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Posts for category: Dental Procedures

By Julie R. VanHoose, DMD, PC
December 30, 2014
Category: Dental Procedures
Tags: celebrity smiles   braces  
BracesARiteofPassageEvenforHollywoodKids

Her parents Will and Jada are Hollywood royalty, who helped her land her first acting role when she was 7. She released a hit single, “Whip My Hair,” before she had quite reached the age of 10; shortly afterward, she was signed to a record label. Yet the young singer and actress Willow Smith has at least one thing in common with plenty of ‘tweens and teens across America: She needed to wear braces to correct problems with the alignment of her teeth.

Why do braces seem to be a part of growing up for so many kids? One answer is because they work so well. Braces apply gentle pressure to the teeth through a thin, flexible wire called an archwire. Attached to the teeth with a metal or ceramic bracket, the archwire exerts a light force which causes teeth to gradually move into better positions. Sometimes, when additional force is needed, elastic bands or other appliances may be used in conjunction with braces.

Most everyone is familiar with the silvery metal “tracks” of traditional braces. But did you know that there are a number of other options too? For a more inconspicuous look, you may be able to have braces with tooth-colored ceramic brackets; then, only the thin archwire will be visible in your mouth. It’s even possible in some cases to place the metal wires and brackets on the tongue side of the teeth. With this system, called lingual braces, the orthodontic hardware is truly invisible.

What if you didn’t need metal braces at all? Some people can get good results using a system of clear plastic aligners instead of braces. The aligners are worn 23 hours a day, but can be taken off for cleaning and for important events. They work best for correcting mild or moderate alignment problems.

Still, plenty of people feel that if they’re going to wear braces, they might as well flaunt them. That’s why some types of braces are available with bands that come in different colors. When Willow’s brother Jayden wore braces, he was reported to favor red and black ones. Jayden, who is about two years older than his sister, had his braces removed just before Willow got hers put on.

So if it turns out that you need braces, remember that lots of your favorite celebrities wore them too. And keep in mind that, depending on your own situation, you may have several options to choose from.

If you would like more information about braces or orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “The Magic of Orthodontics” and “Orthodontics for the Older Adult.”

By Julie R. VanHoose, DMD, PC
December 19, 2014
Category: Dental Procedures
Tags: oral health   x-rays  
ConeBeamX-RayscanImproveOutcomesinManyDentalSituations

For decades, dental x-rays have helped us accurately diagnose and treat a wide array of dental diseases and conditions. But even with recent advances in digital imaging, the traditional x-ray does have one drawback: its two-dimensional view doesn’t always provide the “big picture” that a three-dimensional viewpoint can provide.

But a new type of x-ray technology can do just that: known as cone beam computed tomography (CBCT), these machines record hundreds of digital images as a cone-shaped beam of x-ray energy is projected through a device that rotates around a person’s head. A computer then assembles the images into a single three-dimensional image that can be manipulated on screen to view from various angles. Not only does this provide greater context and detail, it does so with no more radiation exposure than a standard 20-film digital full-mouth x-ray series.

While CBCT hasn’t replaced the traditional x-ray, it’s making its mark in a number of specialized areas of dentistry. The following are just a few of the ways CBCT is improving both accuracy and treatment outcomes.

Orthodontics. CBCT can provide a much more detailed view of the entire jaw; this can help us determine the best locations for realigning teeth safely and effectively.

Dental Implants. With a CBCT scan we can precisely locate nerve canals, sinuses and adjacent teeth before implant surgery to locate the best position for the implant.

TMD Treatment. To help develop the best treatment approach for alleviating the pain and dysfunction of temporo-mandibular joint disease (TMD), a CBCT scan can provide us detailed information on how the disease is affecting a patient’s joints, teeth, sinuses and airway.

Impactions. An impacted tooth can exert damaging pressure against the roots of neighboring teeth. A CBCT scan allows us to observe the impacted tooth from various vantage points to determine the best treatment approach for neighboring teeth, nerve canals and sinuses.

If you would like more information on CBCT technology, 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 “Getting the Full Picture With Cone Beam Dental Scans.”

By Julie R. VanHoose, DMD, PC
December 04, 2014
Category: Dental Procedures
AWorld-ClassSmile

He’s the world’s highest-paid soccer player: a forward on the Spanish club Real Madrid, and captain of the Portuguese national team. His super-toned body is featured in a series of advertisements, and he’s regularly seen with a supermodel on his arm. So would it surprise you to know that it took a bit of dental work to help Cristiano Ronaldo get a world-class smile?

You might never guess it to look at him now — but when he was 18 years old, and just starting his professional career with Manchester United in England, Ronaldo wore ceramic braces to correct a set of teeth that were quite a bit… off-sides. (As pictures from that time show, his teeth were out of alignment and had irregular spacing.) Yet in a relatively short time, his smile was completely transformed.

Ceramic braces are the treatment of choice for many sports stars and celebrities — and plenty of “regular” folks too. They work just like traditional all-metal braces, exerting a gentle force that slowly moves the teeth into better positions. But they have one major difference: They’re a good deal harder to notice.

