Orthodontics for Children, Teens, and Adults in Manhattan
Karpov Orthodontics provides personalized treatment for patients at every stage of life. Care may focus on alignment, jaw development, skeletal balance, comfort, or sleep-related concerns. Below is an overview of the areas we specialize in, with links to learn more about each option.
Early Treatment (Children)
Early evaluation allows us to identify developing concerns before they become more complex. Treatment may be recommended before age 7 if a child shows signs such as difficulty chewing, mouth breathing, crowding, abnormal bite development, jaw clicking, speech concerns, or habits like thumb sucking.
Early guidance can support healthier jaw growth and reduce the need for more extensive care later.
→ Learn more about early treatment
Adolescent Treatment
Most full treatment for adolescents begins around ages 12–13, once permanent teeth have erupted. Treatment time typically ranges from 18–36 months, depending on individual needs and compliance.
We use modern self-ligating braces, clear brackets, and digitally planned systems such as Insignia to support efficient, comfortable tooth movement.
→ Learn more about adolescent treatment
Adult Treatment
Many adults seek treatment for crowding, bite imbalance, jaw discomfort, or wear on the teeth. Alignment can improve comfort, function, and long-term dental health at any age.
Options may include metal or ceramic braces, lingual braces, or clear aligners such as Invisalign, planned with attention to bite balance and stability.
→ Learn more about adult treatment
TMJ & Jaw Discomfort
Jaw tension, headaches, facial pain, or clicking may be related to bite imbalance or jaw joint strain. Evaluation may include imaging to better understand joint position and function.
Care often involves splint therapy to reduce strain and stabilize the chewing system.
→ Learn more about TMJ and jaw concerns
Expansion Therapy & Airway-Related Concerns
A narrow palate or low tongue posture can contribute to mouth breathing, poor sleep quality, crowding, and jaw imbalance. Expansion therapy widens the upper jaw and nasal floor, often supporting improved airflow and balanced function.
Care may involve palatal expansion, myofunctional therapy, or coordination with other specialists when appropriate.
→ Learn more about expansion and airway care
Palatal Expansion by Age
Child Expansion (RPE)
Rapid Palatal Expansion is used in younger children while growth plates are still flexible. Expansion typically occurs over several weeks, followed by a retention phase to stabilize new bone.
→ Learn more about child expansion
Teen Expansion
In teens, bone-anchored expanders allow expansion with reduced stress on the teeth. This is often coordinated with braces or aligners as part of comprehensive care.
→ Learn more about teen expansion
MARPE & Maxillary Skeletal Expansion (MSE)
MARPE and MSE allow non-surgical widening of the upper jaw in teens and adults using mini-implant–supported expanders. Digital scanning and 3D imaging are used to design precise, customized appliances.
Expansion typically occurs over several weeks and may be followed by braces or aligners.
→ Learn more about MARPE and MSE
Surgical & Adjunctive Therapies
Orthognathic Surgery
In some severe skeletal cases, jaw surgery combined with alignment may be necessary to achieve proper balance and function.
→ Learn more about orthognathic care
Corticotomy & SFOT
These procedures may be used to shorten treatment time, improve bone support, or address complex cases, sometimes as an alternative to jaw surgery.
→ Learn more about corticotomy and SFOT
Functional Appliances (Herbst)
The Herbst appliance is used in growing patients to guide jaw position in cases where the lower jaw is set back. It can improve bite balance, facial profile, and, in some cases, mouth breathing.
→ Learn more about Herbst treatment
Digital Planning & Technology
We use digital treatment planning systems such as SureSmile, along with custom wires, aligners, and modern expansion techniques, to support precise and efficient care.
→ Learn more about our technology
Not Sure Where to Start?
The best first step is a comprehensive evaluation.
Schedule a Consultation
Call (212) 245-4234 | Text (680) 219-5931