Genetics
Inherited tooth size, jaw shape, and arch width largely determine how much space is available for permanent teeth to erupt straight.

Conditions We Treat
Clear Aligners for a Confident Smile
Recognizing the Signs
Crooked teeth in East Ellijay, GA, clinically known as dental malocclusion, describe teeth that are misaligned, crowded, rotated, or spaced unevenly along the dental arch. This common condition affects the way your upper and lower teeth come together and can influence both the appearance of your smile and the long-term health of your bite.
When you notice teeth that overlap, twist, or sit out of line in photos and the mirror, you are recognizing the visible signs of malocclusion. Many patients also describe difficulty flossing between certain teeth, food trapping in tight spaces, or a bite that feels uneven when chewing.
The team at East Ellijay Family and Cosmetic Dentistry, partners Dr. David L. Settel, DMD, FAGD and Dr. Cynthia P. Hall Sosebee, DMD, with Dr. Michael Dillard, DMD, cares for patients across East Ellijay, Ellijay, Blue Ridge, and Jasper, GA who want to address crooked teeth without the look or hassle of traditional metal braces. As a certified Invisalign Provider, our practice offers clear aligner solutions designed for both teens and adults.
Understanding the Root Causes
Tooth position is determined by a combination of inherited jaw size, tooth size, and the soft tissue forces from the tongue, lips, and cheeks. When the available space in the dental arch is smaller than the combined width of the erupting teeth, crowding develops and teeth shift out of ideal alignment. The American Dental Association recognizes malocclusion as one of the most prevalent dental conditions, affecting a substantial portion of adolescents and adults.
Childhood habits such as prolonged thumb-sucking, extended pacifier use, or mouth breathing can apply consistent pressure on developing teeth and the upper jaw, gradually pushing teeth forward or narrowing the arch. Early loss of baby teeth from decay or trauma may also allow neighboring teeth to drift into the empty space before adult teeth erupt.
Even after orthodontic treatment in adolescence, teeth can slowly shift over the years if retainers are not worn as prescribed. Adult relapse is a common reason patients seek Invisalign clear aligner treatment later in life to correct minor to moderate crowding that has returned.
How Misalignment Affects Daily Function
Beyond appearance, crooked teeth can interfere with how your bite distributes chewing forces. When upper and lower teeth do not meet evenly, certain teeth may absorb more pressure than they were designed to handle, leading to accelerated wear on the enamel of those contact points and uneven loading of the temporomandibular joints.
Crowded or overlapping teeth also create tight contact areas where a toothbrush bristle and floss cannot fully clean. Plaque and food debris accumulate in these protected zones, raising the risk of cavities along the contact surfaces and inflammation of the surrounding gum tissue. According to the National Institute of Dental and Craniofacial Research, untreated malocclusion is associated with higher rates of gingival disease over time.
Many patients in our East Ellijay practice also report mild speech changes, lip irritation from prominent teeth, or self-consciousness when smiling in photos. 3D digital scanning allows your dentist to map your current bite precisely and show how aligner therapy can improve both function and aesthetics.
Expert Care in East Ellijay
Finding Your Best Approach
| Treatment | Best For | Session Time | Results Timeline | Maintenance |
|---|---|---|---|---|
| Comprehensive Dental Exams | Diagnosis and planning | 45-60 min | Same visit | Every 6 months |
| 3D Digital Dental Scanning | Bite mapping and previews | 10-20 min | Same visit | As needed |
| Invisalign Orthodontic Treatment | Mild to moderate misalignment | 20-22 hrs daily wear | 12-18 months | Retainers nightly |
| Teeth Whitening | Post-alignment brightening | 45-60 min in-office | 1-2 weeks | Touch-ups yearly |
Recognizing When to Seek Help
About Crooked Teeth
Invisalign clear aligners can correct a wide range of crowding, spacing, and bite issues, including many moderate to advanced cases. During your consultation, your dentist uses 3D digital scanning to evaluate the complexity of your case and confirm whether aligners can achieve your goals or whether another approach is more appropriate.
Most adult Invisalign cases at our East Ellijay office take between 12 and 18 months, while simpler cases can finish in as little as 6 months. Treatment length depends on the complexity of your alignment, how consistently you wear your aligners, and how your teeth respond to each stage of movement.
There is no upper age limit for clear aligner treatment. As long as your teeth and gums are healthy, adults in their 40s, 50s, 60s, and beyond can successfully straighten their teeth with Invisalign. Many of our adult patients choose aligners specifically because they are nearly invisible at work and social events.
Most patients describe mild pressure or tenderness for the first day or two after switching to a new aligner tray. This sensation is a sign the aligner is gently moving your teeth into the next position and typically eases quickly. Over-the-counter pain relievers are rarely needed beyond the first few days of treatment.
If you have a Delta Dental plan with an orthodontic rider, a portion of your aligner treatment may be covered. Our front office team verifies your specific benefits before treatment and offers CareCredit and Cherry financing options to make any out-of-pocket portion easier to manage.