Franklin Office: (615) 794-0698 | Lewisburg Office: (931) 270-8381

Orthodontic treatment

Orthodontic Treatment at Cox Orthodontics

Our greatest goal is to give you the healthy, straight, beautiful smile that you've always wanted. We understand that choosing to receive orthodontic care is a big decision, and we respect your reasons for wanting to improve the way you look and feel. Our practice will work with you every step of the way to make sure that your orthodontic care is as rewarding as possible. Our practice utilizes the latest technology, offering a variety of safe and gentle treatment options to give you the customized, individual care you deserve.


Though an orthodontist can enhance a smile at any age, there is an optimal time period to begin treatment. Beginning treatment at this time ensures the greatest result and the least amount of time and expense. The American Association of Orthodontists recommends that the initial orthodontic evaluation should occur at the first sign of orthodontic problems or no later than age 7. At this early age, orthodontic treatment may not be necessary, but vigilant examination can anticipate the most advantageous time to begin treatment.

Types of Braces


Invisalign®, Invisalign Teen®, and Clear Aligners

Customer Testimonails

Invisalign® and clear aligners are a series of removable trays that are custom made to hug and move your teeth a little at a time using plastic and in some cases move teeth more effectively than traditional braces. The trays are removable which makes eating and brushing/flossing that much easier.

Clear (Ceramic) Braces

Customer Testimonails

Ceramic braces are the beautiful clear braces that match the teeth! The great thing about these is you can add colors and make them pop or use with clear ties and have them blend in depending on what you have going on that month. While they are less prominent, they do require more attention to oral hygiene as ceramic braces are larger and more brittle than the metal. For this reason ceramics tend to be used more for older teenagers and adults usually on the top teeth more than the lower.

Metal Braces

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Metal braces are the most common type of braces and are smaller and more comfortable than ever. They are durable, easy to keep clean, and can be dressed up with different colored elastics bands for a unique smile every month.


Interceptive Orthodontic Treatment

This type of treatment often occurs between the ages of 8-10 years and is intended to lessen the severity of developing oral problems.

Comprehensive Orthodontic Treatment

This is the terminology used to describe full braces. Dr. Evan Cox treats children, adolescents and adults.


Dentofacial Orthopedics

This is the process of modifying and/or directing jaw growth in a favorable manner. This is frequently employed in children and adolescents to correct bite problems associated with jaw imbalances.

Surgical Orthodontics

This involves comprehensive orthodontic treatment (full braces) to align the teeth and jaw surgery to correct the bite. This treatment is generally indicated for an individual with substantial jaw imbalances and little to no growth potential remaining.

Temporary Anchorage Devices (TADS)

TADS are titanium mini screws that can be placed between the roots of teeth or in the roof of the mouth. They work as tiny anchors from which to apply force. TADS may eliminate the need for headgear and help perform movements that cannot otherwise be accomplished without extensive elastic wear or jaw surgery.

What to Eat While Wearing Braces


Braces Safe Foods

Soft food such as pasta, rice, soft bread, mashed potatoes, apple sauce, bananas, soft cooked chicken and seafood, meatballs, lunch meat, cooked vegetables, Jell-O, ice cream, chocolate, plus anything else you can think of that is soft and gentle for your braces!

Foods to Avoid with Braces

Sticky foods – laughy taffy, caramel, licorice
Crunchy foods – Hard granola bars, chips, popcorn, ice
Hard foods – hard candies, nuts, pita chips
Foods you bite into – apples , corn on the cob, carrots

Food/Drinks with Aligners or Retainers

During clear aligner treatment and when wearing clear retainers, it is important to remove your appliances while eating or drinking anything other than water. Drinking any other liquids may cause cavities or permanent staining on your teeth. Always remove trays, brush after eating, and replace the trays right away.

Common Questions About Braces

Have Questions About Braces?

What are some possible benefits of orthodontics?
Orthodontics helps to improve the comfort of the bite, makes it easier to brush and floss your teeth for good dental health, improves long term health of teeth and gums, and many times helps to balance the facial musculature. The positive self-esteem benefits are immeasurable.
At what age should orthodontic treatment occur?
Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. The American Association of Orthodontists recommends that every child first visit an orthodontist by age 7 or earlier if a problem is detected by parents, the family dentist, or the child's physician.
What is the difference between an orthodontist and a dentist?
An orthodontist is a general dentist that has had 2 to 3 more years of full-time training in orthodontics resulting in a nationally accepted specialty certificate. The orthodontist then limits their practice to straightening teeth and correcting jaw problems.
What is Phase 1 treatment?
Phase 1 treatment is delivered early and before all permanent teeth have erupted. The purpose of this early care is to start correcting harmful malocclusions or poor bites that may be more difficult or impossible to correct later. Phase 1 treatment does not eliminate the need for conventional orthodontics done during adolescence. Examples of phase 1 treatment include correcting individual tooth or jaw crossbites and severe underbites and overbites where function, aesthetic or psychological concerns are identified.
What is Phase 2 treatment?
Phase 2 treatment is conventional orthodontic treatment. It may start while the last baby teeth are falling out and continue until the 12 year molars have been evaluated or straightened. This treatment usually lasts between 1 1/2 and 2 1/2 years.
How do braces work?
Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the archwire that connects them are the main components. When the archwire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.
What are some signs that braces may be needed?
Upper front teeth protrude excessively over the lower teeth, or are bucked
Upper front teeth cover the majority of the lower teeth when biting together (deep bite)
Upper front teeth are behind or inside the lower front teeth (underbite)
The upper and lower front teeth do not touch when biting together (open bite)
Crowded or overlapped teeth
The center of the upper and lower teeth do not line up
Finger or thumb sucking habits which continue after six or seven years old
Difficulty chewing
Teeth wearing unevenly or excessively
The lower jaw shifts to one side or the other when biting together
Spaces between the teeth
Do braces hurt?
The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the archwires you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.
Would an adult patient benefit from orthodontics?
Absolutely. A growing percentage of our patients are adult. New, more cosmetic appliances are making adult treatment much more comfortable and convenient.
How long does orthodontic treatment take?
Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping treatment time on schedule.
Should I continue to see my general dentist while wearing braces?
Yes, you should continue to see your general dentist for routine cleanings and dental checkups.
Will braces interfere with playing sports?
No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.
Will braces interfere with playing musical instruments?
No. However, there may be an initial period of adjustment. In addition, brace covers and orthodontic wax can be provided to help prevent discomfort.