Invisalign

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Amanda Orvis, RDH

INVISALIGN

Invisalign is a uniquely designed orthodontic treatment developed to correct mild to severe cases of malocclusion, including crowding, protruding or crooked teeth, overbites and/or underbites. Invisalign is an affordable option for correcting most dental malocclusion problems.

WHAT MAKES INVISALIGN DIFFERENT?

You may be asking yourself, what is the difference between Invisalign and traditional braces? With Invisalign you can achieve very similar if not the same outcomes as traditional braces. The advantages of Invisalign are the comfort, flexibility, and ease of access to properly care for your teeth without having brackets, wires or rubber bands in your mouth.

Invisalign uses a series of aligners to straighten your teeth over the course of your treatment. Aligners are smooth plastic trays that you wear over your teeth. Each set of aligners is worn for a few weeks before changing to a new set.

ADVANTAGES

The great thing about Invisalign is that there are no personal sacrifices in terms of food! You do not have to give up popcorn, chips, bagels, pizza crust, pretzels, nuts, apples, carrots, or corn on the cob. Fortunately, Invisalign aligners are removable, therefore allowing you to eat and drink as well as brush and floss your teeth as you would normally do. The aligners are worn for 20-22 hours a day while they gradually move your teeth into their correct positions. The aligners should only be removed to eat as well as brush and floss your teeth.

HEALTHIER TEETH AND GUMS

Often times crowding or malocclusion issues can lead to swollen, red, bleeding gums. These are signs of periodontal disease. By properly aligning the teeth, inflammation is reduced, allowing your gum tissue to fit properly around the teeth. This provides a defense against potential periodontal problems.

Food debris and plaque build-up can lead to tooth decay. In order to maintain strong healthy teeth, simply remove your aligners and brush and floss as you would normally do. Try to avoid eating and/or drinking while your aligners are in your mouth.

THE INVISALIGN PROCESS

  • Talk to your dentist about your interest in Invisalign.
  • Your dentist will take impressions and photos and send them off to Invisalign. A customized treatment plan will be created just for you.
  • After your treatment plan is created, you will then go into your dental office for a brief viewing of a virtual presentation of your anticipated final outcomes.
  • Upon your approval of your anticipated outcomes, Invisalign then fabricates your series of aligners and sends them to your dental office.
  • Your dental office will then call you to schedule an appointment for you to come in and receive your first set of aligners.
  • Over the course of your Invisalign treatment you will change out your aligners every few weeks.
  • After the completion of all of your aligners, retainers are then made to keep your teeth in their new positions to keep that new smile looking great.

We look forward to helping you create that new smile that you have always wanted.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://www.invisalign.com/how-invisalign-works

http://happytoothnc.com/braces-vs-invisalign/

 

Early Interceptive Orthodontic Treatment

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Amanda Orvis, RDH

Early Interceptive Orthodontic Treatment

Often time’s orthodontic treatment is recommended before all of your child’s primary (baby) teeth have even fallen out. Early orthodontic treatment can alleviate future, possibly more invasive, orthodontic corrections.

Here are a few reasons for early interceptive treatment:

  • Corrective positioning for a better prognosis of how the permanent teeth with develop.
  • To correct any oral habits that cause developmental problems such as thumb sucking, pacifier use, and tongue thrusting.
  • To correct malocclusions, or poor bite relationships, such as overbites, under bites, open bites, cross bites, crowding, spacing, teeth erupting out of sequence, or missing teeth.
  • To correct growth problems such as narrow palates.
  • To guide the growth of the jaw bones to a more favorable position for permanent tooth eruption.

“The American Association of Orthodontics (AAO) recommends that all children receive an orthodontic screening by the age 7. Permanent teeth generally begin to come in at age 6 or 7. It is at this point that orthodontic problems become apparent.”

If you are unsure about the need for early interceptive orthodontic treatment for your child, it is a good idea to visit with an orthodontist to familiarize yourself with treatment options. If you are concerned with the appearance or development of your child’s teeth, or if you have questions please do not hesitate to call our office and schedule an appointment to discuss treatment options and referral information.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources

http://www.colgate.com/en/us/oc/oral-health/cosmetic-dentistry/early-orthodontics/article/early-orthodontics-may-mean-less-treatment-later

Orthodontic Retainers

LindsayW

Lindsay Olsen, RDH

Orthodontic Retainers

            You’ve been waiting for this day for over eighteen months; your braces are coming off today! Interestingly enough, one of the most important stages of your orthodontic treatment begins, the retainer phase.  Retainers are the only insurance policy orthodontia patients have to keep their smile straight, and bite perfect.

