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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.

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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/

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)?

Do Braces Make the Roots of Your Teeth Shorter?

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smileDo Braces Make the Roots of Your Teeth Shorter?

If you’re the parent of a child who needs or wants braces to make their teeth shorter, you may be thinking about any potential risks that come with wearing braces for a lengthy period of time. If you’re wondering whether or not braces make the roots of your teeth shorter, the answer is a comprehensive one that takes several factors into account, as the shortening of tooth roots is possible.

How Do Braces Work?

Once the braces have been placed on your child’s teeth, they create pressure that will move the teeth into their proper position. A more detailed explanation of this process is that the placement of braces on the teeth causes the teeth to contract. The pressure that’s caused by this contraction creates enzymes in the mouth that will dissolve existing bone so that new bone can form in the area where the tooth needs to be pushed towards. The tooth also becomes momentarily looser in order for it to be moved towards its new position. Due to the fact that the bone surrounding the tooth dissolves and rebuilds itself in a slightly different position, there’s a chance that the roots of your teeth can become shorter. Although this doesn’t typically occur, it’s important that you’re aware of all the changes that can take place in your child’s teeth before you request the application of braces.

Do Braces Make Tooth Roots Shorter?

There’s no way to avoid or prevent the shortening of the roots of your teeth when you’re having them straightened with braces. Because of how the teeth are straightened with braces, the roots of your teeth will invariably alter in length. However, there’s no reason that this needs to be a negative thing that causes you to avoid getting braces for your child. When the roots of your teeth become shorter, this is known officially as root resorption and is almost impossible to notice unless you experience a substantial amount of root resorption, which is rare.

It’s believed that a person can lose around 50 percent of their tooth root length without experiencing any additional problems within their teeth. If it gets to this point, it may be necessary for the tooth to be removed completely, but it’s important to understand that this issue rarely ever occurs. What’s most likely is for the roots of your teeth to be shortened by around 5-15 percent, which is completely normal and is something that you likely won’t even notice.

How to Prevent the Shortening of Tooth Roots

Although it’s practically impossible to prevent root shortening, there are a few things that an orthodontist can do before the braces are put on the teeth in order to mitigate the shortening of these roots. An orthodontist will check family history to identify if anyone has suffered from this issue in the past, as root shortening is something that runs in the family. If root shortening is common in the family history, the orthodontist will monitor the patient closely throughout their treatment in order to identify if shortening starts to occur.


Problematic root resorption where over half of the tooth root has dissipated can also occur in certain situations where the teeth are moved too quickly, as undue amounts of pressure can lead to the creation of more enzymes than are necessary, which has the cause and effect of leading to the dissolving of more bone. Unfortunately, there’s also a slight risk that going too slow with the movements of the teeth can also cause the root of one or more teeth to become shorter than it should be, as keeping braces on for too lengthy a period of time also causes too much pressure on the teeth with the same results as moving the teeth too quickly. As such, it’s important that you notify your orthodontist about doing regular checks on the roots of your child’s teeth. Although it’s impossible to stop this shortening from happening at all, it may be possible to limit the issue before it becomes too damaging, despite the fact that this rarely occurs.

How Does an Orthodontist Identify Shortened Roots?

The way in which a professional orthodontist identifies the presence of shortened roots is by performing x-rays on the teeth at least once every year that the braces are on. When these x-rays are taken, the orthodontist in question will check the shape, size, and length of the tooth roots to ascertain whether or not any dramatic changes have taken place. Orthodontic treatment will remain on schedule if only small alterations have occurred, but the orthodontist may decide to change the course of treatment if the root is becoming too short too quickly.

Some changes that the orthodontist may make to the treatment include possibly lessening the amount of time that the braces are worn, removing the braces entirely in the event that the shortening of the root is too severe, or somewhat loosening the brackets to lessen the amount of pressure that occurs on the teeth. In almost all cases, these changes will be able to lessen the amount of root shortening that’s taking place. Just make sure that your child receives x-rays regularly to ensure that the roots remain in good condition.

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

orthodontist

Can Orthodontic Expanders Be Used on the Lower Teeth to Avoid Extractions?

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smilingCan Orthodontic Expanders Be Used on the Lower Teeth to Avoid Extractions?

