often more effective and can mean less time in braces as a teenager.
How long do you wear a retainer?
We determine retainer wear time on a case-by-case basis, depending on your needs and the type of retainer you have. Wearing it as directed protects your results and helps you avoid dental relapse.
Greater Hartford Orthodontics is the orthodontic practice of Dr. Edward Cos in Newington, CT, serving children, teens, and adults across Central Connecticut. We offer braces, Invisalign, retainers, and more to help you achieve a healthy, confident smile. To schedule a consultation or ask a question, contact us.
Losing an Invisalign® tray can feel stressful, especially when you’re unsure what to do next. Because you must wear clear aligners for most of the day, misplacing a tray might make you worry about delays, discomfort, or unwanted tooth movement.
The good news is that this problem happens often, but we can take clear steps to protect your progress. In this article, we’ll explain what to do right away, why contacting your orthodontist matters, and how you can prevent misplacing an aligner again.
Act Quickly When You Notice a Tray Is Missing
Do Not Wait to Take Action
If you lose an Invisalign tray, stay calm and take action immediately. Your teeth may start to shift if you leave aligners out for too long, which could affect how your next tray fits. You need to wear your Invisalign aligners for 20 to 22 hours per day, so every minute counts.
Before assuming you lost the tray for good, look carefully in common spots. Many people wrap their trays in napkins during meals, leave them on the bathroom counter, put them in their pockets, or accidentally throw them away. Also check bags, cars, bedside tables, and the aligner case if you have one nearby.
Wear Your Previous Tray If Instructed
If you can’t find the lost tray, call your orthodontist right away for guidance. In many cases, your orthodontist will instruct you to wear your previous tray temporarily to keep your teeth in place until you know the next step. That prevents unnecessary movement while you wait for professional instructions.
Don’t decide on your own to jump ahead to the next aligner. If you switch trays too soon, you might struggle with a poor fit, discomfort, or tracking problems. Each case differs, so always follow your orthodontist’s directions.
Contact Your Orthodontist for the Right Next Step
Your Treatment Stage Affects the Answer
Every lost aligner requires a different solution. Your orthodontist will consider where you are in treatment, how long you have worn the current tray, and how well your teeth are aligning. If you have nearly finished with a tray, your orthodontist might let you move to the next set a bit early. If you just started a new tray, they might suggest you wear the previous one or ask for a replacement.
That’s why working closely with an experienced provider makes a big difference. At Greater Hartford Orthodontics, we encourage patients with questions about clear aligners to learn more about Invisalign treatment and understand what to expect during each stage of care.
A Replacement May Be Needed
Sometimes your orthodontist will order a replacement tray for you, but that process may take a few days. While you wait, your orthodontist might recommend wearing a prior aligner or, if appropriate, progressing to the next tray. We want to keep your treatment moving forward while avoiding unwanted tooth movement.
When you try another tray, always mention if it fits poorly, feels painful, or leaves visible gaps. Your orthodontist uses your feedback to decide if your teeth are still on track. Attachments, buttons, or elastics may also affect what action your doctor recommends.
Protect Your Progress While You Wait
Keep Teeth from Shifting
After contacting the orthodontic office, follow their instructions closely. If you need to wear a previous tray, keep it in for the recommended hours every day. That consistency helps preserve your tooth alignment until your next aligner or a replacement arrives.
Limit the time your aligners spend out of your mouth; remove them only for eating, drinking anything other than water, brushing, and flossing. Even short absences add up throughout the day. Always wear your aligners consistently—your dedication is a big reason Invisalign treatment works.
Prevent Another Lost Tray
Meals and travel often lead to misplaced aligners. Build a habit of putting trays in their case every time you remove them. Don’t wrap aligners in tissue, set them on a tray table, or leave them loose in a pocket or purse. Clear aligners are hard to see and easy to lose or throw away.
You might keep your aligner case in the same place every day—maybe in your bag, purse, or bathroom drawer. Setting reminders before meals or making routines around brushing and storing aligners can help keep everything in check. With a little structure, you’ll protect your investment of time and money.
Staying on Track Matters More Than You May Think
Missed Wear Time Can Affect Fit
Invisalign works by moving teeth gradually and in a controlled way. Each tray makes specific changes, preparing your mouth for the next set. If you lose a tray and don’t have some form of retention, your teeth may shift enough that your next aligner fits tightly or doesn’t seat fully.
That doesn’t mean you’ve ruined your treatment, but you might experience delays. Poor fit, or “tracking issues,” could lead to additional trays or refinements. When you reach out to the orthodontist early, they have the best chance to keep your progress on schedule.
Early Guidance Can Prevent Bigger Setbacks
Quick phone calls or visits help your orthodontic office address lost-tray issues before they become bigger problems. Waiting several days increases the risk that your replacement or next tray won’t fit as intended. Act quickly to avoid unnecessary setbacks.
