Welcome to Braces in the Park!

Dr. Karina Spivak Orthodontics

Creating beautiful smiles in Severna Park, Annapolis, Arnold, Pasadena, Millersville and surrounding Maryland towns since 1980

Office Information

  690 Ritchie Highway
      Severna Park, MD. 21146
Map    Directions



Dr. Karina Spivak

Dr. Spivak is a graduate of University of Rochester in Rochester, NY. She completed the Doctorate of Dental Medicine (DMD) at Harvard School of Dental Medicine and has been practicing orthodontics after receiving post-doctoral education and certification in Orthodontics from Tufts University School of Dental Medicine in 2005. Dr. Spivak is a member of the American Association of Orthodontists.

Dr. Spivak actively seeks out continuing education offerings in order to remain informed of the latest developments in orthodontic treatment options and technologies. She is committed to providing her patients with the best care available, using leading-edge knowledge, and by continually learning she is able to deliver on that commitment.

As a mother of two young daughters, Dr. Spivak prides herself on treating every patient the same way she would treat her daughters. Patients always appreciate her gentle but very effective approach. She feels fortunate to be able to help people get beautiful smiles they always wanted and her biggest compliment is seeing the same families come back again and again as younger siblings are ready for their braces experience.

Dr. Spivak has been married to her husband Denis for 10 years. They have two beautiful young daughters, Michelle and Emma, and reside in Ellicott City. They enjoy skiing, playing tennis and spending time outdoors.

You can contact Dr. Spivak at drspivak@bracesinthepark.com.


We take pride in helping our patients achieve beautiful smiles using the most effective and efficient treatment methods possible. During your initial complimentary consultation, we will go over all treatment options and recommend treatment that is best for you.

Conventional Metal Braces
Traditional braces consist of standard metal brackets. This is the most common type of braces and they have become much sleeker and more comfortable. You also have the option of adding colored elastic bands to make your braces vibrant, colorful and uniquely yours!

Invisible Braces - Invisalign

Invisalign is a virtually invisible method of straightening your teeth. You will be fitted with removable, see-through aligners that have been specifically crafted to fit your teeth. And because they are removable, you can take them out while eating, drinking, brushing and flossing.

We are VIP Elite Invisalign Provider for Adults and Teens. Not all Invisalign Providers are the same and choosing a VIP Elite Invisalign Provider guarantees that you are choosing a doctor who has treated a significant number of complex Invisalign cases and can deliver the best results.


Our mission is to provide the highest quality orthodontic treatment and service in a compassionate, friendly, and clean environment that uses state of the art materials, equipment, and techniques. Our staff believes that healthy teeth and a beautiful smile are important assets that should be enjoyed by everyone throughout their life. We pledge to make your orthodontic experience more comfortable and pleasurable than you thought possible. Each member of our treatment team is a registered assistant, and our office has years of experience in treatment patients with the highest level of care.

Our office was a house in the 1950’s and we are especially interested in making all of our patients feel right at home! We put your needs first to achieve efficient and comprehensive treatment. Our highly trained and skilled staff strive to provide energetic and fun loving treatment for each patient. We continually pursue excellence through continuing education, personal and team growth, and the use of the most current treatment techniques. Our team exemplifies professionalism, mutual respect and the ability to motivate our patients in a positive manner.

Front Desk

Rebecca is the first person to greet you with a big smile when you visit us. She will find the perfect appointment for your busy schedule and provide you with a work or school excuse when you leave. She does phone or email reminders the day before your scheduled visit.

Treatment Coordinator

Jessica will give you a tour of the office and explain how orthodontic treatment works and what to expect. She will also send communications to general dentists and surgeons to ensure the highest level of patient care.

Financial Coordinator

Kristen offers in house, interest free payment options to accommodate any budget. She will file your dental insurance and provide flexible spending receipts. She will make the financial portion of treatment a pleasant one.