There are two types of orthodontic retainers:

  • Permanent (Fixed Bonded)
  • Removable

Permanent retainers cannot be removed. A thin wire is bonded on the tongue side of your lower front teeth (sometimes the upper teeth). This style retainer is great for individuals who will not remember to wear their removable retainers each night. Permanent retainers are not recommended for patients who have poor brushing and flossing habits at home. Permanent retainers require meticulous flossing (With a floss threader), and twice daily brushing in order to prevent plaque/tartar buildup from accumulating around the retainer.

Call your dentist, or orthodontist ASAP if you feel or notice your permanent retainer is broken, or distorted in any way.

There are two types of removable retainers: a Hawley style retainer, or an Essix style (Invisible) retainer. Removable retainers are popular among orthodontic patients because they can be removed, and cleaned by hand. These style retainers also do not get in the way during flossing, and brushing.

How to Care for Your Removable Retainer?

  • If you have an removable style retainer DO NOT soak it in boiling, or even extremely hot water, as it can easily melt, or become distorted. Also living in Arizona, store your retainer indoors. If it is left in your car during the summer months, it can melt, or become distorted.
  • If you are not wearing your retainer, keep it in its case, on a high shelf, away from pets. Dogs are attracted to smell/taste of human saliva. Your dog will chew, and destroy your retainer if they can get their paws on it.
  • DO NOT soak your retainer in mouthwash, as it will stain your retainer. Simply rinse with water, after each use, and gently brush with your soft toothbrush (NO TOOTHPASTE). Once a week, I disinfect my removable retainers. Simply place your retainers in warm water, with a denture or orthodontic cleaning tablet for 15-20 minutes, and then rinse under water. I personally use Retainer Brite tablets (Purchased from Amazon.com).

 

How Often, or How Long Do I Need to Wear My Removable Retainers?

It is recommended to wear your removable retainers, every night, for the rest of your life to retain your straight teeth.

You are welcome to bring in your removable style retainers with you to each preventative cleaning appointment. They can be cleaned in the ultrasonic, and then the Dr. can examine the fit. If you have any additional questions about your retainers, please contact your dental office!

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

 

Tips for Flossing and Maintaining Your Oral Health While in Braces

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Amanda Orvis, RDH

Tips for Flossing and Maintaining Your Oral Health While in Braces

Flossing may seem like it is almost impossible when you are in braces. It can even seem intimidating. It is a fact that it takes longer to floss your teeth if you have traditional wired braces. Thankfully there are tools that can help take some of the hassle out of flossing around braces. Please read below for some suggestions.

Floss Threaders

These threaders are a great tool to help achieve getting your floss behind your wire and between your teeth. Simply grab a normal piece of floss and one threader. Thread the floss through the loop hole in the threader, the same way you would thread a needle. After you have threaded the floss threader, simply guide the threader behind your orthodontic wire and floss between your teeth. See picture below.

 

Super Floss

Super floss is a pre-threaded flosser. It consists of three parts. Part one is the stiffened needle-like end. Part two is the spongy floss. Part three is the regular floss. This one piece threaded floss is great for maneuvering around those orthodontic wires. The great thing about super floss is that you do not have to thread the floss at all; it is already done for you! The spongy part of the floss is great for those wider spaces between your teeth that you get while your teeth are moving and shifting while you are in braces. The traditional end of the floss is great for those tighter spaces. See picture below.

 

Proxabrushes

These small brushes are great for cleaning between the teeth and behind your orthodontic wires. Proxabrushes help to remove the plaque in those hard to reach areas which are commonly missed. To use these brushes, you simply guide the brush behind the wire and move the brush up and down cleaning any remaining plaque on the teeth after brushing.

 

Waterpik

Waterpiks, also known as water flossers, are great to use around orthodontic brackets and wires. They are easy and effective. You simply point the water flosser between your teeth along the gumline and let the water spray between the teeth. Water flossers help to remove plaque and food debris in those hard to reach areas.

 

*If you would like a demonstration on any of these products please ask your dentist or dental hygienist at your next dental visit.

Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://oralb.com/en-us/products/super-floss

http://www.gumbrand.com/between-teeth-cleaning/floss-threaders/gum-eez-thru-floss-threaders-840a.html

http://www.gumbrand.com/between-teeth-cleaning/interdental-brushes/gum-go-betweens-proxabrush-cleaners-tight-872rn.html

https://www.waterpik.com/oral-health/how-to-floss/

Keeping Your Teeth For a Lifetime

KarenK

Karen Kelley RDH

Keeping Your Teeth For a Lifetime

Our dental practice has more over 50 year olds than under 50.  As aging adults, we need to be aware of certain things that can keep us from retaining our teeth our entire lives.

