Case of the Month: February 2024

February 2nd, 2024

Age: 15.5

Treatment Duration: 20 months 

Before Treatment:

This patient came to our office looking to improve the crowding of her teeth. Before treatment she had a narrow smile, severe overbite, severe crowding, class 2 bite (when the upper jaw and/or teeth are ahead of the bottom jaw and/or teeth), narrow arches, retroclined (leaning back) incisors and a posterior crossbite on the right side.

Treatment Journey:

Our patients treatment plan involved upper and lower braces,the use of rubber bands, and anterior bite turbos. Anterior bite turbos are small ramps bonded to the inside of the upper front teeth(seen in blue here). They prevent the top teeth from excessively overlapping the bottom teeth. They are used to prevent breakage of the lower braces as well to allow the teeth to move more freely and for bit correction. Treatment for this case took just over a year and a half.

 

After Treatment:

In this amazing transformation we were able to correct all of the pre-existing orthodontic concerns, improving the overbite, correcting the class 2 to a class 1 proper bite, eliminating the crowding, aligning the midlines, and widening and broadening the smile. Our awesome patient was extremely diligent using the prescribed rubber bands. Treatment was completed in just 20 months.

Orthodontics can not only play a pivotal role in optimizing both oral health and functional well-being, but more importantly can elevate one's self-confidence. Our practice is committed to serving patients of all ages and embraces the belief that it's never too late to embark on the journey to your dream smile.

We invite you and your family to reach out to our office to schedule a complimentary consultation. Allow me the privilege of discussing the orthodontic solutions tailored to your unique needs. Your journey to your dream smile begins with an orthodontic specialist! We see patients from Hernando and Citrus County in areas such as Spring Hill, Brooksville, Crystal River, Lecanto, Beverly Hills, Inverness, and all surrounding areas.

Dr. Strouse

How Long Does Orthodontic Treatment Take?

February 1st, 2024

Orthodontic treatment is a transformative journey that can lead to a stunning and confident smile. For those seeking to correct misaligned teeth or bite issues, orthodontics offers a promising solution. However, many people wonder about the duration of the process before they embark on this life-changing path. In this blog post, I will delve into the factors that influence the length of orthodontic treatment and provide a comprehensive overview of what to expect on this exciting journey to a perfect smile.

Factors Influencing Treatment Duration

1. Complexity of the Issue: The severity of the orthodontic problem plays a significant role in determining how long the treatment will take. Minor alignment issues might only require a few months of treatment, while more complex cases may extend the duration to several years.

2. Patient's Age: Age can also impact the length of treatment. Younger patients with developing jaws and teeth might see faster results as their bones are more responsive to movement. However, advancements in orthodontic technology have also made it possible for adults to achieve excellent results with proper treatment.

3. Type of Orthodontic Appliance: There are various orthodontic appliances available today, including traditional metal braces, clear braces, and clear aligners like Invisalign. The type of appliance chosen can influence the treatment timeline for the given case.

4. Patient's Cooperation: The success of orthodontic treatment is greatly dependent on the patient's cooperation. Adhering to the orthodontist's instructions, attending regular check-ups, and maintaining good oral hygiene all contribute to achieving optimal results in a timely manner.

Estimated Treatment Durations for Different Appliances

On average orthodontic treatment can be anywhere from only a few months to as long as 1-3 years, it depends on your specific case. An average orthodontic case lasts somewhere between one(1) and two(2) years. 

Embarking on orthodontic treatment is an investment in both time and effort, but the results are undoubtedly worth it. The duration of orthodontic treatment depends on various factors, including the complexity of the issue, the chosen appliance, the patient's age, and their cooperation during the process. Remember, each individual's case is unique, and I will provide a personalized treatment plan based on your needs.

Before beginning any orthodontic journey, schedule a consultation with our office. It is important to see an orthodontic specialist for orthodontic needs.  I will thoroughly assess your case and provide an estimated treatment duration. Keep in mind that the length of treatment is only a small part of the bigger picture - the lifelong benefits of a beautiful and healthy smile are what truly matter. So, embrace the process, follow your orthodontist's guidance, and soon enough, you'll be flashing that stunning smile you've always dreamed of!

In short, treatment time depends on the severity of the issue. Most comprehensive orthodontic cases take 1-2 years, while minor or limited cases can be as short as a few months. We see patients from Hernando and Citrus County in areas such as Spring Hill, Brooksville, Crystal River, Lecanto, Beverly Hills, Inverness, and all surrounding areas. Schedule your consultation today!

Do I Still Have an Overbite?

January 29th, 2024

One common question I receive as an orthodontist is about overbites. I will answer some of the most common questions and review some terminology.

What is an Overbite?

An overbite is the vertical overlap of the top front teeth over the bottom front teeth. The truth is that it is completely normal to have somewhat of an overbite. We need to have an overbite in order to properly chew our food. If there was no overlap of the teeth, they would hit each other when you bite down which can lead to chipping of the teeth and premature wear of the enamel. Typically somewhere between 20-40% overlap is a relatively "normal" overbite. This can vary based on the patient. The overbite is generally considered excessive when it is more than 50% which is when it may cause issues.

What Can an Overbite Lead to?