In the event that your teeth are currently highly crooked or very poorly spaced, your orthodontist may recommend that you have a lower tooth extracted in order to ensure that your teeth grow in properly and have enough space to straighten as they should. However, most people try to avoid having an extraction done due to the pain that can occur with such a treatment, although anesthesia is typically administered during this procedure to dull the pain. One alternative to having a lower tooth extracted is to use an orthodontic expander on your lower teeth. Understanding the role of orthodontic expanders should help you decide whether or not this type of treatment would be right for you.

Can Orthodontic Expanders Be Used to Avoid Extractions?

While orthodontic expanders are commonly used on the upper teeth for a variety of reasons, they can also be used on the lower teeth in certain situations. As the name entails, an orthodontic expander helps to widen the lower jaw in order to make enough space for your other teeth to grow properly, particularly ones that have yet to erupt. By shifting the teeth to make more space, your child’s permanent teeth will be able to grow in correctly, after which you can use braces to further straighten your child’s teeth. It’s important to understand that for this treatment to be as effective as it’s meant to be, there will need to be enough bone in the area to properly support the roots of your teeth. Although you may just want to go ahead with having an extraction done if it’s meant to remove one of the temporary teeth that your child has, an orthodontic expander is oftentimes recommended to be used in place of the removal of a permanent tooth.


Before you request this treatment for you or your child, make sure that you first speak with an orthodontist, as they will be able to help you decide if this treatment is right for you. Once you’ve decided to have an expander placed in your child’s mouth, it will take the form of a removable device that’s installed with the usage of built-in expansion screws that are tightened throughout treatment. When this expander is placed on your teeth, the bones and lower teeth in the immediate area will have a large amount of pressure placed on them. As you get used to an orthodontic expander, it’s recommended that you eat soft foods.

Benefits Provided By an Expander

There are a wide array of benefits that you will receive when making use of an orthodontic expander. For instance, these expanders can be used in the place of a tooth extraction, which may be preferable to you or your child. These expanders will also assist in improving your smile, as they allow you to get rid of severe orthodontic issues such as crooked teeth. An orthodontic expander is commonly used as an initial treatment before the application of braces, allowing you or your child’s teeth to expand without much pain.

When you select an expander for your lower teeth, your teeth will first be measured to ensure that they are an exact fit. Although a tooth extraction takes only 30 minutes or so to complete by a professional orthodontist, these extractions can sometimes call for the removal of a permanent tooth, which is something that most people want to avoid. While orthodontic expanders will usually stay on your teeth for several months, they will lead to a more beautiful smile and will allow you to keep all of your teeth.

Importance of Good Oral Hygiene While Wearing an Orthodontic Expander

In order for the orthodontic expander to work as well as it should, it’s important that you maintain good oral hygiene for the few months during which the expander is in your mouth, especially as this will allow you to prepare for braces after the expander has been removed. As is the case with braces, expanders can collect a large amount of food within the mechanism. If left untended, this can lead to the development of gingivitis, bad breath, and cavities. To avoid these issues, make sure that you brush and floss at least twice every day. It’s also recommended that you avoid sugary drinks while wearing an expander, as these drinks can have a negative effect on the quality of your teeth.

Wearing an orthodontic expander can also make maintaining good dental hygiene a somewhat difficult task due to the placement of an expander on your lower teeth. However, there are a couple of specialized dental devices that help to mitigate these issues. The usage of an oral irrigator allows for pressurized water to be emitted as a means of removing food and plaque from your teeth where a toothbrush might not have been able to readily reach. Make sure that you inquire about your current oral health each time you visit your orthodontist throughout the duration of when an orthodontic expander is placed on your teeth. By practicing good oral hygiene, you’ll be able to keep your teeth clean and your gums healthy, which will pay dividends for you in the future.

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

What Happens After Invisalign Treatment Is Completed?

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invisalign treatment complete

LAST UPDATED: MARCH 27, 2018

What Happens After Invisalign Treatment Is Completed?

Invisalign is one of the most popular orthodontic procedures because it removes the need for annoying, metal braces while still being able to perform the same function. However, there’s still a large question among patients wondering whether or not to get them, what happens once they come off?

FAQ

How Can I Tell When My Invisalign Treatment Is Over?

