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Posts for tag: orthodontic treatment

By Eli B. Mayes, DDS
May 26, 2020
Category: Dental Procedures
OrthodonticsandYourTeen

In many ways, the teenage years are the best time to have orthodontic treatment. It’s a good time emotionally because your teen is likely to have friends who also wear braces; orthodontic treatment becomes a rite of passage they can go through together. It’s also advantageous in a physical sense because all 20 baby teeth have come out, and most of the 32 adult teeth (except the 4 wisdom teeth) have emerged. At the same time, especially with younger teens, jaw growth is not yet complete — allowing orthodontists to harness the growing body’s natural adaptability. We can use a variety of appliances to do that — some of which weren’t around a generation ago!

Appliance Choices

In many cases, traditional metal braces are still the best way to achieve the desired results. However, these are not the “train tracks” of old. Braces are smaller and lighter, with brackets that are cemented to the front surfaces of teeth rather than to bands that encircle the entire tooth (except in the very back). Braces can be made much less noticeable by using ceramic brackets that are clear or tooth-colored; however, ceramic brackets are easier to break than metal. An even stealthier way to undergo orthodontic treatment is with clear aligners. These removable clear plastic “trays” are custom made with the help of computer software that divides the treatment process into two-week stages. After each two-week period, the tray is changed and the next stage of movement takes place until the teeth are in correct alignment. The Invisalign system has two modifications especially for teens: “eruption tabs” that hold space open for emerging molars, and “compliance indicators” that can tell parents and orthodontists if the teen is keeping the trays in for the prescribed amount of time. We’d be happy to discuss whether clear aligners would be an option for your child.

Keeping It Clean

No matter which type of appliance is used, oral hygiene becomes even more important during orthodontic treatment. Wearing braces presents special challenges in terms of keeping teeth clean; however, it’s extremely important to do an effective job every day so that gums do not become inflamed and cavities do not develop. It’s far easier to clean teeth with clear aligners, which can be removed, but the aligners themselves can build up bacteria, leading to the same types of oral health issues if they are not cleaned each day.

Making It Count

Another way in which orthodontic treatment will not vary regardless of the type of appliance chosen is the necessity of a retention phase. Everyone who has their teeth straightened (and this goes for adults and younger kids, too) must wear a retainer to hold the teeth in their new and improved alignment while new bone grows around them. Yes, braces are easier to wear than they used to be… but no one wants to wear them twice!

If you have questions about braces for your teen, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Clear Aligners for Teenagers” and “The Magic of Orthodontics.”

By Eli B. Mayes, DDS
March 17, 2020
Category: Dental Procedures
IfYoureConsideringBracesHeresHowTheyWork

If you or a family member has problems with teeth alignment or your bite, you may be considering braces. This tried and true method can straighten out most smiles — but there's more to braces than you may realize.

For one thing, orthodontic treatment wouldn't work if it weren't for the natural mechanism for tooth movement that already exists in the mouth. It may seem your teeth are rigidly set in the jawbone but that's not how they maintain their attachment: that's the job of an elastic connective tissue known as the periodontal ligament that lies between the tooth and the bone. The ligament has tiny fibers that attach to the tooth on one side and to the bone on the other to actually hold the teeth in place, much like a hammock secured between two posts.

The ligament attachment also allows the teeth to move incrementally in response to environmental factors or the aging process. We harness this natural movement ability with braces to move teeth to a more desirable position. We first attach small brackets to the front crowns of the teeth (the visible portion) and then string arch wires through them. We then attach the wires to anchor points where we can adjust the amount of tension they're exerting through the brackets against the teeth. By gradually increasing that tension, the teeth respond as they would when any force is applied against them and begin to move.

By precisely controlling that movement we can transform a patient's smile. But we believe the advantages are more than cosmetic: the teeth will function better and will be easier to care for and keep clean. These benefits, though, have to be balanced with heightened risks for root resorption (something that occurs only about 10% of the time) in which the ends of the roots can shrink, or loss of mineral content in teeth enamel where the hardware makes it more difficult to remove bacterial plaque. These risks can be reduced by closely monitoring dental health during the entire treatment process and through stepped up efforts in daily oral hygiene.

The starting point for deciding on an orthodontic treatment is a thorough dental examination with x-rays or CT scan imaging. Once we have a complete picture of your misalignment problems and any other extenuating circumstances, we can recommend a treatment plan just for you.

If you would like more information on orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Moving Teeth with Orthodontics.”

HowShawnMendesandMileyCyrusGotTheirStellarSmiles

The 2019 Grammy Awards was a star-studded night packed with memorable performances. One standout came from the young Canadian singer Shawn Mendes, who sang a powerful duet of his hit song "In My Blood" with pop diva Miley Cyrus. But that duo's stellar smiles weren't always quite as camera-ready as they looked that night.

"I had braces for four and a half years," Mendes told an interviewer not long ago. "There's lots and lots and lots of photo evidence, I'm sure you can pull up a few." (In fact, finding one is as easy as searching "Sean Mendes braces.")

Wearing braces puts Mendes in good company: It's estimated that over 4 million people in the U.S. alone wear braces in a typical year—and about a quarter of them are adults! (And by the way: When she was a teenager, Miley Cyrus had braces, too!)

