My Blog

Posts for tag: braces

By JW Haltom DDS, Inc. Family Dentistry
December 01, 2014
Category: Dental Procedures
AreClearAlignersMyBestSolutionforAchievingaBetterSmile

If you are dissatisfied with the way your smile looks, and your dentist is unhappy with the way your teeth fit together — but you don't like the idea of wearing braces — clear aligners may be your best solution. How much do you know about this teeth-straightening alternative? Below are some FAQs on the subject.

What do we mean by clear aligners? Clear aligners are a system for straightening teeth that uses clear plastic removable “trays” that fit over your teeth. As the teeth move to fit the trays, new trays are substituted that are designed to continue to move your teeth into the desired position. This system is an alternative to the traditional system of brackets and wires known as braces.

How can teeth be moved to new positions? The connection that holds a tooth in place in your jaws — the periodontal ligament — is not immobile. It constantly changes its position based on the normal forces of your bite. As the ligament is pushed on one side and pulled on the other, the living cells of your mouth respond by depositing bone and cementum (the protective covering of the tooth's root) on one side and dissolving it on the other. Normally this happens in a balance, maintaining your teeth in their position. We can manage these slight changes by applying constant light forces to move teeth in a predictable way.

How long does it take to move teeth to their optimum position using clear aligners? As with braces, the process is gradual. Total treatment time can range from six months to two years.

Do the trays have to be worn all the time? As you move through the sequence of trays, each is worn for 20 hours per day for two weeks. They may occasionally be removed for important social occasions.

How does an orthodontist design the sequential trays that are used? The trays are designed using a computer, based on an assessment and images of your mouth, teeth and jaws.

What kinds of problems can clear aligners correct? This method works well to correct mild to moderate crowding or spacing. If your back teeth already fit together as they should, the system may be ideal. If you have an extreme overbite or underbite, braces might work better.

Are clear aligners an alternative for everyone? Clear aligners are recommended for adults and recently, teenagers. They are not usually recommended for young children.

Why is it important to have your teeth straightened? Besides the obvious benefit of feeling better about yourself and your appearance, straight and well-aligned teeth work better. You will experience a better-functioning bite and can improve your oral health.

Contact us today to schedule an appointment to discuss your questions about orthodontics and clear aligners. You can also learn more by reading the Dear Doctor magazine articles “Clear Orthodontic Aligners” and “Moving Teeth With Orthodontics.”

By JW Haltom DDS, Inc. Family Dentistry
March 21, 2014
Category: Oral Health
Tags: braces   orthodontics   dental hygiene  
MaintainingGoodOralHygieneWhileWearingBraces

Taking care of your teeth is a lifetime commitment, if you want your teeth to last a lifetime. But it can be especially challenging if you're wearing traditional metal braces. With a little extra attention, though, you can reduce the risk of dental disease during orthodontic treatment.

The goal of oral hygiene is to remove biofilm, a layer of leftover food particles called plaque that is a haven for disease-causing bacteria. Orthodontic braces make access more difficult for performing oral hygiene. A little extra effort and attention, though, can make a big difference.

First, be sure you're eating a healthy diet and avoiding unhealthy snacks (especially those high in carbohydrates) between meals; this will discourage the growth of bacteria in the mouth. You should also limit your intake of sodas, sports or energy drinks since their high acidity contributes to tooth enamel erosion.

Although more difficult for someone wearing braces, brushing is still essential to good hygiene. Begin by holding a soft, multi-tufted bristle brush at a 45-degree angle, and then brush the surface area between the gum and the braces all the way around. Return to your starting point and brush the area from the braces to the edge of the top of the teeth in the same direction. Be sure you do this for both the upper and lower jaw and on both the cheek and tongue side.

Flossing is also more difficult, but not impossible. Instead of conventional floss thread, you can use special floss threaders, small interdential brushes, or an irrigation device that sprays pressurized water to remove food particles between teeth.

Above all, it's important to keep up regular office visits with us. In addition to monitoring overall dental health, we can also apply or recommend additional fluoride products to help strengthen teeth or prescribe antibacterial rinses to reduce the mouth's bacterial level.

Keeping up a good daily hygiene regimen and regular checkups will ensure that the smile you gain from wearing braces is healthy as well as beautiful.

