Through our state-of-the-art orthodontic solutions, patients can straighten crooked teeth, correct spacing problems, and improve bite abnormalities with the best cosmetic and functional results. Our orthodontist, Dr. Brienne Roloff, is highly experienced in a variety of orthodontic techniques. She collaborates with our dentists to create the most beneficial treatment plan for each patient’s unique needs and aesthetic goals.Orthodontics is not just about straightening teeth but about creating a healthy, stable bite that reduces risk for dental problems in the future. ~ Brienne Roloff, D.D.S., M.S.D.
The most obvious benefit to orthodontic treatment is that it creates a more attractive smile. The teeth look straight, even and properly spaced.
An overbite (or “buck teeth”) – the upper front teeth stick out over the lower teeth
An underbite – the lower teeth project too far forward or the upper teeth don’t project enough
A crossbite – the upper teeth do not come down in front of the lower teeth when biting (as in a proper bite)
An open bite – there is space between the biting surfaces of the front or side teeth when the back teeth bite together
A deep bite – the upper teeth overlap or cover the lower teeth excessively
Improper spacing – gaps or spaces between the teeth
Crowding – teeth are pushed together and do not have enough space in the mouth to fit normally
Pre-prosthetic/interdisciplinary – teeth need to be moved in preparation for dental implants, bridges or other restorative work by your dentist and/or specialists
Functional concerns – the teeth do not line up well causing abnormal wear, chewing problems, periodontal issues and TMJ symptoms
In addition to improving the appearance of crooked or improperly spaced teeth, orthodontic treatment also improves the health of the mouth and can prevent more serious dental problems in the future. Crooked or crowded teeth can be harder to brush and floss and lead to cavities and tooth decay, unhealthy gums and even tooth loss. Teeth that do not fit together properly because of crowding or crooked teeth or a poorly aligned jaw are at risk of developing long-term functional problems such as uneven wear, broken teeth and difficulty chewing foods. This can strain the chewing muscles, which can lead to headaches, neck, back or shoulder pain or problems with the temporomandibular joint (TMJ). Crooked or misaligned teeth can be more likely to fall out and contribute to spacing problems with the remaining teeth. Gaps between the teeth may negatively affect speech or chewing ability.
Your specific type of orthodontic treatment depends on your specific needs and preferences and the severity of your case. You may choose to use traditional wires and brackets or lingual braces or the Invisalign system of clear aligners.
Dr. Roloff made my 2-year stint with braces completely seamless. I’m not from the west side, but I went out of my way to get my braces done in Seattle because I had no luck finding an orthodontist as professional and capable as she is. She’s a UW grad and is clearly passionate about the science of dentistry. Not to mention she is one of the sweetest healthcare professionals you will ever meet. I received cutting-edge treatment and could not be more satisfied with the outcome. To anyone looking for a better smile, you can trust her to do a perfect job. Thank you Dr. Roloff!
Welcoming and patient front desk. Dr. Roloff is a true professional and I never feel rushed out of the office. Her assistant Nicole is super friendly as well. Would recommend for those seeking orthodontic treatment options.
I personally would recommend Dr. Roloff to anyone seeking orthodontic care. I appreciate that she takes so much pride in her work (she is meticulous and loves what she does!), and it makes sense why she has been recognized by her peers as one of the best in Seattle. I learn so much during every visit and would not go anywhere else for my treatment. I look forward to each and every appointment.
The whole Kois team is incredible. From Dr. Dean and Tara Kois, to Dr. Roloff who is a great orthodontist, to amazing hygienists like Sarah who are gentle and comforting, the entire practice makes you feel at ease and happy, no matter how much you might like or dislike going to the dentist. I can’t recommend them highly enough!
Invisalign is the high-tech, clear alternative to conventional braces that gives you the straight, confident smile you want—without the need for metal brackets or wires. Kois Dentistry is proud to offer this orthodontic revolution. Dr. Brienne Roloff is an Invisalign® Diamond Plus provider, which means she is in the top 1% of accredited providers in the U.S. and Canada. By combining the most modern 3D computer technology with orthodontics, she can create a series of custom-designed aligners for your teeth. As you replace each Invisalign aligner with the next, you will see your teeth move gradually week after week, until they reach their optimal position, creating that new smile that you have been looking for.
