Phase 1 Orthodontic Treatment

IT'S ABOUT MORE THAN JUST STRAIGHT TEETH

October 13th, 2018

Orthodontics is awesome. Using braces or Invisalign, we have the ability to shape a person's smile over the course of 12-24 months. It's simply amazing to see the transformation in esthetics and bite correction along the way.

Traditionally, orthodontics has been focused on just the teeth - which, I agree, is the main point : ) - but there is so much more to it than just straightening teeth. The teeth, more importantly, are the focal point in the smile. A smile is our own, personal, lifelong asset that is truly unique to us. It conveys emotion to our friends, family, and strangers, and it will show up in photos that capture the most important memories and events of our lives.

It should come as no surprise that with so much emphasis on our smile, some people are truly not happy with it. They may feel they have to hide it, or worse, that others are teasing them in school because of their appearance. This can be very challenging for both kids and adults alike, and this is why orthodontics is so much more powerful than straight teeth.

 

In the course of wearing braces or Invisalign, we get to see the change in confidence and self-esteem of so many people. It is truly gratifying to know that treatment can affect a person's life in such profound ways. There are many studies that support that orthodontic treatment has positive psychosocial effects, and this is truly what it is all about.

It's about improving lives by improving smiles. It's about feeling confident in all those important moments in life. It's about giving your child more self-esteem in all those awkward years of their young lives. It's about looking back at photos of those milestone days of our lives and really appreciating that each and every one of us has a unique smile, and we should not be afraid to show it : )

- Dr. Zach

 

Retainers for LIFE : )

August 19th, 2018

Many people are surprised to learn that the teeth continue to move throughout life. This always leads to many questions about retainers and keeping the teeth straight. Let's dive into a few common questions.

Why do we need retainers?
Retainers help keep the teeth straight after they have been aligned with braces or Invisalign. Our teeth are held into the bone by ligaments, and over time as we age, our bones and ligaments change. As these changes occur, our teeth will unfortunately move.Example of teeth that shifted due to lack of retainer wear. We corrected the teeth with Invisalign, and placed a "fixed" retainer glued to the back of the teeth to prevent future shifting.

What types of retainers are there?
Retainers come in many shapes and forms. In our office, we use three main types of retainers. We use "fixed" retainers (AKA glued retainers, bonded retainers, permanent retainers) in many cases to hold the lower teeth straight. We use these retainers often because the lower front teeth tend be the teeth most affected by crowding as an adult. We use clear retainers (AKA Essix retainers, Invisalign retainers) in most cases, and these retainers wrap around the entire surface of your teeth like a mouthguard. In some cases, we use Hawley retainers (AKA wire retainers) which are made of acrylic and wire. Depending on your circumstance, we recommend what is best for you and give you options.

Will may retainers last forever?
We wish they could last forever, but just like anything else - glasses, shoes, etc. - they will wear out over time and need to be replaced. They tend to last longer if they are well maintained and cleaned regularly. If you need to have them replaced or feel that some teeth are shifting, make sure to call us to replace it before teeth move too much.

How long do we need to wear retainers?
The honest answer is you need to wear them as long as you want to keep straight teeth : )  Everybody is different, and some people may experience very minimal shifting without retainers while others will see lots of shifting. Unfortunately, we cannot predict whose teeth will move and whose will not, so many orthodontists now recommend "lifetime retention" to ensure a beautiful, straight smile. Dr. Zach is definitely on board with "lifetime retention" and he still wears his retainers to keep his teeth straight.

Think of this way: If you wear glasses or contacts, you must use them in order to see. They are simply a tool to help you see more clearly. Retainers are essentially the same thing: they are just a tool to help keep your teeth straight. So when you go to bed, you wear retainers as part of your maintenance to your body. It's that simple!

Wear your retainers : )
- Dr. Zach

6 Common Questions About Palatal Expanders

June 1st, 2018

Many young kids are referred to our office by their dentist, and parents are often wondering why we see kids that are 7 to 10 years old. In some cases, there may be a bone size imbalance between the upper and lower jaw, and palatal expanders are a great way to correct these problems to set children up for more balanced growth and tooth eruption as they enter adolescence. Here are some common questions that I answer on a daily basis about palatal expanders.

1) Why does my child need an expander?
A palatal expander is typically used to widen the upper jaw when it is too narrow compared to the lower jaw. It commonly treats a dental condition known as "cross bite" which is when the top teeth fit inside the bottom teeth. In some cases, expanders are used to create room for teeth that are stuck or impacted.

2) What does an expander do?
A palatal expander widens the upper jaw slowly to correct a bone size problem and make room for more teeth. It works by actually pushing the bones apart on the roof of the mouth, and then holds the bones in the new position while solid bone is created on the roof of the mouth. This new bone that forms will stabilize the correction.

3) What can we expect with our new palatal expander?
It make take up to one week to adjust to an expander. Your child may feel some pressure on the roof of the mouth and on the molar teeth. Your child may also complain that it feels funny to swallow as his or her tongue must adjust to the new appliance. Spacing may occur between the front teeth as the upper jaw widens.

4) Will the expander be painful?
We rarely hear complaints of pain with a palatal expander since are slowing moving the teeth and the bones. Tongue discomfort in the first week is the most common complaint.

5) Are there any eating restrictions?
Hard and sticky foods can dislodge the expander. We recommend avoiding all sticky and chewy candies as well as very hard foods.

6) How long does will the expander stay in place?
Typically, an expander will be in place for about 9 months total time. This may vary from child to child depending on his or her needs.

I hope this information is helpful in answering some common questions about expanders. If you have any other questions or are looking for more information, feel free to send us an email or call for a complimentary consultation. As Downers Grove's community orthodontist, I look forward to helping you and your family : )

- Dr. Zach

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