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October’s here! A month when we celebrate the beauty of fall, the taste of pumpkin spice, the fun of Halloween in Clarksburg, Gaithersburg, and Hagerstown, and the healthy smiles which orthodontic treatment makes possible!

Because October is Orthodontic Health Month, and it’s a great time to talk about how your orthodontist helps you create not just a more beautiful smile, but a healthier one. 

Straight, evenly spaced teeth are the visible benefit of treatment, but there are many health benefits which might not be quite as noticeable. Orthodontic treatment can:

• Help You Prevent Cavities and Gum Disease 

When teeth are crowded or crooked, it’s hard for your toothbrush and floss to reach all of the plaque which builds up on and between your teeth. The bacteria in plaque create acids which start to dissolve tooth enamel. And a very small hole in the enamel surface can grow until it becomes a cavity. 

Plaque and bacteria also irritate the gums. When you can’t remove plaque completely, your gums are at risk for gingivitis. This early stage of gum disease causes redness, tenderness, swelling, and bleeding. Left untreated, gingivitis can develop into more serious gum disease. 

And, over time, plaque hardens and becomes tartar, which needs to be removed by a dental professional.

When your teeth are straight and evenly spaced, brushing and flossing are both easier and more effective, helping you keep your teeth and gums healthy and plaque-free.

• Create a Better Bite

For a healthy bite, your teeth and jaws need to align correctly. The top teeth should slightly overlap the lower teeth, and the ridges of your upper molars should fit smoothly with the grooves of your lower molars. 

Malocclusions, or bad bites, can come in many forms, including overbites, underbites, open bites, cross bites, and overjets. A bad bite is bad for your dental health. Malocclusions can cause tooth grinding, worn enamel, and even cracked teeth. 

And bad bites don’t just affect your teeth. When your bite doesn’t align properly, you might suffer from problems such as headaches, jaw pain, indigestion, and sleep apnea. 

Orthodontic treatment creates a healthy, symmetrical, and pain-free bite.

• Improve Your Self-Confidence

We can’t forget the invisible health benefits of orthodontic treatment! Your smile is a gift which you share with the world. But if you’re hesitating to smile because of self-consciousness about your teeth or bite, orthodontic treatment can make a world of difference.

Dr. Groisser can help you achieve straighter teeth, a bite which fits together properly, and, when malocclusions affect jaw symmetry, a more balanced facial profile. If you’re concerned about the appearance of your smile, ask Village Orthodontics for an orthodontic consultation. Today’s technology can even let you see what your future smile will look like!

Modern orthodontic treatment is more effective and takes less time to complete than ever before. And orthodontics offers patients of all ages more benefits than ever before: 

• New types of braces are less noticeable and more comfortable than older styles. Smaller brackets, brackets which blend with tooth enamel, clear aligners, and lingual braces give you a variety of options to customize your treatment.
• Early orthodontic treatment can guide jaw growth in younger children. 
• Appliances can help with jaw alignment in older children, or, for more serious malocclusions, an orthodontist can coordinate treatment with an oral surgeon.
• Treatment isn’t limited to the teen years. Adults make up a large and growing number of orthodontic patients. 

If you’ve been considering orthodontic treatment, October—or any month!—is a great time to schedule a visit with an orthodontist. An orthodontic evaluation will let you know just what your orthodontist can do to help you create a beautiful and healthy smile.

Orthodontists and dentists use advanced procedures to treat and save teeth. But sometimes, a tooth just can’t be saved and needs to be extracted. Sometimes it’s due to extensive decay, or infection, or serious injury. Or sometimes, to create a healthy bite, an extraction is necessary during orthodontic treatment.

When does an orthodontist recommend an extraction? Conditions which call for extraction include:

• Incoming Wisdom Teeth

Not many people have enough space in their mouths for four wisdom teeth! And when there’s no room to erupt properly, wisdom teeth can become decayed or infected, push your other teeth out of place, and damage the roots of nearby molars. Extracting wisdom teeth protects your teeth and your bite alignment.

Usually, orthodontic treatment takes place before the wisdom teeth begin to erupt. But if yours start to make an appearance during treatment, your orthodontist and dentist will work together to schedule extraction without interfering too much with your orthodontic treatment plan.

• Tooth and Jaw Structure

Dr. Groisser and the team at Village Orthodontics carefully plan your treatment based on examinations, X-rays, and/or 3D imaging. The goal is to align your teeth and jaws for an attractive smile and a healthy, functional bite. When overcrowding is severe, or if there is a serious malocclusion (bite problem), or if a particular tooth is unusually large or misshapen, your orthodontist might recommend an extraction.

Sometimes more room can be made for teeth with appliances such as palatal expanders or, in other cases, with the help of oral surgery. Extractions are only recommended when they are absolutely necessary.

