Early Treatment


Complimentary Consultation for siblings of patients who have seen, or are in treatment with, Dr Marshall! Contact us for more information!


At What Age Should A Child Begin Orthodontic Treatment? 

Dr Marshall's recommendation is for an Orthodontic assessment at age 9. 

By this time the first permanent molars and incisors have usually emerged and Dr Marshall can see the facial an dental template your child will have for the rest of their lives.

Early Treatment At Mountains Orthodontics

Dr Marshall has a special interest in Early Care (mixed dentition orthopaedics)  including narrow upper jaws, thumb sucking and poor breathing patterns often associated with asthma and night time sleep apnoea. We call this Early Care Phase I. 

If problems can be diagnosed and treatment commenced in this early mixed dentition this may often remove the need for extractions later on. Early treatment may also reduce the actual length of treatment time wearing braces.

By commencing treatment at an early age, Dr Marshall is able to monitor and guide the growth of the jaw to take into account and manage the eruption of permanent teeth. Early Phase I treatment also gives greater flexibility for Dr Marshall to regulate the width of the lower and upper arches of the jaw.

  • Phase I predominately treats the face. 
  • Phase II (Braces) treats the teeth. 

What’s involved in Orthodontic Treatment?

Orthodontic treatment has come a long way since it was first available. It is now far more comfortable and inconspicuous with a much greater range of options. We use 'micro' braces and super elastic wires to enable treatment to be more streamlined and comfortable. 

Depending on the individual situation, appliances (brackets) may be fixed to the teeth using a bonding material.  A wire is then placed which connects the brackets (and teeth) resulting in consistent pressure being placed on the teeth and jaws.

How long does treatment last?

At Mountains Orthodontics we treat every case individually and subsequently the duration of treatment varies from person to person. The duration for comprehensive orthodontic treatment (Phase I) as a teenager ranges from 16 to 24 months. 

Factors such as the development of the jaw and facial bones, severity of the problems and the slow eruption of permanent teeth and molars can all affect the treatment time.

How Long Does Orthodontic Treatment Take?

Early orthopaedic treatment "Phase I" can take as little as 6 or 8 months.

There may be a 'holding' period between Phase I and Phase II (Braces). Dr Marshall will continue to monitor your teeth and jaws throughout this time at no additional charge.


  • Metal Braces

    Metal braces are the most common form of orthodontics. Small metal brackets are bonded to your tooth with a wire passing through, connecting them. This wire is tightly held to the brackets with small rubber bands. These bands are offered in a range of colours to suit you or can be metal coloured, which is the most discreet. Metal braces are the strongest from of braces and can withstand most types of treatment. As the most popular form of orthodontics they are also the most inexpensive.

    Caring for your braces:

    To ensure that your braces have the maximum impact and achieve your goal of a straight, bright smile ensure to follow the guidelines and instructions that your orthodontist gives you. Regular brushing, flossing and avoiding hard, sticky or chewy foods all help to keep oral hygiene at its best and your braces healthy. However, it is also important to thoroughly clean your braces after every meal, paying particular attention to the gum line. Regular use of fluoride rinse ensures they remain sterile and clean. To ensure your braces retain their colour and appearance it is important to avoid soft drink, sports drinks and strong coloured food as they can cause discolouration. Finally, if you follow these instructions, faithfully wear your elastics and attend your regular appointment you treatment should finish on time with excellent results.

    How they feel:

    Following the braces initial placement patients may experience short term pressure and some possible tenderness in the teeth. A non-prescription pain medication can be taken to control this initial discomfort. Eating softer foods and cutting food into smaller pieces is recommended for the first week as you mouth adjusts. The braces may initially cause some irritation to the inside of your cheeks or lips which can be treated through an application of the orthodontic wax on the braces causing the discomfort. A topical anaesthetic cream an also be applied to any irritate areas. Mountains Orthdontics also recommends rinsing with warm salt water, as this is very soothing, and cleansing for your mouth.

