ortho 1.10

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Separators or Spacers

Separators have been placed between your teeth in order to move them apart slightly so that orthodontic bands (the metal rings around the back teeth) may be placed at your next appointment. Separators are removed prior to placement of the orthodontic bands.

If the separators become loose before your next appointment, please call our office in order to see if they need to be replaced. You should make every effort to keep the separators in place by avoiding sticky foods like chewing gum, and avoiding flossing in the areas with the separators (this will be one of the few times we ever tell you NOT to floss).

The tenderness associated with the separators usually diminishes after a few days. In the meantime, whatever medication you usually take for a headache (Advil, Tylenol, or aspirin) can be used to take care of any discomfort.

Palatal Expander
A Palatal Expander is designed specifically to expand and widen your upper jaw.

Any interference with your speech due to the appliance usually resolves over time. Sometimes activating the expander causes some slight pressure near the nose or out toward the cheek bones. This sensation usually subsides within 30 minutes. Advil or Tylenol may be needed for the first 3 nights.

To activate the expander:

Place the key into the key hole in the center screw and gently push the key toward the back of the mouth which will turn the center screw.

If the key has been moved all the way to the back of the mouth, the next hole should be visible in the front. When one hole is visible, turning the key so that you can see the next hole is considered one “turn” or “activation”.

Please do not pull the key forward to remove it. If that happens, you “undo” the expansion.

Because the hole is difficult to see, the activation usually needs to be done by someone other than the patient. We recommend some place with good lighting (like a bathroom) or a flashlight for the best visibility.

Turn the appliance once per day for as many days as the doctors’ instruct. We will schedule an appointment to see you evaluate your progress and determine if any more turns are necessary.

The expander may cause the separation of the two front teeth. This is normal and space may closes on its own when the key turning is stopped. Otherwise, the space will eventually be closed with braces.

After the expansion is completed, the patient will continue to wear the appliance for a period of time to allow the bones to get used to the new position.
Headgear
Headgear is used in treatment of patients whose upper teeth are ahead of the lower teeth, and guides the growth of the teeth and jaws.

It is important to wear the headgear 12-14 hours per day, every day, with the majority or time while sleeping. In order to comfortably “work up to” those ideal hours, follow this schedule:

DAY 1: 4 hours
DAY 2: 6 hours
DAY 3-7: 8 hours (including all night, while sleeping)
DAY 8: 12+ hours

At this point, the 12+ hours should be maintained daily until instructed otherwise.

NOTE: The hours the headgear is worn do not have to be consecutive.

To place the headgear:

Placing the headgear in your mouth should be done carefully.

Attach the elastic strap to the hook on one side of the headgear.

Using the side that is attached to the strap, place the headgear into the tube attached to the band in back of your mouth. The bumps or loops on the headgear should point down.

Insert the other side of the headgear into the tube on the band on the other side of the mouth.

Hold the headgear in front of the mouth with one hand while using the other hand to attach the elastic strap to the hook on the other side of the headgear.
Bring your headgear to every appointment so we can check and adjust it. Each headgear is custom fitted and adjusted. You should not change yours in any way. Please call us if you feel it’s not fitting correctly.

It is normal if your teeth are tender for the first few days the headgear is worn. This tenderness will disappear as you and your teeth get used to the pressure. Wear the headgear consistently and do not remove it frequently.

Please remove the headgear before engaging in physical activity. Wearing the headgear while playing sports or wrestling may injure you or others.

Be careful when removing the headgear. If the headgear does not easily slip out when you try to remove it, stop! Go to a mirror and gently remove it. Twisting and forceful pulling may bend the headgear or loosen the bands.

The elastic strap is hand washable. Hang to dry (do not place in a dryer).
Elastics or “Rubber Bands”
Elastics, or “rubber bands”, are used to help improve the fit and bite of the upper and lower teeth. How well the rubber bands work, and therefore how quickly your teeth fit together appropriately, is determined by how well you wear the rubber bands.

The rubber bands should be worn every day, 7 days a week.

They can be removed to eat. After you eat, you should throw away the old rubber bands and place new ones. Since a rubber band is not as effective after being in the mouth for more than 12 hours, please try to change them 3-4 times per day.

The rubber bands need to be worn exactly the way we showed you. Wearing them in a way other than shown can result in tooth movement different than intended, and even opposite of what we want. If you are not sure how you’re supposed to be wearing them, ask us.

Advil or Tylenol may be used if the rubber bands cause the teeth to be sore.

Occasionally, wearing rubber bands can cause the jaw joints to become sore or start making noises when you open and close your mouth. If that happens, call our office and we will make an appointment to see what is going on with your jaw joints.

If you notice that you are running low on rubber bands, call our office. You can either come by to pick up some more or we can mail them to you.
Retainers
Retainer can be either removable or cemented in place behind the teeth.