  • Excessive tooth wear
  • Headaches
  • Speech issues
  • Tooth chipping
  • Gum disease due to difficulty cleaning between the teeth
  • Temporomandibular Joint Disorder (TMD)

Overbite vs. Overjet

These two terms are often used interchangeably, however they are two separate conditions. An overbite refers to the vertical overlap of the front teeth, while overjet refers to the horizontal distance between the top and bottom front teeth. Patients that have excessive overjet, have top front teeth that protrude or flare out. These is often referred to as "buck teeth". You can have both excessive overjet and excessive overbite, however they are two separate conditions. Many patients that are concerned that their front teeth stick out refer to their concern as an "overbite".

Excessive Overbite(vertical overlap)

Excessive Overjet(horizontal overlap)

Ideal Bite

What Causes an Overbite

An excessive overbite can be caused by many different factors such as

  • Genetics
  • Smaller lower jaw
  • Habits such as Thumb sucking, lip sucking, tongue thrusting
  • Abnormal tooth eruption

How Can an Overbite be Treated?

The treatment for an overbite depends on many factors depending on the original presentation. Please call our office for a free consultation to make the first steps to determining what is the best option for you!

  • Braces
  • Invisalign
  • Appliances: Some appliances can be used either alone or in combination with braces or Invisalign to correct an overbite
  • Surgery: if the jaw misalignment is very severe, surgery may be necessary and an oral surgeon will reposition the jaws in order to achieve a proper bite position. This is done in combination with orthodontic treatment.

FAQ's

Is having somewhat of an overbite normal?
Yes, there should be some overlap of the upper front teeth compared to the lower front teeth

What amount of an overbite is normal?
Generally 20-40% of overbite as a general rule can be considered normal

NOTE: The author, Dr. Eric Strouse DMD MDS is a specialist in orthodontics in the practice of orthodontics in Spring Hill and Lecanto, Florida. He was trained at Muhlenberg College for his Bachelors Degree where he competed on the track and field team. He completed his dental training at the University of Connecticut School of Dental Medicine, earning a Doctorate of Medicine in Dentistry(DMD). He completed a one year General Practice Residency at St. Luke's Hospital in Allentown, PA and his specialty training in Orthodontics and Dentofacial Orthopedics at Rutgers University where he also completed a Masters in Dental Science. Dr. Strouse has been published in the Sri Lankan Journal of Orthodontics and has written several articles for Dental Economics. Dr. Strouse is an expert in two-phase orthodontic treatment, phase 1 interceptive treatment, extraction and non-extraction treatment, Invisalign clear aligners, and multiple bracket systems(custom braces, self ligating braces, conventional braces). This blog is for informational purposes only.

Will I Need Impressions?

January 25th, 2024

Gone are the days of messy and uncomfortable orthodontic impressions, thanks to the advent of digital orthodontics. Our office does not use any traditional dental impressions and all models of the teeth are taken digitally in a quick and comfortable fashion.

The Downside of Traditional Impressions

Traditional orthodontic impressions involve using a putty-like material placed in a tray that is then pressed into your mouth to capture the shape and size of your teeth and gums. While this technique has been effective for many years, it comes with several downsides:

1. Discomfort: Orthodontic impressions can be uncomfortable, causing gagging sensations and discomfort in some patients.

2. Messy: The putty used in impressions can be messy, leading to some patients feeling anxious or uneasy during the procedure.

3. Time-Consuming: Traditional impressions may require multiple attempts to achieve accurate results, which can be time-consuming for both the patient and the dentist.

4. Material Storage: Orthodontic offices need to store physical impression molds, which can take up valuable space and require maintenance over time.

Our Digital Approach: Say Goodbye to Impressions

At our cutting-edge orthodontic office, we have fully embraced the power of digital orthodontics. Instead of relying on traditional impressions, we use state-of-the-art intraoral scanners to capture highly detailed 3D images of your teeth and gums. These scans provide us with precise digital replicas of your mouth, enabling custom treatment plans with unmatched accuracy. We also use these digital impression to 3-D print models to fabricate retainers. 

Advantages of Digital Orthodontics

1. Comfortable Experience: With our intraoral scanners, you can bid farewell to the discomfort and gagging associated with traditional impressions. The scanning process is non-invasive and allows for a more comfortable experience during your orthodontic visits.

2. Time-Efficient: Digital scans significantly reduce chair time, as there is no need for multiple attempts to get an accurate impression. This means fewer visits to the orthodontic office and quicker treatment planning.

3. Enhanced Precision: The digital scans provide detailed and precise images, allowing our dentists to create custom restorations that fit perfectly and deliver optimal results.

4. Environmentally Friendly: By eliminating the need for physical impression materials, our fully digital approach contributes to a more eco-friendly orthodontic practice.

5. Improved Communication: Digital scans can be instantly shared and stored in our computer systems, facilitating seamless communication with our orthodontic laboratory partners if needed.

At our digital orthodontic office, patient comfort and satisfaction are our top priorities. By embracing cutting-edge technology, we have eliminated the need for traditional impressions and the associated discomfort, mess, and inconvenience. Our intraoral scanners allow for a faster, more precise, and environmentally friendly orthodontic experience, leading to superior outcomes for our patients.

So, if you've been dreading the thought of orthodontic impressions, fear not! We see patients from Hernando and Citrus Counties in areas such as Spring Hill, Brooksville, Lecanto, Crystal River, Inverness, Beverly Hills and all surrounding areas. Schedule your appointment with us and experience the benefits of digital dentistry firsthand. Embrace the future of orthodontic care and let us take care of your oral health with our state-of-the-art, impression-free approach. Your smile deserves the best, and at our digital office, we're committed to providing you with exceptional orthodontic care, minus the impressions!

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