For many problems of the teeth, jaw and neck, it simply gets worse if you do not make it better. Malocclusion, or misalignment, is not just an aesthetic problem-it contributes to diseases of the teeth and gums, and causes discomfort that can express itself in fitful sleep, neck and back pain, bad posture, headaches, the inability to concentrate or worse. Proper alignment and function create greater resistance to disease, and form the foundation of both a beautiful smile and a sense of wellbeing and confidence.


We individualize our approach to each patient, considering both aesthetic and functional-structural principles when planning treatment. Bioesthetic orthodontics, combining both biologic form and functional occlusion goals, can provide a more holistic and pleasing solution. We work to ensure that form can follow function and function can follow form.

Our planning encompasses the airway, breathing function and craniofacial development, which are interconnected and interdependent during growth. It is imperative to normalize form and function as early as possible so that function is optimized for life. In our planning, we also consider temporomandibular joint (TMJ) dysfunction. By arranging the teeth to work with the alignment of the jaw joints, a more stable result can be attained.

A highly sophisticated practice, we employ digital low-radiation scans and x-rays and the latest advances in the orthodontic medicine field, including self-ligating metal, clear brackets, Incognito lingual appliances (braces that go behind the teeth), and articulators (jaw simulators) to study each patient's malocclusion. We also work with other highly certified specialists, including periodontists, oral surgeons and restorative dentists, to treat more complicated cases.

We are boutique practice. All the work is done by Dr. Karpov, with the support of her highly trained staff. Dr. Karpov and her staff take continuing education classes to keep pace with the latest developments in orthodontic science and treatment.