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What are Temporary Anchorage Devices (TAD’s)?

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What are temporary anchorage devices (TAD’s)? Having rooked teeth is something that affects someone’s confidence especially when it comes to social situations. Earlier, such kind of teeth was fixed using bite blocks, high-pull headgear, elastics, and functional appliances. When someone had serious cases of crooked teeth, it was fixed through surgery. TAD’s or Temporary Anchorage Devices are now available in place of the earlier treatment methods. Instead of going for surgery, these minimally invasive implants are used, but not all TADs can correct all cases. There are situations where surgery is the only option.

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Wearing Retainers After Treatment (IMPORTANT INFO)

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UPDATED 29 – 07 -18

Wearing retainers after treatment. Getting your braces off is an exciting day for everyone who goes through the treatment. After months or years of having braces, they will finally be removed to reveal the straight smile you’ve been dreaming of. But treatment doesn’t end after the braces are off. While you may have the permanent fixtures removed from your mouth, you will probably still need to wear retainers to maintain the new straight smile that you’ve invested so much time – and money – into.

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Is All Orthodontic Treatment The Same?

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treatmentIs All Orthodontic Treatment the Same?

Each Patient Requires Individualized Orthodontic Treatment

You might think that all types of orthodontic treatment are the same, but each patient requires individualized treatment for tooth abnormalities. In addition, each orthodontist offers certain types of braces or corrective headgear to repair an assortment of malocclusions.

You Need an Examination With Medical Images

In order to know what type of treatment is required for repairing your misaligned teeth, you must have a thorough examination from an orthodontist. An examination for fixing your teeth will include collecting X-rays of your mouth and facial structure. Your orthodontist will also need to collect molds of your upper and lower teeth to determine what types of devices are required for repairing your oral cavity and teeth.

What Type Of Malocclusions Can You Have?

First, it is essential to determine what types of malocclusions you have, and you can have one or more of these varieties of misalignments:

An orthodontist will want to correct your bite so that you can chew food easily, and he will also want to make sure that you have an attractive smile.

What Are Some Of the Different Varieties Of Orthodontic Appliances?

In some cases, you may have additional misalignments that require other types of corrective devices, including palatal expanders, Herbst appliances, separators or retainers. Some of these devices are required before braces are attached to your teeth, but other appliances are necessary after your braces are removed. If you have a severe orthodontic issue, then you might need to wear headgear to shift your teeth into the correct positions, but these devices are often worn at night or on weekends to make your life easier.

How Do You Decide Between Aligners and Braces?

Your orthodontist must determine if you have mild, moderate or major malocclusions to help you decide what type of orthodontic treatment is necessary. If you have minor problems with your teeth, then you can often wear clear removable aligners rather than wearing braces. However, only teenagers or adults can wear aligners because the devices are made to fit inside a mouth that has stopped growing. Children with minor to serious orthodontic issues must wear some type of braces instead.

What Are the Different Types Of Braces?

Some adults and teenagers also require braces, and it can take two to four years to correct misaligned teeth. Today, there are numerous types of braces to choose from, so you can select a type that is in your price range or that makes you feel more comfortable. Here are a few of the different types of braces available at an orthodontic office:

  • Traditional metal braces that are affordable
  • Ceramic braces that have color-matching brackets and clear wires
  • Self-ligating braces that don’t require elastics
  • Lingual braces that have brackets that are worn on the backs of your teeth
  • Braces with brightly-colored brackets and wires

What Are Plastic Aligners?

If you have minor malocclusions, then plastic aligners are an excellent option for fixing your smile. However, you must wear the items most of the day and night. You can remove the aligners to consume food and to perform oral hygiene. In addition, you must care for your aligners properly to have the best outcome. While wearing aligners, you should avoid drinking or eating foods that can stain the plastic. It is vital to wear the aligners at night to keep your teeth from shifting back into the wrong positions.

How Many Sets Of Aligners Will You Receive?

You will receive 20 to 30 different sets of aligners for your teeth, but you will only have a few sets available at one time. When your orthodontist collects your X-rays and molds, a computer software program will design aligners in different configurations so that each set applies pressure to your teeth. You will wear one set of aligners for two weeks before switching to the next set. Keep the old set of aligners so that your orthodontist can check the items for abnormal wear and tear. Your orthodontist will examine your mouth occasionally to ensure that your aligners are working correctly, and you might need to have new molds taken to create aligners that fit better.

Call Our Orthodontic Office Today

If you want to repair your malocclusions and facial structure, then visit an orthodontic specialist in Ohio. Dr. Samuel G. Papandreas offers orthodontic treatments in these cities:

• Parma
• New Brunswick
• North Royalton

You can schedule an appointment with Papandreas Orthodontics to learn about the best type of orthodontic treatment for you and your children to improve your smile correct your dental bite.