Unfortunately, many patients make the assumption that once their teeth look straighter, they can stop wearing their aligners. However, it’s crucial to your treatment that you keep your aligners in until your orthodontist tells you otherwise. Since there could be minor misalignments that still need to be straightened, taking out your aligners sooner than you should cause your teeth to not be completely fixed. Additionally, if you stop wearing your aligners too soon, your teeth could shift back out of place. However, Invisalign straightens your teeth quickly, so your treatment will be over before you know it.

How Are Aligners Removed After Treatment?

Invisalign aligners aren’t like ordinary metal braces, where you need a long, sometimes painful appointment where you get your brackets and archwires removed. Getting your aligners removed is as simple as removing them in a matter of minutes. However, keep in mind that your teeth may have small blobs of resin on them, which were used to keep your aligners secured to your teeth. Your orthodontist can quickly drill away these globs and smoothen the surface of your teeth. The entire removal appointment can take less than 20 minutes and is completely painless.

What Should My Teeth Look Like After Invisalign Treatment?

Generally speaking, after your aligners are removed, your teeth should look straight. Gaps should appear minimal and there should not be any crowding between your teeth. If you noticed any crooked or twisted teeth before treatment, you should only see straight teeth when you smile. Plus, you’ll also be able to notice that chewing and biting things will be much easier.

Will I Have to Wear a Retainer After my Treatment?

Most people dislike the idea of metal retainers after their treatment. After all, they chose to wear clear aligners than metal braces in the first place. However, it’s incredibly important to wear retainers after your treatment. This will ensure that your teeth won’t head back to their old position. Also, wearing a retainer will make sure your jaw, while it’s now soft, has enough time to keep your teeth in their new position while it’s rehardening. Fortunately, there are some clear retainer options to choose from, if you’re really not into metal retainers.

How Long Do I Have to Wear a Retainer?

Once your aligners are removed, you’ll need to wear your retainers for at least 22 hours a day, or as recommended by your orthodontist. Usually, they’ll suggest that you wear your retainers for up to six months after your treatment is over. Once this period is over, you’ll only need to wear your retainer at night for another six months. However, in order to prevent your teeth from shifting back into place, it’s suggested that you wear your retainers a few times a night every week.

How Should I Care for my Retainers?

In order to keep your retainers in the best shape, make sure you take proper care of them. This will also help you save money from having to buy a replacement retainer.

One of the most important things you can do to care for your retainer is to keep it clean and keep track of where it is at all times. Bacteria can easily get inside your retainers and later infect your teeth. However, instead of using toothpaste, which can damage your retainer, here are some cleaning options:

  • Your first option is to use soap and water to scrub down your retainer.
  • Your second option is to purchase tablets that are designed to clean retainers.

Take extra care when eating and drinking. Take out your retainer when you are eating so food does not get stuck inside it. After you finish eating, brush your teeth, rinse your retainer, and put it back in your mouth. Also, if you have a plastic retainer, do not drink hot beverage with it in your mouth as the heat can cause them to melt and change shape.

Do not take part in any actions that can harm your retainer and your teeth. If you smoke, you should stop as soon as you can. If you cannot quit, you should at least avoid wearing clear plastic retainers as the smoke can turn them yellow. When wearing your retainer, you should also avoid chewing gum and eating sticky candy. Those who play sports should choose to wear the traditional wire retainer because it is much more durable.

Do I Need Any Other Procedures?

No, you will not usually need to undergo any additional procedures once your Invisalign treatment is completed. You will simply need to go back to your normal dental hygiene routine. Some patients may experience staining on their teeth, especially if they were not vigilant with their teeth brushing when they had their aligners on. If this is the case, you may want to schedule a tooth whitening appointment.

Do I Need To Visit the Orthodontist After My Invisalign Treatment is Completed?

After your Invisalign treatment is finished, you may be excited that you won’t need to spend as much time at the orthodontist’s office. Before you start planning out what you will do with all of your free time, keep in mind that you will still need to attend follow-up visits. Though you will not need orthodontic appointments as often, you will need to go for at least one follow up appointment within the few following weeks. During this follow-up appointment, the orthodontist will check on your progress and ensure that the treatment was successful. They may also recommend a second follow up appointment for six months or a year in the future.