Continue attending all scheduled check-ins, whether in person or virtual, so that the team can monitor your progress. If you recently lost a tray, bring your previous and next aligners to your appointment if your orthodontist requests them.
How We Can Help You Move Forward
A Calm Response Makes a Difference
Losing an Invisalign tray is frustrating, but it doesn’t have to disrupt your entire treatment. Respond quickly, avoid guessing, and reach out to your orthodontist for guidance. Most of the time, a simple short-term fix—like wearing your previous tray—will keep you on track while you wait for the next steps.
If you ever lose a tray, remember: search for it immediately, contact your orthodontic office, and keep wearing whichever aligner your doctor recommends. Acting fast and communicating well keeps your treatment on schedule.
Frequently Asked Questions About Invisalign
What happens if I lose one Invisalign tray?
If you lose a tray, contact your orthodontist as soon as possible. They might ask you to wear your previous aligner, move to the next one, or wait for a replacement, depending on your treatment stage.
Can I skip to the next Invisalign tray if one is lost?
Sometimes your orthodontist will let you move forward, but only if they believe it’s appropriate. Don’t change trays without professional advice because poor fit, discomfort, and tracking problems can result.
How long can I go without wearing my Invisalign trays?
Invisalign aligners need to be worn 20 to 22 hours per day. Leaving them out for too long can cause your teeth to shift, which could affect your treatment and how the trays fit.
Will losing an Invisalign tray delay treatment?
You may experience delays, especially if you wait before contacting your orthodontist. Reaching out immediately reduces the chance of setbacks and helps keep treatment on track.
What is the best way to avoid losing Invisalign trays?
Place your trays in their case every time you remove them. Don’t wrap them in napkins, leave them on counters, or put them in a pocket or bag without protection.
We serve patients and families throughout the Greater Hartford area, providing orthodontic care that leads to healthy, confident smiles. Our team offers treatment planning and ongoing guidance for children, teens, and adults in a welcoming office environment. To learn more about our practice or schedule a visit, contact us.
The Purpose of a Palatal Expander
A qualified dentist or orthodontist may recommend a palatal expander — also called a jaw expander, dental expander, or orthodontic expander — to gradually widen the palate (roof of mouth or upper section of the jaw). In a child's mouth, the palate bones are still developing, making it easier to widen a narrow jaw before the bones fully fuse. Most patients who need palatal expanders are children or teenagers. However, in rare instances, adults whose jaw is fully developed might also benefit from using one.
Palatal expanders qualify as interceptive orthodontic devices. This early intervention through interceptive orthodontic care serves to correct bite issues before relatively minor dental problems develop into potentially significant misalignments — bad bites that, if left untreated, could affect a patient's oral hygiene and overall well-being. For example, if a child uses a palatal expander for a period of time, later on, they may avoid the need for braces, or they might not have to wear braces for as long as they otherwise would have.Benefits of Palatal Expanders
Palatal expanders can offer a range of benefits and advantages to patients who need them. Examples include (but aren’t necessarily limited to) the following:- Preventing or reducing airway obstruction and improving nasal airflow
- Reducing dental crowding, giving upper teeth more space and more room to erupt in the correct positions
- Correcting a crossbite
- Allowing for greater facial symmetry and improved alignment
- Potentially guarding against impacted teeth
- Dental decay
- Infections
- Gum disease
- Pain or discomfort
Wearing a Palatal Expander: What You Need to Know
A palatal expander is specifically designed with two main pieces, both of which attach to a patient's upper molars. One piece attaches to the upper left molars, while the other attaches to the molars on the upper right. Together, they exert pressure to expand the upper jaw, gradually widen the palate, and create enough space for crowded teeth and permanent teeth to align properly.
It's unlikely a patient will experience any significant pain when wearing a palatal expander, although they may experience some discomfort as they grow accustomed to the device. Treatment time varies: some patients only need to wear palatal expanders for about half a year to achieve the desired results. Others may need to wear the devices for a year to see maximum benefits. Regular follow-up visits allow the orthodontist to monitor progress and adjust the treatment plan as needed.Palate Expander Cost
The total cost of a palate expander can vary from one patient to another. Several factors that may influence expander cost include:- The patient’s age
- How complex the device is (as not all palatal expanders are exactly the same)
- How long a patient needs to wear a palatal expander
- A patient’s dental insurance — and whether the treatment is deemed medically necessary
Learn More About An Orthodontic Expander in the Greater Hartford Area
At Greater Hartford Orthodontics, in Newington, CT, we’d be happy to answer any questions you may have about palatal expanders and your options for paying for this treatment. Schedule an initial consultation today by contacting us online or calling us at 860-667-8277 to request an appointment.If you opt for a permanent retainer after completing orthodontic treatment, you may wonder how you're supposed to floss your teeth. Rest assured, you can continue to floss thoroughly, even with a permanent retainer. Read on for everything to know about how to floss with a permanent retainer once you've had one placed by your orthodontist.