Papandreas Orthodontics
3511 Center Road, Suite B
Brunswick, OH 44212
tel: 330-558-9092

***

14200 Ridge Rd
North Royalton, OH 44133
tel: 440-582-8585
https://drpapandreas.com/

All About Orthodontists: 5 Things You Should Know Before You See An Orthodontist

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Are you ready to start seeing an orthodontist? Check out these great tips first!

Maybe you have been thinking about braces. Maybe your dentist has recommended you make an appointment. But either way, if seeing an orthodontist is on your list of things to do, before you schedule your appointment, there are a few things you should know.

all about orthodontists

Why is a Dentist Not an Orthodontist?

Orthodontists are different from dentists because they are medical specialists who align their patient’s teeth through the use of braces, retainers or trays such as Invisalign. Patients are often referred to an orthodontist through their family dentist.

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What’s the Difference Between an Orthodontist and a Dentist?

Orthodontics is a specialized branch of dentistry that involves the diagnosis, prevention and treatment of dental and facial irregularities. An orthodontist is highly-skilled at using various techniques to bring teeth, lips and jaws into proper alignment.

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What is the most Common Question Asked During Orthodontic Treatment?

While most patients are always eager to start treatment, they are even more eager to get them off. Even though each patient is given an estimated treatment time wearing braces when they start, patients always hope we can wave our magic wands and complete the process sooner.

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Why Does the Orthodontist Need to X-Ray?

Orthodontic procedures are complex procedures that require a great deal of care and precision. They are intricate processes that may affect you as a client for many years. For that reason, the specialist has to gather as much information as possible about you before he begins the treatment. He’ll want you to complete a paper that describes your current and past dental challenges and your desires. He will examine you personally by reaching in and looking into your mouth in-depths. He will talk to you personally and ask you about your expectations. Additionally, he may take several sets of X-rays. Here are some of the things that the orthodontist looks for when he performs an X-ray.

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How to Deal with Orthodontic Emergencies

We’ve been there before. Part of the orthodontic treatment is understanding that emergencies happen. This guide will help you know what to do if you or your child runs into any of these issues.

Read More

 

Call Our Orthodontic Office Today

If you want to repair your malocclusions and facial structure, then visit an orthodontic specialist in Ohio. Dr. Samuel G. Papandreas offers orthodontic treatments in these cities:

• Parma
• New Brunswick
• North Royalton

You can schedule an appointment with Papandreas Orthodontics to learn about the best type of orthodontic treatment for you and your children to improve your smile correct your dental bite.

Papandreas Orthodontics
3511 Center Road, Suite B
Brunswick, OH 44212
tel: 330-558-9092

***

14200 Ridge Rd
North Royalton, OH 44133
tel: 440-582-8585
https://drpapandreas.com/

FRIENDS LAUGHING

What are [Temporary Anchorage Devices (TAD’s)]?

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Temporary Anchorage Devices TAD

LAST UPDATED: APRIL 24, 2018

What are Temporary Anchorage Devices (TAD’s)?

How effective a patient’s orthodontic treatment turns out to be is largely dependent upon the anchorage method employed. Previously, orthodontists used intraoral auxiliary appliances like braces and extraoral auxiliary appliances like headgear with the teeth to control anchorage. These posed many problems that interfered with ideal results being achieved. For example, the effectiveness of extraoral anchorage devices demands that patients participate fully in their use, which is sometimes an unrealistic expectation. Fortunately, the field of implants, and miniature implants, in particular, have yielded the solution to many of these problems.

FAQ

What Are Implants?

Implants have become one of the most reliable forms of anchorage in orthodontics. Implants are devices made of alloplastic that an orthodontist surgically affixes onto or inserts into the jawbone. The introduction of miniaturized implants has revolutionized the orthodontics field. One such form of miniaturized implants is temporary anchorage devices.

Introducing Temporary Anchorage Devices

Temporary anchorage devices (TAD) are biocompatible devices that are fixed to the bone in order to facilitate movement of the teeth. They do this either by supporting the teeth being used as the anchorage points (ie. the “reactive unit”) or by preventing the need for such a reactive unit in the first place. These miniature implant devices can be adhered to the bone either biochemically (using a procedure called “osseointegration”) or mechanically (through cortical stabilization). These TADs can also be positioned in a number of regions of the jaw, depending on the anchorage and movement needed. After treatment is completed, these devices are then simply removed from the mouth.

