Orthodontic Treatments
For All Ages


There is no minimum age for your child to begin orthodontic treatment, however, the American Association of Orthodontists recommends visiting the orthodontist around age seven.


By this age, most children have a mix of baby teeth and adult teeth, making it easier for the orthodontist to diagnose and correct tooth and jaw problems before they become more severe.


Orthodontics is a big part of life for many teenagers. While braces may have had a bad reputation in the past, teens now have more choices than ever in creating a beautiful smile. From traditional braces to “invisible” aligners, the number of effective and aesthetic options is growing all the time!

 Orthodontic treatment is an investment in your teen’s future. Please contact our office to schedule your complimentary orthodontic evaluation and start your smile journey!


There’s never been a better time to get the confident smile you deserve! In fact, the American Association of Orthodontists states that one in five orthodontic patients is over the age of 21. 

At Cranford Orthodontics we offer a variety of braces and appliances that are comfortable, aesthetic, and customized to meet your needs. We will work with you to ensure that you receive the most appropriate treatments, and that your needs are met with understanding and respect from us. 

To learn more about the benefits of adult orthodontics please contact our practice to schedule a complimentary consultation. We understand that you have a busy schedule, and we will work with you to make sure each office visit is as convenient as possible.

Phase I






Early Treatment




iTero Digital Impressions
No more goop, gagging, or discomfort. At Cranford Orthodontics we are completely digital! That means no more goopy impressions ever! Using our iTero Element Digital Scanner, we can take a highly accurate digital impression of your teeth and jaw–eliminating the need for old school tray and putty impressions that feel like stuffing a big wad of gum in your mouth!


The iTero Element scanner is a radiation-free laser that digitally captures the structure of the teeth and gums using the latest optical technology–ensuring a quick and accurate impression from the start. In addition to being a more comfortable patient experience, the digital impressions also give you the ability to see your teeth instantly in 3D; improving communication during the consultation and treatment process.


So whether you’re getting an expander, a retainer, or starting Invisalign, it’s as easy as taking a video!


Temporary Anchorage Devices
Temporary Anchorage Devices (TADs), are small titanium-alloy mini-screws that are fixed to the bone temporarily to enhance orthodontic anchorage. These anchors are used in certain orthodontic cases to help achieve quicker tooth movement with more efficiency and comfort. TADs may be used in conjunction with traditional braces or Invisalign, and as an alternative to headgear and space maintainers.


TADs are placed in the bone between the roots of teeth. Placement of TADs is minimally invasive and often completed using only topical anesthetic. There is little or no discomfort because there are no nerve endings in bone tissue. Placement of the TAD is quick, and may be over before you know it. You may feel slight pressure while the TAD is being placed, but within a day, you will no longer be able to feel it.


Your TAD is removed once your treatment is complete, or it is no longer needed to help straighten your teeth. Removal is a comfortable procedure that takes just a few minutes.


A TAD can be cleaned the same way you clean your braces — by brushing your teeth at least three times a day. If you have questions about TADs, please contact our practice. We will be able to answer any of your questions and provide you with detailed information about your orthodontic treatment.

Diode Laser Treatment
Diode laser treatment allows the orthodontist to remove excess gum tissue safely and effectively, and expose more of the tooth’s surface for better aesthetics and function. Laser treatment provides several benefits for patients receiving orthodontic care:


  • Ideal Bracket Placement: If your gums haven’t receded properly, or a tooth is erupting slower than expected, a laser can be used to remove exceed tissue and reveal enough tooth surface to place a bracket
  • Exposure of Impacted Teeth: Impacted teeth are teeth that haven’t erupted properly through the gums. By using laser treatment, we can assist a tooth’s eruption without the need to wait months for the tooth to erupt on its own or possibly avoid the need to refer for an expensive surgical procedure.
  • Aesthetic Gingival Recontouring: Your gum tissue serves as a “frame” for your teeth; orthodontic lasers are used to sculpt the gums around the teeth in a way that helps improve the overall appearance of your smile. Aesthetic gingival recontouring is a procedure that reshapes the gum line to improve the aesthetics of your smile by exposing more of your teeth.

