Orthodontic Treatments
YOUR LOCAL DESTINATION FOR EXPERT ORTHODONTIC CARE
If you’re thinking about straightening your teeth or improving your bite, you’re in the right place. At Carvalho & Roth Orthodontics, we offer a full range of orthodontic procedures for children, teens, and adults. From early evaluations to clear aligners for adults, our goal is to provide effective, efficient care in a setting that’s local, familiar, and committed to your results.
Our experienced orthodontists, Dr. Roberto Carvalho and Dr. Menachem Roth, take time to explain treatment options clearly, helping patients and families feel confident moving forward. Every smile is different, and so is every treatment plan.
What you can expect from us:
- Personalized care designed around your age, goals, and dental health
- Clear explanations of your options before anything begins
- Modern technology for precise, comfortable treatment
- Three convenient offices in Marlborough, Northborough, and Newton Centre
Why Local Families Choose Us
Carvalho & Roth Orthodontics is trusted across Marlborough, Northborough, and Newton Centre for a reason. Patients choose us not just for our treatment options, but because we offer a local connection and a personal touch.
What sets us apart:
- All care provided directly by experienced orthodontists, not passed off to assistants
- Transparent pricing with flexible payment options
- Multiple types of braces and aligners to suit your goals and lifestyle
- Three locations, making it easier to fit appointments into your schedule
We’re not a corporate chain. Our offices are rooted in the communities we serve, and many of our patients come to us through referrals from friends and family. That kind of trust matters—and we work to earn it every day.
Treatment by Age: What to Expect
Orthodontics for Kids
We follow the American Association of Orthodontists’ recommendation to evaluate children around age 7. At this stage, we can
catch early signs of issues like:
- Crowding or spacing
- Crossbites, overbites, or underbites
- Jaw growth concerns
- Premature loss of baby teeth
Phase 1 Treatment (Early Intervention)
If we see something that may benefit from early care, we may recommend Phase 1 treatment. This type of treatment typically starts between ages 7–10 and focuses on guiding jaw development, correcting bite problems, and making room for permanent teeth.
Treatment tools may include:
- Expanders
- Limited braces
- Space maintainers
- Functional appliances
Not every child needs Phase 1 treatment, but when it’s recommended, it can reduce the need for more extensive procedures later on.
Phase 2 Treatment: The Adolescent Years
Once most of the permanent teeth have come in—usually between ages 11 and 14—your child may begin Phase 2 treatment. This is the more familiar stage of orthodontics, often involving full braces or aligners to bring the teeth into proper alignment.
Treatment options for adolescents include:
- Traditional metal braces
- Clear (ceramic) braces
- Invisalign Teen
- Lingual braces
During this time, we focus on:
- Aligning the bite
- Improving appearance
- Enhancing long-term dental health
- Preventing uneven wear or jaw issues
Each plan is customized to your teen’s needs and lifestyle, and we make sure they understand how to care for their appliance, maintain great oral hygiene, and get the best possible results.
Orthodontics for Teens
Pre-teen and teen years are often the ideal time for treatment. Growth is still happening, which means we can make changes more efficiently.
Popular treatment options for teens:
- Traditional metal braces
- Clear braces (ceramic)
- Invisalign Teen aligners
- Lingual braces placed behind the teeth
We’ll walk you and your teen through the process and discuss what’s most effective for their needs, lifestyle, and preferences.
Adult Orthodontic Care
Adults now make up a significant number of our patients. More people are choosing to improve their smiles later in life, thanks to discreet and flexible options.
You might consider adult orthodontic treatment if you:
- Had braces as a child but experienced shifting
- Avoided treatment earlier and want to feel more confident now
- Struggle with jaw pain, bite issues, or crowding
Options include Invisalign, ceramic braces, and lingual braces. We’ll help you find a solution that fits your goals and daily routine.
Treatment Options We Offer
At Carvalho & Roth Orthodontics, we offer a full range of modern orthodontic solutions—each designed to suit different needs, lifestyles, and comfort levels. From time-tested methods to nearly invisible solutions, our goal is to provide choices that make treatment easier to manage without sacrificing results.
Invisalign & Invisalign Teen
Clear aligners are a great option for teens and adults who want to straighten their teeth without brackets or wires. These removable aligners are custom-made and replaced every couple of weeks to gently guide your teeth into place.