Benefits of Temporary Anchorage Devices

Upon introduction of temporary anchorage devices into the field of orthodontics as an alternative to standard anchorage methods, it was shown to be possible to overcome the previous limitations of the anchorage. Numerous case reports emerging since the early 2000s about the promise of this new technology attest to this fact. Perhaps the greatest contribution temporary anchorage devices have made to the field of orthodontics is that they make what’s known as “infinite anchorage” possible, which means that no movement (i.e. no loss of the anchorage) is sustained during the treatment.

What Does a Temporary Anchorage Device Look Like?

A TAD is a tiny titanium screw, generally between 1 1/2 and 2 millimeters in diameter, that’s been engineered specifically to be compatible with human tissue. Orthodontists then place this screw into a patient’s gum and jaw in order to serve as an anchor that supports the movement of the teeth.

Do Temporary Anchorage Devices Cause Pain or Discomfort?

Before an orthodontist inserts a temporary anchorage device, he or she uses local anesthesia to numb a small section of the gum where the TAD is to be placed. Therefore, when the implant is inserted, you should feel only a light sensation of pressure, if anything at all. There may some slight discomfort after the anesthetic wears off and for the first 24 hours following the procedure. But acetaminophen or ibuprofen should be enough to alleviate it.

When the temporary anchorage devices are no longer needed, their removal is simple and generally painless, requiring no anesthesia. Within just a few days after a TAD’s removal, the site typically heals with no residual pain.

How Long Do Temporary Anchorage Devices Remain in the Mouth?

Each patient is different, and every orthodontist will base his or her determination of the duration of TAD treatment on the specific needs and conditions of each respective patient individually. In most instances, a temporary anchorage device is kept in place for about a few months, unlike braces which are generally left in the mouth for 18 months to two years or longer.

What Possible Problems or Side Effects Can Occur with TADs?

Research has shown that temporary anchorage devices cause no damage to the teeth, gums or other tissues of the mouth. Furthermore, most remain rigidly in place for their duration, although occasionally a TAD can come prematurely loose. If this occurs, it’s generally painless and all that’s likely needed is for a replacement to be issued.

In very rare cases, some irritation may occur. If this happens, simply place a bit of orthodontic wax over the TAD’s head until the irritation disappears. If it doesn’t disappear, then contact our office immediately.

What Care and Maintenance is Involved with Temporary Anchorage Devices

After temporary anchorage devices are inserted, it’s recommended to rinse the mouth twice each day for the first five days with an anti-bacterial mouthwash. For the remainder of the treatment period, dip a toothbrush into the same type of solution and gently clean the area around the top of the implant each day. Don’t use an electric toothbrush while TADs are installed in your mouth. And don’t fidget with the implants either.

Temporary Anchorage Devices and Invisalign

While Invisalign braces are becoming more and more widespread due to their improved aesthetics, hygiene, durability, and comfort, they do present an anchorage issue. Fortunately, temporary anchorage devices solve that anchorage issue. Therefore, more and more orthodontists are starting to use Invisalign and TADs in tandem with one another to improve results over using either on its own. There are multiple ways to use these two technologies in combination with one another, depending on the individual patient’s specific situation and needs.

Call Papandreas Orthodontics to Schedule Your First Orthodontic Appointment

Dr. Samuel Papandreas provides expert orthodontic care for adults, teenagers and children at his facilities in:

• Brunswick, Ohio
• North Royalton, Ohio

His patients are fitted with customized orthodontic devices that include:

• Braces – color-matching ceramic or metal devices
• Retainers – worn at night when your braces are removed
• Invisalign aligners – clear plastic devices
• Palatal expanders – worn before your orthodontic treatment begins

You can schedule an appointment with Papandreas Orthodontics to learn about the best type of orthodontic treatment for you and your children to improve your smile correct your dental bite.

Papandreas Orthodontics
3511 Center Road, Suite B
Brunswick, OH 44212
tel: 330-558-9092

***

14200 Ridge Rd
North Royalton, OH 44133
tel: 440-582-8585
https://drpapandreas.com/

What are Temporary Anchorage Devices (TAD’s)?

Why Does the Orthodontist Need to X-ray?

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orthodontic visit x-rayWhy Does the Orthodontist Need to X-Ray?

Orthodontic procedures are complex procedures that require a great deal of care and precision. They are intricate processes that may affect you as a client for many years. For that reason, the specialist has to gather as much information as possible about you before he begins the treatment. He’ll want you to complete a paper that describes your current and past dental challenges and your desires. He will examine you personally by reaching in and looking into your mouth in-depths. He will talk to you personally and ask you about your expectations. Additionally, he may take several sets of X-rays. Here are some of the things that the orthodontist looks for when he performs an X-ray:

Impacted Teeth

Impacted teeth are teeth that are hidden and have not fully emerged from underneath the gums. Your orthodontist needs to see if you have these teeth because they can potentially cause a problem. For example, an impacted tooth may decide to emerge once your braces are in place. That could cause you extreme pain, and it could cause the orthodontist to have to remove them, which could potentially reverse all the progress that you made. He takes an X-ray of your mouth to prevent that from happening. By checking for impacted teeth early, he can develop a plan to work his way around it, or he can perform surgery to remove the teeth if you agree and if the removal is crucial to the progress of the alignment treatment.