For Removable Retainers:

Wear the retainer as instructed by the doctor. Usually, the retainer is worn 24 hours a day immediately after the braces are removed. Only take them out when eating, brushing and flossing, or when playing contact sports. This means all day and all night.

Brush your retainer with toothpaste and water when you brush your teeth (which should be at least twice per day). Calculus is a hard white substance that can build up on the retainer. If it does, soak the retainer in 1 cup of vinegar for 4 to 8 hours and then brush as usual with toothpaste and water. NEVER soak your retainer in ANYTHING except vinegar or some type of denture cleanser!

If your retainer is not in your mouth it should be in the case we provided. NEVER wrap your retainer in a napkin or place it in your pocket, because it can be easily broken, thrown away, or lost.

Do not bite the retainer into place, or “click” the retainer in and out of your mouth with your tongue. This can either bend the wire or break the plastic.

Do not immerse the retainer in hot water, as plastic will distort and the retainer may no longer fit.

Dogs and cats love to chew on retainers! Keep them out of reach of your pet’s mouth.

If a retainer is broken, irritates the mouth, does not fit, or is lost, call our office immediately.

The cost of your first retainer was covered in the orthodontic treatment fee, however; if we need to make you a new one there is a replacement fee per retainer. If you break the retainer, please save the pieces and bring them with you. Sometimes they can be repaired for a lesser fee. PLEASE KEEP IN MIND that we will need to see you twice for any repair or replacement, as a new impression has to be made to either repair or replace a broken retainer.
For Cemented or “Permanent Wire” Retainer
Your permanent retainer is cemented to the tongue side of your front teeth and is not removable. It is designed to last many years with proper care.
Please remember that it is a delicate appliance and certain precautions need to be taken while eating:

Avoid hard or sticky foods. Many of the foods you have been avoiding with braces on, you will still need to avoid.

Things like fresh vegetables and fruit should be cut up into smaller pieces. This is so you can chew them with your back teeth and avoid biting them with your front teeth.

Do not poke the retainer or chew on pens or pencils. They can break the retainer or knock it loose.
If you notice that the retainer is loose, please contact our office as soon as possible. We want your teeth to remain straight, but if the retainer is loose, your teeth could move. Additionally, a loose retainer makes it easier to get cavities underneath the retainer. Please brush your teeth and retainer thoroughly. You will need to use a floss threader to get the floss under the retainer wire. Just make sure you are careful and do not pull “up” on the retainer with the floss, as this could distort or loosen it.

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Orthodontics is not just for children. In fact, 1 in every 5 patients in orthodontic treatment is an adult. No one is too old for orthodontic treatment.

Adults seek orthodontic treatment for many of the same reasons as children. Some adults may have had orthodontic problems as children but were unable to correct them until now. Others who had treatment as children may need further treatment as adults due to relapse or limitations in initial treatment.

Benefits of Treatment
Adults can benefit from orthodontic treatment in many ways. These include:

Align the teeth to create a more esthetic and beautiful smile

Correct relapse after previous orthodontic treatment

Improve the ability to brush and floss, especially for crowded or overlapping lower front teeth, to prevent gum disease

Create a better or more comfortable bite and ability to chew

Address missing teeth

Close spaces between the teeth

Reduce excessive wear on the teeth

Jaw surgery to correct discrepancy between the upper and lower jaws.
Appearance of Braces
Many adults are concerned with the appearance of the braces. For more simple or uncomplicated correction, clear removable appliances (“invisible aligners”) can be used. For more involved correction, we have the option of clear brackets (which you can view on this web site: http://www.3MUnitek.com/Clarity) or even gold brackets.

Pain/Discomfort
Orthodontic treatment does not hurt more for adults than children. Adults undergoing orthodontic treatment report the same level of soreness as children (although adults are more willing to tell us about the soreness).

Typically, the teeth are most sore 12-24 hours after and orthodontic adjustment, and will disappear within 3 to 7 days. Modern appliances are smaller and more comfortable, and modern techniques and materials put less pressure on the teeth while moving the teeth more rapidly and efficiently.
Cost. The cost for adult orthodontic treatment is determined the same way as child or adolescent treatment, based on the severity of the problem, the complexity of the correction, and the length of time to correct.

Insurance
Many adults are surprised to find that the same insurance that gives them a benefit for their children also allow for adult treatment. We can help determine if your insurance has a benefit for adult treatment.

Dr. Patel hasundergone additional training to better serve the special needs of adults. She has focused her training on jaw surgery and implants and coordinated treatment with general dentists to address missing teeth and gum disease.

