Treatment Options

For Your Teeth, Your Smile & Your Entire Face

Orthodontic Treatment

When you’re ready to explore all of the options available in orthodontics and aesthetic dentistry, Kharsa Ortho-Dent is a great place to start. Dr. Al-Kharsa and his team are leaders in the dental community, and that means there’s no better place to get the answers you need to provide every member of your family with a healthy, beautiful smile.

The American Association of Orthodontists recommends that children have their first orthodontic appointment around the age of 7. Children between 7 and 9 are at the right stage of development for us to determine whether treatment would be recommended and to deal with any issues in the least invasive way. However, no matter your age, we have options that can be custom fit not only to your teeth – but to your life, school and work.

Between the ages of 11 and 15 is the most common time for orthodontic treatment, and for good reason. By 12, most, if not all, of the permanent teeth are in place, and crooked teeth, gaps and bad bites are easy to identify. We can often take advantage of the remaining growth years to make the necessary orthodontic corrections and create an exceptional smile for your child.

Frequently Asked Questions

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Frequently Asked Questions


What are my responsibilities as a patient?

Your primary responsibility while in orthodontic treatment is to take extra care in keeping your teeth and braces clean so that you don’t develop decalcification (white marks) on your teeth when the braces are removed. Additionally, we ask that you:

  • Show up to your appointments on time and calling 24 hours prior if you need to cancel
  • Treat your appliances with care
  • Wear elastics and removable appliances as instructed

Does orthodontic treatment cause gingivitis or caries?

No, orthodontic treatment does not cause gingivitis or caries. Poor oral hygiene and plaque accumulation are the main reason for the development of caries. This is why it is very important to keep your teeth and braces clean during your treatment.

Can I wear braces even though I have crowns and missing teeth?

Yes, you can. We can tell you more about your specific needs when you have your initial consultation, but prior dental work does not make you ineligible.

Is it too late to have braces if I am already an adult?

You’re never too old to get a healthy, beautiful smile with braces or clear aligners. In fact, over 25% of our patients are adults.

Does whitening damage teeth?

Whitening, or bleaching, of the teeth can cause damage if done too often. We offer two forms of whitening at Kharsa Ortho-Dent and will work with you to make sure you get the maximum benefit without causing damage to your teeth.

Will my child need full braces if he/she has Phase One treatment?

Some children never need a second phase of treatment, but many do. We can tell you more when you bring your child for an evaluation.

What is Phase One (early) Treatment?

Phase 1 treatment, also known as early or interceptive treatment is not recommended for the majority of children we evaluate, but when it is, this early phase of treatment is primarily used to address skeletal issues. For example, we use Phase 1 treatment to create space for permanent teeth to come in and to reposition the upper and lower jaw for optimum function and aesthetics.

Can orthodontic correction occur while a child has baby teeth?

We cannot move teeth that have not yet erupted. That’s why most orthodontic treatment occurs after the age of 12, when the second set of molars appear. However, baby teeth can be moved orthodontically in order to create the proper space for the adult teeth.

Do I need to see my family dentist while in braces?

We recommend that you see your family dentist at least twice a year during orthodontic treatment. If you don’t have a family dentist, we can provide the necessary cleanings right in our office during your treatment.

Do you use recycled braces?

No. We never reuse brackets or wires.

Do braces hurt?

The technologies used to straighten teeth and create a healthy, beautiful smile have changed a lot in the past decade. Today, having braces is much more comfortable than it used to be and that is especially true when you get your braces at Kharsa Ortho-Dent. Our doctors have a patient-focused approach and use technologically advanced options that make having braces easier than ever.

The first few days after each appointment some patients experience a little tenderness of the teeth and mouth. Their teeth might even feel a little loose but that’s actually a good thing. After all – they’re on the move. You may want to take some form of pain reliever (what you would normally take for a headache) during this time, but even having a cold drink or enjoying a little ice cream can also provide instant relief.

