Dr. Garza is trained in Controlled Arch Orthodontics from LVI. This advanced training allows him to understand how and why the malocclusion (crowding and misalignment) occurred in the first place. That’s right, Dr. Garza looks at physiologic underdevelopment, and simply reverses it. Dr. G doesn’t just straighten the teeth. His technique utilizes Epigenetics, Myofunctional therapy, and growth guidance, all are critical in orthodontics to correct and improve facial beauty while straightening the teeth. We treat the entire system, not just the teeth. Standard orthodontic care is retractive (into the airway) Standard Orthodontics does not respect the Physiologic position which can lead to Obstructive Sleep Apnea, airway compromise, and TMD as well as postural issues. In Japan, Dr. Garza’s technique is the standard of care.
What is Orthodontics?
Straight teeth and a beautiful smile are what all patients want. But think twice, there is more to straightening teeth than you might think. In six planes of space, straightened teeth may not be in harmony with the TMJ (joints) and muscles. Standard Orthodontia that doesn’t respect the TMJ and muscles can create TMJ disorders and/or facial pain, even migraines. Dr. Garza is trained to treat orthodontic patients with respect to the TMJ and muscles (the entire system). Our braces and growth guidance appliances produce a straight, beautiful smile supporting the face, lips, joints, and muscles. Straightening the teeth should be done after proper jaw relation and function is established. Our results generate facial beauty for our patients for a lifetime.
Before treatment Cesar couldn’t open his jaw, he suffered from TMJ disorder with limited opening, migraines and headaches. Dr. Garza was able to provide a treatment plan that addressed all of his symptoms.
What is Myofunctional Therapy?
Myofunctional therapy is also a part of our orthodontic protocol. Myofunctional therapy sets us apart from standard orthodontia. Helping to identify the reason why our teeth became “crowded”(misaligned) in the first place. Myofunctional therapy prevents relapse after braces, which is often overlooked.
Dr. Garza provides orthodontics for children and adults. Growth guidance appliances develop the jaw bone to its full potential. Dr. Garza grows the bone first and then places braces to straighten the teeth. As opposed to standard orthodontics which removes/extracts teeth to make room for straightening. Retraction orthodontia closes the airway and contributes to obstructive sleep apnea. Our orthodontic protocol grows and expands bone improving the airway.
“Dr. Garza is always extremely knowledgeable and lays out a clear easy-to-understand plan with options for achieving and maintaining optimal oral health. He always dicusses why we should do one thing or not do another. His staff is amazing and are fully committed to making the patients experience the best it can be. I highly recommend Dr. Garza.” – Chris P.
What is Controlled Arch Orthodontics?
Controlled Arch™ orthodontics offers a contrast to traditional orthodontics, as it looks at the patient’s oral foundation, not simply the alignment of his or her teeth. That can be the problem with traditional orthodontics, as the goal can be to straighten the teeth in a narrower space. This can require unnecessary invasive procedure such as tooth extraction to “make room” in the patient’s mouth.
Controlled Arch™ addresses the patient’s jaw and spacing issues first, and then it moves and straightens the teeth. This makes the final result match the patient’s facial characteristics, along with creating a beautiful, aligned smile.
How does Controlled Arch work?
Controlled Arch™ starts with jaw alignment and positioning. The goal is to get the jaw into its natural, genetic alignment. This is usually a wider position, which often eliminates the need for tooth extraction for Controlled Arch™ patients. Controlled Arch™ handles the physiologic development of the arch before the teeth are straightened.
The centerpiece of these treatments is the use of large lingual arches that expand the molars, along with archwires that expand the arch. The job of these appliances is to widen the arch and gain space. The next step in the Controlled Arch™ treatment system is to move both the top and bottom jaw forward just a bit. This places them in a more natural position. These changes not only affect the teeth; they also improve airflow for fewer problems with sleep apnea, and they eliminate the jaw alignment problems that lead to TMJ. The final phase is to move and straighten the teeth as in traditional orthodontics, but they now occupy a more natural position, rather than a forced crowded position.
What is an anterior growth guided appliance?
The anterior growth guided appliance (AGGA) is the orthodontic appliance that prompts the forward growth of the premaxilla/maxilla and creates the additional space in the Controlled Arch™ treatment system. It consists of wires and bands that circle two molars on each side of the arch, and has wires that connect to a small acrylic oval piece that presses lightly the upper palate behind the front teeth. The AGGA phase is the first phase of the Controlled Arch™ program.
