ortho 6/7/19 – gtg

An orthodontist is specially trained to correct problems affecting the teeth and jaws. If you need braces or some other form of appliance, you will need to see an orthodontist. But just how do you go about finding the right one to meet your specific dental needs? Well, you can start with our practice. We are licensed specialists with Diplomate Status of the Board of Orthodontists and Diplomates of the College of the Board of Orthodontists. A status that no other local orthodontist can boast! Since some treatments can take years, our multi-doctor family ownership allows you the advantage of continuity of care, sharing of knowledge and foremost a built-in second opinion. There are many questions you may have about orthodontics. How long the needed appliance will remain in place and how many follow up or maintenance visits will be required. The charge for the procedure and how billing is handled. Can you make scheduled payments, or is the total amount all due at once. What types of insurance does the orthodontist accept and will the office submit the claim? Most insurance plans are accepted, either as co-payment or payment in full. Finding out the answers to these questions will help you make an informed choice and they also prevent any unwelcome surprises down the road. A good relationship is built on honest and open communication. We want you to know all before you or your child begins a new journey. An added advantage for perspective patients of our practice is knowing that their orthodontist has university and hospital affiliations. Orthodontists must be on the cutting edge of their continuing education in the pursuit of excellence.

Perhaps someone you know could have benefited from braces as a child but didn’t have the opportunity to have their teeth straightened. The good news is it is not too late. Today more adults than ever are seeking orthodontic correction for irregularities in teeth alignment. Whether their teeth are crooked or crowded or perhaps spaced too far apart, braces can realign and balance the teeth within the jaws and face. Besides the cosmetic benefits, braces can improve overall oral hygiene. Once the decision is made the orthodontist makes plaster models of the teeth and recommends the type of appliance best suited to the individuals needs. That may mean conventional wire braces, braces with mini brackets, or so-called invisible braces. Orthodontic treatment cannot only improve a persons appearance, but boost their self-esteem. At any age having the teeth straightened can make a world of difference. Ask about braces behind your teeth!

When is the right time for children to get braces? Well, the fact is the ideal time for treatment tends to vary from child to child. Usually, however, the dentist will monitor the development of the secondary teeth and approach the subject of braces once a problem is noted. Don’t ever worry, it is our pleasure to provide you with a free consultation exam and evaluation at any age. National census taken from Pediatric Dentistry and Medical Societies is that a child should be analyzed at seven (7) years old. The orthodontist will advise that braces be applied based on when the maximum improvement can be expected in a timely cost-effective manner. Malocclusion, or an improper alignment of teeth, can cause all types of difficulties for children, including problems with chewing, which in turn can interfere with proper nutrition. In fact, it is not too early to have the first family dental exam soon after the baby teeth have erupted with routine visits scheduled thereafter. Don’t put off seeing a dentist, especially if problems develop. Your family dentist will help guide you for orthodontic treatment.

Routine dental examinations for children should be started as soon as the baby teeth are in at approximately three (3) years old. From that point on, the dentist will evaluate the teeth on each visit, and if problems are detected, such as crooked teeth or an uneven profile, orthodontic treatment will be recommended at the appropriate time. A university trained post graduate of orthodontics is specially trained 2 to 3 years beyond dental school. Your orthodontist should be trained to treat Temporomandibular Dysfunction (TMJ dysfunction) of the jaw joints. He can straighten teeth with braces or corrective appliances, and correct jaw position and improve facial balance via orthognathic team surgery with an oral maxillofacial surgeon. The ideal age for orthodontic treatment to begin tends to vary from child to child. Its usually advised, however, that the teeth are straightened before the face and jaws have finished growing to avoid the aforementioned problems of surgery and TMJ dysfunction. So don’t put off getting an orthodontic evaluation. If a problem is noted, seek a professional opinion right away.

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The word “endodontic” means inside the tooth. An endodontist is a dental specialist who deals with problems arising from the tissues inside the tooth. This tissue is called the dental pulp. A patient is usually referred to an endodontist because the pulp tissue has been damaged by decay, trauma or gum disease. An endodontist receives at least two additional years training after dental school. The endodontist’s primary aim is to save your teeth and minimize dental pain. Saving the tooth can usually be done through non-surgical root canal therapy. Your regular dentist may refer you to an endodontist. Or you may want to seek one yourself if you have persistent, swollen gums or toothaches, or if one of your teeth becomes discolored following trauma. If you wish, our office can refer you to a Board Certified highly qualified specialist to assist you, if your family dentist is unable to.

A root canal is the procedure done to remove dead or damaged pulp tissue from the inside of a tooth. Damage may be caused by severe decay, gum disease or trauma. You may be referred to a specially trained dentist, or endodontist, to do the procedure. Endodontists say that recent advances in technology have made root canal therapy faster and less uncomfortable for the patient, and that even the term “root canal” is a bit outdated. Today they call it endodontic therapy. The procedure works like this: First, the patient is given a local anesthetic like novocaine. The endodontist removes the damage tissue, then cleans the inside of the tooth and fills the space with another material. You may then be referred back to your regular dentist for the final restoration. The tooth may also have a cap, or crown, put on to protect it from fracture. More than 90% of the time this process is able to save a damaged tooth.