How long will it take to complete treatment?

Treatment time is different for every patient because everyone’s treatment is personalized. When you have your initial evaluation, we will be able to give you a very good idea of how long your treatment will take.

Life with Braces

How often should I brush my teeth while in braces?

Keeping your teeth clean is always important – and even more so while wearing braces. We recommend that you brush well every morning, before you go to bed and after every meal and snack.

Are there foods I cannot eat while I have braces?

You’ve probably heard from friends and family members who have worn braces that you won’t be able to eat some of your favorite foods while you’re in treatment. That’s true – if your favorite food is hard candy. However, you can eat most anything as long as you avoid things that might cause you to lose a bracket, break a wire, or get tangled up in goo. Here’s a simple, helpful guide to help you avoid any issues.

  • Chewy foods — bagels, licorice
  • Crunchy foods — popcorn, chips, ice
  • Sticky foods — caramel candies, chewing gum (sugar-free gum is okay)
  • Foods you have to bite into — corn on the cob, apples, carrots
  • Hard foods — nuts, hard candies
  • Grains — pasta, soft cooked rice
  • Seafood — tuna, salmon, crab cakes
  • Dairy — soft cheese, pudding, milk-based drinks
  • Breads — soft tortillas, pancakes, muffins without nuts
  • Fruits — applesauce, bananas, sliced fruit, most berries (but watch out for seeds)
  • Meats/poultry — soft cooked chicken, meatballs, lunch meats
  • Vegetables — mashed potatoes, steamed spinach, beans
  • Treats — ice cream without nuts, milkshakes, Jell-O, cake

Can I still play sports?

Yes, you can. There’s no reason for you to stop enjoying sports and other activities you enjoy during your treatment. However, we recommend wearing a special mouthguard, designed to “float” over your braces, any time your activity could result in you being hit in the face with a ball or any other form of contact to your face is possible.


Does the clinic accept walk-in cases?

The clinic does accept walk-in cases but the wait may be long depending on the schedule that day. So it is always recommended to book an appointment.

What will happen at the initial examination appointment?

At your initial examination appointment, you will have the opportunity to share your treatment goals, meet our team and meet with one of our doctors. This appointment offers an excellent opportunity to get answers to your questions and find out what options are best for you.

How do I schedule an appointment for an initial exam?

To schedule an initial exam you can call the office during normal business hours or, if you prefer, you can fill out the form on the Patient Information Page and we will contact you to set up your appointment.

At what age should I schedule an appointment for an orthodontic screening?

The American Association of Orthodontists recommends having children evaluated between the ages of 7 and 9. However, it’s never too late for orthodontics. We have treated patients from 5 to 85 years of age.

Cost and Financing

Braces For Adults

It’s never too late to enhance your smile. More and more adults today are seeking orthodontic treatment to improve their smile because the options are so much more esthetic and comfortable than they used to be. About 25 percent of our patients are adults who have discovered that orthodontic treatment not only improves their appearance but improves overall health. By seeking orthodontic treatment as an adult you can possibly avoid severe tooth decay, gum and bone loss, and irregular wear of the tooth enamel, all of which can be very painful and costly. Plus, today’s options also shorten your treatment time significantly. Whether you choose metal or clear braces, hidden braces or clear aligners, at Kharsa Ortho-Dent, your treatment can be tailored to fit your lifestyle.

Customized Braces, Invisalign & More

  • meet-member-img-2 Dr. Anas Al-Mulla heads the lingual orthodontic clinic at Kharsa Ortho-Dent. He is a master provider and educator of the lingual technique (commercially known as Incognito) in the Middle East region. Dr. Al-Mulla received his dental degree in 2003 from King Saud University and completed his specialty and Ph.D training in Orthodontics and Cariology in 2010 at the University of Gothenburg in Sweden. He is also the Director of GCC A­ffairs at the European University College and a specialist orthodontist at Drs. Nicolas & ASP Clinics in Dubai, UAE. Dr. Al-Mulla is a published author in the field and the editor of various research journals. He is a member of the American Association of Orthodontists, the Swedish Orthodontic Society and the Saudi Orthodontic Society.

