What is Orthodontics?

The primary focus in Orthodontics is diagnosis and treatment of dental and facial irregularities. The result of treatment is not only beautiful smiles but improved function and dental health. An orthodontic assessment is performed at every recare appointment in our office. Problems in orthodontics can result from genetic and environmental factors that can be diagnosed before the treatment begins. We diagnose treatment by completing orthodontic records in the office. Records include digital x-rays and models, examination and photos. Treatment can last anywhere between 12 to 36 months, depending on the severity of the orthodontic needs.


Dr. Susan Tiede provides orthodontic treatment for children and adolescents. Our office follows the guidelines established by the American Association of Orthodontists.

Treatment is available for patients with mixed dentition (meaning they have adult and baby teeth). Early treatment can provide benefits to jaw irregularities (cross bite, overbite and under bite) or if there is a condition that prevents the eruption of permanent teeth. Early treatment addressing these types of issues allows us to achieve results that may not be possible when face and jaw bones have developed fully. In our office we use expanders or headgear. These are growth modification appliances (they help aid in movement of the jaw or growth of new bone in the jaw). Braces are the brackets placed on your teeth. Braces are used to create gentle pressure, which over time will move teeth into their proper position. The bracket is a piece of metal that we affix to each tooth. The wire is bent to reflect your “ideal” bite and is secured into the bracket with tiny elastic bands. The wire is then secured to a band around your molar in the back of your mouth. This allows pressure to move your teeth and ultimately becomes straight.
The final stage of treatment is retention. Wearing your retainers is just as important as your braces. Retainers help keep the teeth shifting back. They remind your teeth where to stay as they have a memory. It is extremely important that you wear your retainers so relapse does not accrue.


We strive to not make financial considerations an obstacle. Treatment begins with a down payment. Treatment cost will depend on the treatment plan and estimated length of treatment. Monthly payments are available. We accept cash, check, Flexible Spending Accounts, Health Spending Accounts and all major credit cards. We are partnered with Care Credit.

While many insurance plans now include orthodontic benefits, our office will submit claims to most insurance companies and plans. We will summit a pre-estimate to your insurance to maximize your reimbursement for covered plans.  With Medicaid, treatment plans will be submitted after records are completed. It can take up to 90 days to be notified if treatment needs will be a covered benefit under Medicaid insurance. Medicaid does not cover the lower orthodontic retainer. We provide a payment plan for lower orthodontic retainer.  Healthy Montana Kids does not offer orthodontic coverage at this time. Don’t let that deter you from having records. We will work out a payment plan and you can apply for Care Credit online or at the office.


We invite you to be present with your child during all of their visits to our practice.