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Judith Ann Jones, DDS, a spokesman on elder care for the American Dental Association and director of The Center for Clinical Research at the Boston University Goldman School of Dental Medicine spoke about 5 things that are especially important to the over 50 crowd.

Tooth Decay:  Contrary to what many people believe, adults keep getting cavities!  I’m always surprised when people are stunned to learn they have a cavity as an adult.  Areas of the teeth that have never had a cavity can decay, but  areas  where we see more problems are where an old filling is leaking and at the base of an older crown.  The best prevention is brushing well each day along the gumline.  An electric toothbrush is very helpful in accomplishing this as well as the use of fluoride.  An over the counter fluoride rinse nightly is great and in our office we have special prescription strength fluoride that is wonderful for cavity prevention as well as help with sensitivity.
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Dry Mouth:  Keeping Your Teeth For a Lifetime We see so many people with this problem.  “Saliva protects our teeth.  The calcium and phosphate present in saliva prevent demineralization of your teeth”, Jones says.  Many drugs cause dry mouth as well as some diseases and as we get older, we are on more medications thus we see this commonly in older adults.  This is a difficult one to deal with for those affected.  The best thing is to drink lots of water, use saliva substitute and try xylitol products.  Also, if you smoke, stop, it just makes your mouth drier.

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Gum Disease:  If your gums are swollen, red, or bleed easily, you have gum disease.  If left untreated, gum disease (gingivitis) will become more serious and will cause deterioration of the bone that holds the teeth, we call this periodontitis.   If this condition continues without treatment, it can cause the loss of the teeth.  The best way to prevent gum disease is to clean your teeth well each day with brushing, flossing, and use of interdental cleaners like soft picks or go betweens. And of course, seeing your friendly dental hygienist as often as recommended.  We can remove the mineralized bacteria from your teeth that you can’t remove with brushing.

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Tooth Crowding:  “As you age, your teeth shift”, according to Lee W. Graber, D.D.S., M.S, Ph.D., Past President of the American Association of Orthodontists. And “that can be problematic, not because you’ll look different, but because it can make your teeth more difficult to clean, leading to more decay.  It’s also of concern because misaligned teeth can lead to teeth erosion and damage to the supporting tissue and bone”, Graber says.   “Add to that the tendency of older adults to have periodontal disease, and you could end up losing your teeth even faster.”   If your teeth have really shifted, and you find you are having a difficult time keeping your teeth clean and food keeps getting caught in certain areas, ask our doctors about orthodontics.  We offer Invisalign to our patients and we’ve had patients in their later years choose to straighten their teeth.  I just finished with my invisalign treatment.  I had braces when I was a teenager but my teeth had shifted and I was experiencing these problems I just mentioned.  I decided to do Invisalign.  It’s easy to do and my teeth are so much straighter.   They are now in the correct alignment and my teeth and gums will be healthier.   If you choose not to do orthodontics, more frequently exams and cleanings may be necessary.

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Oral Cancer:  According to The Oral Cancer Foundation, more than 43,000 Americans will be diagnosed with oral cancers this year, and more than 8,000 will die from it.  “Oral cancer incidence definitely increases as you get older”, Jones says, and “is very often linked to smoking and heavy alcohol use.”   Jones also said, “Only about half of people who develop oral cancer survive the disease.”   If discovered early, there is an 80 percent chance of surviving for five years.  When we do your periodic exams when you come in for your cleaning, you will be checked for oral cancer.  We also offer Velscope, Identafi, or Oral ID technologies to help in finding oral cancer earlier.

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Keep brushing, flossing and smiling!  We want to help you keep your teeth healthy your entire lives!

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Want to learn more? Visit us at

http://www.shalimarfamilydentistry.com

http://www.northstapleydentalcare.com

http://www.alamedadentalaz.com

http://www.dentistingilbert.com

Sources:

http://www.huffingtonpost.com/2014/09/28/common-dental-problems-_n_5844434.html

https://aga.grandparents.com/

Toothpaste

Kara

Kara Johansen BSRDH

The dental isle in the grocery store can be very overwhelming. Rows and rows of toothpastes, mouth rinses, and floss. We are here to help make that isle less confusing.  In a previous post Julie West BS RDH wrote about mouth rinses, thanks Julie! So here is the breakdown of toothpaste.

What is the purpose of toothpaste?

There are 4 reasons to use toothpaste. 1. Fluoride 2. Bacterial Plaque reduction 3. Tartar Inhibition 4. Desensitization. Here is the breakdown of each type of toothpaste.

