Comprehensive orthodontics for every phase of your smile’s journey

A young girl with light brown hair and blue eyes sitting in a dental chair, smiling at the camera, in a dental office.

Phase One

The American Association of Orthodontists recommends a check-up by age 7 to catch growth or alignment issues early. Most kids won’t need treatment yet, but an early exam helps guide healthy development and prevent future problems.

A smiling boy with braces, wearing a blue plaid shirt and a gray hooded sweatshirt, outdoors with blurred greenery in the background.

Comprehensive Treatment

Comprehensive treatment begins once all adult teeth have erupted, usually around age 12. Using braces or aligners (and often elastics), we treat the top and bottom teeth together to correct bite issues and create a healthy, balanced smile.

Young girl with long brown hair smiling, sitting in a dental chair at a dentist's office, wearing a light blue bib, with a dental professional in blue scrubs standing nearby.

Surgical Orthodontics

In some cases, braces alone can’t achieve proper alignment due to jaw growth issues. Orthognathic surgery, coordinated between Dr. Keener and an oral surgeon, can restore function and improve facial balance. Braces are used before, during, and after surgery, with treatment timing carefully monitored in adolescents.

A person holding a dental model with braces on the teeth.

Braces

Braces are the most common appliance we use, available in durable stainless steel or clear ceramic for a more discreet look.

A smiling man with curly hair and a beard holding a dental retainer and a blue container, sitting on a bed in a light-colored room.

Aligners

Clear aligners are a discreet alternative to braces and work well for many patients. Treatment begins with a digital scan and a custom plan created by a board-certified orthodontist, such as Dr. Keener. Aligners offer comfort, esthetics, and easy oral care, but like braces, they must be worn full-time to be effective.

A woman smiling and holding a clear orthodontic retainer near her mouth.

Retention

At the end of treatment, retainers keep your smile in place. Clear retainers are the most common, while fixed or Hawley-style retainers may also be recommended. We will guide you to the option that best maintains your results.