All About Interproximal Reduction

March 7th, 2024

In orthodontics, the quest for a beautiful harmonic smile often involves various intricate techniques and methods. While braces or Invisalign can make the teeth straighter, in most cases, an orthodontic specialist has many variables to consider and a complex diagnosis and treatment planning is done behind the scenes. Some of these considerations involve a patients skeletal pattern, analysis of several radiographs, the patients facial profile and balance, symmetry, as well as the macro and micro esthetics of the teeth.

This post will focus on the last point. The macro esthetics encompass the relationships of the teeth to the face, lips and gums and the micro esthetics involve the individual tooth size, shapes and shades. There are many misconceptions about interproximal reduction, many of which come from General Dentists who have the best intentions, but are ill-informed, as well as social media. It is important to remember that Orthodontists are specialists in tooth movement and what is needed to obtain the best smile and proper bite relationship.

The size and shape of the teeth play as large role in the appearance of the smile as anything that an orthodontist does with braces or Invisalign. If the teeth have irregular size or shape sometimes the teeth themselves need to be altered in order to obtain an ideal bite as well as an optimal esthetic result. Interproximal reduction, or IPR, is a technique that can be utilized in order to obtain the best orthodontic outcome.

Interproximal reduction is a simple procedure in which the size and shape of the teeth are adjusted using precise diamond embedded instruments in which minute amounts of enamel are removed. This is typically done in between the teeth where they touch one another, known as the contact point. There are several reasons why this is done:

  • Tooth Size Discrepancy: The set of upper and lower teeth are like a puzzle and the individual teeth have ideal sizes in order to fit together properly. If the upper teeth are too big or the bottom teeth are too narrow in comparison, a patient will present with upper crowding, an excess overbite or spacing of the lower teeth. On the other hand, if the top teeth are too small or the lower teeth are too wide, there will be spaces on the top or crowding on the bottom. Through extensive orthodontic research, it was discovered that there are ideal proportions of the upper and lower teeth. If the upper and lower teeth do not match due to the tooth size, it is known as a "Tooth Size Discrepancy". On occasion, reduction of the upper or lower teeth is a solution.
  • This is a quick, safe and pain free procedure. Tooth enamel can be as much as 2.5 millimeters thick and Interproximal reduction typically involves no more than 0.2-0.4 millimeters. After IPR, there is plenty of excess enamel to keep the teeth healthy and strong, which has be shown in countless orthodontic research. IPR does not increase the risk of cavities. Research has shown that dentists are less comfortable performing IPR routinely and orthodontists who are more likely to have researched the long term effects of IPR on the teeth are more comfortable performing the procedure. Because of this, dentists will often inform patients and their families that IPR is unsafe, will damage the teeth or other statements that are incorrect, and not backed by scientific research.

  • Anatomy: Sometimes the shape of the teeth is such that an esthetic improve can be made by removing some excess enamel in order to improve the shape of the teeth or how to teeth connect to each other in order to obtain a more esthetic final result.

  • Black Triangles: Sometimes due to the shape of the teeth, how they connect to each other or due to gum recession, the appearance of what are known as black triangles occur. It is noticed as triangluar "spaces" close to the gum-line. While there are not actually spaces between the teeth, if the teeth are only touching at the tips and not up to the gums, a dark triangle will apear. On occasion, IPR can reshape these teeth and reduce the size and appearance of the black triangle once the space is closed.

  • Crowding: Another reason for using IPR is due to crowding of the teeth. Significant amounts of space can be created by removing very small amounts of enamel in between some of the teeth. If there is crowding between the teeth, but not enough crowding for the removal of permanent teeth, IPR can be used to create enough space for all of the teeth. In addition to create space, IPR also creates flat surfaces between the teeth which helps improve the stability of teeth to keep them straight after orthodontic treatment is completed.
  • Conclusion and Considerations: IPR is a safe procedure and extensive research shows that there is no increased decay after IPR, there is improved stability of the orthodontic results after IPR due to the improved contacts, and there is no increase in sensitivity when the amount of enamel removed is within proper limits.

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 several Dental and Orthodontic Journals. 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.

Community Spotlight: Brooksville, Florida

February 21st, 2024

Brooksville, often hailed as the "Nature Coast," offers a delightful blend of old-world charm and modern amenities with a wonderful community of families we are privileged to serve at Strouse Orthodontics. Steeped in history, this picturesque city invites you to explore its quaint downtown adorned with historic architecture, charming boutiques, and cozy cafes. Take a stroll down its tree-lined streets, and you'll find yourself immersed in the beauty of Southern hospitality and small-town allure.

But Brooksville isn't just about its nostalgic charm – it's also a haven for outdoor enthusiasts and nature lovers. From the breathtaking landscapes of the Withlacoochee State Forest to the crystal-clear waters of Weeki Wachee Springs State Park, there's no shortage of natural wonders to behold. Whether you're kayaking along scenic rivers, hiking through lush forests, enjoying a Historic Walking Tour or simply enjoying a picnic in the park, Brooksville offers endless opportunities for adventure and relaxation.

