Not all orthodontic cases are straightforward. Some require advanced expertise, specialized techniques, and a collaborative approach that goes beyond traditional braces or Invisalign.
At Sturgill Orthodontics in Johnson City, we’re the practice that local dentists trust with their most challenging cases—and for good reason. Our team of four board-certified orthodontists brings decades of combined experience in handling complex orthodontic situations when other practices might refer elsewhere.
Areas We Serve: Johnson City, Kingsport, Bristol, Elizabethton, Jonesborough, Gray, Blountville, and throughout the Tri-Cities region of Northeast Tennessee and Southwest Virginia.
If you’ve been told your case is “too complex” or requires multiple specialists, you’ve found the right place.
Get Expert Care for Complex Cases
What Makes Orthodontic Treatment “Advanced”?
Advanced orthodontic treatment goes beyond basic teeth straightening and simple malocclusion correction. These complex cases often involve multiple issues working together, requiring specialized expertise and a comprehensive treatment plan.
Why Advanced Care Matters
Advanced orthodontic treatment isn’t just about aesthetics — it’s about function, comfort, and long-term oral health. Addressing complex bite or jaw problems early can prevent TMJ pain, airway issues, and future dental complications. Our functional orthodontics approach ensures your treatment addresses both immediate concerns and prevents problems that could develop years later.
Complex Bite Corrections and Jaw Alignment
Severe overbites, underbites, crossbites, and open bites often need more than standard braces. Our orthodontic specialists use advanced techniques including:
- Specialized appliances for jaw repositioning and maxillary expansion
- Coordinated treatment with surgical orthodontics and orthodontic surgery coordination
- Custom bite correction protocols and occlusal therapy
- Advanced 3D treatment planning for complex tooth movement
- Palatal expanders for narrow arches and crowding issues
Our expertise extends to treating severe overbites, underbite correction, and crossbite treatment that require advanced biomechanics and careful monitoring.
Interdisciplinary Treatment Planning
Many advanced cases require coordination between multiple dental specialists and medical professionals. Our Johnson City team regularly collaborates with:
- Oral surgeons for surgical orthodontics and orthognathic surgery
- Periodontists for gum health during complex movements and periodontal maintenance
- Prosthodontists for full mouth reconstructions and restorative dentistry
- Sleep medicine physicians for airway orthodontics and sleep disorder therapy
- ENT specialists for comprehensive airway evaluation
TMJ and Jaw Dysfunction Treatment
Our orthodontists have specialized training in treating TMJ/TMD disorders that often accompany complex orthodontic cases. Dr. Sturgill’s extensive experience includes rotations at Harvard University’s Facial Pain Clinic, bringing advanced TMJ expertise to Johnson City patients.
We understand how orthodontics can help sleep issues associated with TMD, providing comprehensive care that addresses both jaw dysfunction and sleep quality through functional orthodontics approaches.
Adult Orthodontic Complications and Retreatment
Adult orthodontic treatment often presents unique challenges requiring specialized orthodontic care for adults:
- Bone density considerations and slower tooth movement
- Existing dental work integration with orthodontic appliances
- Periodontal health management during treatment
- Adult orthodontic relapse correction
- Time constraints and aesthetic concerns for professional adults
Many adults wonder “Am I too old for braces?” Our specialists regularly treat complex adult cases, understanding the unique benefits of adult braces beyond just aesthetics.
Schedule Your Complex Case Consultation
Why Johnson City Dentists Refer Their Toughest Cases to Us
Local dentists throughout the Tri-Cities area know that when they encounter a challenging orthodontic case requiring advanced intervention, Sturgill Orthodontics has the expertise to handle it successfully. Our track record with complex cases is why dentists across the Tri-Cities refer to us.
Collaborative Treatment Approach
Complex cases benefit from multiple expert perspectives and interdisciplinary care. Our team regularly reviews challenging cases together, ensuring every patient receives the collective wisdom of our entire orthodontic team and the most custom treatment plan possible.
Four Board-Certified Specialists
Unlike most practices with a single orthodontist, our team of four board-certified doctors brings diverse specializations and collaborative expertise to every complex case:
Dr. Jeremiah Sturgill – With specialized training at Harvard’s Facial Pain Clinic and extensive experience in TMJ treatment, Dr. Sturgill brings advanced expertise in jaw dysfunction, complex bite corrections, and craniofacial orthopedics to our Johnson City practice.