In the first half of this century, the most common cure for a persistent toothache was to pull the aching tooth. Now, endodontists and dentists are able to save decaying or damaged teeth in more than 90% of all cases. Many toothaches are caused by damage to the pulp, or soft tissues, inside the tooth. In most cases, the pain can be eliminated by endodontic therapy, what used to be called a root canal. The process is not as lengthy or as uncomfortable as it used to be. During the procedure the endodontist will remove the damaged pulp, then clean the inside of the canal and seal the space. If you’ve been told the damaged tooth has to come out or be extracted, ask about endodontic therapy. It’s also a good idea to seek out another dentist or endodontist for a second opinion before extraction.

The soft inner tissue of a tooth, or pulp, can become damaged in several different ways. If left untreated, deep decay can infect the pulp, causing pain and abscess formation. Sudden trauma to the tooth is a third way the pulp may begin deteriorating. If you are in an accident or hit in the teeth, the inside of your teeth may be affected. Damage may not be visible at first, so it’s a good idea to see a dentist as soon as you can after an injury to your teeth or your mouth. Some warning signs of pulp degeneration include an extremely painful toothache, and extra sensitivity to heat or cold. You may also have some pulp damage if the tooth becomes darker, or discolored.

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Q. WHAT IS Q&A AND HOW LONG HAS IT BEEN PUBLISHED?

A. Q&A is a special quarterly magazine supplement for dental patients to read before or after their appointments with the dentist or hygienist to help address questions about dental health and about types of treatment that may be performed or recommended during dental appointments.

Developed with the cooperation of dentists and hygienists from across the nation, Q&A has been published since October 1991. Each issue of Q&A features questions submitted by dental professionals who wish to participate in keeping their patients informed about and involved in their own dental care.

Q. WHAT PURPOSE DOES TOOTHPASTE SERVE?

A. Toothpaste typically contains a detergent compound to penetrate and loosen deposits and stains on tooth surfaces so they can be more easily removed during tooth brushing. Toothpaste also contains cleaning and polishing agents to produce a smooth, shiny tooth surface that can inhibit the accumulation and retention of plaque. In addition, flavoring agents found in toothpaste can make the mouth and breath feel clean, and toothpastes containing fluoride can help strengthen the teeth’s hard outer layer — the enamel — to help prevent cavity formation. Some toothpastes have tartar-control properties to minimize tartar (mineralized plaque) build-up.
Others have special tooth-whitening properties. Some help reduce tooth sensitivity, and still others have anti-microbial properties

to help control the bacteria responsible for gum disease. Inform your dentist or hygienist of the toothpaste you
use so they can evaluate its effectiveness or make recommendations for changes based on your dental health.

Q. WHAT DOES FLOSSING DO THAT TOOTH BRUSHING CAN’T?

When used regularly and correctly, dental floss or tape can effectively remove plaque that accumulates in the very narrow areas between the teeth, that is, the interdental areas, which usually cannot be reached by the bristles of a toothbrush. Some toothbrushes feature specially contoured bristles that can extend into the interdental areas, but flossing these areas and plaque accumulation and can help fight gum disease. Ask your dentist or hygienist about that type of floss or tape best suited for your needs and, if you need assistance, about that correct way to floss.

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Q. CAN GUM DISEASE BE TREATED? IF SO, HOW?

A. Gum disease — gingivitis and periodontitis — can be treated effectively, economically, and easily if detected in its early stages by your dentist or hygienist. Treatment involves close cooperation between you and your dentist or hygienist, and its success ultimately depends on your efforts. Your dentist or hygienist will recommend procedures you should follow at home such as regular brushing and flossing and may suggest the use of a mouthrinse and/or oral irrigator to help control plaque, the primary cause of the majority of gum diseases. Regular tooth cleanings at the dental office also can help control gum disease. In addition, depending on the severity of the disease, teeth may need to be treated below the gum line to remove plaque you can’t see and to produce a smooth surface to which plaque can’t stick. Because gum diseases vary by individual, dentists design specific plans for treating each case.

Q. WHAT SHOULD I DO IF MY CHILD ACCIDENTALLY KNOCKS OUT A TOOTH?

A. It is possible, under certain circumstances, to re-implant a permanent tooth that has been completely knocked out of its socket. Ask the dentist for emergency instructions as re-implantation has been found to be most successful if it is done within 30 minutes of the accident.

Q. CAN A CHIPPED TOOTH BE FIXED?

A. Yes. A chipped tooth can be repaired with a filling material that matches the color of the tooth and shaped to resemble the tooth before the chip occurred. This is a relatively new and simple procedure, and before the “composite” material was available, a chipped tooth could only be fixed by placing a cap over the entire tooth. Capping may still be the restoration of choice when a tooth has been severely damaged.