At Strouse Orthodontics we understand the importance of a healthy, beautiful smile. Led by experienced orthodontist Dr. Eric Strouse, our practice is committed to providing personalized care and innovative treatments that achieve exceptional results. From traditional braces to Invisalign® clear aligners, we offer a comprehensive range of orthodontic services tailored to meet the unique needs of each patient, for both children and adults.

What sets us apart is our dedication to excellence and our genuine passion for enhancing smiles. We combine state-of-the-art technology with a compassionate approach to ensure that every patient receives the highest standard of care in a comfortable and welcoming environment. Whether you're seeking orthodontic treatment for yourself or your family members, you can trust that you're in good hands at Strouse Orthodontics.

Join Our Orthodontic Family in Brooksville

Conveniently located in the heart of Brooksville, our practice is proud to serve patients from Brooksville and the surrounding communities. Whether you're a longtime resident or just passing through, we invite you to experience the difference at Strouse Orthodontics. Our office has convenient locations in Citrus and Hernando County, in Lecanto and Spring Hill. We provide the highest quality orthodontic care, with custom orthodontic braces and Invisalign in a friendly and welcoming environment. Schedule your consultation today and take the first step towards achieving the smile of your dreams in the charming backdrop of Brooksville, Florida.

At Strouse Orthodontics, we're more than just orthodontists – we're your partners in oral health and happiness. Come and discover the beauty of Brooksville, and let us help you achieve a smile to be proud of! Your journey to a confident, radiant smile begins here!

My Wisdom Teeth Made My Teeth Shift...Or Did They?

February 15th, 2024

Some very common statements I hear as an orthodontist from patients are "my wisdom teeth got removed and cause my teeth to shift" or "When my wisdom teeth came in my teeth started to shift". While it is a commonly held belief that the wisdom teeth are related to crowding, they are not related. The thought that wisdom teeth cause crowding or make your teeth crooked is somewhat of an old wives tale and is not true. So why do teeth because crowded after braces or Invisalign?

Essix Retainer

Panoramic X-Ray showing Wisdom Teeth in Pink

Teeth become crooked after orthodontic treatment for a few reasons. The main reason is lack of retainer wear. Research has shown that orthodontic retainers are the only way to keep the teeth in their new position after treatment and keep tooth movement to a minimum. Without retainers, the teeth will begin to shift and become crooked. Just like anything else in the body, teeth change over time, and maintenance is necessary. Keeping the teeth straight after braces requires wearing retainers for as long as you want them to stay straight.

Another factor that over time can lead to shifting of teeth is what is known as late mandibular growth. Put simply, there is a very small amount of lower jaw growth that happens in the late teens and twenties that puts a slight force on the lower teeth pushing them forward and upward very slightly into the back of the top teeth. Over time, this extra force or pressure can cause crowding of previously straight teeth.

Research at the University of Iowa showed that wisdom teeth can not exert pressure on the front teeth to cause them to become crooked. The way this was discovered was by using sensors that compared the pressure with wisdom teeth and without wisdom teeth. What they found was that there was no difference. Research also compared the amounts of crowding in children after braces with and without their wisdom teeth. There was no difference in the amounts of crowding, suggesting that wisdom teeth do not play any factor in crowding, or shifting of the teeth after orthodontics.

While everything in the body changes over the course of time, when it comes to maintaining the position of the teeth, the most important thing is to continue wearing your retainers for as long as you want the teeth to remain straight. The wisdom teeth do not play a role in cause the teeth to shift.

When Is The Correct Age to See An Orthodontist?

February 13th, 2024

Our office and the American Association of Orthodontists (AAO) recommends children get their first check-up with an orthodontist either at the first recognition of an orthodontic problem or at age 7. It is important not to rely on your general dentist(the dentist that does your checkups and cleanings) to properly evaluate for orthodontic concerns.

Around that age, children have a mix of baby (primary) and permanent teeth. An examination at this age gives the child orthodontist a wealth of information. If a problem exists, or if one is developing, your orthodontist is able to advise you on which treatment is recommended, when it should begin, and estimate its length. "Waiting for the baby teeth to fall out" without being evaluated and monitored by an orthodontist is a mistake that can lead to serious issues down the road.

If your child is younger than 7, and you notice something that appears “off,” it’s not necessary to wait until your child turns 7 or until you get a recommendation from your dentist. You should take your child to an orthodontist the moment you notice an issue, regardless of age. No referral needed to set up an appointment for an orthodontic evaluation. At Strouse Orthodontics, as well as most orthodontic offices, initial consultations are complimentary. Orthodontists care about the well being and orthodontic health of your family and will be able to advise if any treatment is needed.

What Happens at the First Exam? Generally five questions will be answered

  1. Is there an orthodontic problem, and if so, what is it?
  2. What are the options to correct the problem?
  3. Is there a possibility any teeth need to be removed?
  4. How long is the recommended treatment expected to take?
  5. How much will the recommended treatment cost?

