Types of Treatment

Damon SystemInvisalignInsigniaLingual BracesSurgical OrthodonticsTMJ/TMDSleep Apnea Treatment

Sierra Orthodontics was one of the first offices in California to fully embrace a whole new paradigm in orthodontics – Damon System braces and treatment techniques. The Damon System incorporates passive self-ligating brackets and high technology archwires, allowing your teeth to move more comfortably and easily than with traditional braces. Thanks to these innovative new braces, achieving your perfect smile will be faster and easier than you ever thought possible.

Braces Simplified
The Damon System allows us to eliminate many of the complicated and time consuming procedures that were required with traditional braces. We have been able to significantly reduce the number of appliances we use, including palatal expanders and headgears. We have also significantly reduced the number of extractions needed for our patients.

Less Time Out of Your Schedule
Damon braces are self-ligating – they have a small door that opens/closes. This means that they do not require a ligature (either elastic or metal) to keep the wire tied into the brackets. Self-ligating brackets work more efficiently, allowing shorter and less frequent appointments.

Better Hygiene
In addition to greater comfort, the Damon System makes it easier to maintain good hygiene because it’s easier to keep clean. This contributes to greater health, happiness, and physical attractiveness for the duration of patient treatment.

What is it?
Invisalign offers a cutting-edge approach to orthodontics by using a series of custom-made, invisible aligners. Using 3-D computer imaging, each aligner is specific to your teeth, gradually and gently shifting your teeth into place. The best part about the whole process is that most people won’t even know you are wearing the aligners, so you can smile with confidence–both during and after your treatment.

Invisalign First

Why would I want it?
There are no metal brackets or wires to tighten. The clear aligners are virtually invisible to other people, so no one will notice you are wearing the aligners. The aligners are also removable, which means you can eat what you want, brush your teeth with ease, and floss with no problems. With the complete, virtual treatment plan, you can see the anticipated results before even starting your treatment. Since you have a series of aligners instead of metal wires and brackets, you actually need to go to our office less often to get adjustments.

Why Invisalign?

How does it work?
Using modern 3-D imaging technology, a custom set of aligners is made for you. Every two weeks, you switch to a new aligner. As you switch aligners, your teeth gradually and comfortably shift, resulting in a beautiful smile. Dr. Gune will have you come by the office every six weeks to confirm the progress of your treatment. On average, you will be in treatment for 9 – 15 months and wear 18 – 30 different aligners. However, actual treatment times will depend on your particular case.

Like a fingerprint, your smile is unique—and so is Insignia Custom Smile Design, a computerized system that combines digital treatment planning with custom brackets and wires tailored to your specific dental anatomy.

The process is simple. Following your initial exam, Dr. Gune will take an impression of your teeth for the Insignia smile design lab. Sophisticated imaging software then creates a digital representation of your bite, while braces and wires are custom-fabricated for you.

Insignia treatment is tailored to the individual with each aspect precisely calculated to affect tooth movement in the most optimal way. This means fewer office visits and exceptional comfort throughout treatment. And because treatment is personalized, Dr. Gune often sees a reduction in the amount of time his Insignia patients would ordinarily be in braces. This treatment option is ideal for most cases and patients, whether it’s an adult with a hectic schedule, or a teen who wants to be in and out of braces as quickly as possible.

Utilizing Insignia’s proprietary 3-D software, Dr. Gune can show you your end result before you even start treatment! You’re able to view, with precision accuracy, the curvature and width of the best smile specifically proportioned to your facial features. Unlike off-the-shelf braces and wires, a treatment plan developed with Insignia creates a layer of meticulous detail that provides fast, accurate, and predictable results.

INBRACE is a new style of braces that hides behind the teeth and uses a space-age memory wire to perfect a patient’s smile. The product also significantly decreases treatment time and doctor visits for patients, establishing this new technology as the most advanced and efficient braces on the market today. INBRACE has the added benefit of allowing you to brush and floss normally so there is nothing to remember to put back in after eating. Perfect for the busy professional who wants a quick and discreet solution to straighten teeth.


BRIUS® is a revolutionary method that can be used instead of braces or aligners that moves the teeth independently. Placed behind the teeth so they cannot be seen, this method considerably shortens treatment time, allows for easier cleaning than traditional braces, and is more comfortable than any other behind-the-teeth braces.


Surgical orthodontics is a combined treatment by our doctors and an oral surgeon to correct jaw abnormalities. These issues are determined after reviewing the patient’s X-rays and models.

The orthodontist initially levels and aligns the teeth in the jawbone, then the oral surgeon positions the jaws into a more normal position to allow the bite to come together in an ideal manner. This procedure results in the improved ability to chew, speak, and breathe, while also delivering tremendous facial aesthetics.

Dr. Gune embraces the latest in orthodontic technologies to reduce the overall need for this method. However it can still be required in those with improper bites, as well as those with facial aesthetic concerns. All growth must be complete before jaw surgery can be performed (jaw growth is usually complete by 16 years with girls and 18 with boys); however, it is very common to begin correcting tooth position while a patient is still growing.

The temporomandibular joint connects the jaw to the skull. Pain in this area is characterized as Temporomandibular Disorder. This joint is similar to many others in the body, and, as such, is susceptible to conditions like ankylosis, arthritis, and dislocations.

TMD Symptoms Include:
Biting/chewing difficulty or discomfort
Neck and shoulder pain
Hearing loss
Headaches/earaches in the morning
Jaw pain or tenderness
Reduced ability to open/close the mouth

Sleep apnea is a disorder characterized by abnormal pauses in breathing or instances of abnormally low breathing during sleep. Each lapse in breathing can last from ten seconds to a few minutes, and may occur anywhere from 5 – 30+ times an hour. This disorder disrupts the deep sleep that refreshes the body, and sufferers are often drowsy during the day.

Symptoms of sleep apnea can also include the following:

  • Slower reaction time
  • Vision problems
  • Insomnia or difficulty sleeping
  • Sleep paralysis
  • Loud snoring at night
  • Snorting or choking sounds during the night
  • Waking up at night short of breath
  • Headaches in the morning

Sleep apnea treatment usually begins with behavioral therapy and/or the use of a device to keep a patient’s airways unobstructed and ensure normal breathing.