Clinical Team

Composed of the finest clinicians in the area, our team enjoys working together. Each team member is fully trained, x-ray certified and OSHA compliant. They strive to provide energetic and fun loving treatment for each patient

Creating Beautiful Smiles in
Severna Park Since 1980!


We are conveniently located off Ritchie Highway right in the heart of Severna Park while being a short 10-15 drive away from Millersville, Pasadena and Annapolis. We are one of the best known and respected orthodontics offices in the area and our patients come from almost every corner of Anne Arundel county.

Our office was a house in the 1950's. When you pull into the parking lot, we are the first stone-faced building you see.  The entrance is around the side, under a clear canopy.

  • Monday:  1:00 pm - 6:00 p.m.
  • Tuesday:  7:30 a.m. - 4:30 p.m.
  • Wednesday:  7:30 a.m. - 4:30 p.m.
  • Thursday:  9:00 a.m. - 5:00 p.m.

  • Convenient appointments and flexible payment options
  • Parents welcome in treatment area
  • Fun atmosphere; free arcade and contests
  • Second opinions welcome
  • Free consultation with digital x-ray
  • Invisalign Preferred Provider
  • Comfortable, state of the art facility
Long adjustment appointments are scheduled during school/work hours. Routine adjustments can usually be scheduled any time during regular office hours, either during or after school/work. Routine adjustment appointments may vary from a short appointment (20-40 minutes) to an hour or more, depending upon the procedures required or if there are any loose or broken appliances. If you do not notify the office of any loose or broken appliances prior to your appointment, and our treatment schedule is heavy, we may only be able to perform the routine adjustment. A separate appointment may be needed to repair a loose or broken appliance. At the end of each adjustment appointment, we will schedule a new appointment for your next visit (usually 6-8 weeks later).
At the time of your scheduled appointment, doctor and staff time is specifically reserved for you. Broken appointments will lead to delayed treatment progress and may affect the final outcome. Please notify our office in advance if you believe that you will arrive late.
Please bring your insurance information to the initial appointment so that our financial coordinator may further assist you in this matter.

Our office will process any claims for ongoing treatment. Payments will vary, and we will determine your payment schedule after your initial visit. We will inform you of any out-of-pocket expenses once insurance has been taken into account.

Please note that orthodontic insurance differs from dental insurance, and there are many different arrangements among the various insurance carriers.


A healthy smile is an investment that lasts a lifetime.
Contact us today to get yours!

Patient Information

Your First Visit

Your First Visit   Patient Information / Health Questionnaire

During your initial visit to our office, we will help you get acquainted with our office and learn about your orthodontic treatment. We understand that each patient’s orthodontic treatment is different, and we promise to give you the personal attention you deserve. Your first orthodontic visit will consist of an examination and discussion of potential treatment options. This important visit will address your orthodontic needs to determine if this is the proper time to begin treatment.

We will provide a complete clinical diagnosis regarding the nature of the problem, a written summary of the findings and a detailed plan that outlines your treatment, goals and estimated fees. We encourage questions from both the patient and the parent, and we provide ample time to answer your questions.

When to begin treatment
In accordance with the American Association of Orthodontists, we recommend an initial examination no later than 7 years of age. At this early age, orthodontic treatment may not be necessary, but vigilant examination can anticipate the most advantageous time to begin treatment.

How treatment works
Braces use steady, gentle pressure to gradually move teeth into their proper positions. We use several different types of braces and state-of-the-art self-ligating brackets, which reduce treatment time and provide maximum comfort to our patients. Some patients may also be candidates for Invisalign treatment – the latest way to straighten teeth without braces. Invisalign is not limited to adult treatment. Invisalign teen is another wonderful treatment option for teenagers who have all of their permanent teeth in.

