More About Orthodontics From My Orthodontist

There are so many questions about orthodontics that we never ask, so Dr. Chelian took some time to explain the most common concerns.

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 seven 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, Herbst, Facemask, headgear, 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 crossbites, overbites, 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?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients 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 your 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 or wax 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 cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give us a call at My Orthodontist. We'd love to hear from you.

Cardiodontics: The Heart Mouth Connection

If you have been told you have periodontal disease (also known as gum disease or periodontitis), you're not alone. An estimated 80 percent of American adults currently have some form of the disease! Periodontal diseases range from simple gum inflammation to serious disease that result in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.

Gum disease is a threat to your oral health. Research is also pointing to health effects of periodontal diseases that go well beyond your mouth. So we at My Orthodontist want to let you know some interesting facts and ways to treat the disease.

What is Periodontal Disease?

"Perio" means around, and "dontal" refers to teeth. Periodontal disease is an infection of the structures around the teeth, including the gums and the bones that hold the teeth. The earliest stage of periodontal disease is gingivitis – an infection of the gums. In more severe forms of the disease, all of the tissues are involved, including the bone. Bacteria that live and reproduce on the teeth and gums cause periodontal disease.

Symptoms of Periodontal Disease

Symptoms may include the following:
--redness or bleeding of gums while brushing teeth or using dental floss
--halitosis, or bad breath
--gum recession, resulting in apparent lengthening of teeth
--"pockets" between the teeth and gums indicating that the bone which holds the teeth in the mouth is dissolving
--loose teeth
Gum inflammation and bone destruction are largely painless. Hence, people may wrongly assume that painless bleeding after teeth cleaning is insignificant, although this may be a symptom of progressing periodontitis. If your hands bled when you washed them, you would be concerned. Yet, many people think it's normal if their gums bleed when they brush or floss.

Periodontal Disease Affects Your Health

Periodontal disease is a putrid, festering infection of the mouth. Bacteria and inflammatory particles can enter the bloodstream through ulcerated and bleeding gums and travel to the heart and other organs. In recent years, gum disease has been linked to a number of health problems. Researchers are studying possible connections between gum disease and:
--Heart disease: Gum disease may increase the risk of heart disease. Gum disease also is believed to worsen existing heart disease.
--Stroke: Gum disease may increase the risk of the type of stroke caused by blocked arteries
--Diabetes: People with diabetes and periodontal disease may be more likely to have trouble controlling their blood sugar than diabetics with healthy gums.
--Premature births: A woman who has gum diseases during pregnancy may be more likely deliver her baby too early and the infant may be more likely to be of low birth weight.

Combating Periodontal Disease

--See your dentist! See your dentist every six months for a checkup! Regular professional cleanings and checkups make you feel good, look good, and could be a lifesaver!
--Brush and floss daily. Take your time and do it right!
--Use an anti-bacterial mouthwash. Daily use of an anti-bacterial mouthwash helps to disinfect the teeth and gums, and reduces the number of bacteria.
--Straighten your teeth. Crowded teeth are nearly impossible to keep clean. Orthodontic treatment can greatly reduce inflammation and periodontal disease.

--My Orthodontist

What’s so special about an Orthodontist?

"Dentists, Orthodontists, they're all the same right?" We hear our patients asking this question as they wonder about the difference between an orthodontist and a dentist. Before becoming an orthodontist Dr. Chelian started out in dental school and earned a DDS (dental degree), just like your dentist. After dental school however, Dr. Chelian decided he wanted to learn more about orthodontics, which is one of nine specialties within the dental field. So he stayed in school for a few more years and became an expert in orthodontics; which focuses on tooth and jaw alignment and bite problems like overbites and under bites.

Other dental specialties you may have heard of include endodontic (focusing on the soft tissue inside your teeth), periodontic (focusing on the gums and other tissues surrounding your teeth) and prosthodontic (focusing on restoring and replacing damaged teeth).

Isn't it nice to know there's a dental expert here to help you through any type of treatment your teeth, jaw and gums might need?

Is Invisalign® Really Customized for Each Patient? My Orthodontist Explains

Yes, it is, and that’s part of what makes it work. To find out if you are the right candidate for Invisalign treatment, the first thing we do is to take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Next we use special software to map out the exact path your teeth will take from the beginning of your treatment to the end. Based on the results, a set of custom aligners are created just for your teeth. Throughout the course of treatment, you will be required to wear these clear, removable aligners one at a time; each one moving your teeth closer and closer to their final, perfectly aligned position. And since the aligners are virtually invisible, nobody around you will even know you are wearing braces!

Dr. Chelian is a certified Invisalign provider. If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment, give us a call at 603-882-6100.