Q. HOW CAN YOUNG CHILDREN BE MOTIVATED TO BRUSH THEIR TEETH?

A. Depending on the child’s age and personality, he or she may be more willing to regularly brush if you make
a game out of brushing, brush with your child on a regular basis if he or she enjoys emulating grown-ups, or allow the child to select the toothbrush and toothpaste, which are available in colorful, entertaining varieties. Some children may respond well if toothpaste isn’t used or if you do the brushing for them while they are seated comfortably on your lap. Until children reach school age and are able to brush their teeth thoroughly on their own, adult participation is encouraged.

Q. DO WISDOM TEETH ALWAYS NEED TO BE REMOVED?

Wisdom teeth show wide variation in their size, development, and position in the jaw bone. They are usually evaluated once the jaw has reached its full development, typically when a person is between 15 to 22 years of age. During the evaluation, the dentist will check to see how many teeth are present in the jaw and whether there is enough space to accommodate the wisdom teeth. Some people never develop or are missing some wisdom teeth while others grow to maturity with the full complement of four. Your dentist may recommend removal of the wisdom teeth if there is insufficient space for them or if they are “impacted.”

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Frequently Asked Questions

Q: When will I get my braces off ?

A: Treatment time is estimated prior to the start of your orthodontic care. Outside influences often affect your time schedule. Growth and cooperation throughout treatment also determine the length of time your braces are on.

Q: Can I chew gum? My friend Billy does and he has braces!

A: If your friend is a patient in our office, he/she should not be chewing gum, or any other hard, sticky, chewy or gooey food. Nor should you. These foods can not only damage your brackets, but also can put small bends in your wires that can cause your teeth to move in the WRONG direction, thereby increasing your treatment length. Please, think before you eat. Say to yourself – SELF – is this food sticky, chewy or gooey? If yes – STAY AWAY !!!

Q: What happens if a bracket comes off or a wire breaks?

A: If you are uncomfortable, please call ASAP so that we can get you in for a MAKE COMFORTABLE (MC) visit. We may also schedule a REPAIR appointment in order to do the actual repair if it cannot be done at the MC appointment.

If you are NOT uncomfortable, please call ASAP so that we can schedule a repair visit or allow for more time at your next visit to repair the problem.

Q: I have a loose bracket. What should I do?

A: If you are uncomfortable, please call us immediately (use wax in the meantime) so we can make you comfortable. If the bracket comes off, bring it with you at your next appointment. If it is ON the wire, leave it on. REMEMBER, call the office to let us know about the loose bracket.

Q: A band is loose. What should I do?

A: Call the office for a repair appointment to re-band the tooth. Try to bring the band with you. You may need a spacer appointment if you lost the band a while ago.

Q: My appliance that is cemented in my mouth is “loose”. Help!!

A: Call the office for a repair appointment to re-cement the appliance. Don’t forget to bring the appliance if it has come completely out off your mouth.

Q: I had my braces (or appliance) removed recently and I lost my retainer last night. What should I do?

A: Please call the office immediately so that we can get you in for an impression for a new retainer (there will be a fee for replacement). It is very important to retain the new position of your teeth following orthodontic treatment. If you wait too long before you call, unwanted shifting may occur.

Q: I called the office to leave a message but your machine does not take messages. Why not?

A: Our phone system is programmed to give the office hours only when the office is closed. If our office is closed, and you have an orthodontic emergency, our phone system will directly connect you to either the doctor’s emergency number or an on-call staff member.

FOR ALL EMERGENCIES:

If the office is closed, our phone system will directly connect you to either the doctor’s emergency number or an on-call staff member.

IF YOU DO NOT CALL TO LET US KNOW ABOUT A PROBLEM, WE MAY NOT BE ABLE TO DO A REPAIR AT YOUR NEXT REGULAR VISIT BECAUSE OF TIME CONSTRAINTS.

Q: My child’s school insists that students cannot leave during the day. Can I get all his appointments after school and before soccer practice?

A: The majority of our orthodontic patients are adolescents and are in school during the day from September through June. For this reason, we cannot guarantee that all your child’s orthodontic appointments will be between 3:00 and 5:00pm (We’d be very busy!). However, because of the normal 8-10 week interval between appointments AND our evening and every other Saturday schedule, your child should not have to miss too much time during the school day throughout his treatment period.

Q: Do I have to wear elastics (“rubber bands”)?

A: Not all orthodontic patients “have” to wear elastics. However, elastics may be necessary to help us align the dental arches or help “close” the bite. Each patient is evaluated separately for their need to wear elastics.

Q: I missed an appointment, what is the policy for rescheduling?

A: Call the office as soon as possible to reschedule.

Please note – The rescheduled time may not be as convenient as the missed appointment time, as we book appointments every 7 – 9 weeks.

Remember – When you don’t show as scheduled, 2 people are hurt: YOU, because you don’t get the treatment you need as prescribed by the doctor; and another patient, who could have been scheduled for treatment if you had given proper notice.

