Crowding
Teeth overlap or have limited room.
TEETH ALIGNMENT & YOUR BITE
A straighter smile.
A plan for how your teeth fit together.
Thinking about crowded teeth, a gap, or a smile that has shifted? At Lombard Dental Studio, discuss your teeth and bite with Dr. Vadim Lebovich, DDS. Explore clear aligners—including Invisalign—our preferred approach when suitable, and understand the care that fits your situation.
UNDERSTANDING ORTHODONTIC TREATMENT
Orthodontic treatment moves teeth rather than covering or reshaping them. A plan considers appearance, the way upper and lower teeth meet, and the health of the tissues supporting the teeth.
Teeth overlap or have limited room.
Gaps between teeth need assessment.
A tooth sits turned or out of line.
Some upper teeth meet inside lower teeth.
Lower front teeth sit ahead of upper teeth.
The front teeth overlap more than expected.
Front teeth do not meet when the back teeth close.
Explore improvements to the overall alignment of your teeth.
These illustrations show concerns to assess. Your teeth, bite and oral health help determine whether braces, aligners or specialist care are appropriate.
ADULTS, TEENS & GROWING SMILES
Your dental history, growth, oral health, and daily responsibilities help shape the recommendations. Not every concern needs immediate active treatment.
Discuss long-standing crowding, new spacing, or teeth that have shifted. Existing restorations and gum health are part of planning.
Compare suitable options alongside school, activities, cleaning, and the ability to follow instructions. Development and the bite affect timing.
The AAO recommends an orthodontic check by age seven. An early check may lead to monitoring or a specialist assessment, rather than braces straight away.
YOUR ASSESSMENT WITH DR. LEBOVICH
Bring your concerns, previous orthodontic records, and any retainers you currently use. Your visit is an opportunity to understand the issue before choosing an appliance.
THE TREATMENT JOURNEY
Timing varies with the movement, bite, appliance, health of the teeth and gums, and progress. Request an estimated sequence for your case and ask what could change it.
Discuss your goals and review teeth, gums, the bite, and appropriate records. Establish whether the concern is mainly tooth position, the bite, or something requiring specialist assessment.
Compare suitable appliances, daily responsibilities, expected stages, and costs. Ask who will provide care and whether other dental treatment is needed first.
Follow the prescribed wear or appliance instructions and attend reviews. The plan may be adjusted as tooth movement and the bite are checked.
Move to a retainer plan when active treatment ends. Understand wear, cleaning, replacement needs, and how follow-up will be managed.
AFTER BRACES OR ALIGNERS
Teeth can shift after active treatment. A prescribed retainer routine helps maintain their position, with ongoing reviews and replacement when needed.
Discuss fixed or removable options, cleaning, wear, and what to do if a retainer is lost, damaged, or no longer fits. Do not force an appliance that feels wrong.
Learn about retainers ↗DURING TREATMENT
Orthodontic reviews and routine dental care serve different purposes. Continue examinations and cleaning while treatment progresses.
Brush with fluoride toothpaste and clean between teeth. Ask how to clean around brackets, attachments, or fixed retainers.
Use aligners as prescribed and follow the appliance-specific guidance for meals and activities. Protect against breakages and avoid skipping wear to suit an occasion.
Contact the treating team about persistent discomfort, a broken appliance, or a tray that does not fit. Ask how urgent issues and review visits are managed.
ORTHODONTIC COSTS & INSURANCE IN THOUSAND OAKS
Costs depend on the case and treatment plan. Ask for an estimate that explains the appliance, review appointments, additional stages, and retention.
Orthodontic benefits may have age limits, eligibility rules, and a lifetime maximum. Confirm benefits and your expected share before starting.
Explore payment options ↗Compare financing terms separately from the treatment estimate.
BEFORE YOUR VISIT
Ask about suitable options, the treating provider, daily care, costs, and how the result will be maintained.
Orthodontics addresses tooth alignment and how upper and lower teeth meet. Braces or aligners guide tooth movement, while retainers help maintain the position afterward. The goals and treatment depend on the individual teeth, bite, and supporting tissues.
It may be appropriate for crowding, spacing, and some bite concerns. An assessment considers the cause, the available space, gum health, and the movement required. A gap or crooked tooth alone does not establish which treatment you need.
Braces use attached brackets and wires; clear aligners use a sequence of removable trays. Both require planning and progress reviews. The suitable approach depends on the movement needed, your bite, and how well the daily routine fits you. At Lombard Dental Studio, we prefer clear aligners when suitable. Traditional braces are considered only in selected cases where aligners are not appropriate; specialist referral may be recommended.
Invisalign is a brand of clear aligners. Not every clear aligner is an Invisalign product. Ask which system is recommended, how it would work for your teeth, and what the plan includes.
Yes. Healthy teeth can often be moved in adulthood. Gum health, existing crowns or other restorations, missing teeth, and the bite can affect the plan. An adult assessment should consider these details alongside appearance.
The American Association of Orthodontists recommends a first orthodontic check by age seven. This is an assessment, not a recommendation that every child start braces. Some children need monitoring; others may benefit from early treatment or specialist evaluation.
Some dental providers offer selected orthodontic treatments, while more complex tooth movement, growth, or jaw concerns may need specialist care. Ask who would provide treatment, which cases are treated at the studio, and whether a referral is recommended for yours.
Timing depends on the movements, bite, appliance, health of the teeth and gums, and how treatment progresses. Daily wear, appointments, breakages, or additional stages can affect the schedule. Ask for an estimated sequence for your own plan.
Costs depend on the case and treatment course. Request an estimate explaining records, appliances, review visits, any additional procedures, refinements where relevant, and retainers. Confirm what is included and what may carry a separate fee.
Some plans include orthodontic benefits, with eligibility rules, age limits, and lifetime maximums. Coverage may differ from ordinary dental benefits. Confirm your plan and expected personal costs before agreeing to treatment.
Retention is part of maintaining tooth alignment. Teeth can shift after braces or aligners, so follow the prescribed retainer plan. Ask about the type, wear schedule, cleaning, and replacement costs before active treatment ends.
They have different purposes. A retainer maintains tooth position after treatment, while a nightguard is intended to protect against grinding or clenching wear. Do not substitute one for the other without discussing it with the treating dentist.
Bring your current or previous retainer if you have it. The dentist can assess the amount of change, the bite, and whether new retention or further active treatment is appropriate. Do not force a retainer that no longer fits.
Continue dental examinations and cleaning, brush with fluoride toothpaste, and clean between teeth and around appliances as instructed. Follow the food and wear instructions for your device. Report persistent discomfort, a broken bracket, or an aligner that does not fit.
YOUR NEXT STEP
Visit Lombard Dental Studio in Thousand Oaks to explore alignment care and understand the next step for your smile.
245 Lombard St
Thousand Oaks, CA 91360
Monday–Friday · 10 am–5 pm
Contact and directions ↗Further reading: ADA: orthodontics · ADA: braces · AAO: family orthodontic health · AAO: retainers