The doctor can widen the patient's smile using expander therapy before braces are applied. Due to the nature of the treatment, expander therapy is usually reserved for children (usually when they still have baby teeth present) and for teens or young adults in cases of very crowded teeth or crossbites.

Expander therapy uses expansion orthodontic appliances to widen the dental arch through sutural expansion of the upper jaw and by tipping the teeth of the lower jaw. This results in a broad, dynamic smile. It usually lasts 4 to 6 months per arch. The braces follow for additional fees, when all of the permanent teeth have erupted.

The process uses two kinds of expanders, the Upper Expander for upper teeth, and the Lower Expander for lower teeth. The results are obvious!


The doctor will size the back teeth, and then take a mold of the teeth in order to custom-make the expander.


The patient comes back a few weeks later to get the Upper and/or Lower Expander. At this appointment, the doctor will try it in the mouth of the patient and make some minor adjustments before cementing it with a special adhesive. The doctor will also show the patient how to turn the expander and give instructions on how to keep it clean.


If enough expansion has been achieved, the expander may be removed at this appointment. If more expansion or stabilization is required, the expander will be left in place until the next appointment.


Root canal therapy fits under the special dentistry area known as endodontics. Endodontics literally means dentistry within the tooth itself. The procedure treats disorders of the pulp. 

Endodontic treatment restores your tooth to a comfortable state by removing the damaged tissue and replacing it with substance that will help preserve the function of the tooth.

There are many reasons that a root canal maybe needed by the most common cause is the caries process (uncontrolled process of tooth decay). When tooth decay begins, it penetrates the outer layer of enamel and creates a cavity. If that process is not stopped, the decay will continue toward the nerve of the tooth.

Other causes include a fracture to a tooth, a cracked or loose filling or repeated fillings in a tooth and occasionally from periodontal disease. Regardless of the initial cause, the tooth pulp becomes irritated and an abscess within the tooth pulp dies, causing the bone around the tooth to be destroyed.




What Makes Fastbraces So Fast?

There are no miracle shortcuts in orthodontic treatment, but Fastbraces new technology is different, allowing treatment that lasts months, not years. Traditional braces treatment works by moving the tooth crown (the part that you see, outside your gums) in the first year, then moving the tooth roots (the part anchored in your gum and jawbone) in the second year. Fastbraces moves both the entire tooth, both the crown and the root, toward its final position at the same time, from the onset of treatment. This cuts the treatment down to about three to 12 months.

New Innovative Design

At a glance, Fastbraces may not appear very different from traditional braces. Take a close look and you’ll notice a fundamental difference. While traditional braces have square brackets, Fastbraces have rectangular brackets. This innovative change in design actually changes the angle of the forces that act on your teeth during the treatment process, speeding up the movement of teeth while keeping the process gentle.

No Tighnening Needed

Another key to the quicker and gentler treatment is the use of a single wire. Traditional braces usually use a series of wires over the course of several months, switching them in and out. Fastbraces uses a single square super-elastic nickel-titanium wire which is activated by the special design of the brackets and the natural heat of your mouth. No need to have your braces “tightened”.

Minimal Time Wearing a Retainer

Unlike traditional orthodontic treatment in which the patient sometimes has to wear their retainer all the time, Fastbraces requires less retainer wear. After Fastbraces treatment, the patient will wear a retainer at night while they sleep (typically about 8 hours). We like to call this “teeth pajamas”. Or the patient may only need to wear the retainer for 15-20 minutes each day (for example, while showering and getting dressed). We call this “teeth shampoo”. The dentist will give you specific instructions for your post-Fastbraces retainer routine. After about a year, some patients only have to wear their retainer for a few minutes!


First and Second visit:

If the patient has a deep bite (overbite) tendency, they will receive the upper braces during this visit in order to reduce the overbite, and receive the lower braces on their second visit. If the teeth don’t overlap enough, the patient will typically get the upper and lower front braces during the first visit, and the upper and lower back braces on the second visit or a combination of the above as per the doctor’s recommendation for each individual case. 

The braces will be placed close to the gums if one has an open bite tendency, or close to the edge of the teeth if one has a deep bite (overbite) tendency.

Third and remaining visits:

Adjustment of the braces is done by changing the elastic ties around the braces or by re-positioning, adding or removing one or more of the braces. 


