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What are the Early Signs of Orthodontic Problems?

August 7th, 2012

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development.

Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.

If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

* Difficulty when chewing or biting
* Chronic mouth-breathing
* Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
* Overbite - when the upper teeth overlap the lower teeth by more than 5mm
* Top front teeth that cover more than 25% of the bottom teeth while biting
* Underbite - when the top front teeth go behind the bottom row of teeth when biting
* Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
* Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
* The center of the top and bottom teeth don't line up
* Uneven teeth-wearing
* Baby teeth coming out too early for the child's age
* Pain in jaws
* Clicking in the jaw joints
* The jaw shifts off-center while chewing or biting
* A jaw that protrudes, or recedes, too much
* Difficulty speaking or enunciating clearly
* Chronic biting of the inner cheek or roof of the mouth
* Asymmetrical facial structure
* Grinding or clenching of the teeth

If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

Understanding Orthodontic Appliances for Jaw Growth Correction

July 31st, 2012

Children and adults who visit orthodontists often feel confused and a little frightened because of the various metal tools and appliances. Knowing the applications of such devices can help ease a patient's mind when undergoing treatment. Dentofacial orthopedics is a specialty that uses appliances to adjust the jaws for ideal compatibility. The American Association of Orthodontics recommends these treatment options for children between the ages of eight and twelve to make adjustments during developmental stages. Adults also experience dental changes throughout their lives and can benefit from dentofacial orthopedic appliances. Some common problems with jaw alignment or development include:
  • - Underdeveloped lower jaw
  • - Protrusion of upper teeth
  • - Malocclusions
  • - Crossbite
  • - Overbite
Orthodontic Appliances for Correcting Jaw Growth Problems
Jaw-correcting appliances are either fixed or removable. Fixed appliances are applied to the teeth with the use of cement. Removable appliances require dedication from the patient to wear the devices as instructed. You will receive better results by wearing your orthodontic gear and following the treatment plan designed for your specific needs. Understanding the potential results will help you stay motivated, and parents can help their children to follow recommendations. Some appliances can cause slight discomfort during adjustment periods, but wearing them regularly will help shorten the time frame for treatment. Here are some of the most common appliances for correcting jaw growth problems.
  • - Headgear: This appliance is removable and consists of a stainless steel facebow and fabric safety strap. The orthodontist fixes metal bands to your upper-back teeth where you attach the facebow. The safety strap wraps around your head and secures the facebow. Headgear affects jaw growth and tooth movement by applying pressure to the upper teeth and maxilla.
  • - Herbst® Appliance: Typically permanent, these appliances attach to the upper and lower molars to hold the mandible forward. The purpose of this type of treatment is to eliminate an overbite. With expansion screws, the Herbst can also widen the jaw.
  • - Mara: This appliance pushes the mandible forward to reduce overbite. Crowns are placed on your top and bottom molars, and a metal elbow connects the crowns.
  • - Bite Corrector: This appliance is combined with braces to correct different malocclusions. Metal bars with enclosed springs apply pressure to both the upper and lower jaws. The placement of such bars will depend on the bite type.
  • - Bionator: This removable appliance guides the lower jaw so that it grows in proportion to the upper jaw. Children can develop aligned bites by wearing bionators.
  • - Palatal Expansion: There are two options for placement, fixed, or removable palatal expansions, to fix crossbites. The appliance attaches to the upper-back teeth and widens the jaw.
You will get used to the feeling of most appliances within one month, and the adjustment period is easier if you follow the treatment plan designed by our staff. The average time it takes to correct jaw problems is 12 months, so you can expect to see a more beautiful smile in about one year. 

Burning Invisalign questions, with Dr. Ehrmantrout

July 27th, 2012

Are you wondering what Invisalign treatment is really like, and what effect it will have on your day-to-day activities? Will it slur your speech? Will people know you're in treatment? You're not alone in your concerns! 

Dr. Zach Ehrmantrout, and our team thought we’d share this list of questions and answers for anyone pondering Invisalign treatment from our office.


How exactly does Invisalign work?
Using 3-D computer imaging technology, Invisalign creates a series of custom-made, clear aligners exclusively for your teeth, based on the treatment plan that we specify for you. Each aligner moves teeth incrementally and is worn for about two weeks, then replaced by the next in the series until the final position is achieved.


Will I experience pain during treatment?
Most people experience temporary discomfort for a few days after a new aligner is placed. This feeling of pressure is normal and is a sign that Invisalign is working by sequentially moving your teeth to their final destination.


Can other people see that I'm in treatment?
One of the benefits of Invisalign is that the aligners are clear. You can straighten your teeth without anyone knowing.


Can I smoke during treatment?
We discourage smoking while wearing the aligners as they may become discolored.


Are there any foods I shouldn’t eat while in treatment?
You can eat normally during the entire course of treatment. One of the advantages of Invisalign is that the aligners are removable. Simply take the aligners out before each meal, brush when you're finished eating, then reinsert the aligners afterward.


What about chewing gum?
We recommend removing your aligners for all meals and snacks, as gum and other chewy substances can stick to the aligners.


How often must I wear my aligners?
Aligners should be worn all day, except when eating, brushing, and flossing.


Will my speech be affected by the aligners?
As with any orthodontic treatment, aligners may temporarily affect your speech. If this does happen, your tongue will adjust within a day or two and your speech should return to normal.


How do I clean my aligners?
The best way to clean your aligners is by brushing and rinsing them in lukewarm water.


How often must I visit the office during treatment?
For most patients, visits every 4-6 weeks are frequent enough for us to determine that your treatment is progressing properly. We will provide you with a specific schedule that supports your individual treatment plan.

If you have additional questions about the Invisalign treatment, please give our office a call, or visit us on Facebook!

Top ten tips for keeping your BRACES sparklin’ clean!

July 17th, 2012




Keeping your teeth clean is more important than ever when you have braces! Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:
1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.
3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.
4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.
6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.
7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.
9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.
10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

We hope this helps, and remember to give our team a call if you ever have any questions!

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