- Practically invisible
- Easy to remove for meals and brushing
- No food restrictions
We offer both standard Invisalign for adults and Invisalign Teen, which includes features designed specifically for growing smiles.
Clear Braces (Ceramic Braces)
These braces work like traditional metal ones but are made with translucent materials that blend into the teeth. Many older teens and adults prefer this option for its lower visibility.
- Durable ceramic brackets
- Less noticeable than metal
- Effective for a wide range of orthodontic needs
Traditional Metal Braces
Reliable, efficient, and more comfortable than ever before. Metal braces remain a trusted choice, especially for younger patients and complex corrections.
- Updated design with smaller brackets
- Optional colored bands for a personalized touch
- Often the most cost-effective option
Lingual Braces
These braces are hidden behind your teeth, making them one of the most discreet options available. Ideal for adults who want complete invisibility during treatment.
- Placed on the back of the teeth
- Custom-fit to your smile
- Great for professionals or anyone seeking a low-profile option
Accelerated Orthodontics with AcceleDent
If you’re looking to speed up your treatment timeline, AcceleDent may be right for you. This device uses gentle micro-pulses to encourage faster tooth movement.
- Can reduce treatment time by up to 50%
- Works with most types of braces and aligners
- Easy to use at home for just a few minutes a day
Invisalign Clear Aligner Treatment
Invisalign is one of the most popular treatment options at Carvalho & Roth Orthodontics—and for good reason. These custom-made, clear aligners are a flexible alternative to braces and ideal for adults or teens looking for a less noticeable way to straighten their teeth.
How it works:
- A series of clear, removable trays gradually shift your teeth
- Each set is worn for 1–2 weeks before switching to the next
- You’ll visit our office every few weeks to monitor progress
Why patients choose Invisalign:
- No brackets, wires, or metal
- Easy to remove for meals, brushing, and flossing
- Minimal impact on daily routines
- Often fewer in-office visits needed
Our team uses digital scans and 3D planning tools to map out your treatment and create aligners that fit with precision.
Invisialign Teen
Invisalign Teen works just like the standard version, but includes extra features that make it a better fit for younger patients.
Key differences include:
- Eruption tabs to accommodate growing molars
- Wear indicators to track if aligners are being worn as recommended
- Replacement aligners included in case of loss or damage
This option gives teens the freedom of a low-profile treatment while still supporting the structure and growth of a developing smile. It’s a great solution for families looking to avoid traditional brackets without sacrificing effectiveness.
Corrective Jaw Surgery (Orthognathic Surgery)
In some cases, orthodontics alone can’t correct jaw alignment problems. That’s where orthognathic surgery comes in. This procedure addresses structural issues with the jaws and facial bones that affect how you bite, chew, speak, and even sleep.
At Carvalho & Roth Orthodontics, Dr. Roth and Dr. Carvalho coordinate treatment plans using digital imaging and advanced software to ensure every step is precise and well-planned.
Common reasons a patient may need jaw surgery:
- Misaligned jaws that cause chronic discomfort or functional issues
- Bite problems that can’t be resolved with braces alone
- Breathing or airway concerns related to jaw structure
- Facial asymmetry or imbalance
Our team works closely with oral surgeons to create a coordinated approach. Orthodontic care is provided before and after surgery to support long-term results and proper alignment.
After Treatment: Keeping Your Smile in Place
Once your active orthodontic treatment ends, the next phase begins: retention. This step ensures that your teeth stay in their new positions for years to come.
At Carvalho & Roth Orthodontics, we provide custom retainers and clear instructions to make this part of your journey simple and effective.
What to know about retainers:
- You’ll wear them full-time at first, then transition to nighttime only
- Duration typically ranges from 12 to 24 months
- We’ll monitor progress during follow-up visits to make sure everything stays on track
We offer different types of retainers based on your needs and preferences. Your orthodontist will walk you through the options and help you choose the right one.
Schedule Your Consultation Today
At Carvalho & Roth Orthodontics, we offer more than just braces or aligners—we provide a personalized experience backed by years of expertise and a strong connection to our local communities. With offices in Marlborough, Northborough, and Newton Centre, high-quality orthodontic care is always close by.
If you’re exploring early treatment for your child, considering Invisalign for yourself, or looking into surgical solutions, we’re here to guide you with clarity and care.