Our smiles are a big part of our identity and how we are perceived by our peers. With the breakthrough technology of the Damon System, it’s easier than ever to improve your smile and experience the difference:
Confidence to excel in school, work and personal life
Clearer speech for interviews, public speaking, etc.
Compared to some of the other ‘extreme’ cosmetic procedures available today, improving your smile is one of the most valuable investments you can make to improve your overall appearance for a lifetime.
Proven Performance from Start to Finish

The days of having braces tightened are over. This revolutionary new approach to orthodontics ensures greater comfort throughout treatment. That’s because Damon System braces have a unique slide mechanism that allows Dr. McElhinney to use far lighter forces to move teeth to their correct positions. So not only is your treatment shorter, it is also far more comfortable. Many people experience little to no discomfort in treatment.
Far More Comfortable

Conventional braces are tied in with elastics, which cause friction and pressure, making treatment slower and less comfortable. Damon braces use a slide mechanism to hold the wire, which allows teeth to move more freely, quickly and comfortably.

Damon braces are designed to be discreet, comfortable and easy to keep clean. Without the elastic ties which attract and collect plaque, Damon braces make dental hygiene easy during treatment.

No Expanders, or Headgear

In the past, creating space and developing arches required bulky headgear and palatal expanders. The Damon System’s revolutionary approach uses light, biologically-sensible forces to develop beautiful natural arches, in most cases without the need for headgear or palatal expanders. It’s far easier and more comfortable to get the beautiful smile you’ve always dreamed of.

For the Face, Not for the Space

With conventional braces, orthodontists are often forced to pull teeth in order to create space for crowded teeth. No one likes to have teeth removed, and a smile with a full display of teeth often produces a broader, natural smile and a nicer profile. The Damon System uses biologically sensible forces which work with the body’s natural adaptive processes to create space naturally, so doctors using the Damon System can now treat most cases without extraction.

In the few cases which still require extraction, space is made to improve facial balance and symmetry to provide a natural smile and profile that will last as you age.

Uncompromised Results

A nice smile is not only beautiful, it also promotes good health:

Straight and evenly spaced teeth are easier to keep clean, providing better oral health. Properly aligned teeth chew more efficiently, which can aid in digestion.Ideally aligned teeth create a more perfect bite, which can reduce stress, headaches, and strain on your supporting bone and tissue.

According to the American Association of Orthodontists, crooked and crowded teeth are hard to clean and maintain. This may contribute to conditions that cause not only tooth decay but also eventual gum disease and tooth loss.

Whether your smile needs minor improvements or more extensive correction, the Damon System treats even the most challenging cases such as overbites, underbites, and even crossbites with higher quality results, in far less time and with greater comfort than aligner treatment or even conventional braces.

Get in and out… Faster

With the Damon System, treatment time is typically shorter than with conventional braces. And shorter treatment time means fewer appointments and a beautiful smile… faster. You may be surprised at how fast.

6 months shorter treatment time*
Significantly fewer office visits
Patient Testimonials

Click here to read testimonials from Dr. McElhinney’s patients.


Orthodontic Questions and Answers

Orthodontics is the oldest specialty of dentistry. It involves treatment of tooth malposition, bite distortion and growth imbalances of the jaws. Here are the answers to some frequently asked questions about orthodontics:

What is an Orthodontic Specialist?

Just as there are specialists in medicine (cardiologists, neurologists) there are specialists in dentistry. Orthodontists are dental specialists who dedicate their professional lives to correcting misaligned teeth and jaws. Following graduation from dental school an orthodontist will then go to a university based residency program for at least two to three additional academic years. By learning about tooth movement and guidance of facial development, orthodontists are uniquely trained experts in dentistry to straighten teeth and align jaws.

What are the causes of crooked teeth?

In most cases crooked teeth are inherited. For example, if a patient inherits large teeth from one parent and a small jaw from the other, a problem will result. Additionally, habits such as thumb sucking and tongue thrust can cause malocclusion. Accidents which cause damage to the jaw while the teeth are developing also contribute to crooked teeth.

What is the benefit of orthodontic treatment?

Here are some of the benefits of orthodontic treatment:

Better appearance of the teeth, smile and face

Improved self esteem and self confidence during critical developmental years

Cleaner and healthier teeth

Less strain on muscles and joints

Improved speech/swallowing

An even bite for improved jaw alignment and function

Better lip closure and reduced risk of injury for protruding teeth

Reduced wear and increased life of the teeth

Aids in optimizing other dental treatment such as crowns and implants

If treatment is started early, will all of the teeth move back out of alignment?

We intercept many orthodontic problems now by using better techniques for harnessing growth and development, which means we get better and more stable results. When treatment is completed our patients wear retainers to maintain the results they have obtained.

Does treatment hurt?

Although there is some minor discomfort at times, orthodontic treatment does not hurt like it used to. We have accomplished this with the use of new space-age materials such as body heat activated wires and Damon™ Comfort System Braces. Since nothing hurts, we do not need to use any forms of anesthesia.

Do we have to take out teeth?

We had to remove teeth in approximately 80% of patients 20 years ago. Today, we remove teeth in fewer than 5% of our patients. We can do this by starting at an early interceptive age and by utilizing our knowledge of growth and development.

What does treatment involve?

Usually treatment involves wearing braces or other appliances fixed to your teeth for 12 to 24 months. The procedure is painless, although some tenderness may be felt as the teeth start to move. During treatment time the teeth and braces should be kept scrupulously clean, and there are a few foods to avoid such as hard, chewy and sticky things. Full instruction will be given when you have your braces fitted.

Are there special things patients have to do while wearing braces?


  1. Keep your teeth and gums healthy with proper brushing and flossing. Clean teeth actually move faster!
  2. Keep your braces attached to your teeth — no broken braces or bent archwires.
  3. Avoid appointment interruptions (missed, late, or rescheduled). Patients with the best attendance in their treatment sequences and fewest interruptions experience the finest treatment results.

Should certain foods be avoided?

Sweets and soft drinks should be kept to a minimum. Gum, popcorn and ice cubes or foods that are sticky, hard or gooey should be avoided.

Do braces damage teeth?

No. However, if a patient fails to keep his/her braces adequately clean, there is a chance of decalcification or decay. This can cause unsightly markings on the enamel surface of the tooth. The result will be extra costs to repair the damage. To avoid problems like this, it is important to remember to keep your teeth and braces “squeaky” clean.

How long will I have to wear a retainer?

To one degree or another, the rest of your life. Retainers are very important to keep your teeth in their new position. Our bodies are constantly changing throughout our lifetimes, and retainers will help to keep your teeth in their corrected position through these change


In the evening after your braces are placed, you may experience a tight feeling on your teeth. You should not experience any type of “pain” while in braces. Pain would be a sign of a problem that may be unrelated to your braces. Over the counter analgesics will help with temporary soreness, should you experience any. We recommend you begin taking your pain reliever immediately and use as the package prescribes.

We ask that you eat soft foods until you get used to your braces. For example, scrambled eggs, macaroni and cheese, pastas and soups work well. Eating soft foods allows the “glue” which holds your brackets on to adequately cure. The adhesive is designed so that we can get braces off at the end of treatment, and undo stress in the beginning of treatment may weaken this bond.

Your cheeks and lips may become irritated by the braces. Over time they will “toughen up” and become less sensitive. To prevent some irritation and to allow the tissues to heal, press a generous piece of the wax found in your “goodie bag” directly onto the part of the brace that is causing the irritation.

