ortho 2.111

Caring for Braces

Although patients are able to eat or drink many foods while in orthodontic treatment, there are certain eating habits that are known to cause breakage of orthodontic appliances and braces as well as increasing the risk of dental problems. Our aim is to allow our patients to achieve the treatment goals with as few disturbances due to appliance breakage as possible, and to minimize the side effects of poor food choices and poor oral hygiene. Remember, teeth move their best in a healthy environment and in individuals with excellent overall dental heath. Patient cooperation is key to successful orthodontics.

What foods should I avoid?
Food and drink your dentist has suggested may cause dental discomfort should be restricted while wearing braces. Sticky foods are to be avoided because of the increased risk of dental decay and appliance breakage. These foods stick to your braces and remain on your teeth for long periods of time. If foods or drinks high in sugar content are to be consumed, we advise having them with regular meals or at one given time of day. Please make sure that careful brushing and rinsing take place immediately afterwards. Snacks should be confined to foods without refined sugar and should be followed by brushing or vigorous rinsing if a toothbrush is unavailable.

Wearing braces limits the foods that you are permitted to eat. Improper foods can bend and distort wires causing treatment delays and extra visits for repairs. In general hard, brittle, crunchy and sticky foods should NOT be eaten during orthodontic treatment. Hard crunchy foods can bend a and break the braces and wires, while sticky foods may loosen them. Certain foods may be eaten if they are prepared in a special way. Whole fruits and vegetables or any raw foods such as apples, celery and carrots should be sliced and eaten carefully. Hard crusty breads should be broken and eaten in small pieces. Corn may be eaten if sliced off the cob.

Do not suck on lemons or limes (citric acid in juice can dissolve tooth enamel) and especially do not suck or chew ice cubes. Chewing ice cubes can be very destructive to your appliances and teeth. Keep fingernails, pencils and other objects out of your mouth. Do not put anything in your mouth that may tend to end, break, pry, pull or knock off the braces. Popcorn can cause harm in multiple ways. The husks from the popcorn can become lodged beneath the braces and cause irritation of the gum tissue. Unpopped kernels can shear or break off brackets as well as bend or dislodge wires.

The following is a list of only some of the foods you should avoid as you should use your own good judgment while eating anything. No matter what you eat, please clean the teeth and gum tissue thoroughly after eating any food and especially before bedtime.

Here are some tips on the types of foods to avoid:

Hard Foods:
Nuts, peanut brittle
Hard candy
Hard chips
Candied apples

Sticky Foods:
Gum – no way
Fruit Roll-ups
Gummy bears
Taffy and Caramels
Milk Duds etc.

Be careful with these foods:
Carrots – grate or cut into tiny pieces
Apples – cut into wedges – don’t bite
Hard French bread – tear into small pieces

Limit foods with a high sugar content
The acids produced by high sugar content foods can attack for twenty minutes or more each time you eat. So, the best time to eat carbohydrates or other sugary foods is during a meal. The mouth produces more saliva during a meal which, in turn, helps to neutralize acid production and rinse food from the mouth. If possible, brush immediately after eating. If it is not possible to do so, rinsing with clear water will help.

Other Orthodontic “No-Nos”:

Lip biting

Pushing your tongue against your teeth

Chewing on pencils or pens

Tearing things with your teeth

Biting your fingernails

Dental Hygiene during Treatment
As you eat, your teeth, braces and appliances collect food. If food is left on teeth overnight, a thick plaque forms on the teeth and gums. Plaque causes bad-breath, tooth decay and gum disease (swollen, puffy, red, overgrown, or bleeding gums). Drinks and foods containing sugar can damage the tooth surfaces and gum tissue. Bleeding and swollen gums are a sure sign that plaque is not being properly removed. If your gums are swollen and inflamed your teeth will not move as easily, you will experience more discomfort during your treatment and white spots or decay will form on the teeth under and around the braces and appliances. It is discouraging to work hard to straighten teeth, only to finish and find decay or white spots on the teeth. The following is essential for the proper care of your teeth and gums:

Waterpik- We highly recommend the use of a Waterpik to loosen food and plaque before flossing and brushing. The Waterpik should be used on the lower water pressure settings so the gum tissue is not excessively irritated. The use of a Waterpik does not take the place of good toothbrushing.

Dental Floss – Although somewhat time-consuming, dental floss should be used when wearing braces or appliances. Floss at least once per day just before bedtime and use a floss threader if necessary.

Soft Bristled Toothbrush – Use your toothbrush after each meal and before bedtime. A travel brush carried in a purse or placed in a locker is great for brushing after lunch. Examine your teeth for food and plaque and thoroughly clean all surfaces of the gums, teeth and braces. Re-examine your teeth to make sure all visible food and plaque have been removed. Repeat this step as often as needed to assure that no visible plaque or food remains. Extra care must be taken in the area between your gums and the braces. Concentrate on brushing your gums and the gumline as well as your teeth.

Electric Toothbrush – Although it is not absolutely necessary for good hygiene, an electric toothbrush may make brushing easier.

A Few Tricks – Since most patients watch some TV, we have found it to be effective to sit down in front of the TV daily with a toothbrush without toothpaste, and massage the teeth and gums with the toothbrush bristles for about 30 minutes. Thirty minutes gives you plenty of time to do a good job, and makes TV time more productive. Brushing while listening to music or studying is also acceptable. You may want to use toothpaste to freshen your breath, but don’t use toothpaste during this 30 minutes. We want you to avoid the “once over lightly” technique. To concentrate better, you may use your left hand if you are right handed, and vice versa. The most important time to brush is just before going to bed. Take your time and do it right.

