Orthodontic Tips April 30, 2011

Orthodontic Tips April 30, 2011

Would you have your teeth straightened at the age of 71?
This week I met a gentleman of 71 years who wanted his lower teeth straightened. He had a full upper denture and ten lower anterior teeth. His wife noticed that his lower teeth were starting to crowd up and sent him to get them straightened.
Indeed they were starting to crowd up. They were losing periodontal support and were tipping lingually following the inclined occlusal plane of the upper denture.
I’ve treated patients in their 70’s before. However this gentleman’s quiet presence was different. Continue reading

Orthodontic Tips April 19, 2011

Orthodontic Tips April 19, 2011
I’m excited about this one.
Teeth need normal bone metabolism for orthodontic movement.
We used to think that if a cuspid was impacted in the maxilla (or mandible) that if you exposed part of the crown applied enough pressure in the right direction, the tooth would move into the mouth.
Although the technique worked some of the time, many times the cuspid got stuck or the gingiva never formed properly around the tooth. Continue reading

Orthodontic Tips May 14, 2011

Orthodontic Tips May 14, 2011

Seven is a magical number for an orthodontist.

Braces usually go on about the age of eleven, so what’s up with seven?

Seven is the age that permanent damage starts to occur. That’s when the top adult front teeth come in.

Here are three stories that show different situations that were either met with or avoided, and they all happened this week. Continue reading

Orthodontic Tips April 13, 2011

Orthodontic Tips April 13, 2011

S. came to the office this week to check her TMJ splits. I had upgraded her care to a double splint since the single one wasn’t doing the trick.
She is a talker.
I heard about her recent trip; I heard how the chiropractor feels that he has gone as far as he can go; I heard a little about her youth. We talked about her present dentist and her past dentist.
When we were finished she got up and I gave her a hug. I’ll see her again in 6 months for a quick check. Continue reading

Orthodontic Tips April 8, 2011

Orthodontic Tips April 8, 2011

Our response to anger and happiness is learned. We learn it at our parent’s knee.

Sometimes, however, we need to change how we respond to anger and happiness.

This week I was trying to coordinate appointments for a bone graft to improve an implant site. There was a “disconnect” between two professionals that was preventing anything moving forward. The problem was an angry response on one of the professionals’ part. All progress had stopped. The details aren’t important, but I was fascinated because I had been guilty of a similar response earlier in my career. Continue reading

Orthodontic Tips April 4, 2011

Orthodontic Tips April 4, 2011
I had a “fist pump” moment last week.
I wanted to jump into the air and “Chest Bump” with someone. Anyone.
I was introduced to a 60-year-old gentleman who accompanied a former patient for her annual TMJ splint check-up appointment.
“Would you mind having a look at my bite” he said, “I just don’t feel comfortable with it anymore. I got a new partial denture and my jaw just doesn’t know where to sit now.”
I looked at his face and saw a very retrognathic mandible. He was a thin gentleman with a little “pot belly”. His skin had a pasty pallor to it.
He continued talking as he prepared to take up the time set aside for his friend’s appointment, but I stopped him. Continue reading