• Trenton Call: (734) 675.1170 | Fax: (734) 675.0688
  • Wyandotte Call: (734) 282.4100 | Fax: (734) 282.5420
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Established 1955

Welcome to our health education library. The information shared below is provided to you as an educational and informational source only and is not intended to replace a medical examination or consultation, or medical advice given to you by a physician or medical professional.

What should one expect during the orthodontic visit?

The orthodontist will conduct a thorough dental examination of the child and take X-rays of his teeth and head, panoramic X-rays are usually required to get the full perspective of teeth, gums and jaw. Before (and then later, after) treatment photos of the child may also be taken. A mold will be made of his teeth using dental putty. This mold creates an exact impression of the teeth and will be used in studying his/her bite and creating an individualized treatment plan. The mold will also be used in creating braces that will properly fit the child.

Many orthodontists prescribe a two-phase orthodontic treatment for children. Phase one is conducted on kids 5 to 12 years old, or before all of the permanent teeth have come out. The orthodontist examines the position, size and symmetry of the jaws as well as the positioning of the teeth, breathing and other oral habits of the patient. These are all evaluated to determine the patient's potential to develop dento-facial problems later on. Treatment recommended at this stage usually corrects bite problems and unhealthy oral habits or creates space for developing teeth.

Phase-two treatment is conducted on children 12 years old and up, when all the permanent teeth have already come out. The orthodontist evaluates the alignment of the teeth and jaws. Treatment usually addresses bite problems, jaw joint problems, gum disease and facial profile problems.

There are some orthodontists who do not do two-phase treatment; rather, they specialize on a longer single-phase treatment lasting for eight to 18 months. They claim that this treatment delivers better results, although it typically costs more.

Once the braces have been placed, the child will need to regularly visit his orthodontist to have the braces tightened or checked. The parent or guardian will need to ensure that the child faithfully follows all instructions of his/her orthodontist regarding the cleaning and maintenance of his/her braces as well as which foods to avoid.

Patient Reviews

Of the people whose smiles I admire, I have asked 1 common question. "Who was your Orthodontist!" Overwhelmingly the answer has been Dr Lupini. That is inarguably the Greatest testimony for his work and the results that you also will receive!

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Mon-Fri offers alternating 7:30-4:30, or 12-6pm appointments.
Please call our office to verify daily hours. We can be a little flexible to meet your needs.


Established 1955

John Lupini, DDS, MS, is the director of True Orthodontics, which specializes in early orthodontic treatment, teeth straightening, Invisalign alternatives, and treats children and adults. True Orthodontics serves all of the downriver communities including but not limited to Southeastern Michigan, Wayne County, Monroe County, Macomb County, Oakland County, Downriver, Trenton, Grosse Ile, Woodhaven, Trenton, Riverview, Wyandotte, Melvindale, Ecorse, River Rouge, Detroit, Taylor, Westland, Garden City, Lincoln Park, Allen Park, Dearborn, Dearborn Heights, Romulus, Belleville, Huron Township, Van Buren Township, Flat Rock, Rockwood, Gibraltar, Brownstown, Monroe, Frenchtown, Newport, Carleton, Southgate and surrounding communities.