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At what age should a child have an orthodontic examination?
The American Association of Orthodontists recommends that most children should have an orthodontic screening by age 7. This allows Dr. Patel to evaluate if orthodontic treatment will be required and the best time for the patient to be treated. Many of the dentists in our community have been trained to identify orthodontic problems early, and may refer you to Dr. Patel earlier than age 7.

Why are children being evaluated at such an early age?
Early diagnosis and treatment can guide erupting teeth into a more favorable position, preserve space for permanent teeth, and reduce the likelihood of fracturing protruded front teeth.

If early treatment is indicated, Dr. Patel can guide the growth of the jaw and guide incoming permanent teeth. Early treatment can also regulate the width of the upper and lower dental arches, gain space for permanent teeth, avoid the need for permanent tooth extractions, reduce the likelihood of impacted permanent teeth, correct thumb-sucking, and eliminate abnormal swallowing or speech problems. In other words, early treatment can simplify later treatment

In addition to better-looking teeth, what are some other benefits of orthodontic treatment?
Braces can improve function of the bite and teeth, improve ability to clean the teeth, prevent wear on the teeth, and increase the longevity of natural teeth.

Does early treatment benefit all children?
Early treatment does not necessarily benefit all children. Certain types of orthodontic problems can be more easily and efficiently corrected in the teen years when all the permanent teeth have erupted, while still other orthodontic problems should not be addressed until growth is more advanced or completed. Dr. Younger and Dr. Groesbeck develop a plan for treatment based on each individual child’s needs.

If a child has treatment early, will this prevent the need for braces as an adolescent?
Early treatment can begin the correction of significant problems, prevent more severe problems from developing, and simplify future treatment. Because all of the permanent teeth have not yet erupted when early treatment is performed, all the permanent teeth have not been corrected. Typically, a second comprehensive phase of treatment in the teen years, after all the permanent teeth have erupted, completes the correction.

Do we still need to see our family dentists if we’re already seeing Dr. Patel?
Patients with braces and other orthodontic appliances require more effort to keep their teeth and gums clean. Because Dr. Patel want to insure the highest level of dental health, they will require you to see your family dentist for regular check-ups and cleanings.
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Eating With Braces
What can you eat? Let’s talk about what you shouldn’t eat! For the first day or so, stick to soft foods. Avoid tough meats, hard breads, and raw vegetables. But you’ll need to protect your orthodontic appliances when you eat for as long as you’re wearing braces.

Avoid:

Chewy foods: bagels, hard rolls, licorice, gummy bears
Crunchy foods: popcorn, ice, chips
Sticky foods: caramels, gum
Hard foods: nuts, candy
Foods you have to bite into: corn on the cob, apples, carrots, etc. must be cut into smaller bites before eating
Chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.
General Soreness
When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. If the tenderness is severe, take ibuprofen or whatever you normally take for headache or similar pain. The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We’ll show you how!

Loosening of Teeth
This is to be expected throughout treatment. Don’t worry! It’s normal. Teeth must loosen first so they can be moved. The teeth will again become rigidly fixed in their new — corrected — positions.

Care of Appliances
It’s more important than ever to brush and floss regularly when you have braces, so the teeth and gums are healthy after orthodontic treatment. Patients who do not keep their teeth clean may require more frequent visits to the dentist for a professional cleaning. Adults who have a history of gum disease should also see a periodontist during orthodontic treatment.

Athletics
If you play sports, it’s important that you consult us for special precautions. A protective mouthguard is advised for playing contact sports. In case of any accident involving the face, check your mouth and the appliances immediately. If teeth are loosened or the appliances damaged, phone at once for an appointment. In the meantime, treat your discomfort as you would treat any general soreness.

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Initial Examination Visit
Our Treatment Coordinator will greet you, introduce you to our office, and become familiar with your orthodontic needs and expectations. In order to make this visit as productive as possible, we will take radiographs and photos. Then, Dr. Patel will conduct a thorough clinical examination and go over the findings with you, using the radiographs and photos as reference.

The purpose of the initial examination is to answer:
1. What sort of problem is present, if any?
2. When is the proper time for treatment?
3. How much will the treatment cost?
4. How long will treatment take?
5. What type of treatment is indicated?

What’s Next
If treatment is indicated, records can be taken during your initial exam and appointments can be scheduled to begin treatment. Our Treatment Coordinator will also describe for you the subsequent steps to start treatment and answer any questions you have concerning treatment, scheduling, finances, or insurance. When indicated, a separate consultation appointment may be arranged.

There is no charge for the initial examination.

Cost of Treatment and Insurance

Cost of Treatment
The cost of treatment depends on the severity of the orthodontic problem. You will be able to discuss fees and payment options before treatment begins. We have payments options to suit different budgets, including a no-down-payment option. We also accept direct reimbursement from some insurance plans, and file the necessary papers to the insurance company. We work hard to make orthodontic care affordable and feel that cost should not be a barrier.