Today, there are a number of alternatives to traditional metal braces, such as tooth-colored braces, clear plastic aligners, and invisible lingual braces (the kind Cyrus wore). However, regular metal braces remain the most common choice for orthodontic treatment. They are often the most economical option, and can be used to treat a wide variety of bite problems (which dentists call malocclusions).

Having straighter teeth can boost your self-confidence—along with helping you bite, breathe, chew, and even speak more effectively. Plus, teeth that are in good alignment and have adequate space in between are easier to clean; this can help you keep your mouth free of gum disease and tooth decay for years to come.

Many people think getting braces is something that happens in adolescence—but as long as your mouth is otherwise healthy, there's no upper age limit for orthodontic treatment. In fact, many celebrities—like Lauren Hutton, Tom Cruise and Faith Hill—got braces as adults. But if traditional braces aren't a good fit with your self-image, it's possible that one of the less noticeable options, such as lingual braces or clear aligners, could work for you.

What's the first step to getting straighter teeth? Come in to the office for an evaluation! We will give you a complete oral examination to find out if there are any problems (like gum disease or tooth decay) that could interfere with orthodontic treatment. Then we will determine exactly how your teeth should be re-positioned to achieve a better smile, and recommend one or more options to get you there.

If you have questions about orthodontic treatment, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Lingual Braces: A Truly Invisible Way to Straighten Teeth.”

By Eli B. Mayes, DDS
September 08, 2016
Category: Dental Procedures
HowKathyBatesRetainsHerMovie-StarSmile

In her decades-long career, renowned actress Kathy Bates has won Golden Globes, Emmys, and many other honors. Bates began acting in her twenties, but didn't achieve national recognition until she won the best actress Oscar for Misery — when she was 42 years old! “I was told early on that because of my physique and my look, I'd probably blossom more in my middle age,” she recently told Dear Doctor magazine. “[That] has certainly been true.” So if there's one lesson we can take from her success, it might be that persistence pays off.

When it comes to her smile, Kathy also recognizes the value of persistence. Now 67, the veteran actress had orthodontic treatment in her 50's to straighten her teeth. Yet she is still conscientious about wearing her retainer. “I wear a retainer every night,” she said. “I got lazy about it once, and then it was very difficult to put the retainer back in. So I was aware that the teeth really do move.”

Indeed they do. In fact, the ability to move teeth is what makes orthodontic treatment work. By applying consistent and gentle forces, the teeth can be shifted into better positions in the smile. That's called the active stage of orthodontic treatment. Once that stage is over, another begins: the retention stage. The purpose of retention is to keep that straightened smile looking as good as it did when the braces came off. And that's where the retainer comes in.

There are several different kinds of retainers, but all have the same purpose: To hold the teeth in their new positions and keep them from shifting back to where they were. We sometimes say teeth have a “memory” — not literally, but in the sense that if left alone, teeth tend to migrate back to their former locations. And if you've worn orthodontic appliances, like braces or aligners, that means right back where you started before treatment.

By holding the teeth in place, retainers help stabilize them in their new positions. They allow new bone and ligaments to re-form and mature around them, and give the gums time to remodel themselves. This process can take months to years to be complete. But you may not need to wear a retainer all the time: Often, removable retainers are worn 24 hours a day at first; later they are worn only at night. We will let you know what's best in your individual situation.

So take a tip from Kathy Bates, star of the hit TV series American Horror Story, and wear your retainer as instructed. That's the best way to keep your straight new smile from changing back to the way it was — and to keep a bad dream from coming true.

If you would like more information about orthodontic retainers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Why Orthodontic Retainers?” and “The Importance of Orthodontic Retainers.” The interview with Kathy Bates appears in the latest issue of Dear Doctor.

BeontheLookoutforTheseCommonBiteProblemsinChildren

Somewhere around age 6, your child’s primary (baby) teeth will begin to give way to their permanent set. If all goes well, you’ll notice all the front teeth erupting in the right position: the top teeth slightly overlapping the bottom and all coming in without crowding.

Sometimes, though, the process doesn’t occur as it should and a bad bite (malocclusion) may develop. You can get a head start on treatment if you know what to look for. Here are a few problems for which you should see a dentist — or more likely an orthodontist — for a thorough evaluation.

Spacing problems. Teeth should normally come in right next to each other without a noticeable gap. But if you notice excessive space between the permanent front teeth especially, this may be an indication there’s a discrepancy in size between the teeth and the jaws. At the other end of the spectrum, if teeth on the same arch appear to overlap each other, this indicates crowding in which there’s not enough space for the teeth to erupt properly.

Bad bites. Malocclusions can take different forms. In an underbite, the front bottom teeth bite in front of the upper teeth. If there’s a noticeable gap between the upper and lower teeth when the jaws are closed, this is known as an open bite. Front teeth biting too far down over the lower teeth is a deep bite and could even include biting into the soft tissue of the hard palate. Cross bites can occur in either the front or back teeth: if in the front, some of the lower teeth will bite in front of the upper; if in the back, some of the lower teeth bite outside the upper rather than normally on the inside.

Abnormal eruptions. You should also be alert for protusions, in which the upper teeth or the jaw appears to be too far forward, or retrusions, in which the lower teeth or jaw appears to be too far back. You should also be concerned if permanent teeth erupt far from their normal position — this is especially likely if the primary tooth was also out of position, or was lost prematurely or not in the right order.

If you would like more information on monitoring your child’s dental health, please contact us or schedule an appointment for a consultation.