Q: The doctor said I have a Class II malocclusion. What is that?

A: See the following link for a glossary of terms http://www.braces.org/knowmore/glossary/

If you have any suggestions for the Frequently Asked Questions section of this website, please mention them to us at your next visit.

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Orthodontic Treatment

Even though most people think of pre-teens and teens when they think of orthodontics, there are good reasons your child should get an orthodontic evaluation much sooner. The American Association of Orthodontists recommends an orthodontic check-up no later than age 7.

Treatment & Other Information
When you visit one of our offices for a consultation, the doctor will evaluate and develop a diagnosis and subsequent treatment plan for your case. There will be no fee for this consultation, as a courtesy to your general dentist, who will receive a report of your visit.

Orthodontic treatment may take many forms, depending on age, severity of case, and objectives. In our office we use the following terms to describe your treatment: Interceptive, Comprehensive, Adult.

Interceptive Treatment

Certain methods are used in the early mixed dentition (ages 6-9). These include reduction of tooth overlap, cross bite correction, reduction of severe tooth flaring, and space maintenance. Following this type of treatment, the patient is evaluated for any further treatment needs when permanent dentition is complete.

Other early treatment methods are used for the more complex conditions of the early/late mixed dentition (ages 8-12). Arch expansion and arch lengthening are examples of this type of treatment. Again, when the permanent dentition is complete, the patient is evaluated for further treatment.

Comprehensive Treatment

Full fixed orthodontic treatment (braces) is used in the late mixed/permanent dentition of adolescents (ages 10-adult) to correct the alignment and position of the teeth.

Adult Orthodontics

Adults now have the opportunity to have the orthodontic correction that may not have been available during their adolescence. In our office, approximately 25% of our new patients are adults; advancements in treatment methods and techniques make adult treatment better than ever. Arch alignment, reduction of tooth overlap and flaring are a few examples.

Esthetic orthodontic brackets, made of ceramic, are the choice of the majority of our adults. Our office also offers a state-of-the-art method of aligning less severe bite problems. With the Invisalign Aligner Systems, certain adult cases may be treated without the use of “braces”. These aligners are virtually invisible when worn by the patient to correct less severe malocclusions. Long-term retention follows all methods of adult orthodontics.

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Orthodontics refers to the diagnosis, treatment and prevention of dental and facial irregularities such as crooked teeth, crowding, spacing, protruding upper teeth, overbite, underbite, open bite and crossbite. Braces and other orthodontic appliances are used to correct these “bad bites” or malocclusions by moving the teeth and jaw into proper alignment. Treatment is designed to help the patient both aesthetically (by improving the smile) and functionally (by improving the bite). Patients who undergo orthodontic treatment often enjoy greater self-confidence with their new smile.

Orthodontic treatment can help patients of all ages, although treatment is most effective as soon as a problem is detected. Children should have an orthodontic exam before they turn 7 to detect and treat any problems early and to ensure optimal results. It is important to treat malocclusions before problems worsen or cause tooth decay, gum disease, surface wearing, stress on the gum and bone, jaw misalignment, headaches or face and neck pain.

Invisalign® is a remarkable system of invisible aligners that help straighten teeth comfortably without metal bands, brackets or wires. The pieces are easily removable so you can eat, drink, brush and floss. Best of all, no one will know you’re wearing Invisalign aligners unless you tell them.

Night guards and splints are devices that are used to treat bruxism. Bruxism is involuntary grinding of the teeth, typically while sleeping. The devices are custom made, based on an impressions of your teeth taken by your dentist. This impression is used to create your device. Patients wear the devices when going to bed, thus significantly reducing, or even completely eliminating grinding through the night.

Habit appliances are devices designed to prevent bad habits, such as finger and thumb sucking. These habits can disturb the normal tooth growing process, and cause teeth to come in crooked. Habit appliances can be both permanent and removable, and are only slightly uncomfortable for the first couple of days while you adjust.

Contact sports can put your dental health at great risk. A sport guard is a custom-made tooth guard designed to prevent any sport-related dental injuries, such as losing or chipping a tooth or gum injury. The guard itself is a rigid, resilient plastic mouthguard that is placed over your teeth and gums while playing. The guard would take the forces of a normally traumatic blow, and redistributes the energy throughout the mouth, instead of at the point of impact. With the greatly reduced strain on your teeth, injury is much less likely.

A retainer is a device made of plastic and metal. It is designed to maintain the position of your teeth, or slightly adjust their position. Most people who receive orthodontic treatment use retainers. Retainers are custom made for each patient, and are fully removable by the patient. Your doctor will let you know how long you’ll be using a retainer, as well as when to put it in or out. Retainers can also be used for other tongue and jaw related conditions. Your dentist will let you know when and if a retainer is necessary, and will instruct you on care and maintenance of the device.