The best part of laser treatment? In most cases, there is no need for needles! We simply apply a topical anesthetic to the gum tissue being treated so all you feel is the slight movement of the laser tip.

Contact Us

Request a Complimentary Evaluation


    You can also text us 908-264-2793

    Where to Find Us


    Cranford Orthodontics
    118 North Ave West
    Cranford, NJ 07016

    (In the Cranford Professional Building, next to the Citgo Station)


    • PALATAL EXPANDERS: This special appliance widens the roof of the mouth, allowing room for crowded teeth to grow naturally and/or expands the upper jaw to more closely fit the lower jaw. READ MORE 
    • WILDSMILES: A unique alternative to traditional braces, designed to make braces fun! They come in a variety of FUN shapes including: stars, hearts, soccer balls, footballs, flowers, and Super-Diamonds®. READ MORE 
    • INVISALIGN FIRST: Invisalign created a clear aligner system for children ages 7-10 called Invisalign First®. This unique system can help with spacing issues, expand dental arches, and even leaves space for new teeth to come in as your child grows. READ MORE 
    • FUNCTIONAL APPLIANCES: Functional appliances can be fixed or removable, and are used to redirect jaw growth. 
    • HEADGEAR: Mostly worn at night, the headgear (or “nightbrace”) is used to treat an overbite, with the upper jaw forward of the lower jaw, or an underbite with the lower jaw forward of the upper jaw. Headgear gently “pulls” on your teeth to restrict or enhance forward growth of your upper teeth and jaw.
    • SPACE MAINTAINERS: Space maintainers hold room for the eruption of permanent teeth. A lower lingual holding arch is a type of space maintainer that fits inside of the lower teeth, from molar to molar, preventing the lower molars from moving forward.

    Orthodontic care is not a “one size fits all” approach. Each patient has a unique problem that requires a unique treatment plan. What is right for one child may not be right for another. The diagnosis of your child’s problem and the treatment plan are the result of study of your child’s mouth and diagnostic records. Please contact our office to schedule a complimentary orthodontic evaluation to determine the appropriate treatment at the appropriate time for your child!


    Two-phase orthodontic treatment is a specialized process that combines tooth straightening and physical, facial changes. The purpose of two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, and aesthetic result that will remain stable throughout your life.

    • First Phase: The first phase of treatment is done while the child still has many or most of their primary or “baby” teeth.The first phase of treatment typically involves appliances, such as, an expander, space maintainer, or headgear, for growth modification. Braces may or may not be used during the first phase of treatment.
    • Maintenance Phase: A “resting period” between the first and second phase to monitor permanent eruption and growth. The patient may wear a retainer during the Maintenance Phase.
    • Second Phase: A second phase, if required, takes place once the child has most or all of their permanent teeth. A successful first phase will have created room for permanent teeth to find an eruption path. The second phase of treatment moves the permanent teeth into their final positions. This usually requires braces (or Invisalign) on all of the teeth for an average of 12-24 months.

    Most children lose all their baby teeth by age 13, and by the end of their teen years the jaw bones will harden and stop growing. Some problems that can be treated quite well in a growing child may require corrective surgery if treated after growth has occurred. Receiving early orthodontic treatment as a child can help prevent the need for complex orthodontics in the adult dentition, leaving little to no need for future extractions or surgery.


    The American Association of Orthodontists recommends that children have their first check-up with an orthodontist no later than age 7. By that age, a child will have a mix of baby and permanent teeth, and the orthodontist will be able to recognize orthodontic problems (“malocclusions”) even in their earliest stages.

    Early Interceptive Treatment (also known as Phase-One) typically begins around age seven. The goal of this treatment is to correct the growth of the jaw and certain bite problems, such as an underbite. Early treatment also helps to make room for permanent teeth to come in properly, lessening the chance of permanent tooth extractions and surgical correction in the future.

