DentalMonitoring at home
Weekly 60-second scans from your phone. Dr. Varble reviews each one personally. About half the office visits of traditional treatment.
Modern braces aren’t what they used to be. Damon Ultima brackets are more efficient, more comfortable, and more discreet than the braces you remember. And with DentalMonitoring, most check-ins happen from your phone.
The braces most adults remember from middle school were uncomfortable, painful to tighten, and required monthly office visits for adjustments. Orthodontic technology has come a long way since then.
Damon Ultima brackets are self-ligating, which means no elastic ties to tighten. They use lighter force, which means less soreness between adjustments. And with DentalMonitoring, most progress checks happen from home.
“Treatment in your 30s, 40s, or 50s isn’t worse than treatment in your teens. In some ways it’s easier. Adults follow instructions better than teenagers do.”
— Dr. Zachary Varble
Most adults thought about braces for years before they finally walked in. These are the moments that usually tip the decision.
You used to not think about it. Now you flinch every time someone pulls out a camera at a family event. That’s a real reason to act.
You’ve spent years taking care of everyone else. Doing something for yourself isn’t selfish, it’s overdue.
You don’t have time to take half a day off work every month for an orthodontist appointment. We don’t ask you to.
Some adults are clear braces candidates from day one. Others are better served by clear aligners. A few need a combination. Here’s how to think about it.
Best for adults with more complex bite issues, significant crowding, or rotated teeth that need precise control. The bracket system gives Dr. Varble the most flexibility to design exactly what you need.
Best for adults with mild to moderate alignment issues who want the most discreet option available. Removable for meetings, photos, or special occasions.
No. Teeth move at any age. What matters isn’t how old you are, it’s whether the gums and supporting bone are healthy, and that’s one of the first things Dr. Varble checks. Adult treatment is a real part of the practice at both the Creve Coeur and St. Peters offices, and the mechanics are the same as they are for a teenager. The planning is often more involved, because there’s usually more history in an adult mouth to work around.
It depends on the case, but on average VO patients finish treatment 8 months faster than the national average. That comes from the bracket system, the planning done up front, and watching progress between visits instead of waiting for the next appointment to catch a problem. Dr. Varble will give you a range for your specific case at the consultation rather than a generic number.
Most adults here choose Spark Clear Aligners, which come out for meals and are hard to notice in conversation. Damon Ultima brackets are the other option, and they’re considerably smaller than the braces you remember from middle school. Which one is right comes down to what your bite actually needs and how your days are structured. Some movements are more predictable with brackets, and aligners only work if you wear them.
Often not. Shifting after childhood treatment is common, and it usually traces back to retainer wear stopping. If the movement is minor, a shorter course of aligners can frequently handle it. If the bite itself has changed, that’s a bigger conversation. Dr. Varble will tell you which of the two you’re dealing with, including when the honest answer is that it doesn’t need treating.
Less than you’d expect. On average, VO patients finish in 6 fewer office visits. Most adults also use DentalMonitoring, scanning at home each week so Dr. Varble can review progress without you coming in, which cuts in-office visits by about half on average. Individual schedules vary by case. And when treatment is indicated and you’re ready, Same-Day Start means the consultation and the start can be the same appointment.

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Your free VO Smile Assessment includes a 3D scan, and a custom treatment plan from Dr. Varble. No pressure, no commitment.