Tuesday, February 26, 2013
Sunday, February 24, 2013
Thursday, February 21, 2013
White spots and decalcification
What are white spots you ask?
White spots, called decalcification, appear when plaque (a sticky film made
up of bacteria and food residue) builds up and is not removed from the teeth
and brackets. The white spots are
discolorations that can be permanent scars on the teeth. The bacteria in the plaque produces acid
that eat into the enamel, leaving marks on the teeth. Eventually these areas of
decalcification can turn into full blown cavities. The brackets that are
placed on the teeth protect only the areas underneath, but poor oral hygiene
allows plaque to build up on the unprotected areas (around the brackets and
especially between the bracket and the gum line). The best way to prevent decalcification
is to maintain good oral hygiene and to swish with the fluoride
rinse we prescribe. Besides poor oral
hygiene, excessive amounts of sugar and high acid drinks can cause
decalcification.
Soft drinks, fruit
juices and “sports” drinks are especially dangerous to the teeth.
Good
oral hygiene is very important in helping your mouth stay healthy. In addition to decalcification, the plaque
also causes gum tissue to swell and bleed due to infection (gingivitis). Please remember when you are brushing to
check and make sure all of your teeth and braces are plaque free and to rinse
with your fluoride mouth rinse every night.
Labels:
decalcification,
decay,
gross teeth,
marks,
scars,
white spots
Wednesday, February 20, 2013
Speed, Fast and Damon braces
Q.) I have heard about the new hi-tech braces like the Speed, Fast and Damon brackets that are suppose to radically shorten treatment time and “grow” jaws to avoid extractions. Do you use them?
A.) Orthodontic companies are always coming on the market with new appliances,
promising orthodontists that they can perform “miracles”. Over the years we
have tried many of these supposedly supper braces…. and guess what? Braces are pretty much braces…. it’s the skill
of the orthodontist that determines the quality and speed of the
treatment. Not that we do not invest in
the best appliances, but there is no magic way of doing orthodontic
treatment. If there were…every
orthodontist would be using it! As of
now we know of no good scientific study that shows any of these brackets to be
any better or faster than the traditional brackets we use.
We are
always open to new ideas. As a matter of
fact we were the first orthodontic practice in the Midwest to use Invisalign
(which really does work wonders!)
So if some new appliance does prove to be
superior you can be assured we will be one of the first to adopt it.
Tuesday, February 19, 2013
Why are my braces still on? A short skit with 5 Questions!
Those of you who have
been in braces at our office may have experienced my “Are your teeth straight”
stand-up comedy act! It goes something like this:
Q. Are your teeth straight? (I never ask this question
unless they really are pretty much straight!)
A. Yes they are…(sometimes we have to give the patient a mirror to look at their own teeth)
A. Yes they are…(sometimes we have to give the patient a mirror to look at their own teeth)
Q. So if your teeth are straight?: “Why are your braces
still on?”
A. Because my “bite”
is off (sometimes we have to explain to our patients that you can have straight
upper and lower arches but still have some type of overbite, overjet, openbite,
etc.)
Q. So what do you think fixes your “bite”?
A. Rubber bands!
Q. What happens if you do not wear your rubber bands as we instructed?
A. My bite will not
get fix and MY BRACES WILL NOT COME OFF.
Q. So who is in charge of how much longer the braces are on?
A. You… the patient,
is in charge, not the doctor, not your parents!
Monday, February 18, 2013
Orthodontic retention
Q. What is the biggest misconception about orthodontic treatment?
A. If I could just tell people one thing about orthodontics
it would be this:
Now this is NOT what happens with teeth! Teeth are never fixed to the jaw bones.
Teeth are NOT like fence post that are set in concrete. With a fence post, you place it where you
want it, pour concrete around the base, hold it in place (retain) and, when the
concrete sets up, the fence post is stable and should never move.
Now this is NOT what happens with teeth! Teeth are never fixed to the jaw bones.
They always have the capability to move. So why don’t they; why do crooked teeth stay
crooked until the orthodontist moves them; why do straight teeth stay straight
if a patient is blessed with straight teeth and never needed orthodontic
treatment? The answer is that, in both
cases, the teeth still can move…they just don’t “want” to move, at least not right
then.
In both cases, the teeth are stable
(crooked and straight) in their respective positions because the forces on them
from the bite, tongue, lips and cheeks balance out. Change the forces with braces, or with just
normal aging, and the teeth will move. This is why we never tell a patient to
stop wearing their retainers. Even if
the teeth might stay straight for years, forces change over time, and the teeth
will move. Retainers will hold teeth in position because they can overcome any
unbalanced forces that might affect the teeth.
Now all of this is not to say that it makes NO difference
where the orthodontist puts the teeth.
Ideally, we try and find the most stable position possible for each
patient. If we do this, then the teeth
will tend to stay straight, with or without retainers (not that we recommend
not wearing retainers).