What is a Permanent Retainer?
A permanent retainer is an orthodontic appliance that keeps your teeth aligned and retains the proper alignment of your teeth after your braces are removed. Permanent retainers may also be called fixed or bonded retainers because they are bonded to the backside of your teeth. A fixed or permanent retainer may last decades, and it should only be removed by your orthodontist. A permanent retainer is essentially a lingual wire that typically runs along the backside of the front teeth — usually 4–6 — on either the upper or lower arch. In some cases, they may be placed on both the upper and lower arch.
Permanent retainers eliminate the risk of losing or breaking a removable retainer. Permanent retainers are also invisible when you smile. Patients who opt for a permanent retainer may have fewer follow-up appointments. If you get a permanent retainer, you also won't run the risk of your teeth drifting back into old positions, and won't incur the cost of a new removable retainer should yours become damaged. However, it can take some time to get used to flossing if you have a permanent retainer.
Skipping flossing is never a good idea — without a consistent oral hygiene routine, plaque buildup, tartar buildup, gum inflammation, and even gum disease can develop around the retainer wire. Keeping your teeth clean and maintaining gum health requires making flossing part of your daily routine, even with a fixed appliance.
Flossing With a Permanent Retainer: 3 Techniques
Because the lingual wire will span a couple to several teeth, you will not be able to floss normally with string floss or traditional floss. The wire will prevent the dental floss from reaching the gum line. With the right tools, however, you can achieve a thorough cleaning of hard-to-reach areas between teeth and along the gum line — supporting plaque removal, gum health, and fresher breath.
1. Use a Water Flosser
One of the best ways to clean properly with a permanent retainer is to invest in a water flosser. Water flossers are available at most pharmacies and big box stores such as Target or Walmart. You also order one online.
Water flossing (commonly known as Water Piks) use pulsating water streams to remove plaque and food particles, loose food particles, sticky plaque, and buildup between the teeth and along the gum line — even in tight spaces the retainer wire makes difficult to reach. Studies have shown that water flossers are as effective as traditional floss in reducing plaque. Using a water flosser does not fully replace string floss for every patient, but it is widely considered the easiest cleaning method for those with bonded retainers and helps prevent bad breath and gum problems.
2. Use a Floss Threader
Another method of permanent retainer flossing involves using a floss threader. A floss threader is a simple, flexible tool that you will insert underneath the wire of the retainer wire. It will guide floss through the teeth so that you can floss beneath the wire and clean tooth surfaces that are otherwise blocked.
How to use a floss threader:
- Thread a piece of string floss or traditional floss through the loop of the threader.
- Slowly pull the threader under the lingual wire, between two teeth.
- Move the floss in a C-shape along each tooth surface down to the gum line.
- Re-thread and repeat for the next tooth until all teeth are cleaned.
This process can be time-consuming, but it delivers a thorough cleaning of tooth surfaces and helps prevent gum disease, gum inflammation, and bad breath over time.
3. Use Super Floss
Instead of using a floss threader, you can also purchase Super Floss — dental floss that works like a floss threader but with fewer steps. Super floss has a stiff end (or stiff floss end) that can be pushed between the teeth underneath the fixed retainer, just like threading floss with a threader — making the process easier and slightly faster.
All options will remove plaque. However, most people find a water flosser to be the easiest and fastest method for flossing with a permanent retainer. Although a water flosser will be a more significant upfront investment, it can last for many years without needing to be replaced.
Book an Orthodontic Evaluation in Newington, CT
If you’re ready to correct imperfections in your smile or an issue with your bite, contact Greater Hartford Orthodontics today. Our orthodontic specialists offer a variety of treatments including traditional braces, Invisalign, self-ligating braces, clear braces, and behind-the-teeth (lingual) braces. Removable and permanent retainers are available. Send us a message or call 860-667-8277.
By correcting a misalignment, braces can improve a patient's smile and help them achieve straighter teeth and a confident smile. However, during the time they're wearing braces, some patients are less-than-happy with the short-term impacts metal and wire braces have on their looks.
Options may be available to patients who need orthodontic treatment but wish to minimize the way braces affect their smiles during treatment. One such option is clear braces. They may have a limited effect on a patient’s appearance if a patient avoids the types of foods that may stain them.What Are Clear Braces?
Clear ceramic brackets blend into teeth more naturally than traditional metal braces. The color of the ceramic brackets in clear braces matches the color of a patient's natural teeth, making the brackets less noticeable. While Invisalign aligners are even less visible, clear braces may be a reasonably discreet option available to a patient who isn't a good candidate for Invisalign treatment.
