Posts for tag: orthodontics

By James C. Palmer, DDS
November 20, 2018
Category: Dental Procedures
MasterIllusionistBenefitsfromtheMagicofOrthodontics

Magician Michael Grandinetti mystifies and astonishes audiences with his sleight of hand and mastery of illusion. But when he initially steps onto the stage, it’s his smile that grabs the attention. “The first thing… that an audience notices is your smile; it’s what really connects you as a person to them,” Michael told an interviewer.

He attributes his audience-pleasing smile to several years of orthodontic treatment as a teenager to straighten misaligned teeth, plus a lifetime of good oral care. “I’m so thankful that I did it,” he said about wearing orthodontic braces. “It was so beneficial. And… looking at the path I’ve chosen, it was life-changing.”

Orthodontics — the dental subspecialty focused on treating malocclusions (literally “bad bites”) — can indeed make life-changing improvements. Properly positioned teeth are integral to the aesthetics of any smile, and a smile that’s pleasing to look at boosts confidence and self-esteem and makes a terrific first impression. Studies have even linked having an attractive smile with greater professional success.

There can also be functional benefits such as improved biting/chewing and speech, and reduced strain on jaw muscles and joints. Additionally, well-aligned teeth are easier to clean and less likely to trap food particles that can lead to decay.

The Science Behind the Magic

There are more options than ever for correcting bites, but all capitalize on the fact that teeth are suspended in individual jawbone sockets by elastic periodontal ligaments that enable them to move. Orthodontic appliances (commonly called braces or clear aligners) place light, controlled forces on teeth in a calculated fashion to move them into their new desired alignment.

The “gold standard” in orthodontic treatment remains the orthodontic band for posterior (back) teeth and the bonded bracket for front teeth. Thin, flexible wires threaded through the brackets create the light forces needed for repositioning. Traditionally the brackets have been made of metal, but for those concerned about the aesthetics, they can also be made out of a clear material. Lingual braces, which are bonded to the back of teeth instead of the front, are another less visible option. The most discrete appliance is the removable clear aligner, which consists of a progression of custom-made clear trays that reposition teeth incrementally.

How’s that for a disappearing act?!

If you would like more information about orthodontic treatment please contact us or schedule an appointment for a consultation. You can also learn more about the subject by reading the Dear Doctor magazine article “The Magic of Orthodontics.”

By James C. Palmer, DDS
December 06, 2015
Category: Dental Procedures
EdenSherandtheLostRetainer

Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!

If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.

If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?

As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.

And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?

NotJustforTeenagersOrthodonticscanImproveanAdultsHealthandSmile

There was a time when most adults with a bad bite or misaligned teeth considered it too late in their lives for corrective treatment. Fortunately, times have changed — today, one in five orthodontic patients is an adult.

There are solid reasons for considering corrective treatment for bite problems at any age. Poorly aligned teeth are harder to clean, which raises the risk for tooth decay or gum disease. Correcting alignment may also improve your chewing ability, making eating more comfortable with less joint pain. And, last but not least, orthodontic treatment could greatly improve your smile — with potential benefits to your self-confidence, social life and career.

So, should you consider orthodontic treatment? That will depend on three factors: your periodontal (gum-related) health; your general health; and what type of orthodontic problem needs to be corrected.

If you have gum disease, you are at risk of losing supporting bone — since treatment involves gently moving teeth within the bone that supports them, the inflammation may cause bone loss and may not lend itself to a successful outcome. Moreover, besides aggravating and worsening your periodontal condition, the treatment may result in teeth that may not stay where they were moved and could continue to stay mobile long afterward.

There are certain medical conditions that could make orthodontic treatment difficult or even prohibitive: heart-valve disease; bleeding disorders; leukemia; severe diabetes; and taking medications for arthritis or osteoporosis, or those that increase mouth dryness. If you have serious medical conditions or you take prescription drugs, it’s wise to first consult with your medical doctor before considering orthodontic treatment.

The last consideration is whether the misalignment could involve more of your jaw’s skeletal structure than just misaligned teeth. If, for example, the malocclusion (bad bite) is related to the way your jaws fit together, you may need orthognathic surgery to straighten the jaws’ alignment while having orthodontic treatment.

There may be an additional roadblock to treatment — many adults feel self-conscious about wearing braces. If this bothers you, you may have another option: clear aligners. These transparent trays that fit over teeth have been a popular choice among adults because they’re not as noticeable as braces.

In any event, orthodontic treatment can be a little inconvenient, but only for a relatively short time. The lifetime benefits — better health, improved function and a more attractive smile — are well worth the inconvenience.

If you would like more information on adult orthodontics 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 “Orthodontics for the Older Adult.”

