My child has a narrow palate and a small lower jaw. I’m concerned his narrow palate is preventing his lower jaw from growing. Can orthodontic treatment help bring his lower jaw forward?

Yes, widening the palate allows the lower jaw to move forward. I use the high-tech H4 system of braces to gently widen the palate and to create wide beautiful smiles without removing teeth. I do not recommend using screws or palatal expanders to widen the palate because I feel that the forces used with this kind of treatment are too strong. I prefer to use a much gentler method to widen the palate. Please call 1-800-4BRACES for your free consultation.

My orthodontist said I needed two upper teeth extracted to correct my overbite. Now, I am almost finished treatment. My overbite has been fixed but I feel that my smile is narrow and too far back. Can you correct it?

Yes, but I wish that you never had your upper teeth extracted. Many orthodontists treat patients with this plan called "camouflage.” It hides the fact that the lower jaw is too small by extracting upper teeth and moving the smile backwards. This corrects the overbite but the upper lip and wide smile are sacrificed. I do not use this treatment plan. Call 1-800-4Braces if you are concerned about an upper extraction plan and want another opinion.

My son is getting braces. I am very concerned about him keeping up with his oral hygiene during treatment. Do you do anything special to help your patients maintain good oral hygiene?

Yes. Maintaining excellent oral hygiene during orthodontic treatment is so important to me that I have an oral hygiene department in my office with two dental hygienists on staff. No one else in the Four Corners offers both orthodontic and dental hygiene services in one location, and this convenience is one of the main reasons why parents choose my office for their children’s orthodontic care. While many offices have oral hygiene issues in almost half of their patients, less than 5% of my patients have oral hygiene issues. My patients with oral hygiene issues are provided immediate access to care in my office to correct the problem and do not have to be referred out. This is both a convenience and a relief to parents. We also remove all wires from the braces when cleaning, which allows for improved access and improved cleaning. For more information, please call 1-800-4Braces.

Can any orthodontist give you a wide beautiful smile without taking out teeth?

No. Many orthodontists remove healthy teeth to achieve a straight, but narrow smile using traditional braces. I use the high-tech H4™ system of braces which allows me to achieve wide beautiful smiles without taking out teeth. I don’t believe in removing healthy teeth from a patient’s mouth, so I rarely take out teeth. I want all of my patients to have wide, healthy smiles. You can view some of the wide smiles I have achieved on my website, Herman4Braces.com. Call 1-800-4Braces if you want to get a wide beautiful smile without having any teeth taken out.

I read a column last week about how expensive it is to get dental care. Is the same true for braces?

Surprisingly no! Orthodontic treatment has actually become more affordable over the past couple of decades. Just like electronics become less expensive over time, so has orthodontic care. Today's passive self-ligation systems of braces are more efficient. These improved braces systems and better trained technical staff now make treatment very affordable. Add that to the fact that over a decade ago, I eliminated the $1000 or more down payment that was common in the Four Corners area. This step made it easy for many more people to start treatment. Call my office at 1-800-4Braces to find out just how affordable orthodontic treatment can be for you.

I just moved here and need an orthodontist familiar with the Damon system of braces to continue my treatment. My previous orthodontist informed me that special training was needed to use Damon braces. I called a local orthodontist whose website said they offer Damon braces and low prices. The lady I spoke with said they actually mix traditional braces with Damon braces on patients. She said both braces systems achieve the same result. Is this an effective treatment plan?

I do not agree with this treatment plan. As an orthodontist specially trained in passive self-ligation technology, including the Damon System, I know that traditional braces and Damon braces do not achieve the same quality result. It is like saying that a Walkman cassette recorder is the same as an iPod. They both allow for the mobile playing of music but no one would say they are the same. I encourage you to call my office at 1-800-4Braces for a free consultation to discuss finishing your treatment most effectively.

I know that you offer high-tech braces. Why do some offices offer both traditional braces and high-tech braces?

I offer the H4™ high-tech braces at an affordable price because I believe it is better for the patient. I was an early adopter of passive self-ligation technology and have now moved to the H4™ system, the next generation of high-tech braces. The H4™ system uses light and gentle forces to move teeth, creating a more comfortable experience for my patients with high quality outcomes. Almost all of my patients can be treated without having teeth taken out. I believe all of my patients should be treated with the latest technology and do not offer traditional braces because I find it to be a step backwards. To learn more about high-tech braces, call 1-800-4Braces.

Is it easier to treat a crooked tooth problem by taking out teeth?

It can be easier but I do not believe it is better for the patient. I am very reluctant to remove healthy teeth because I use the new passive self-ligation technology, which allows me to treat patients without removing any teeth. I am passionate about creating a smile that best fits each patient's face. I found that taking out teeth creates a smaller width smile that does not always complement a patient's face. People who have had teeth extracted as a teen tend to lose their smile under their lip and wrinkle in the mid face area at an earlier age. Wide smiles are more youthful looking, even as you age. If you want a wide smile without having any teeth taken out, call 1-800-4Braces for a free consultation.

I had braces 15 years ago, and I remember that I hated having them tightened. It hurt. I have heard from numerous people that you use a different system of braces that does not require tightening at appointments. Is that true?

Yes. By using technology called "passive self-ligation," I do not have to tighten braces. I use high-tech H4™ braces, which use light and gentle forces to move your teeth. I have been using this technology for the past 12 years. I started with the Damon® system and now use the next generation of high-tech braces, the H4™ system. New technology just keeps making the braces experience better and easier for the patient. If you want treatment without experiencing the tightening of braces, please call 1-800-4Braces and schedule your free consultation.

I want to get the perfect smile, but I am concerned this expectation is unrealistic. How do you achieve the perfect smile?

Every patient is unique – there’s not one perfect smile! I help patients achieve wide, beautiful, healthy smiles that work with their individual features. At your first visit, I will give you a reasonable expectation of the smile you can expect to achieve after braces. I show photos of my finished patients with similar orthodontic problems so that you can get an idea of your outcome. I always attempt to meet or exceed my patients’ expectations. I believe I can help you get an amazing smile with a customized treatment plan. Call 1-800-4Braces to schedule your free consultation!