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DIY Orthodontics – the dangers that you face.

“I don’t have time to visit a doctor every month”
“Braces are just too expensive”
“It’s only one gap, I can close it myself”

These are just a few of the reasons that some people are taking the DIY trend to the extreme and DIY’ing their own orthodontic treatment.
NO. No no no no no. I cannot emphasize this enough, NO!

Some of the ‘quick fix’ techniques we are seeing are everything from rubber bands and dental floss used to close gaps, modeling clay retainers, to ‘make-your-own’ braces with paperclips…yes, you read that right. PAPERCLIPS.

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These procedures have been popularized on social media, showing young adults utilizing these ‘at home’ techniques to move their teeth without the personal evaluation and care of an orthodontic specialist. There are so many health hazards that are posed when you attempt ANY kind of medical treatment on yourself without the direct supervision of a trained professional. There is a reason orthodontists spend thousands and thousands of hours going to school, then attend educational course throughout the rest of their career.  So that you can receive the best treatment possible with the lowest risk of irreversible damage.

Dr. Brent Larson, DDS, MS wrote in his blog “How Stuff Works” the following:
“A focus only on alignment and not on function or health often results in an unstable result with long-term dental health compromises. This could result in the loss of the supporting tooth root, gum recession, or in the worst case, loss of teeth.”

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The old adage is true: You get what you pay for.

DIY orthodontics isn’t the same as remodeling a room in your house, or coloring your own hair. If either of those doesn’t work out as planned, all you have to do is call a professional and have it fixed. If your DIY orthodontics goes south, you may end up paying thousands of dollars to fix the problems or by the time you recognize the problem, it could be too late for even a professional to fix.

We realize that the cost of orthodontics is a leading cause of people attempting to fix their misalignment on their own. Here at Flanagan Orthodontics we can work around just about any budget and down payment. Flexible payment plans are kind of our thing.

For patients who cannot afford orthodontic treatment, the American Association of Orthodontics has created a national program called Donated Orthodontic Services (DOS) that can help qualified low-income children receive orthodontic care at a very minimal cost. Orthodontists across the country routinely donate their time to treat children in need.

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So put down the rubber bands, use the paperclips on paper, and call us. Nothing is worth losing your teeth over. Give us a call today to set up your FREE Smile Evaluation and consultation with me and my amazing staff and get the smile that you deserve!

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Is oral hygiene important during orthodontic treatment?…

No, it isn’t important…
It is EXTREMELY important.
Orthodontic treatment can increase the chances of getting white spots (decalcification) and or decay when oral hygiene is poor during treatment. This can happen with traditional braces or Invisalign.

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When a patient has braces on, the brackets, wires, etc. tend to trap and collect food around them. The food that we eat is also eaten by the bacteria in our mouths that cause decay and gum disease. The more that food is left on the teeth, the greater the chances are that a patient will get white spots and/or decay on their teeth.

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This can also happen with Invisalign. If an Invisalign patient removes their aligners to eat, and then puts them back in with out brushing, all of that food becomes trapped between the tooth and the plastic aligner, holding it there for the bacteria to eat. With Invisalign, it also also very important to remove the aligners and at least rinse with water afterward when drinking anything other than plain water.

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The reason for this is twofold- Many drinks have sugar in them. If you allow that sugary drink to sit inside of the aligner, it is feeding the bacteria. Many drinks are also acidic, and again, if they get trapped inside the aligner and sit against the teeth, that acid will eat away at the enamel.

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Good oral hygiene is very important to us and we want our patients to be successful with it. When our patients start treatment we give them several “tools” to help them achieve that success. The most important of those “tools” is an Oral B electric toothbrush.

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The electric toothbrush is more effective at cleaning around the braces. It also motivates our teen and adolescent patients to brush because they think the brush is “cool”.  We also stress to our patients and parents that regular cleanings and checkups every six months with their dentist and hygienist are essential to good oral health during their orthodontic experience.

Itero digital laser scanner

We have some exciting new technology in our office!
It is the Itero digital intraoral scanner.

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Kind of a fancy name. So what does it do?

The Itero scanner takes the place of taking impressions (molds) of our patients. Most people have either had or know what a dental impression is. There are many types of materials used to take impressions, but they all function basically the same. An impression tray is fitted to your teeth, then the impression material is mixed and placed within the tray. This tray is then placed in the mouth. This is where the problems start.

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All impression materials are semi-solid, some almost liquid when placed in the mouth. The material flows around the teeth, gums, and jaw bones and makes a mold of them. There is very little control of the flow of the impression material, so some amount of the material flows out the back of the tray and towards the throat. For anyone that has trouble with gagging, you know what that means. The material causes the patient to gag! The tray has to be held in the mouth anywhere from 1-2 minutes to several minutes, only making it worse.

The Itero scanner can eliminate all of that mess and gagging. The scanner uses a handheld scanning wand that contains a computer controlled digital laser scanner, which in some ways is like the bar code scanner at the grocery store. Instead of the runny, messy impression material, a comfortable laser scans your mouth and produces a digital mold. So much easier.

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What are some of the other problems with traditional impressions? They are no where near as precise as the laser scanner. During the scanning process, the computer actually shows us areas where the scanner missed, allowing us to simply move the wand to a different angle to scan the missing area. When you take an impression, the inaccuracy (missing/distorted areas) is often times not found until the impression is poured in plaster in the lab, after the patient has left. That means the patient has to come back for another impression. And even if the plaster model looks good, there is still some amount of inaccuracy of the mold which can compromise the fit of whatever appliance is being made from the model.

