
Why Families Choose Granite Coast Orthodontics
When complex bite problems require a team approach, experience and communication matter. At Granite Coast Orthodontics—Smiles by Dr. Doug—we coordinate your orthodontic treatment with your dentist and surgical specialists when appropriate, making surgical orthodontics as straightforward as possible. Our team explains every phase of treatment, answers questions along the way, and helps patients feel confident about each decision.
When Orthodontics Alone Isn’t Enough
Most orthodontic treatment can be completed without surgery. However, some patients have jaw differences that cannot be corrected by moving teeth alone. These cases may include:
- Significant overbites or underbites
- Open bites
- Facial asymmetry
- Jaw size discrepancies
- Bite problems affecting chewing or speech
We begin with a thorough evaluation using digital photographs, 3D CBCT imaging, and digital scans. These records allow us to study both the teeth and the jaws before recommending treatment. If a combined orthodontic and surgical approach offers the healthiest long-term outcome, we develop a detailed plan alongside your surgical team.
Today’s digital planning technology allows us to securely share imaging and treatment plans with specialists throughout New England, helping patients receive coordinated care while minimizing unnecessary travel and appointments.
What Treatment Typically Looks Like
Every patient is different, but treatment often includes:
- Orthodontic treatment to position the teeth
- Detailed digital planning with your surgical team
- Jaw correction performed by an oral and maxillofacial surgeon
- Final orthodontic adjustments to refine your bite
Advances in technology and surgical techniques have made treatment much more comfortable than many people expect. Patients are often surprised to learn that recovery can be easier than anticipated, and the practice of being “wired shut” after treatment is now uncommon.
Long-Term Benefits
Correcting significant jaw discrepancies can improve much more than appearance. Depending on your diagnosis, treatment may help improve:
- Chewing function
- Bite stability
- Facial balance
- Speech
- Long-term dental health
For some patients, improving jaw position may also reduce factors associated with TMJ discomfort or sleep-disordered breathing when appropriate. Every recommendation is based on your specific diagnosis and overall health.
Because these cases are less common, careful planning makes a meaningful difference. We take time to review your records, collaborate with trusted specialists when needed, and explain every recommendation in plain language. Families across Midcoast Maine appreciate having a local orthodontic team that coordinates advanced care while keeping treatment organized and easy to follow.
Who May Benefit?
Candidates are typically older teens or adults whose jaw growth is complete. During your consultation, Dr. Douglas Laliberte (Dr. Doug) will evaluate your bite, jaw relationship, overall dental health, and growth before discussing treatment options.
Our goal is never to recommend surgery unless it provides a clear functional benefit. In many cases, orthodontic treatment alone remains the best solution.
Considering a Second Opinion?
If you’ve been told you have a significant bite problem or jaw discrepancy, we’re happy to provide an evaluation or second opinion. Granite Coast Orthodontics welcomes patients from Rockport and neighboring Midcoast Maine communities.