Frequently Asked Questions

Won't my child's teeth become straighter as they grow?

Unfortunately, a common misconception is that a child's teeth will naturally align as they age. However, the reality is quite different. The space available for permanent front teeth does not expand with growth. In fact, after the eruption of the permanent molars around age 12, there's often less room for the front teeth, potentially resulting in orthodontic issues like protrusion or misalignment. Furthermore, untreated orthodontic problems tend to exacerbate over time and can pose greater challenges as a child matures.

Should I wait for our Dentist to refer my child to an orthodontist?

No. Parents are usually the first to realize something is off about their child's teeth or jaws. If you have any concerns please contact our office to schedule an initial consultation.

Where did my child's orthodontic problems come from?

Most orthodontic problems are genetic. Some are “acquired,” developing over time by sucking the thumb or fingers, mouth breathing, dental disease, abnormal swallowing, poor dental hygiene, or early or late loss of baby teeth, accidents and poor nutrition. Regardless of the cause, an orthodontist will likely be able to treat the condition.

Do I Still Need To See My Dentist During Orthodontic Treatment?

February 10th, 2024

Embarking on the journey towards a straighter, more aligned smile through orthodontics with braces or Invisalign is an exciting and transformative experience. As you enter the world of braces or Invisalign, it is crucial to remember that your orthodontist is just one part of your oral health care team. In this post I will explore why regular dental checkups are essential even when you're undergoing orthodontic treatment.

Oral Health Assessment

While the orthodontist is focusing on straightening teeth and correcting bite issues, your dentist plays a crucial role in ensuring your overall oral health. Regular dental checkups provide a comprehensive assessment of your gums, tongue, cheeks, and the overall health of your mouth. This helps in identifying and addressing any potential issues before they escalate.

Monitoring Oral Hygiene

Maintaining good oral hygiene can be challenging with braces or aligners. The presence of orthodontic appliances creates additional nooks and crannies where food particles and plaque can accumulate. Your dentist will monitor your oral hygiene practices and provide guidance on effective cleaning techniques to prevent cavities and gum problems. It is especially crucial to maintain professional cleanings during orthodontic treatment.

Early Detection of Dental Issues

Dental problems don't take a break during orthodontic treatment. In fact, the presence of braces or aligners can sometimes make it more challenging to detect certain issues. Regular dental checkups enable early detection of problems such as cavities, gum disease, or signs of teeth grinding. Timely intervention can prevent these issues from interfering with your orthodontic progress.

Coordination between Orthodontist and Dentist

Collaboration between your orthodontist and dentist is key to achieving optimal oral health. Your dentist and orthodontist work together to address specific issues, such as restorations after orthodontics, tooth extraction, impacted teeth, or any concerns related to your overall oral health. This coordinated effort ensures that your orthodontic treatment aligns seamlessly with your broader dental care plan.

Conclusion: In conclusion, seeing your dentist regularly during orthodontic treatment is not only advisable but crucial for maintaining overall oral health. The collaboration between your orthodontist and dentist ensures that you receive comprehensive care, addressing both the specific goals of your orthodontic treatment and the broader aspects of oral health. Remember, a beautiful smile is not just about straight teeth – it's also about a healthy and well-maintained mouth.

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!

Can I Choose the Color Of My Braces

January 22nd, 2024

Braces have come a long way in the world of orthodontics. Gone are the days when braces were considered purely functional; today, they are a fashion statement! If you or your loved ones are about to embark on an orthodontic journey, you may be wondering if you can add a personal touch to your braces. The answer is a resounding YES! In this blog post, we'll explore the exciting world of colorful braces and how you can express your unique style while on the path to a beautiful smile. Check out some Examples Below!

Traditional metal braces have been the staple of orthodontic treatment for decades, and they continue to be an excellent option for achieving optimal teeth alignment.

Choosing Your Brace Colors

At our orthodontic office, we believe that each patient's smile is as unique as their personality. We offer a wide array of color choices for braces, allowing you to have some fun with your treatment while expressing your individual style. Here's how you can choose the color for your braces:

Explore a Rainbow of Colors: Today's braces come in various shades, ranging from classic colors like blue, red, and green to vibrant hues like neon pink, electric blue, and lime green. You can even choose seasonal colors to match your favorite holidays or events.

Mix and Match: Some patients get creative and mix different colors for a unique look. For example, alternating colors on each bracket can create a playful effect.

Powerchain on the top arch

Consider Your Personal Style: Your braces can be an extension of your personality and interests. If you have a favorite sports team, you can opt for their team colors. Or, choose a color that complements your eye or hair color for a coordinated and flattering look.

Benefits of Colorful Braces

1. Personal Expression: Colorful braces offer a chance to showcase your personality and add a touch of fun to your orthodontic treatment.

2. Boost in Confidence: Embracing colorful braces can make the journey to a beautiful smile feel more exciting and enjoyable, increasing your confidence throughout the process.

