Table of Content

 

Main Articles

  • Non-Extraction Orthodontics 

    In non-extraction orthodontics, we avoid extracting healthy bicuspid teeth to make space. (From Wikipedia: The premolar teeth, or bicuspids, are transitional teeth located between the canine and molar teeth. In humans, there are two premolars per quadrant in the permanent set of teeth, making eight premolars total in…

  • Bio 

    Dr. Joseph Sarkissian owns a state-of-the-art biological dental practice in Glendale, California, since moving to Los Angeles in 1998 and receiving his license to practice dentistry. His education included the study of microbiology at the University of Alabama, and attending the dental school of the University of…

  • Principles of Functional Jaw Orthopedics / Orthodontics 

    Our approach to “orthodontics” originated decades ago in Europe. More and more general orthodontists in the United States have embraced this philosophy and are very successful in the early treatment of children, following functional orthopedic principles. Removable or fixed appliances are used to address…

    • Common Craniofacial And Jaw Anomalies Illustrated 

      Normal Jaw Relationship Both upper (grey) and lower (pink) jaws are in normal relationship to the skull. Retruded Lower Jaw The lower jaw usually lags behind when there are childhood allergies, thumb-sucking, and mouth breathing. This phenomenon develops very early in life and has to be identified before a child…

    • Jaw Growth and Facial Aesthetics 

      Every human being, regardless of race or culture, is programmed to perceive certain proportions and phenomena in nature as “beautiful” or “aesthetically pleasing”. This is also valid in the perception of profiles, faces and bodily proportions. If something is perceived as “beautiful”, it usually means it…

    • Signs and Symptoms 

      There are many signs of early malocclusion, future crowding, childhood sleep apnea or skeletal growth discrepancies that parents should be aware of. Some of these conditions have to be addressed immediately, and others in due time before the child exits the rapid growth phase. Most signs go hand in hand with arch and…

    • Interesting Jaw Facts 

      The jawbone is the only double-hinged bone in our body. Its function is regulated by a very sensitive and intricate neuromuscular system. The position and size of the lower jaw plays a major role in our airway volume. Obesity, age, and a retruded lower jaw are all factors in snoring and sleep apnea. Healthy…

  • Strategies 

    Early Intervention Extrapolating from the “functional” theory of jaw development as covered in the Principles, it is only natural that a FUNCTIONAL SOLUTION has to precede braces.  Intervention should target the three fundamental growth principles, namely the VERTICAL (bite opening) THE HORIZONTAL (arch…

    • Orthopedic Bite Opening 

      Addressing the deficient vertical dimension In Children Under The Age Of 6 A deep bite in very young children can be easily and significantly addressed without appliances or braces. A layer of composite is added over the primary molars to increase their height, hence adding to the vertical dimension. The permanent…

    • Braces - Non-extraction Straightwire Technique 

      If a child has followed through with arch development and jaw orthopedics, then we have already achieved a good foundation for braces, without having to extract teeth to create space. The ideal dental arch - the Roman Arch Form Brackets are placed according to the long axes of the teeth. Soft titanium wires are…

    • Therapy Phases in Orthodontics 

      The phases of therapy Dr. Sarkissian uses in his practice are: Interceptive therapy: age 6 & above This is the first and very urgent phase to address conditions which, if left untreated, result in a deviated and detrimental craniofacial growth pattern, skeletal jaw asymmetry or deficiency, or orthodontic…

    • ClearCorrect Clear Aligner Therapy 

      If you are completely opposed to braces or your lifestyle absolutely precludes you from having anything fixed in your mouth or your teeth, then ClearCorrect may be the best option for you. ClearCorrect is just another brand of clear aligner therapy just like Invisalign. We use a digital scanning method with our CEREC…

  • Showcases 

    Single Tooth Crossbite in a Child: Lateral and Vertical Arch Development Lateral Incisor Widening Addressing Crossbites in Children

