Dentofacial Orthopedics

name: Dentofacial Orthopedics

It's essential that children with improper jaw relationships are evaluated by an orthodontist early, preferably before their 10th birthday.

Dr. Jeannotte is a specialist in Orthodontics and Dentofacial Orthopedics. Orthodontics involves using braces or appliances such as Invisalign to straighten teeth and correct the bite. This is the work most people associate with orthodontists.

Dentofacial orthopedics uses appliances to guide the way the jaws grow, helping to ensure that the upper and lower jaws fit together properly. As you may have guessed, dentofacial orthopedics only works on growing children and adolescents. This is why it is essential that children with improper jaw relationships are evaluated by an orthodontist early, preferably by their 10th birthday. Most children can use dentofacial orthopedics to correct jaw discrepancies, while adults (or teenagers who have stopped growing) sometimes need braces and jaw surgery together to properly correct the problem.

Palatal Expanders & Functional Appliances

Examples of appliances Dr. Jeannotte uses to guide jaw growth include palatal expanders and functional appliances. Palatal expanders are used when a patient's upper jaw is too narrow to fit with the lower jaw.

Palatal expanders are cemented to several teeth on both sides of the upper jaw. A small key is used to very slowly widen the appliance, gently pushing the right and left sides of the jaw apart. Expansion of the upper jaw proceeds slowly, and over several weeks will produce an upper jaw that is permanently wider and fits correctly with the lower jaw.

Functional appliances are used for patients who have a lower jaw that is too small and too far back to fit properly with the upper jaw.

Twin Block Functional Appliance

Functional appliances are removable - they can be taken out of the mouth to brush and floss. For functional appliances to work properly, they must be worn the rest of the day (at least 23 hours/day). These appliances help people hold their lower jaw forward, which increases the amount the lower jaw grows and over time will actually produce a lower jaw whose size and shape better matches the upper jaw.

Because Dr. Jeannotte is skilled in both Orthodontics and Dentofacial Orthopedics, he is able to diagnose and treat both misalignment of the teeth, and imbalances in the jaws and facial structures. Often treatment will involve integrating both tooth alignment and growth guidance, such as a palatal expander combined with braces. A patient with a palatal expander and braces is having both orthodontic treatment AND dentofacial orthopedics at the same time!

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New Patients

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Burnaby Clinic Hours

  • Mon, Tues & Thurs 8am - 4pm
  • Wednesday 9am - 5pm

Terrace Clinic Hours

  • Monday - Wednesday 7:30am - 5pm
  • Thursday  8am - 4pm
  • Friday  9am - 1pm


"Dr. Jeannotte and his team are caring, professional and give back to their community." Clara N., Vancouver, BC