Infection

Infection is another thing that X-rays can reveal. It’s not good for an orthodontist to perform a procedure if you have an infection. Opening your mouth up like that could cause severe issues for you and make an existing infection worse. If the X-rays show that you have one, your orthodontist can write you a prescription for antibiotics so that you can heal and get well before you have him do the procedure.

Advanced Diseases

Dental x-rays can show advanced diseases such as periodontal disease. It will be challenging for you to get braces if you have advanced stages of periodontal disease. However, it is not impossible. Your orthodontist may suggest that you see a periodontist before he continues your treatment. The other specialist can help you to get the condition of your mouth in order so that you can have your orthodontic treatment.

Oral Cancers or Tumors

X-rays can reveal oral cancer, which is something major that you should know that you have. You can still get braces in such a condition, but you may have to take certain precautions and undergo certain procedures. Cooperate with the specialist so that he can discover any abnormalities.

Tooth Decay

The x-rays that the specialist takes can reveal tooth decay. Tooth decay will not stop you from getting braces, but it will alert the orthodontist of his need to take action. He may suggest that you get a filling before he does the orthodontic work. In some cases, he may recommend extraction of the tooth. The recommendation will depend on the complexity and seriousness of the condition.

Bone Issues

X-rays can show the orthodontist whether you have a problem with your bones. The advanced phases of the periodontal disease can destroy the bones, but the pictures will let the specialist know what challenges he is facing exactly. The two of you can then decide the best route for treatment and the best way to get amazing results despite the challenges.

Fillings

X-rays show the orthodontist which teeth you have fillings in if you forget because they are white ceramic fillings. The X-ray will pick up on them and help the specialist to develop a plan that is mindful of your vulnerable areas. Filled teeth are vulnerable because of the process of filling the tooth most definite involved removal of some of the tooth.

Strategy Development

Strategy development is another reason that orthodontists feel the need to take X-rays of the teeth before they do anything else. Braces and other forms of teeth alignment devices require careful strategic planning. Your specialist is going to want to maximize the amount of alignment correction that he can get from the procedure he’s going to do for you. To do that, he’ll have to get a whole picture of your situation. He’s going to want to see every part of your teeth so that he can visualize how they will move.

He’ll need to analyze the obstacles and challenges so that he can estimate the length of time that you will have to wear your braces. In other words, teeth alignment is a highly involved process that demands accuracy as well as precision. If you want it done right, you’re going to have to provide the specialist with the X-rays that he requires. They will make the results come out better, and in turn, you’ll be a happier customer.

Schedule Your Appointment Today

Dr. Samuel Papandreas provides expert orthodontic care for adults, teenagers and children at his facilities in:

• Brunswick, Ohio
• North Royalton, Ohio

His patients are fitted with customized orthodontic devices that include:

• Braces – color-matching ceramic or metal devices
• Retainers – worn at night when your braces are removed
• Invisalign aligners – clear plastic devices
• Palatal expanders – worn before your orthodontic treatment begins

You can schedule an appointment with Papandreas Orthodontics to learn about the best type of orthodontic treatment for you and your children to improve your smile correct your dental bite.

Papandreas Orthodontics
3511 Center Road, Suite B
Brunswick, OH 44212
tel: 330-558-9092

***

14200 Ridge Rd
North Royalton, OH 44133
tel: 440-582-8585

How to Take Care of Your [Retainers]

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retainers

LAST UPDATED: SEPTEMBER 28, 2017

How to Take Care of Your Retainers

Getting your braces off is a moment to celebrate! After all, you can now see the results of all your hard work every time you flash that beautiful smile. While this is an exciting time, it is important to remember that your treatment plan involves using a retainer to keep your teeth in proper alignment.

For most people, the retainment period lasts for about a year, but it could be longer or shorter depending upon your needs. At first, you will probably have to wear your retainer for most of the day and night, but you may be able to wean down to only wearing it at night as you progress through your treatment. Since your retainers are critical for keeping your teeth aligned, you will want to take special care of them throughout this time.

FAQ

When Can I Remove My Retainer?