The Treatment Coordinator will discuss the various payment options available, as well as the insurance process.

Insurance
If you have insurance we will help you determine the coverage you have available. You are responsible for informing us of any changes in your insurance. As a courtesy, we will file your orthodontic claim with your insurance carrier. Please be aware that payment for treatment is determined by the carrier at the time services are rendered. Preauthorization by phone or paper are not a guarantee of payment. We will help in every way we can in filing your claim and handling insurance questions from our office on your behalf.

Scheduling Appointments
Braces or other appliances are placed at the initial banding appointment. This appointment will take about 1-2 hours, and will be scheduled in the morning when the doctors can focus more attention on this important step. After appliances are in place, regular adjustment appointments will be scheduled every 4-8 weeks. Most adjustment appointments will be 15-30 minutes long. Patients are seen by appointment only. We value your time, and make every effort to be on time. If you cannot keep an appointment, please notify us as soon as possible so someone else can use this valuable appointment time.

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What To Do- We feel it is important for you to get in touch with someone in case of an emergency. When the office is open, please call our office and we will schedule an appointment to correct the problem. When the office is closed, please call and listen to the message that will instruct you on how to reach Dr. Messersmith or a staff member.

Unless you are in pain, most orthodontic emergencies can wait until the office reopens. In the meantime, here are some tips to relieve any discomfort.

Sore spot. When you first get braces or an appliance, you may have a sore spot(s) develop. You can put wax on the bracket or wire that is rubbing your cheek until it heals. Your mouth will toughen up after a short while.

Sore teeth. Try the pain reliever that you typically use for a headache or similar discomfort. We generally recommend that you take an analgesic such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin). This is the protocol only if there are no known allergies to these medications. Rinsing with Peroxyl or a cup of warm water and teaspoon of salt can also be soothing. Soreness can be expected for 3-5 days after an adjustment.

Poking wire. If a wire is poking you, we would like to see you. Please call the office and we will schedule a time to fix the wire. It it is after hours, please call the office and follow the instructions for the emergency number. Someone will meet you at the office to fix the wire poke.

Main wire out of position. If the main wire has come out of the brace or tube on a back molar tooth, attempt to reinsert the wire into the bracket slot with a pair of tweezers. If the wire is not poking you, place a piece of wax over the area. If the wire is poking and wax does not help, please call our office to schedule an appointment to have this repaired. After hours, call the office to get the emergency person�s number so they can meet you at the office and correct the problem.

Broken bracket. If a brace comes loose from a tooth, it usually remains connected to the main wire and is not cause for an emergency visit. Tweezers can be used to reposition the brace if it flips around the wire and becomes a source of irritation. Keep the loose bracket and call our office to schedule a visit to repair the loose brace(s). If it is after hours, please call the office number and get the emergency number. Someone will meet you at the office to clip the wire if you have a wire poke. We will then schedule a repair appointment during regular hours to rebond the bracket.

Herbst appliance. If your appliance comes apart when opening your mouth too wide, slip the rods on the lower part of the Herbst into the tubes of the upper part of the Herbst and close normally. Should your appliance break, keep all pieces and call the office to schedule a repair appointment. If it is after hours, please call the office to get the emergency number.

Loose expander, MARA or Herbst. Please call the office to schedule a repair appointment. If it is after hours, please call the office and get the emergency number so someone can see you.

Trauma to face, teeth or jaws. Please call your family dentist immediately if you have an accident involving your face, teeth or jaws. After you see your dentist, he or she will evaluate, treat or refer you as needed for the best possible care. After you are treated, please call to advise us of your status so we can see you, if needed. If your dentist needs us to see you after they have evaluated and treated you, please call the office to get the emergency number.

ortho 1.11

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The American Association of Orthodontists Recommends An Orthodontic Screening By Age 7

Why your child should get an orthodontic checkup no later than age 7.

Orthodontist can spot subtle problems with jaw growth and emerging teeth while some baby teeth are still present.

While your child’s teeth may appear to be straight, there could be a problem that only an orthodontist can detect.

The checkup may reveal that your child’s bite is fine. Or the orthodontist may identify a developing problem but recommend monitoring the child’s growth and development and then, if indicated, begin treatment at the appropriate time for the child. In other cases, the orthodontist might find a problem that can benefit from early treatment.

Early treatment may prevent more serious problems from developing and may make treatment at a later age shorter and less complicated.

In some cases, the orthodontist will be able to achieve results that may not be possible once the face and jaws have finished growing.

Early treatment may give your orthodontist the chance to:
• Guide jaw growth.
• Lower the risk of trauma to protruded front teeth.
• Correct harmful oral habits.
• Improve appearance.
• Guide permanent teeth into a more favorable position.
• Improve the way lips meet.

