What’s so Special About an Orthodontist?

We often find our patients wondering about the difference between an orthodontist and a dentist. Dr. Greenberg started out in dental school and got a DDS (dental) degree, just like your dentist. But after dental school, Dr. Greenberg decided she wanted to learn more about orthodontics, which is one of nine specialties in the dental field. So she stayed in a school for a few more years to become an expert in orthodontics, which focuses on tooth and jaw alignment and bite problems such as overbites and underbites.

Other dental specialties you may have heard of include endodontics (focusing on the soft tissue inside your teeth), periodontics (focusing on the gums and other tissues surrounding your teeth) and prosthodontics (focusing on restoring and replacing damaged teeth).

Isn’t it nice to know there’s a dental expert to help you through any type of treatment your teeth, jaw and gums might need?

Is Invisalign Really Customized for Each Patient?

Yes, it is, and that’s part of what makes it work. If you were a candidate for Invisalign treatment, the first thing we’d do is to take an impression of your teeth as they are now and digitize it. Using special software, we would then look at this current positioning and compare that to the ideal placement of your teeth – in other words, exactly where we would want them to end up.

Next we’d use the software to map out the exact path your teeth would take from now through the end of your treatment. Based on this precise prescription, a set of custom aligners would be created specially for your teeth. Throughout the course of treatment, you’d wear these clear, removable aligners one at a time, each one moving your teeth closer and closer to their final, perfectly aligned position. And the whole time it would be your secret, since the aligners are virtually invisible!

Dr. Vickie Greenberg is a certified Invisalign provider. If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment, give us a call at 626-768-7775.

Fluoride is your Friend

There are so many ways you protect your teeth throughout your orthodontic treatment. You brush your teeth twice a day, floss regularly and protect your mouth and appliances from being damaged. But did you know there is another, often forgotten about, way to keep your teeth clean and healthy during your treatment? Fluoride – a mineral that helps prevent cavities and tooth decay – can help keep your teeth strong! Fluoride comes in two varieties, topical and systemic. Topical fluoride is applied directly to the tooth. Topical fluoride includes toothpastes and mouth rinses. Systemic fluorides are swallowed in the form of a dietary supplement. Dentists and orthodontists use in-office fluoride treatments to help protect the oral health of adults and children undergoing dental/orthodontic procedures.

Fluoride used in the dentist/orthodontists office is often times a stronger concentration than in toothpaste or mouthwash, but is available at some drug stores or a pharmacy (ask your doctor how to purchase professional strength fluoride). A fluoride treatment typically takes just a few minutes. After the treatment patients may be asked not to rinse, eat or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or doctor’s recommendation, you may be required to have a fluoride treatment every three, six or 12 months. Your doctor may also prescribe a fluoride product such as mouthwashes, gels or antibacterial rinses for at-home treatment.

When choosing your own fluoride product be sure to check for the American Dental Association’s (ADA) seal of acceptance. Products marked with the ADA seal of approval have been carefully examined and have met the criteria of the ADA for safety and effectiveness. Take care of your teeth, and smile bright!

When Are Two Phases of Treatment Necessary?

Usually patients in orthodontic treatment already have their permanent teeth – they are pre-teens, teens and adults. But in some cases we have to start treatment earlier, even before the patient’s permanent teeth come in. We call this “two-phase treatment.”

When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat.

Examples include:

· An upper or lower jaw that is not growing correctly

· A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in

· A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly

In these cases we will start early and do one round of treatment – phase one – while the patient still has their baby teeth. Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves standard braces.

In order to catch early problems, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontics). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner.

Toothbrush Trivia

People have been brushing their teeth for thousands of years! In fact, the first “toothbrush” was created around 3000BC! Ancient civilizations used a thin twig with a frayed edge to rub against their teeth for cleaning.

The first toothbrush with bristles – similar to today’s toothbrushes – was invented in 1498 in China. Brushes were made out of bone or bamboo with bristles made from the hairs on the back of a hog’s neck.

It wasn’t until 1938 that the first nylon bristle toothbrush was introduced and people quickly became aware of practicing good oral hygiene.

Here are some other interesting facts about your toothbrush (and toothpaste):

· Most people are said to use blue toothbrushes over any other color

· The first toothpaste was used in 500 BC in China and India

· On average, children smile about 400 times per day

· Your toothbrush should be replaced every two months

· The first known toothpaste was used in 1780, Crest was introduced in the US in 1955 and Colgate in 1873