The Damon Smile System is a fast, comfortable treatment option that gives us the ability to straighten your teeth comfortably. Damon braces don’t require elastics to hold the wire in place. Instead, the wire moves freely, and your teeth move quickly and efficently.

  • The Damon Smile System offers:
  • Treatment without tightening
  • Faster treatment times
  • Fuller, wider smiles

Incognito braces can correct the position of your teeth with long-lasting results. How does it work? It's very simple. Unlike conventional braces that are fixed to the front side of the teeth, Incognito braces are fixed to the inner surface of the teeth, making them almost invisible from the outside. This popular treatment option is for adults - and Kharsa Ortho-Dent is a leading provider in Riyadh.

The Invisalign® System straightens your teeth without wires and brackets, using a series of clear, customized, removable aligners. It's virtually invisible, which means you can straighten your teeth without announcing it to the world. And Kharsa Ortho-Dent is an Invisalign® Gold Provider - a designation reserved only for practitioners with a very high level of expertise. Invisalign moves your teeth in small steps to the desired final position. Each of your aligners is precisely customized to fit your mouth at each stage of the treatment plan. You switch to a new set of aligners every couple of weeks and only remove them to eat, brush and floss. Before you know it you’ll be smiling like you never have before! At your initial consultation, you can find out if Invisalign is a good option for you. It’s one of a number of virtually undetectable options we offer and is available for both teens and adults.

Orthodontics & Surgery

Corrective jaw surgery (orthognathic surgery) treats and corrects abnormalities of the facial bones, specifically the jaws and the teeth. Often, these abnormalities cause difficulty associated with chewing, talking, sleeping and other routine activities. Orthognathic surgery corrects these problems and, in conjunction with orthodontic treatment, will improve the overall appearance of the facial profile. At Kharsa Ortho-Dent we use the latest in digital imaging technology which benefits our patients in many ways. Digital technology improves communication between practitioners and improves the patient's understanding of the treatment. It provides better information, right from the start, so we can provide better outcomes. Plus, Kharsa Ortho-Dent we've created a team consisting of some of the top orthodontists, orthognathic surgeons, dermatologists and other specialists in Riyadh - and throughout the world - to ensure that our adult patients benefit from their combined knowledge and expertise. Our team of experts will make sure you understand all the options. That way, you can make the right decision for your treatment.

Sleep Apnea

You are probably aware that there is a strong connection between oral health and your overall health. But you may not know that the position of your jaw can have a dramatic impact on your ability to breath well, especially while sleeping. If you don’t wake up refreshed every day, you may be suffering from an undiagnosed sleep disorder. There are a number of factors that contribute to obstructive sleep apnea that the Kharsa Ortho-Dent team can help you understand and then treat. Our team of experts, led by Dr. Salwa Ismail, are uniquely qualified to evaluate and treat sleep-related issues. Sleep disorders are often ignored, which can lead to complications such as:

  • Chronic daytime sleepiness
  • High blood pressure
  • Heart attack
  • Stroke
  • Heartburn, reflux
  • Morning headaches
  • Depression
  • Dr. Ismail Dr. Salwa Ismail is the medical director at Kharsa Ortho-Dent. She is a certified orthodontist by training and has 30 years of experience working at Riyadh Military Hospital. She later developed a keen interest in sleep apnea and in 2000 obtained her board certification from the American Academy of Dental Sleep Medicine. Dr. Ismail is committed to improving the lives of both adult and pediatric patients who require sleep apnea treatments. She is a published author in the field and a member of the American Academy of Sleep Medicine, the American Academy of Dental Sleep Medicine, the World Association of Sleep Medicine and the Saudi Orthodontic Society.