Through an early orthodontic evaluation, you’ll be giving your child the best opportunity for a healthy, beautiful smile.

Because patients differ in both physiological development and treatment needs, the orthodontist’s goal is to provide each patient with the most appropriate treatment at the most appropriate time.

Some signs or habits that may indicate the need for early orthodontic intervention are:
• Early or late loss of baby teeth.
• Difficulty in chewing or biting.
• Mouth breathing.
• Thumb/finger sucking.
• Crowding, misplaced or blocked out teeth.
• Biting the cheek or roof of the mouth.
• Teeth that meet abnormally or not at all.
• Jaws and teeth that are out of proportion to the rest of the face.

EARLY TREATMENT QUESTIONS
1. What is a space maintainer? Baby molar teeth, also known as primary molars, hold needed space for permanent teeth that will come in later. When a baby molar tooth is lost early, an orthodontic device with a fixed wire is usually put between teeth to hold the space for the permanent tooth, which will come in later.

2. Why do baby teeth sometimes need to be pulled? Pulling baby teeth may be necessary to allow severely crowded permanent teeth to come in at a normal time in a reasonably normal location. If the teeth are severely crowded, it may be clear that some unerupted permanent teeth (usually the canine teeth) will either remain impacted (teeth that should have come in, but have not), or come in to a highly undesirable position. To allow severely crowded teeth to move on their own into much more desirable positions, sequential removal of baby teeth and permanent teeth (usually first premolars) can dramatically improve a severe crowding problem. This sequential extraction of teeth, called serial extraction, is typically followed by comprehensive orthodontic treatment after tooth eruption has improved as much as it can on its own.

After all the permanent teeth have come in, removal of permanent teeth may be necessary to correct crowding or to make space for necessary tooth movement to correct a bite problem. Proper extraction of teeth during orthodontic treatment should leave the patient with both excellent function and a pleasing look.

3. How can a child’s growth affect orthodontic treatment? Orthodontic treatment and a child’s growth can complement each other. A common orthodontic problem to treat is protrusion of the upper front teeth ahead of the lower front teeth. Quite often this problem is due to the lower jaw being shorter than the upper jaw. While the upper and lower jaws are still growing, orthodontic appliances can be used to help the growth of the lower jaw catch up to the growth of the upper jaw. Abnormal swallowing may be eliminated. A severe jaw length discrepancy, which can be treated quite well in a growing child, might very well require corrective surgery if left untreated until a period of slow or no jaw growth. Children who may have problems with the width or length of their jaws should be evaluated for treatment no later than age 10 for girls and age 12 for boys. The American Association of Orthodontists recommends that all children have an orthodontic screening no later than age 7 as growth-related problems may be identified at this time.

4. What orthodontic appliances are typically used to correct jaw-growth problems?

Headgear appliance – This appliance applies pressure to the upper teeth and upper jaw to guide the rate and direction of upper jaw growth and upper tooth eruption. Headgear can be removed by the patient and is usually worn 10-12 hours per day. Patient compliance in wearing this appliance is essential for successful improvement.

Herbst and MARA appliances – The Herbst and MARA appliances are usually fixed to the upper and lower molar teeth and may not be removed by the patient. By holding the lower jaw forward and influencing jaw growth and tooth positions, the Herbst and MARA appliances can help correct severe protrusion of the upper teeth.

Bionator, Frankel, Activator and Twin Block appliances – These removable appliances work in similar, but different ways, to hold the lower jaw forward and guide eruption of the teeth into a more desirable bite while helping the upper and lower jaws to grow in proportion with each other. Patient compliance in wearing this appliance is essential for successful improvement.

Palatal expander – A child’s upper jaw may be too narrow for the upper teeth to fit properly with the lower teeth (a crossbite). When this occurs, a palatal expansion appliance can be fixed to the upper back teeth. This appliance can markedly expand the width of the upper jaw.

The decision about when and which of these or other appliances to use for orthopedic correction is based on each individual patient’s problem. Usually one of several appliances can be used effectively to treat a given problem. Patient cooperation and the experience of the treating orthodontist are critical elements in success of dentofacial orthopedic treatment.

5. I’ve just heard about the Herbst appliance. How could it help my son who has an underdeveloped lower jaw? For patients who have an underdeveloped lower jaw, it is important to begin orthodontic treatment several years before the lower jaw ceases to grow. One method of correcting an underdeveloped jaw uses an orthodontic appliance that repositions the lower jaw. These appliances influence the jaw muscles to work in a way that may improve forward development of the lower jaw. There are many appliances used by orthodontists today to treat underdeveloped lower jaws – such as the Frankel, Headgears, Activator, Twin Block, Bionator, MARA and Herbst appliances. Some are fixed (cemented to the teeth) and some are removable. You and your orthodontist can discuss which appliance is best for your child.