Repair Situations and First Aid

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We will set up a time to resolve the condition. After routine business hours, call the office at 330-650-0880 and you will be directed how to contact the doctor or a clinical staff member.

In case of an injury involving the face, mouth, or teeth you should first contact your family dentist or an emergency room to care for any lacerations or loose teeth. After needed X-rays or treatment, contact us for any necessary appliance repair.

Loose or Broken Brackets
If a bracket comes loose, please call to schedule an appointment immediately to have it repaired. Loose brackets can sometimes be left until the next regularly scheduled appointment, but we must know so that we can allow extra time for the repair, even if it happens the same day as your regular appointment. If we are not informed and the time is not scheduled, either the repair or the scheduled sequence will be delayed. This policy is to ensure that we remain on time for your and other patients’ scheduled appointments. If there is a loose bracket and it is still on the archwire, make sure to keep the tooth underneath clean while you’re waiting to come in to have it fixed.

Bring It With You
Always bring any loose parts from your braces or other appliance with you to the next appointment. There may be charges for replacement parts when you forget to bring the loose parts with you.

Use the Diagram
If you are not sure what a part of your braces or appliance is called, look on the sheet provided in your “goodie bag.”

Hard, Crunchy and Sticky Foods
Remember, no hard, crunchy, or sticky foods. Especially, NO ICE because it will break something and NO POPCORN because the husks will get trapped deep in your gums and cause infection.

Brush, Floss, and Fluoride
Brush after every meal, or as soon as you have a chance (three times a day). Don’t rush. Use your Tooth Brushing Instruction Card in your “goodie bag.” Keeping your braces clean helps the doors on your braces to open and close more easily and will make your appointments more comfortable.

Regular Dental Checkups
Although you are having your braces checked regularly, it is 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 might need to see your dentist more frequently.

Repair Appointments
It is very important to let us know if you have a loose or broken bracket even if you already have a scheduled appointment. If something happens to your wires or brackets the same day as an appointment, call us to let us know so we can allow time to address your issues rather than reschedule the repair.

More that 80% of our patients go through treatment without significant breakage. However, we have certain times set aside each day should you need us. Please call the office at 330-650-0880 and we will be happy to set up an appointment. If you have any questions, or if any problems arise, please call us. We are always happy to help in any way.


Innovative technologies are an integral part of our practice. Here are some samples of the technology we employ:

Self-Ligating Braces

Dr. McElhinney is an exclusive provider of Damon System braces and treatment techniques in this area. The Damon System offers major advantages over traditional brace sytems. These advancements include smaller, redesigned brackets in both stain resistant clear and metal, high-tech, heat sensitive wires, indirect bonding techniques, and virtual models of teeth, all of which add up to shorter treatment times with less discomfort. Self-ligating braces offer better oral hygiene, especially in children, fewer visits and simplified procedures for our patients.

Insignia- Like fingerprints, your smile is unique. And so is Insignia, a computerized system that combines digital treatment planning with specially made brackets and wires tailored to your specific dental anatomy. Ideal for everyone, you can see your end result before starting treatment. Utilizing the 3-D presentation of your exact tooth positioning, you are able to view, with precision accuracy, the best smile specifically proportioned to your facial features. Insignia creates a layer of meticulous detail that provides fast, accurate and predictable results.

Invisalign® and Invisalign Teen

These clear “aligners” work well for older teens and adults who would prefer an aesthetic approach to improving thier smile. Not all patients are candidates for Invisalign treatment and should seek a specialist who recognizes the capabilities of Invisalign. Recognized as a “Premier Provider” by Invisalign, Dr. McElhinney has been using this evolving technology since the year 2000.

Laser Gum Therapy

Dr. McElhinney has been using a painless laser to control excessive gum tissue, artistically sculpt uneven gum contours, and allow for speedy placement of brackets on slow-erupting or impacted teeth.

Digital Patient Charting

We are nearly paperless. Each assistant has their own computer to quickly record the day’s events. Patients love signing themselves in at our touch screen computer.

Digital Imaging

Our high resolution computer imaging system allows you to view photos of both before and after orthodontic treatment.

Digital Radiography

Only necessary radiographs are taken on a state-of-the-art digital radiography machine which utilizes less radiation exposure than conventional X-ray machines.

Lythos Digital Impression System

Great orthodontic experiences are important to us. Of the many procedures, most patients agree that impressions are the least favorite. Lythos gives us the

ability to use a handheld intraoral three dimensional imager to replace traditional impressions. No mess, no material in the mouth, just awesome. A 3D image of the teeth is sent to our various labs for the needed appliances.


Dr. McElhinney feels strongly about infection control. We use as many disposable items as possible and items that are not disposable, such as dental instruments, are heat sterilized. Our system consists of individual trays for each patient. The sterilization process consists of ultrasonic treatment for removing any debris from the instruments, water rinse and then sterilization. A sterilization monitoring system is used as further insurance that we are indeed providing the cleanest environment possible.

Enhanced Web Services

Through our web services, our patients have the option to receive e-mail appointment reminders, check their appointment times online, review their “before and after” photos and receive our monthly newsletter. This web service is available 24/7 and is a convenient way for our patients to stay connected to our office from home!

In-House Lab

We employ the finest lab technician in Ohio! Patty makes almost all of the appliances used in this practice. With her artistic touch we are able to provide fun colors and designs to our retainers and appliances for a more enjoyable experience. This service provides a quick turn around for our patients’ appliance needs.


Are you…
Delaying treatment
you need and want? Scared, even terrified, to pick up the phone to schedule? In pain especially when you eat? Someone who has trouble with gagging or getting numb?

Having trouble finding someone you can trust? Looking to smile again with confidence? Overwhelmed by thoughts of repeated visits to the dentist?

Relaxation Dentistry may be your answer!

Which patients benefit the most from sedation?

People with high dental anxiety and fear of the dentist

Those with a severe gag reflex

Those with time constraints — who need to get more dentistry done in fewer visits

Patients with chronic or acute jaw soreness

Or physical limitations such as back and neck problems

People who have difficulty getting numb

Those who need extensive treatment

And people with a desire to have dentistry done comfortably while they are fully relaxed

If you have ever been afraid to go to the dentist, you know the unbearable terror that comes with stepping foot into a dental office. You avoid receiving treatment at any cost, regardless if you are in pain or discomfort.

It’s important to remember that dentistry has come a long way. Countless years of research have been dedicated to studying and finding methods to alleviate pain and anxiety. There are safe and time-tested options available to ensure that you have a positive and pain free dentistry experience.

The use of sedation dentistry drugs can make your time in the dental office relaxed and comfortable. Increased access to advanced training on how to use these medications has made it easier for more dentists to provide this service and easier for patients to find a dentist who does.

You are not alone and the stories of people like you, who have avoided the dentist as a result of past trauma, are limitless. Relaxation dentist understand your fears. Talk to your relaxation dentist about your fears and concerns. He or she is there to help and can better treat you if they know how you feel.

Sedation practices are designed to make you comfortable. Whatever your concern, they take great efforts to make the experience new and comfortable. In some offices you will enter to the smell of fresh cookies baking or scented candles, others will have portable music devices such as iPodsTM so you can “tune out” the sounds. Consultation rooms can take you out of the treatment room so that you can talk about getting the smile you want.