Regular Dental Checkups – Although you are having your braces checked regularly, it is very important to continue to see your family dentist at least every six months for a thorough examination and cleaning of your teeth. If you experience difficulty with good oral hygiene you my need to see your dentist more frequently.

Click here for more information on taking care of your teeth.


Taking Care of Your Teeth
Dentists have made great strides in dental health since the old days. Now, with proper dental care, you can keep your teeth all of your life.

Did you know that tooth decay is the second most common disease in America, second only to the common cold?

Well, most of this tooth decay can be avoided by exercising some simple daily preventative dental hygiene habits.

Here are a few quick tips to keeping your teeth and gums healthy:

Brush your teeth at least twice a day to remove bacteria that can turn into plaque and eventually tooth decay.

Floss daily to reach the 35 percent of your mouth that your toothbrush cannot reach.

Avoid foods high in sugars and carbohydrates – which tend to give bacteria energy to reproduce and create enamel-eating acids…

Limit between-meal snacks – your mouth needs sufficient time between meals to neutralize acids…

Use fluoride regularly – through drinking water, toothpaste and dental supplements – to strengthen your enamel and prepare against acid attacks…

Visit your dentist at least twice a year! Dentists can spot potential problems before they wreak havoc on your teeth and mouth…

Tooth Decay
Plaque is a sticky film that is constantly forming on the areas of your teeth. This film made up of bacteria, saliva and food particles. It uses sugar and other carbohydrates to grow and produce acids that can build-up around and between the teeth. Without proper brushing and flossing, these acids dissolve the minerals that make your tooth enamel hard. Tiny holes will appear at first, eventually combining to create one large hole – known as a cavity.

Plaque also enhances the hardening of minerals into a rough deposit called calculus, or tartar. Once tartar has formed brushing or flossing cannot remove it – it must be removed by a dentist. This plaque can irritate gums causing them to turn red, swell or bleed easily – the early stages of gum disease. Eventually, this condition can cause gums to pull away from the teeth and can lead to early tooth loss. During a normal prophylaxis (professional cleaning), the dentist removes this build-up.

It is important to maintain a good routine of dental care because your tooth enamel does not contain nerve fibers, which means you will not immediately know you have a cavity. You won’t feel the pain until the acids reach the sensitive dentin/pulp area that lies beneath your enamel and by that time, you already have tooth decay. Going to a dentist every 6 months can help catch tooth decay in its early stages.


Brushing your teeth after meals and snacks removes plaque, the sticky bacteria that causes tooth decay and gum disease, to produce a clean, healthy mouth, fresh breath and a sparkling smile. Brushing 2-3 times a day greatly reduces the risk of cavities.

Tips for Proper Brushing

Use a soft-bristled toothbrush and replace every 3 months. Hard bristles can hurt your gums.

Use an ADA accepted fluoride toothpaste. Fluoride slows down the breakdown of enamel caused by acids and re-mineralizes the enamel.

Brush for at least two full minutes. Less than 2 minutes does not allow sufficient time to break apart the acids that have built up on the teeth.

Don’t forget to brush your tongue. Brushing your tongue removes bacteria and freshens your breath

Hold your toothbrush at a 45 degree angle against the gums and move the brush back and forth across the outer and inner tooth surfaces in a gentle, massaging motion. Don’t forget your back teeth.

Don’t be too rough. Aggressive brushing can wear away the gums and make your teeth very sensitive.

Dentists estimate that 10-20% of the population actually damages their gums as a result of over-aggressive brushing. -Wall Street Journal

Recommendations for Brushing with Braces

Use an orthodontic toothbrush recommended by your orthodontist – These can prevent breakage of orthodontic appliances and are designed to reach better than standard toothbrushes.

If possible, use an electric toothbrushes with an orthodontic head. The high speed vibrations created by the electric tooth help break down plaque.

Use a fluoride mouth rinse recommended by your orthodontist. This gives your teeth extra strength to fight tooth decay and helps wash away plaque.


Some people think flossing is not as important as brushing, but it is just as important. Flossing daily removes plaque and food particles from between teeth and under the gumline – cavity-prone areas your brush can’t reach. If this plaque is allowed to build-up under the gumline, gums can become irritated and eventually lead to gum disease.

Tips for Proper Flossing

Wrap an 18-inch strand of floss around your middle fingers and hold a one-inch section tightly between your thumbs and forefingers.

Ease the floss between teeth, using a gentle rubbing motion.

Clean up and down several times while curving around teeth at the gumline.

Don’t forget to floss behind the last tooth.

At first, your gums will need to get used to the flossing and may bleed or become sore for the first few days. This should stop in a few days after your teeth become used to the procedure. However, if bleeding continues after a week or so, call your family dentist or us.

Failing to floss leaves 35 percent of your tooth surface uncleaned!

Recommendations for Flossing with Braces

Even though it is more difficult than without braces, it is important to floss daily.

Use a floss threader to help guide floss between braces or under the archwire.

Rinse your teeth to wash away food or other particles that you have removed.