6. Can my child play sports while wearing braces? Yes. Wearing a protective mouthguard is strongly recommended while playing any contact sport. We can recommend a specific mouthguard during treatment and after treatment make you a custom mouthguard if you desire.

7. Will my braces interfere with playing musical instruments? Playing wind or brass instruments, such as the trumpet, will clearly require some adaptation to braces. With practice and a period of adjustment, braces typically do not interfere with the playing of musical instruments.

8. Why does orthodontic treatment sometimes last longer than anticipated? Estimates of treatment time can only be that – estimates. Patients grow at different rates and will respond in their own ways to orthodontic treatment. The orthodontist has specific treatment goals in mind, and will usually continue treatment until these goals are achieved. Patient cooperation, however, is the single best predictor of staying on time with treatment. Patients who cooperate by wearing rubber bands, headgear or other needed appliances as directed, while taking care not to damage appliances, will most often lead to on-time and excellent treatment results.

9. Why are retainers needed after orthodontic treatment? After braces are removed, the teeth can shift out of position if they are not stabilized. Retainers provide that stabilization. They are designed to hold teeth in their corrected, ideal positions until the bones and gums adapt to the treatment changes. Wearing retainers exactly as instructed is the best insurance that the treatment improvements last for a lifetime.

10. Will my tooth alignment change later? Studies have shown that as people age, their teeth may shift. This variable pattern of gradual shifting, called maturational change, probably slows down after the early 20s, but still continues to a degree throughout life for most people. Even children whose teeth developed into ideal alignment and bite without treatment may develop orthodontic problems as adults. The most common maturational change is crowding of the lower incisor (front) teeth. Wearing retainers as instructed after orthodontic treatment will stabilize the correction. Beyond the period of full-time retainer wear, nighttime retainer wear can minimize maturational shifting of the teeth.
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dance 1.10

Online ballroom dance lessons
Welcome to my blog. I decided to devote this blog to the people who want to study ballroom dancing. First of all I’d like to say that I have been practicing ballroom dancing during 15 years. And now I can speak with confidence that in order to learn how to dance it is not necessarily to go to dance school. You even can not imagine what problems you will face: the poor quality education, a constant shortage of partners, stuffy halls, etc. And while trial and error method, you will find a school where learning ballroom dance lessons. But how much time and money you have to spend on that endlessly tedious, uninteresting ballroom dance lessons and the search …
I have 3 friends, professional ballroom dancers, with whom I give online ballroom dance lessons. And after years of practicing I would like to share my knowledge with the people who want to study ballroom dancing. If you have such desire or have some question you’re free to contact me. Each following page I devote the definite ballroom dancing: salsa, tango, mambo & merengue, waltz, bachata & cumbia, rumba, cha cha, paso doble, fox trot & quick step. In my blog you also will find an inquirer “Would you like to have online ballroom dance lessons?” Beforehand thanks everybody for the comments and requests.
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I understand your desire to learn merengue, meringue came to us from the Dominican Republic (Caribbean), and its merry mood reflects the atmosphere of eternal tropical holiday. Merengue dance steps are simple, music is pleasant and rhythmical and not just for those who dances, but also for those who simply listens it. Meringue does not require space; you can dance merengue steps at all patch of free space. To learn merengue means to penetrate with the culture of Dominican Republic. If you have no time to go to dance school but you have a strong desire to learn merengue dance you can rely on my professional ballroom dancing experience. I with my professional partner don’t aside your comments in the inquirer. Everybody who wants to learn mambo or meringue and need professional advice will get it.
There are two versions of national origin of Dominican merengue dance. The first version, that is the most probable, the dance was assumed by slaves collecting sugar cane. Movements resemble steps with the chain on the legs, because slaves were grappled in a single chain, as well as because of cast iron balls that were attached to the legs. (Interpretation – slaves were shackled by right feet, to the left feet were attached cast iron balls, and they reap cane under the strokes of drum and the movement of a number of slaves in the cane by the right-side with overstepping and pulling up the cast iron balls served as basis for the merengue dance steps). The second story claims that the hero of one of the many revolutions in the Dominican Republic, General Maringie was shot in the leg. Rural residents, welcoming him back home, at the celebration of the victory out of sympathy danced limping on one, then the other leg. This version is quite questionable.
Mambo. Mambo appeared in 1940-four in Cuba. Unlike salsa, merengue and lambada, mambo has no distinct folk roots, it was created artificially. It is interesting, the name “Mambo” is attributed to a famous magician Voodoo because of their ability to load people into the hypnotic trans. It was believed that they were able to put in mambo part of its magic. Dance has been convicted by the Catholic Church or banned by authorities of some Latin American countries, which only added popularity to mambo dance. Nowadays a lot of people all over the world learn mambo. Mambo dance steps are really worth to learn.