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One of the most commonly asked questions are at what age should I bring my child in for an orthodontic examination? Of course, orthodontics can be done at any age; certain problems are best corrected at specific ages. Although individual dental and jaw growth problems determine the best time to start orthodontic treatment, the American Association of Orthodontists recommends that every child should have an orthodontic screening no later than age 7.

The sooner orthodontic facts are faced, the better a family can plan for, and understand the benefits of correction. Although rarely is treatment required much earlier than age 7, some very difficult to correct growth problems can be corrected early. These types of problems may not be correctable, even at age twelve, without surgical intervention. Unfortunately, many parents assume they must wait until their child has all of his or her permanent teeth before considering orthodontic alignment. Oftentimes, parents find out that treatment would have been much easier for their child to go through if started earlier.

Early orthodontic treatment can have a tremendous impact on a young person’s dental health and emotional well being. Almost all children feel better about themselves when they can smile, and their classmates don’t make fun of them. No child should wait until reaching their “teens” to feel good about his or her smile.

Most people associate orthodontic treatment with teenage children, however orthodontists can spot developing problems with jaw growth or with the teeth much earlier, while the primary or “baby” teeth are present. Some of the more noticeable conditions that indicate the need for early examination include:

Early or late loss of teeth
Difficulty in chewing or biting
Teeth that meet abnormally, or don’t meet at all
Crowding, misplaced or blocked-out teeth
Biting the cheek or the roof of the mouth
Jaws that are too far forward or back

General Considerations…

When appropriate, early orthodontic treatment, commonly referred to as Phase One, can begin when children are 6 to 10 years of age.

Patient cooperation (always necessary for successful orthodontic treatment) is commonly excellent at early ages.
There are a variety of orthodontic appliances designed to guide jawbone growth. In some patients, early treatment achieves results that may not be possible once the face and jaws have finished growing. The combination of an actively growing patient along with enthusiasm in this young age produces results that cannot be achieved when treatment is delayed until all the permanent teeth have grown in during the 11 to 13 age group.

Early treatment can prevent serious dental problems and eliminate the need for more drastic measures down the road. Most bite problems are inherited, although these dental problems cannot be prevented, early diagnosis and correction can help return the bite to a normal growth pattern.

Benefits of Early Treatment…

Improves a child’s self-esteem.
Commonly avoids the need for permanent tooth removal, jaw surgery, and the associated discomfort and costs.
Creates adequate space preventing complication relating to impacted eyeteeth.
Early intervention can make the completion of treatment at a later age easier, reducing the total time in braces as a teenager.
Pre-teen patients are commonly more enthusiastic about wearing braces leading to better cooperation.
Helps avoid the high-risk of fracture to protruding front teeth.
Enables the orthodontist to direct the growth of the jaws to accommodate tooth size.
When an overbite or underbite is corrected facial balance is restored and jaws are realigned into an ideal growth pattern.
Early Diagnosis can provide peace of mind.
The function of the teeth is improved.
Improved tooth alignment makes brushing and flossing easier.
Long term stability is improved.

After The First Stage of Treatment…

When orthodontic treatment is required while “baby” teeth are still present in the mouth, this treatment is necessary to correct a growth problem. In most cases, a second phase of treatment (Full Braces) is required when all the permanent teeth are ready to grow in. This second stage is necessary to complete the tooth and bite alignment, and is quite often referred to as the finishing stage.

The time between the first and second phase of treatment can vary from patient to patient. During this time, retainers are worn as needed and the patient continues to be seen by the orthodontist and is re-examined on a regular basis.
The need for two treatment phases means that the original jaw growth and dental development showed enough complications to require early intervention. This also means more time, effort, braces, and expense related to treatment, however the rewards are well worth it.

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About Braces

Eating with Braces
For the first day or so, stick to soft foods. Avoid tough meats, hard breads, and raw vegetables. Before long, you’ll be able to return to a fairly normal diet. But you’ll need to protect your orthodontic appliances when you eat for as long as you’re in treatment. Eating the wrong foods during orthodontic treatment could cause unnecessary breakage of your appliances, thus adding additional treatment time..

Foods to Avoid
Chewy foods: bagels, hard rolls, licorice
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

Chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.

General Soreness
The day your braces are placed, your teeth may have some general soreness. They may also feel tender to biting pressures for three to five days. We recommend taking Motrin or Ibuprofen to help relieve this discomfort. Your lips, cheeks, and tongue may also become irritated as the inside of your mouth becomes accustomed to the surface of the braces. Placing wax over the braces will soften those surfaces and allow your mouth more time to adjust to your new braces.

Patient Cooperation
To successfully complete orthodontic treatment, it is imperative that the patient and their orthodontist work together. The teeth and jaws can only move toward their corrected positions if the patient consistently wears rubber bands, headgear or other appliances as prescribed. It is by far… a “team effort”.

Brushing
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.

Flossing
Along with brushing your teeth and braces, it is extremely important that you floss your teeth at least once a day. Your toothbrush can only clean the fronts and backs of your teeth, not in between as flossing does.A great time to do this is right before bed, after you have brushed your teeth.