  • Rapid Maxillary Expander (RME or RPE)

    Orthodontic problems are not only concerned with the alignment of the teeth but also the position, width and alignment of the jaws. The Rapid Maxillary Expander (RME) is used to correct the latter by expanding narrow dental arches (jaws) to create more room for existing and erupting teeth.

    Narrow dental arches are also common contributors to breathing issues and problems with the nasal passage. For example, when the upper jaw is expanded this also serves to expand the air passages to improve air flow and breathing.

    To ensure the longevity of this treatment method, after the expansion of the jaw is complete, new bone grows to fill in the gap to prevent any relapse after treatment.

  • Bionator


    A Herbst orthodontic appliance is designed to correct an overbite by modifying your jaw growth. The combination of the rod and tube will guide your lower jaw slightly forward to promote growth of the lower jaw and correct an overbite. Once the ideal jaw position is achieved, the Herbst remains in place for 10 months to monitor the growth and position of the jaws. The Herbst is used to achieve the optimal orthopaedic position of the jaws and once complete, braces are fitted to correct the alignment of the teeth.

  • Lingual Bar

    The lingual bar is a device used to maintain the results of treatment. Fitted upon the completion of treatment, the lingual bar is placed behind teeth and remains invisible to onlookers. The lingual bar is often an effective alternative to wearing a plate.

  • Esthetic Braces

    Esthetic braces are the perfect option for patients who desire a straighter smile but are concerned with how braces will affect their appearance and presentation. Esthetic or clear braces work the same was as their metal counterparts, but utilise crystal-clear brackets instead of metal ones. They are an excellent alternative for patients who want are more aesthetically conscious but are not a candidate for clear alignment processes such as Invisalign.

    Made of polycrystalline alumina esthetic braces not only blend with the natural colour of your teeth but are also more comfortable on your lips and cheeks. Moreover, clear braces won’t stain or discolour throughout your treatment so your smile will remain look natural throughout your treatment

  • Retainers

    Used following the completion of orthodontic treatment, retainers help maintain the results achieved through treatment. More specifically, a retainer keeps the teeth in their correct, new position whilst the soft tissues, muscles and jaw structure accommodate the accept this position. A retainer is general worn full time for around 6 months following the completion of treatment, and then during the nights for an additional 12 – 18 months.

  • Mouthguard

    Although sports and the pursuit of an active lifestyle is an integral part of our and our children’s lives, it is also the most common cause of dental injury and trauma. These injuries can often lead to the development of painful, lasting problems which often require complex, extensive treatment later in life.

    Store bought or ‘boil and bite’ mouthguards can only offer limited protection to your mouth often failing to give any protection to the back molars. Furthermore, they are bulky and uncomfortable, impeding on your breathing and speaking skills.

    A custom fitted mouthguard is a small investment to provide the maximum level of protection to your teeth. With their tailored, form fit they precisely cover and protect all the teeth, enhancing your breathing, speech and sporting experience. They are also available in a range of colours and can be tailored to suit most Australian sporting teams.

    Contact our experienced team to have one fitted for you and safeguard your smile.

  • Stop Thumb Sucking - Tongue Guard

    The fixed tongue guard is affixed to the back lower molars and sites behind the teeth of the lower arch, making it difficult to place the thumb or fingers in the mouth. Its primary use is to hold the tongue in place to ensure the correct eruption of the font teeth, however it also helps to maintain the optimal lower arch width.

    Thumb and finger sucking as well as tongue thrust can have detrimental effects on the development of ones teeth and jaws and it is advised that these habits are broken by age 6. For this reason, to achieve the best results with orthodontic treatment the fixed tongue guard may be employed to aid in stopping these habits.



Useful Information

Contact us


(02) 4739 8188



107 Great Western Highway
Blaxland NSW 2774

Click here to find us on
Google maps

Opening Hours

Opening Hours

Mon, Tue & Thurs:
8:15am – 5:30pm

Wed & Fri:
9:00am – 5:00pm