We Change
People’s Lives

We Change
People’s Lives

540-667-5446

Welcome to Garrett Orthodontics

We offer silver braces, clear braces and Invisalign invisible aligners. This is all to ensure that each new patient receives the best possible plan for their own unique mouth. View Educational Materials or call our office at (540) 667-5446.
Orthodontic specialist Dr. Steven Garrett provides the full spectrum of orthodontic treatment for kids, adolescent braces, braces for teens and adult orthodontics. He offers many treatment options that include clear braces, clear aligners, Invisalign for adults, Invisalign Teen and traditional metal braces.

Colt B. got his braces off today!! ... See MoreSee Less

Colt B. got his braces off today!!

Season's greetings from our very merry team!

We wish you a joyous holiday season with peace & cheer in the New Year!
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Seasons greetings from our very merry team!

We wish you a joyous holiday season with peace & cheer in the New Year!

Ashley Welter portrays the Virgin Mary during FBC "Follow the Star" living nativity scene. Congratulations Ashley! Merry Christmas. ... See MoreSee Less

Ashley Welter portrays the Virgin Mary during FBC Follow the Star living nativity scene. Congratulations Ashley! Merry Christmas.

May the holiday spirit be with you and your family today...

...and throughout the New Year. Best wishes from your friends at the office!
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May the holiday spirit be with you and your family today...

...and throughout the New Year. Best wishes from your friends at the office!

Christmas is full of Family, Food, and Fun!

What will you be doing this holiday? What are you looking forward to most?
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Christmas is full of Family, Food, and Fun!

What will you be doing this holiday? What are you looking forward to most?

A Cool Countdown to Christmas

Create an advent calendar to celebrate each day leading up to Christmas with candy and fun activities, like reading holiday stories to your family, donating to a food drive, or making gifts for your neighbors.
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A Cool Countdown to Christmas

Create an advent calendar to celebrate each day leading up to Christmas with candy and fun activities, like reading holiday stories to your family, donating to a food drive, or making gifts for your neighbors.

Happy birthday Leilah 👑🎂🎉🎊🎁🎈 ... See MoreSee Less

Happy birthday Leilah 👑🎂🎉🎊🎁🎈

Thank you Chelsea M. for your generous donation of can goods to support The Blue Ridge Area Food Bank!! ... See MoreSee Less

Thank you Chelsea M. for your generous donation of can goods to support The Blue Ridge Area Food Bank!!

Random Acts of Kindness

Tis the season for gift giving and generosity, so surprise those you love with unexpected acts of kindness. Bring coffee to your teacher, take cookies to the fire station, give candy canes to everyone at school, or simply smile at everyone you see.
... See MoreSee Less

Random Acts of Kindness

Tis the season for gift giving and generosity, so surprise those you love with unexpected acts of kindness. Bring coffee to your teacher, take cookies to the fire station, give candy canes to everyone at school, or simply smile at everyone you see.

Hope everyone born in December has a FUNTASTIC Birthday!! ... See MoreSee Less

Hope everyone born in December has a FUNTASTIC Birthday!!

George Aston plays for Pittsburgh and has had five TD's! ... See MoreSee Less

George Aston plays for Pittsburgh and has had five TDs!
Shiny holiday smiles

What if your winter is...warm?

Winter is the time for sleighing through snow, building epic igloos, and drinking hot chocolate. But what do you do if it's too warm for all that?
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What if your winter is...warm?

Winter is the time for sleighing through snow, building epic igloos, and drinking hot chocolate. But what do you do if its too warm for all that?

Tammy Ambrose DeHaven likes this

Branson LudwigTammy Ambrose DeHaven that's the only way we can make snowmen in Florida 😂

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Congratulations Valencia on your beautiful smile!! ... See MoreSee Less

Congratulations Valencia on your beautiful smile!!

Congratulations Valencia on your beautiful smile!! ... See MoreSee Less

Congratulations Valencia on your beautiful smile!!