Beyond brushing and flossing, you can help maintain your oral health by avoiding the following health hazards:

Cigarette/Cigar Smoking
Smoking cigarettes or cigars can causes a number of oral side effects, including:

Sticky tar deposits

Brown tooth stains

Red inflammation on the roof of the mouth (“smoker’s palate”)

Delayed healing of the gums

Chronic bad breath

The most dangerous effect of tobacco is the development of oral cancer. The risk of oral cancer increases with the number of cigarettes or cigars smoked each day, as well as the number of years a person has been smoking.

Approximately 75 percent of all oral cancers in North America are associated with tobacco use and alcohol consumption.

Chewing Tobacco
Smoking cigarettes and/or cigars is not the only cancer-causing habit – chewing tobacco can be equally detrimental to your oral health. These products, which include dip and snuff, are linked to cancer of the cheek or gums. Another major side effect of chewing tobacco is gum recession, when the gums react to the presence of the tobacco “wad” by receding along the tooth root.

Oral Piercing
Research also shows that oral piercing – most commonly involving the lips, cheeks and tongue – can lead to infection, tooth damage and difficulty with speech and breathing. The moist, bacteria-filled oral area is an ideal setting for infection and injury, and the frequent introduction of fingers into the mouth only increases this likelihood.

Tongue piercing can also cause the following health hazards:

Swelling that can compromise breathing

Severed blood vessels that can cause prolonged bleeding

Cracks in teeth or chips in lip from jewelry

Difficulty talking, chewing and swallowing

Scar tissue formation

Development of hypersensitivity to jewelry metals

Why choose our practice
Our practice is committed to serving you and we are proud to offer the finest and most current orthodontic care available. We love seeing new patients and we enjoy the excitement that they bring to our office. We welcome the opportunity to work with you to create a healthier and more pleasing smile. In our office we strive to give each patient friendly and personalized attention. Every effort is made to attend to your needs in a caring and timely fashion. We consider each staff member an important part of our team and strive for delivering the highest quality care.

Our Team
Our team members are extensively trained in all aspects of orthodontic services. We regularly conduct training sessions and attend continuing education courses to keep abreast of the latest techniques and information available to our profession. We believe that we offer the finest care in the team-delivered orthodontic experience. As a team we are always seeking to learn, communicate and enjoy each day with our patients. In addition we are committed to continuing to be the best at what we do for our patients.

To assist your efforts to educate yourself we want to assure you that safety and quality are always on our minds. Our goal is to provide patients with the highest quality products available and to ensure that a maximum level of safety is always maintained in our practice, so that you may feel comfortable during your visits. Below we will review some of our routine quality policies:

No reuse of braces or wires: It is common practice in many orthodontic offices today to utilize “second-hand” and “recycled” braces and wires. We feel that each patient deserves the best, therefore, in our office we do NOT “re-use” the same braces or wires on a second patient. Thus, our fees may be somewhat higher than in an orthodontic office where second-hand braces and wires are used. We work hard to keep our costs down but not at the expense of our patients.

The highest quality materials: The quality of the braces, wires and removable appliances used can differ, just like the difference in quality available in the various household items that you purchase. We use only the highest quality orthodontic materials in order to provide you the very best treatment.

Heat activated wires: Orthodontic wire is now available with the ability to reactivate itself whenever the patient rinses with warm liquids. This means that teeth move more efficiently with fewer appointments and more convenience to our patients. Treatment time is reduced dramatically with the use of these advanced wires.

Barrier Controls: We wear protective facemasks, eyewear, gloves as recommended by the Federal offices OSHA and the CDC.

Sterilization: All of our dental hand pieces are thoroughly sterilized with a steam autoclave after each procedure, as this is the only effective hand piece sterilization method. All of our other orthodontic instruments are thoroughly dry-heat sterilized.

Individual set-ups: All of our instruments are organized on an individual tray as a set-up for each individual procedure on each patient.

Disposable items: These are used whenever possible and are always discarded once used or exposed to the treatment environment.

Individualized treatment planning: No two patients have exactly the same problems. Some orthodontic problems are very minor in nature and some are quite severe, so it is important that each patient is treated according to their individual needs. In our office, the treatment plan for each patient is tailored specifically to their individual needs using the most current computer imaging programs available.

Update techniques: Our team keeps up to date with the latest industry techniques by attending yearly continuing education courses. This means that as a team we can provide you with the most current orthodontic treatment services available. We are committed to staying current with the latest procedures, guidelines, techniques and equipment. When you visit our office, we want you to feel confident that your health and the health of your family are protected.

Customer Service: Our practice prides itself on being customer focused and we strive to offer our patients over the top customer service. For this reason from time to time during your treatment we may ask you to participate in surveys or focus groups to find out how we can better serve you. If at any time during your treatment you are dissatisfied or have a suggestion on how we can improve our services please let us know.

Yes, orthodontics can be fun! We understand that orthodontics is not always considered “fun” so in our practice we have attempted to change that thinking by providing more than just quality treatment. We provide our patients with the following during treatment time: Contests for both patients and parents, theme weeks, patient appreciation parties, bonuses for good oral hygiene, and cooperation, video games, current magazines, complimentary coffee and juice, practice tee-shirts, and most important a qualified and friendly staff who loves what they do and wants the best for you and your child. We invite you to come in and see how fun orthodontics can be. When you or your child becomes a patient in our office you become a part of our orthodontic family.

