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Orthodontics

Orthodontics is the branch of dentistry that diagnoses, prevents, and corrects misaligned teeth and jaws. Merriam-Webster’s clinical definition of orthodontics describes it as the specialty “dealing with irregularities of the teeth” and their correction, typically through braces. Also, it refers to the treatment delivered by a specialist in the field. The specialty has a long clinical history. Wikipedia’s overview of orthodontics notes that Greek and Etruscan materials show “primitive yet impressively well crafted orthodontic appliances” dating back roughly 3,000 years, though it didn’t become an organized modern science until the mid-1800s.

At Center for Dental Health La Jolla, Dr. Sandhya Hegde, D.D.S., B.D.S. and orthodontist Dr. Abraham Tang treat crowding, spacing, and bite irregularities like overbites, underbites, crossbites, and open bites, issues that affect how you chew, speak, and clean your teeth. Treatment works by applying controlled, gradual force to move teeth into better positions, whether through a fixed bracket system like Straitline Bracket Treatment or through clear aligners such as Invisalign or AngelAlign Clear Aligners. If you’ve noticed changes in your bite, understanding what orthodontics actually treats is a good first step toward deciding whether a specialist’s opinion makes sense for you.

Meet the Doctor

Dr. Abraham Tang serves as the orthodontist at Center for Dental Health La Jolla, bringing focused training in tooth movement, bite correction, and alignment treatment to every case he takes on. His approach favors a plan built around each patient’s bite rather than a one-size-fits-all appliance, whether that means traditional brackets or a clear aligner system. Patients benefit from a specialist who works alongside the practice’s periodontist, endodontist, and oral surgeon, so any additional dental needs are addressed as part of one connected plan.

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Orthodontic Treatment Options We Offer

Straitline Bracket Treatment

Straitline Bracket Treatment uses fixed brackets bonded to the front of each tooth, connected by an archwire that applies steady, controlled pressure over time. This traditional approach works well for more complex bite corrections, since Dr. Tang can adjust the wire tension at each visit to guide teeth exactly where they need to go. It’s often the recommended option for younger patients or cases involving significant crowding or jaw alignment issues.

Clear Aligners

Clear aligners are a series of custom-fitted, removable trays that gradually shift teeth into position without any brackets or wires. Each set is worn for about one to two weeks before moving to the next stage in the sequence, with Dr. Tang monitoring progress along the way. Patients who want a lower-visibility option, or who prefer being able to remove their appliance to eat and brush, often find this approach fits their daily routine more easily.

Invisalign

Invisalign is one of the most established clear aligner systems available, using a digital scan of your teeth to map out your entire treatment before your first tray is even made. This lets you and Dr. Tang see a preview of your expected results early in the process, rather than waiting until treatment is complete to know what to expect. Invisalign is a common choice for adults and teens with mild to moderate alignment issues who want a discreet option.

AngelAlign Clear Aligners

AngelAlign Clear Aligners offer another clear aligner option, built on similar digital scanning and custom-tray technology. Dr. Tang can walk you through how AngelAlign compares to Invisalign for your specific case, since material, fit, and treatment planning can vary slightly between systems. Having more than one clear aligner option available means your treatment plan is built around what actually works best for your teeth, not just one brand.

Conditions, Symptoms, and Pain Orthodontics Can Address

Orthodontic care treats crowded teeth, excessive spacing, overbites, underbites, crossbites, and open bites. Left unaddressed, some bite irregularities place uneven pressure on teeth and jaw joints, which can contribute to accelerated enamel wear and temporomandibular discomfort over time.

Malocclusion is far from rare. A global scoping review on malocclusion prevalence estimates it affects between 39% and 93% of children and adolescents, depending on the population studied, which helps explain why bite irregularities are such a common referral reason.

Recognizing the Problem

Many patients live for years with mild crowding or spacing without realizing treatment options exist for their situation. Difficulty flossing between crowded teeth, a jaw that shifts when you close your mouth, or teeth that meet unevenly when you bite down are all worth noting.

Patients who grind their teeth at night sometimes discover during an exam that their bite is contributing to the habit. A cross-sectional study on bruxism and malocclusion found that “awareness of clenching” was significantly more common among patients with malocclusion than those with normal occlusion.

When should you seek a professional?

The American Association of Orthodontists recommends that children receive an orthodontic screening by age seven, but adults can benefit from evaluation at any age. Persistent jaw discomfort, difficulty chewing, or visible misalignment that appears to be changing over time are all reasonable indicators that a consultation is worth scheduling. 

University of Minnesota’s early orthodontic treatment guidance notes that by around age six, “the first adult molars have typically started to emerge,” giving clinicians an early benchmark for assessing basic alignment well before active treatment would ever begin.

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Prevention and Hygiene Education

Certain habits support better alignment outcomes and reduce the risk of bite issues worsening over time. Consistent oral hygiene matters more for patients with crowded teeth, since overlapping areas trap plaque that’s harder to remove. Wearing a retainer after treatment is one of the most clinically reliable ways to prevent relapse.

A 2023 Cochrane review on orthodontic retention evaluated the evidence behind different retainer types and wear schedules for keeping teeth stable after active treatment ends. Patients who clench or grind their teeth at night may also benefit from a nightguard, since those forces can gradually displace teeth and undermine finished results.

DIY Aligner Trends and Home Remedies

Mail-order aligners and social media videos showing rubber bands or paper clips used to close gaps have both grown more popular as people look for lower-cost alternatives to in-person care.