Thank you Jacob H. for your generous donation to benefit The Blue Ridge Area Food Bank!!! ... See MoreSee Less

Thank you Jacob H. for your generous donation to benefit The Blue Ridge Area Food Bank!!!

The Car Magnet contest winner for November is license plate number VEJ1341 on a Chevrolet Equinox. You have won $100 to be placed on your rewards card. Please call (540) 667-5446 to claim your prize!! Or email smiles@garrettorthodontics.com. CONGRATULATIONS! ... See MoreSee Less

The Car Magnet contest winner for November is license plate number VEJ1341 on a Chevrolet Equinox. You have won $100 to be placed on your rewards card. Please call (540) 667-5446 to claim your prize!! Or email smiles@garrettorthodontics.com. CONGRATULATIONS!

Brooke Stautzenbach senior at James Wood High School is part of a DECA project for a Volleyball Tournament to help Evans Home. Thank you Brooke for your efforts! ... See MoreSee Less

Brooke Stautzenbach senior at James Wood High School is part of a DECA project for a Volleyball Tournament to help Evans Home. Thank you Brooke for your efforts!

Garrett Orthodontics added 2 new photos.

You may remember our October 25th Facebook post of ZACHARY raising funds for Breast and Pediatric cancer with the October Saves organization. Well Zac raised over $2500 in October! What a mighty and caring hockey player you are Zac. God Bless you and thank you for your AWESOMENESS in caring for others. We are PROUD of you!
... See MoreSee Less

You may remember our October 25th Facebook post of ZACHARY raising funds for Breast and Pediatric cancer with the October Saves organization. Well Zac raised over $2500 in October! What a mighty and caring hockey player you are Zac. God Bless you and thank you for your AWESOMENESS in caring for others. We are PROUD of you!

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Our Specialty Services

Invisalign

Invisalign braces are a type of clear, plastic, removable teeth aligners that are nearly invisible on the teeth. Invisalign appeals to adults and teens who want something different than the traditional metal braces. It is a great option for adults and teens without severe conditions, or who wore traditional braces as children but need more treatment later in life.

Traditional Braces

Years ago, metal braces were not just brackets, but a band that wrapped around each individual tooth. Today, small metal brackets are glued to the front of each tooth (much less fuss). The old type of bands are usually reserved for molars or teeth with fillings that overlap to the outside surface of a tooth. Metal brackets tend to be less expensive than other types of brackets. And now, choices of colorful ligatures are available in a rainbow of colors to individualize personal style.

Invisalign Teen

Like Invisalign for adults, Invisalign Teen is a series of custom-made, clear plastic aligners that provide a teeth-straightening alternative to more traditional metal braces. Invisalign Teen is designed to help teenagers maintain their self-confidence and accommodate their active lifestyles during orthodontic treatment, giving them a reason to smile!

Common Appliances

Depending on the various conditions, there are many different types of appliances we use in our practice. Some of these include: E-Arch, Reinforced Palatal Anchor, Rapid Palatal Expander, Herbst Appliance, Lip Bumper, and more. Schedule a consultation to see your options.

Visit Our Office

Office Hours

Monday: 7:30 am – 4:30 pm
Tuesday: 7:30 am – 4:30 pm
Wednesday: 7:30 am – 4:30 pm
Thursday: 7:30 am – 4:30 pm

Winchester Office

1841 West Plaza Drive
Winchester, VA 22601
540-667-5446

Stephens City Office

101-1 Hyde Court
Stephens City, VA 22655
540-869-3883

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Invisalign

Invisalign braces are a type of custom made clear, plastic, removable teeth aligners that are nearly invisible on the teeth. Invisalign appeals to adults and teens who want something different than the traditional metal braces. It is a great option for adults and teens who are compliant and motivated. Dr. Garrett will answer any question for you individually and make the most appropriate recommendations.

Advantages of Invisalign for Adults and Teens

Invisalign braces are nearly invisible and are not obvious to anyone that you are wearing them, which heightens the esthetic appeal.

Garrett Orthodontics uses a scanner to determine the most advanced diagnostic information as well as eliminating the need for messy impressions.