While your orthodontist will tell you to wear your retainer for the majority of the day, there are times when it will be necessary to remove it from your mouth. Typically, you will need to remove your retainer when you eat, yet you can drink without having to remove it. If you play sports, then it is also essential to remove your retainer before practice or competitions since it could cause injuries to your mouth if it is hit. Your retainer should not be worn during swimming, either. You can, however, wear your retainer during mild forms of exercise that do not pose a risk of objects coming in contact with your mouth such as jogging.

How Can I Store The Retainer Properly?

Almost everyone has heard the horror story of parents who end up searching through the elementary school trash bin because their kid threw their retainer away. Unfortunately, this does happen all too often due to kids wrapping their retainer in a napkin during lunch. We understand that leaving your retainer on full display may be embarrassing, so just bring your storage container with you anytime you know that it will need to be removed. Keeping your retainer in your storage container not only keeps it safe, but it also keeps it clean so that you will not put as many germs into your mouth.

Do I Need to Avoid Heat Sources with My Retainer?

Retainers are fairly durable, but they are made of plastic that is sensitive to the effects of heat. Make sure to avoid placing your retainer in the dishwasher, and use lukewarm water when you are cleaning it. A retainer should also never be left in a hot car, especially on the dashboard where the heat levels tend to be the highest. For the most part, wearing your retainer as outlined by your treatment plan will ensure that it does not come into contact with many heat sources, but you need to be careful if you leave it on the bathroom counter along with heat styling appliances. Sitting too close to curling irons and straighteners have ruined many retainers.

How Do I Clean My Retainer Properly?

Sure, a dishwasher may seem like a hygienic way to sanitize your retainer, but the hot water and strong water movement can damage it beyond repair. Cleaning your retainer properly should become a part of your normal oral hygiene routine, and the extra step will ensure that bacteria and food debris do not stay in contact with your teeth when you place your retainer in your mouth. To clean it, simply use your toothbrush along with some toothpaste and warm water to brush it like you would your teeth. Remember to use gentle strokes, and take your time if you see obvious debris. Your retainer should be cleaned at least once a day, but it may need to be cleaned more if you notice that it tastes odd or looks dirty.

Don’t Let It Dry Out

Similar to the effect of heat, drying out can warp the plastic used to make your retainer. When your retainer is not in your mouth, keep it wet by storing it in your container. If you are wearing your retainer and notice that your mouth gets dry, then simply drink some water to rehydrate it.

Be Careful During Insertion and Removal

It is important to use a gentle touch when you insert or remove your retainer. This is because using too heavy of a touch can result in broken wires. Many kids think it is cool to use their tongue to flip the retainer in place, however this is one of the most common causes of damage to retainers so please use the technique your orthodontist has showed you in their office.

Schedule an Exam at the First Sign of Damage

Sometimes, kids will delay telling their parents about a broken retainer because they are afraid of getting in trouble. However, doing so can have serious consequences for your teeth. A broken or ill-fitting retainer will not hold the teeth in the correct alignment, and all that hard work done by the braces will go to waste. Broken wires on a retainer can also lead to mouth injuries. For this reason, it is important to schedule an appointment quickly if damage is suspected. Your orthodontist may be able to simply repair the retainer in the office so that no delay in your treatment occurs.

Call Papandreas Orthodontics to Schedule Your First Orthodontic Appointment

Dr. Samuel Papandreas provides expert orthodontic care for adults, teenagers and children at his facilities in:

• Brunswick, Ohio
• North Royalton, Ohio

His patients are fitted with customized orthodontic devices that include:

• Braces – color-matching ceramic or metal devices
• Retainers – worn at night when your braces are removed
• Invisalign aligners – clear plastic devices
• Palatal expanders – worn before your orthodontic treatment begins

You can schedule an appointment with Papandreas Orthodontics to learn about the best type of orthodontic treatment for you and your children to improve your smile correct your dental bite.

Papandreas Orthodontics
3511 Center Road, Suite B
Brunswick, OH 44212
tel: 330-558-9092

***

14200 Ridge Rd
North Royalton, OH 44133
tel: 440-582-8585
https://drpapandreas.com/

How to Take Care of Your Retainers

How often should I brush my teeth with braces?

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toothbrush

LAST UPDATED: JULY 31, 2017

How often should I brush my teeth with braces?

Be proud of your smile. It may not be easy to achieve the perfect smile, but it will be worth all of the work that you put into it. Children and adults can benefit from improved smiles and better oral health when orthodontic devices are used to correct misaligned teeth. An orthodontic consultation can determine what types of appliances will work best for your specific situation. Yet it does not matter whether you wear expanders, traditional braces, Invisalign, or other equipment, the common guideline is that you need to take extra special care of your teeth during orthodontic treatment.

FAQ

What Is The Best Ways to Take Care of Your Teeth?