Brushing: Step 1
Using a dry brush with a small amount of toothpaste place bristles where gums and teeth meet.

Brushing: Step 2
For 10 seconds on each tooth use circular, vibrating motions around the gum lines.

Brushing: Step 3
Every tooth of both arches should be brushed slowly.

Brushing: Step 4
Brush the lower teeth from gum line up and the upper teeth from the gum line down. Brush the roof of your mouth and your tongue too!

Flossing: Step 1
Carefully thread unwaxed floss between braces and wire. You may find a floss threader helpful.

Flossing: Step 2
Carefully floss around the braces.

Flossing: Step 3
Carefully floss around the gum areas.

Flossing: Step 4
Carefully floss around each tooth.

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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As a child, the doctor watched as the artful talents of an orthodontist transform his sister from a “buck
toothed” kid into a beautiful young lady. “That gift, which lasts a lifetime, inspired me to become an orthodontist.”

The doctor is recognized internationally for his research, lectures and publications in orthodontics. He provides care for young patients. Working with the other pediatric dentists in the practice, he has gained a wonderful perspective on how to treat the unique needs of children and young adults.

He is one of a select number of clinicians certified to offer Insignia Computer-Designed Braces.This cutting edge technology creates custom manufactured braces to fit the unique tooth anatomy of the patient. Because of his expertise, he certifies doctors across the country on this exciting new form of treatment.

“Insignia is a powerful new tool that brings quality enhancing computer technology and incomparable excellence to the clinical side of our practice.”

He also provides more advanced clear braces and Invisalign clear aligners.

“Orthodontics is more than good science” “It is the appreciation of each person’s beauty and how to modify children’s facial development to gain better balance and aesthetics.We strive to gain a broad, beautiful smile with fullness to the lips without the extraction of teeth. And, with today’s modern computer-generated orthodontic appliances, treatment time is greatly reduced, with fewer visits.”

Our staff enjoys seeing the life-changing benefits of orthodontics.“We have the right team, the right technology and, with patient participation, we can assure a beautiful smile for a lifetime.”

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Is it required that I be referred by my family dentist to schedule an appointment for orthodontic treatment?
At what age should I schedule an appointment for an orthodontic screening?
Will my child’s teeth straighten out on their own as they grow?
How do I schedule an appointment for an initial exam?
Is there a cost for the initial examination?
What will happen at the initial examination appointment?
What will I learn from the initial examination?
Will I have to have any teeth removed for braces?
How long will it take to complete treatment?
How much will braces cost? Are financing options available? How does my insurance work?
How often will I have appointments?
Can I have all of my appointments after school?
Can I drop my child off for an appointment?
Do braces hurt?
Can I return to school the day I receive my braces?
Do you give shots?
Do you use recycled braces?
Can I still play sports and/or musical instruments while in braces?
Do I need to see my family dentist while in braces?
Are there foods I cannot eat while I have braces?
How often should I brush my teeth while in braces?
What is an emergency appointment? How are those handled?
What if the emergency occurs after normal office hours?
Can orthodontic correction occur while a child still has some baby teeth?
What is Phase One (early) Treatment?
Will my child need full braces if he/she has Phase One treatment?
Will my child need an expander?
Is it too late to have braces if I am already an adult?
Can I wear braces even though I have crowns and missing teeth?
Why should you choose an orthodontic specialist?

1. Is it required that I be referred by my family dentist to schedule an appointment or orthodontic treatment?
No, it is not. Most of our patients are referred by their family dentist, however many patients are concerned about their health and appearance, and take the initiative to schedule themselves for an examination to have their need for orthodontic care evaluated.

2. At what age should I schedule an appointment for an orthodontic screening?
The American Association of Orthodontists recommends an orthodontic screening at age seven. By this age, the six-year molars and several permanent teeth in most children have erupted allowing the doctors to effectively evaluate most developing orthodontic problems.

3. Will my child’s teeth straighten out on their own as they grow?
No, they will not. The space available for the front teeth does not increase as a child grows. In most people, after the permanent 6-year molars erupt, the space available for the front teeth actually decreases with age.

4. How do I schedule an appointment for an initial exam?
If you think you or your child would benefit from orthodontic treatment, simply call our office and we will be happy to schedule an appointment for you. When you call to schedule your appointment, our front office staff will request some very basic information concerning you and your child.

5. Is there a cost for the initial examination?
No, there is no cost for the initial examination. We believe that the relationship established during a patient’s first visit is much more important than an “office visit” charge.

6. What will happen at the initial examination appointment?
Upon arriving each patient and parent will be greeted by the front office staff and asked to return the new patient questionnaire that was mailed to them earlier. The doctor will conduct a brief but thorough examination of the patient’s mouth to determine if there is a need for orthodontic treatment. He will determine if there is enough room to hold all of your teeth, if the top teeth are lined up correctly with the bottom teeth, if any teeth are crooked or not growing in the right position, and if there are missing or extra teeth. He will also ask the patient if they are experiencing any breathing problems, had they had any finger or tongue habits, or experienced any jaw joint problems. The necessary photographs and x-rays will be taken.