I invite you to experience dentistry like you’ve never experienced it before. Step out from under the shadow of fear and into the calm of relaxation dentistry.

You are not alone and you no longer have to be afraid. Call today!

Join the millions of people just like you andexperience Sedation or Anxiety-free Dentistry’srelaxed, easy state where dentistry can be accomplished in just a few visits, in the most comfortable way possible.

When you are afraid, your threshold for pain is much lower. You become hypersensitive to every sensation, prick, and noise. Fear and dental anxiety trigger the release of certain chemicals in your brain which put your “fight or flight” instincts on high alert. You anticipate that something is going to hurt and so you tense your muscles, even if it is subconsciously. Patients who have a fear of the dentist often experience more pain during and after their procedure. However that can virtually be eliminated with relaxation dentistry! The whole purpose of an anxiety free dentistry or a relaxation dentistry is to make you as comfortable and relaxed as possible to make a pain free dentistry appointment. It allows you to let your guard down, relax both your mind and body, and focus on feeling peaceful rather than anxious. Your apprehension and hypersensitivity to pain melts away.

Ask yourself – is relaxation dentistry right for me?

Information from: http://www.sedationcare.com/site/home.asp?section=section&sectionid=1&sectionsubid=182


Why should I use Elegant Smile?

Elegant Smile contains the same ingredients as the whitening formulas used by dentists for professional in-office treatments. By choosing Elegant Smile you get the same professional results at a fraction of the cost.

Try Elegant Smile now or read more FAQs.

How should Elegant Smile be used?

How to use the dental trays

In order to use Elegant Smile, you must first size the dental trays included in your order. To size the dental trays, put one over your lower teeth and one over your upper teeth. If the trays are too large, trim them with scissors.

Next, bring a small amount of water, at least 4 inches deep, to a boil. You may heat the water in the microwave. Once the water is hot, remove it from the heat and let it stand for a moment. Immerse the trays in the water for 4 seconds. Remove the trays from the water, let the excess water run off, and place the tray around your upper teeth. Put your tongue up to the roof of your mouth and suck the tray against your teeth. The tray will mold to your teeth. The tray should feel warm around your teeth and gums, but not hot enough to burn you.

Repeat these steps with the second tray for your bottom teeth.

If you are not satisfied with the fit of either tray, you can repeat this process as needed. The trays can be re-heated and molded multiple times.

You may remove the straps with scissors, but that is optional.

Once you have completed these steps, your reusable, custom-fitted trays are ready to use!

Please be aware that the trays become very flexible when they are heated so you must take caution not to fold the edges onto the tray while you are fitting them.

Teeth whitening instructions:

Brush, floss and rinse your mouth thoroughly before whitening.

Put a small amount of the whitening gel in each tooth compartment of both trays.

Place the trays onto your bottom and top teeth. You may use one tray at a time if that is more comfortable.

If any gel oozes out of the trays, wipe it off with your fingers or a tissue.

Keep the trays on for at least 30 minutes, but not longer than one hour.

Remove the trays and rinse off any excess gel from your teeth and gums.

Immediately brush your teeth using fluoride toothpaste to protect against sensitivity.

If you notice a whitening of your gums, this is normal and should subside within 10 minutes. However, you may be using too much gel if this occurs. Only a small drop should be used in each tooth compartment.

Use cold water to rinse the trays.

Clean the trays with a toothbrush, cloth or cotton pad. Store the trays in a cool dry place in their storage container.

Reaching maximum whiteness generally requires 12 treatments. We recommend three treatments per week for four weeks. If you experience sensitivity, you can do treatments less frequently.

When you have reached the whiteness level of your choice, you can begin a schedule of one whitening per month to maintain the brightness of your smile.

Try Elegant Smile now or read more FAQs.

When will I see results?

You should notice a whiter smile after the first application, but significant results are reached after three weeks of use as directed. Maximum results are typically reached after 12 treatments. You can use the Dental Shade Guide included in your order as a reference.

You can try Elegant Smile today or browse the rest of the FAQs.

Are there any side effects?

No! Elegant Smile contains the same ingredients used by dentists for in-office whitening.

You should first consult your doctor before using Elegant Smile if you are under a physician’s care or on prescription medication.

Try Elegant Smile now or read more FAQs.

Why is Elegant Smile better than other whitening products?

Elegant Smile features the rare combination of dentist-quality ingredients at professional strength that is also available for at-home use. Many other products on the market contain similar ingredients at lower concentrations so they’re not as effective.

Because Elegant Smile contains professional ingredients in an at-home kit, you can save hundreds of dollars off the cost of in-office whitening. Each box of Elegant Smile is equivalent to a $600 dentist office treatment.

Try Elegant Smile now or read more FAQs.

How long will the results last?

The results from Elegant Smile will last up to four months. In order to maintain your results, you will need a maintenance treatment every two to four months, depending on your personal habits. Individuals who drink coffee, tea or red wine or those who smoke will need more frequently treatment to maintain results.

Try Elegant Smile now or read more FAQs.

Can anyone use Elegant Smile?

Elegant Smile is formulated for those 18 years of age and older. If you are allergic to peroxide products, do not use Elegant Smile. Pregnant and breast-feeding women also should not use Elegant Smile.

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How secure is your website?

Our website uses 256-bit Secure Socket Layer technology that has never been breached. But if you prefer to place your order over the phone, you can call us any time at 1-800-587-0888

Try Elegant Smile now or read more FAQs.

Do I have to use a credit card to make an order?

We accept orders with Visa, MasterCard, American Express and Discover debit and credit cards. But if you prefer not to use a credit for an online purchase, you can call us at 1-800-587-0888 to order.

Try Elegant Smile now or read more FAQs.

Where do you send shipments from?

Most orders are packed and shipped the same day they are placed from our warehouse in Fort Lauderdale, Florida. Shipments generally arrive 2-3 business days later, depending on your location. Once we’ve shipped your order, you will receive a confirmation email with a tracking number.

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What are the details of the free trial?

We offer a free trial program for Elegant Smile that allows anyone to try it risk-free. Here are the details:

1. When we receive your order, you pay only the shipping costs ($4.95; $12.95 in Canada). You will then become a member of our Healthy Rewards Program.

2. We send you your order of Elegant Supply in 2-3 business days.

3. If you use Elegant Smile and aren’t completely satisfied, you have until 30 days after your order date to contact us and return your order. Call us at 1-800-587-0888 and we will cancel your membership to our Healthy Rewards program.

4. If you’re satisfied with Elegant Smile, then all you have to do is keep and enjoy your new sparkling white smile and you’ll be billed $79.82 – hundreds of dollars less than an in-office whitening!

5. When you’re enrolled in our Healthy Rewards program, you’ll receive a shipment of Elegant Smile every 45 days at a significant discount off the regular price. You can always change the terms of your membership by calling 1-800-587-0888

More questions? Please call us any time at 1-800-587-0888

Try Elegant Smile now or read more FAQs.

Do you guarantee Elegant Smile?

Yes! We know you’ll love Elegant Smile, but if for some reason, you’re not completely blown away by your results, simply call us within 30 days of your order date at 1-800-587-0888 and we’ll process your refund with no hassles.

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How will my order ship?

Your order will ship via standard USPS. You will receive a delivery confirmation number when you place your order.

Try Elegant Smile now or read more FAQs.

Where can I ask more questions?

If you have more questions, feel free to call us at 1-800-587-0888 and we’ll answer them for you!

