Treatment

Our goal is to give you a beautiful, healthy smile that you can enjoy every day for a lifetime.
To do so, we develop a treatment plan customized to your unique situation.

i-CAT Scanner – 3D Orthodontics

i-CAT is a sophisticated Dental Imaging System that creates a high resolution 3-D image of the patients’ teeth and jaws. The image allows the doctor and patients to see a visual diagnosis of the bones, teeth, nerves, sinuses, airway and structure of the head, face, neck and jaw. Since 2009 we are the only orthodontic office in Grayson county to utilize this cutting-edge technology. We value it most by its ability to help us provide the most advanced patient care, the best diagnosis for you or your child’s condition and reduced treatment times.

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Airway Evaluation

Obstructive Sleep Apnea (OSA) is emerging as one of the most widespread and costly health issues. The disease is characterized by upper airway obstruction, associated with repeated gaps in breathing and interrupted sleep. OSA is known to raise a person’s risk of serious medical problems such as heart attack, stroke, depression, hypertension, or auto-immune disorders.

Orthodontists can screen their adult and young patients to determine if they may be at a greater risk for developing OSA. Simple interventions such as maxillary expansion at an early age may open the upper airway, allow for greater nasal airflow, and make room for the tongue. The creation of space for the tongue allows the lower jaw to grow normally while increasing airflow in the back of the mouth.

In adults, creating more room for the tongue with dento-alveolar expansion and or forward repositioning of the lower jaw may increase airflow. Dr. Caskey can evaluate the airway in three-dimensions to identify the possible areas of obstruction. This will help determine the best treatment available to you.

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Accelerated Orthodontics

You want to improve the look of your smile, but does the thought of spending months, or even years, in braces sound like too much of a hassle? With the Acceledent™ System, you can now reduce the time of your orthodontic treatment by 38 to 50%! Using this pain-free, easy appliance, you’ll achieve your most perfect smile in no time at all.
AcceleDent

How does AcceleDent work?

AcceleDent is a light, comfortable, and hands-free appliance that is used 20 minutes per day as a complement to braces to accelerate tooth movement. The patented technology gently vibrates the teeth and surrounding bone, allowing teeth to move more freely. The best part of the AcceleDent System is that it’s completely safe! You may experience a slight tingling sensation, much like that of the vibration of an electric toothbrush, but it should diminish after you become accustomed to using the appliance.

The benefit of AcceleDent Aura will make you smile!

  • You’ll accelerate your orthodontic experience without sacrificing aesthetics
  • AcceleDent can be used for adolescents, teens, and adults, and it is completely safe for patients of all ages.
  • The AcceleDent appliance is lightweight and comfortable. You may even forget you’re using it!
  • The hands-free design allows you to achieve a beautiful, straight smile faster than you ever thought possible – even while reading, watching television, listening to music, or doing school work.

TAD

Temporary Anchorage Devices (TAD’s) are titanium bone anchors that look like a miniature version of a wood screw. The screw’s length is about half the length of your thumbnail, and no wider than the width of the head of a pin. TADs are made of titanium and are painlessly placed while in our office.
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How are TADs placed?

The area in which a TAD is placed is first numbed with a powerful, topical anesthetic gel and then with a device that places a puff of anesthetic through the gum tissue into the bone–no needles are used. With the patient numb, our doctors place the small TAD directly through the gum tissue into the bone. Most patients feel a little pressure when the TAD is placed and some feel this during the day of placement. Tylenol or Ibuprofen are recommended for the day of placement, and patients report no pain or pressure the day after placement. The TAD is gently brushed twice a day with antimicrobial rinse that we provide during its use. The TAD is removed when orthodontic treatment is completed or the TAD is no longer needed. It takes less than a minute to remove and is painless.

Why do we use TADs and why are they revolutionary?

A common example of orthodontic anchorage is the situation when the orthodontist wants to pull in your front teeth that are sticking out. He uses the back molar teeth to help him because they are large, multirooted, and generally move very little when they are used to pull back the front teeth. The molar teeth are fairly well anchored in your jaw; however, any tooth still moves in response to the “equal and opposite force.” A simple way to think about TAD anchorage:
A fisherman is sitting in a row boat and has caught a very large fish. If he has thrown an anchor overboard (TAD), and is strapped into the boat, he can, in time, reel the fish (tooth) in toward the boat without being pulled out to sea, or the boat moving from its original position.

Invisalign

Invisalign allows you to straighten your teeth by using a series of clear trays that comfortably slide over your teeth and gently move them into place. No brackets and no wires. This solution is comfortable and allows for easy oral hygiene; however, Dr. Caskey believes that it works best on certain cases. Please call for an initial exam appointment so that he can evaluate your needs and prescribe the best possible solution that will give you the straightest teeth and the best occlusion (bite).

Soft tissue recontouring

A recent advancement in orthodontics is the use of a soft tissue diode laser to painlessly recontour the “gumline” around patient’s teeth, making the smile more attractive. Other uses of this technology are procedures that allow Dr. Caskey to begin treatment on teeth that would not normally erupt into the mouth for long periods of time, making treatment months or years longer than necessary. Until now, these procedures were performed by other dental specialists, requiring the patient to schedule with another office. Dr. Caskey has embraced this technology since 2004, making it more convenient for patients that benefit from these procedures.

Dr. Caskey’s Actual Patients Results

Soft Tissue Recontouring Before Soft Tissue Recontouring Crowding After
Soft Tissue Recontouring A

Soft Tissue Recontouring Before Soft Tissue Recontouring After
Soft Tissue Recontouring B

Soft Tissue Recontouring Before wines-mid Soft Tissue Recontouring After
Soft Tissue Recontouring C

Surgical orthodontics

Surgical orthodontics is a combined treatment by our doctors and an oral surgeon to correct jaw abnormalities. These issues are determined after reviewing the patient’s X-rays and models.

The orthodontist initially levels and aligns the teeth in the jawbone, then the oral surgeon positions the jaws into a more normal position to allow the bite to come together ideally. This procedure results in the improved ability to chew, speak, and breathe, while also delivering tremendous facial aesthetics.

Dr. Caskey’s Actual Patient Results

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We embrace the latest in orthodontic technologies to reduce the overall need for this method, however it can still be required in those with improper bites, as well as those with facial aesthetic concerns. All growth must be complete before jaw surgery can be performed (jaw growth is usually complete by 16 years with girls and 18 with boys), however it is very common to begin correcting tooth position while a patient is still growing.

Dr. Caskey’s Actual Patients Results

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Smile Gallery

All Images Are Dr. Caskey’s Actual Patients Results.

Crowding

Crowding_B_before Crowding_B_after
Crowding A

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Crowding B

Deep Overbite

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Overbite A

Missing Lateral Incisors Implant

Missing Lateral Before Missing Lateral After
Missing Lateral After
Lateral Incisors Implant A

Missing Lateral Incisors

Crowding_G_before Crowding_B_after
Lateral Incisors A

Non-Surgical Underbite

Underbite Before Underbite After
Underbite A

Surgical Underbite

Surgical Underbite Before Surgical Underbite After
Underbite A

Openbite

Openbite Before Openbite After
Openbite A

Overbite

Overbite Before Overbite After
Overbite A

Phase I Early Treatment

Phase I Before Phase I After
Overbite A

Replacing Severely Decayed Teeth

Decayed Teeth Removal Before Decayed Teeth Removal After
Decayed Teeth Removal After
Patient A

Spacing of Teeth

Spacing of Teeth Before pacing of Teeth After

Surgical Orthodontics

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Surgical Orthodontics A