When undergoing any form of orthodontic treatment, a patient should carefully follow any and all instructions their dentist provides them with as part of their treatment plan. Ceramic braces are no exception.
Do Clear Braces Stain?
The short answer is yes — clear braces can stain. The ceramic brackets and elastic ligatures (also called elastic ties or small rubber bands) that hold the wire in place are both susceptible to discoloration. Clear elastics in particular absorb pigment from staining compounds in certain foods and beverages, which can lead to visible staining over time. Many patients wonder why do clear braces stain more than expected — and the answer often comes down to diet and proper oral hygiene habits. With proper care, however, most patients can keep clear braces looking their best throughout treatment time.Foods and Drinks That Cause Clear Braces to Stain
For instance, certain foods can stain clear braces, essentially defeating the purpose of choosing them over traditional metal braces. Foods an orthodontist might suggest a patient should avoid with clear braces include:Berries
The juices of berries and dark fruits can stain clear braces. Minimize your consumption of these during treatment to guard against unwanted staining.Coffee & Tea
Many of the foods and beverages that can stain clear braces are also the types of foods and beverages that can stain a person's natural teeth. For example, coffee and tea may stain the ceramic brackets of clear braces. If you drink coffee daily, this is one of the most common sources of noticeable stains for ceramic braces wearers.
Soda
Limiting consumption of soda is wise for several reasons. The sugar in soda can promote dental decay and gum disease, harming a patient’s oral health. Additionally, colas and other dark-colored sodas may stain clear braces. Again, so can certain juices, as well as coffee and tea. It’s thus smart for patients to attempt to drink water, seltzer, and other such beverages during treatment.Red Wine
Red wine is another beverage that can stain clear braces the same way it can stain teeth.Artificial Colorings
If a food contains an artificial coloring, the dye may stain clear braces. Check the ingredients labels of any food items you’re thinking about purchasing to determine whether they contain any such colorings.Soy Sauce
A dark sauce like soy sauce may stain clear braces fairly easily. Balsamic vinegar may have the same effect.Curry
Try not to consume foods with a lot of curry while wearing clear braces. Curry has a strong color that may result in staining.Ask Your Orthodontist About Keeping Clear Braces Stain-Free
The foods and beverages here may not be the only ones that could potentially stain clear braces. Ask your orthodontist for more tips about keeping clear braces free of stains during treatment. By following their advice, you’ll ensure clear braces have a minimal effect on your appearance.Learn More About Clear Braces in the Greater Hartford, CT Area
Our team at Greater Hartford Orthodontics would be happy to answer your questions about clear braces and other potential treatment options for a dental misalignment. Contact us online or call us at 860-667-8277 to schedule an appointment.Palate expanders or palatal expander devices are common tools in early orthodontic care. Children and teens may receive them if they have crowded teeth do not have enough room in their upper arch for their permanent teeth to erupt.
After a palatal expander treatment, the next step typically involves putting braces on the patient's teeth. Braces can correct alignment issues and work more effectively after a palate expander, often shortening treatment times and helping patients achieve desired results.What is a Palate Expander?
A palate expander is a custom-made orthodontic device designed to widen the upper jaw through palatal expansion — also called maxillary expansion — over time. The palatal bones that make up the roof of the mouth do not fully fuse until adolescence, allowing a palate expander to do its job. The expander helps create space for the permanent teeth and allows braces to work more effectively.
The palate expander is a stainless-steel device that the orthodontist bonds to the back teeth at the back of the upper jaw. This device includes a small key that the parents turn once or twice daily, gradually widening the jaw. Patients may feel pressure during this process, which is normal. Over time, new bone forms as the gentle expansion widens the jaw, allowing better permanent tooth alignment.Conditions Treated By a Palate Expander
Malocclusion
A palate expander allows more space for the permanent teeth to erupt in the right places, addressing crowded teeth and supporting overall dental health. The patient's teeth will come in straighter, and subsequent braces treatment may be less complicated.
Prevent Impacted Teeth
When teeth become impacted, they cannot emerge through the gums in the proper location. Gum tissue or bone blocks an impacted tooth from erupting. The most commonly impacted permanent teeth are the canines. Palate expanders often allow the impacted teeth to erupt without extracting healthy teeth, preserving oral health.Crossbite
Crossbites — including anterior crossbite — happen when the upper and lower jaw are different in size. A narrow jaw is usually the cause, meaning the bottom teeth bite outside the upper teeth. Untreated crossbites can lead to TMJ, excessive tooth wear, facial changes, and other bite issues.
Underbite
An underbite happens when the front teeth on the lower jaw bite outside the top teeth. Palate expanders can help with this condition as well.
Sleep Apnea
Obstructive sleep apnea may happen when a child or teen has a narrow upper jaw, meaning the airway becomes blocked during sleep. Correcting the jaw's size using palate expanders can improve overall health and have a lower chance of serious complications.Improve Smile Aesthetics
Palate expanders can make the patient's smile broader and brighter.Frequently Asked Questions About Orthodontics
At what age should you start orthodontic treatment for palatal expansion?
