Straighter teeth. Better bite alignment. Care that considers your whole smile.
Metal and clear ceramic braces can correct crowded teeth, gaps, and many bite problems. At Petaluma Dental Group, Dr. Alfred Li, DDS, MS, evaluates your teeth, jaw relationships, and oral health to recommend treatment suited to your needs.
Perhaps your child’s teeth are coming in crowded, your teen struggles with an uneven bite, or your own teeth have shifted after earlier treatment. We explain what braces could accomplish, which alternatives are appropriate, and what daily care involves.
As our in-house orthodontist with an airway focus, Dr. Li also considers jaw development, breathing habits, and sleep concerns when relevant. Petaluma Dental Group is part of Smile More Longevity Campus, connecting orthodontic care with a broader view of oral health.
Call (707) 762-0067 to schedule a complimentary braces consultation.
Braces are fixed orthodontic appliances that use brackets and wires to move teeth gradually. They can improve tooth alignment and how the upper and lower teeth meet. Treatment is planned around your diagnosis, supporting gum and bone health, and the movements needed.
Brackets attach to the teeth, and a connecting wire guides movement. Some patients also need elastics or other appliances to help correct bite relationships.
After active treatment, retainers help maintain the corrected positions.
Metal and ceramic braces both use brackets and wires. The main visible difference is the bracket material: metal brackets are noticeable, while ceramic brackets blend more closely with tooth color. Suitability depends on your bite, planned movements, and care requirements.
Metal braces can address many alignment and bite concerns. Colored ties offer a way to personalize their appearance.
They remain attached throughout treatment, so there are no trays to remove and replace after meals. You still need careful cleaning, food precautions, and consistent wear of any prescribed elastics.
Ceramic braces use tooth-colored or translucent brackets for a less noticeable appearance. Wires and other components may still be visible.
Clear braces are fixed appliances. They are different from removable clear aligners such as Invisalign.
We explain whether ceramic brackets are appropriate for your treatment and discuss differences in durability, cleaning, and fees.
Braces can address crowded or rotated teeth, unwanted spaces, and many bite problems. The appropriate correction depends on whether the concern involves tooth position, jaw relationships, or both. Significant skeletal differences may require additional treatment beyond braces.
An evaluation may identify:
Some spaces need to remain open for replacement teeth. We assess the entire bite before deciding which movements are appropriate.
Children, teens, and adults may benefit from braces when an examination identifies a treatable alignment or bite concern. Eligibility depends on dental development, gum and bone support, oral hygiene, and treatment goals. Cavities or active gum disease may need care first.
The American Association of Orthodontists recommends a first orthodontic evaluation by age seven, or sooner when a concern appears.
Many children need monitoring rather than immediate treatment. When early care is appropriate, it addresses a defined developmental concern.
Teen treatment often addresses permanent-tooth alignment and bite relationships while some growth remains. We involve teens in choosing an appropriate option and understanding cleaning, food precautions, sports protection, and elastic wear.
Adults can receive orthodontic treatment when their teeth and supporting tissues are healthy enough. Crowns, implants, missing teeth, and periodontal history influence planning.
Because adult jaws have finished growing, some skeletal concerns require additional specialist evaluation.
An airway-focused orthodontic evaluation considers tooth and jaw findings alongside breathing habits and sleep history. Dr. Li may ask about mouth breathing, snoring, nasal obstruction, or unrefreshing sleep. These observations can identify reasons for medical assessment; they do not diagnose sleep apnea.
Tell us about persistent breathing or sleep concerns, especially witnessed breathing pauses, gasping, or labored breathing during sleep. These symptoms should also be reported promptly to the patient’s medical clinician.
Braces primarily move teeth. They are not a standalone treatment for obstructive sleep apnea.
If a separate jaw-development concern warrants an appliance or another procedure, we explain its purpose and coordinate with medical professionals when appropriate. Straightening teeth does not guarantee improved breathing or sleep.
Braces apply controlled forces that allow the bone around tooth roots to remodel gradually. This process changes tooth position over time. At follow-up visits, Dr. Li evaluates movement, bite changes, appliance condition, and oral health before making adjustments.
Elastics may help guide how the upper and lower teeth meet. Wear them only as instructed.
Applying extra force or doubling elastics without direction can interfere with treatment. Safe movement depends on an appropriate plan and biological response.
Treatment begins with diagnosis and planning, followed by bracket placement, regular reviews, and retention. Before braces are placed, we explain suitable options, expected benefits, limitations, risks, fees, and any dental treatment needed first.