By James C. Palmer, DDS
October 18, 2013
Category: Oral Health
Tags: orthodontics   retainer  
TheTop5ReasonsWhyYouShouldWearYourOrthodonticRetainer

OK, so you've been getting orthodontic treatment for what seems like a long time, and finally, your braces are about to come off! Now you're home free, right?

Well, almost… but now comes the final part of your treatment: the retention phase. That means you'll need to wear a retainer. Most people find that a retainer is more comfortable than braces — but because it is often removable, there's the temptation to just leave it off. Don't do it! Here are the top five reasons why you should always wear your retainer as instructed:

1) A retainer helps to make your teeth stable in their new positions.

Your teeth aren't rigidly set in stone (or in bone) — instead, they are held in place by a hammock-like set of ligaments, and the bone that surrounds them is somewhat pliable. That's a good thing… because, otherwise, they would be even harder to move! But it means that it will take some time for the bone and ligament around the teeth to re-form and stabilize in its new position. A retainer holds them in position while that is happening.

2) If you don't wear it, your brand-new smile may not stay looking the way it should.

Did you know that your bone and gum tissue have some “memory?” Unfortunately, it's not the kind that could help you on a science quiz — but teeth can “remember” where they used to be located… and, if you leave them alone, they may try and go back there! A major goal of the retainer is to keep your new smile looking great! If you don't wear it, and your teeth shift back, you risk losing all the time (and money) you invested.

3) There are different types of retainers available; one of them might be just right for you.

At one time, all retainers were made of pink plastic and silvery wire, and were removable. That kind is still available, but now you may have a choice of different colors or patterns — you might even be able to customize yours! Another alternative that may be appropriate is a clear retainer that fits over your teeth, making it nearly invisible. In some cases, you can have a thin wire bonded to the inside of the teeth instead of a removable retainer. It doesn't show, and you don't have to worry about taking it out.

4) As time goes on, you'll probably need to wear your retainer less and less.

At first, you'll probably need to wear your retainer all the time, but after a while you may only have to wear it at night — a lot easier to manage! Think of it as a way of easing yourself out of orthodontic treatment — and into a brand-new smile. The retention stage also helps your teeth avoid damage by allowing the process to end slowly and gently.

5) Lots of celebrities wear them.

If we know who, we aren't telling — but let's just say that several young entertainers and a recently married British Prince have worn retainers, or are still wearing them. So, you're in good company!

If you would like more information about orthodontic retainers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Why Orthodontic Retainers?” and “The Importance of Orthodontic Retainers.”

By James C. Palmer, DDS
August 06, 2013
Category: Dental Procedures
FiveFactsAboutPalatalExpanders

Have you heard of palatal expanders? If your child needs orthodontic work, then you ought to hear about them! These small appliances offer plenty of advantages to kids whose smiles, due to a variety of problems, may need some help. Here are five things you should know:

1. Palatal expanders are small orthodontic appliances that fit inside the mouth.

Custom-fabricated for each child, these devices are placed near the roof of the mouth, in between the two rows of upper teeth. They consist of two small metal brackets with a tensioning system that can be adjusted by a tiny key. Not everyone needs one, but they can really benefit kids with certain orthodontic conditions.

2. Palatal expanders take advantage of a child's natural growth processes.

That's part of the reason they work so well. Since the bones of a child's upper jaw don't fuse together until sometime after puberty, it's relatively easy to move them apart before that time. The palatal expander applies gentle pressure to gradually move the left and right halves of the upper jaw apart, over a period of a few months. Then it's left on several weeks longer, allowing new bone to fill in and stabilize the expansion.

3. Palatal expanders are helpful in treating a variety of orthodontic problems.

Crowding — that is, not having enough space in the jaw to accommodate all of the teeth — is one major issue. A related issue is impacted teeth: These are teeth that are blocked from coming in (erupting) by other teeth or jaw structures. A third issue is crossbite: That's when the back top teeth come down to bite inside, rather than outside, the bottom teeth. Gaining additional space in the upper jaw can help relieve all of these problems.

4. Palatal expanders can eliminate the need for tooth extraction.

Once upon a time, extraction was the only way to solve these problems. However it's an invasive (and potentially complex) procedure. A palatal expander can often provide the same — or better — results, via a noninvasive method.

5. Palatal expanders typically shorten overall orthodontic treatment time.

They're generally worn for a total of three to six months, but they can considerably shorten a child's overall orthodontic treatment time. Plus, they're invisible — a big plus to image-conscious teens. Could they benefit your child?

If you have questions about palatal expanders, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Palatal Expanders” and “The Magic of Orthodontics.”



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James C. Palmer, DDS

(318) 927-6152
729 West Main Street Homer, LA 71040