Ideally, children should see an orthodontist for the first time at age seven. The permanent teeth begin to emerge around this time, and the orthodontist can determine the possibility of future dental issues and recommend a treatment plan. Interceptive orthodontic care, including using devices like palate expanders, can also begin earlier in childhood.
Can an adult get a palatal expander?
By the time a patient reaches adulthood, the palate bones have fused. This means that a palate expansion is less effective for adult patients, and a palate expander is less likely to produce the same results as it does for children and teens.Call Greater Hartford Orthodontics
If your child or teen has a narrow upper jaw and your orthodontist recommends a palate expander, you may be concerned about this intervention. Palate expanders are safe and effective and produce only minor discomfort, particularly in the first few days after installation. Your orthodontist will provide proper care instructions to support a smooth expansion treatment. Please call our Newington, CT, office at 860-667-8277 to learn more about palate expanders and how they can help your child or teen achieve a healthy smile.Causes of Teeth Gaps
The most common cause of gapped front teeth is a low-seated frenulum that keeps the teeth from meeting. The frenulum is a fold of skin that attaches the upper lip to the gums. Other causes include having small teeth, large jaws, unerupted permanent teeth, and an absence of teeth in the jawbone. Habits such as thumb sucking can also play a role in creating gaps between certain teeth.Effects of Gapped Teeth
Many patients feel self-conscious about gapped teeth. Gapped teeth can also have a significant impact on your dental health. Food particles can collect in the extra space between teeth, raising the risk of tooth decay and gum disease. In some cases, untreated gaps may contribute to bone loss in the jaw. If your teeth have a large gap, you may not have room in your mouth for teeth that need to erupt, disrupting your bite.Correcting Teeth Gaps With Orthodontic Treatment
Gapped teeth are among the most common reasons patients choose to orthodontic treatment. Braces are a cost-effective way to close spaces and achieve permanent tooth realignment. While clear aligners also work to correct gaps, traditional braces are more versatile and appropriate for children and adult patients. Before you receive braces, your orthodontist will conduct a thorough orthodontic evaluation of your teeth and determine whether gaps interfere with your bite or the eruption of other teeth. They will take a complete set of 3-D digital impressions with the iTero® Element Digital Impression Scanner, making a custom made model of your teeth to build a personalized treatment plan.How Braces Close Gaps
Braces work by applying gentle pressure to guide tooth movement toward the desired position. Over time, this highly effective method moves teeth together to achieve your desired outcome – a beautifully aligned smile. In complex cases or severe cases involving larger spaces, your orthodontist will adjust your treatment plan to support optimal results.Braces Options We Offer
Metal Braces
Traditional metal braces are the most cost-effective option. Metal brackets and wires are appropriate for all ages and offer great flexibility in treating crooked teeth and misaligned teeth.Clear Braces
Also known as ceramic braces, these braces come with clear brackets, making them a more discreet option – less visible on the patient's teeth and allowing some discretion in treatment. Ceramic braces are especially popular among adults seeking a discreet option.Lingual Braces
Lingual braces are attached on the inside of the patient's teeth, giving the control and versatility of braces while keeping brackets and wires out of sight. This nearly invisible solution – sometimes called an invisible solution – is ideal for patients who want to keep their treatment discreet.H4® Braces
Self-ligating braces need no elastics or metal ties to hold the wire on the brackets.Frequently Asked Questions About Braces
Are braces uncomfortable?
There can be some discomfort when you adjust to wearing braces and sometimes after adjustments, but it should be minor. Use orthodontic wax on the brackets and wires if they rub against the inside of your lips and cheeks.After I have braces, will my teeth stay in place?
If you wear your retainer as prescribed, you will not lose the hard work you put into your orthodontic treatment. If you ever need a tooth extraction after treatment, replace the tooth immediately to avoid alignment problems and the reappearance of gaps.Call Greater Hartford Orthodontics
If you have gaps in your teeth and want a beautifully aligned smile, please call our Newington, CT, office at 860-667-8277. You can schedule a consultation with Dr. Cos to explore your treatment options and plan your treatment.Following orthodontic treatment with Invisalign, clear braces, H4 braces, lingual braces, or traditional braces, all patients need to wear a retainer. Retainers are necessary for keeping the teeth in their new position and protecting your hard work towards straight teeth for a lifetime. But, if your retainer doesn’t fit properly, it isn’t doing its intended job. Here’s how to know if your retainer fit is right once treatment ends.