Customized Payment Plans
Orthodontics is one of the best investments you can make in yourself or your child’s future. To help you fit this investment into your budget, we offer a variety of payment methods.

In-house financing with no interest 25% down and the remaining balance paid over your treatment time
Outside financing that offers no down payment and low monthly fees paid over your treatment time
Payment in full with a courtesy bookkeeping discount
Monthly Direct Debit Services
Automatic Credit Card payments (all major credit cards accepted)
We accept most major insurance plans and will fill out the necessary paperwork for you
Our treatment coordinator will be happy to explain all the financial options to you and work with you on customizing payment plan that fits your individual needs.

When is the best time to begin orthodontics?
The American Association of Orthodontists (AAO) recommends that all children see an orthodontist by age seven and sooner if something is obviously wrong before age seven. Fortunately, many young patients don’t need anything more than observation while the permanent teeth are growing into place, however, some young patients may have problems that will not, or should not wait. Most orthodontic problems are inherited and cannot be totally prevented however something can usually be done before these problems become more difficult and more expensive to manage. It is advisable to consult with an orthodontist prior to having your dentist remove any baby teeth or permanent teeth. To ensure the best overall dental and facial development all patients shaould have an orthodontic consultation sometime between the ages of three and seven. By age 7, the first permanent molars and incisors have usually come in and crossbites, crowding and protrusions can be evaluated. The orthodontist can identify current or anticipated future dental problems and determine the best time for treatment. Any ongoing oral habits can also be evaluated at this time such as thumb sucking, mouth breathing, or finger sucking.

What are the benefits of early treatment?
If there are obvious problems which exist that could be intercepted or prevented from getting worse your orthodontist may advise you to have your child undergo a First stage-Orthopedic Treatment. Orthopedic treatment can be initiated on many types of bite problems before all of the permanent teeth are present. Orthopedic treatment is necessary in many cases when the child’s teeth, lips or jaws don’t look normal for their age. Some reasons from considering orthopedic treatment are to:

Minimize severe malocclusions

Improve facial appearance and self-esteem

Correct functional problems

Minimize the effects of abnormal growth patterns

Reduce protrusion so that front teeth are less susceptible to injury

Reduce the need for or minimize the number of permanent teeth extracted

Reduce a serious mismatch in the growth of the upper and lower jaws

Eliminate adverse habits such as thumb/finger sucking

Make the treatment with braces easier and shorter

Initial Examination
When you visit our office for an initial orthodontic evaluation, the orthodontist will perform a comprehensive examination to determine if orthodontic treatment is needed and present the initial findings to you that same day. During the exam the doctor will evaluate jaw, teeth and facial growth to determine if now is the best time to begin orthodontic treatment. If additional growth is recommended, prior to beginning orthodontics, the orthodontist will place your child in the practice recall system and continue to monitor your child as necessary as the permanent teeth erupt and the jaws and face continue to grow. This service is complimentary. If your child or yourself is ready to begin orthodontics immediately the doctor along with the practice treatment coordinator will explain to you the recommended treatment plan, show you the types of appliances available to treat your particular case, review estimated length of treatment, provide a cost estimate and work with you to customize a payment plan that fits your needs, and scheduled to have your appliances placed.

Early Treatment
When necessary early treatment or interceptive treatment may be recommended to guide facial growth and tooth eruption to prevent more serious problems from developing. Early intervention frequently makes the completion of treatment at a later age easier and less time consuming. A variety of early treatment appliances are now available to help your child correct an orthodontic problem. One example is an appliance that expands the palate while the jaw and face are still growing to make room for more teeth and create a broader smile. The following early warning signs may indicate that your child should have an orthodontic examination as soon as possible:

Difficulty in chewing

Open-mouth breathing

Thumb or finger-sucking

Overlapping or crowding of erupting permanent teeth

Jaws that tend to pop or click

Developing underbite, overbite, protruding front teeth, or other abnormal bite development

Diagnostic Records
Following the initial examination, diagnostic “Records Will be taken on each patient. Records confirm the doctor’s diagnosis and treatment plan and serve as documentation of the position of your teeth, lips and profile when you started treatment. Typically records include the following five items:

Panoramic x-ray – This type of x-ray takes captures an image of your teeth and jawregion. It helps in identifying any extra teeth, blocked out teeth, missing teeth, or any problems with your jaws, jaw joints or roots. Depending on your particular problem you may have to have several Panoramic x-rays taken throughout treatment.

Cephalomatic x-rays – This type of x-ray captures an image of your entire skull and profile. It is used to identify any potential growth problems and for recording diagnostic measurements.

Bite registration – Typically your bite registration is taken by having you bite your teeth together into a piece of thin wax. This allow your orthodontist to evaluate how well your top teeth line up with the bottom teeth.

Impressions/ Study Models – In order to make plaster models of your teeth (study models), you will need to have impressions taken as part of the records process. This entails biting into a tray of soft toothpaste or pudding like material (alginate) for about one minute. The material becomes set (or hardened) to a consistency of silly putty and then is taken out. Impressions are taken one at a time and you need one for the top and one for the bottom. This process is painless but can sometimes taste bad. In order to make this more enjoyable we offer a variety of alginate flavors for you to choose from.

Diagnostic photographs – These are pictures taken of your smile, profile, face, teeth and mouth. These pictures are again used to document your current status and will help the doctor track your progress and see how your smile is changing.

