Orthodontic Tips June 14, 2011

If you put a tooth where there is no bone, what happens?
The tooth falls out!
This basic concept has been lost by some of the people who move teeth.
I saw a new patient (32 years old) last week for a consultation to repair a lingual bonded wire that fell out. When I examined the patient this is what I saw on the labial of the lower incisors.

Gingival Recession

This patient had been treated when he was 14 years old. The orthodontist decided to treat non-extraction and use IPR to narrow the teeth to create space. Unfortunately he miscalculated and pushed the lower teeth forward out of the natural alveolar Continue reading

Ortho Tips June 6, 2011

Ortho Tips June 6, 2011

I took the one less traveled by,
And that has made all the difference

…Robert Frost

There are several areas in my practice that are a little outside the normal orthodontic thoroughfare.

Autistic children come to my office for care.

Last week I began my fifth case. This patient is a 13 year old boy who was referred by Dr. Ira Continue reading

Orthodontic Tips May 30, 2011

Orthodontic Tips May 30, 2011
The big thing for today and I think it is really big, is re-mineralization of enamel. Dr. Stephan Abrams gave a short lecture on this subject at the Toronto East Dental Society meeting and he agreed to talk to an assembled group of dentists to outline a “plug in module” for you to use in your practice.
This is big for me because poor brushers get pre-caries around their braces. They look like Continue reading

Orthodontic Tips May 27, 2011

Orthodontic Tips May 27, 2011

Sally Fields summed it up when she accepted the academy award for best actress, when she said,

“You like me, you really like me!”

We all want to be loved and we seem to need that reassurance every day.

Does that carry over into dentistry and even into orthodontics? Yes it does.

The problem is that each one of us is different and has different needs. So how do we Continue reading

Orthodontic Tips May 9, 2011

Orthodontic Tips May 9, 2011

When I am wrong, I am wrong!
Sometimes, when I’m right I’m also wrong.
We are only human. One time there was a retainer charge that shouldn’t have happened; once I promised porcelain braces and without checking, I put steel braces on. Stuff happens.
When I have been wrong I corrected the errors and moved on.
However, here is an example of when I was right, I was wrong anyway.
A teen-age woman had set her heart on modeling as a career choice. Her mom and I worked very hard at aligning her maxillary incisors for the big close up that might one day be on a billboard for all to see. Continue reading

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