Try Elegant Smile now or read more FAQs.


What is gingivitis?

Gingivitis is also commonly referred to as “gum disease”, although gum disease is a much more general term that covers any disease affecting the gums, included but not limited to gingivitis.

Gingivitis is the name given to the irritation, inflammation and redness of your gums, which might also cause sensitivity and unease when eating or drinking. This condition is caused by bacteria that accumulated in your mouth, so in most cases a poor oral care is the source of the issue. This does not necessarily mean that you are careless about your oral health. Sometimes your defenses might be lower than usual due to something as simple as cold and that’s when the bacteria in your plaque will take advantage and start building up.

Although gingivitis itself is just a mild disease it is important to treat it properly as it might lead to more serious conditions such as periodontitis which might even lead to tooth lose. Gingivitis is a 100% reversible condition and in most cases everything you’ll need to do is get a professional mouth cleaning and then pay a bit more attention to your oral health habits from then on, brushing properly at least twice a day, flossing regularly and getting checked by a dentist once a year to make sure everything is going well.

Signs & Symptoms

Checking yourself up in the mirror regularly is a great habit to have as it will allow you to detect, cavities and other potential serious health issues early on and treat them before they develop any further.

If while performing these routine self-checkups you see your gums have a reddish color (as opposed to a healthy pink one), that might be a sign of early gingivitis. If you feel like your gums are irritated, even if they don’t hurt, you might also have a nearly case of gingivitis. In these cases there is probably food between your gums and your teeth which are causing them to irritate and might lead to an infection.

Another sign could be that your gums have actually pulled away slightly from your teeth, reveling the dentine layer which does not have the characteristic shine of the enamel. If your dentine is exposed you might also be experiencing sensitivity while, eating, drinking, or brushing, as that tissue is not meant to be exposed and therefore does not have the appropriate protection. After a few days though your dentine will lose its sensitivity and you might feel like the issue was just temporary and now everything is back to normal. It is important to check that you can actually see the same shiny enamel layer all the way until your teeth is covered by your gums, otherwise you might be failing to treat an early case of gingivitis which might develop into a much more serious peritonitis.

If you spit some blood when brushing your teeth this can also be a sing of an early case of gingivitis.

Bad breath can also be a sing of gingivitis. When your gums aren’t in good shape they might allow tiny pieces of food to stay between your gums and your teeth. These can not only lead to an infection but those food particles will decompose giving you bad breath or a bad mouth taste.

If you think you might be suffering from gingivitis after detecting one of the above signs it is always a good idea to visit your dentist to make sure your diagnose is correct and that there is nothing else hidden that you might have missed.

Gingivitis treatments

The best treatment for gingivitis is obviously prevention. Keeping a good oral health, brushing and flossing regularly will drastically reduce your chances of ever experiencing gingivitis.

Now if you are already suffering from gingivitis the first thing you need to do is visit your dentist. In most cases your dentist will perform an in-house mouth cleaning to remove the plaque and tartar accumulated around your gums and instruct you on how to consistently maintain the plaque from building up again moving further.

These instructions will include brushing regularly and properly at least twice a day, or even better after every meal. It will also include flossing at least once per day. On top of these your dentist might suggest that you use mouthwash, a tong brush and cleaner and an oral irrigator to help you keep the bacterial that causes gingivitis controlled.


When it comes to keeping a good oral hygiene it’s not just about your teeth. No matter how white and straight your teeth are, you won’t truly have a healthy mouth unless you keep your gums healthy too.

Many people forget about this, mainly because gum diseases don’t hurt much, sometimes not at all, but also because gums are less visible and a slight irritation of our gums won’t prevent us from going about our day regularly, eat, drink, smile, etc. Which only makes gum diseases more dangerous as people usually don’t do much about them at an early stage.

Stages of gum deterioration

It is important to know how the early stages of a gum disease looks like so that you can self-diagnose it early on and do something about it yourself or seek professional help from your doctor.

Bleeding after brushing is one of the symptoms of a case of gingivitis

The first stage of gum disease is gingivitis. Gingivitis is the name given to the irritation, inflammation and redness of your gums. Healthy gums have a pale pink color and do not have volume.Gums with gingivitis can turn reddish, gain volume and even bleed during your regular brushing.Gingivitis is not a serious condition, we can all suffer from it from time to time, and as long as we do something about it early on it is perfectly fine.

If gingivitis isn’t properly treated though, it can progressively turn into a mild case of peritonitis which isn’t self-treatable anymore and will require the supervision of a professional dentist and probably more than one visit to their office.

If an early stage of peritonitis isn’t properly treated it can develop to an advance peritonitis which can be very hard to treat and have consequences as severe as teeth loss.

How to keep your gums healthy

So what should you be doing in order to keep your gums healthy and avoid any of the above in the first place?

Well it’s quite simple, the key is keeping a good oral hygiene.

Brush your teeth at least twice a day, ideally after each meal. Make sure you are brushing your teeth properly using the right technique. Getting an electric toothbrush can also be a great way to improve your general oral hygiene as the benefits of electric toothbrushes vs. manual ones have been repeatedly proven and are recommended by most dentists.

An air flosser like the Philips Sonicare will prevent your from pushing your gums up while flossing

Floss your teeth at least once a day. Now this can be a double edge sword. Flossing your teeth is essential to remove food particles that get stuck in between your teeth, but if your teeth are well aligned and close together you need to be careful or you might push your gums up when trying to fit the dental floss in between your teeth. If you are worried you might not be flossing properly or you just find it too hard to fit the dental floss in between your teeth without hitting your gums, then you should consider getting a water or air floss device such as the Philips Sonicare Airfloss Pro which will allow you to get rid of the particles in between your teeth using a combination or pressured air and water that won’t harm your gums in any way.

Choosing your tooth paste carefully can also help you keep your gums healthy. There are dozens of tooth pasted at any given pharmacy, each of which claims to be the best we could choose by promising us whiter, stronger, cavity free teeth. Most of that is just pure marketing, however fluoride has been medically proven to reduce the risk of gum disease and strengthen the enamel layer of your teeth. So make sure you pick up a tooth paste that contains fluoride next time you shop for toothpaste, other than that the brand, color and flavors are up to you!

Last but not least, the same general rules that apply to keeping a good oral hygiene will help you keep your gums healthy. Quit smoking, go easy on aggressive foods and drinks such as coffee or wine and visit your dentist regularly to make sure everything is in order.


Keeping your gums healthy has a lot to do with keeping a good oral hygiene. However, it is important to stay alert and always look for early signs of gingivitis in order to prevent what otherwise is a very mild oral condition into becoming a more severe peritonitis case.

Equipping yourself with the right tools for the job will definitely help you achieve this easier. Switch to an electric toothbrush if you don’t use one already. Floss daily with regular floss or get a water or air floss device if you are worried you might be hurting your gums with the regular one. Use a toothpaste that contains fluoride and also rinse your mouth every other day with an antiseptic mouthwash to prevent plaque and bacteria from building up in your mouth.

Remember, keeping your gums healthy is just as important as keeping your teeth healthy, after all your gums are the foundations of your teeth, and we all know healthy and strong foundations are the key to building a great smile on top of them!


Electric Toothbrush vs Manual – White Smile Pros

In theory a manual toothbrush should do the job just as good as an electric one. Given that your manual toothbrush is in good condition and that you brush using the right technique, it should make no difference whether you choose to use a manual toothbrush or an electric one.

