Orthodontic treatment

Who this is for

A child, teenager or adult with crowded, spaced or protruding teeth, a bite that does not meet properly, or a tooth that has not come through.
A family who wants a second opinion on timing: treat now, wait and watch, or refer for a jaw-growth problem that moving teeth alone cannot fix.
An adult whose gum health, missing teeth, crowns or implants mean tooth movement must fit a wider dental plan.

Planned around the bite, not shade alone

What we do at our office

Dr. Baruch Tetri, DDS, is a periodontist, a dentist whose specialty is the gums and bone that hold the teeth. Teeth move safely only through healthy supporting tissue, and adults often need gum or restorative care in the same plan. Dr. Tetri plans and provides orthodontic treatment himself, in our office.

Diagnosis and planning for every case, with X-rays only where they change the plan.
Invisalign treatment for teenagers and adults.
Fixed braces (brackets and wires) for movements trays do not handle predictably, and growth-guiding appliances for children.
Gum treatment before and during tooth movement, and any crowns or implants planned afterward, coordinated by Dr. Tetri.

What happens at the visit

We listen first: what bothers you, what you want to change, what you have been told before.
We examine teeth, gums and bite and, for children and teenagers, where growth stands. Inflamed gums are treated before any tooth is moved.
We take only the records that answer a question: photographs, a digital scan and, when it changes the decision, a panoramic X-ray (one image of all the teeth and jaws). A CBCT (a three-dimensional dental scan) is reserved for a specific problem such as a tooth stuck in the bone.
We tell you whether treatment is needed now, can wait, or is not worth it, and compare the options: aligners, braces, limited treatment, or watching with a review date. Making room for crowded teeth (widening the arch, polishing a sliver of enamel from between them, or extraction) is a separate decision.
Treatment starts once the plan is agreed, with progress checks every six weeks.

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Risks and limits

Teeth are sore for a few days after each adjustment or new tray; small mouth sores from brackets or tray edges are common at first.
Plaque collects around brackets and attachments (the small bumps aligners grip); without careful brushing, white marks on the enamel and gum inflammation follow.
Roots can shorten slightly during any tooth movement; it is usually minor, and we watch for it, especially in teeth with a past injury.
Teeth drift back when retainers are not worn. Retention is part of treatment, for life.
Straightening teeth does not treat jaw-joint pain, headaches or sleep breathing problems; those need their own diagnosis.
Treatment runs longer than planned when teeth move slowly, trays are not worn or visits are missed.

Questions patients ask

At what age should a child first be checked?

Around age seven, and for most children the answer is “nothing yet”. A few have a bite or eruption problem worth catching early. What early treatment can and cannot do is on our Invisalign page, in the section for parents.

Braces or aligners: which should I choose?

Neither suits every mouth. For simple crowding and spacing both work well. Braces give continuous control of difficult movements; aligners are removable and easier to keep clean, but work only while worn. We recommend whichever fits your teeth and your life.

Do I really need retainers for life?

Yes. Teeth keep moving slowly throughout life, whatever appliance was used. A thin wire bonded behind the front teeth, a removable retainer at night, or both; we check it at your regular visits.

From November 2026 we add pediatric dentistry on Fridays, Saturdays and Sundays with a board-certified pediatric dentist joining our office. Bookings open closer to the date; ask the front desk.

Sources

Request a visit

Tell us what is bothering you; we will tell you whether orthodontic treatment is worth it, and which kind. Our Sunny Isles Beach office is at 16690 Collins Avenue, Suite 701, Sunny Isles Beach, FL 33160.