Sleep Apnea Impacts Both Adults & Children

During the Night, a child with sleep apnea may:

  • Snore loudly and on a regular basis
  • Have pauses, gasps, and snorts and actually stop breathing.
  • The snorts or gasps may waken them and disrupt their sleep.
  • Be restless or sleep in abnormal positions with their head in unusual positions
  • Sweat heavily during sleep

During the Day, a child with sleep apnea may:

  • Have behavioral, school and social problems
  • Be difficult to wake up
  • Have headaches during the day, but especially in the morning
  • Be irritable, agitated, aggressive, and cranky
  • Be so sleepy during the day that they actually fall asleep or daydream
  • Speak with a nasal voice and breathe regularly through the mouth
  • Excessively sleepy children can present as either lethargic or hyperactive.

Facial Scupting & Rejuvenation

Our practice is about overall facial esthetics so our treatment options go far beyond just straightening teeth. In fact, every one of our specialist doctors understands how lips, cheeks, eyes, and those lines that frame your mouth (the nasio-labial lines) work together to create a healthy, youthful look no matter your age. That’s why we offer fillers and botox to reduce the impact of aging. At Kharsa Ortho-Dent, we want you to look like you - but the very best version possible. Be sure to inquire about our services when you visit the office or by scheduling a consultation today.

Dental Services

 Currently, the general dentistry clinic is not operating. We are seeking the services of highly qualified SGD.

Everyone needs a dentist, but not everyone loves going to the dentist. At Kharsa Ortho-Dent, we understand that. That's why we offer numerous dental services that enhance the experience and outcomes of our orthodontic patients before, during and after treatment. We added these "adjunct" dental services at the request of our patients and they tell us they love the convenience and security it provides. Any dental services that are not provided at Kharsa Ortho-Dent are referred to the patient's dentist or our network of highly qualified professionals. Our dental services include:

Dental Examinations

Annual dental exams are an important part of keeping your mouth healthy and disease free. During the exam, we will do a complete exam of the teeth, gums (gingiva) and surrounding tissue and evaluate your teeth for cavities. Using diagnostic aides such as x-ray and photographs we complete the exam and confirm diagnosis. We also check the position and spacing of your teeth and look for signs of grinding and clenching which may be detrimental to the longevity of your teeth and even consider oral habits (grinding, thumb-sucking, chewing on ice) and dietary factors that may affect the wellbeing of your oral health.

Dental Cleanings

Dental cleanings are an important part of not only your oral health but also your overall health. Did you know over time bacteria collects around your teeth that can lead to cavities, bone loss, infections, and affect your systemic health? In fact, this build up of bacteria can increase your risk of heart disease, make it harder to control your blood sugar levels if you are diabetic, and these bacteria can even affect pregnancy. For these reasons, it’s important to come in for regular dental cleanings to remove this built up bacteria, known as plaque and tartar. Based on your risk factors, our hygienists will let you know how often we’d like to see you to ensure your oral health is at its best.


Teeth can discolor for many reasons, including what you eat and drink, the natural aging process, medications you’ve taken or if you’ve had any previous trauma to a tooth. If you are unhappy with the color of your teeth make our dental team aware. We will take the time to evaluate the shade of your teeth and if your teeth could benefit from whitening, we offer two different approaches - light-enhanced whitening and take home bleaching. We also offer in office laser whitening to help brighten your smile.

Veneers & Cosmetic Procedures

If you are unhappy with the shape, color, angle or spacing of your teeth, we have a number of ways we can help you love your smile. From shaping your gum tissue to improve your smile, to cosmetic fillings, to dental veneers, to complete smile restorations, we can give you the confidence that comes when you feel good about your smile. Veneers are very thin shells made out of porcelain (or composite material) that we attached to the front of your teeth. They look like natural teeth...the kind you always wished you had. With veneers, as with all our cosmetic procedures, we will start by getting to know you so we can understand what you would like to change and then only recommend the best possible approach.

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