Final Treatment Plan
After the records have been reviewed, we will discuss with you and your child the final orthodontic treatment plan including what orthodontic appliances will be used, how long treatment will last, what foods to avoid, proper care of the appliances and teeth during treatment, etc.

Length of Treatment
The length of treatment for each patient varies based on the patient’s age, severity of the bite, and correction needs, but most cases can be completed in approximately 18-24 months. After the braces are removed, a retainer is prescribed and is to be worn continuously for a few months to a few years in order to set the tissues surrounding the newly straightened teeth. When ready, your orthodontist will inform you that you can now just wear the retainer at night or occasionally to make sure the teeth do not shift. In some cases, a permanent retainer can also be prescribed, which is a metal wire that is bonded to the back of the teeth to insure that the teeth remain in proper position.

Patient Cooperation
Patient cooperation is the key to successful orthodontics. Braces are strong enough to withstand the normal forces created during chewing, however, if they are abused, the braces can break. Broken braces and wire may poke into the cheek or tongue and cause sores in the mouth. Broken appliances can also lengthen the treatment time. Appliances must also be worn as prescribed to achieve the desired results.

Dental hygiene is also very important to prevent tooth decay or decalcification during treatment. Certain foods should be avoided to prevent breakage of appliances and also reduce the chance of tooth decay. We will discuss this with you in more detail on the day the appliances are placed, but for more information, please go to the “Caring for Braces” section.

Financial Arrangements
You will be pleasantly surprised that orthodontics may not be as expensive as you thought. The total cost will vary by case and complexity, but we offer a number of flexible and affordable payment plans that will fit your individual needs. These will be discussed with you on the day of your new patient examination. Options include, but are not limited to the following:

25% Down and monthly payments spread out over the remaining treatment time. No interest.

Courtesy Booking discount for payment in full prior to the day appliances are places.

No down and low monthly payments spread out over the time of treatment. Interest based on credit history.

Direct Debit from your checking account monthly

Direct Debit from your credit card monthly

Most major insurance carriers accepted


Soothing Recipes

We know how those teeth can get a little sore after orthodontic adjustments, so here are some soothing recipes that we hope you and/or your child will enjoy.




Thanks to “Straight Status” for some of the contributed recipes.

Easy on Your Teeth Deviled Eggs

6 hard boiled eggs
2 tbsp butter, melted
1 tsp lemon juice
1 tbsp prepared mustard
1/8 tsp dill weed
dash Worcestershire sauce
dash hot sauce
¼ cup mayonnaise
1/8 tsp salt
1/8 tsp pepper

Peel the eggs after they have cooled and cut into halves lengthwise. Carefully remove the yolk, place in a small bowl, and mash with fork. Add the remaining ingredients except the paprika. Mix well until smooth and creamy. Refill the egg halves with this mixture and sprinkle with paprika.

Soothing Santa Fe Chicken Chowder

2 tbsp butter
1 med onion, finely chopped
2 cloves garlic, minced
1 cup chicken broth
1 tsp ground cumin
¼ tsp cayenne pepper
½ tsp coriander
½ tsp salt
2 cups very finely chopped chicken breast
1 pint half & half
1 can (15 oz) creamed sweet corn
1 can (10 oz) diced tomatoes and green chilies
1 ½ cup finely grated sharp cheddar cheese

In a dutch oven over medium high heat, melt the butter and saute the onion and garlic. Add the chicken broth, cumin, cayenne, coriander, salt and chicken. Stir, and over high heat, bring to a boil. Reduce heat and simmer, covered, for 10-15 minutes. Add the half and half, corn, tomatoes, and green chilies. Stir and increase the heat to medium. Gradually stir in the cheese until melted.

Serves 4-6.

Painless Pasta with Roasted Red Sweet Pepper Cream Sauce

2-8 oz containers soft style cream cheese
1 cup half and half
2 green onions, very thinly sliced
3 tbsp onion, very finely chopped
½ tsp basil
½ tsp garlic powder
¼ tsp pepper
¼ tsp salt
2-7 oz jars roasted red sweet peppers, drained and finely chopped
12 oz angel hair pasta, cooked
½ cup parmesan cheese, finely grated

In a medium sized sauce pan over medium heat, melt the cream cheese, stirring often. Add the half and half. Stir in the green onions, onion, basil, garlic, salt, pepper and the red peppers. Continue to stir until the sauce is creamy and smooth and heated through. Pour over pasta and toss to coat. Sprinkle the parmesan cheese on top.

Serves 4-6.

Special Smiley Mashed Potatoes

1 package (22 oz) frozen mashed potatoes
1 tbsp butter or margerine
2 ½ cups milk
½ pound ground beef, cooked, finely crumbled, and drained
1 package taco seasoning mix
1 tbsp sun dried tomatoes or ¼ cup finely diced fresh tomatoes with skins removed
2 oz diced black olives
½ cup sour cream
½ cup grated cheddar cheese

In large microwaveable bowl, combine the potatoes, butter and milk. Microwave on high for 8 minutes. Remove bowl from microwave oven and stir the mixture well. Stir in the last 6 ingredients, return bowl to the microwave and cook 7 minutes on high. Stir well with fork to fluff.

