Orthodontic Tips March 29, 2011
Congenitally missing laterals is a perfect situation for an esthetic implant.
Except for one thing!
When you prepare the space at age 12 – 14 yrs. the roots of the adjacent teeth tip into the alveolar bone where you want to put the implant at 18-20yrs.
Many orthodontists have experienced this natural effect and had to replace braces on the teeth to prepare for the implant.
Lately I have had success with a night time Essex retainer that holds the teeth in a very rigid manner. The Essex retainer is adjusted like a maxillary splint. During the day the patient wears his orthodontic “flipper” with the denture tooth on it. At night the Essex appliance is worn to hold the teeth firmly. Continue reading
Orthodontic Tips March 22, 2011
I’ve wanted to talk about tooth brushing for a long time, but I find it hard to say anything meaningful.
What can I say? I love it when my patients brush their teeth well. I hate it when my patients brush their teeth poorly.
I love to brush my teeth. Why don’t other people feel the same?
Oh, I know this is not an isolated issue. Take smoking. What’s up with that? How about over-eating? Aren’t both of these issues compensation for a lack of love, or maybe a need for comfort. Continue reading
Ortho Tips March 20, 2011
I get to see the world through a peephole.
The peephole I see through is my orthodontic practice. It is the only real perspective that I can count on that is not distorted by media or someone else’s opinion.
What I see is good.
I see kids who are intelligent and responsive. I see adults who want to improve their families and themselves. Continue reading
Ortho Tips March 12, 2011
A page of words is worth a thousand pictures!
That’s not what we usually hear, but I think it’s true.
I just finished writing a University of Toronto Radiology Department exam to qualify to own a 3D Cone Beam CT scanning machine. I took the two-day course in early January from the Radiology Department’s staff and it was excellent. They suggested that I buy the text book, which I did. Continue reading
Ortho Tips March 6, 2011
A couple of weeks ago, a teen-age (19 yrs.) TMJ patient came in for his annual check-up appointment.
I checked his jaw joints and there was no clicking or popping. That was good! I asked about headaches and he said that he didn’t have any recently. That was good! I checked the tension in his masseter muscles and they were as hard as a wooden table. That was bad!
He must have been grinding his teeth a lot. I asked him how he felt it was going and he said everything was fine but his splints had some holes in them. Continue reading