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Advanced Orthodontic Solutions for Unique Smiles
Not all orthodontic issues can be resolved with simple solutions. Some patients require customized, multi-phase treatment to address severe misalignment, skeletal irregularities, or developmental concerns. At Aesthetic Smiles in Meridian, ID, our experienced team—led by Dr. Jordan Pilling, a 16-year member of FORCE (International Faculté for Orthodontic Research and Continuing Education)—is uniquely qualified to manage complex orthodontic cases with precision and care.
With advanced diagnostics, airway-focused planning, and a strong emphasis on nonsurgical treatment alternatives, we help patients achieve long-term function, stability, and esthetics—no matter how challenging their case may be.
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.
Frequently Asked Questions
Can adults undergo treatment for complex orthodontic cases?
Yes. Adult treatment is not only possible—it’s increasingly common. With the right approach, even long-standing misalignment or past dental work can be addressed successfully.
Will I need surgery?
Not necessarily. Many patients once told they needed surgery can now be treated with nonsurgical techniques like MARPE and mini-implant–assisted orthodontics. However, in cases that do require orthognathic surgery, we coordinate care closely with trusted oral surgeons.
How long does treatment take?
Complex cases often require 18 to 36 months, depending on the severity and treatment approach. Your estimate will be discussed after your initial exam.
What types of braces or appliances are used?
We may use braces, clear aligners, MARPE, TADs, or hybrid systems. The appliances chosen are always case-specific.
Can other dental work be done at the same time?
Yes. We integrate care with procedures like veneers, crowns, or dental implants, aligning timing to your orthodontic phases.
Take Control of Your Orthodontic Health
Complex orthodontic problems deserve customized, professional attention—and that's exactly what you'll receive at Aesthetic Smiles. If you’ve been told your case is too complicated or you’re seeking a second opinion, we’re here to help.
Call our Meridian office at (208) 888-0662 or contact us online to request a consultation.