Open Bite Treatment in Shelby Township
*For new patients only. Patients transferring from another orthodontist: $250 consultation fee, credited toward treatment if they start here.
Open Bite Treatment Options at Fredal Orthodontics
| Option | What It Is | At Fredal Orthodontics |
|---|---|---|
| Damon Ultima Braces | Metal braces with passive self-ligating brackets, which hold the wire without elastic ties. The wires are lightweight shape-memory wires. | Depending on the patient, Dr. Thomas Fredal Jr. may use braces. For comprehensive (full) braces, he plans bracket positions in 3D with DIBS AI software. |
| Invisalign | Removable clear aligners | He may also use Invisalign, depending on the patient. Invisalign Teen is offered too, and Invisalign First for children in Phase 1. |
| Posterior Intrusion or TADs | Posterior intrusion moves the back teeth deeper into the jawbone. TADs (temporary anchorage devices) are small, temporary mini-screws that act as anchors for moving teeth. | Dr. Fredal may use either, depending on the patient. He does not place TADs himself. When a case needs one, the placement is referred out. |
| Myofunctional Therapy (referral) | Exercises for the tongue, lip and face muscles, guided by a therapist | Not offered in-house. Dr. Fredal may refer you to a local myofunctional therapist. He does so when tongue posture, oral habits or functional concerns are present. |
| Jaw Surgery | Orthognathic surgery (jaw surgery) by an oral surgeon, with orthodontic visits before and after it and braces or Invisalign when appropriate | A more significant skeletal open bite (one involving the jaw bones) may need care from several specialists. That can include an evaluation for orthognathic surgery when appropriate. Fredal Orthodontics coordinates the orthodontic side with the surgeon. Every surgical case is planned with Virtual Surgical Planning (VSP), which plans the surgery on a computer. |
From Consultation to Retainers
| Stage | How Long | What Happens |
|---|---|---|
| Consultation and records | 50 minutes | You spend 20 of them with Dr. Fredal. You get a free 3D CBCT scan on the i-CAT FLX V17, an iTero digital scan and clinical photographs. Airway screening is part of every comprehensive orthodontic consultation. It looks at tongue posture and mouth-breathing patterns, among other things. It is not meant to diagnose sleep apnea. |
| Braces or Invisalign | About 12 to 18 months for many comprehensive cases | Dr. Fredal gives you a time estimate for your own case after your diagnostic evaluation. Braces visits are every 6 to 8 weeks. With Invisalign, you switch to a new aligner every week. Visits are every 10 to 12 weeks. |
| Jaw surgery cases | 6 to 12 months before surgery and 3 to 9 months after | Orthodontic treatment before surgery, then detailing (fine-tuning the bite) after it. Fredal Orthodontics does not offer surgery-first treatment. |
| Retainers | After treatment | At the end of comprehensive treatment, one set of Essix retainers (clear plastic retainers) is included. With braces, your retainer scan is taken the day the braces come off. |
Before & After
How Much Does Open Bite Treatment Cost?
Metal braces: from $5,280 (comprehensive)
Invisalign: from $5,280 (comprehensive)
Phase 1 (early treatment) for children: braces from $2,980, Invisalign First from $3,480.
Comprehensive fees have three levels, by case complexity: $5,280, $6,880 and $7,175. Your fee does not change with how long treatment takes. It includes elastics and every appliance your case needs.
If you need jaw surgery, the surgeon and the hospital or surgery center bill separately for the surgery. The Fredal Orthodontics fee covers the orthodontic part.
In-house financing has 0% interest and no credit check, with plans of up to 30 months. Monthly payments start as low as $179 and vary with the treatment cost, down payment and plan terms. The down payment is $750 for comprehensive braces or Invisalign, or $500 for Phase 1.
Frequently Asked Questions About Open Bite
Which treatments does Dr. Fredal use to close an open bite?
That depends on the cause and severity of the bite problem. Depending on the patient, Dr. Fredal may use Invisalign, Damon Ultima braces, posterior intrusion or temporary anchorage devices (TADs). He does not place TADs himself, so that placement is referred out. More significant skeletal open bites, where the jaw bones are involved, may need several specialists.
Can an open bite be treated with Invisalign?
Sometimes. Invisalign is one of the options Dr. Fredal may use for an open bite, depending on the patient. Braces, posterior intrusion and temporary anchorage devices are his other options, and the choice follows the cause and severity of the bite problem. He gives his recommendation after he reviews your complete records with you at the consultation.
What happens if a tongue habit is part of an open bite?
Dr. Fredal may send you to a local myofunctional therapist. He refers when tongue posture, oral habits or functional concerns are present, because the practice does not provide myofunctional therapy itself. Every comprehensive orthodontic consultation includes airway screening, which looks at tongue posture and mouth-breathing patterns.
When is jaw surgery considered for an open bite?
When the jaw difference cannot be appropriately addressed with orthodontic tooth movement alone, surgical treatment may be discussed. The decision is case dependent. Dr. Fredal weighs the severity of the skeletal discrepancy, facial balance and profile, the bite, tooth position, function and your own treatment goals.
Does Fredal Orthodontics treat open bites in adults?
Yes. Fredal Orthodontics treats children, teens and adults. For adults, Dr. Fredal routinely takes on complex cases, including severe bite discrepancies, orthodontic retreatment and orthodontic preparation for orthognathic surgery. Care that needs a second provider is coordinated with general dentists, periodontists (gum specialists), ENT (ear, nose and throat) doctors and other specialists.
What does open bite treatment cost at Fredal Orthodontics?
From $5,280 for comprehensive treatment, with metal braces or with Invisalign. The comprehensive fee sits at one of three levels by case complexity, up to $7,175, and elastics and every appliance a case needs are included. The length of treatment does not change it. Jaw surgery is billed separately by the surgeon and the facility.
Related Conditions and Treatments
Front Teeth Don’t Touch?
An open bite is a gap between your upper and lower front teeth when you bite down. Treatment depends on its cause and how severe it is. At a free new-patient consultation at Fredal Orthodontics, Dr. Fredal reviews your records. You get his treatment recommendation and the exact cost in writing. Eligible patients can get one community discount of $250 off their share after insurance.
*For new patients only. Patients transferring from another orthodontist: $250 consultation fee, credited toward treatment if they start here.