We have full-service orthodontics for all your child’s orthodontic needs. Dr. Rex is fully trained in orthodontics and works hand in hand with local orthodontists to ensure his patients receive the best in preventative, early, functional and cosmetic orthodontic treatment. We also have an excellent orthodontist that comes to our practice twice a week to service the older child or teenager. For younger children Dr. Rex provides early orthodontic intervention to limit the overall amount of orthodontics they will need. This is called Preventive or Interceptive Orthodontics.

Preventive Orthodontics to minimize later treatment and reduce the need for extractions

Orthodontic issues addressed at around 7- or 8-years-old can correct conditions while the teeth and jaw are still developing that would later require extensive orthodontic treatment or tooth extraction. The American Association of Orthodontics recommends children receive an orthodontic screening by the age of 7.

Dr. Rex has treated hundreds of children with Early Orthodontics, saving them from protracted later treatment, and their parents from extra expense. He offers orthodontic evaluations as part of our New Patient Special.

How does Preventive Orthodontics work?


An orthodontic evaluation is part of your child’s first examination. Dr. Rex first evaluates your child to identify common crowding problems and facial structure issues. He recommends treatment based on the patient’s needs and will also provide anticipatory guidance about what to expect for your child orthodontically over the years, based on the results of the examination.

Treatment for Preventive Orthodontics

For common crowding cases, we can often selectively remove one or two primary (baby) teeth to create room for the permanent test to erupt and place a space maintainer while awaiting for the face to continue to grow and mature. This is usually done between the ages of 7 and 10. This process is called Serial Extraction

For more severe orthodontic problems or to fix bite issues (how the teeth come together) such as protruding teeth that will require braces, we refer the patient to our orthodontist. Poor bite conditions, such as an overbite, underbite or crossbite must be treated early for best results. The ideal time is once the front four top and bottom teeth erupt, usually around age 9 to 10, but can occur earlier. Our orthodontist treats bite issues with braces or palatal expanders to expand the jaw in the molar areas. See below for Common Bite Problems.

Serial Extraction with Retainer Therapy

Preventive OrthodonticsPermanent teeth in the front of the mouth are larger than the baby teeth that they replace, but the permanent teeth in the back are smaller than the baby teeth they replace. Therefore, as a child begins losing teeth, we can remove the baby tooth just behind the permanent one that is coming in, creating space for the permanent tooth to erupt. The space maintainer is placed to prevent unwanted movement of the teeth that are remaining. This process is continued until all teeth have erupted.

In most cases, we can minimize the child’s orthodontic needs and in some cases, we can completely prevent braces. The goal of preventive orthodontics is to give parents options. If no therapy is done for a child with crowding issues, the patient invariably NEEDS braces, but by doing serial extraction, we often get the teeth to erupt and the child has only mild cosmetic issues. Cosmetic issues can be fixed at any point in life, so by achieving this goal, we can save the parents time and money, and give them options, versus forcing them into orthodontic therapy.

To make an appointment, call (541) 318-5688 or click here to request an appointment online.

Benefits of Preventive Orthodontics

  • Reduce or eliminate the need for future orthodontics. Early orthodontics can reduce or eliminate the need for braces.
  • Reduce or eliminate extractions. A lot of orthodontic work done for older children and teenagers requires the extraction of permanent teeth. Preventive orthodontics can usually eliminate or at least reduce this.
  • Avoid double orthodontics. If children with crowded teeth are left until they are in their teens to get orthodontic treatment, the orthodontic condition can worsen, requiring teeth to be moved even further. There’s a rule of thumb in orthodontics, the more the teeth have to be moved, the greater the likelihood the teeth will relapse and require repeat orthodontics as an adult.
  • Save money! By doing preventive orthodontics, parents have the potential of saving thousands of dollars by not having to get their child braces.
  • Improve self-esteem. Even in young children crooked teeth can create self-esteem issues.

Common Bite Problems

OrthodonticsAn overbite is where the top teeth bite over the bottom teeth.

OrthodonticsA cross bite occurs when the upper and lower jaws are misaligned.

OrthodonticsCrowding happens because there is not enough room for all the teeth.

To make an appointment, call (541) 318-5688 or click here to request an appointment online.