Bold Bite Orthodontics

Orthodontist14035 Beach Blvd, Jacksonville, FL

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Today, Apr 5 – Sat, Apr 18

Insurances accepted

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Bold Bite Orthodontics

14035 Beach Blvd, Ste 104, Jacksonville, FL 32250

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Bold Bite Orthodontics

Bold Bite Orthodontics: Who We Are and How We Work Bold Bite Orthodontics is a boutique orthodontic practice in Jacksonville Beach, Florida, led by a husband-and-wife team, Dr. Marty Greenberg and Dr. Trang Cao. Both doctors practiced general dentistry before completing their orthodontic specialty training, which gives them a broader clinical lens than a practice trained exclusively in orthodontics. Dr. Trang is ABO Board Certified. Dr. Marty holds a Master's in Dentistry and brings eight years of prior general dentistry experience plus extensive continuing education in orthodontic biomechanics, airway-focused treatment, and digital technology. Bold Bite is intentionally not a high-volume practice. Patients see the same doctors at every appointment. Questions get answered by the people actually responsible for your care. Our Treatment Philosophy The foundation of care at Bold Bite is straightforward: recommend the most appropriate, least invasive treatment for each patient, and never recommend treatment that does not genuinely serve that patient's long-term interests. This means some patients are told they do not need treatment yet. It means patients who are not good candidates for aligners hear that clearly rather than being started on a plan unlikely to deliver the result they want. It means the treatment plan presented at consultation reflects an honest clinical assessment, not a packaged offering designed around practice revenue. Conservative philosophy also extends to clinical mechanics. Bold Bite favors approaches that work with the patient's biology. For growing patients, this means taking advantage of skeletal growth windows. For adults, it means a thorough upfront evaluation to identify what orthodontics alone can realistically achieve and where specialist coordination is needed. The Diagnostic Process Every patient goes through a comprehensive records process before any treatment plan is finalized. The quality of the diagnosis determines the quality of the outcome. Records include CBCT imaging (three-dimensional X-ray showing teeth, roots, bone, airway, and TMJ anatomy), digital intraoral scanning (replacing traditional impressions entirely), clinical photographs, cephalometric radiographs for skeletal cases, and Bolton analysis to identify tooth-size discrepancies that affect the final bite result. Patients are walked through their records in plain language at the consultation so they leave with a genuine understanding of their clinical situation, not just a treatment recommendation they are expected to accept. Angel Aligners For aligner candidates, Bold Bite uses Angel Aligners rather than Invisalign. This is a deliberate clinical choice based on direct experience with multiple platforms. Angel Aligners are fabricated with tighter tolerances and better material properties, producing more predictable tooth movement, more consistent tracking, and fewer refinements. In practical terms: less added time and a result that more closely matches what was planned. Every aligner case includes detailed pre-treatment plan review (attachment design, staging sequence, IPR timing, biomechanical logic), in-office monitoring at scheduled intervals, Grin Scope remote monitoring between visits, and direct access to the doctors when concerns arise. Grin Scope Remote Monitoring Every aligner case at Bold Bite includes Grin Scope remote monitoring as a standard feature, not an add-on. Patients submit intraoral scans from home between appointments. The doctors review those scans, assess tracking against the planned tooth movement, and follow up if anything needs attention. Without remote monitoring, a tracking problem or compliance issue may not be identified until the next in-office visit, weeks or months later. With Grin Scope, problems are caught early. Early identification means early correction, which protects the treatment timeline and the clinical outcome. Braces For cases requiring fixed appliances, Bold Bite offers metal and clear ceramic braces. Fixed appliances remain the most reliable tool for complex tooth movements involving significant torque, rotation, or vertical correction, and for cases where aligner compliance is a realistic concern. The decision between braces and aligners is driven by clinical suitability. Some cases are excellent candidates for either. Others are genuinely better served by fixed appliances, and patients receive an honest assessment of which approach is more likely to deliver the result they are looking for. Early and Interceptive Treatment Bold Bite evaluates children beginning around age 7, consistent with AAO guidelines. The purpose is not to start treatment on every child. It is to identify the specific subset of developing problems where early intervention produces a meaningfully better outcome than waiting. Cases where early treatment makes a real difference include skeletal discrepancies during active growth (where functional appliances can guide jaw development before the growth window closes), crossbites (which can cause functional jaw shifts and asymmetric bone development if untreated), severe crowding where arch development during growth can reduce or eliminate later extraction needs, impacted teeth identified before the problem becomes significantly more complex, and habits affecting jaw development such as prolonged thumb sucking, tongue thrusting, or mouth breathing. When early treatment is not indicated, parents are told clearly and given a monitoring schedule so the child is followed until the right time for comprehensive treatment. Leaf Expanders When palatal expansion is needed, Bold Bite uses Leaf Expanders as the preferred alternative to traditional Hyrax-style expanders. The Leaf Expander achieves skeletal expansion with less bulk, less interference with