Signs Your Retainer Doesn’t Fit Properly
Your orthodontist custom designed your retainer, especially for you. A well-fitting retainer should feel snug and cover your teeth comfortably – putting it in shouldn't require force, and it shouldn't cause sharp pain or unusual pressure. Some mild discomfort during an initial adjustment period is normal, but ongoing fit problems are a sign you need professional guidance. Therefore, it should fit comfortably in your mouth or over your teeth. If you notice any of the following, you should see your orthodontist for an adjustment or guidance. You shouldn’t try to bend or reshape your retainer, as you risk causing irreparable damage.
- Retainer feels loose
- Retainer feels tight
- You can’t put your retainer in easily
- Retainer rubs against your gums
- Retainer rubs against the roof of your mouth
- The retainer is cracked
- Visible gaps between the retainer and your teeth
- The retainer no longer fits as it should
Common Causes of Damage to Your Retainer Damaged
Retainers are susceptible to becoming misshapen, leading to a poor fit. Common causes of braces becoming deformed or damaged include:
- Heat, including hot water for washing
- Damage caused by a pet
- The retainer is dropped and stepped on
- Hard or chewy food dislodge the retainer (fixed retainers only)
- Cracks develop due to wear and tear on Hawley retainers
- Improper retainer removal (using the wire as a handle)
Can a Retainer Be Repaired if it is Damaged?
If your removable retainer no longer fits or has sustained damage, be sure you don’t throw it away. Instead, schedule an appointment with your orthodontist and bring in your retainer. In many cases, the retainer may be salvageable, saving you the cost of a new retainer.
If your permanent retainer comes off or breaks, it’s essential to see your orthodontist immediately. A broken permanent retainer may cut or scrape your tongue or the mouth's soft tissues, so you need to have it fixed as soon as possible. If your permanent retainer comes all the way off, bring it to your appointment so it can be reattached.
How Long Will I Have to Wear My Retainer?
Everyone’s treatment time is unique. So there’s no set length of time you’ll need to wear your retainer. Generally speaking, when you first complete your orthodontic treatment, you will likely have to wear your retainer most of the time. This ensures your teeth don’t start drifting into their old positions. But as time passes, your orthodontist will tell you that you only need to wear it a few days a week or only at night.
Ideally, you’ll continue wearing your retainer while you sleep a few nights a week, indefinitely. Teeth are prone to shifting, even years after orthodontic treatment. Wearing your retainer regularly will ensure that your teeth stay in their properly aligned position.
Schedule an Orthodontic Consultation in Newington, CT
If you’re ready to correct a bite problem or an issue with crowded, crooked, gapped, or slanted teeth for yourself or your child, request an appointment with Greater Hartford Orthodontics today, or call 860-667-8277. For your convenience, we begin seeing patients at 8:15 am Monday-Thursday. We are just minutes from West Hartford, New Britain, Bristol, Rocky Hill, Farmington, and Berlin.
Precision means everything when we safely shift teeth into perfect alignment. For decades, we planned a patient's smile using two-dimensional X-rays and messy, uncomfortable plaster molds. While these tools formed the foundation of the dental field, they often left some variables open to interpretation. Today, we rely on advanced technology to eliminate guesswork. The integration of 3-D imaging completely transforms orthodontics, enabling us to map each patient’s mouth with absolute clarity.
We capture a complete, 360-degree image of your teeth, roots, and jawbone, and use it to design a treatment strategy that fits your unique anatomy. With this digital approach, we know exactly how each tooth will move before you ever wear braces or slide into a clear aligner. You experience shorter treatment times, fewer surprises, and greater comfort from your first consultation through the day we reveal your new smile.
The Evolution from Traditional Impressions to Digital Scans
Switching from physical dental impressions to digital scanning marks a huge leap in patient comfort and clinical accuracy. If you have ever had braces before, you probably remember biting into a metal tray packed with gooey, putty-like material. This uncomfortable process often triggered gag reflexes, and the resulting molds could distort, trap air bubbles, or become damaged.
Now, we use sleek, handheld intraoral scanners. We capture thousands of images every second and stitch them into a highly accurate 3-D digital replica of your mouth.
iTero® Element Intraoral Scanner
In the past, making impressions meant creating a mold of your teeth with trays filled with soft, messy, and often bad-tasting material. This material hardened around your teeth and gums, forming a model used to plan treatment and create restorations. With digital technology, we have changed our process. Now, instead of using those uncomfortable trays, we use advanced intraoral scanners like the iTero® Element. This scanner lets us quickly and comfortably capture highly accurate digital impressions. We capture precise models of your teeth and gums for a wide range of dental and orthodontic procedures.
When we use intraoral scanning, we give our patients a far better experience. The process eliminates discomfort, increases our efficiency, and improves the accuracy of your treatment planning. Often, you spend less time in the office, saving valuable time, while we gain the detailed information we need to create the best possible results.