So then why is it that most dentists recommend using an electric toothbrush?

Well this is mostly to avoid the human errors and bad habits that we can develop over time and that might compromise our oral care. Even if you care about your oral health and invest a good amount of time into keeping your mouth clean and healthy it’s almost impossible to void falling to some bad habits which might even lead to oral issues over time.

Let’s say for instance that you are a righty (also applies to lefties, just change “left” for “right and vice versa). Brushing the left side of your mouth is a bit easier than brushing the right side, the angle in which you have to place the toothbrush is simply more natural when you aim for the left side than the right one. This might lead us to actually spend more time brushing our left side than our right side, which is obviously not how you want to be brushing your teeth.

It’s also hard for us to have a clear perception of time. If we are stressed or in a rush 30 seconds might seem like a long time, whereas if we are relaxed or sleepy 5 minutes might not seem like that long. Dentist recommend that we brush for 2 minutes, but let’s face it our perception of what 2 minutes are changes a lot, and our teeth pay the consequences…

So let’s take a closer look at some aspects in which an electric toothbrush might actually help you brush better.

Intensity and consistency

Professional marathon runners aim to keep a constant speed over the whole 2 hours + race. However more inexperience runners usually start off at a very good pace only to find out there were probably too optimistic half way through and start running slower, even walking, as they get close to the finish line.

The same thing happens when brushing your teeth. In most cases you will start brushing your teeth with a certain intensity and speed, only to start slowing down and applying less pressure after a while. The truth is you are probably over killing it when at the beginning, which means you are being too harsh on your teeth and gums, and underperforming towards the end, which means you are not cleaning your teeth properly and probably leaving plaque and even food particles behind.

When using a manual toothbrush, you are probably being too aggressive with one part of your mouth and too soft with the other part, and since we usually always brush our teeth in the same order (even when we don’t thing about it) this means that over time you might be hurting yourself on one side and plaque and bacteria will start building up on the other side. This is why people who get several cavities usually find them to all be on the same side of their mouth.

An electric toothbrush will help you improve these factors over each brushing session. An electric toothbrush head will always pulse and turn at a constant speed, and in most cases the weight of the toothbrush alone is enough so that you don’t have to manually press or lift it. This helps keep both the speed and pressure at which your brush consistent throw-out the whole session.

Timing is everything

Dentist recommend that you brush for 2 minutes every time. Not only that but you should also be spending the same time in each part of your mouth, which is why they recommend that you picture your mouth as having four quarters and spend 30 seconds brushing each quarter; the upper left, the upper right, the lower left and the lower right.

It is almost impossible for us to do this right without the help of a watch or a timer. We perceive time differently depending on many factors such as stress, happiness, our energy level or simply how many other things we have in our minds. This makes it difficult for us to estimate how 2 minutes actually last and even harder to divide those 2 minutes into four and spend 30 seconds brushing each quarter of our mouth.

Most electric toothbrushes come with a built in timer that will warn you every 30 seconds so that you know it’s time to move to the next quarter. The more basic electric toothbrushes will simply vibrate every 30 seconds as a warning, whereas more high end ones might have an electric display with a countdown so that you can see how many time you have left at each time.

Protect your gums from yourself

LED pressure alert

Sometimes when we want to do things right we actually overdo them… Brushing our teeth is no different. Sometimes when we want to make sure we are brushing well we actually brush harder, as if doing so meant that the toothbrush filaments would reach better in between our teeth. The truth is they don’t.

When we brush to hard we are actually hurting, not our teeth, but our gums. Gums are made from a soft and sensitive tissue which can be easily irritated if you apply too much pressure on them with your toothbrush, which might eventually lead to a case of gingivitis.

Most electric toothbrushes come equipped with a pressure sensor which will alert you if you are applying too much pressure when brushing. Some models will beep or flash an LED warning light when you press too hard, others even go to the extent of coming to a full stop so that you can’t actually keep brushing that hard even if you want to.

Let’s get smarter

Brushing tracking app

Technology is reaching every part of our homes on our daily lives these days. Activity trackers are becoming more and more popular each day, showing us our exercise patters and teaching us how to live a healthier live. Our cars are getting smarter too thanks to their built in sensor. Some of the latest models can now park themselves or even break for you if you are about to crush into something. Or homes are also getting smarter with products such as the NEST thermostat which studies our routines to make sure our home is always at the right temperature when we need it to be using the least amount of energy possible.

So it shouldn’t come as a surprise that our tooth brushes are also getting smarter by the day. Many electric toothbrushes come with the capability of connecting to your smartphone via Bluetooth and keep track of your brushing habits. They will notify you if you haven’t brushed for longer than usual, they will show you which parts of the brushing procedure you are doing right and which ones you could do better. They will even allow to run some friendly competitions with your loved ones to see who takes better care of their oral health, which in some cases might just be the extra motivation you or your kids need to take brushing their teeth more seriously.


Teeth Whitening with Baking Soda

If you’ve found this page you are probably looking for a recipe to create your own teeth whitening toothpaste using baking soda. We don’t want to trick you and we will explain how baking soda can help you whiten your teeth in just a minute, but first a word of advice. Home remedies should be applied carefully. Getting the wrong amount of ingredients in the formula could mean that you are actually making a toothpaste that can harm your enamel and your gums. If you want an all-natural solution to help whiten your teeth there are other solutions which are 100% natural and organic and have been developed under the strict procedures or a professional lab. We strongly recommend you go for one of these relatively inexpensive options instead of trying to make your own solution.

Now that being said, can baking soda help whiten your teeth? It most definitely can. Baking soda is a great mild abrasive which can help break the surface stain on your teeth and make them look whiter. Now regaining your original teeth color is the best you can hope for (although it is unlikely) and in any case you’ll be able to achieve a lighter shade than your original teeth color.

3 teeth whitening baking soda recipes

At the end of the day what you want to achieve is a paste that you can brush your teeth with that is based on baking soda which will act as a mild abrasive against the stains on your teeth.

If you want to target a specific stain on your teeth you can apply a small quantity of the resulting paste over the stain with your finger, let it set for a minute or two and then scrub with our finger before brushing your teeth normally with your regular toothpaste.

Or if you want to achieve an overall whitening effect, you can simply brush your teeth like you regularly do for two minutes but replacing your regular toothpaste for the baking soda based one you just made.

You should use this paste every other day for a period of two weeks to see the best results. Don’t expect to see a difference after just once use, after all this is an all natural home-made solution, not a bleaching treatment.

In order to fabricate a teeth whitening baking soda toothpaste you can follow any of these three recipes.

Lemon-baking soda toothpaste

  1. Put half a teaspoon of baking soda in a small pot
  2. Add a few drops of lemon juice and mix well
  3. Keep adding drops of lemon juice and mixing until you achieve a paste consistency that you can use as toothpaste

Now lemon doesn’t play any role in this formula other than adding flavor to the mix so that you don’t get such a strong taste of baking soda in your mouth, but water will actually work just as well, expect it won’t cover the taste.

Hydrogen Peroxide-baking soda toothpaste

Hydrogen peroxide makes for an effective antibacterial which is great to have in your formula, especially if you are not going to be using a regular toothpaste during the whitening treatment.

  1. Put a teaspoon of baking soda in a small pot
  2. Add half a teaspoon of hydrogen peroxide and mix well
  3. Use the resulting paste to brush your teeth normaly

Fluoride toothpaste + baking soda

  1. Spread some of your regular toothpaste on your toothbrush
  2. Dip your toothbrush into baking soda so that the powder sticks to the toothpaste
  3. Brush your teeth normally.