Metal Mouth Meatballs

1 lb ground beef
½ cup Italian seasoned bread crumbs
¼ cup milk
½ tsp garlic powder
½ tsp salt
½ tsp pepper
½ tsp Worcestershire sauce
1 tsp minced onion
1 tbsp very finely chopped green pepper
1 egg, beaten
¼ tsp dried oregano

Combine all ingredients and mix thoroughly with hands. Form or roll into 24 equal sized balls. Place in a well-greased 9″x13″x2″ casserole dish and bake at 400 degrees for 25-30 minutes. Service with a smooth spaghetti sauce over soft dante angel hair pasta.

Bucky Beef Enchiladas

1 lb ground beef
1 medium onion, chopped
1 clove garlic, minced
10 flour tortillas, cut into small bite-size pieces
2 cups cheddar cheese, grated
1 can (4 oz) green chilies, chopped
1 can (4.5 oz) black olives, chopped
1 can (10 ¾ oz) cream of chicken soup
1 can (10 oz) diced tomatoes and green chilies
½ cup water

In a skillet, cook the ground beef, onion and garlic. Drain and run through a food processor or blender. In a greased 9″x13″x2″ casserole dish, layer ½ the mixture, tortillas, cheese, green chilies, and black olives. Repeat. In a medium sized bowl, combine the soup, diced tomatoes, green chilies, and water. Mix thoroughly and pour over the top of the layered ingredients. In a preheated oven, bake covered at 350 degrees for 1 hour.

Serves 6-8.

Wired White Pizza

1 tube (10 oz) Refrigerated pizza dough
1 container (10 oz) refrigerated alfredo sauce
½ cup onions, finely chopped
7-8 slices bacon, crisply fried and finely crumbled
1 jar (2.5 oz) sliced mushrooms, drained
1 cup cooked chicken breast, chopped
7 oz hickory smoked gouda cheese, grated

Using a pizza baking sheet, follow the manufacturer’s directions for handling and shaping the dough. Pre-bake the dough prior to the layering of the ingredients for 5-6 minutes at 425 degrees or until lightly golden brown. Evenly spread the alfredo sauce over the pre-baked dough and layer the remaining ingredients in the order given. Transfer the pizza to a preheated oven and bake at 425 degrees for 10-12 minutes.

Chew-less Chili Chicken

2 cups cooked chicken breast, finely chopped
1 can (10 ¾ oz) cream of chicken soup
¾ cup chicken broth
1 can (4 oz) chopped green chilies
1 jar (2 oz) diced pimentos
8 flour tortillas, 7″ diameter, cut into small pieces
2 ½ cups cheddar cheese

In a large bowl, combine all the ingredients and mix thoroughly. Reserve 1 cup of the cheese for sprinkling on top. Pour into a greased 9″x 12″ x2″ casserole dish and bake at 350 degrees for 20 minutes or until hot and bubbly.

Serves 4-6.

Braces Friendly Banana Cream Cake

1 ½ cups granulated sugar
1 stick butter, softened
2 eggs
¾ cup sour cream
2 cups flour
1 tsp baking powder
1 tsp baking soda
½ tsp salt
2 tsp vanilla extract
¾ cup milk
2 cups bananas, thinly sliced

Grease a 9″ x 12″ x 2″ baking pan and lightly dust with flour. In a large mixing bowl, cream the butter and sugar. Beat in the eggs on at a time. Beat in the sour cream. Add the flour, baking powder, baking soda, and salt, mixing well. Beat in the vanilla, milk and bananas. Pour into the prepared baking pan. Bake in a preheated oven at 350 degrees for 45 minutes. Top with whip cream or drizzle with a chocolate topping of your choice.

Crossbite Carrot Cake

2 cups granulated sugar
2 sticks butter, softened
4 eggs
2 ½ cups all-purpose flour
2 tsp baking powder
1 tsp baking soda
1 tsp ground cinnamon
1 tsp ground ginger
2 tsp salt
1 can crushed pineapple in heavy syrup, well drained
2 tsp vanilla extract
2 cups carrots, very finely grated.

Grease and lightly dust a 9″x12″x2″ baking pan with flour. In a large bowl, cream the butter and sugar until light and fluffy. Beat in the eggs one at a time. Gradually add the flour, baking powder, baking soda, cinnamon, ginger, and salt, mixing well. Beat in the pineapple, vanilla extract, and carrots. Pour into the baking pan and bake in the preheated oven at 350 degrees for one hour. Allow to cool completely frosting.

Cream Cheese Frosting

1 pkg (8 oz) cream cheese, softened
1 stick butter, softened
2 tsp lemon juice
1 tsp vanilla extract
1 ½ cups powdered sugar (confectioners sugar)

In large bowl, combine the cream cheese and butter, beating until smooth. Beat in the lemon juice and vanilla. Gradually beat in the sugar and continue beating until light and fluffy. Spread evenly over the cake. Refrigerate.

Why Braces?
Orthodontics has come a long way since the days of “metal mouth.” New technology is allowing treatment to be more comfortable, less visible, and more efficient. New cosmetic braces that have clear or tooth colored brackets are now available that minimize the appearance of braces. Another method, called lingual orthodontics, affixes the brackets behind the teeth and out of sight. Overall treatment times are now shorter and require fewer appointments. These are just bonuses to the real reasons for getting braces – a healthy and beautiful smile.

By gradually straightening the teeth, braces can improve your smile or your child’s smile and overall appearance. Aligning the teeth, lips and jaws makes teeth easier to clean -significantly improving overall dental health. And what many people don’t realize is that orthodontics will, in turn, boost self-confidence – giving you or your child smile power!