Unprecedented Precision and Predictability
Every patient has a unique facial structure and dental alignment, so we never use a one-size-fits-all approach. 3-D imaging gives us the detailed data we need to customize every aspect of your care. We examine the angulation of each tooth root, measure the exact width of your upper jaw, and identify any structural limitations that could restrict movement.
Virtual Treatment Simulation
One of the most exciting aspects of 3-D imaging comes from running virtual treatment simulations. We use specialized software to manipulate a digital model of your teeth, trying out different forces and angles on a computer screen. This hands-on approach lets us plan the path for every single tooth throughout your treatment. We show you a digital preview of your final results before we even begin, ensuring we share the same aesthetic and functional goals.
Faster Appointments and Improved Patient Experience
Technology goes far beyond improving clinical outcomes—it also transforms your daily orthodontic experience. With precise 3-D models guiding us, we avoid roadblocks during active treatment. Custom-milled brackets and carefully manufactured clear aligners match the exact contours of your teeth, reducing friction and eliminating unnecessary discomfort.
Streamlined Communication and Adjustments
You can access and share digital files instantly. If you need a new set of aligners or want to collaborate with another dental specialist, we send your 3-D scans securely in seconds. Your routine adjustment appointments also move faster and run more smoothly. With a detailed digital treatment plan guiding each visit, we already know the specific adjustments to make before you sit back in the chair. This efficiency means you spend less time in our office and more time enjoying your day.
Embracing the Future of Smile Design
We integrate 3-D imaging into our daily practice to raise the standard of care for each patient. By replacing outdated molds and two-dimensional guesswork, we create treatment strategies that keep you safer, move faster, and deliver highly predictable results. We make sure technology always serves your needs, so these digital advancements guide you toward a healthier, straighter smile as comfortably and efficiently as possible.
Frequently Asked Questions About Orthodontics
What is the best age to schedule an initial consultation?
Schedule your child's first evaluation around age seven. At this stage, the jaw continues to develop, and a mix of primary and permanent teeth begins to appear. We can spot potential issues with jaw growth or emerging teeth early, even if your child does not need immediate treatment.
Are clear aligners just as effective as traditional metal braces?
Clear aligners address most mild-to-moderate alignment issues and deliver results comparable to traditional braces. If you have severe malocclusions or complex bite issues requiring significant vertical tooth movement, we recommend traditional braces for the best control.
How often do I need to visit the office during active treatment?
Your treatment type determines how often you visit our office. Most patients with traditional braces come in every four to eight weeks for wire adjustments and progress checks. If you use clear aligners, you often have slightly longer intervals between visits, usually checking in every six to ten weeks.
Do braces or aligners cause a lot of pain?
You might feel some mild soreness or tenderness for a few days after you get your appliances and after each adjustment. This feeling is normal and shows that your teeth respond to gentle pressure. You can manage this temporary discomfort with over-the-counter pain relievers and by eating soft foods.
How long will I need to wear a retainer after my teeth are straight?
You commit to retention for life. After you achieve your perfect smile, your bone and tissues need time to stabilize around your teeth. Wear your retainer full-time right after treatment, and then switch to nightly wear to keep your teeth from shifting back to their original positions.
We provide compassionate, comprehensive orthodontic care to families in our local communities. We create beautiful, healthy smiles in a welcoming environment where every patient feels valued and heard. If you want to explore your treatment options, please contact us to schedule your consultation today.
Most people think orthodontic treatment means straightening crooked teeth for a more confident smile. While aesthetics motivate many of our patients, your bite alignment—how your upper and lower teeth fit together—plays an even more critical role in your long-term oral health. A misaligned bite, or malocclusion, creates uneven enamel wear, leads to jaw pain, and even makes chewing or speaking difficult.
Fortunately, modern orthodontics has evolved significantly. We don’t rely solely on metal brackets and wires to fix these structural problems anymore. Today, we use Invisalign® as a powerful tool in our office to correct mild to moderate bite issues.
Many patients visit us to ask whether clear aligners have enough strength to move the jaw into alignment or to fix complex bite problems. We assure them that they do. Using advanced 3D imaging and our proprietary SmartTrack material, these aligners deliver a controlled, consistent force to specific teeth. We use this force to guide complex movements that not only straighten the visible "social six" front teeth but also improve the relationship between the upper and lower arches. In this guide, we explain exactly how this technology solves common bite issues without traditional metal hardware.
Fixing Overbites and Deep Bites
An overbite happens when the upper front teeth significantly overlap the lower front teeth. A slight overlap is normal, but a deep overbite often causes gum trauma and accelerates wear on the lower teeth. In difficult situations, the lower teeth may bite into the roof of the mouth. We correct overbites not only to improve your smile but also to prevent long-term damage to soft tissues and tooth structure. When we use clear aligners to correct an overbite, we apply pressure to push the front teeth slightly back into the gums (intrusion) and, if needed, pull the back teeth down to level the bite (extrusion).