                                          Old Style Traditional Braces                                                      New Technology Fastbraces

                                                   University Tested                                                                               University Tested

                                                   Used for Decades                                                                          Used for Over 20 Years

                                                    Square Brackets                                                                             Triangular Brackets

                                                Complex Treatment                                                                            Simple Treatment

                                         Often Changes to Natural Bite                                                              Natural Bite Preserved

                                             Extractions Needed Often                                                          Almost Always Non-extraction

                                                Multiple Wires Used                                                                                Just One-Wire

                                         Multiple Radiographs Needed                                                  One Radiograph of All Roots Needed

                                          Often Treatment by Specialist                                                         Treatment by General Dentist

                                                Typically 1.5-3 Years                                                                       3 Months to About a Year

                                                 Typically High Cost                                                                               Typically Low Cost

                                           Delayed Root Movement                                                                  Immediate Root Movement

                                                Root Resorption                                                                            Less Resorption Statistically

                                               Pain Issues Reported                                                                      Pain Reduction Statistically

                                            TMJ Joint Issues Reported                                                                     No TMJ Issues Known

                                             Typically 24/7 Retainers                                                              Typically 15-20 Min./Day Retainers

                                  Short-term Ortho Necessary for Cosmetics                                         Short-term Ortho Redundant

                                            Aligners Necessary Alternative                                                       Aligners Rarely Needed

                                                Typically No Guarantee                                               Lifetime Commitment by Participating Providers

                                                 No Referral Network                                                                 Worldwide Referral Network



The Chao Pinhole Surgical Technique, also known as Pinhole Gum Rejuvenation, was invented and patented by John Chao, D.D.S. It is a scalpel-free, suture-free, graft-free, minimally invasive procedure for correcting gum recession and saving teeth. Through a small hole made by a needle, specially designed instruments are used to gently loosen the gum tissue and glide it over the receded part of the tooth. Since there is no cutting or stitching, patients can expect minimal post-operative symptoms (pain, swelling and bleeding). Patients are pleasantly surprised by the instant cosmetic improvement. Most patients are able to resume light normal activities within 24-48 hours after treatment (excluding working out and strenuous activities).

Top 10 Benefits of the Pinhole Procedure:

1. Can correct gum recession in as little as 1 treatment session.

2. Minimal discomfort and swelling in most cases because the method is scalpel-free, suture-free and graft-free.

3. Long term results per the International Journal of Periodontology & Restorative Dentistry. (October 2012).

4. The pinholes heal in 24 hours in most cases.

5. Only 2 over-the-counter pain pills required after treatment on average per the study in the Int. Journal of Periodontology & Restorative Dentistry. (October 2012).

6. Can prevent tooth loss and the need for other costly procedure such as implants or dentures.

7. Treatment sessions can be completed in as little as 1-2 hours in many cases.

8. Can enhance a more youthful and attractive appearance.

9. Patients often describe feeling happier due to being able to smile without the shame or guilt associated with ugly receded gums.

10. Most patients are back to normal light activities within 24-48 hours post procedure.

The Pinhole Surgical Technique is internationally acclaimed.

The unique features of the Pinhole Surgical Technique have aroused international interest on the part of the media. Over 240 TV stations around the world have featured this revolutionary, minimally invasive technique for treating a problem that is found in half of the U.S population. The Pinhole Surgical Technique has been featured on "The Doctors Show", "Dr. Steve Show", "ABC", "NBC", and over 240 other stations across the U.S and Canada, reaching 10's of millions of viewers, and thus making Pinhole Surgical Technique a household term. For this reason, you may have already heard about this "breakthrough procedure" for correcting receding gums and saving teeth. The Pinhole Surgical Technique was granted patents and trademarks on the method and instruments by the U.S. Patent and trademark office. Only a Pinhole Academy certified dentist can offer this technique. Please also see "The Pinhole Surgical Technique, A Novel Approach to Root Coverage", published in the October 2012 issue of The International Journal of Periodontics and Restorative dentistry. a high-impact, peer-review journal. (Int J Periodontics Restorative Dent 2012;32:521-531). Instrument: Patent No. US 8,007,278,B2 Method: Patent No. US 8,202,092, B2, Copyright 2015©



Gum recession is the process in which the margin of the gum tissue that protects the teeth wears away, or pulls back, exposing more of the tooth root. When gum recession occurs, "pockets" or gaps from between the teeth and gum line, therefore, making it easy for disease causing bacteria to build up and destroy teeth. if left untreated, the supporting tissue and bone structures of the teeth can be severely damaged and may ultimately result in tooth loss and even severe health consequences. Gum recession is usually tooth sensitivity or you may notice teeth that look longer than normal. Typically, a notch can be felt near the gum line. Do not ignore gum recession! Early detection and treatment is essential to maintaining overall health and saving teeth. If you think that your gums are receding, make an appointment immediately with a certified Pinhole Surgical Technique dentist for an evaluation of your individual case.


