Complex Orthodontic Cases in Meridian, ID

What Qualifies as a Complex Orthodontic Case?

A complex case typically involves one or more of the following conditions:

• Significant jaw misalignment (overbite, underbite, crossbite)
• Severe crowding or spacing
• Impacted or missing teeth requiring interdisciplinary care
• Facial asymmetry or underdeveloped arches
• Orthodontic relapse from past treatment
• Airway-related concerns (e.g., narrow palate, sleep apnea)
• Potential need for surgical orthodontics in combination with braces

We often collaborate with oral surgeons, ENTs, and restorative specialists to ensure integrated care. However, Dr. Jordan Pilling’s focus is on avoiding unnecessary surgery whenever possible through modern orthodontic solutions.

Advanced Nonsurgical Orthodontic Therapies

At Aesthetic Smiles, we utilize leading-edge appliances and techniques to guide complex tooth and jaw movement without invasive procedures. One of the most effective tools in this approach is the MARPE (Miniscrew-Assisted Rapid Palatal Expander).

What is MARPE and Why Is It Used?

The MARPE appliance is designed to widen the upper jaw using mini-implant anchorage, allowing for stable skeletal expansion in adolescent and adult patients who would otherwise require surgery. It's particularly beneficial for patients with:

• Severe crossbite or narrow arch development
• Crowding due to underdeveloped jaw space
• Obstructive sleep apnea or compromised airway volume

By widening the airway and expanding the palate, MARPE can reduce the need for orthognathic (jaw) surgery and significantly improve breathing and sleep patterns in qualifying patients.

Dr. Jordan has also trained extensively in mini-implant–assisted orthodontics, which includes Temporary Anchorage Devices (TADs) used to facilitate difficult tooth movements without surgery.

Note: For patients who require major orthognathic surgery due to severe skeletal discrepancies, we will coordinate with trusted maxillofacial surgeons and manage the orthodontic components in tandem.

Comprehensive Diagnostic Evaluation

Effective treatment for complex orthodontic cases begins with a full-picture analysis. At Aesthetic Smiles, our diagnostic protocol includes:

• Digital imaging, 3D scans, and panoramic X-rays
• Bite analysis and jaw tracking
• Facial symmetry and airway evaluation

This allows us to create a fully customized treatment plan involving braces, aligners, appliances, or a hybrid solution.

Why Choose Aesthetic Smiles for Complex Orthodontics?

Both Dr. Wade Pilling and Dr. Jordan Pilling are known for their ability to handle sophisticated cases with compassion and clinical depth. Dr. Jordan’s deep training in orthodontic biomechanics, FORCE residency background, and commitment to nonsurgical solutions sets him apart in the region.

Additional benefits include:

• Expertise in MARPE, TADs, and airway-friendly orthodontics
• In-house cosmetic and restorative services for full smile reconstruction
• Sedation options for anxious patients
• Integrated care for dental implants and prosthetics
• Flexible scheduling and coordination with other specialists

Our Process for Complex Cases

1. Comprehensive Consultation

We gather detailed records, evaluate your skeletal and dental structures, and discuss your goals.

2. Phased Treatment Plan

Your care may involve preparatory steps (e.g., extractions, appliance therapy) before active orthodontics begin.

3. Active Orthodontic Therapy

This phase may include braces, clear aligners, MARPE, or mini-implants to correct alignment.

4. Restorative or Surgical Collaboration

If needed, we work with specialists to coordinate dental implants, prosthodontics, or maxillofacial procedures.

5. Post-Treatment Retention

We fabricate custom retainers and schedule follow-ups to protect your long-term results.