Phase I & II

Phase I & II

Phase I
Phase one is an early treatment, often before all of the permanent teeth have erupted.
The three main goals of Phase one are:
1. Prevent a problem from development (preventive treatment)
2. Intercept a developing problem (interceptive treatment)
3. Guide the growth of the jaw bones that support the teeth (growth modification)

Phase one treatment may involve partial braces to expand and make room for developing teeth, correct a crossbite, overbite or underbite or help alleviate harmful habits that may impact the health and eruption of permanent teeth. A first phase of treatment benefits patients physically, enabling them to bite or chew more effectively and it may reduce the risk of breaking front teeth that protrude. For many patients, there is improvement in self-esteem.

Phase II
Phase II typically involves braces on all of the patients teeth, thus providing maximum control over the movement of teeth and moves teeth into their final positions. When all of the permanent teeth have erupted in the mouth, we can completely finish the final correction of the bite and turned teeth at this phase, so the patient can enjoy a functional beautiful smile.

1. Is it required that my family dentist schedule my appointment with the orthodontist?
No, it is not. Many of our patients are referred by their family dentist, yet many other patients take the initiative to schedule an examination themselves.

2. At what age should I schedule an appointment for an orthodontic screening?
The American Association of Orthodontists recommends an orthodontic screening at age 7. By this age, several permanent teeth in most children have erupted, allowing us to effectively evaluate your orthodontic condition.

3. Will my teeth straighten out as they grow?
No, they will not. The space available for the front teeth does not increase as you grow. In most people, after the permanent molars erupt, the space available for the front teeth decreases with age.

4. How do I schedule an appointment for an initial exam?
If you feel that you or your child can potentially benefit from orthodontic treatment, simply call our office or send us an e-mail. We will be happy to schedule an appointment for you. When you call to schedule your appointment, our front office staff will request some basic information from you.

5. What will happen at the initial examination appointment?
Upon arriving, each patient and parent will be seen by the staff and doctor who will acclimate you to our office and prepare for the initial exam. We will take the necessary photographs and X-rays to allow us to make a proper diagnosis. The doctor will then complete a brief, but thorough, exam. To read more about your first visit, see our First Visit Page.

6. What will I learn from the initial examination?
There are five essential questions that we will cover during the initial examination:
• Is there an orthodontic problem, and if so, what is it?
• What must be done to correct the problem?
• Will any teeth need to be removed?
• How long will the treatment take to complete?
• How much will the treatment cost?

7. Will I need to have teeth extracted for braces?
Removing teeth is sometimes required to achieve the best orthodontic result. Straight teeth and a balanced facial profile are the goal of orthodontics. However, because new technology has provided advanced orthodontic procedures, removing teeth is not always necessary for orthodontic treatment.

8. How long will it take to complete treatment?
Treatment time obviously depends on each patient's specific orthodontic problem. In general, treatment times range from 12 to 30 months. The "average" time frame a person is in braces is approximately 22 months.

9. How much will braces cost? Are financing options available? How does my insurance work?
It is impossible to give an exact cost for treatment until we have examined you. We will cover the exact cost and financial options during the initial examination. We have many financing options available to accommodate your needs, and we will review these with you. We will also review your insurance policy and help to maximize your benefit and file your claims.

10. How often will I have appointments?
Appointments are scheduled according to each patient's needs. Most patients in braces will be seen every five to 10 weeks. If there are specific situations that require more frequent monitoring, we will schedule appointments accordingly.

11. Can I schedule all of my appointments after school?
Unfortunately, we cannot schedule all appointments for students during after-school hours. However, because most appointments are scheduled five to 10 weeks apart, most patients will miss minimal school due to their orthodontic treatments. We will, however, make a sincere effort to meet your scheduling needs.

12. Can I drop my child off for an appointment?
Yes. We understand your busy schedule, and we are happy to help you make the most of your time. On some occasions, we may request to speak with a parent when they return, therefore we ask parents to check in with the front desk before dropping off their child.

13. Do braces hurt?
Generally, braces do not "hurt." After certain visits, teeth may be sore for a few days. In these situations, pain medications such as Advil or Tylenol will ease the discomfort. However, after most visits, patients do not feel any soreness at all! We often remind our patients, “It does not have to hurt to work!”