Your mouth may feel different when you have any orthodontic appliance installed. There may even be times when your jaw, teeth, or gums feel sore, and you may want to neglect your routine oral hygiene, but this is not recommended. Some of the positive steps you can take to care for your mouth include:

  • Attending routine appointments – Whether orthodontic or traditional dental cleanings, it is important for you to keep scheduled appointments to ensure that your mouth remains healthy and to keep your orthodontic work progressing.
  • Watching what you eat – Sticky or stringy foods are more likely to get stuck in dental work. Sugary foods are just generally bad for your teeth.
  • Brushing and flossing your teeth more often than usual – While this may be more difficult, it is important to take the time to do the job properly.

Why Does One Need to Brush Teeth Often?

When you do not properly brush their teeth, plaque builds up. Made up of food particles, saliva, and a great deal of bacteria, plaque is a sticky substance that can cause cavities if it is left on the teeth. When one wears orthodontic appliances, there are many extra places for plaque to get trapped and build up. Brackets and wires can be barriers that hold the plaque against the teeth, so it is important to be diligent and clean it all off. In addition to cavities, plaque can also cause bad breath, swollen gums, and stains on teeth once the brackets are removed.

How Often Should Teeth Be Brushed?

When wearing orthodontic equipment, it is important to clean your teeth after every time you eat. If possible, you should carry a toothbrush with you, so you can clean your teeth even if you are not at home. When brushing your teeth away from is not possible, you should at least rinse your mouth thoroughly with water after each meal, swishing it around your whole mouth and then spitting it out.

It is also important to floss between your teeth at least once daily. After a thorough flossing, you should brush your teeth as well as the brackets and wires in your mouth until all food particles are removed. Brushing should occur at least twice every day while flossing and brushing should occur at least once, preferably before bedtime so that plaque does not sit on the teeth overnight.

How to Clean Your Teeth With Orthodontic Appliances

Brushing and flossing your teeth when you have orthodontic appliances in your mouth is not much different from when you do not. Some things that are similar include:

  • Always use a soft bristled toothbrush.
  • Always brush for at least two minutes.
  • Always brush all of the surfaces of your teeth: front, back, sides, and chewing surfaces.
  • Always replace your toothbrush after three months or less.

When you have an orthodontic appliance, you should specifically remember to brush gently but thoroughly. The brackets in your mouth should appear shiny and free from food after you are done. Rinsing your mouth with water is also important after each brushing. It will help remove excess toothpaste that can get stuck around brackets or wires.

Flossing, on the other hand, can be a little bit more challenging with the wires in your mouth. A floss threader is a device that may help you get the floss under the wires and between the teeth for ease of flossing. Be patient and take care not to miss any spaces. If you still have trouble, your orthodontist may be able to recommend other tools to help you keep your teeth clean and healthy.

Potential Effects of Not Keeping Your Teeth Clean

When you fail to clean your teeth and mouth properly, it can lead to a variety of ailments. Some of these can be painful and permanent, so it is important not to fall into the trap of neglect. You want to be able to show off your new straight teeth upon removal of your dental appliances, not have to hide a painful or unhealthy mouth.

Some of the problems that can occur from brushing neglect include:

  • Gingivitis occurs when plaque builds up on the gum line. It can lead to swollen, red, or puffy gums. Though painless, it is usually only the first stage of periodontal disease.
  • Periodontitis happens when gingivitis is not treated. It causes infection and inflammation and can affect the ligaments and bones that support the teeth.
  • Decalcifications are white spots that appear on the teeth around the brackets. Once the brackets are removed, the spots remain as a permanent reminder of your neglect.

The simple way to keep your mouth healthy is to remember to brush your teeth frequently and effectively. Your orthodontist can help you figure out if you are doing a good job and give you advice on the best methods to take care of your particular situation. It is extremely important to follow all instructions carefully to attain the optimal results from the braces or Invisalign that you are wearing. Your healthy smile after the removal will be worth the extra work that you will have to put into your oral hygiene.

Call Papandreas Orthodontics to Schedule Your First Orthodontic Appointment

Dr. Samuel Papandreas provides expert orthodontic care for adults, teenagers and children at his facilities in:

• Brunswick, Ohio
• North Royalton, Ohio

His patients are fitted with customized orthodontic devices that include:

• Braces – color-matching ceramic or metal devices
• Retainers – worn at night when your braces are removed
• Invisalign aligners – clear plastic devices
• Palatal expanders – worn before your orthodontic treatment begins

You can schedule an appointment with Papandreas Orthodontics to learn about the best type of orthodontic treatment for you and your children to improve your smile correct your dental bite.

