When Do I Get Rubber Bands?

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Markham Orthodontics | Orthodontist | rubber bands and braces

Rubber Bands


The timing for placement of rubber bands depends upon your bite and jaw position. Often rubber bands are placed towards the end of treatment to “tweak” the orthodontic treatment but this is not always the case. Sometimes a patient will have the bands placed after a few adjustments, while other times it may be 10 months into treatment.


The bands are hooked on the top bracket and connected to the bottom. It’s not a painful process, though the patient may feel tightness in the beginning.

Call our office today for your complimentary evaluation at (916) 924-8970.

Do You Treat Adults? / Age and Orthodontics (Am I Too Old for Braces?)

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Markham Orthodontics | Sacramento, CA | Orthodontist | ABO Certification

Orthodontic Treatment for Adults

We treat patients of all ages including adults, and it’s never too late to get the beautiful smile you’ve always wanted! While the ideal time for orthodontic treatment is often during teenage years, children and adults are still often candidates for treatment.


For example, some patients younger than 10 years old benefit tremendously from wearing an orthodontic appliance because it can prevent more extensive and expensive orthodontic treatment needs in the future.


There are no age restrictions for adults. More than ever, adults are using orthodontics to improve their smiles because there are many new cosmetic options available for wearing braces. In addition to traditional metal braces, we offer clear braces, which blend in with the teeth, and the popular option of Invisalign, which uses aligners that are practically unnoticeable. What’s great about Invisalign treatment is that it consists of wearing clear trays that can be removed from the mouth for eating and cleaning teeth, unlike traditional braces which are attached to your teeth and can only be removed by the orthodontist at the end of the orthodontic treatment.

Call our office today for your complimentary evaluation at (916) 924-8970.

Markham Orthodontics | Sacramento, CA | Retainers

How Long Do I Need to Wear Retainers?

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Markham Orthodontics | Sacramento, CA | Retainers

Wearing Retainers

When braces are removed, it is recommended that the patient wears a retainer throughout the day and night for at least one year. Depending on the complexity of the orthodontic treatment rendered, Dr. David Markham may advise the patient to wear the retainer for longer than a year. In the first few months directly after the braces are removed, the teeth can shift easily, so a retainer needs to be worn especially during this time period to ensure that the teeth won’t move.

Be sure to check out our Retainer Instructions for more details.


After the initial early time wearing a retainer, it is recommended that patients continue to wear the retainer every night because teeth still do shift with time. This shifting is especially common with patients between the ages of 20-50, where it is common to find lower front teeth beginning to crowd. Thus, to prevent this crowding, a retainer needs to be worn for the rest of a patient’s life. Fortunately, the retainer is very comfortable to wear, as it only needs to be worn during sleep hours.

Call our office today for your complimentary evaluation at (916) 924-8970.

How Long Will I Need to Wear a headgear? (Wearing Headgear)

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Markham Orthodontics | Sacramento, CA | Headgear

Wearing Headgear


To successfully move teeth, a headgear appliance should be worn for 12 hours per day. The good news, however, is that it does not need to be worn for 12 hours in a row. A patient can wear headgear 8 hours while asleep, and finish the remaining 4 hours throughout the day. Headgear can be worn while doing errands in the house, reading, watching television or any variety of activities that do not require moving the face too much. However, sudden movements may affect the headgear so it is important not to run or participate in strenuous sports while wearing such an appliance.


Depending on the patient’s treatment plan, a patient may need to wear headgear for as little as one year or for a few years. The length of time in headgear also depends if the patient is compliant – and wears the headgear for the full 12 hours every day. In general, the longer a patient wears headgear throughout the day, the fewer months it needs to be worn.

Call our office today for your complimentary evaluation at (916) 924-8970.

Does it hurt to get braces?

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Markham Orthodontics | Sacramento, CA | Orthodontist | Office Tour

Does the process of getting braces hurt?


While the actual placement of braces is painless, a patient may feel discomfort for the first three or so days after braces are placed. The reason for the discomfort is because the teeth are shifting and realigning, leading to pressure and a dull, aching feeling in the teeth. Braces can also cause headaches and soreness in the mouth and this pain can also usually be managed with over-the-counter pain medicine (OTC).

Be sure to check out our options for braces.


It’s normal for patients to feel some discomfort immediately after Dr. Markham tightens their braces, and the “tight” feeling should go away in a few days. Once again: OTC pain medications are helpful here.

For the first few days after getting your braces, or after an adjustment, it’s recommended to try to eat softer foods, such as soup, pasta and yogurt. Patients must learn how to properly brush teeth with braces and how to floss under the wires to prevent inflammation of the gums and development of cavities.

Call our office today for your complimentary evaluation at (916) 924-8970.