3. Motivation for Oral Hygiene: Some patients find that having braces in their favorite colors motivates them to be extra diligent with their oral hygiene routine, as they want their vibrant braces to shine beautifully.

At Strouse Orthodontics, we believe that orthodontic treatment doesn't have to be boring. With a wide range of colorful braces to choose from, you can make your smile journey uniquely yours. Express your individuality, showcase your style, and let your personality shine through your braces!

Ready to add some flair to your smile? Schedule a consultation with us, and together, we'll create a personalized treatment plan, complete with the colorful braces that best reflect your style. Get ready to embark on an orthodontic journey that not only transforms your teeth but also showcases the real you!

Do germs really live on my toothbrush?

January 4th, 2013

The dreaded cold and flu season is here again! After recovering from your cold, one of the most important steps you can take to avoid becoming reinfected is replacing your toothbrush!

Germs can linger on the bristles, and you risk prolonging your sickness by continuing to use the same toothbrush. Be smart - keep a spare, just in case! To protect your toothbrush from bacteria all year long, consider the following tips:

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace your toothbrush every 3-4 months. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

Hope this tip helps! Feel free to give us a call or ask us on Facebook if you have any questions!

Happy New Year!

December 27th, 2012


The year is almost over, and as we reflect on the year that was, we’d like to ask all our patients: what was memorable about 2012 for you, and what are you looking forward to in 2013? Do you have a New Year’s resolution, or any exciting plans for the coming year?

We know that we are looking forward to serving our amazing patients with even more great care in 2013!

Have a safe and happy New Year from our family to yours!

The Evolution of Braces

November 28th, 2012


Did you know that even in ancient times, people wanted to improve the look and function of their smiles? We think of modern orthodontic appliances as sleek, efficient technology, but this was not always so! Take a look at the highlights in the evolution of braces.

Ancient Times: From Greece to Rome

• According to The Angle Orthodontist, Aristotle and Hippocrates first thought about methods for straightening teeth between 400 and 300 BC.
• The Etruscans, in what we now know as Italy, buried their dead with appliances that maintained spaces and prevented collapse of their teeth and jaws during life. Archaeologists have discovered mummified remains in various locations that have metal bands wrapped around the teeth.
• A Roman tomb has also been discovered in which the teeth were bound with gold wire, including documentation on the wire’s use as a dental device.

18th Century: A French Development

• The French dentist Pierre Fauchard is acknowledged as the father of modern dentistry. In 1728 he published a book that described various methods for straightening teeth. Fauchard also used a device known as a “blandeau” to widen the upper palate.
• Louis Bourdet was another French dentist who published a book in 1754 that discussed tooth alignment. Bourdet further refined the blandeau and was the first dentist to extract bicuspids, or the premolar teeth between canines and molars, for the purpose of reducing tooth crowding.

19th Century: Orthodontics Defined
• Orthodontics started to become a separate dental specialty during the early 19th century. The first wire crib was used in 1819, marking the beginning of modern orthodontics.
• During this period, gold, platinum, silver, steel, gum rubber, vulcanite, and occasionally wood, ivory, zinc, and copper were used — as was brass in the form of loops, hooks, spurs, and ligatures.
• Edward Maynard first used gum elastics in 1843 and E. J. Tucker began making rubber bands for braces in 1850.
• Norman W. Kingsley published the first paper on modern orthodontics in 1858 and J. N. Farrar was the first dentist to recommend the use of force over timed intervals to straighten teeth.

20th Century: New Materials Abound
• Edward Angle developed the first classification systems for malocclusions (misaligned teeth) during the early 20th century in the United States, and it is still in use today. Angle founded the American Society of Orthodontia in 1901, which was renamed the American Association of Orthodontists in the 1930s.
• By the 1960s, gold was universally abandoned in favor of stainless steel.
• Lingual braces were the “invisible” braces of choice until the early 1980s, when tooth-colored aesthetic brackets made from single-crystal sapphire and ceramics became popular.

Today
As we arrive in the present, you need only look at your own braces to see how far we’ve come. Your treatment plan was probably created with a 3D digital model, and we’ve likely used a computerized process to customize your archwires. Perhaps you have clear aligners, self-ligating brackets, or highly resilient ceramic brackets with heat-activated wires.

Orthodontics has come a long way from the days of Aristotle, and even the bulky wrap-around braces of just 60 years ago. Regardless of your specific treatment plan, the development of high-tech materials and methods has made it possible for your orthodontic experience to be as effective, efficient, and comfortable as possible.

Sources: Angle.org, ArchWired

Happy Thanksgiving!

November 21st, 2012


With Thanksgiving almost upon us, it’s a great time to ask ourselves what we’re thankful for. With our friends and family around us, we celebrate the blessings given to us in the past year. Our staff thought we’d ask: What are you thankful for this holiday season? Do you have any Thanksgiving wishes or recipes you would like to share?