Papandreas Orthodontics
3511 Center Road, Suite B
Brunswick, OH 44212
tel: 330-558-9092

***

14200 Ridge Rd
North Royalton, OH 44133
tel: 440-582-8585
https://drpapandreas.com/

How often should I brush my teeth with braces?

How to Deal with Orthodontic Emergencies

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orthodontic emergenciesHow to Deal with Orthodontic Emergencies

We’ve been there before. Part of the orthodontic treatment is understanding that emergencies happen. This guide will help you know what to do if you or your child runs into any of these issues.

Discomfort

Getting new orthodontic hardware can be a somewhat uncomfortable experience. It can also be worrisome for a parent since we never want to see our child in pain. Typically, the discomfort can be alleviated with over the counter pain relievers like acetaminophen or ibuprofen. Patients may also feel discomfort during monthly adjustments. This is also normal and can be treated in the same way.

Irritation or Sores

This common issue is one of the complaints most often heard by Orthodontists. As your mouth grows used to having braces or other hardware, spots of irritation can develop. You can apply orthodontic relief wax directly on the metal that is causing the pain. It will act as a cushion and protect the sensitive area from further irritation while allowing the skin to heal. At the next appointment, be sure to let us know of any areas causing irritation. We will do our best to fix the underlying issue, so you can smile more comfortably.

Loosened Wires

Eating certain foods or even a trauma to the mouth could possibly cause a wire to become loose. If this happens, it’s usually best to call us and make an appointment to be seen at your earliest convenience. However, we understand that isn’t always possible. If you must clip the wire do so as a last resort. Be sure to cut it carefully with clean clippers or small, sharp pliers that have been sanitized with rubbing alcohol. Give us a call so you can come in for assistance and to replace the wire.

Protruding Wires

Occasionally a wire may work itself out and irritate your child’s mouth. Using a Q-tip or a pencil eraser, gently push the end of the wire so that it rests flat against the tooth. If you are unable to move the wire or it is still irritating the sensitive skin, you can cover it with orthodontic relief wax to act as a buffer between the wire and skin. Call us as soon as possible so that we can get you in to be seen.

Loosened Brackets

Occasionally a bracket can loosen or even become dislodged. Once again this is a situation where we would like you to come in as soon as possible so we can correct the issue. If you aren’t able to come in right away, the bracket can be removed and kept at home until you can bring it in with you to your next appointment. Being careful while eating hard or sticky foods and wearing the proper protective mouth equipment during sports can help lower the risk of this issue.

Swallowed Appliance

Accidentally swallowing part of your braces is extremely rare. It is also a true emergency. Swallowing any component of your orthodontic equipment is serious as it could impair breathing or restrict an airway. If you are unable to reach your orthodontist or the office, it’s best to head to the nearest emergency room to receive treatment.

Safer Options are Available

Invisalign continues to gain in popularity for many reasons, including the fact that it is less likely to result in many of the orthodontic emergencies mentioned. Since Invisalign is almost invisible and not composed of metal, many problems have been eradicated entirely. There are no metal pieces to loosen, break off, or be accidentally swallowed. The Invisalign appliances are typically more comfortable, causing fewer issues of discomfort in our patients. For more information, please visit us at drpapandreas.com or call to make an appointment with Dr. Papandreas and his team.

Quick Tips

1. When in doubt, give us a call.

Remember that we are always here to help. No emergency or concern is too small or strange to contact us. Chances are we have dealt with that issue before, several times. We want everyone to be as comfortable and pain-free as possible because we think of our patients as family.

2. Make an emergency kit to keep handy.

Things to include:

  • Orthodontic relief wax
  • Floss
  • Q-tips
  • Pencil eraser
  • Topical anesthetic gel or paste, like Orajel
  • Interproximal Brush
  • The number and office information of your orthodontist

3. Be sure to give our office number and contact information to teachers, babysitters, and family members in case of an emergency. 

Anytime you face an orthodontic emergency big or small, just remember these tips, and give Dr. Papandreas a call.

Call Papandreas Orthodontics to Schedule Your First Orthodontic Appointment

Dr. Samuel Papandreas provides expert orthodontic care for adults, teenagers, and children at his facilities in:

• Brunswick, Ohio
• North Royalton, Ohio

His patients are fitted with customized orthodontic devices that include:

• Braces – color-matching ceramic or metal devices
• Retainers – worn at night when your braces are removed
• Invisalign aligners – clear plastic devices
• Palatal expanders – worn before your orthodontic treatment begins

You can schedule an appointment with Papandreas Orthodontics to learn about the best type of orthodontic treatment for you and your children to improve your smile correct your dental bite.

How to Deal with Orthodontic Emergencies

Papandreas Orthodontics
3511 Center Road, Suite B
Brunswick, OH 44212
tel: 330-558-9092

***

14200 Ridge Rd
North Royalton, OH 44133
tel: 440-582-8585

Why is a Dentist Not an Orthodontist?