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/

 

teeth

Why Teenage Patients Have More TMJ Problems in the Springtime

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springtimeWhy Teenage Patients Have More TMJ Problems in the Springtime

The temporomandibular joint is a hinge that makes it possible to move your jaws up, down, and sideways. It connects the jaws with the bone of the skull. Every year in spring, doctors experience a surge in the cases of temporomandibular joint (TMJ) disorders, particularly from teenagers. This condition has many causes, one of which is arthritis. However, for students, the disorder results from the stress experienced in this season.

How Does Stress Cause TMJ Problems

When people are stressed, they are more likely to clench and grind their teeth. Usually, this is done subconsciously, even when they are asleep. Clenching and grinding of teeth put a lot of pressure on the joints and facial muscles. Clenching your jaws can eventually cause the misalignment of their joints, and this can lead to pain and a lot of discomfort.

Teenagers who show signs of TMJ problems don’t always have a serious condition. Many times, they simply have a problem with the muscles located behind the molars, meaning the actual joints do not degenerate at all. The TMJ joint is located in front of the ears, so if they experience pain in the molars, the problem is connected to the muscles.

What Are the Symptoms of the Condition?

If your children show these symptoms, they are likely to be suffering from TMJ disorder:

  • Pain in the jaw joint, neck, face, shoulders, and ears. The teenager will experience the pain when they speak or attempt to open their mouths.
  • Locking of the jaws, either when open or closed
  • Exhaustion of the facial muscles
  • Misalignment of the jaws, meaning the top and bottom teeth may not fit into each other perfectly

The teenager might also make some clicking or grating sounds when they open or shut their mouths. This is not necessarily painful. The face may also swell. Toothaches, headaches, mild tinnitus, and pain in the shoulders are also common in such patients.

If your children show these symptoms, you should take them to an orthodontist for examination and treatment.

How Can You Prevent TMJ Disorders in Spring?

The first step in controlling the problem is finding out its exact cause. You should identify the causes of stress in your teenage child. Students in this age range are usually anxious about exams, prom, and securing jobs for summer. Older teenagers are stressed out by the fact that they will soon leave home for college. Once you identify the exact cause of stress in your teenage child, you should offer parental support to reduce their anxiety.


The child should also be aware that they are clenching their jaws. This usually happens subconsciously. Once they notice it, they are more likely to reduce the clenching and grinding of jaws. Keeping the teeth separated most of the time can help to prevent them from clenching and grinding. They can also learn to keep the tongue between the teeth often. If the child clenches the jaws while asleep, you can get dental mouth guards to prevent this from happening.

A good posture can also help to prevent the problem. You should make sure your child never holds the phone between the shoulder and ear as this can affect the jaws.

How is TMJ Problem Managed?

It is important to go for a professional examination since the problem may not exactly be linked to the jaw. Also, the problem may not be caused by stress, meaning the management of the disorder will have to be done differently. In many cases, TMJ disorders that result from stress are not treated with braces or Invisalign.

Certain forms of physical therapy can be used to help with the problem. A simple exercise would be to contract the muscles. They should do a minimum of 3 sets of 10 reps in order to relax the sore muscles of the jaw. Alternatively, they can make a fist and rest their elbows on their knees. Then, they should rest the chin on the fist and apply pressure on the jaws. This should be done with the mouth open.

The problem can be managed with some painkillers such as Advil. You can also apply a hot pack to the jaw area in order to relieve the pain. Another alternative is to gently massage the affected area in order to relax the facial muscles. Relaxation techniques such as Yoga can also help to calm the nerves and relieve stress.

Unfortunately, people who experience TMJ rarely get rid of the problem completely. It might subside once they relax, but will recur in case of adversity. Managing stress is the best way to control TMJ disorders.

If the problem persists after spring, you should visit an orthodontist for treatment. The orthodontist may suggest options such as transcutaneous electrical nerve stimulation, ultrasound, trigger-point injections, radio wave therapy, and low-level laser therapy. If the case is beyond these treatment options, you can also opt for surgery. The types of surgery done for TMJ disorder are arthrocentesis, arthroscopy, and open-joint surgery.

Conclusion

Spring is a stressful period for teenagers. They have to deal with exams, prom, and other events in their lives. This stress usually makes them clench and grind their jaws, and this leads to problems with the TMJ joint. It is important to talk to your child in order to find out the cause of their stress. If the problem gets serious, you should take them to an orthodontist for examination and treatment.