- Periodontal diseases. These are bacterial gum infections that destroy gum tissue and the supporting bone that holds teeth in place. Gum disease is the main cause of gum recession and loss of teeth. Due to genetics, some people may be more susceptible to gum disease. In fact, studies show that 30% of the population may be pre-disposed to gum disease, regardless of how well they care for their teeth.

- Aggressive tooth brushing. Brushing teeth and gums too hard can cause gum recession.

- Insufficient dental care. Inadequate brushing and flossing make it easy for plaque to turn into calculus (tartar) - a hard substance that builds on and between teeth. This type of plaque can only be removed by a professional dental cleaning.

- Hormonal changes. Fluctuations in female hormone levels during a woman's lifetime, such as puberty, pregnancy, and menopause can make gums more sensitive and vulnerable to gum recession.

- Tobacco products. Tobacco users are more likely to have sticky plaque on their teeth that is difficult to remove and can cause gum recession.

- Grinding and clenching teeth. Clenching or grinding teeth can put too much force on the teeth, causing gums to recede. Clenching during sleep is a common cause of gum recession.

- Crooked teeth or misaligned bite. When teeth do not come together evenly, excessive force can be placed on the gums and bone, allowing gums to recede.

- Body piercing of the lip or tongue. Jewelry can rub the gums and cause irritation to the point that gum tissue is worn away.





Wisdom teeth are the last teeth to come in and the ones least needed for good oral health. The third molars, or wisdom teeth, are called such because they develop when most individuals become adults (near 17 years of age).

Because our jaws are smaller than our ancestors*, our wisdom teeth may not have enough room to fit in our mouths properly. Therefore, problems may result if these additional teeth attempt to emerge.

Most people have four wisdom teeth, one in each corner of the mouth, and often they are impacted (trapped in the jaw bone and gums). Cramped for room, these impacted teeth grow in many different directions and removal may be recommended by your dentist to prevent potential problems.

Whether wisdom teeth cause your mouth harm depends on several factors, including the size of your jaw and how your wisdom teeth grow in. You may have no symptoms at all, but other teeth in your mouth could be at risk of damage. Help make your treatment a success by understanding why your wisdom teeth may need to be removed, what the procedure involved and what you can do to promote a successful recovery.

Our ancestors needed large jaws and more teeth for their tougher diet. Since our lifestyle has changed and we eat softer foods, we no longer require that extra chewing power.

If you learn the different ways wisdom teeth can develop and the problems that can arise, you’ll be better able to understand why you may need to have them removed.

Infection in the Gum: When a wisdom tooth partially breaks through the gum’s surface, bacteria can get under the flap, causing an infection in the gum.

Crowding Displaces Next Tooth: An impacted or erupting wisdom tooth can push on adjacent teeth, causing them to become crooked or even damaging structurally.

Decayed Wisdom Teeth: Decay forms in a wisdom tooth that is hard to clean due to its position or because it is partially covered by the gum tissue which may collect cavity causing bacteria. 

Poorly Positioned Wisdom Teeth: A wisdom tooth that grows toward the cheek can irritate nearby tissue. If an erupted tooth is crooked it may be hard to clean or make it hard to bite down.

Cyst Destroys Bone: If the sac that hold the crown remains in the bone, it can fill with fluids, forming a cyst that can destroy surrounding bone.

It is best to have wisdom teeth removed around 17 years of age because that is when they usually develop. Removal will be easier as the bone may not be as dense as in an older person. Also, recovery will be faster since the roots usually have not yet fully developed.






A crown (often called a cap) is an artificial cover that is placed on an individual tooth (somewhat like a thimble over your finger) to restore a decayed or damaged tooth to its normal shape and size. 

This procedure is often necessary when there is no longer sufficient tooth structure left to place a filling. It is also useful for protecting teeth that are cracked or broken. A crown can also be used to change the shape of a tooth, to correct a bite or cosmetic problem, or to replace existing broken or poor-fitting crowns. A crown may be made of gold, other metals, or porcelain which makes them durable and strong, so replacements are needed less often.

Here at Dutton Dentistry, we have NEW STATE OF THE ART technology to do a Crown Prep and Crown Cementation/Delivery the SAME DAY! THIS means that you will not need to come back for a return appointment!