14. Can I return to school the day I receive my braces?
Yes. There is no reason to miss school because of an orthodontic appointment.

15. Do you give shots?
No. Shots are not necessary in orthodontic treatment.

16. Do you use recycled braces?
Absolutely not! It is our belief that each patient should be provided with their own braces to achieve the best orthodontic result possible.

17. Can I still play sports?
Yes. We recommend a mouth guard for all sports.

18. Do I need to see my family dentist while in braces?
Yes! Regular checkups with your family dentist are important while in braces. Your family dentist will determine the intervals between cleaning appointments while you are in braces.

19. Are there foods I cannot eat while I have braces?
Yes. Once treatment begins, we will explain the complete instructions and provide a comprehensive list of foods to avoid. Some of those foods include: ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). You can avoid most emergency appointments to repair broken or damaged braces by carefully following our instructions.

20. How often should I brush my teeth while in braces?
Patients should brush their teeth at least four times each day - after each meal and before going to bed. We will show each patient how to clean their teeth with braces and may recommend a special fluoride, if necessary.

21. What is an emergency appointment? How are those handled?
If your braces are causing extreme pain or if something breaks, you should call our office. In most cases, we can address these issues over the telephone. If you require an emergency appointment, we will set aside time for you.

22. Can orthodontic correction occur while a child has baby teeth?
Yes. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient's growth and development until the time is right for treatment to begin.

23. What is Phase One (early) Treatment?
Phase One treatment, if necessary, is usually initiated on children between the ages of 7 and 10. Phase One treatment lasts about 12-21 months. The primary objective for Phase One treatment is to address significant problems to prevent them from becoming more severe and to improve self-esteem and self-image.

24. Will my child need full braces if he/she has Phase One treatment?
It is best to assume that your child will need full braces even after Phase One treatment. The period following Phase One treatment is called the "resting period," during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed of future treatment recommendations.

25. Will my child need an expander?
At the completion of the initial examination, we will determine whether a patient will need an expander.

26. Is it too late to have braces if I am already an adult?
A surprising percentage of our patients are adults. In fact, 25 percent of all orthodontic patients are adults. Health, happiness and self-esteem are vitally important to adults. Aligning the teeth and correcting the bite may significantly improve oral health and allow for easier cleaning. No patient is "too old" to wear braces!

27. Can I wear braces even though I have crowns and missing teeth?
Yes. A tooth with a crown will move just like a tooth with a simple filling. When teeth are missing, orthodontic treatment will aid in the alignment of the remaining teeth.

28. Why should you choose an orthodontic specialist?
Teeth, and sometimes entire facial structures, are permanently changed by orthodontic treatment. It is important that the treatment be appropriate and properly completed. Orthodontic specialists have extensive and specialized training that enables them to provide their patients with professional, personalized treatments.


a section below to view information on early treatment, if you are a candidate, adult treatments, the types of braces, retention, and view before and after shots.

Early Treatment
Learn More
Am I a Candidate?
Learn More
Adult Treatment
Learn More
Types of Braces
Take a Look
Learn More
Before and After


Contact Information

  690 Ritchie Hwy, Severna Park, MD. 21146
Dr. Spivak: drspivak@bracesinthepark.com


From Annapolis and Points West:
  • Take US-50 towards Bay Bridge
  • Take exit #27 Baltimore / Naval Academy onto Ritchie Highway (MD-2N) towards Glen Burnie / Baltimore
  • Go approximately 5 miles
  • Make a U-turn at the stoplight at Cypress Creek Road (next to Gary’s Gardens) onto Ritchie Highway South
  • We are the third driveway on the right, directly across from St. John’s church and school
From Glen Burnie, Pasadena and Points North:
  • Take Ritchie Highway South (MD-2S) towards Severna Park / Annapolis
  • Pass Kohls / Giant shopping center on left
  • Continue on Ritchie Highway
  • After going through the stoplight at Cypress Creek Rd, keep in the right lane. We are the third driveway on the right, directly across from St. John’s church and school

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