Orthodontic Tips June 24, 2014

Five SmilesOrthodontic Tips June 24, 2014

Where is the right place to put lateral incisors in the smile?

Anywhere the patient wants them….

There are guidelines, but the bottom line is not clear.

As dentists we choose to create a smile that pleases. The studies that impress me the most show that the incisal edges of the maxillary anterior teeth should parallel the arc of the lower lip. The Damon courses emphasize that the maxillary centrals and cuspids should be at one level and the lateral incisors slightly more gingival. Continue reading

Orthodontic Tips June 16, 2014

Orthodontic Tips June 16, 2014
Arch incoordination
Arch coordination.

Is it a concern?

Yes it is and this is why. “Poor occlusion.”

This patient came to see me last week. She was hoping to have her teeth straightened without any extractions. Her maxillary dental arch is over-wide and her lower arch is severely crowded. The extra width causes a lack of cuspid guidance on the left side. Also, Continue reading

Orthodontic Tips June 2, 2014

Orthodontic Tips June 2, 2014

Events seem to come in threes.

This month I saw two dual bite patients. I guess there is another one on the way.

A dual bite is a situation where maximum dental intercuspation (MI) is not the same tooth and jaw position as centric relation (CR).

The patient may be asymptomatic for many years while their jaw muscles and ligaments are young and flexible. However, at some point their jaw system can no longer compensate for this poor bite resulting in TMJ distress, bruxing habits or sleeping disorders. Continue reading