This is where diagnosis comes in. Let’s say a patient has extremely crowded teeth due to very large teeth and a small mouth. The teeth are stable in their crooked position, but if we just expand the arches to make room for all the teeth, are we not moving them out to an unstable position? But if we extract some teeth (so we can leave the remaining teeth in the arch, but straight), then the final result should be much more stable.
This is where diagnosis comes in. Let’s say a patient has extremely crowded teeth due to very large teeth and a small mouth. The teeth are stable in their crooked position, but if we just expand the arches to make room for all the teeth, are we not moving them out to an unstable position? But if we extract some teeth (so we can leave the remaining teeth in the arch, but straight), then the final result should be much more stable.
My wife had orthodontic treatment 50 years ago and, like many people, she stopped wearing her retainers after a few years. Yet, because she had teeth taken out for crowding, her final result was stable and, even 50 years later, her teeth look great. Now this doesn’t happen for everybody, but this is what we try to achieve, and this is the reason why we try so hard to get everything perfect and why we reluctantly are forced to extract teeth in some patients.
Saturday, February 16, 2013
Too difficult for Invisalign?
Q. I was told by my dentist that my problem was too difficult for Invisalign®. What can I do if I really don’t want a full set of braces?
2. Last year Invisalign came out with a major revision (G-4) that allows much better control over tooth movement…a big improvement over previous versions.
3. This year, after 10 years with the original Invisalign plastic material, Align Technology has begun using SmartTrack, the new standard aligner material for Invisalign. SmartTrack is a proprietary new material that is highly elastic and delivers gentle, more constant force for improved patient comfort all while improving control of tooth movements with Invisalign clear aligner treatment
4. Combo treatment. For those patients who truly are too difficult for Invisalign only we sometimes are able to do the difficult movements with partial braces and finish with Invisalign®.
5. We’re realistic. We understand that not every adult has the time, money, and interest in achieving an “ideal” correction. With severe skeletal problems, often “ideal” corrections require extended treatment times or jaw surgery…we accept the fact that many adult patients will be happy with straight teeth and a less than perfect “bite”
A. As one of the first orthodontic office in the country to
use Invisalign we have had a great
deal of experience with this technique.
Because of this, and being orthodontists, we feel comfortable treating
much more difficult cases than most general dentists. As a matter of fact we even have
orthodontists referring their patients who insist on Invisalign to us. Here are
some reasons why we may be able to help you:
1.
Experience
does matter, like any new doctor using Invisalign,
we started out only doing simple cases and worked our way up to more complex
problems…10 plus years of experience with Invisalign lets us do things many
other doctors would not attempt.
2. Last year Invisalign came out with a major revision (G-4) that allows much better control over tooth movement…a big improvement over previous versions.
3. This year, after 10 years with the original Invisalign plastic material, Align Technology has begun using SmartTrack, the new standard aligner material for Invisalign. SmartTrack is a proprietary new material that is highly elastic and delivers gentle, more constant force for improved patient comfort all while improving control of tooth movements with Invisalign clear aligner treatment
4. Combo treatment. For those patients who truly are too difficult for Invisalign only we sometimes are able to do the difficult movements with partial braces and finish with Invisalign®.
5. We’re realistic. We understand that not every adult has the time, money, and interest in achieving an “ideal” correction. With severe skeletal problems, often “ideal” corrections require extended treatment times or jaw surgery…we accept the fact that many adult patients will be happy with straight teeth and a less than perfect “bite”
Wednesday, February 13, 2013
Tuesday, February 12, 2013
Crooked teeth all the rage in Japan
Crooked teeth all the rage in Japan
Hope this trend doesn't hit the US!
Pravda.Ru
We all know that people wear braces to
make their teeth straight and their smile perfect. However, it is all
different in Japan. Crooked teeth are considered beautiful in the Asian
country.
The fashion trend, known as
tseuke-yaeba, is currently at the height of fashion in the island
nation. Young women do not hesitate to spare a few hundred dollars to
"fix" their straight teeth.
Japanese dentists started to offer such
procedures in 2011. However, tseuke-yaeba became highly popular just a
short while ago, after members of local pop band TYB48 began to flaunt
their imperfect smiles, says Shine.
The founder of the band is Taro Masuoka,
a dentist, who was the first to deform the teeth of his patients. "My
patients follow fashion and are very nice. I wanted to take the most of
it, and I created TYB48," says the doctor. Masuoka adds that protruding
teeth give a special charm to his client, while men consider such smiles
especially attractive.
Monday, February 11, 2013
Yoda
Great Movie
Quote:
Not all
great quotes come from famous people…some even come from famous species of
unknown origin!
One of my
favorites is from Yoda of Star-wars fame,
So what did
he say and what did it have to do with orthodontics?
Well, it
seems that a day doesn’t go by that the answer I get from a patient to the
questions: “did you brush your teeth today?” or “did you wear your rubber bands
as instructed?” is:
“I Tried”
So
what did Yoda have to say on this subject?:
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