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Invisalign Teen

Like Invisalign for adults, Invisalign Teen is a series of custom-made, clear plastic aligners that provide a teeth-straightening alternative to more traditional metal braces. Invisalign Teen is designed to help teenagers maintain their self-confidence and accommodate their active lifestyles during orthodontic treatment, giving them a reason to smile!

Invisalign Teen combines the benefits of the Invisalign system with new features, such as the Blue Dot Wear Indicator that fades when the aligner becomes worn and is ready to be changed; Eruption Tabs to accommodate the growth of second molars; and other features to address clinical needs common to teens.

Invisalign Teen Treatment: What’s Involved?

Invisalign Teen can be used to correct some overly crowded teeth, widely spaced teeth and overbite. Only an experienced orthodontic specialist, like Dr. Garrett, can determine if Invisalign Teen is the right orthodontic treatment for you.

During your consultation, pictures and of the teeth are taken and a panoramic x-ray is made to discuss treatment with Invisalign. Then the computer scanner is made and 3D technology maps tooth movements from the beginning to end of treatment, creating your customized aligners. Treatment time varies with every patient but an estimate may be advised as a reference since every patient’s needs are different.

The clear aligners must be worn every day for 22 hours which means all the time except for when eating, brushing or attending special occasions. A new set of aligners are provided every one or two weeks to strategically straighten teeth.

Advantages of Orthodontic Treatment for Teenagers

During Invisalign Teen treatment, teenagers can play sports, play musical instruments and keep up their active social lifestyle with a spontaneous smile. Removable aligners promote better oral hygiene, as well as less irritation to the gums and mouth. Extra office visits for broken braces or wires are eliminated.

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Traditional Braces

 
We welcome our traditional braces patients from Stephens City, Strasburg, Berryville, Winchester, Front Royal and surrounding areas of Jefferson County, Warren County, Frederick County and Clarke County in VA and WV.

Metal Braces

Metal brackets can be silver or golden. The are very strong and can withstand most types of treatment. At first, gums and cheek tissue may become irritated, but there are several first aid tricks to deal with the discomfort such as saltwater rinses and applying wax to the metal brackets.

Most traditional metal braces require an elastic O-shaped rubber band, called a ligature, to hold the arch wire onto the bracket. Sometimes metal tie wires (wires that twist around the bracket) are used in place of elastic ligatures.

Years ago, metal braces were not just brackets, but a band that wrapped around each individual tooth. Today, small metal brackets are glued to the front of each tooth (much less fuss). The old type of bands are usually reserved for molars or teeth with fillings that overlap to the outside surface of a tooth. Metal brackets tend to be less expensive than other types of brackets. And now, choices of colorful ligatures are available in a rainbow of colors to individualize personal style.

Advantages of Metal Braces

Advantages of Metal Braces

Ceramic Braces

Ceramic brackets are made of composite materials. They are very strong and usually do not stain. Adults like to choose ceramic because they are more in color harmony with the teeth and are less noticeable than metal.

Advantages of Ceramic Braces

Disadvantages of Ceramic Braces

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E-Arch (Expansion Arch)

 
e-archThe E-arch is used to widen the upper and or lower jaws to make room for permanent teeth. The appliance has two crowns or bands usually positioned on the baby molars or permanent 6-year molars. From the crown on one side is an L-shaped sleeve, and on the opposite side is an L-shaped arm which is attached to the opposing crown.

Between the two “arms” is a spring, which widens the arch by “gently” adding force.

The patient is seen about every 8 to 10 weeks. The arch width is measured and the spring is usually re-activated by adding “crimp stops” to hold the compressed spring in place. This appliance is very effective and requires little attention other than keeping it and the surrounding gums and teeth very clean.

Dr. Garrett recommends a fluoride rinse every night. Sometimes the teeth on which the E-arch is attached may loosen, allowing the arms of the appliance to position themselves over the biting surface of the teeth.

If this should happen, please call our office for an adjustment. Occasionally, the teeth to which the appliance is attached may come out. If this should happen, remove any parts possible and call us. Fortunately, in most cases, the E-arch has usually served its purpose by the time this could happen.