Is it safe to whiten your teeth with baking soda?

Brushing your teeth with baking soda should be safe as long as you don’t abuse it. You should limit the baking soda-based treatment to no more than two weeks at a time and only use the home-made paste every other day during those two weeks. After that period of time go back to your regular fluoride toothpaste.

If you use the baking soda-based toothpaste for too long you risk damaging your enamel. Remember that baking soda acts as a mild abrasive on your teeth. First it will help break the layers of stains on top of your enamel, but once it’s done with them it will continue with your enamel layer next, potentially damaging it for life.

It is also important that you alternate the baking soda-based toothpaste with your regular toothpaste during the treatment since your regular toothpaste has fluor and other ingredients which help strengthen your teeth, prevent cavities and more, all of which the home-made whitening toothpaste does not provide.

Alternatives to baking soda for teeth whitening

All Natural Activated Charcoal Tooth Whitening Powder by Diamond Dust. 100% Natural, Vegan and Gluten free

There are plenty of at home teeth whitening solutions that can be an alternative to baking soda, including a lot of which are also 100% natural and contain cero traces of chemicals.

A great example of one of these alternative solutions are charcoal powders, which are prove to help whiten your teeth and actually use the same mild abrasive approach that baking soda does.

Some of these teeth whitening powders formula’s also contain other natural ingredients that will help you reduce plaque and prevent cavities, all in one simple and easy to use solution.


  1. So, you have been wearing your braces for a while now and will soon get them removed. You want your smile to be the best it’s ever been and would like to get your teeth whitened to make sure not only the shape, but also the color of your teeth are perfect. If you find yourself in this situation you might be asking yourself, how do I whiten my teeth after having used braces? Should I wait? Should I have them whitened right away? How?

    We are here today to answer all this questions so that you can start showing off that brilliant smile of yours in no time!

    Why would you want to whiten your teeth after braces?

    There are several reasons why people who have used braces seek a teeth whitening treatment right after getting their braces removed.

    For one, most people remember their braces days as some of the most embarrassing, specially kids. Not being able to smile in photographs or even express yourself comfortably in public can really make you avoid those kind of situations all together, and when your braces come off you want to be able to show your smile proudly and with confidence.

    Braces also make it difficult to brush your teeth properly. So no matter how much you care about your horal hygiene, it isn’t rare for teeth to go a couple shades yellower during the treatment, especially if you had to wear braces for a long period of time.

    Last but not least. The cement that is used to attach your braces to your teeth is totally unartful and does not affect your enamel layer in any way, however, the area were the cement was present has stayed protected from food and drinks, while the rest of your teeth was exposed to these aggressions all the time. Over time it is possible that the exposed area has gotten a bit yellower while the protected one remained the same color. In some cases, the difference in color is such that it’s notable. A whitening treatment can make sure your teeth color is even again.

    Is it safe to whiten teeth after braces?

    It is just as safe to get your teeth whitened after having used braces as it is at any other point in time.

    Having used braces really makes no differences when it comes to teeth whitening as your braces were merely attached to the surface of your teeth with a special cement that does not damage your enamel layer in any way.

    Just remember that bleaching treatments are not recommended for kids under 18 years old, regardless of whether they used braces or not. In this case you will want to ask your dentist for the best option to get your kids teeth whitened after his or her braces are removed.

    Should I wait to whiten my teeth after braces?

    In theory there is no reason why you should wait to get your teeth whitened after using braces. Your teeth aren’t more delicate or sensitive after having your braces removed.

    The only reason why you might want to wait a little bit is to make sure that any residual glue is removed from the surface of your teeth, otherwise different parts of your teeth will whiten differently as some areas of your enamel might still be protected by an invisible layer of glue.

    If you are going to have your teeth whitened by the same dentist who is removing your braces, then he or she will recommend that you come back in a few weeks or start the treatment right away depending on how easily the cement came off in your particular case.

    If you are going to get your teeth whitened at home with an over the counter bleaching kit, then you might want to use a polishing solution first for a week or so to make sure any remaining glue is gone. You can use some charcoal powder every other day for a week or brush with a whitening toothpaste before getting started with the bleaching treatment.

    How should I whiten my teeth after braces?

    You have several options as for how you should get your teeth whitened after your braces are removed.

    The first and most obvious is getting your teeth whitened by your dentist. He has been following your case closely, he is probably the same who put those braces on in the first place, so he’ll have more information than anyone and will be able to give you the best in-house treatment for your particular case.

    If you want to go with an over-the-counter kit instead, either because you run out of a budget after the braces treatment or because your dentist didn’t think you needed a whitening treatment because of your braces, but you would still like to improve your color by a few shades, then you can purchase any of the bleaching kits available and use them in the comfort of your own home for a fraction of the price of what an in-house treatment would cost.

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Your teeth don’t have to show your age

We can’t stop ageing – but we can make the best of what we already have. Looking after your skin and general appearance is one step. But what about your teeth? They are a revealing sign of ageing – yet surprising things can be done today to reverse this process, says Dr. George Druttman, of Cap600 London City Dental www.cap600.com

Staying young-looking
Teeth are one of the first features that people look at. Our teeth deteriorate over the years, gradually taking on more and more imperfections that betray our age – or make us look even older than we really are. In Western society, where one in six people will soon be over 65, everybody wants to stay as young-looking as possible.

So how can a 50-year old stay young-looking? Well, maybe she has fortunate genes, looks after her skin regularly (often in addition to great genes) and has had excellent cosmetic facial surgery. To look at her, you wouldn’t be able to guess her true age – until she starts smiling. Then her mouth gives the game away. How? Because of the state of her teeth.

Signs of ageing – your teeth
So how do your teeth betray your age? Their colour changes over time, losing brightness and luminosity, and becoming darker. Dental wear will shorten teeth, making them look ‘stubby’. Years of food, nicotine and fluid stains can also stain teeth permanently.

Tooth shape: The natural smile line is a gentle convex. But extensive wear on our front teeth can change this to a straight or even concave line (reversed curve). Tooth grinding (prompted by stress), accelerates this dental erosion. Chipped tooth edges are another sign, creating an unbalanced and disharmonious look.

Tooth surface: The fine ridges on young teeth get smoothed away as we get older. While in early adulthood such smoothing can produce attractive teeth that reflect light more uniformly, too much smoothing will show age.

Tooth crack lines: Over time, micro-fractures can appear on the enamel surface. While perhaps superficial, they can show up as little crack lines, which will downgrade the attractiveness of teeth.

Filled front teeth: White fillings in front teeth need to be regularly replaced or they change colour and start to look obvious. They may even show dark lines between the edge of the filling and the natural tooth.

Smile colour: White reflects light and dark absorbs it. A mouth with silver-mercury (amalgam) fillings in many of the teeth will present an overall dull grey colour that absorbs light and therefore looks dark. It’s another sign of ageing.

Signs of ageing – your lips
Over time the lips lose muscle tone and become thinner and narrower. The top lip can sag, covering more of the upper teeth. The lower lip may also drop, showing more of the lower teeth.

If you had fairly thin lips when young, then they will become even more so. Also thin vertical lines appear in the lips, which are accentuated and hastened by smoking. Crease lines can also appear at the corners of the lips, often with a more significant, deeper crease line, angled downward, which can make you look permanently unhappy.