    • Single Tooth Crossbite in a Child
      Lateral and Vertical Arch Development
       

      (click on images to view bigger) All upper  teeth  should overlap the lower teeth on the outside. If this is reversed, such as the lateral incisor we see here, it calls for immediate intervention. The crossbite happens when there is no room for the permanent tooth to erupt, and it comes out twisted, turned, or…

    • Lateral Incisor Widening 

      The upper lateral incisor is one of the most common teeth which may present itself narrower than average. This genetically determined feature is not a bad thing, however when we try to expand the arches and align the teeth, we will be creating extra spaces around these teeth. At this point, the only way to close the…

    • Addressing Crossbites in Children 

      When a crossbite is detected,such as on the front teeth of this young girl of 5, it calls for immediate intervention, as complications may arise if left untreated.Click on image for bigger view - Press ESC to exit. A simple appliance such as this three-way expander is one efficient way to address it. After a…

  • Slideshows 

    Wide Smiles   Braces in a girl in her late teen years   A Tongue thrust case in an adolescent (to follow a more detailed orthodontic sequence of this case, click here...)   A tongue thrust case in a young adult

  • FAQs 

    Naturally, as a concerned parent, you try to find the best solution for your children. During our consultation, we will answer any questions you might have. The following questions are often asked and we will attempt to answer them for you here so that you have a good basis for your more personalized questions. Is…

    • Is it OK to extract healthy teeth to make room in cases of crowding? 

      Dr Sarkissian explains: "Extracting healthy teeth from an arch that is deficient in size to begin with, is a delayed death sentence to the child. Ignoring the early developmental growth phase until it is passed, and then extracting four healthy teeth to make room is nothing short of mutilation to the organism. During…

    • What are signs of insufficient jaw size (arch constriction) that parents and physicians need to watch out for in children? 

      • Front Crossbite A crossbite involving the front teeth: if the lower teeth are biting in front of the upper teeth, it is a situation that demands immediate intervention. The condition will trap the upper jaw from growing forward, and as the teeth grow longer with time, it will be harder to reverse the crossbite. …

    • If there are congenitally missing teeth, or larger than normal spaces in a child's arches, what is the right thing to do? 

      Larger-than-normal spaces occurring in a child's mouth are quite normal in the primary dentition. In fact, if spaces are non-existent, then that is already a certain indication that the child will develop crowding in the permanent dentition. Spaces in the adult dentition can mean two things: The teeth are smaller…

    • What are the consequences of a small jaw in adulthood if not addressed during the early years of life? 

      The jaws are essential to life. The maxilla (upper jaw) has joints with almost all the bones of the skull, including the orbit, the cranial base, the temporal, and the nasal, to name just a few. Therefore a constriction of the upper jaw will have repercussions on the whole skull and neck. A small jaw will also cause…

    • Can you develop adult jaws and arches? 

      Adult jawbones have the ability for slight modification, according to the rules of epigenetics discussed in the Principles, as well as Wolff's law, which states that bones and joints subjected to constant low-grade forces will undergo dimensional changes. Orthodontics and jaw orthopedics in adults works, but is…

    • Why can't we just live with crowded teeth? 

      From the aesthetic point of view, granted, many people, even famous actors, have crowded teeth and it does not keep them from social and financial success. Some very attractive personalities also have crowded teeth. On the other hand, MOST beautiful and attractive personalities have well-developed jaws, straight…

    • Are spaces between baby teeth normal? 

      Before the age of 7, baby incisors are expected to have spacing. The larger the spaces, the better, as this will ensure that the permanent incisors, which are significantly wider, will not crowd when they erupt.

  • Gallery 

    Click on images to view larger - use curser left/right to go backward/forward

  • References 

    coming soon...

  • Contact 

    We are located in Glendale, California and our physical location is 906 North Glendale Ave. Glendale California 91206 Call us at (818) 247-7828 For more ways to get in touch with us please go to Dr. Sarkissian's main Contact Page


Further Articles

  • Orthopedic Bite Build-Up in Children 

    The procedure described here addresses the vertical dimension of growth only. Most children will also need arch development, which can be carried out simultaneously with removable appliances. Click on images to enlarge and see animation below... Between the ages of 6-10, while baby molars are still solid and…

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