Our entire team would like to wish you a safe and happy Thanksgiving. It’s a big food holiday, so be careful what you eat with those braces! If you have any stories or photos to share with us, we’d encourage you to send them along or post them below or on our Facebook page!

Gobble Gobble!

How to Protect Your Braces During Sports Activities

November 16th, 2012


Proper mouth protection is recommended when you participate in any sports activities. If you wear braces, this protection becomes essential. Injuries to your mouth can not only damage your teeth, but your braces could break and cut open your lip.

Full Facial Guards

Full facial guards are often used in football and offer protection to your mouth from most injuries. Even with full facial protection, you may benefit from additional mouth protection. While your face is protected from outside impact, you could still suffer from cuts or damage to your braces from internal impact.

Mouth Guards
Mouthguards referred to as boil-and-bites can be purchased at many retail stores. As the name implies, these guards are boiled in water to heat and soften the material. While the guard is still warm, you place it in your mouth and bite down gently. This causes the guard to form to the shape of your mouth. Unfortunately, these guards do not necessarily offer the best protection or fit.

The custom fitting of a mouthguard ensures you of better protection and a comfortable fit. Custom guards are also built in layers for durability. The American Dental Association recommends custom guards for orthodontic patients. Your mouthguard will be designed to provide proper protection for both your teeth and your braces.

No matter what type of sport you participate in, a mouthguard can protect your braces. Even an activity as seemingly harmless as table tennis can result in a contact injury. The Academy for Sports Dentistry states that a properly fitted mouthguard should not interfere with any athletic activity.

Our office will be glad to answer any questions you have so you can continue the activities you enjoy with little concern. If you do suffer any injuries to your mouth or braces during sporting activities, please contact us immediately. The sooner we can care for your mouth, the better the results will be.

Avoiding Common Problems Associated With Braces

November 9th, 2012


While braces play an important part in helping to create a healthy mouth and teeth, you might experience a few side effects while wearing them that are common and can be easily treated.

Even with the best of care, braces can cause soreness to your mouth. As your teeth begin to move, it is natural for your teeth to feel aches and your jaw to develop soreness.

If there are broken wires or loose bands on your braces, a sore tongue, mouth, or canker sore will occur. Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. If you experience a sore mouth or any of the following problems, call our office to schedule an appointment.

· Loose brackets: Apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth.

· Loose bands: These must be secured in place by our dentist. Try to save the band for repair.

· Protruding or broken wires: The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse.

· Loose spacers: These will need to be repositioned and sometimes replaced.

Halloween Candy Buy Back at Wexler Orthodontics!

October 31st, 2012


Please join us this SATURDAY, November 3rd from 10 am until 1 pm for our Halloween Candy Buy Back event! We will pay you $1.00 per pound (up to 5 pounds) for your UNOPENED Halloween candy. So, as you're Trick-or-Treating this evening, remember that you can bring it to us this Saturday!

All of the candy that we collect will then be shipped to our troops overseas through Operation Gratitude!

We hope you all have a fun and safe Halloween!

Besides Straight Teeth, What are the Benefits of Braces?

October 25th, 2012

Everyone wants a naturally aligned and beautiful smile, and it is no secret that orthodontic braces can help deliver one. However, there are greater benefits to wearing braces than just having straight teeth. You’ll gain many oral health benefits in addition to the cosmetic ones.

Tooth Decay and Gum Disease

Crooked or crowded teeth may overlap each other and create tight spaces in between. These can make it very difficult to brush and floss effectively, allowing bacteria and plaque to build up, and eventually leading to tooth decay and gum disease. With orthodontic treatment, your teeth will become properly aligned and spaced, which allows for more effective brushing.

Difficulties with Speech

Your teeth play an essential role in speech. When they are out of line or lean too far forward or backward, this can affect your speaking patterns, and possibly cause embarrassment and frustration. Braces can readjust the positioning of the teeth to allow for clearer, more professional speech.

Bone Erosion

Bone and gum tissues begin to erode when there are no teeth to support. This is also true for poorly aligned teeth that leave gaps and spaces or place too much pressure on the jawbone due to a bad bite. With braces, the bones and tissues are less likely to erode and can continue to support the teeth in their new alignment.

Digestion

Your teeth play an important role in digestion. Before food ever enters your stomach, it has been partially digested by the teeth. If teeth are severely out of line, however, they may not play their role in breaking down food as effectively as they should. With braces, your teeth will be straightened into optimal alignment for eating and chewing.

Rubber Band Horoscopes: What Your Color Says About You

October 18th, 2012


One exciting part about wearing braces is getting to choose the colors of your rubber bands. Orthodontists place elastic bands, or ligatures, over each bracket to secure the archwire in place. These rubber bands may be individual or connected, depending on your mouth’s needs. You have the option of choosing the color of your elastics, which are changed about once every month at every visit. Our offices keep a color wheel handy to help you choose which ones suit you best!