What can you do restore youthful looks?
Your smile is the key to your facial appearance. So you need to do something about any old, worn, chipped and discoloured teeth you have and remove these obvious clues to ageing. The essence in good cosmetic/ aesthetic dentistry is to combine modern techniques with artistic flair – so that nobody can guess what’s been done.

Ways of improving your teeth
Re-contouring: A little bleaching whitens the teeth and slight reshaping restores the edges of the teeth to what they were in youth.

Replacing fillings: Using modern materials for the front and most prominent teeth can cause the dental restoration work to blend in with the general colour of the tooth.

Bonding: A synthetic material that looks like natural tooth enamel is bonded to the enamel tooth surface. Because it can be shaped and polished, this material can alter the colour, texture, size, shape and even, to an extent, the position of the teeth. The treatment can be applied to the eight to twelve upper front teeth. It lasts from three to six years.

Veneering: A technique similar to bonding – only more permanent. A thin, hard porcelain veneer is individually made for each tooth to the correct colour, size and shape. Porcelain is as durable as the original tooth enamel so the restored tooth will last for decades rather than years. Veneering is often done on front incisor teeth that have been damaged.

Improving your lips
Thin lips can be treated by using fillers to accentuate the lip line (vermillion border) between the red part of the lips and the normal skin. These fillers are, for example, bovine collagen, or natural hyaluronic acid (Restylane). The effect lasts up to twelve months. The substance of the lip can also be increased by injecting Restylane or even fat from another part of the body into the lip itself. The result, of course, depends on how much and where it is placed.

So how can your smile make you look younger?
Look in the mirror for a few minutes. Decide what parts of your face, and particularly your smile, you would like to rejuvenate using the techniques mentioned above. Then consult with a cosmetic dental surgeon, who can show you an accurate simulation of how treatment would look on your face. It is advisable to do this before going ahead with any cosmetic surgery on your face.

Most cosmetic medical surgeons are still not orientated or even knowledgeable enough about what cosmetic dentists are able to achieve with teeth. A few short dental treatments can take years off your looks, helping you evaluate whether other surgery is necessary.

Dr. George Druttman, Cap600 London City Dental www.cap600.com

About the author:

Dr George Druttman is an experienced Cosmetic Dentist running a specialized dental practice Cap600 London City Dental in the UK. His web site is www.cap600.com

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orthodontics 3/18/2019 – gtg

Orthodontics FAQS
What is orthodontics?
Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.

What is an orthodontist?
An orthodontist is a specialist who has completed an advanced education program following dental school to learn the special skills required to manage tooth movement and guide facial development.

What are some possible benefits of orthodontics?
• A more attractive smile
• Reduced appearance-consciousness during critical development years
• Better function of the teeth
• Possible increase in self-confidence
• Increased ability to clean the teeth
• Improved force distribution and wear patterns of the teeth
• Better long term health of teeth and gums
• Guide permanent teeth into more favorable positions
• Reduce the risk of injury to protruded front teeth
• Aids in optimizing other dental treatment

What are some signs that braces may be needed?
• Upper front teeth protrude excessively over the lower teeth, or are bucked
• Upper front teeth cover the majority of the lower teeth when biting together (deep bite)
• Upper front teeth are behind or inside the lower front teeth (underbite)
• The upper and lower front teeth do not touch when biting together (open bite)
• Crowded or overlapped teeth
• The center of the upper and lower teeth do not line up
• Finger or thumb sucking habits which continue after six or seven years old
• Difficulty chewing
• Teeth wearing unevenly or excessively
• The lower jaw shifts to one side or the other when biting together
• Spaces between the teeth

At what age should orthodontic treatment occur?
Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age 7 or earlier if a problem is detected by parents, the family dentist, or the child’s physician.

What is Phase I and Phase II treatment?
Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of cross bites, overbites, and underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?
Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Twenty to twenty five percent of orthodontic patients today are adults.

How does orthodontic treatment work?
Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?
Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping treatment time on schedule.

Do braces hurt?
The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?
No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?
No. However, there may be an initial period of adjustment. In addition, brace covers can be provided to prevent discomfort.

Should I see my general dentist while I have braces?
Yes, you should continue to see your general dentist every six months for cleanings and dental checkups.

Your First Visit
Your initial visit to our office is very important to us. It gives us the opportunity to get to know each other and determine what you hope to accomplish with your smile. During this visit, the doctor will answer questions that you may have such as the type of treatment needed, when it should start, and the estimated treatment time. If treatment is needed, you will be able to discuss fees and payment options before treatment begins.

We offer the following financial options for your convenience:
• Interest free monthly payments
• Discount for paying in full
• Family discounts
• Most major credit cards accepted
• Insurance billing
We are also happy to work with Cafeteria accounts and Flex and HSA accounts.

If you are excited to get your treatment started, diagnostic records can be taken at the conclusion of this appointment so you can begin your treatment as soon as possible.

Call to schedule your complimentary exam today.

Regular Appointments
The appointment when you get your appliances (braces, expanders, etc.) usually takes from one to one and a half hours. You’ll then see us at regular intervals 4 to 8 weeks apart for an adjustment, which takes 20 to 40 minutes.  We make every effort to be on time for our patients and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us immediately. Cancel only if it is an emergency. It is difficult to reschedule you since most appointments are made 4 to 8 weeks in advance.

If you have insurance, we will help you to determine the coverage you have available. We ask that you assign your insurance benefit to us. The balance will be arranged for you to pay (see above). Professional care is provided to you, our patient, and not to an insurance company. Thus, the insurance company is responsible to the patient and the patient is responsible to the doctor. We will help in every way we can in filing your claim and handling insurance questions from our office on your behalf.

Regular Appointments
In order to properly place brackets and fit bands, the first few appointments will be frequent, requiring your patience and flexibility. After the appliances are placed, adjustment appointments will then occur approximately every six weeks and for shorter time intervals, approximately 20-40 minutes.

Cooperation is requested in making and keeping all appointments. As most of our patients are school age, we will make every effort to give each patient their share of after-school appointments; however, please be aware that many appointments, especially those of longer duration, will be during school hours. We are happy to provide a school excuse, if needed.

It is difficult to reschedule you since most appointments are made 4 to 8 weeks in advance. If an appointment must be broken, please notify us immediately so another appointment can be reserved. Whenever possible, advance notice of 24 hours is appreciated if an appointment must be changed.

Other Dental Treatment and Records
Extractions (if necessary), x-rays, and the restoration of decayed teeth will usually be done before orthodontic treatment is started. After treatment, a complete set of orthodontic records will be taken. It is recommended that a dental checkup be scheduled with your dentist shortly after braces are removed.

Braces Care
Oral Hygiene
Orthodontic bands and wires are food-catchers. It is therefore important that the teeth be carefully brushed after each meal and snack. After brushing, the appliances should be checked to see if they appear clean and shiny with no food particles or plaque. Failure to keep the mouth clean increases the likelihood of dental decay and etching of the enamel around the edges of the brackets and bands. Patients who keep their teeth clean and use fluoride gels usually have a minimum of decay, if any.

Regular Dental Check-ups
It is recommended that regular 6-month dental check-ups and cleanings be continued by your dentist during treatment.

Foods which are hard or chewy should be avoided during orthodontic treatment in order to prevent appliance breakages. Appliance breakages will complicate and thus prolong treatment.