    A First Phase Of Treatment Is Initiated To :

    • Guide the growth of the jaw bones that support the teeth (growth modification) 
    • Correct crossbites that lead to asymmetric jaw development
    • Correct shifts and deviations of the jaws for proper chewing and motor function
    • Correct jaws that are too far forward or too far back
    • Lower the risk of trauma to protruded front teeth
    • Create more space for crowded teeth 
    • Prevent space loss and crowding from early or late loss of baby teeth
    • Prevent the need for future extractions of permanent teeth
    • Correct mouth-breathing, thumb sucking and tongue thrusting habits 
    • Help improve minor speech problems
    • Improve your child’s self-esteem

    If your child shows signs of needing orthodontic care, or if you have been directed by your family dentist to visit the orthodontist, please contact our office to schedule a complimentary orthodontic evaluation. Early treatment now will give your child a healthy, beautiful smile for the future!

    If your child is not yet ready for treatment or we find that Phase I treatment is not necessary, they will be monitored on a recall status and re-evaluated in the future when they are ready to start treatment.


    Surgical orthodontics, also known as orthognathic (“jaw”) surgery, is a type of orthodontic treatment used to correct severe cases of bad bites and jaw bone abnormalities, that braces and Invisalign alone can’t correct. 

    If you need surgical orthodontics, Drs. Gersch and Dr. Rossignol will work closely with an oral and maxillofacial surgeon to ensure you receive the best care possible. Cranford Orthodontics is one of only a handful of practices in the nation that can use Invisalign (instead of traditional metal braces) to treat Surgical Cases.  

    How do I know if I need jaw surgery?

    At your initial consultation, Drs. Gersch and Dr. Rossignol will do a thorough evaluation and can determine if orthognathic surgery is needed as part of your treatment. Depending on the severity of your case and the alignment of your jaw, you may or may not need surgery.

    When might surgical orthodontics be needed?

    Surgical orthodontics may be indicated in adults with improper bites, sleep apnea, jaw asymmetries or aesthetic concerns. The need for surgical orthodontics occurs when the jaws do not line up correctly, and a proper bite cannot be achieved with orthodontic treatment alone.Typically jaw growth stops by age 16 in females and 18 in males. In order to receive orthognathic surgery, the jaw must be done growing.

    How does orthognathic surgery work?

    An oral and maxillofacial surgeon will perform your orthognathic surgery, which takes place in a hospital. Orthognathic surgery can take several hours, depending on each individual each case. Once the surgery is complete, you will have about a two-week rest period.

    Since orthognathic surgery is a major treatment, we recommend that you schedule some time away from work and school during the healing process. After your jaw has healed, the orthodontist will continue/complete your orthodontic treatment to “fine-tune” your bite. Most orthodontic treatment is completed within 6-12 months following surgery.

    What are the risks associated with orthognathic surgery?

    As with any major medical surgery, there may be certain risks of having orthognathic surgery. However, the process of orthognathic surgery is not new, and it has been performed for many years in practices and hospitals. 

    If you’re concerned about an upcoming treatment with orthognathic surgery, please contact our office and let us know. We are happy to and=swer any questions that you may have, and provide you with any additional information. Your comfort is important to us. 

    What are the rewards of having orthognathic surgery?

    For many patients, the most important benefits of having orthognathic surgery are improved function and a beautiful, healthy smile that lasts a lifetime. Whether you need orthodontic treatment to correct a jaw abnormality, malocclusion or sleep apnea, orthognathic surgery can help restore your function and and leave you smiling with confidence for many years to come.




    Get the beautiful straight teeth you’ve always wanted–without braces! Invisalign® takes a modern approach to straightening teeth–using a series of custom-made, invisible, removable, and comfortable aligners that no one can tell you’re wearing. So you can smile more during treatment as well as after!

    Consider Invisalign Treatment If You Have:

    • A bad bite or malocclusion, causing your teeth to fit together incorrectly
    • Teeth that are crowded, missing or spaced apart
    • Abnormal jaw pain, or pressure that is caused by crooked teeth
    • A desire for straight teeth, a healthier mouth and a more confident smile
    • A need to reposition/align your teeth to allow for implant placement and other restorative work

    Cranford Orthodontics is a Diamond Plus Premier Invisalign Provider. We are proud to be the Largest Invisalign Provider in the Region and the Top 1% Invisalign Provider Nationwide! Drs. Gersch and Dr. Rossignol have treated over 5000 Invisalign patients, and Dr. Stanley Gersch is a nationally recognized speaker for Invisalign and the Director of the Invisalign Program at the NYU College of Dentistry.