speech and swallowing, and a more comfortable patient experience. When two approaches achieve the same clinical outcome, Bold Bite chooses the one that is better for the patient. Bite Correction Bite problems are evaluated and treated based on their underlying cause. For Class II cases (overbite, overjet), growing patients are treated with functional appliances to guide jaw development. Non-growing patients are managed with elastics, Carriere Motion appliances, or TAD-supported mechanics. For aligner cases, mandibular advancement can be incorporated directly into the Angel Aligner design using the A6 feature, correcting the bite and aligning teeth simultaneously. Patients with true skeletal Class II discrepancies beyond what orthodontics can address receive a surgical referral as part of their workup. For Class III cases (underbite), growing patients are evaluated for facemask therapy. Adults with significant skeletal Class III relationships receive a surgical consultation. Dental camouflage is discussed honestly, including its limitations. Deep bites and open bites are planned from the beginning of treatment, not managed as afterthoughts in the finishing stages. Impacted Teeth Impacted teeth require precise diagnosis and careful coordination between orthodontist and oral surgeon. CBCT imaging establishes the exact three-dimensional position of any impacted tooth before treatment planning begins, revealing angulation, proximity to adjacent roots, bone volume, and the required eruption path. Coordination with the oral surgeon is active throughout. The timing of surgical exposure relative to orthodontic space preparation is managed carefully, because exposing a tooth before adequate arch space exists creates a significantly more difficult clinical situation. Patients with impacted teeth are counseled honestly about timelines. Impacted canines in particular are time-intensive cases, and realistic expectations from the start produce a better patient experience throughout. Surgical Orthodontics For patients with skeletal discrepancies beyond what orthodontics alone can address, Bold Bite coordinates with oral and maxillofacial surgeons for combined orthodontic-surgical treatment. Common surgical cases include mandibular advancement for skeletal Class II, maxillary advancement for skeletal Class III, bimaxillary surgery for complex cases, and genioplasty for chin position. The orthodontic role is to prepare the teeth so the jaws can be positioned correctly at surgery and the teeth fit properly afterward. This involves decompensating the teeth, which can temporarily worsen the bite appearance before surgery. Patients are walked through this clearly at the outset. Coordination with surgical partners is direct and communicative throughout. Retention Every patient who completes treatment receives two sets of retainers at debond. Two sets from the start means a backup is immediately available if one is lost or damaged, reducing the window during which teeth can shift. Bold Bite patients can order replacement retainers by mail for life, removing the friction that causes patients to go without a retainer after losing one and experience relapse. Retention protocol is individualized based on the tooth movements accomplished, the patient's age and growth status, and relapse risk factors. Bonded retainers are placed when indicated. Patients with high-relapse-risk movements receive specific counseling about long-term compliance and consequences of non-compliance. Airway-Focused Care Bold Bite integrates airway awareness into orthodontic evaluation and treatment planning. The relationship between jaw structure, arch form, nasal breathing, and airway patency is clinically real and relevant to orthodontic outcomes. Patients who are mouth breathers, snorers, or suspected of sleep-disordered breathing are evaluated with that context in mind. CBCT imaging provides three-dimensional airway measurements. Narrow arches potentially contributing to nasal airway restriction are identified and factored into expansion decisions. When airway concerns fall outside orthodontic scope, referrals are made to ENTs, sleep medicine physicians, or myofunctional therapists. For growing patients, the relationship between early intervention and long-term airway development is a meaningful consideration in treatment timing. TMJ Awareness Orthodontic treatment does not cause TMJ disorders, and it does not reliably cure them. Patients with pre-existing TMJ symptoms are evaluated carefully, and the relationship between their symptoms and any proposed treatment is discussed directly. Appliances that load the joint inappropriately are approached with caution. TMJ symptoms that arise during treatment are investigated, not dismissed. In complex cases, coordination with a TMJ specialist is part of the workup. What to Expect at Your First Visit The initial consultation is a clinical evaluation, not a sales appointment. It includes a clinical examination, review of existing records, and a conversation about what the patient wants to accomplish. For patients proceeding to a full records appointment, CBCT imaging, digital scanning, and photographs are completed before the treatment plan is presented. The treatment plan presentation covers what was found in the records, the clinical objectives, the recommended treatment modality and rationale, the expected timeline, and the fee. Questions are encouraged and answered by the doctors directly. Fees are based on treatment difficulty and complexity. A minor crowding case and a complex bite correction with impacted teeth are not the same clinical undertaking, and the fee reflects that. Payment options are available and reviewed clearly by the financial coordinator. Consultations for children are complimentary. Location and Service Area Bold Bite Orthodontics is located at 14035 Beach Blvd, Suite 104, Jacksonville Beach, Florida. The practice serves patients from Jacksonville Beach, Neptune Beach, Atlantic Beach, Ponte Vedra Beach, Nocatee, St. Johns, Fleming Island, Orange Park, Fernandina Beach, and the broader Jacksonville area. Consultations can be scheduled at orthodontistjacksonville.com.