Dr. Allison Williams – Her groundbreaking research in 3D printing and orthodontics, published in the American Journal of Orthodontics, keeps our practice at the forefront of technological advances for complex case management and precision treatment planning.
Dr. Anne Miller Harper – With her top-of-class education and specialized training in complex orthodontic cases, Dr. Harper brings precision biomechanics and expertise to challenging smile transformations and facial asymmetry correction.
Advanced Technology for Complex Cases
Our Johnson City office features cutting-edge technology that makes complex treatments more predictable, comfortable, and efficient:
- 3D digital imaging for precise diagnosis and treatment simulation
- Advanced treatment planning software with biomechanical analysis
- Custom appliance fabrication capabilities and laboratory services
- Digital progress monitoring systems and treatment tracking
- Cone beam CT imaging for complex cases requiring detailed anatomical analysis
Experience Our Advanced Care Team
Advanced Treatment Options Available in Johnson City
Surgical Orthodontics (Orthognathic Surgery)
For severe jaw discrepancies and skeletal malocclusions that can’t be corrected with braces alone, we coordinate surgical orthodontic treatment with trusted oral surgeons. Our orthodontic surgery coordination ensures seamless care addressing:
- Severe underbites or overbites requiring jaw repositioning
- Facial asymmetry and mandibular deviation
- Jaw joint disorders and temporomandibular dysfunction
- Airway obstruction issues and sleep-disordered breathing
- Speech and chewing difficulties from skeletal discrepancies
TMJ/TMD Comprehensive Treatment
Our TMJ specialists in Johnson City provide comprehensive care for jaw dysfunction, including:
- Detailed jaw joint analysis and functional assessment
- Custom oral appliances and bite splint therapy
- Coordinated physical therapy and muscle relaxation techniques
- Advanced pain management techniques and trigger point therapy
- Bite adjustment protocols and occlusal equilibration
Treatment recommendations are personalized and evidence-based; outcomes vary by diagnosis and patient factors.
Sleep Apnea and Airway Treatment
We offer sleep apnea treatment that addresses orthodontic and airway issues simultaneously through airway orthodontics:
- Airway-focused orthodontic expansion and maxillary development
- Custom sleep appliances and mandibular advancement devices
- Coordinated care with sleep physicians and pulmonologists
- Comprehensive airway evaluation and respiratory assessment
Complex Adult Orthodontics and Retreatment
Our adult orthodontic specialists handle challenging orthodontic care for adults including:
- Adult orthodontic retreatment and relapse correction
- Integration with existing dental work and prosthetics
- Periodontal considerations and gum health maintenance
- Accelerated treatment options for busy professionals
- Discrete treatment alternatives for aesthetic concerns
Extraction vs. Non-Extraction Treatment Planning
Our expertise in extraction therapy vs non-extraction therapy allows us to provide the most conservative treatment approach possible. We carefully evaluate whether tooth extraction is necessary or if alternative expansion methods can create space.
Craniofacial and Cleft Palate Treatment
Our team has specialized experience treating:
- Cleft lip and palate cases requiring multidisciplinary care
- Craniofacial syndromes and developmental anomalies
- Complex developmental issues and growth modification
- Coordinated multidisciplinary care with medical specialists
Facial Asymmetry Correction
Understanding how orthodontic treatment could help facial asymmetry, we provide comprehensive evaluation and treatment for patients with:
- Unilateral crossbites affecting facial development
- Mandibular deviation and jaw asymmetry
- Coordinated treatment with maxillofacial surgeons when necessary
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Real Results from Complex Johnson City Cases
Isabella Horne
This place is truly exceptional! The staff were warm, welcoming, and made the entire experience smooth and efficient. Dr. Sturgill was incredibly kind and provided excellent care for my TMJ issues. And Louie the dog? Absolutely adorable! Such a sweet touch to an already great visit.
Danielle Garland Cook
My daughter and I both had a great experience here!! Everyone is so friendly and helpful. My daughter had general orthodontic treatment and I came in with a serious, long term TMJ issue that they assured me they could help with….and guess what? They did!! I got my braces off a few weeks ago and I haven’t had any TMJ pain or popping since my bite was corrected through the process. My daughter and I both enjoyed the office atmosphere too, the coffee bar and Louie! We’re both super grateful to the Dr’s and staff at Sturgill! They go out of their way to accommodate any needs that arise!! We really appreciate all of them!! A+++
Hannah Clark
Best local orthodontist! Wonderful atmosphere, very kind, and that Shelley Hall is absolutely fantastic! Would recommend Sturgill to anyone and everyone!
