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Posts for tag: orthodontic treatment

By Kevin S. Midkiff, D.D.S. Family & Cosmetic Dentistry
December 30, 2018
Category: Dental Procedures
TheDangersofDIYBraces

Let’s say you’ve always wanted to have straighter teeth, and you’re wondering if it’s time to seek help from a dentist or orthodontist. So you search online and find a YouTube video called “Cheap easy braces!! Without going to the dentist!!!!!” Your instincts are screaming “NO,” but you can’t help wondering… could it really be worth trying?

First of all, in case all of the exclamation points didn’t clue you in, the teenager who made this video doesn’t have any medical or dental training whatsoever. And just to make it clear right now, there’s no such thing as do-it-yourself braces — at least, none that are safe or effective. But the real problem with this video — along with many others in the same vein — is that if you try out what they suggest, you can seriously harm your teeth.

Recently, the American Association of Orthodontists (AAO) issued a consumer alert about the use of so-called “gap bands” and other home remedies for straightening teeth. It was accompanied by a graphic picture of teeth that had been seriously damaged by placing a rubber band around them (one of the methods suggested in the video). The New York Times followed up with an item about a young man who lost both front teeth as a result of DIY orthodontics. And Seventeen magazine ran a story called “Why the DIY Braces Trend is Seriously SO Dangerous: DO NOT TRY THIS AT HOME.”

So we’ll add our voices to the chorus: Braces aren’t something you can do yourself. Seriously. Trust us on this.

Why not? Because it really does take quite a bit of training and experience to gain the necessary skill, knowledge and competence to move teeth safely. That’s why all practicing dentists successfully complete a four-year dental school program; orthodontists and other specialists have an additional three years of training on top of that. (And do you really think it would take seven years of training if it was easy?) We are familiar with the science behind moving teeth, and up to date on the best clinical practices. As medical professionals, that’s our job.

There is one tiny grain of truth in those videos: we do sometimes use elastics to move teeth. The difference is, we’re using them in safe and effective ways. We know, for example, that if an elastic band is placed around teeth the wrong way, it can work its way into the gums and destroy the ligaments and bone that hold the teeth in place. This can cause teeth to loosen and fall out.

So don’t be misled. If a promised treatment seems too good to be true, it probably is… even if it’s being touted on YouTube.

If you have questions about orthodontic treatment, please call our office to schedule a consultation. You can read more in the Dear Doctor magazine article “The Magic of Orthodontics” and “Moving Teeth With Orthodontics.”

By Kevin S. Midkiff, D.D.S. Family & Cosmetic Dentistry
September 01, 2018
Category: Dental Procedures
CorrectingaPoorBiteImprovesDentalHealthasWellasSmileAppearance

Overbites, underbites, crossbites—these are just a few of the possible malocclusions (poor bites) you or a family member might be experiencing. But no matter which one, any malocclusion can cause problems.

Besides an unattractive smile, a malocclusion makes it more difficult to chew and to keep the teeth and gums clean of disease-causing bacterial plaque. Thus correcting a malocclusion improves dental health; a more attractive smile is an added bonus.

This art of correction—moving teeth back to the positions where they belong—is the focus of a dental specialty called orthodontics. And, as it has been for several decades, the workhorse for achieving this correction is traditional braces.

Braces are an assembly of metal brackets affixed to the teeth through which the orthodontist laces a metal wire. The wire is anchored in some way (commonly to the back teeth) and then tightened to apply pressure against the teeth. Over time this constant and targeted pressure gradually moves the teeth to their new desired positions.

The reason why this procedure works is because teeth can and do move naturally. Although it may seem like they’re rigidly set within the jawbone, teeth are actually held in place by an elastic tissue network known as the periodontal ligament. The ligament lies between the tooth and bone and keeps the tooth secure through tiny fibers attached to both it and the bone. But the ligament also allows teeth to continually make micro-movements in response to changes in chewing or other environmental factors.

In a sense, braces harness this tooth-moving capability like a sail captures the wind propelling a sailboat. With the constant gentle pressure from the wires regularly adjusted by the orthodontist, the periodontal ligament does the rest. If all goes according to plan, in time the teeth will move to new positions and correct the malocclusion.

In a way, braces are the original “smile makeover”—once crooked teeth can become straight and more visually appealing. More importantly, though, correcting a poor bite improves how the mouth works, especially while eating, and keeping things clean. A straighter smile isn’t just more attractive—it’s healthier.