How does AGGA create more space?
Dr. Garza cements the AGGA device onto your upper teeth. On the lower molars, “bite plates” are placed to make the surface of the molars flat. This keeps them from securely biting together, allowing the lower jaw to slide as it moves. This allows the jaw muscles to relax and find their natural resting position. This prompts the jaw to remodel forward.
The AGGA appliance has two adjustment pieces on the outside of the molars. Dr. Garza adjusts these monthly, and this maintains light pressure from the acrylic oval onto the soft palate, helping it expand forward.
This process continues until the desired gaps have been created behind the canine teeth. It usually takes about one year. At this point the AGGA is removed and the Controlled Arch™ braces are placed to bring those back molars forward and straighten and align the teeth. This phase usually takes one year.
After AGGA, what is involved with the Controlled Arch Braces?
Once Dr. Garza removes the AGGA appliance, there is now space between the canine front teeth and the molars. This space is usually about the size of a full tooth. Now the molars need to be brought forward. Full braces are placed on all upper and lower teeth. Metal arch wires, called “controlled arches,” are cemented to the backs of the upper and lower teeth along the gums. This is different from traditional braces. These wires are stiff enough to provide a gentle widening to gain lateral palate expansion. The braces pull the back molars forward into the space created by the AGGA appliance, and the teeth as straightened as needed.
Now the patient has straight teeth and a jaw that is in proper alignment.
Who would be a candidate for Controlled Arch orthodontics?
The Controlled Arch™ system is a good option for patients with a narrower orientation of their existing teeth. Rather than moving those teeth and staying in that narrow profile, the Controlled Arch™ system first widens and adjusts the bite. Then the teeth are moved and straightened. These treatments also provide an alternative to jaw surgery for patients with underbites, overbites, and facial asymmetry. These patients also usually have some degree of temporomandibular joint disorder (TMJ), and Controlled Arch™ can relieve those symptoms as well.
How is Controlled Arch different than traditional orthodontics?
With his Controlled Arch™ treatments, Dr. Garza looks at the patient’s oral foundation, not just the alignment of his or her teeth. Traditional orthodontics often seeks to straighten the teeth in the position they are in, whether that position is the most natural or not. This may be an overly crowded position, and to keep the teeth in this position extractions or other restorative procedures may be needed, along with aligning the teeth. But these invasive changes can all be made so that the teeth fit into an unnatural narrow position. This can lead to problems with temporomandibular joint disorder and sleep apnea because the jaw isn’t in its proper position.
Controlled Arch™ starts with jaw alignment and positioning. The goal is to get the jaw into its natural, genetic alignment. This is usually a wider position, which precludes tooth extraction for Controlled Arch patients. Controlled Arch handles the physiologic development of the arch…before the teeth are straightened.
In a nutshell, traditional orthodontics seeks to simply straighten teeth without regard to crowding or proper jaw position. Controlled Arch seeks to make the appropriate space by both lengthening and widening where needed. From that more spacious position, the teeth are then straightened.
How long does the Controlled Arch process take to adjust my teeth?
As you would assume, there is no “set” timeframe for these procedures, as each patient’s individual situation is different. The AGGA portion of movement can take up to one year, with the Controlled Arch™ braces taking up to another year, but these timeframes can be shorter. In general, the Controlled Arch™ treatment system tends to achieve the necessary changes in around 30 percent less time than with traditional orthodontics.
What kind of results does Controlled Arch deliver?
Controlled Arch™ will deliver perfectly straight, aligned smiles, just as traditional orthodontics does. The difference is with patients who have more narrow mouth profiles. For these patients, Controlled Arch will widen and change the overall bite before straightening the teeth. This will create more room and avoid later problems with incorrect bite alignment. Beyond simply having a great looking smile, your profile will have better symmetry in patients with an over or underbite. Problems with TMJ are also addressed.
What problems can the Controlled Arch system correct?
Controlled Arch™ treatments with Dr. Garza are meant for patients with structural jaw issues. Thes include narrow jaws, overbites, underbites, misaligned bites, and crossbites. Patients with these conditions also usually suffer from the stresses created by misalignment. These problems are temporomandibular joint disorders and they create a variety of problems, such as jaw pain, migraine headaches, popping when chewing, and other chronic conditions. By enlarging and reposition the jaw into proper alignment, TMJ symptoms will improve.