Advanced Technology for Predictable Results
3D Imaging and Treatment Planning
Our advanced imaging technology and 3D printing capabilities allow us to:
- Visualize complex anatomical relationships and root positions
- Plan treatment with millimeter precision using digital models
- Predict treatment outcomes with virtual treatment simulation
- Communicate clearly with patients and other specialists using visual aids
- Create custom appliances with precise fit and function
Custom Appliance Design and Fabrication
For complex cases requiring specialized appliances, we design and fabricate:
- Custom expansion devices and palatal expanders in Johnson City
- Specialized bite correction appliances and functional devices
- TMJ treatment appliances and bite splints
- Retention systems for complex cases requiring long-term stability
- Temporary anchorage devices (TADs) for difficult tooth movements
Digital Monitoring and Adjustments
Advanced cases require precise monitoring and adjustment protocols. Our digital systems track:
- Treatment progress in real-time with digital photography
- Adjustments needed for optimal results and timeline management
- Coordination with other specialists and shared treatment records
- Timeline optimization and appointment scheduling efficiency
See Our Advanced Technology in Action
The Advanced Treatment Process
Comprehensive Evaluation and Diagnosis
Every complex case begins with a thorough evaluation including:
- Detailed medical and dental history review
- Advanced imaging studies including cone beam CT when indicated
- Functional analysis of bite, jaw movement, and muscle function
- Coordinated consultation with other specialists when needed
- Comprehensive oral health assessment and periodontal evaluation
Collaborative Treatment Planning
Our four-doctor team reviews complex cases together, developing a comprehensive treatment plan that considers:
- Multiple treatment approaches and alternative strategies
- Timeline optimization and phased treatment protocols
- Risk management and complication prevention
- Patient lifestyle factors and compliance considerations
- Long-term stability and retention requirements
Coordinated Care Execution
Throughout treatment, we maintain close communication with:
- Your general dentist for oral health maintenance
- Any specialists involved in your care coordination
- Your family to ensure everyone understands the treatment process
- Insurance providers for optimal coverage and benefit maximization
Advanced Retention Protocols
Complex cases require specialized retention strategies to maintain results:
- Custom retention appliances designed for your specific needs
- Long-term monitoring schedules and progress evaluation
- Adjustment protocols for changing needs and growth patterns
- Lifetime support for optimal stability and oral health maintenance
Investment in Advanced Orthodontic Care
While advanced orthodontic treatment represents a significant investment in your oral health and overall well-being, our Johnson City practice makes it accessible through:
Comprehensive Insurance Support
Our team works extensively with insurance providers to:
- Maximize coverage for complex treatments and medical necessity claims
- Navigate pre-authorization requirements and documentation
- Coordinate benefits across multiple specialists and treatment phases
- Provide detailed documentation for insurance approval and reimbursement
Flexible Financing Options
We offer the lowest down payments in Johnson City plus:
- Extended payment plans for complex cases requiring longer treatment
- Coordination with healthcare financing companies and credit options
- Family payment options for multiple family members
- Treatment phase payment scheduling for surgical cases
Value of Specialized Expertise
Advanced orthodontic treatment often saves money long-term by:
- Addressing multiple issues simultaneously with comprehensive care
- Preventing future complications and additional treatments
- Reducing the need for additional specialists and referrals
- Providing lasting, stable results with proper retention protocols
Explore Your Financing Options
Frequently Asked Questions About Advanced Orthodontic Treatment
How do I know if I need advanced orthodontic treatment?
You might benefit from advanced treatment if you have:
- Severe bite problems that affect function, speech, or chewing
- Jaw pain, TMJ symptoms, or temporomandibular dysfunction
- Multiple orthodontic issues requiring interdisciplinary care
- Previous unsuccessful orthodontic treatment or relapse
- Complex dental history with missing teeth, extensive dental work, or periodontal issues
- Facial asymmetry or developmental concerns
How long does advanced orthodontic treatment take?