If you would like more information on correcting misaligned teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Moving Teeth with Orthodontics.”

By Kevin S. Midkiff, D.D.S. Family & Cosmetic Dentistry
February 28, 2018
Category: Dental Procedures
HowKathyBatesRetainsHerMovie-StarSmile

In her decades-long career, renowned actress Kathy Bates has won Golden Globes, Emmys, and many other honors. Bates began acting in her twenties, but didn't achieve national recognition until she won the best actress Oscar for Misery — when she was 42 years old! “I was told early on that because of my physique and my look, I'd probably blossom more in my middle age,” she recently told Dear Doctor magazine. “[That] has certainly been true.” So if there's one lesson we can take from her success, it might be that persistence pays off.

When it comes to her smile, Kathy also recognizes the value of persistence. Now 67, the veteran actress had orthodontic treatment in her 50's to straighten her teeth. Yet she is still conscientious about wearing her retainer. “I wear a retainer every night,” she said. “I got lazy about it once, and then it was very difficult to put the retainer back in. So I was aware that the teeth really do move.”

Indeed they do. In fact, the ability to move teeth is what makes orthodontic treatment work. By applying consistent and gentle forces, the teeth can be shifted into better positions in the smile. That's called the active stage of orthodontic treatment. Once that stage is over, another begins: the retention stage. The purpose of retention is to keep that straightened smile looking as good as it did when the braces came off. And that's where the retainer comes in.

There are several different kinds of retainers, but all have the same purpose: To hold the teeth in their new positions and keep them from shifting back to where they were. We sometimes say teeth have a “memory” — not literally, but in the sense that if left alone, teeth tend to migrate back to their former locations. And if you've worn orthodontic appliances, like braces or aligners, that means right back where you started before treatment.

By holding the teeth in place, retainers help stabilize them in their new positions. They allow new bone and ligaments to re-form and mature around them, and give the gums time to remodel themselves. This process can take months to years to be complete. But you may not need to wear a retainer all the time: Often, removable retainers are worn 24 hours a day at first; later they are worn only at night. We will let you know what's best in your individual situation.

So take a tip from Kathy Bates, star of the hit TV series American Horror Story, and wear your retainer as instructed. That's the best way to keep your straight new smile from changing back to the way it was — and to keep a bad dream from coming true.

If you would like more information about orthodontic retainers, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “Why Orthodontic Retainers?” and “The Importance of Orthodontic Retainers.” The interview with Kathy Bates appears in the latest issue of Dear Doctor.

By Kevin S. Midkiff, D.D.S. Family & Cosmetic Dentistry
May 20, 2016
Category: Dental Procedures
ARetainerHelpsyouKeepYourNewSmileaftertheBracesComeOff

It’s a big moment after months of wearing braces to finally get a glimpse of your new smile. The crooked teeth and poor bite are gone — and in their place are beautiful, straight teeth!

If you’re not careful, though, your new look might not last. That’s because the natural mechanism we used to straighten your teeth may try to return them to their previous poor positions.

Contrary to what many people think, teeth aren’t rigidly set within the jaw bone. Instead, an elastic, fibrous tissue known as the periodontal ligament lies between the teeth and the bone and attaches to both with tiny fibers. Though quite secure, the attachment allows the teeth to move in very minute increments in response to growth or other changes in the mouth.

Orthodontic appliances like braces or clear aligners put pressure on the teeth in the direction we wish them to move. The bone dissolves on the side of the teeth where pressure is being applied or facing the direction of movement and then builds up on the other side where tension is occurring.

The ligament, though, has a kind of “muscle memory” for the teeth’s original position. Unless it’s prevented, this “memory” will pull the teeth back to where they used to be. All the time and effort involved with wearing braces will be lost.

That’s why it’s important for you to wear an appliance called a retainer after your braces have been removed. As the name implies, the appliance “retains” the teeth in their new position until it’s more permanently set. For most people, this means wearing it for twenty-four hours in the beginning, then later only a few hours a day or while you sleep.

The majority of younger patients eventually won’t need to wear a retainer once bone and facial growth has solidified their teeth’s new position. Older adults, though, may need to wear one from now on. Even so, it’s a relatively slight inconvenience to protect that beautiful, hard-won smile.

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Importance of Orthodontic Retainers.”