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

 

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

Invisalign - Types of Appliances

How to Care for Braces During [Pregnancy]

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pregnant woman

LAST UPDATED: FEBRUARY 27, 2018

How to Care for Braces During Pregnancy

Pregnancy affects your body from top to toes, and that includes your teeth. Whether you are already wearing braces when you become pregnant (you did know that adults can get braces?) or start your orthodontic treatment during your pregnancy, it’s important to take proper care of your braces and oral health. Here are some of the most important issues about caring for your braces and teeth when you’re pregnant, courtesy of Dr. Samuel Papandreas, of Papandreas Orthodontics in North Royalton, Ohio.

FAQ

How does Pregnancy effect Oral Health?

The shifting hormonal levels of pregnancy cause a number of changes that can affect your oral health. You may develop dry mouth or inadequate saliva production, bad breath or even loose teeth. Morning sickness can expose your teeth to stomach acids and increase enamel wear. Pregnancy can increase the chances of developing gum disease (gingivitis) and infections (periodontitis). Your eating habits may change and many pregnant women develop food cravings; certain foods can be a problem when you have braces. Hormonal changes can affect tooth movement and if you gain considerable weight, it may change the shape of your gums, mouth or face, which may necessitate more frequent adjustments to your braces.

When should you see an orthodontist if you are pregnant?

Ideally, you should see your regular dentist either before you become pregnant or as soon as you know you are pregnant. There is no risk in having dental X-rays at that stage, as the dentist can use special lead shielding to protect your baby. Make sure to tell both your regular dentist and your orthodontist about your pregnancy. You can have your teeth cleaned by the hygienist as you normally would, and it’s best to have a professional cleaning prior to getting metal braces put on. If you choose the clear plastic aligners called Invisalign, cleaning is no problem as the aligners are removable.

How should you take care of your teeth when you are pregnant?

Just as you did before your pregnancy, you should floss daily and brush twice a day. With metal and ceramic braces, you’ll need to take extra care to clean not only the tooth surfaces but to ensure you don’t have bits of food trapped in wires or around brackets. Some women find that a regular tooth brush is all they need, while others find a waterpik is more effective. You’ll need to take extra care in flossing as well. When wearing braces, you might find that floss in a metal or plastic holder is easier to use than a piece of floss wrapped around your fingers.

What can you eat when you are pregnant?

When you’re pregnant, you really are eating for two. A healthy diet increases your chances of having a healthy baby and decreases the chances you will have nutrition-related problems. With metal and ceramic braces, you need to eliminate some foods entirely. Popcorn and hard candies, for example, increase the risk of breaking a wire or bracket. Any kind of sugary treat increases the risk of tooth decay, which can be more of an issue during pregnancy because your immune system is affected by shifting hormones. Refined carbohydrates like white bread, white rice or baked goods have less nutritional value and leave a film on your teeth and braces. Choose high-quality proteins, fruits, vegetables, calcium rich dairy foods, whole grains and healthy fats like olive oil – good for your braces, baby and you.

What should you keep an eye out for?

Since you are at higher risk for certain dental problems during pregnancy, it’s important to pay close attention to your oral health. You may find your teeth become more sensitive to temperature during pregnancy; this isn’t usually a major problem. If you’ve been wearing braces for a while once you become pregnant, you’ll have a pretty good idea of what’s “normal.” If you seem to be having more pain after an adjustment or your teeth start to hurt in between adjustments, it could mean your pregnancy is affecting tooth movement. Food cravings may be a sign that you need more nutrients. Cravings for nuts – which can break wires and brackets – could mean you need more iron, folate or vitamin B12. Healthy gums don’t usually bleed, nor are they puffy and reddened. These symptoms could be signs of gingivitis. Some women develop “pregnancy tumors.” These are swellings on the gums that look like raspberries; they typically occur in the second trimester. They are not cancer and usually go away after delivery, but may bleed easily. Tell your orthodontist about any of these symptoms as soon as you notice them.


Wearing braces during pregnancy is not all that different from wearing braces at any other time in your life. As far as timing, you can start your orthodontic treatments just before or during your pregnancy. You might also want to consider that it’s better to be dealing with orthodontic appointments while you’re pregnant than when you’re chasing an active toddler. If you pay attention to potential problems, follow good oral hygiene practices and eat a healthy diet, you are unlikely to have any problems. Of course, you can always contact us for any problems or questions you may have.