    Read More



    Adults have more choices than ever in creating a beautiful smile. Braces are now smaller, stronger, more efficient and less conspicuous than ever before:

    The Difference Between Adult Orthodontics and Orthodontics for Children and Teens:

    The main difference to remember when treating adults versus children and teens, is that in younger patients the jawbones are still developing. For adults, these bones have stopped growing, which may mean the possibility of orthognathic surgery to align the jawbones. Other differences include:

    • Gum or bone loss (periodontal disease) — Adults are more likely than children to experience gum recession or even bone loss due to gingivitis or advanced periodontal disease. Patients with straighter teeth are less likely to get gum disease.
    • Worn or missing teeth — Over time teeth can become worn down and shift into different positions that can only be corrected with orthodontic care. Missing teeth can cause other teeth to shift and tilt, creating a bad bite and increasing the possibility of gum disease.
    • Incomplete orthodontic treatment as a teen — Many adults received some orthodontic treatment as a child or teen, but never completed their treatment (or stopped wearing their retainers!). As an adult, they choose to complete their orthodontic treatment to achieve the healthy, beautiful smile they always wanted.

    Benefits of Adult Orthodontic Treatment:


    • Straight teeth are healthy teeth — Teeth that are properly aligned are easier to keep clean with flossing and brushing, and may help prevent other health problems, such as tooth decay and gum disease.
    • A beautiful, straight smile builds confidence — Orthodontic treatment can help boost your self-confidence, giving you a better quality of life and the freedom to smile without holding back!
    • Mouths left untreated can get worse — Not receiving orthodontic treatment when it’s needed can create long-term oral health issues costing you more in the end.



    Getting the smile you want shouldn’t be awkward! Invisalign is the Smile You Want, The Way You Want It!
    Invisalign Teen aligners are made of clear plastic and are almost invisible–they are the clear alternative to braces! Your friends probably won’t even know you’re wearing them. Instead of hiding behind a mouth full of metal, you’ll enjoy the confidence of showing that smile every day. Our teens and their parents love Invisalign and it’s easy to see why:

    • Gets To Work: The results you want in the same time or less than braces
    • Feel Better: More comfortable and less pain than braces
    • Lets You Do You: Eating? Playing Sports? Just take it out when you need to!

    Read More



    Ceramic Braces, also known as clear braces, work the same way metal braces do but feature brackets made of tooth-colored ceramic materials. They blend in with your teen’s smile, making them much less obvious.

    Why Do I Need Braces?

    Beyond outward appearances, untreated dental problems can have a lasting impact on your teen’s oral and overall health. Some common dental problems include:

    • Crooked, crowded or blocked-out teeth
    • Missing or extra teeth
    • Spacing and gaps between the teeth
    • Overbites or underbites
    • Incorrect jaw position
    • Disorder of the jaw joint

    Properly aligned teeth and jaws have many benefits, including:

    • Reduced risk of wear and tear, chipping and tooth trauma over time
    • Easier to clean, helping to prevent cavities and tooth decay
    • Less prone to gingivitis and gum disease, which cause bone loss and tooth loss
    • Improved speech, as well as, proper chewing and digestion of food



    You’ve just heard the three words that every teen dreads: “YOU NEED BRACES!”

    Don’t worry! Braces aren’t nearly as scary as you may think. In fact, braces today come in a variety of styles, materials, and colors, making life with braces much easier, more comfortable, and more stylish than in the past. Our practice offers a variety of braces types and styles to choose from, so you can have braces your way

    Why Do I Need Braces?

    Beyond outward appearances, untreated dental problems can have a lasting impact on your teen’s oral and overall health. Some common dental problems include:

    • Crooked, crowded or blocked-out teeth
    • Missing or extra teeth
    • Spacing and gaps between the teeth
    • Overbites or underbites
    • Incorrect jaw position
    • Disorder of the jaw joint

    Properly aligned teeth and jaws have many benefits, including:

    • Reduced risk of wear and tear, chipping and tooth trauma over time
    • Easier to clean, helping to prevent cavities and tooth decay
    • Less prone to gingivitis and gum disease, which cause bone loss and tooth loss
    • Improved speech, as well as, proper chewing and digestion of food