Loose or Broken Appliances
Any breakage of the appliances (loose bands or brackets, broken wires, etc.) should be reported immediately to the office and an appointment made to repair the appliance. Do not wait until your next scheduled adjustment, as there is insufficient time during this appointment to repair appliances and make an adjustment. If a repair must be made during an adjustment appointment, you may be rescheduled at a later date in order to make an adjustment. If breakages become excessive, there may be an additional charge made for repairs.

Ceramic Brackets
Although ceramic brackets have several advantages, they also require special attention and care. In order to maintain their aesthetic appearance, these brackets must be kept clean. Any foods which have a tendency to stain (such as mustard, tea, and coffee) will turn the clear elastics around the brackets yellow over several weeks and therefore should be avoided, if possible. Ceramic brackets are more brittle than those made of metal and thus require special attention to the types of foods eaten in order to avoid breakage. Finally, ceramic brackets are much harder than the enamel on teeth. For this reason, it is important that the patient contact the doctor’s office immediately if he or she is biting on a bracket any time during treatment, as this may cause significant wear on the patient’s teeth

Ortho Dictionary
Parts of Braces
Anything your orthodontist attaches to your teeth which moves your teeth or changes the shape of your jaw.

Arch wire
The metal wire that acts as a track to guide your teeth along as they move. It is changed periodically throughout treatment as your teeth move to their new positions.

A metal ring that is cemented to your tooth, going completely around it. Bands provide a way to attach brackets to your teeth.

The seal created by orthodontic cement that holds your appliances in place.

A metal or ceramic part cemented (“bonded”) to your tooth that holds your arch wire in place.

Coil Spring
A spring that fits between your brackets and over your arch wire to open space between your teeth.

Elastic (Rubber Band)
A small rubber band that is hooked between different points on your appliance to provide pressure to move your teeth to their new position.

Elastic Tie
The tiny rubber band that fits around your bracket to hold the arch wire in place. They come in a variety of colors.

Headgear uses an external wire apparatus known as a facebow to gently guide the growth of your face and jaw by moving your teeth into proper position. The force is applied to the facebow by a spring-loaded neck strap or head strap. The straps have a safety release that disconnects if the facebow is pulled or snagged.

Headgear Tube
A round, hollow attachment on your back bands. The inner bow of your headgear fits into it.

A welded or removable arm to which elastics are attached.

A thin wire that holds your arch wire into your bracket.

Lip Bumper
A lip bumper is an arch wire attached to a molded piece of plastic. The lip bumper holds back the molars on your lower jaw to provide more space for your other teeth.

A device that protects your mouth from injury when you participate in sports or rigorous activities.

Palatal Expander
A device that makes your upper jaw wider.

An appliance that is worn after your braces are removed, the retainer attaches to your upper and/or lower teeth to hold them in place. Some retainers are removable, while others are bonded to the tongue-side of several teeth.

Separator or Spacer
A small rubber ring that creates space between your teeth before the bands are attached.

Tie Wire
A fine wire that is twisted around your bracket to hold the arch wire in place.

Wax is used to stop your braces from irritating your lips.

Orthodontic Procedures
The process of fitting and cementing orthodontic bands to your teeth.

The process of attaching brackets to your teeth using special orthodontic cement.

Cephalometic X-ray
An x-ray of your head which shows the relative positions and growth of the face, jaws, and teeth.

A meeting with your orthodontist to discuss a treatment plan.

The process of removing cemented orthodontic bands from your teeth.

The process of removing cemented orthodontic brackets from your teeth.

The process of making a model of your teeth by biting into a soft material that hardens into a mold of your teeth. Your orthodontist will use these impressions to prepare your treatment plan.

An alternative to traditional braces, Invisalign straightens your teeth with a series of clear custom-molded aligners. Invisalign can correct some, but not all, orthodontic problems.

The process of attaching an arch wire to the brackets on your teeth.

Panoramic X-ray
An x-ray that rotates around your head to take pictures of your teeth, jaw, and other facial areas.


“A beautiful smile radiates confidence”

– About Lingual Orthodontics

With lingual orthodontics your teeth can straighten with non-visible braces- placed behind the teeth – and are 100% customized for each patient. Lingual braces are an ideal option for people who want the benefits of orthodontic work without significantly changing their appearance.

In order to achieve a perfect alignment of the teeth, the brackets have to be positioned at the same distance from the edge of each tooth, and the bracket slot has to be oriented according to the long axis of the tooth.

This very accurate positioning cannot be achieved directly because visibility and access are difficult on the lingual surfaces of teeth. The brackets are first positioned in the laboratory on plaster models, and then transferred into the mouth by means of an elastomeric splint.

The so called « indirect » bonding technique allows the bonding of all the brackets in your mouth in a few minutes.

The brackets that have been newly placed in the mouth require an adaptation period of about 20 days.

During this stage, the patient will experience:

Irritation of the tongue, the tip of which unconsciously comes to rub against the brackets during the first day of treatment.
Chewing difficulties when chewing hard food (only if the upper arch has braces), thus fish and vegetables are recommended at the beginning of treatment.
Mild speech disorders: the brackets on the upper arch disturb the tongue rests on the teeth. « S »sounds and whistling consonants can whistle more than usual during the first hours or even the first days of treatment.
However, this will never be so pronounced that people can no longer understand you.
You might be more or less affected by this adaptation period, depending on your own sensitivity and on your motivation.

The different protection materials we provide and our availability to help you will minimize the discomfort during this period.

Their length varies depending on the difficulty of the orthodontic problem to solve, on the treatment stage you are in, and also depending on whether the appliance is in good shape or not. Generally, appointments are given for 15 to 60 minutes.

For your personal problem, a personalized treatment plan is needed. In addition to braces, teeth extractions may be necessary for your treatment, either in order to create space for crowded zones, or to allow for retraction of flared teeth.

Sometimes, stripping of the teeth in order to decrease their width can be used rather than extractions, and rubber bands sometimes need to be worn during treatment between the upper and the lower jaw.

The average treatment time is approximately 26 months

Teeth are placed in a “corridor” between the tongue, the cheeks, and the lips, which have a permanent influence on the tooth position.

Teeth are “set” in the bone which can develop and thus modify the way it holds them.

No orthodontist can guarantee the stability of orthodontic treatment without a retainer.

We want the beauty of your smile to stay with you permanently and to this end, we bond very thin metal wires on the invisible side of your front teeth, immediately after removing the braces. These retention wires are almost unnoticeable, and you will soon forget about them

Changing the smile you have now into the smile you desire. Orthodontics is for all ages it is never too late to look and feel at your best. Conditions like crooked teeth, teeth protruding, underbite and spacing between teeth can be corrected.

Most adult seek orthodontic treatment for cosmetic reasons while many others seek treatment for bite problems, problem with oral hygiene or jaw disfunction.

Since teeth continue to move throughout your life, braces are often needed into adulthood. Lingual braces offer adults an excellent option to improve their smile less noticeably

The application of lingual braces employs a very sophisticated computerized technique and consequently requires the skill of highly trained professionals. Our dentists and staff regularly attend Lingual Orthodontic Association training sessions across the world to stay on top of the latest techniques.

A smile can say a million words and it speaks its own language.

Whatever your reasons we will concentrate on straightening your teeth and achieve harmony of your teeth, jaw, face.

Increase your self esteem with and an attractive smile.

The invisible solution – why wear traditional braces when you can get the same results.