It is recommended that wax or EZO denture cushions be placed around any parts that may be irritated.

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The Distal Jet

 
This appliance is a fixed appliance used to distalize (move back) molars to alleviate crowding. By making room, it allows Dr. Garrett to straighten the teeth without having to extract them. A TAD (Temporary Anchorage Device) is placed in the roof of the mouth The appliance has four “bands”, which are rings of metal that fit over 2 bicuspids and 2 molars. The front bicuspids are attached to the TAD  as an “anchor.” From the anchor there are two more “arms” which have springs that push against the button to move the molars back.

The patient is seen about every 8 to10 weeks and the springs are activated by adding, “crimp stop” to hold back the compressed springs.

Once the molars are in position, the bicuspids will be pulled back and then front braces are applied for overall alignment.

As with all fixed appliances, the important issue is good oral hygiene. It is extremely important to keep the appliance, teeth and surrounding gum tissue very clean to prevent infection. It is also important to keep the tissue under the acrylic button clean.

Once the appliance is placed; the technician will give instructions on how to clean under the button and around all the parts.

As always, Dr. Garrett recommends the use of a fluoride rinse every night

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Rapid Palatal Expander (R.P.E.)

 
palatal-expanderThe R.P.E. is an all-metal expansion appliance able to deliver expansion up to 12 mm in the upper arch in a short period of time.

The appliance is turned, or activated daily with the use of a small wrench and is usually attached to either 2 or 4 teeth.

After the insertion of the appliance, the patient is instructed on the care and cleaning of it. Soft foods are recommended for the first couple of days and should be cut into small pieces, so that food will not get “caught” in the appliance and cause gagging, such as spaghetti dangling down the throat.

It is recommended that wax or EZO Denture cushions be placed over any irritating parts and warm salt water be used to smooth the gums, should they become irritated. It is quite common for a large gap to develop between the upper front teeth. This is normal. The appliance will be checked every 3 to 4 weeks until desired expansion is achieved.

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Herbst Appliance

 
herbstThe Herbst Appliance is used in the treatment of jaw discrepancy (i.e., overjet, when the upper front jaw protrudes over the lower front jaw). In growing patients, it allows lower jaw growth. In older patients, it retrains the action of certain muscles. The average treatment time is approximately 9 months to 1 year, during which time the lower jaw is advanced initially about 3-4mm, and then incrementally, until the desired resting position is achieved.

The Herbst has telescopic arms which are attached to 4 crowns and by 4 hex screws. When the appliance is initially cemented into the mouth, it will have the lower jaw in an advanced position. Dr. Garrett will measure the progress approximately every 8 to 16 weeks and most likely continue to advance the appliance by adding “shims” to the arms to keep the jaw forward for continued correction.

Shims are small sleeves (or rings) of metal between 1 and 3 mm in length. The appliance is unhooked and the shims will slide on the arms for advancement and then the appliance is put back together.

There are times when a patient may open too wide and cause the arms to come out of the sleeves, if this should happen, the patient need only to open wide again and put the arms back. This may be a little tricky the first time or two, but most patients become proficient at this.

It is also recommended that the screws on the upper and lower portion of the Herbst be checked once a day to make sure they remain in place. This can be done with the small allen wrench provided.

When the Herbst is initially cemented, there is an adjustment period of about one-week. The limited range of motion for the jaw becomes “annoying” at first until the patient learns how to eat and talk with the Herbst.

Sometimes, there is extra saliva for a couple of days until the brain figures out that this is not food and then the extra saliva will subside.

The Herbst has some protrusive parts that may cause irritation, with the help of wax, cheek pads (which we provide) or EZO Denture Cushions. The initial discomfort can be managed with some helpful hints.

The most important item to remember with the Herbst appliance is cleanliness. It is extremely important for patients to brush the appliance, their teeth, and gums. Leaving any plaque on the teeth will result in irritation and infection.The appliance should look very shiny and not milky white (this is plaque). A nightly fluoride rinse is recommended.