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Why is a Dentist Not an Orthodontist?

Orthodontists are different from dentists because they are medical specialists who align their patient’s teeth through the use of braces, retainers or trays such as Invisalign. Patients are often referred to an orthodontist through their family dentist.

To become an orthodontist, a person goes to college and gets their bachelor’s degree after majoring in biological science. After that, they take the Dental Admission Test, or DAT to be admitted into a school of dentistry. During dentistry school, the student usually has two years of classroom work and two years of residency in orthodontics. They will spend some time treating patients during their residency. After this training, the student gets a Doctor of Dental Medicine, or DMD degree.

Some people take a seven year program that begins in high school and spares them the need to go to dentistry school. After they receive their DMD, they go on to postgraduate work in orthodontics. No matter what path they take, orthodontists still have to pass the National Board Dental Examinations, which are written and clinical test that are overseen by the Joint Commission on Dental Examinations. After passing this test, the doctor receives their license to practice. However, they’ll probably need a few more years training in orthodontics. The learning, of course, never stops.

The doctor also needs to be certified by the American Board of Orthodontics. Like the National Board Dental Examinations, the test to qualify for the board consists of written and clinical exams.

Orthodontics

Braces have improved somewhat from the heavy and frankly ugly brackets, wires and rubber bands that many people remember with no fondness whatsoever. Nowadays, the brackets of traditional braces are smaller and the wires not quite so appalling. The patient also has the option of lingual devices that are placed behind the teeth and can’t be seen, and tooth-colored devices that make the braces hard to see.


The devices are specialized for the patient, and the time they’ll have to spend wearing them depends on the individual case. Most people wear their braces between six months and three years. After they come off, the patient is fitted with a retainer, which helps to keep the teeth properly aligned and trains the structures of the mouth to help hold the teeth in place. Usually, they are at first worn full time and then worn at night. The length of time a retainer needs to be worn at night can be longer than the patient wants, but they’ll need to consult with their orthodontist.

Wearing braces does require a bit of commitment on the part of the patient. They’ll need to brush, floss and use a fluoride rinse after every meal and then again before going to bed. Some patients receive special brushes for getting in between the wires to clean their teeth thoroughly. There are also some foods that the patient can’t eat. They tend to be hard, crunchy, sugary or sticky, i.e. the types of foods that a lot of kids crave. Yet, these foods can get caught in the metal or even knock brackets out of position or bend wires. On top of all this, the metal and wires make for a sore mouth, especially in the beginning. They will also have to go for check-ups every month or so. Younger patients need to be reminded that at the end of their treatment they will have a smile that others will envy and to be praised for keeping up with their annoying and fiddly dental hygiene regimen. Even adults may find meticulous oral care several times a day and not being able to eat what hey want daunting.

Invisalign

Invisalign is a system for people who simply can’t stand the look, feel or inconvenience of traditional braces. It’s a system where the patient is fitted with clear, custom made trays that are meant to be worn 23 hours a day. The trays are changed every two weeks or so as the bite eventually comes into alignment. Though they take about the same time to work as more traditional methods, the trays have differences that are attractive to many patients.

First, the trays are hard to see. A person needs to get very close to the patient to see that they’re wearing the alignment trays. Second, the trays, made of smooth plastic, are painless. Third, the patient doesn’t have to see their orthodontist as often. Fourth, and most important, they can be taken out by the patient. This means the patient can eat what they want and go about fairly normal oral hygiene.

Orthodontists also appreciate the fact that because of this ease of use their patients simply take better care of their teeth. Some patients with traditional metal aligners give up in frustration, which can lead to tooth decay and gum disease.

Orthodontics is a fascinating, exciting and growing field. Those who practice it take pride in both the health and beauty of their patient’s teeth.

Call Papandreas Orthodontics to Schedule Your First Orthodontic Appointment

Dr. Samuel Papandreas provides expert orthodontic care for adults, teenagers and children at his facilities in:

• Brunswick, Ohio
• North Royalton, Ohio

His patients are fitted with customized orthodontic devices that include:

• Braces – color-matching ceramic or metal devices
• Retainers – worn at night when your braces are removed
• Invisalign aligners – clear plastic devices
• Palatal expanders – worn before your orthodontic treatment begins

You can schedule an appointment with Papandreas Orthodontics to learn about the best type of orthodontic treatment for you and your children to improve your smile correct your dental bite.

Papandreas Orthodontics
3511 Center Road, Suite B
Brunswick, OH 44212
tel: 330-558-9092

***

14200 Ridge Rd
North Royalton, OH 44133
tel: 440-582-8585