Advanced Orthodontic Treatment for Adults in Playa Vista
Reliable results
Orthodontics has changed dramatically over the last decade. Many adults who were once told they needed jaw surgery, permanent tooth extractions, or dental implants may now have additional treatment options thanks to modern biomechanics and skeletal expansion techniques. At Twin Teeth Orthodontics, we enjoy treating challenging adult cases using evidence-based techniques designed to improve both smile aesthetics and long-term function.
Why should I consider advanced adult treatment?
non-surgical bite correction
Many adults believe jaw surgery is their only option for correcting a severe bite. While surgery is still the best treatment for some patients, advances in orthodontics allow many adults to achieve dramatic improvements without surgery, including severe overbites, large overjets, underbites, deep bites, open bites, and asymmetric bites.
gummy smile reduction
Excessive gum display can make teeth appear short even when they are healthy. Orthodontic treatment can often reduce a gummy smile by repositioning the teeth and improving smile balance.
increasing tooth show
Orthodontics can often increase visible upper tooth display by strategically repositioning the teeth, improving smile arc, and optimizing facial aesthetics, making a smile appear younger without cosmetic surgery.
TAD-supported space closure
Temporary Anchorage Devices (TADs) provide stable anchorage to move teeth in ways that were once impossible, allowing us to close spaces orthodontically in patients missing teeth rather than relying on dental implants.
maxillary skeletal expansion (MARPE/MSE)
Specialized appliances allow many adults with a narrow upper jaw, dental crowding, posterior crossbite, high narrow palate, or buccal corridors to achieve meaningful skeletal widening without traditional orthognathic surgery. Not every narrow maxilla presents with a crossbite, making proper diagnosis essential.
Our Process
Here's how it works
comprehensive evaluation
Using state-of-the-art digital imaging and 3D treatment planning, we carefully evaluate each patient to determine whether advanced orthodontic treatment is appropriate.
customized appliance selection
Depending on your anatomy and goals, we may use customized treatment plans, TADs, MARPE/MSE, braces, or clear aligners to produce remarkable improvements in both function and appearance.
individualized biomechanics
Every treatment plan is designed with one goal in mind: creating a healthy bite, beautiful smile, and long-lasting result while using the least invasive approach possible.
pros
- Create additional space for crowded teeth and improve smile width
- Reduce buccal corridors and improve bite relationships
- Enhance facial balance and increase nasal cavity width
- Improve tongue posture and potentially improve nasal breathing in appropriately selected patients
- Can avoid dental implants in select cases while preserving natural teeth and reducing long-term restorative treatment
cons
- Airway improvement varies significantly from patient to patient and should not be considered a guaranteed treatment for sleep apnea or other sleep-related breathing disorders
- Some adults with certain skeletal discrepancies are still best treated with orthognathic surgery
- Most patients experience temporary pressure and soreness similar to traditional orthodontic appliances, which generally improves after the first several days
Real results
Real patients, real results
Advanced Orthodontic Treatment for Adults
How we elevate your treatment
Advanced Diagnostics
Our doctors have a special interest in advanced orthodontic biomechanics and airway-focused treatment, using state-of-the-art digital imaging and 3D treatment planning for every case.
Skeletal, Not Just Dental, Movement
MARPE and MSE appliances use temporary skeletal anchorage to apply forces directly to the maxillary bone rather than relying primarily on the teeth, achieving meaningful widening without surgery.
Collaborative, Comprehensive Care
When appropriate, we collaborate with ENT physicians, sleep physicians, and myofunctional therapists to provide comprehensive care.
Frequently asked questions
Have questions about Advanced Orthodontic Treatment for Adults? We’ve got you covered.
Am I too old for MARPE or MSE?
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Not necessarily. Many adults in their 20s, 30s, 40s, and beyond may still be candidates, depending on their individual anatomy.
Is MARPE painful?
Most patients experience temporary pressure and soreness similar to traditional orthodontic appliances. Discomfort generally improves after the first several days.
Can adults avoid jaw surgery?
Some adults can achieve excellent results without surgery using advanced orthodontic techniques. However, certain skeletal discrepancies are still best treated with orthognathic surgery. A comprehensive examination is necessary to determine the most appropriate option.
Can TADs replace dental implants?
TADs themselves do not replace missing teeth, but they can sometimes allow orthodontic movement that closes spaces, eliminating the need for implants in carefully selected patients.
