If you are considering braces or Invisalign, an orthodontist is the
specialist trained specifically to diagnose tooth alignment and bite problems
and plan how the teeth and jaws should move. Your general dentist still plays
an important role: keeping your teeth and gums healthy before, during, and
after orthodontic treatment.
The simplest answer is that you usually want both professionals involved,
for different reasons. Here is how to tell which one to call first.
Both dentists and orthodontists graduate from dental school. An orthodontist
then completes an accredited orthodontic residency focused on tooth movement,
bite correction, jaw growth, and treatment planning. The
American Association of Orthodontists
describes that additional specialty training as 24 to 36 months after dental
school.
The American Dental Association
recognizes orthodontics and dentofacial orthopedics as the dental specialty
that diagnoses, prevents, and corrects problems with the bite, teeth, and
supporting facial structures.
In practical terms:
- A general dentist manages your overall oral health. That includes exams,
cleanings, fillings, gum health, crowns, and other routine or restorative
care.
- An orthodontist focuses on how the teeth fit together, how the bite
functions, and how teeth and jaws can be guided into better positions.
This is not a contest between two professions. It is the same kind of division
of responsibility you see elsewhere in health care: primary care handles the
broad picture, while a specialist concentrates on a narrower problem.
For a decision about moving teeth or correcting a bite, start with an
orthodontic evaluation. The appliance is only one part of treatment. The more
important work is diagnosing why the teeth are out of position and deciding
how each movement will affect the rest of the bite.
An orthodontist can compare options such as traditional braces,
aesthetic braces, and
Invisalign against the same diagnosis. That matters
because the option you prefer may not be the one that gives the doctor the
control your bite requires.
Dr. Guy Mendivil is an orthodontic specialist and an AAO member. He has
practiced in Bakersfield since 1989 and is also a certified Invisalign and
Invisalign Teen provider. That means patients can discuss fixed braces and
clear aligners in one evaluation rather than beginning with a product and
working backward.
Every case deserves a diagnosis, even when the concern looks small in the
mirror. A specialist evaluation becomes especially important when:
- Your upper and lower teeth do not meet evenly.
- You have significant crowding, spacing, or teeth that have not erupted as
expected.
- Your jaw clicks, pops, or aches and you are also considering tooth movement.
- You have already had braces and the teeth or bite have shifted.
- A child has a developing bite or a mix of baby and permanent teeth.
- Another provider has described the case as complex or suggested coordinated
care with another specialty.
- You are deciding between a removable aligner and a fixed appliance.
These signs do not tell you which treatment you need. They tell you that the
diagnosis should come before the appliance choice. Dr. Mendivil's practice also
provides TMJ treatment and consultative orthodontic
continuity for complex cases, with surgical
phases referred to appropriate specialty centers when needed.
They should. Orthodontic treatment moves teeth, but those teeth still need
routine dental care.
Your dentist may identify crowding or a bite concern during an exam and suggest
an orthodontic evaluation. Before braces or aligners begin, the dentist may
also need to address cavities or gum inflammation. During treatment, regular
exams and cleanings remain important because brackets, wires, and aligner
attachments create new areas that need careful cleaning.
The orthodontist then manages the movement plan, monitors the bite, and adjusts
the appliance. If a dental issue appears during treatment, the two offices can
coordinate the sequence of care.
Dr. Mendivil Orthodontics also provides general dental care in Bakersfield,
so orthodontic and routine dental needs can be discussed in the same practice.
Patients who already have a general dentist can continue seeing that dentist;
the goal is clear coordination, not replacing a relationship that works.
Credentials matter, but so does the clarity of the plan. Bring these questions
to any orthodontic consultation:
- Are you an orthodontic specialist? Ask whether the doctor completed an
accredited orthodontic residency after dental school.
- What exactly are you treating? The answer should cover the bite and jaw
relationship, not only the front teeth you can see.
- Which treatment options fit my diagnosis? Ask why braces, clear
aligners, or another appliance is being recommended.
- Who will plan and monitor treatment? You should know which doctor is
responsible for decisions and progress checks.
- How will you coordinate with my dentist? This is particularly important
if you need fillings, gum care, crowns, or other dental work.
- What is included in the fee? Ask about records, visits, retainers, and
how insurance benefits will be applied. Our guide to
braces costs in Bakersfield
explains the main factors that shape a treatment estimate.
A consultation should answer three questions: what is happening with the bite,
which treatment options are appropriate, and what the expected timeline and
cost look like for your case.
At Dr. Mendivil Orthodontics, the consultation is free. The team can review
your insurance information and explain the treatment choices before anything
starts. The practice accepts Blue Shield of California, Delta Dental, Anthem
Blue Cross, Premier Access, MetLife, Guardian, Liberty Dental Plan, and
Medi-Cal & Covered California.
The office is at 11901 Bolthouse Dr Suite 200 in Bakersfield, serving Seven
Oaks, Stockdale, and the surrounding area. Treatment takes place in private
rooms, and bilingual staff are available in English and Spanish.
If you are unsure whether your concern belongs with a dentist or an
orthodontist, schedule a free consultation. The first useful step
is a clear diagnosis; the appliance decision comes after that.
Yes. Every orthodontist first completes dental school, then completes
additional full-time specialty education in orthodontics. Not every dentist is
an orthodontist.
Some general dentists provide orthodontic services. Offering an appliance,
however, is different from completing an accredited orthodontic residency. Ask
about the provider's formal specialty training and who will diagnose and
monitor the bite throughout treatment.
Yes. Orthodontic visits do not replace routine dental exams and cleanings. Your
dentist monitors tooth and gum health while your orthodontist manages tooth
movement and the bite.
No referral is required to schedule with Dr. Mendivil Orthodontics. You can
contact the practice directly, although information from your dentist can be
helpful when the two offices need to coordinate care.