Treatment duration varies significantly based on complexity and individual factors, but typically ranges from 18 months to 3 years. Surgical cases may require additional time for healing and post-surgical adjustments. Our team provides detailed timelines during your consultation, with regular progress updates throughout treatment.
Will insurance cover advanced orthodontic treatment?
Many insurance plans provide coverage for medically necessary orthodontic treatment, especially when related to functional issues, TMJ problems, or sleep disorders. Our team works closely with insurance providers to maximize your benefits and ensure proper coverage for complex cases requiring specialized care.
Can advanced orthodontic treatment be done without surgery?
Many cases that might seem to require surgery can actually be treated with advanced non-surgical techniques, including functional appliances, palatal expansion, and biomechanical approaches. Our team explores all conservative options before recommending surgical intervention.
What makes Sturgill Orthodontics different for complex cases?
Our combination of four board-certified specialists, advanced technology including 3D printing capabilities, collaborative approach, and specialized training in areas like TMJ treatment and surgical orthodontics makes us uniquely qualified to handle the most challenging cases in Johnson City.
Do you handle orthodontic emergencies during complex treatment?
Yes, we provide comprehensive emergency care for our patients undergoing complex treatment. Our team understands that advanced cases may present unique challenges and we’re prepared to address any urgent needs that arise during your treatment journey.
Is every complex case surgical?
No. Many complex cases can be treated non-surgically with staged biomechanics, expansion, or TADs. We review conservative options first and explain expected trade-offs.
Do you offer same-day starts after the consult?
When appropriate, yes—diagnostics can be taken at your visit and treatment can begin once your custom plan is approved.
Why Choose Advanced Orthodontic Care in Johnson City?
Local Expertise for Complex Cases
Rather than traveling to distant specialists or academic centers, Johnson City residents can access advanced orthodontic care right here in the Tri-Cities. Our team’s combined expertise, continuing education, and research involvement rivals any major metropolitan area practice.
Coordinated Multidisciplinary Care
We work seamlessly with other specialists throughout the region, ensuring your care is coordinated and comprehensive while keeping you close to home. Our established relationships with oral surgeons, periodontists, and other specialists streamline your treatment process and coordinated surgical care.
Proven Track Record
Our success with complex cases has earned the trust of dentists throughout the Tri-Cities area, who regularly refer their most challenging patients to our practice. This professional recognition speaks to our expertise in handling difficult orthodontic situations and delivering exceptional results.
Patient-Centered Approach
Even the most complex cases receive personalized attention, with treatment plans tailored to your specific needs, lifestyle, and goals. We understand that advanced treatment can be overwhelming, and we’re committed to making the process as comfortable and understandable as possible.
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Ready for Expert Care?
Don’t let anyone tell you that your orthodontic goals are “too complex” or “impossible.” At Sturgill Orthodontics in Johnson City, we specialize in making the impossible possible through advanced techniques, collaborative care, and unwavering commitment to excellence.
Our team of four board-certified orthodontists has the advanced training, cutting-edge technology, and collaborative expertise to handle even the most challenging cases successfully. Whether you’re dealing with severe bite problems, jaw pain, previous treatment failures, facial asymmetry, or complex dental issues, we’re here to help you achieve the healthy, beautiful smile you deserve through our comprehensive treatment approach.
From complex bite corrections to TMJ treatment, from adult retreatment to surgical coordination, we provide comprehensive advanced care that addresses your unique needs with precision and expertise.
Schedule Your Advanced Care Consultation
Visit Our Advanced Care Team in Johnson City
Sturgill Orthodontics
801 Sunset Dr., Suite E5
Johnson City, TN 37604
Phone: (423) 528-9931
Office Hours:
Monday – Wednesday: 8:00 a.m. – 5:00 p.m.
Thursday: 7:30 a.m. – 4:30 p.m.
Friday: 8:00 a.m. – 12:00 p.m.
We also serve patients from our Bristol office and Norton, VA location for your convenience.
Experience the difference that advanced orthodontic expertise makes. Contact us today to schedule your comprehensive evaluation and discover how our specialized team can transform your smile, no matter how complex your case may be.
The Most Complex Cases. The Most Advanced Care. Right Here in Johnson City.
Sturgill Orthodontics proudly serves patients requiring advanced orthodontic treatment from Johnson City, Kingsport, Bristol, Elizabethton, Jonesborough, Gray, Blountville, and throughout Northeast Tennessee and Southwest Virginia.