7. What will I learn from the initial examination?
There are five important questions that will be answered during the initial examination:

Is there an orthodontic problem and if so, what is it?
What must be done to correct the problem?
Will any permanent teeth need to be removed?
How long will the treatment take to complete?
How much will the treatment cost?
In addition to these, our doctors will take the time to answer any other questions a patient or parent may have.

8. Will I have to have any teeth removed for braces?
Removing teeth is sometimes needed to get the best orthodontic result. Straight teeth and a balanced facial profile are always the goal. However, because today’s technology has resulted in advanced orthodontic procedures, the need for removing teeth has been greatly reduced.

9. How long will it take to complete treatment?
Treatment time obviously depends on each patient’s specific orthodontic problem. In general, treatment times range from 15 to 28 months. An “average” time a person is in braces is approximately 22 months.

10. How much will braces cost? Are financing options available? How does my insurance work?
It is impossible to give an exact cost for treatment until the doctor has actually examined you or your child. The exact cost and financial options will be discussed at the initial examination. We have many financing options available to meet most needs and we will be happy to review them with you.We file insurance on the patient’s behalf, and also offer a discount for fees paid in full at the beginning of treatment. Proper orthodontic treatment to correct a problem is often less costly than the additional dental care required to treat the more serious problems that can develop in later years.

11. How often will I have appointments?
Appointments are scheduled according to each individual patient’s needs. Most patients in braces will be seen every 8 to 10 weeks. If there are specific situations that require more frequent monitoring, appointments will be scheduled accordingly.

12. Can I have all of my appointments after school?
Unfortunately, we cannot schedule all appointments for student patients during after school hours. However, because most appointments are scheduled 8 to 10 weeks apart, most patients miss very little school due to their orthodontic treatments. We reference all area school calendars, and try very hard to meet the scheduling needs of our patients.

13. Can I drop my child off for an appointment?
We are very understanding of busy schedules and working parents’ desires to run errands while their child is at our office. On some occasions the doctors may want to speak with parents when they return, so we request that parents check in with their patient manager before dropping off their child.

14. Do braces hurt?
Generally, braces do not “hurt.” After some visits, teeth may be sore for a few days. In these situations, pain medications such as Advil or Tylenol can be used to ease the discomfort. However, after most visits, patients do not feel any soreness at all! We often remind our patients, it does not have to hurt to work!

15. Can I return to school the day I receive my braces?
Yes. There is no reason to miss school because of an orthodontic appointment.

16. Do you give shots?
No. No shots are necessary in orthodontic treatment.

17. Do you use recycled braces?
Absolutely not! It is our belief that each patient should be provided with their own braces to achieve the very best orthodontic result possible. Our doctors would never use worn, used or recycled braces.

18. Can I still play sports and/or musical instruments while in braces?
Yes. We can recommend a mouth guard for all sports. If you play an instrument such as a trumpet, we can provide you with a “lip protector” that works to cushion your lip from your braces. Please inform us when you need a mouth guard or lip protector.

19. Do I need to see my family dentist while in braces?
Yes! Regular checkups with your family dentist are very important while in braces. Your family dentist will determine how often you should be seen for cleaning appointments while you are in braces.

20. Are there foods I cannot eat while I have braces?
Yes. Once treatment begins, very complete instructions and a comprehensive list will be provided regarding foods to avoid. Some of those foods include: ice, hard candy, raw vegetables and all sticky foods (i.e. caramel and taffy). Many emergency appointments to repair broken or damaged braces can be avoided by carefully following instructions regarding what foods to avoid.

21. How often should I brush my teeth while in braces?
Patients should brush their teeth at least four times each day: after breakfast, lunch (or as soon as they get home from school), supper, and before going to bed. We will show each patient how to floss their teeth with braces on, and will also provide a prescription for a special fluoride gel to help protect teeth.

22. What is an emergency appointment? How are those handled?
If something happens and your braces are causing pain or if something is broken, you should call our office. In most cases we can address these issues over the telephone.

23. What if the emergency occurs after normal office hours?
Our office is available after normal working hours by calling the office and waiting for the answering machine to answer. The recorded message will give you the pager number of the person on call. Any time you are unsure of a situation our staff will be glad to assist you.

24. Can orthodontic correction occur while a child still has some baby teeth?
Yes. However, we do not require braces for every patient who visits our office. Some orthodontic problems are significant enough to require early intervention. However, if a patient is not yet ready for treatment, we will follow that patient’s growth and development until the time is right for treatment to begin.

25. What is Phase One (early) Treatment?
Phase One treatment, when needed, is usually initiated on children between the ages of seven and 10. Phase One treatment usually takes about 6 to 12 months. There are two primary objectives for Phase One treatment. First, to develop the jaw so that it will accommodate all of the permanent teeth and to properly relate the upper and lower jaws to each other. Secondly, to improve a child’s psychological self-image and self-esteem, both very important during their formative years.