That’s because instead of having brackets made of metal, this style of braces uses a high-tech ceramic material to attach the archwire to the teeth. The brackets blend right in with the natural shade of the tooth, so all you can see from a distance is the thin metal wire. That makes them a great orthodontic option for image-conscious celebs (like Tom Cruise and Faith Hill, who both wore them) — as well as anyone who may be concerned that traditional metal braces don’t fit in with their “look”.

In addition to ceramic braces, there are other, less-visible orthodontic treatments that can work just as well in many situations. One is lingual braces, which are similar to traditional braces — except they are applied on the tongue-side of the teeth, making them truly invisible. Another is clear aligners, a series of transparent plastic trays that are worn 22 hours a day and gradually move the teeth into more pleasing positions. What’s the best way to know which system is right for you? Come in and talk to us about your options!

Besides braces, did Cristiano Ronaldo have other cosmetic dental work (like teeth whitening) done? It’s possible, but he’s not saying exactly. Yet, as he told a Portuguese magazine, “I feel good about myself and that’s the most important thing.”

If you would like more information about ceramic braces or other orthodontic treatments, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor articles “The Magic of Orthodontics” and “Orthodontics For The Older Adult.”

By Julie R. VanHoose, DMD, PC
October 20, 2014
Category: Dental Procedures
Tags: braces   orthodontics  
FiveThingstoKnowaboutOrthodonticTreatment

A beautiful smile has been proven to enhance your confidence and self-esteem. However, not everyone was born with the perfect smile. If you have an overbite, crowding of the teeth, too much space in between your teeth or missing teeth, then you may be a candidate for orthodontic treatment. With orthodontic treatments, teeth are moved into proper alignment by placing continuous, gentle forces in a carefully controlled direction with an orthodontic appliance.

Here are a few things you should know about malocclusions (bad bites) and orthodontics:

  1. Causes. In many cases, bad bites are simply inherited. Malocclusions can also be caused by skeletal growth problems, and in these cases, early intervention with orthodontics can make a big difference. Acquired bite problems can be caused by trauma, thumb sucking and any premature loss of teeth.
  2. Options. Nowadays, there are many different options available for those that require orthodontic treatment. In addition to traditional braces, which are applied to the front of the teeth, there are now braces that can be attached to the back of your teeth. Another popular option is clear orthodontic aligners, an alternative system to traditional braces that use a sequence of clear, removable and custom-fitted trays to gradually straighten your teeth.
  3. Age. The American Association of Orthodontists recommends that children should be evaluated for orthodontic problems no later than age seven, as early detection and action helps to avoid more difficult treatment later in life. One out of every five orthodontic patients today is an adult, so remember that it is never too late.
  4. Time. While treatment time will vary, you can expect it to range from one to three years, depending on the severity of the problem. However minor tooth movement may take as little as six months.
  5. Maintenance. Remember that once your treatment has concluded, the work is not done. We will often recommend that you wear a retainer for a prescribed period of time to maintain your new, straight smile.

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

By Julie R. VanHoose, DMD, PC
June 13, 2014
Category: Dental Procedures
BracesAreNoHurdleforOlympicTrackStar

Lashinda Demus holds the U.S record in the 400 meter hurdles, with a time of 52.47 seconds, the third fastest ever recorded. While her twin 5-year-old boys cheered her on, she brought home a silver medal from the 2012 London Olympics. But when it comes to her full set of upper and lower braces, there's no silver to be seen!

Demus is a top-ranked competitor, a wife and a mom — and an adult who is currently in orthodontic treatment. With her orthodontist's approval, she chose clear ceramic braces. These are just one of the treatment options available to adult patients, many of whom prefer a less noticeable style of orthodontic appliance.

As many as three-quarters of adults are thought to have some form of orthodontic problem. Common issues include teeth that are crowded too closely together, or ones that have drifted too far apart after an extraction or other tooth loss. It is believed that straightened teeth are easier to clean and better for chewing — they can also improve an adult's social life, and even his or her career prospects!

Some grown-ups may hesitate to consider orthodontic treatment because they remember the “railroad tracks” they saw in junior high school. In fact, there have been many changes in orthodontic appliances in the past few years. Two popular choices for adults are colorless braces (the kind Demus wears) and clear orthodontic aligners.

Colorless ceramic braces are made of high-tech composite materials. They resist staining, and are less noticeable because their translucent appearance blends with the teeth. Often, a single wire is the only part that's plainly visible. Sometimes it's even possible to place them on the lingual (tongue) side of the teeth.

Clear aligners are an alternative to braces that are available to adults and teens. Instead of wires and attachments, these consist of a series of transparent, removable trays that are placed over the teeth and worn 20 hours per day. Over a period of six months to two years, the teeth are gradually straightened as you progress from one computer-designed tray to the next. Best of all, you can remove the trays completely to clean your teeth, and for important occasions.

Which one is right for you? It depends. While aligners have been successful in treating mild to moderate spacing issues, more difficult problems with the bite may require a more traditional form of braces. Also, there are a few health problems which might need to be attended to before orthodontic treatment is begun. The best way to learn about your options is to come in for a consultation. But remember: if you want a better smile, it's never too late.

If you would like more information about orthodontic choices, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Orthodontics For The Older Adult” and “Clear Orthodontic Aligners.”