Who Needs Braces?
Beyond providing a great smile, orthodontics also corrects “malocclusions” or bad bites. A malocclusion (the term for crooked, crowded or protruding teeth) occurs when the teeth are not lined up properly. Malocclusions can affect the way a person chews, talks or smiles, and in some cases, can affect the jaws causing pain and discomfort. Below are some common conditions treated with orthodontics:

Crowded Teeth – When teeth are crooked, crowded, turned or spaced too far apart. (include photo/diagram).

Overbite – When the upper jaw or teeth are too far in front, or when the lower jaw or teeth are too far back. (include photo/diagram)

Underbite – when the lower jaw or teeth are too far in front, or when the upper jaw or teeth are too far back. (include photo/diagram)

Overjet (Protrusion) – when upper teeth protrude and do not fit properly together with the lower front teeth

Spacing- when teeth have gaps or spaces between them

In these cases, orthodontists will recommend braces or other appliances to correct the problem and straighten your teeth.

Standard orthodontic appliance or braces have three basic parts:

Brackets, which are the small metal or ceramic modules individually attached to each tooth. They serve as a guide to move the teeth and hold the archwire in place. Brackets are attached to the teeth with a tooth colored bonding adhesive.

Bands, which are the larger metal rings that sometimes are placed on back teeth for strength and anchorage. These are attached to the teeth with an adhesive cement and separators (small elastic rubberbands) are placed between the back teeth prior to placing these bands on the teeth.

Archwires, which are the wires that you see connecting each arch and running form bracket to bracket. Archwires are changed periodically during your treatment time.

How long will treatment last?
Braces are used to straighten your teeth gradually – not overnight – so a little patience is needed during the process. You can expect the average single phase treatment time to last 18 to 24 months depending on the severity of your or your child’s correction needs. Patient cooperation with every step of the prescribed treatment plan is essential to the success of treatment. This means wearing the appliances as prescribed, keeping your scheduled appointments and keeping the teeth extra clean. Your orthodontist will use braces to produce slight pressure on each tooth and make regular adjustments to maintain this directional pressure. The teeth and jaws may be a little sore after each visit, but the discomfort will be brief. The end result of a beautiful healthy smile is well worth it!

After the braces are removed, the orthodontist will prescribe a retainer to be worn continuously for a few months to a few years to set the tissues surrounding the newly straightened teeth. Retainers are usually worn on a consistent basis until the wisdom teeth have either fully erupted or been removed. After such time, you may need to wear your retainers just at night or periodically to make sure your teeth don’t move. You may also be fitted with a permanent retainer, a metal wire bonded to the back of your teeth, to insure that your teeth stay in proper position. Commitment to retention will keep that new beautiful smile perfect for a lifetime! If you lose a retainer or break a retainer be sure to call your orthodontist office immediately and have a replacement one made.

The true test
The most important question to answer in deciding whether to get orthodontic treatment or not is to ask yourself or have your child ask “Do I like my smile?” If the answer is no and orthodontics can help, then it is one of the best investments you can make in yourself or your child’s future.

Clear Aligners are orthodontic appliances that are used to align and straighten the teeth. They are thin, plastic trays that are stretched over the whole teeth quadrant and can be fitted and removed by the patients themselves. Clear Aligners are practically invisible, do not normally inhibit speech and can be removed whilst eating or cleaning the teeth. For these reasons, aligners can be worn by adults at work during the day. Clear Aligners are customized appliances ,manufactured in such a way that they exert gentle pressure on the teeth enabling their position to be altered. Since only very small movements can be achieved with an aligner, a complete series of aligners is normally produced, each one being worn for about 1-2 weeks at a time. Each new aligner moves the tooth a little bit more so that the teeth are gradually straightened step by step. Orthodontic Solutions Clear Aligners were originally produced by using advanced German technology by using CAD/CAM software which enables 3d treatment simulations to be produced on the computer screen. Once the clinician approves the end result, the appliances are fabricated.

From 1960 onwards, writers such as Nahoum and Ponitz started to describe one-piece plastic splints. These were mainly used to stabilise the results of treatment but were also used for minor corrections to the position of the teeth. At the end of the eighties, a Japanese man, Yoshii appeared with his Elasto devices made from highly flexible silicon that could be used for either one or two teeth quadrants. These have been sold in Germany since 1991 by the Hinz Kfo Laboratory. Tooth movements in the order of 3mm were possible using a single Elasto appliance because of the great resilience of highly flexible silicon. In the 1990’s the American J. Sheridan developed his own Aligner System whereby the plastic splints could be repeatedly activated by gradually inserting slots and little pins. Sheridan’s ESSIX Aligner did gain a certain currency but, as before, its use was mainly confined to minor corrections of the front teeth.

At around the same time, towards the end of the 1990’s, two new aligner systems were developed that made it possible to achieve greater movement of the teeth: they were the Invisalign from the USA (1997) and the Clear Aligner System developed by T-W. Kim of Korea in 1998. The Invisalign treatment was introduced in 1999 at the American Orthodontics Conference. The innovative thing about Align was that a whole series of computer-aided models, right up to the desired end result, could be produced from one single impression of the teeth. These models could then be used to produce a randomly large series of aligners for a patient without having to take any new impressions. Fascinating though this may be, it was unfortunate that Align was then able to get a US patent to produce more than three aligners from a single impression. But any orthodontic technician had already been able to do this for some time without the aid of computer technology. So, what we have here is a trivial patent that, in the eyes of many specialists, has been wrongly granted. This patent enabled Align to sue any potential competitors right out of the market. The best known victim of this strategy was the American company OrthoClear in 2006. Not even in Germany are competitors of Align protected from such legal action. Align’s American patents prevent other companies from developing their products organically because this will always put them in danger of infringing the patent. In spite of this, there are presently companies in many European countries that compete with Align and its Invisalign product.