Children and teens often enjoy picking different colors each month to express their creativity and coordinate their braces with outfits. Decorating your mouth with your favorite colors is fun for kids and takes some of the stress out of wearing braces. Adults who wish for subtlety have color options that blend in with the metal brackets and archwire. Common choices for adults include silver, clear, and gray tones.

Common Color Combinations for Rubber Bands

With individual ligatures for each bracket, you may choose different color combinations for special events. You can have alternating colors or place an entire rainbow over your teeth. Here are a few options to consider:

• School spirit colors
• Favorite sports team colors
• Patriotic colors
• Holiday themes

Some patients choose only one color to match their mood, personality, or favorite outfits. The palette of choices allows you to make bold statements with your braces or go for subtler tones that blend in with the metal structures. Keep in mind that bright colors make your teeth look whiter, while lighter shades, such as yellow and white, may cause your teeth to appear less bright.

What Your Rubber Band Color Says About You

• Red tones indicate that you are ready for action and take charge of your life with aggressive, forward-thinking steps.
• Blue tones are calm and relaxing. You are conservative and exhibit integrity when dealing with situations.
• Green tones represent growth and balance. You are level-headed and look for opportunities to grow emotionally and spiritually.
• Purple tones attract creative energies. You like to have fun and use your imagination in every aspect of your life.
• Orange tones indicate that you are optimistic and thrive in social situations where communication is open.
• Pink is a romantic color that represents a caring personality. You also enjoy having fun with silly games and endless laughter.

Permanent or Removable Retainers: Which is Right for You?

October 12th, 2012


When the time to remove your braces finally arrives, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow your dentist’s recommendations, but knowing more about the two types of retainer beforehand can be helpful.

Removable Retainers

Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.

Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.

Permanent Retainers

Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.

Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.

One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.

Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.

Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type.

October is National Orthodontic Health Month!

October 5th, 2012


Can you believe it's already October? For those who don't know, it’s National Orthodontic Health Month. This month-long event is organized by our pals at the American Association of Orthodontists, or AAO.

Our team realizes that this is a great opportunity for us to raise awareness about the importance of oral hygiene. National Orthodontic Health Month also aims to recognize the dedicated work of orthodontists and other dental professionals.

The AAO recommends patients avoid the following Halloween treats, or recipes with these ingredients:
• Caramel
• Nuts
• Popcorn (including un-popped kernels)
• Taffy
• Jelly beans
• Hard pretzels
• Licorice
• Bubblegum
• Ice

Trick-or-treating safety guidelines:

• Young children should always be accompanied by an adult
• Carry a flashlight
• Wear a light-colored or reflective costume
• Choose face paint over masks for young ghosts and goblins
• Have an adult inspect all treats before the children dig in

If you have any questions, please feel free to give us a call or ask us on Facebook. Have a fun and safe Halloween!

Cold and flu season is upon us, are you prepared?

September 28th, 2012


It’s that time of year to start thinking about protecting yourself and your family from the flu. Here are some simple steps you can take to help yourself avoid colds and the flu this season.

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace toothbrush after every cold or flu or every 3-4 months when bristles appear worn

To promote a healthy and clean environment, our team gives a great deal of attention to sanitation and sterilization in our office at all times, as well as following all requirements for sterilizing instruments and work surfaces.

For the protection of other patients and our staff, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others. We hope this helps and give us a call if you have any questions!

Stay healthy this beautiful autumn!

Treat yourself to a new smile, no matter what your age!

September 21st, 2012

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, we’re seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. It’s never too late to look and feel your best!

Can Braces Work for Adults?

People of all ages can benefit from orthodontic treatment. The physical process for moving teeth is the same, young or old, which means it’s never too late to address issues such as an overbite or underbite, crooked or crowded teeth, or jaw disorders.

How Do I Get Started?

If you’re considering orthodontic treatment, we’ll make a consultation appointment with you. During this meeting we will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan.

What Are the Benefits?

Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever.

If you think you might benefit from orthodontic treatment, give our team a call, so we may set up a consultation to determine what type of treatment best meets your needs.

Foods That are Safe for Braces

September 14th, 2012


Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So what types of foods should you or your kids eat to protect dental appliances?

The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.

A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!

Post-Tightening Foods

As braces begin to adjust the alignment of the teeth, our office will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:

• pudding
• mashed potatoes
• soup
• ice cream
• cottage cheese
• peas
• pancakes
• pasta

Foods to Avoid

According to the American Dental Association, anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:

• hard candies
• gum
• nuts
• popcorn
• certain raw vegetables (for example, carrots)

Considerations

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

When Are Two Phases of Treatment Necessary?

September 7th, 2012

Usually patients in orthodontic treatment already have their permanent teeth – they are pre-teens, teens and adults. But in some cases we have to start treatment earlier, even before the patient’s permanent teeth come in. We call this “two-phase treatment.”

When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat.

Examples include:
• An upper or lower jaw that is not growing correctly
• A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in
• A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly

In these cases we will start early and do one round of treatment – phase one – while the patient still has their baby teeth. Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves braces.