Why choose Invisalign? Not only are the aligners virtually invisible, they are removable, so you can eat and drink what you want. Plus, brushing and flossing are no problem. They are also more comfortable than traditional braces, with no metal or wires, which also usually means you spend less time in your doctor’s office getting adjustments. Invisalign treatment also allows you to view your own virtual treatment plan when you start so you can see how your straight teeth will look when treatment is complete.Learn More
Invisalign First is a newer option for young patients in need of early phase orthodontic treatment. These patients, often between ages 6 and 10, present with more severe orthodontic problems that tend to get worse as they continue to grow. By starting a treatment like Invisalign First, which has been specifically designed for younger patients, these issues can be addressed early, preventing the need for more comprehensive orthodontic treatments in the future.
Using SmartForce® technology, Invisalign First is specially made for the anatomy of younger patients, taking into account their shorter tooth crowns, teeth that are still erupting, changing dentition, and much more. It offers more predictable treatment when developing an expanded arch. The system is based on the same proven technology as Invisalign, offering an effective and more convenient solution for the right candidates.
Invisalign Teen works in the same way that Invisalign straightens a person’s teeth, except it has special features designed specifically for teenagers’ unique needs. Similar to Invisalign, Invisalign Teen utilizes a series of clear aligners that gradually shifts teeth into a straighter position. To ensure each set of aligners is worn long enough to be effective, small blue dots are on each aligner that gradually fade over the two-week period, indicating if additional wear time is needed.
In addition to the blue indicators, Invisalign Teen aligners are designed with small spaces, allowing for the patients’ teeth to evolve as new molars may be growing. This extra space maintains the same straightening potential for existing teeth while guiding new teeth into the correct positioning. As an added convenience, parents can order a set of replacement aligners, should their child misplace their Invisalign Teen aligners.
Two-phase orthodontic treatment begins when a child still has many of their “baby” teeth. By starting orthodontic treatment at an earlier phase in their development, an existing or future dental problem can be prevented from getting worse or happening altogether. This first phase of child orthodontics may entail the use of braces or other oral appliances, such as a palatal expander, to prepare the mouth for more effective orthodontic treatment later on. The second phase of treatment is then started when the child has most or all of their permanent teeth.Learn More
Traditional braces using wires and brackets are an effective method of straightening crooked teeth for patients ranging from children to adults. With the many advancements in orthodontic treatment over the years, traditional braces have become more comfortable, easier to maintain, and more efficient to straighten teeth. The treatment involves small brackets being cemented to the teeth, which are connected with a thin wire. These wires are tightened over time as the teeth begin to shift. Traditional braces can be made of either a metal or tooth-colored material, depending on the patient’s aesthetic goals. Lingual braces are another form of traditional braces that involve placing the brackets and wires on the lingual (tongue) side of the teeth for even more discreet orthodontic treatment.Learn More
Orthodontic treatment has become increasingly popular among adults, as they want to not only straighten their teeth but also improve their oral hygiene and function. Since adults often have more comprehensive oral needs, an interdisciplinary approach may be necessary to provide effective treatment. Our dental team works alongside our orthodontist to correct a variety of dental needs, ensuring the best possible outcome for patients. Many patients have worn-down or damaged teeth, making them good candidates for pre-restorative orthodontics. After their teeth have been straightened, restorations can be customized and placed. Another interdisciplinary approach that may be necessary is surgical orthodontics. Periodontal problems, jaw misalignment, and other issues may need to be addressed through surgery before orthodontics can be employed. With interdisciplinary orthodontic solutions from our team, patients with complex oral needs can achieve beautiful, straight teeth and a functional bite.
To follow up on your orthodontic treatment progress between appointments, you may be introduced to the innovative system known as Dental Monitoring. This easy-to-use app allows patients to use their smartphone to take pictures inside their mouth, which are then sent to our orthodontic team. To use the Dental Monitoring app, patients will need the DM ScanBox and Cheek Retractor devices, which optimize the view of your mouth. Following the prompts on the app, patients take scans from different sides and angles of the mouth to provide a high-quality view to be analyzed. The scan process takes less than two minutes, and patients are requested to take these regularly based on their designated schedule.
The Dental Monitoring app offers the convenience of fewer in-office appointments, while keeping Dr. Roloff up-to-date on the progress of your orthodontic treatment. As you complete each set of DM scans, these are analyzed based on the protocols that have been established for your case. Your orthodontic condition will be evaluated based on this information, and you will receive progress reports that detail how your teeth are responding and any changes that are needed. Any questions you may have can also be answered through the Dental Monitoring app. Dental Monitoring allows for digital check-ups with real-time advice that patients typically only get during their office visits.