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Rumba, Cha cha, Paso doble
All Latin American dances such as Rumba, Cha-cha-cha, Paso doble were created on the basis of the folk dances and songs that merged traditions of three cultures: Indian, Spanish and Negro. They are distinguished by the variety of rhythms and the pace (from slow to fast), originality of plastic movements of corps, hands and thighs. All dances are free for improvisation.
Paso doble depicting the corrida, the battle of matador with a bull, where the lady partner performs the role of partner’s raincoat, it is her primary role. The music of Paso doble based on the march that means the beginning of the corrida.
It is consider to think that Rumba appeared in Cuba, along with African slaves. Rumba name might appear, thanks to term “rumboso orquestra” that in 1807 signified musicians who performed dance melodies. In Spain, the word means “carousal”, “rout”, etc., there are other versions of the appearance of dance title.
Latin American dances (rumba dance, cuban rumba, etc.) are sensual and significant, expressive and sometimes even frank with inflammatory and beautiful music. This is a firework display of emotion, positive energy and vivacity, an excellent opportunity to express your individuality and show your temperament. If you are ready to learn rumba, paso doble dance steps, or may be you want to learn cha cha I can offer you professional on-line dance material. It is very easy to learn rumba as well as learn cha cha or Paso doble.
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Salsa dancing
There are many ways to dance salsa and their number is increasing. It depends on the dancer origin and how he or she learned to dance. Latin salsa is the paired social dance. Under social dance it is implied a dance with certain precepts, but does not pushed in the strict frame. In other words, the dance has basic rules. Once the rules were understood it allows two dancers to dance together and freely adjust to each other in the dance, even if they have never seen before each other. This means that each movement must begin with a single and easily identifiable “signal to act”. The use of this signals at the beginning and then in the process of salsa dancing allows each of the partners dance without hesitation.
Dancing even the most basic salsa steps, we follow four tact in music, but do only three salsa dance steps, each of which lasts as much as a stroke. At last, on the fourth tact, we do pause or we add decorated movement. You can move or dance on the same place, that is simply beautiful walk, making three salsa dance steps with a pause in the middle. The inherent simplicity makes salsa dancing extraordinarily flexible; dance as you want! You can move in any direction as well you can remain at the same place, dance in a line or a circle. None of the Latin American dance has deliberate movements of thighs. Movement of thigh is a natural consequence of the transferring weight from one leg to another.
Sometimes useful perceive Latin salsa dance as sexual pantomime, but that does not mean that man should be sexually aggressive. You should dance with a touch of sexuality. Although the man leads during the whole dance, the idea is that the man is trying to tempt lady, he seeks to advance, but she repels him. I remember my salsa lessons. I was dancing with my partner, now he is also professional dancer. All the lessons were filled with “lovely fight” between us. At that time I studied at the university and had to write term paper. But I was infatuated with salsa so much that I even had to turn to research paper writing service. Fortunately, I turned in time my term paper.
Please, answer my inquirer “Would you like to have online ballroom dance lessons?” If you want to learn salsa online I do my best to help you with material and information. To learn salsa means to receive pleasure!