Fluoride-

  • Fluoride has been the greatest public health venture in the United States. The most rampant form of disease in children is dental decay. Fluoride can cause a 20-30% decrease in decay (451, Wilkins). The fluoride remineralizes areas of decay that are in the beginning stages. When your dentist says they are going to “watch” a tooth it means that the he/she understands the decay can remineralize with good oral hygiene, great nutritional habits and fluoride use.
  • Here is a tip: switch up your oral hygiene routine.
  1. Mouthwash
  2. Floss
  3.  Brush for 2 min with fluoridated toothpaste.
  4. Walk away. Do not rinse after you brush. You want the fluoride to stay on your teeth and remineralize that weak spot that the dentist is watching.
  • Fluoride also helps with: tooth sensitivity, deceases tooth loss, promotes less frequency of periodontal diseases, overall bone health and bacterial reduction.

Bacterial Plaque Reduction-

  • There are different products in toothpastes to decrease the amount of bacteria in the mouth. Some of these products are: Triclosan, fluoride, Chlorhexidine, peroxide and bicarbonate, sanguinaria, and essential oils.
  • Brushing and flossing is the best way to reduce the majority of cavity causing bacteria in the mouth. Plaque is like pancake batter, it is sticky. Mechanical Removal will have the greatest affect on decreasing plaque levels in the mouth.

Dental plaque

http://mpkb.org/home/pathogenesis/microbiota/biofilm

Tartar Inhibition

  • The goal of these toothpastes are to reduce the production of tartar. These toothpastes however, do not have any effect on existing tatar. The toothpastes is meant to reduce the amount of tartar initially created. The only true way to get rid of tartar is mechanical removal by your dentist or hygienist. Come for you cleanings, they would love to help you out with that part. If you don’t love the scrapping do you part at home, brush with an electric toothbrush and floss two times per day.

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http://colgate-sensitive-pro-relief.colgateprofessional.com.hk/patienteducation/Plaque-and-Periodontal-Disease/article

Desensitization

  • Sensitive teeth are no fun. Cold, hot , sweet foods or drinks, and mechanical forces can cause sensitivity.
  • How did I get sensitive teeth? This can be caused by multiple factors. The most common is tooth root exposure. When the gums recede a part of the tooth called dentin is exposed. It is a much more porous structure and sensitivity happens frequently.
  • pated_GingivalRecessionWithExposedRootDentine
  • colgateprofessional.com
  • When you are seeking out a toothpaste for sensitivity look for the active ingredients. Flip that tube of toothpaste over and take a peek. Potassium Nitrate calms down the nerve that is more sensitive with exposed dentin.  Sodium and stannus fluoride strengthen and occlude the more porous dentin.  A mix of Potassium Nitrate and fluoride is your best bet for desensitization.
  • MI Paste RECALDENT (CPP-ACP) has been found to help with sensitivity. Like fluoride it blocks the small porous openings of dentin. You can get a prescription for it from your dentist.
  • Other Products: Sensodyne, Pronamel, Colgate Sensitive Pro Relief, etc. Scan the dental isle.

images

http://www.recaldent.com

sensodyne-group-products-page-10_9_2013

pronamel-packshots_nonew-mock

us.sensodyne.com/products.aspx

Colgate-Sensitive-Pro-Relief-TP-triBox

http://www.colgatesensitiveprorelief.com.sg/products/toothpaste

What is in my toothpaste?

Cleaning and Polishing 20-40%

  • An abrasive is used to clean and the polish smooths the surface of the tooth. These agents help to decrease the adherence of stain and plaque buildup.
  • Possible agents: Calcium carbonate, IMP, dicalcium phosphate, hydrated aluminum oxide, and silica

Detergents 1-2%

  • Detergents make your toothpaste foam and are surfactants. They lower the surface tension, loosen stains, foam, and emulsify debris.
  • Possible agents: sodium laurel sulfate, sodium cocomonoglyceride sulfonate
  • Sodium Laurel Sulfate can cause sloughing of the tissue, make one more prone to canker sores and decreases healing time of mouth sores for some people. Patients who experience this should avoid Sodium Laurel Sulfate. Sensodyne does not use sodium laruel sulfate, this product would be a good choice for you.

Binders 1-2%

  • Binders keep your the solid and liquid ingreadients together

Now the next time you walk down the dental isle hopefully you will know exactly what type of toothpaste is perfect for you and your needs. If you have more questions ask your dentist or dental hygienist.  Watch out for the next post on what type of floss to choose, its going to be a duesy. Happy brushing and don’t forget to floss.

 

Sources:

GC America Professional Dental Site. Frequently Asked Questions. Retrieved from http://www.mi-paste.com/faq.php

Wilkins, E. M. (1994). Clinical Practice of the Dental Hyginienist: Seventh Edition. Media, PA: Williams and Wilkins.