Because the “model” is digital, it can be used over and over again with no damage to the “impression”. Most traditional impression materials are “one time use only”, meaning they get damaged beyond use after the first time a plaster model is made from them. So if the lab has a problem with the plaster model (they drop it and break it, for instance), the patient has to go back to their dentist for a new impression. Because the digital scan is transmitted over the internet to the lab, the turnaround time is much quicker than mailing an impression to the lab.

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The Itero scanner also has a really cool feature called “The Smile Simulator”. Within about 10 minutes, we can scan your teeth and show you an estimation of what your teeth will look like after treatment. It can really help make the decision to go ahead with treatment much easier.

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The Itero scanner will allow us to, over time, replace the messy, gag inducing, impression taking in our office with a quick, comfortable, and very precise digital scan. At Flanagan Orthodontics, we are always striving to provide our patients with the highest quality and most up to date treatment. The Itero scanner definitely fits that description!

Choices, choices, choices!

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In our practice, we like to put our patients first. It even says so in our mission statement. One of the many ways we put our patients first is by giving them options for how they can achieve the smile they have always wanted, or in many cases, very definitely needed.

We can do traditional orthodontic treatment with braces. In those cases, we have two options for the type of braces a patient will wear. The first option is metal braces made of high quality stainless steel. This is the type of appliance that everyone usually pictures what they think of braces. Our metal brackets are small and comfortable, and our patients can choose colored ties that go around the braces.

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The second option is the latest clear ceramic braces, called Clarity Advanced. They blend in so well with the teeth that you hardly know that they are there. Unless, of course, you want to have colors on your clear braces, which also looks pretty cool. These high tech braces do not stain and are also very comfortable to wear.

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The third option is Invisalign, a series of clear plastic aligners that can straighten your teeth. Everyone has probably seen the commercials and ads for Invisalign. The aligners are made of a thin, clear plastic that is very comfortable to wear, very unobtrusive, and are very “stealthy”. Invisalign is definitely the least noticeable option for straightening your teeth. Because they are removable, it’s also the option that is easiest for cleaning your teeth. The only change in what you do now is brushing your aligners when you brush your teeth.

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While we do offer all of theses options, not all of them may be appropriate for every case. The most important factor is what type of treatment will produce the best final result for each patient. Invisalign is not the best option in some cases because it does not treat certain problems as well as braces. Clear braces are not appropriate in certain situations because they are harder than the enamel on your teeth, and can damage the enamel. But these limitations only apply to a small percentage of patients.

Our philosophy in our practice is to always do what is best for the patient. Giving our patients options for the type of treatment and appliance they will have is doing “what is best for the patient”, so that is why we give our patients choices.

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What is the difference between an orthodontist and a dentist who does orthodontics?

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In two words, a lot!
An orthodontist is a dental specialist trained in orthodontics and dentofacial orthopedics (which is the actual name of the specialty).
But what does that mean? As an orthodontist, we are trained to not only straighten teeth, but to also diagnose and treat abnormalities of growth and development of the jaws and face.

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All orthodontists start out as general dentists. In order to become a trained and licensed orthodontist, you have to attend and graduate from an accredited dental school. After graduating from four years of dental school, you then must go through an additional two to three year residency in an American Dental Association accredited orthodontic training program. During an orthodontic residency, students spend approximately eight hours a day, five days a week learning how to diagnose and treat patients with all kinds of orthodontic problems. This includes classes in subjects such growth and development, mechanics, and statistics as well as treating patients hands-on. In all, an orthodontic resident will spend thousands and thousands of hours learning to do what we do.

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Contrast this with a general dentist who does orthodontics (remember, even clear aligner treatment like Invisalign is orthodontic treatment). Like your family physician who can treat all different kinds of medical problems, your family dentist can legally perform all types of dental treatment. Unlike an orthodontist, however, a general dentist does not have to have thousands of hours of special training to provide orthodontic treatment for their patients. Most general dentists may only take a weekend course (without any hands-on training treating patients) before treating patients with orthodontic treatment in their office. To be fair, a general dentist may be able provide decent results treating simple orthodontic problems.

So to summarize, an orthodontist has thousands of hours of training and practices orthodontics full time. It is all we do. A family dentist has a very minimum amount of training and does orthodontic treatment part time in their office. Orthodontic treatment is more than just straightening teeth. It is a life changing event in the life of most children who undergo it. So ask yourself, who do you want treating your child? Your family dentist with a minimal amount of training, or a trained and licensed orthodontic specialist who does nothing but orthodontics?

Expansion appliance- what is it?

What is an expansion appliance and what does it do?

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Some children are born with an upper jaw that is too narrow and small. As a result, it does not fit correctly with the lower jaw. This causes a crossbite of the back teeth, and sometimes even the front teeth. An expansion appliance is used to make the narrow upper jaw grow wider.

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Posterior Crossbite

This is possible because when we are born, our upper jaw is actually two separate bones, divided in the middle from front to back. These two bones grow together usually around the age of 17 or 18. Once this happens, an expansion appliance can no longer be used to spread the two halves of the upper jaw apart and make it grow wider. Adults need a surgery to make a narrow jaw wider.

It is best to correct a crossbite as early as possible, usually around the age of 7 or 8. This can prevent abnormal growth of both jaws. This is one type of first phase treatment, also called early treatment.

What does an expansion appliance not do?
It cannot make the lower jaw grow wider. This is because unlike the upper jaw, the lower jaw is one solid bone almost from birth.
It cannot prevent the extraction of permanent teeth in cases of severe crowding. Putting an expansion appliance in simply because a child’s teeth are crowded is not proper treatment. If the upper jaw is the correct size, making  it wider with an expansion appliance will then make it not fit with the lower jaw.

If you are told that your child needs an expansion appliance or you think your child may need one, the best thing to do is consult an orthodontic specialist.