The Mechanics of Correction
For mild to moderate overbites, we use specific features built into the aligners. In some cases, we attach "precision wings" or elastic attachments—small, tooth-colored buttons bonded to the teeth — that anchor rubber bands, similar to those used with traditional braces. These elastics apply the necessary force to shift the lower jaw forward or move the upper teeth back, correcting Class II malocclusion. The clear aligner material also gives us vertical control, which braces sometimes struggle to achieve, and it keeps the bite from deepening during treatment. Because the plastic covers the biting surfaces of the teeth, it prevents the molars from over-erupting, which helps us manage vertical bite issues effectively.
Correcting Crossbites for Better Function
We often see crossbite as a common issue, where one or more upper teeth sit inside the lower teeth when you bite down. This problem may occur on the sides of your mouth (posterior crossbite) or in the front (anterior crossbite). If you leave a crossbite untreated, your jaw may shift to one side, which can result in lopsided jaw growth in younger patients and TMJ (temporomandibular joint) pain in adults. You also risk creating uneven pressure that may cause gum recession and bone loss around the affected teeth.
Expanding the Arch
We expand the upper arch so the upper teeth sit properly in front of the lower teeth. Clear aligners handle this task effectively. We design your treatment plan to widen the dental arch gradually. Each set of trays grows slightly wider than the last, pushing specific teeth outward into their correct positions. Because the aligners grip the teeth fully, we apply torque to the roots and ensure the teeth move bodily rather than just tip outward. We consistently achieve highly predictable results for mild-to-moderate posterior crossbites. If a single tooth sits trapped behind a lower tooth (anterior crossbite), the aligners create space to move that tooth forward, eliminate traumatic interference, and restore healthy bite function.
Addressing Open Bites
An open bite means the upper and lower teeth do not touch when you close your mouth. You usually see this as a gap between the front teeth, though it can also occur in the back. Habits such as thumb sucking or tongue thrusting often lead to open bites. This condition makes it difficult to bite into foods such as sandwiches or apples and often leads to speech impediments, such as a lisp.
The Intrusion Effect
Clear aligners often correct open bites more effectively than traditional braces. Traditional braces sometimes cause teeth to extrude and make an open bite harder to close. Clear aligners, however, cover the chewing surfaces of the back teeth and naturally create an intrusion effect on the molars. When you bite down on the plastic trays throughout the day, you apply a mild force that pushes the back teeth slightly into the jawbone. This "posterior intrusion" lets the front teeth close together more easily. The plastic trays also help retrain the tongue and discourage tongue-thrusting habits that may have caused the open bite. By controlling the vertical dimension of the bite, we close the gap and restore full functionality to the front teeth.
The Long-Term Benefits of Bite Correction
Correcting your bite goes far beyond achieving a photogenic smile; you invest in the longevity of your teeth and jaw joints. When you have proper bite alignment, you distribute chewing force evenly across all your teeth. Even distribution protects enamel and prevents the premature wear that untreated malocclusion often causes. You also relieve strain on the TMJ, which can help reduce chronic headaches or jaw tension.
Straight teeth and a healthy bite make daily cleaning much easier. Crowded or overlapping teeth trap plaque and bacteria, raising your risk of cavities and gum disease. When we align your teeth and correct your bite, we help you clean your teeth more thoroughly each day. If you want to avoid metal braces, consider clear aligner therapy. This discreet, comfortable, and highly effective solution addresses many mild-to-moderate bite issues we treat every day.
Frequently Asked Questions About Invisalign
How long does it take to correct a bite issue with clear aligners?
Your treatment time depends on the complexity of your bite issue. If you have very mild spacing or crowding, you may finish treatment in as little as 6 months. If you need to correct overbites, crossbites, or open bites, plan for 12 to 18 months. This timeline matches, or sometimes beats, the duration of traditional braces. For best results, wear your aligners 20 to 22 hours every day. Since you can remove the trays, your commitment to consistent wear will determine your success.
Is the treatment more painful than metal braces?
Most of our patients find clear aligners more comfortable than traditional metal braces. You won’t deal with metal brackets or wires that poke or irritate the inside of your cheeks and lips. However, the process is somewhat sensitive because moving teeth requires force. When you switch to a new set of aligners—usually every week or two—you’ll likely feel pressure or tightness for the first day or two. This sensation means the aligners work to move your teeth and bite into the correct position. You can usually manage this mild discomfort with over-the-counter pain relievers, and it fades quickly as your mouth adjusts to each new tray.
We serve families and individuals across the Greater Hartford area as Greater Hartford Orthodontics, a premier orthodontic practice. We create healthy, beautiful smiles through personalized treatment plans, which include traditional braces and advanced clear aligner therapy. If you want to improve your bite and your confidence, please visit our website and contact us to schedule your consultation today.