In order to catch early problems, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontists). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner.

What questions should I ask during my orthodontic consultation?

August 29th, 2012

Are you thinking about orthodontic treatment to straighten teeth or correct jaw alignment? Consider making your first step an orthodontic consultation. During the consultation we will address your questions, concerns, and talk about a treatment plan that would best suit your situation.

We want you to feel prepared and in charge of your orthodontic treatment decisions, so keep these questions in mind when you come in for your appointment.

• If I do need some adjustments to my teeth, what options will I have besides braces?
(This will help you determine what approaches we use to straighten your teeth.)

• What kind of preparation is needed to get braces? How many visits will it take?
(It’s important to know how many appointments may be needed and what you will need to do between appointments to be ready for braces.)

• Can I expect any pain when getting braces?
(Ask about the ways we address pain management.)

• What determines how long I have to wear braces?
(The length of treatment will vary from patient to patient. During your consultation we can evaluate your teeth and jaw alignment to determine the correct course and length of treatment.)

• How will braces affect my lifestyle? Foods I can eat? Activities I can do?
(You may find that little needs to change in your daily routine to have a successful orthodontic outcome. We can discuss and address any changes so you can be prepared before you get your braces.)

• Who will be involved in the orthodontic work? Whom can I expect to see during my adjustment visits?

• What will my orthodontic work cost? What is the ”average” cost and what could be the maximum?
(Make sure you are clear about what your insurance covers, who contacts the insurance company for pre-authorization, who files the insurance forms, and what flexibility there is to pay the remaining amount not covered.)

Your initial orthodontic consultation may just be the first step in relieving a lot of pain and discomfort in your life. Going in with the right questions will help you to understand the entire process and prepare you to do your part for your own dental health. Be sure to bring a list of your questions!

What are the Early Signs of Orthodontic Problems?

August 20th, 2012

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development.

Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.

If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

• Difficulty when chewing or biting
• Chronic mouth-breathing
• Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
• Overbite - when the upper teeth overlap the lower teeth by more than 5mm
• Top front teeth that cover more than 25% of the bottom teeth while biting
• Underbite - when the top front teeth go behind the bottom row of teeth when biting
• Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
• Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
• The center of the top and bottom teeth don't line up
• Uneven teeth-wearing
• Baby teeth coming out too early for the child's age
• Pain in jaws
• Clicking in the jaw joints
• The jaw shifts off-center while chewing or biting
• A jaw that protrudes, or recedes, too much
• Difficulty speaking or enunciating clearly
• Chronic biting of the inner cheek or roof of the mouth
• Asymmetrical facial structure
• Grinding or clenching of the teeth

If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

When Should My Child See an Orthodontist?

August 14th, 2012

Orthodontic treatments vary from dental treatment, in that they primarily address malocclusions, jaw spacing and tooth alignment, rather than the actual health of the teeth. That is why it is often more difficult for parents to determine when a child needs orthodontic treatment than dental treatment. So how can you know it is time to take your child to the orthodontist?

• Bad Bite - As the adult teeth begin to replace primary teeth, bite occlusions can develop. These often become visible to parents between middle childhood and the pre-teen years, although an orthodontist can identify a bad bite with early evaluation.
• Visible Tooth Crowding - If your child's newly emerging teeth are already crowded, you should make an appointment with our office to discuss braces.
• Tooth Grinding (Bruxism) - Children who grind their teeth at night may do so unconsciously, but the condition requires treatment to prevent the development of headaches, TMJ, and tooth damage. Oral appliances are available to correct nighttime tooth grinding.
• Difficulty Chewing, Biting, or Speaking - If your child is displaying difficulty speaking or eating, or if he or she often experiences cheek biting, schedule an orthodontic consultation.
• Asymmetry - If your child's face is asymmetrical, or if his or her teeth do not meet together in a natural way, orthodontic treatment may be necessary.

Evaluation and Preventive Care

Even if your child has no visible tooth or jaw alignment problems, the American Association of Orthodontics recommends that every child visit the orthodontist for an initial examination no later than age seven. The reason for early evaluation is because orthodontists are capable of finding subtle problems with the jaw and teeth growth and spacing before they become more pronounced and also more difficult to treat. By bringing your child in for an evaluation, you may be able to treat orthodontic conditions with shorter and more simplified treatments that are also more affordable than treatment during the teenage and adult years.

Preventing Decay While Wearing Braces

August 9th, 2012


Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces:

1.Eat Braces-Safe Foods
Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque, which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, and popcorn can also bend or break your braces. On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids.

2. Proper Brushing
You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can't always reach.

3. Ask About Special Cleaning Tools
There are also special brushes, or other tools, to get under and clean your braces. You can find many of these items at your local pharmacy.

4. Regular Teeth Cleaning
It's important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others.
As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

How long does orthodontic treatment take?

July 30th, 2012


Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.

What is a "bad bite"?