A peer-reviewed survey on DIY orthodontics risk awareness found that financial motivation was the most common reason people said they’d consider unsupervised treatment, and that awareness of the associated risks varied widely among respondents. The appeal is understandable, but the risks are worth examining before making a decision.

What the Research Says About Unsupervised Tooth Movement

Moving teeth without professional monitoring carries risks that aren’t always visible until damage has already occurred. Without diagnostic X-rays, there’s no way to check bone density or root health before attempting to move teeth on your own.

A case report in the American Journal of Orthodontics and Dentofacial Orthopedics illustrates the risk starkly: an unsupervised elastic “gap band” used to close a front-tooth gap worked its way beneath the gumline and caused damage severe enough that both teeth required extraction, concluding that “inappropriate use of gap bands can result in periodontal destruction and tooth loss.”

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Cost and Insurance for Orthodontic Treatment

The cost of orthodontic care varies depending on the type of treatment selected, the complexity of the case, and the length of the treatment period. Patients choosing between Straitline Bracket Treatment, Invisalign, AngelAlign Clear Aligners, or other clear aligner options will encounter different fee structures, and case complexity plays a larger role in final cost than the appliance type alone.

Industry Average Pricing

The numbers below reflect industry averages sourced from national references and are provided for general educational context only. They don’t reflect pricing at this specific practice. A national provider survey on orthodontic treatment costs conducted between August 2024 and July 2025 found that comprehensive Invisalign treatment and traditional braces cost similarly overall, with roughly half of surveyed doctors reporting Invisalign at the same price point or less than braces for a comparable case.

Insurance Plans That Commonly Cover Orthodontic Benefits

The list below represents insurance providers and plan types that commonly include orthodontic benefits based on general industry data, and isn’t guaranteed to reflect what’s accepted at any specific office. The National Association of Insurance Commissioners’ dental insurance guide explains that orthodontic benefits for braces and retainers are typically added through a separate rider, distinct from the preventive and basic-procedure coverage most dental plans include by default.

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How Your Orthodontic Treatment Comes Together

Your First Visit With Dr. Tang

Your first visit starts with a conversation about what’s bothering you about your bite or smile. Dr. Tang examines your teeth, gums, and jaw alignment, often supported by digital scans or X-rays. You’ll leave this visit with a clear picture of what’s happening and which treatments might fit your case.

Building a Plan Around Your Bite

Once your evaluation is complete, Dr. Tang maps out a plan built around your specific bite and goals. This includes the appliance type, whether Straitline Bracket Treatment or a clear aligner system like Invisalign, along with an estimated treatment timeline. You’ll review the full plan together and ask questions before committing to anything.

Beginning Active Tooth Movement

Treatment begins with placing brackets and wires, or delivering your first set of aligner trays, depending on the approach you chose together. Regular adjustment visits keep your teeth moving steadily and safely toward their new positions. Dr. Tang checks progress at each visit and makes small adjustments along the way.

Protecting Your Progress at Home

Once your teeth reach their new positions, a retainer becomes your main tool for keeping them there long term. Brushing thoroughly, flossing carefully around wires or trays, and avoiding hard or sticky foods all protect your progress during and after active treatment. Dr. Sandhya Hegde, D.D.S., B.D.S. and the team can walk you through the specific habits that matter most for your appliance.

Checking In on Your Progress

Follow-up visits let Dr. Tang confirm that your bite feels comfortable and that your results are holding steady over time. These checkups also catch minor shifting early, before it becomes a bigger problem to fix. Consistent follow-through is what keeps a finished orthodontic case looking right for years.

Straighter Teeth, One Consultation Away

You don’t need to guess whether Straitline Bracket Treatment or clear aligners fit your case better. That’s what your first visit with Dr. Sandhya Hegde, D.D.S., B.D.S. and the team at Center for Dental Health La Jolla is for. Reach us at 858.546.0100 to set up your consultation, and see more smiles like yours on Facebook, Instagram, and X (formerly Twitter).

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FAQs

What is orthodontics?

Orthodontics is the branch of dentistry that diagnoses, prevents, and corrects misaligned teeth and jaws. It covers issues like crowding, spacing, overbites, underbites, and crossbites, along with the bite problems these conditions create over time. Treatment options range from traditional brackets like Straitline Bracket Treatment to clear aligners such as Invisalign or AngelAlign Clear Aligners, depending on your case.

Does insurance cover orthodontics?

Many dental insurance plans include some orthodontic coverage, though it’s usually more generous for children and teens than for adults. Coverage typically comes through a separate rider with its own lifetime maximum, distinct from your regular dental benefits. Checking with your specific insurance carrier before starting treatment helps you understand exactly what’s covered.

How much does orthodontics cost?

Orthodontic treatment costs vary widely based on the appliance type, case complexity, and length of treatment, generally ranging from about $3,000 to $8,000 nationally. Straitline Bracket Treatment, Invisalign, and AngelAlign Clear Aligners each come with their own fee structure and payment options. Contact our office directly for an accurate estimate based on your case.

When to start orthodontic treatment?

Most orthodontists recommend a first evaluation by around age seven, even though active treatment often doesn’t start until years later. Adults can pursue orthodontic treatment at any age as long as their teeth and supporting bones are healthy enough for movement. Starting with an evaluation, rather than waiting for a visible problem, gives you the clearest picture of your options.

Why is orthodontic treatment necessary?

Orthodontic treatment does more than improve how your smile looks in photos. It corrects how your teeth and jaws function together every day. Left untreated, bite problems can lead to uneven wear, jaw discomfort, and teeth that are harder to clean properly, and addressing these issues earlier tends to mean simpler, shorter treatment than waiting.

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