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Lingual Arch or Palatal Bar

 
lower-lingual-archThis wire is usually attached to the permanent 6-year molars. It can be removable, but it is sometimes soldered to the molar bands. It is used primarily to “anchor” the molars while continuing the change and correcting the teeth bite.

Did you know flicking the lingual wire up and down with your tongue could break the wire and possibly loosen bands?

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Tongue Crib

 
tongue-cribThe Tongue Crib is used to inhibit the tongue from “pushing” the (front) anterior teeth when speaking. It is used to “retrain” the tongue posture in conjunction with speech therapy to aid in correction of the open bite. It also helps to break a thumb sucking habit.

Did you know playing with the tongue crib can cause the solder joints to break? OUCH!

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The Bonded Bite Plane

 
bonded-bite-planeThe bonded bite plane is used to prevent the lower front teeth from “biting” into the tissue behind the upper front teeth thus causing damage to the tissue and teeth. By “opening” the bite in the front of the mouth, it allows the back teeth to erupt more in order to correct this problem.

The bonded bite plane is also used to correct a severe over-bite (the upper front teeth closing too far over the lower front teeth) in the same way.

The bonded bite plane is made by placing a small amount of bonding material to the backside of the upper teeth to create a triangular plane. They can also be placed on the molars. After correction, the doctor removes the plane by “polishing” it away with a special high-speed instrument.

It is important for patients to keep the tissue area surrounding the bite planes very clean. Watching out for hard foods that could break off these planes is also important. There are times when one of the planes may come off. This is okay, because as long as there is one remaining, the job can be accomplished.

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Elastics

 
elasticsRubber bands or elastics contribute a lot to straighter teeth. They are marvels of physics. Attached to your braces or Invisalign aligners , elastics exert the force that creates the right amount of pressure to move teeth in directions that the braces alone can’t. They don’t work without you. It’s important to wear your elastics as prescribed.

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Shannon Lockhart, Treatment Coordinator

 
Shannon has been with Garrett Orthodontics since Oct 1989. She assists Dr. Garrett during the initial consultation appointment as well as the coordination of all aspects of enrolling our new patients. She enjoys spending time with her husband, two grown daughters and grandchildren. Her hobbies include gardening and vacationing at the beach.

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Amanda Tapscott, Clinical Technician

 
Amanda started her career in orthodontics with Dr. Garrett in May 2008. She enjoys interacting with the patients and assisting in treatment to create a beautiful smile. Amanda is highly skilled as an orthodontic clinical technician and also proficient in making the retainers for our patients. In her spare time she enjoys spending time with her family.

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Paola Phillips, Clinical Technician

 
Paola joined Garrett Orthodontics in February 2012 with ten years of experience in orthodontics. She is married and has two young sons She enjoys spending time with her family and riding their motorcycle. Paola likes to get to know her patients personally and see their smiles before and after orthodontic treatment.

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Pam Frye, Financial Coordinator

 
Pam is our experienced financial coordinator and has been with Garrett Orthodontics since Sept 2005. Patients and parents meet with Pam at the beginning of treatment and at that time she assists them in setting up individual financial arrangements. Pam also monitors all patient accounts and assists with Treatment Coordination. Pam is a Winchester native and Handley graduate. She enjoys spending time with Lance her son and reading, cooking and going to the beach.

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Michele Sherer

 
Michele is originally from Michigan and has six years of clinical orthodontic experience. Michele spends her free time on the weekends racing her road bike in the Mid Atlantic region. She is currently the Women’s Cat ½ Virginia State Time Trial Champion and holds various other titles within the Mid Atlantic Region.

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Susie Garrett, Accounts Payable Supervisor

 
Susie has been the accounts payable and payroll supervisor since 1979. She was a graduate of the Medical College of Virginia School of Pharmacy in 1976 and practiced as a licensed pharmacist until 1990. Susie enjoys tennis, reading, traveling and especially spending time with her family. Susie and Dr. Garrett now have a new granddaughter Autumn Jane to spoil therefore grand parenting is her primary job.

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