If you would like more information on oral hygiene while undergoing orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”

By JW Haltom DDS, Inc. Family Dentistry
October 14, 2013
Category: Dental Procedures
AdvancesinClearAlignersMakeThemaViableChoiceforMoreTeens

Metal braces for correcting teeth alignment have long been a fixture of adolescence. But although they're effective, they tend to put a crimp on a teenager's life with changes in diet and irritation and discomfort from the devices and regular adjustments. For many teens, though, these are minor compared to the change in their appearance that comes with traditional braces, and the embarrassment they may feel.

In recent years, there's been a growing use of another orthodontic device that reduces many of these inconveniences, especially regarding appearance. Known as the clear aligner, this transparent, “almost invisible” device can be taken out for eating, cleaning or important social events.

Clear aligners are a sequential set of clear trays made of polyurethane plastic that are generated for an individual patient using information derived from x-rays, photographs or models. Each tray in the sequence is slightly different from the previous one to account for the tooth movement achieved wearing the previous tray. The patient will wear a tray for about two weeks and then, if all looks well, move to the next tray. This process continues until the teeth arrive at the proper alignment, a period of about six to twenty-four months depending on the patient's initial condition and their progress.

Up until recently, aligners were a viable option for a limited category of patients, mainly adults. Recent advances have changed that. Aligners now include tiny “power ridges” that enable them to move teeth in more than one plane, something previous versions were unable to do. “Eruption tabs” can also be incorporated into aligner sets to hold the space for permanent teeth that haven't erupted yet — a must for many younger patients. We can also temporarily bond attachments to the teeth known as buttons (made with a composite that blends in with the natural tooth color) that give more leverage and stability to the aligner.

With these changes, clear aligners are now an effective choice for a wider group of patients, including many teens. Aligners are comfortable to wear, easy to care for, and for teens acutely conscious of their appearance, less obtrusive than traditional metal braces.

If you would like more information on clear aligners, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Clear Aligners for Teens.”

By JW Haltom DDS, Inc. Family Dentistry
February 16, 2012
Category: Dental Procedures
Tags: braces   orthodontics  
BracesandOtherOrthodonticAppliancesWhichTypeIsBestforYou

If you are planning orthodontic treatment for yourself or your child, you may have heard about different types of orthodontic appliances (braces) and you may be wondering which type is best for you.

Orthodontic treatment is the process used to improve the positioning of your teeth and bite so that you look better and your teeth function properly. Movement of the teeth is accomplished by harnessing the natural regenerative powers of the body to remodel living tissue, in this case, the bone, which adapts to the new position into which the teeth are moved. Orthodontic appliances accomplish the movement by placing small light and constant forces on the teeth to move them into new and better positions.

There are currently three main types of orthodontic appliances to move your teeth. After careful analysis of your bite and needs, we can help you select the best option for your particular situation.

Fixed appliances, commonly known as braces, so-called because they are fixed to the teeth thereby bracing them together, small brackets are bonded to the teeth and light flexible wires are threaded through them. Controlled tension on these wires pulls or pushes the teeth into position.

Clear brackets are a second, more aesthetic type of fixed appliance. While they are less visible, they tend to be more fragile.

Use of fixed appliances, whether brackets are metal or clear, is usually recommended in more complex cases because they enable the orthodontist to accomplish more complex three-dimensional tooth movements in the most efficient and predictable manner. Please note that, during treatment, you should avoid eating hard foods or participating in extreme contact sports so you will not damage your teeth or the appliances.

Clear aligners are a third, more recent option for repositioning teeth. They are removable appliances, generally used in situations that are milder in nature and easier to correct. After careful assessment, a series of computer-generated, custom made clear plastic trays are made to move the mal-aligned teeth. Tooth movement is progressive with each successive aligner or tray, moving the teeth minutely, until the new desired position(s) is achieved. Clear aligners are usually used for simpler or tipping movements of teeth.

With any of these options, simple movements of teeth may take a few months, and more complex movements take up to two or three years.

Orthodontic treatment is an ingenious scientific discovery that has allowed the dental profession to accurately and precisely move teeth for improved aesthetic appearance and functional position. Contact us today to schedule an appointment or to discuss your questions about orthodontics. You can also learn more by reading the Dear Doctor magazine article “The Magic of Orthodontics.”