A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced - either too far apart or too close together - can also cause bite problems.

Frequent causes of bite problems:

• Heredity
• Thumb-sucking
• Premature tooth loss
• Accidents

Benefits of orthodontic treatment:

Appearance -
Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.

Preventing Decay -
It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues -
An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:

Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.

Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.

Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.

Length of orthodontic treatment:

Treatment typically ranges from 12 - 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time.

Elements of Braces

July 27th, 2012

When coming to our office to have braces put on, you may find yourself feeling a bit intimated and nervous about the experience. We hope to help you feel more at ease by explaining exactly what the different parts of braces are, and what they do.

Parts of Braces

• Elastic Tie — This is a very small rubber band, and it holds the archwire in place.
• Archwire — This is the main part of the braces. It is a wire guide that tracks the teeth. The wire may be moved from time to time during treatment to continue straightening a patient's teeth.
• Loop in Archwire — This is not in all braces. If it is used, it is to close a gap left from a tooth extraction.
• Bracket — This piece of equipment holds the archwire in place. Formerly, many patients used colored rubber bands to keep the brackets in place, but now since most brackets are cemented on, this is no longer necessary.
• Headgear Tube — This is a hollow area near the back bands, which allows the headgear to fit into the braces. This is only used on patients who require headgear.
• Coil Spring — If needed, this would fit between a bracket and the main archwire. Its purpose is to open up the space between the teeth. This is not necessarily used on all patients.
• Tie Wire — This is another piece of equipment that is used to keep the archwire in place. It is a thin wire that wraps around the bracket.
• Band — This is a metal band that fits completely around a tooth. It is used to help adhere brackets to the tooth.
• Hook — This is the piece of equipment that is used to attach the elastics, also known as rubber bands, around the bracket.
• Elastic — These elastics are used to connect one point of the appliance to another. The purpose is to apply pressure, and encourage the teeth to move into the proper positioning.

By defining each appliance we hope you or your child will be less apprehensive about getting braces put on. At the end of your treatment, you will have a bright, straight smile to show off to all of your friends.

Sports and Orthodontics

July 17th, 2012


We’re halfway through the summer, and the summer months bring an increase in outdoor activities and a greater chance of kids damaging their precious mouths and pearly whites. If you play sports, it's important that you consult our office for special precautions, such as wearing a mouth guard. A protective mouth guard is advised for playing spring sports such as baseball, soccer, lacrosse and others. Be sure, however, to avoid mouth guards that custom form to your teeth as these will resist any tooth movements we are trying to achieve.

In case of any accident involving the face, check your mouth and the appliances immediately. If teeth are loosened or the appliances damaged, please schedule an appointment with the office. And don’t forget to ask us about how you can get a mouth guard for yourself.

Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Please give us a call if you have any questions about mouth guards or your treatment at our office.

Top ten tips to keep your braces sparklin' clean!

July 9th, 2012



Keeping your teeth clean is more important than ever when you have braces! Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:

1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.
2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.
3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.
4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.
5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.
6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.
7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.
8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.
9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.
10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

We hope this helps, and remember to give our team a call if you ever have any questions!

Independence Day Facts, Tips, and Party Invitations!

July 3rd, 2012


It’s hard to believe, but July is already here and half of 2012 has already passed! As July 4th approaches, our team thought it would be fun to share some facts and safety tips for celebrating our country’s independence day.

Fun Facts:
• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.
• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.
• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’
• The first public Fourth of July event at the White House occurred in 1804.
• And what could be more fitting than spending the day in a place called “America”? There are five such places in the country, with the most populous being American Fork, Utah, with 21,941 residents. Check out American Fact Finder.

Safety Tips:
• Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.
• Keep a bucket of water or a garden hose handy in case of fire or other mishap.
• Never carry fireworks in a pocket or shoot them off in metal or glass containers.
• To prevent a trash fire, be sure to douse the spent fireworks with plenty of water from a bucket or hose after fireworks complete their burning and before discarding them.
• Make sure fireworks are legal before buying or using them.

What are your plans this 4th of July? Share them with us! We’d love to hear what you and the rest of the community will be doing to celebrate! (Don’t forget to make sure there are no restrictions on fireworks! Check out this link to see if fireworks might be an issue for you this year.)

Also, check out these 4th of July party invitations, eGreeting cards, and delicious recipes!

July 4th eCard invitations!

Happy Independence Day eCards

Independence Day Recipes

Photo by shawnajean
Photo by shawnajean

The benefits of a beautiful smile

May 30th, 2012


We know that having an attractive smile puts a spring in your step—or two—as well as increases your self-confidence, no matter if you’re 14 or in your late forties. Smiling not only makes people happy and puts them in a good mood, doing it often can even help you live longer, according to previous studies!

If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment at our practice. You’ll be pleasantly surprised to learn how quickly and efficiently today’s most advanced correction techniques can straighten your smile!

Don’t hide your smile any longer — give us a call today to schedule yours or your child’s orthodontic consultation.

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