Schedule Your Appointment Today

You can contact a practitioner like Papandreas Orthodontics to get some work done on your teeth. The office specializes in procedures such as braces, Invisalign, corrective appliances and more. You can schedule an appointment and see if the specialists recommend braces, Invisalign or something different that can make your life better. You have two choices for contact.

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 Care for Braces During Pregnancy

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 Can Invisalign Help Straighten Teeth and Boost Self-Confidence

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GIRL SMILING How Can Invisalign Help Straighten Teeth and Boost Self-Confidence

Invisalign is an amazing way to help you change your smile. This is a system many people prefer to use instead of braces. It’s a system that allows you to change the shape and position of your teeth and smile by working behind the scenes to align everything in the correct location. Invisalign is clear, and it’s almost impossible to see when it’s in your mouth. Most people prefer this to braces for that reason alone. If you want to know more about this process and if it might work for you, call your Orthodontist to discuss your oral health and the chance you can use this to change your life.

How does it work?

Invisalign works simply. The aligners are custom created for your teeth. Your orthodontist spends ample time creating these so they work for you with what you have. They are custom made so they fit in your mouth to each tooth, but they apply just the right amount of pressure to your teeth to encourage them to shift and move as they work. You typically change the aligner every week or so to help continue the gradual shift of your teeth. The end result is a beautiful, straight smile that makes you feel good.

Your orthodontist creates your aligners specifically for you, and they’re almost invisible so you feel more confident in them than you might in a set of braces that are easily noticed by everyone else. They don’t interfere with your day to day life as much as braces do, either. They work well all day long, and you only remove them a few times a day.

Eating requires removing your aligners. You also remove them in the morning and at night to clean them. They’re cleaned the same way as your teeth. The low-maintenance aspect of aligners is preferable to the very difficult cleaning techniques used with braces. You also don’t need to see your orthodontist for tightening, and you aren’t given a list of foods to avoid while wearing Invisalign. People with braces have to avoid a lot of the food they love to eat while they wear braces.

How does this help my self-confidence?

The great thing about this concept is you get to leave feeling more self-confident with your smile. It’s one of the very first things people notice about you when they meet you. If you are not happy with your smile, you’re not going to use it as often. This might result in you offering people a tight-lipped smile that seems forced and unnatural. This can cause people to view you as unfriendly, it can cause them to think of you as someone they don’t want to get to know, and it can cause you to perceive yourself as less than you are.

Your entire life can be changed if you have self-confidence, and a beautiful smile can help you with that quest. The first step toward increasing your self-confidence with Invisalign is wearing aligners. They’re not noticeable, and you are spared the additional embarrassment or discomfort of wearing braces while you wait for your teeth to shift. As you begin to notice the slight change in your smile, your confidence level rises significantly.

Before your orthodontist provides you with your aligners, he or she will show you what your smile will look like when you’re done with treatment. Seeing what your smile could look like is the ultimate form of excitement, and it might help you change your feelings on the spot. The length of time you wear these is personal. Some people have more issues to work with than just a few crooked teeth, and it might take longer for them. Your orthodontist will explain to you ahead of time how long this will take, what you can expect, and even what you can do to ensure the process is not slowed down at all.

Not Everyone is a Candidate for Invisalign

Before you do anything else, call your orthodontist to schedule an appointment. Not everyone is a candidate for this kind of treatment, and you need to know if it’s an option. Some people aren’t candidates for the following reasons.

  • Your age
  • Your level of crookedness
  • The severity of your overbite or underbite
  • Your own ability to use this product correctly

Kids younger than 13 are not a candidate for this correction method. Their teeth are still growing, their mouths are still changing, and this is not an ideal option for them. Additionally, if you cannot commit to the type of work required by you to care for your aligners and your teeth, it’s not a good idea to go through with this. Braces might be easier for you since they’re in and stay in. You have no control or power to take them out, forget them, or even decide you don’t want to use them sometimes.

If you feel you want to use this method of correction to provide yourself with a more beautiful smile, talk to your orthodontist. There is no harm in asking about it, and you can start as soon as your orthodontist agrees. There is no time like the present to start working on a more beautiful smile so you can increase your own confidence. It’s always worth it to feel good about your own smile.

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