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Learn tango
Dec 17
“Great dancers are not great because of their technique; they are great because of their passion.” Martha Graham
Everybody knows tango is a mood. But we forget about the fact that only we bring a mood in a tango dance. The mood is not only stratified at the ballroom tango, but often identifies dancing itself. The mood of tango dancing is the most important thing. It is as the inspiration for the poet, as sounded melodies in the soul of the musician. Jorge Luis Borges said: “El Tango es la directa expresión de lo que comúnmente los poetas han tratado de definir en palabras como: la creencia de que la lucha puede ser un festejo”. It means that tango is a direct expression of something that poets have often tried to state in words: the belief that a fight may be a celebration.
One day after my long discussion on argentine tango, when I tried to explain the idea of this amazing dance to my friend from the university, I was first asked to formulate the essence of tango, but summing up in a nutshell. To the question “So what is a spanish tango?” I said: “For the partner is an improvisation, for lady is an intuition.” Argentine tango is creativity. And without this, even admirably performed dance, no matter how technically correct and accurate it performed, it could not become tango.
Namely intuition gives consistency. The both partners dream the dance to become a true tango. At the same time tango can be quite varied. Tango dancing depends on the energy that partner radiates and the mood that expressed in the dance.
If passion and desire it will be passionate tango, if tenderness it will be lyrical.
If sympathy and sensuality, and tangera supports it might be a funny tango game.
Jealousy and hatred culminate the dramatic tango.
Each of the hypnotic tango moods can create a beautiful by expressiveness, a unique dance. For expression of the beauty of this harmony you learn tango steps and practice them secretly every day, day in and day out. The partner task is to think of technical translating of the idea of the dance, lady partner task is not only to feel the idea of dancing, not only echo partner, but also to convey the nuances of dancing mood.
If you want to learn tango do not hesitate to contact me. I can recommend you the necessary material and help you to learn tango.
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Learn waltz
Dec 17
Waltz!!! Waltz!!! Waltz!!! How many things are hidden under this word. Austrian folk lendler dance, and Provencal volts dance are the ancestors of the ballroom waltz. In France volts was forbidden to perform in the courtyard, and Cardinal Richelieu saw undermine of the foundations of religion and society in it. But volts was mixed with lendler, won popularity in Germany, the Czech Republic, Austria, received extensive new character, and smooth sliding movements, got rid of jumps and received a new name Waltz (from the German word “walzen” -go round). And none of the highest orders and official criticism could stop waltz dancing in the ballroom, concert halls, rural and urban dance pavilions. Thousands of songs sound in the rhythm of waltz, waltz sounds in the operas, Operettas, in the films. Many composers write symphony and concerts waltzes, the waltz is one of the most popular dances, but with this name hides a variety of dances: Viennese waltz, French waltz, English waltz, wedding waltz, the Christmas waltz, etc.
The famous Viennese waltz is also has its history. While the waltz had a huge success and created real furore in many courts of Europe, at the very beginning of IXX century the official attitude to the waltz was very cautious at the ball in the Vienna. Waltz was allowed to dance no more than 10 minutes: chevalier embrace with the ladies during the dance were not considered to be quite fitting. And today Viennese waltz ballroom dancing keeps IXX century’s traditions: corpus should be strictly smart, artificial bends and affectations are not welcome. Changeable tempo and constantly alternating left and right turns are the beauty of the Vienna waltz. Impetuous Vienna waltz whirling requires from pair full understanding. Dance steps waltz as well as any movements in Vienna waltz must be performed smoothly and with grace, despite the rapid whirling. In its 150 year history of existence waltz has often been changed. Slow waltz finally formed in England. From this classic Vienna waltz, slow waltz differs by music, movements, and today is considered to be independent dancing.
It is really wonderful dance. I remember one significant competition for me. That time I have been studying in my second year. But the preparation to the competitions coincided with the research paper writing. I couldn’t miss this competition as well as fail my research paper writing. The only way out for me was to continue preparation to the ballroom competition and to turn to research paper writing service. I am lucky – I won that competition with my partner and thanks to the really professional writes I didn’t fail my research paper writing. They saved me from troubles and sleepless night. Oh, I look aside…for me it is a vivid recollection…
Now I really want to help everybody who wants to learn waltz. Please, leave your comments and requests. I explain how to waltz. I also can recommend you necessary on-line material. I have a year’s dance experience and I’m ready to share it with you. I learned how to waltz a lot of people. Believe me learn waltz, as any other kind of ballroom dance, is the pleasure for soul and body.
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Learn bachata & cumbia
Dec 17
You want to learn bachata dance or cumbia dance but you have no calisthenics that’s why you are worry about your health. Cast aside your doubts. You can start bachata or cumbia dancing with almost any age and at all ages: from the very young to the very respected. Dancing is good that do not require forced loads: organism of the beginner dancers gradually accustomes to increasingly complex exercises that arise in practice. In addition bachata dance steps and cumbia dance steps are easy to learn. Having desire you may learn bachata dance steps and cumbia dance steps at any age. Just leave your request in my inquirer and my professional partner or I help you to change your life for better.
Just think only about the facts that dancing develops well the coordination of movements. Dancing promotes a good bearing and a beautiful gait. Dancing develops respiratory system of human beings. It is known for certain that dances prolong life, help maintain the general tone and enable to preserve human’s efficiency and vitality to the last days of life. Have you ever seen depressed retired folk dancers? Do not ever find! Turn to me with your questions I will answer everybody.
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Learn FoxTrot & Quick Step
Dec 17
At the Latin American club party is decided not to separate dances. No one will approach and ask: “What are you dancing, salsa or quick step, rumba or fox trot? People are simply plunged into the atmosphere of incendiary of Latin rhythms, dancing and enjoy. Nowadays men who have recently casted aside all kinds of stereotypes, began to learn foxtrot, how to dance meringue as well as to learn quick step with no less passion than women. And it must be said that the most men are succeeded. They do not afraid to learn fox trot or other Latin American dances. Knowing how to fox trot, how to dance mambo or rumba allows you to feel calmly at such parties. The Latin American club dancing does not differ by complex technology, they are simple in the mastering, and the main requirement is not to be indifferent, and express your emotions and feelings openly.
You may learn quick step or learn fox trot, while dancing only some movement but each time with another partner or partners, under a new melody is born something unique, unrepeatable, with its emotions and passions. And exactly in this hides bewitch attractiveness of Latin American dance.
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