orthodontic

Expanding Your Palate

If you are an artist, your palatte may be very messy and colorful.  If you are a gourmand, then your palate describes your appreciation of smell and taste.  Anatomically, your palate as the roof of your mouth.

Some people have a narrow palate for a variety of reasons:

  • thumbsucking
  • pacificer use
  • low tongue posture
  • birth defects like a cleft
  • mouth breathing
  • unknown reasons

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Monday, March 1st, 2010 Braces, Education No Comments

When to Start Kids Braces?

Most of my Portland patients ask me when to start braces for their kids.  I have been practicing orthodontics in Portland since 1995 and so I have seen many of my pediatric dental patients grow up from infancy through their teens.

Some orthodontists recommend treating crooked teeth or teeth that do not occlude (bite together properly) in two phases or treatment steps.  The first phase usually starts around second or third grade and a second phase around sixth grade.

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Sunday, December 20th, 2009 Braces, Education, Esthestics, health No Comments

Super Orthodontic Wires

Moving teeth is a relatively simple matter.  Just push on a tooth with gentle force for a long time and the tooth will move.  Kids that suck their thumbs will move their teeth forward with their thumbs.

We move teeth with brackets glued to teeth and wires between them.  The trick to moving teeth orthodontically is to have the gentle forces continue for a long enough time.

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Sunday, December 6th, 2009 Braces, health No Comments

Invisible Braces for Teens

Invisalign allows teens to straighten their teeth without having to show any metal.  These are particularly good for spaced teeth.

This week, a patient from Gresham asked me what would be best for closing his spaced front teeth.

I told him that the Invisalign trays would cover up the spaces as soon as he put them in and make them look much smaller.

Advantages of Invisalign treatment:

  • nearly invisible

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Tuesday, November 3rd, 2009 Braces No Comments

When to Start Braces

Many parents comment on the number of kids in second or third grade who have some braces.

Treating with two phases of orthodontic care can usually be avoided.  Good evidence exists that most orthodontic treatment is best provided at one time as a pre-teen. 

However, there ARE times when early orthodontic treatment is useful.

Orthodontic problems that are best treated early:

  • lower front teeth that bite outside of upper teeth (a cross bite)

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Wednesday, October 21st, 2009 Braces, Education No Comments

Brushing Braces

One of the hardest things to do as an adolescent is to brush your teeth.  We give brushing instructions but when you have braces, it becomes much, much, much harder to do a good job.

Brushing teeth and especially brushing around braces requires attention to detail and taking enough time to do it well.  These are not traits that teens are famous for.

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Monday, July 27th, 2009 Prevention No Comments

Invisalign for Teens

More teens can be treated with Invisalign now.  Techniques for treating patients with more complicated orthodontic problems were recently discussed in a lecture near Portland.

Invisalign trays move teeth step by step by wearing a series of slightly different aligner trays that push teeth into new positions.

When Invisalign was first developed, it was directed only at adults.  Now teens can be treated and even be treated for significantly crooked teeth, even for teens whose teeth must be extracted.

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Monday, July 6th, 2009 Braces No Comments

Shark Teeth

A surprising number of children develop a double row of teeth, especially on the lower front teeth.  A six year old girl from Gresham saw me last week in my Portland office with just this condition.

Her mother was concerned that the permanent lower incisors would stay inside the lower primary (baby) incisors and look abnormal.  She called them “shark teeth”.

Although this usually happens with lower incisors, it can also occur with upper incisors or primary molars.

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Monday, April 20th, 2009 Braces No Comments