We discuss your concerns, health history, previous dental care, and goals. The examination assesses tooth alignment, bite relationships, and gum support.
Photos, digital scans, or X-rays may be recommended when needed for diagnosis and planning.
Dr. Li explains whether braces are appropriate, which type may suit your needs, and whether additional appliances or coordinated care are recommended.
Brackets are bonded to the teeth, and wires are placed. We demonstrate cleaning methods and explain food precautions, comfort measures, and when to contact us.
Follow-up appointments allow us to assess movement, adjust the appliance, and monitor teeth and gums. Report loose brackets or broken wires promptly.
After active treatment, we provide a retention plan. Long-term retainer wear as prescribed helps maintain alignment.
Comprehensive braces treatment often takes approximately one to three years, although limited treatment may be shorter and complex cases may take longer. Your estimate depends on the diagnosis, required movements, growth, periodontal health, and coordination with other dental care.
You can support progress by:
We review progress and update the timeline when needed.
Braces create additional areas where plaque and food can collect. Brush twice daily with fluoride toothpaste, clean between teeth daily, and continue recommended dental visits. Careful cleaning helps reduce the risk of cavities, permanent white marks, and gum inflammation.
Daily care includes:
Our team demonstrates suitable techniques and recommends tools based on your needs.
Braces remain attached to teeth, while Invisalign aligners are removable. Both require consistent daily care. The better choice depends on the movements needed, bite complexity, oral health, and your ability to manage the appliance.
| Consideration | Metal or ceramic braces | Invisalign clear aligners |
| Appliance | Fixed brackets and wires | Removable trays |
| Appearance | Metal or less noticeable ceramic brackets | Clear trays with attachments when needed |
| Meals | Food precautions protect brackets and wires | Trays removed for eating |
| Cleaning | Clean around brackets and beneath wires | Remove trays to brush and floss; clean trays separately |
| Daily responsibility | Cleaning, appliance protection, and prescribed elastics | Consistent tray wear, cleaning, storage, and prescribed elastics |
| Suitability | Determined by examination | Determined by examination |
Neither option has a guaranteed speed advantage. Dr. Li explains the benefits and limitations relevant to your case.
At Petaluma Dental Group, orthodontic treatment is planned alongside your overall dental needs. Dr. Alfred Li works within our practice, supporting communication about gum health, cavities, restorations, and treatment timing.
Receive an evaluation from Dr. Alfred Li, DDS, MS, with recommendations based on your alignment, bite, and development.
Our general dental and specialty teams can coordinate treatment when periodontal, restorative, or other dental concerns affect the plan.
Our airway-focused perspective includes recognizing symptoms that may warrant medical evaluation while keeping orthodontic recommendations tied to clinical findings.
Understand why treatment is recommended, what it involves, how to care for your teeth, and what retention will require.
As part of Smile More Longevity Campus, we view orthodontics as one component of maintaining oral health over time.
Temporary tenderness or rubbing can occur after placement and adjustments. We explain comfort measures and how to use orthodontic wax. Persistent pain, swelling, or a wire causing injury should be reported.
No. Clear or ceramic braces use brackets bonded to teeth and connected by wires. Invisalign uses removable clear trays.
These symptoms have several possible causes. Braces are not a predictable cure for jaw pain or grinding. We assess the symptoms separately and explain whether orthodontic treatment has a relevant role.
Potential risks include cavities, white marks, gum inflammation, recession, changes in tooth-root length, and shifting after treatment. Your individual risks depend on oral health and the treatment plan.
Usually, yes. Wear a mouthguard designed to accommodate braces and tooth movement. Ask us about an appropriate fit for your activity.
Contact our office for guidance. Orthodontic wax may temporarily cover a rubbing area. Do not pull on the appliance or attempt an adjustment without instructions.
Fees depend on treatment complexity, appliance choice, and included services. We explain the estimate, whether retainers or additional dental services are separate, and any applicable insurance benefits or payment arrangements.
Yes. Teeth can shift after active treatment. Wearing retainers as prescribed is an essential part of maintaining the result.
Understand your options before deciding on treatment.
Meet with Dr. Alfred Li at Petaluma Dental Group to discuss your teeth, bite, and goals. We will explain whether metal braces, clear ceramic braces, or another approach fits your needs, along with expected timing, fees, and daily care.
Call (707) 762-0067 to schedule a complimentary consultation.
Petaluma Dental Group
Part of Smile More Longevity Campus
1301 Southpoint Blvd
Petaluma, CA 94954
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