26. Will my child need full braces if he/she has Phase One treatment?
It is best to assume that your child will need full braces even after Phase One treatment. The period of time following Phase One treatment is called the “resting period,” during which growth and tooth eruption are closely monitored. Throughout this period, parents and patients will be kept informed as to any future treatment recommendations.

27. Will my child need an expander?
At the completion of the initial examination, the doctor will determine whether a patient will need expanders or not.

28. Is it too late to have braces if I am already an adult?
Over 30 percent of our patients are adults. Health, happiness and self-esteem are vitally important to adults. No patient is “too old” to wear braces!

29. Can I wear braces even though I have crowns and missing teeth?
Yes. A tooth with a crown will move just like a tooth with a simple filling. When teeth are missing, orthodontic treatment will aid in the alignment of the remaining teeth so that the space where the teeth are missing can be properly restored.

30. Why should you choose an orthodontic specialist?
Teeth and sometimes entire facial structures are permanently changed by orthodontic treatment. It is very important that the treatment be appropriate and properly completed. Orthodontic specialists have extensive and specialized training that enables them to provide all types of orthodontic patients with professional and state of the art treatments.

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PICTURE THE BENEFITS OF COMPUTERIZED IMAGING AND SIGN IN

Our computer technology is the most up-to-date available. Our advanced computerized video imaging can be manipulated to show possible changes in the patient’s face and teeth; providing a greater understanding about the benefits of orthodontics. New technology is part of our ongoing commitment to patient education. Which is why we implement a computerized “sign in” system that allows us to monitor wait time. Because each patient station is linked to this system, we always know how long you have been waiting, and we never forget that your time is as valuable as ours.

Lingual braces are not your ordinary “tin-grin” appliances; they are attached to the back side of the teeth, which makes them completely non-visible. This advanced method makes lingual orthodontics particularly well-suited for adults, who often want to improve the look and function of their teeth without letting anyone else know about their treatment.
Lingual brackets are attached to the back side of the teeth, which have their own unique shape-unlike the front of each tooth, which is fairly uniform. Standard brackets are mass-produced, but each lingual bracket must be custom-formed to the unique shape of each individual tooth, providing for the ultimate in comfort and care.

Visit the American Lingual Orthodontic Association for more information.

STRAIGHT TEETH. NO BRACES. NOW ADULTS CAN SKIP THIS PART.

TODAY, A SERIES OF CLEAR REMOVABLE APPLIANCES CAN STRAIGHTEN YOUR TEETH.

AREN’T COMPUTERS WONDERFUL?
If the thought of wearing braces is holding you back from the smile you’ve always wanted. Don’t be held back any longer! Invisalign, the state-of-the-art alternative to braces that is virtually undetectable to other people. Invisalign straightens your teeth, not with brackets and wires, but with a series of clear, customized, removable appliances called aligners.

NEW COMPUTER TECHNOLOGY MAKES INVISALIGN POSSIBLE.

Invisalign uses the latest 3-D computer technology to create customized aligners. Your first step is a visit to an Align Technology certified orthodontist.Where your needs for correction will be determined. Then, the orthodontist sends us precise treatment instructions. Invisalign uses advanced computer technology to translate these instructions into a sequence of finely calibrated aligners as few as 12 or as many as 48. You’ll wear each aligner for about two weeks and only take it out for eating, brushing and flossing. As you replace each aligner with the next, your teeth will move – gradually – week by week, until they move into the final alignment your orthodontist prescribed. Then, you’ll be smiling like you’ve never smiled before.

ONLY AN ORTHODONTIST CAN DETERMINE IF INVISALIGN IS RIGHT FOR YOU.

To ensure the best possible results, only an orthodontist who has been trained and certified by Align Technology can diagnose and treat using Invisalign. Invisalign is not intended for children and is not appropriate for every adult. Only an orthodontist can determine if this treatment is an effective option for you. To see if Invisalign can help you achieve the smile you’ve always wanted, call our office for an appointment.

Visit Align Technology for more information.

See the difference! Clarity™ Braces are less visible.
You may want to “brace yourself” for a new view of braces.
You or someone you know may avoid getting braces for fear that you won’t look attractive, or that people may treat you differently.
One option you may want to consider is ceramic braces. They offer a less visible alternative to metal braces because they are typically translucent and smooth.
Less noticeable braces may also help boost your self-esteem. You may feel better about yourself knowing that the natural look of your teeth is shining through.
It makes sense to consider Clarity™ Ceramic Braces from 3M Unitek. They blend with your teeth’s color, bond to teeth in a manner comparable to metal braces, and are designed to stay securely in place. They also do not stain or discolor. Plus, Clarity braces have the strength of steel; they resist breaking even when the wearer participates in sport activities. Visit 3M Unitek for more information.

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