While many patients’ treatment can be completed with braces alone, some orthodontic care will require alternate application to increase the efficiency of tooth movement and achieve the most desirable outcome. In situations where braces alone cannot solve the problem, we offer additional appliances to ensure that patients receive the optimal treatment to obtain their desired smile.


While many patients that have excess overjet can be corrected with elastics (rubber bands), in certain instances we may recommend an appliance that will be more effective and efficient. The main difference with these appliances and elastics is that the appliance is not removable by the patient. Because they stay in all day, the appliances correct the excess overjet very efficiently and only take a few days to get used to talking and eating. If you are a candidate for an appliance to help correct your overjet, we will discuss it with you at your complimentary consultation.


Temporary anchorage devices, or TADs, are small titanium implants, or anchors, used in certain orthodontic cases to allow for more efficient tooth movement. TADs can be used to close extraction spaces or spaces of missing teeth. They can also be used to intrude teeth and close open bites which would otherwise require surgery to correct. The placement of TAD is very simple and usually only requires topical anesthetic with no injection. Typically, there is very little discomfort noticed during the placement, treatment and removal of the TAD. The TADsusually remains for 6 to 12 months. If your orthodontic care would be improved by the use a TAD, we will discuss it with you at your complimentary consultation.


The Mandibular Anterior Repositioning Appliance, or MARA, is an appliance that helps in the correction of excess overjet. The MARA offers some unique advantages for patients with excess overjet and can correct it without having braces on all the teeth. This decreases the number of months that a patient has to wear braces. The purpose of the appliance is to move the lower jaw and the lower teeth forward and the upper molars and teeth backwards for a comfortable and healthier bite.