Orthodontic Solutions Clear Aligners were introduced onto the German market in 2008 by it’s German counterpart K Line Europe GmbH. The system acclaimed huge success in Germany and rest of Europe due to the new and innovative design of the appliance, superior material of the appliance developed by the R&D; team & backed by experienced staff(Orthodontists Only) .

Kline entered the Indian market in May 2013 under the expert guidance of Dr. Swapnil Gupta, who was instrumental for introducing & promoting Clear Aligners since the inception of CAD/CAM aligners into the Indian Market during 2011.

Orthodontic Solutions (P) Ltd. was incorporated and took over the business in India, Malaysia & Indonesia from the parent company Kline Europe GmbH. The company is managed by Dr.Swapnil Gupta & it introduces an absolutely new trend in the orthodontic industry. For the first time a company & product is managed by experienced Orthodontists and not the regular sales & marketing people. This unique feature helps us to provide unmatched services not only in terms of logistics but an unparallel backend support which makes the entire process of the treatment since start to end extremely comfortable.
Adult Orthodontics
So you didn’t get braces as a kid, or maybe you did, but you stopped wearing your retainer. Orthodontics can still help you – you are never too old for braces. In fact, about 25% of orthodontic patients today are adults. And, you will be so proud of your new beautiful smile!

The biological process involved in tooth movement is the same in adults and children. The most important determining factor is the health of the teeth, gums and supporting bone. Because, facial bones are no longer growing in adults, certain corrections cannot be accomplished with braces alone. However, many corrections can and other dramatic changes can be accomplished with a combination of surgery and braces if desired.

New Technologies

Braces have also come a long way since you were a kid. They are more comfortable, the treatment times are shorter and require fewer visits. New technologies have also made advances in cosmetic braces. You can choose between lingual braces that fit behind the teeth, cosmetic braces that are tooth-colored and barely visible, or regular braces that are now much smaller and more comfortable than ever before.
Researchers continue to focus on developing lighter, more comfortable materials, removable appliances, and cosmetic improvements to correct teeth. One such new technology is called the Invisalign system. This combines traditional orthodontic diagnosis and treatment with the latest 3-D computer graphics technology. This process applies a patient’s diagnosis and treatment plan to precisely separate large tooth movements into smaller, simpler ones. A series of custom-made, clear appliances (similar to mouthguards or bleaching trays) are worn sequentially by the patient to produce extensive tooth movements normally achieved through braces. If you are interested in learning more about Invisalign, ask us about it.
We want you to have the most beautiful smile possible. We will do our part, but you have to do yours too! With the proper care, you can keep those pearly whites your whole life. While you are in braces, good dental hygiene is especially important. In “Caring for Braces” we tell all you need to know about taking care of your teeth during treatment and making sure your treatment progresses as smoothly and quickly as possible. For the short periods when your teeth may be a little sore, we have provided some “Soothing Recipes” for you. And, to make sure you keep your new beautiful smile stays bright, “Taking Care of Your Teeth” tells you everything you need to know to follow a good dental care routine.
Orthodontic Emergencies
Some minor problems can occur during orthodontic treatment ranging from sore teeth and swollen gums to bent wires and broken brackets. You can avoid most broken brackets and bent wires by following the prescribed care for braces and avoiding certain foods. For more information on this, check out our “Caring for Braces” section.

But even with the toughest braces and proper care, minor adjustments may need to be made. In some cases you will be able to fix the problem, but in many cases, you will need to contact your orthodontist immediately to schedule an emergency appointment. Here are a few common problems that could occur during the course of treatment:
“Poker” – When a loose wire pokes the inside of the teeth or cheek, cover the wire with soft wax or cotton. Rinsing with warm salt water twice a day will help ease the discomfort. Be sure to call your orthodontist for a special appointment.
Sore teeth – After most adjustment visits to the orthodontist, your child will naturally experience sore teeth as the teeth try to gradually move into place. However, aspirin or other pain relievers should remedy the soreness in 3-5 days. Try some of our “Soothing Recipes” during this time.
Loose bands or brackets – Sometimes bands or brackets can become loose – usually as a result of eating hard or sticky foods. These will need to be prepared by your orthodontist, so call right away for a special appointment.
Lost separator – Call your orthodontist and explain which separator popped out, as an appointment may not be necessary if adequate space exists between teeth.
Lost retainer – Your retainer holds your teeth in place until the gums and roots that move a little slower move into place. Not wearing your retainer can cause your treatment to relapse, so contact your orthodontist immediately when you lose a retainer so that another can be fitted for you.
Other Dental Emergencies:
If some other type of dental emergency occurs such as a laceration, puncture wound, a broken or chipped tooth, a tooth knocked out or out of place, contact your family dentist or orthodontist as soon as possible – preferably within the first 30 minutes. Do not try to force back displaced teeth or attempt to place a tooth back in its socket as it could cause further damage.


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