• Baby Teeth Which Aren’t Coming Out 

Baby teeth normally fall out in a predictable pattern. Front teeth first, canines and molars last. Baby teeth have small roots, and these roots begin to break down when the adult teeth underneath put pressure on them as they start to erupt. As the root gets smaller and smaller, the baby tooth gets looser and looser—until it falls out. 

Sometimes, though, the roots of primary teeth don’t break down, and the baby teeth stay right where they are. This means that the permanent teeth have to erupt someplace else—usually behind those baby teeth. This creates a double row of teeth, and your permanent teeth can become crooked or overlap as they try to fit in. Extracting stubborn baby teeth allows your adult teeth to come in just where they’re supposed to. Because of their small roots, extracting primary teeth is usually simple and straightforward, and can be done in your dentist’s office. 

• Too Many Teeth

Most of us have 32 adult teeth, including wisdom teeth. It’s rare, but sometimes an extra, or supernumerary, tooth develops. Your jaw is most probably not equipped to accommodate any extras, so, in this case, the extra tooth or teeth are removed to give the rest of the teeth the space they need to avoid overlapping or crowding.

When your orthodontist recommends an extraction, it’s because it’s important for your dental health. Dr. Groisser will refer you to a dentist or a specialist like a periodontist or oral surgeon, who will: 

• discuss the extraction procedure with you, including sedation options
• numb the area 
• gently loosen and then extract the tooth
• provide options for pain management after the procedure
• give you detailed instructions for aftercare
• work with your orthodontist to keep your treatment on schedule

Extraction is never your first choice, or your orthodontist’s! But when an extraction is necessary for tooth and bite alignment, everyone at Village Orthodontics in Clarksburg, Gaithersburg, and Hagerstown will coordinate a treatment plan to create your best—and healthiest—smile.

Great question! Tooth movement is your body’s natural response to light pressure applied by braces over a period of time (usually two years). Braces work by using brackets that are glued onto your teeth; these brackets have small slots, and that is where Dr. Groisser and our team insert orthodontic wires. These wires are held in place by small elastic ties that fit around the brackets. As time passes during your treatment, these wires apply pressure on your teeth, which sets in motion the movement of your teeth into their desired positions. Each of your teeth has a different size and shape to them, as do the brackets. Each bracket is custom-made for the particular tooth on which it’s supposed to fit.

Not long ago, orthodontists had stainless steel wires and that was about it. Today, however, we have a number of different high-tech wires at our disposal to move your teeth faster and more comfortably.

When you first get your braces on, the first wire or two will typically be very flexible, but still strong enough to apply a constant force on your teeth. As your teeth straighten out over time, however, Dr. Groisser will use progressively thicker and firmer wires to help move your teeth in place for an ideal bite.

Every time you visit our office for an adjustment, we will swap out the wires in order to keep putting pressure on your teeth, which is why it’s so important for you to keep your adjustment visits during your treatment. Most adjustment appointments are scheduled four to eight weeks apart to give your teeth time to move.

As for rubber bands and elastics, most of our patients will need to wear elastics or rubber bands at some point during their treatments. These elastics typically go from one or more of the upper braces to one or more of the lower braces, and pull on your teeth to move them in the direction they need to move in order to achieve an optimal bite.

If you have any questions about wires, brackets, or elastics, or have any general questions about your treatment, please give us a call at our Clarksburg, Gaithersburg, and Hagerstown office.

Orthodontic treatment should begin earlier than most parents are apt to assume. According to the American Association of Orthodontists, orthodontic treatment should start at around seven years of age.

Dr. Groisser can evaluate your child’s existing and incoming teeth early on to determine whether treatment might be necessary or not.

What is early orthodontic treatment?

Early orthodontic treatment usually begins when a child is eight or nine years old. In stage one, bite problems such as underbites and the jaw’s growth pattern are corrected. It can also help to make room in the mouth for the permanent teeth to take their proper places as they come in, which reduces the chance that the patient will require extractions later, due to overcrowding.

Does your child need early orthodontic treatment?

If you notice any of the following characteristics in your son or daughter, you may want to have a chat with Dr. Groisser.

• Early loss of baby teeth (before age five)
• Late loss of baby teeth (after age five or six)
• Your child’s teeth do not meet properly or at all
• Your child is a mouth breather
• Front teeth are crowded (you probably wouldn’t see this until your child is about seven or eight)
• Protruding teeth, typically in the front
• Biting or chewing difficulties
• A speech impediment
• Your child’s jaw shifts when he or she opens or closes the mouth
• Your child is older than five years and still sucks a thumb

What are the benefits of seeking orthodontic treatment early?

There are many benefits to early orthodontic treatment. One of the biggest is that, because a child’s jaw and bones are soft and pliable, corrective procedures such as braces can work much faster than they do for adults.

Treatment at our Clarksburg, Gaithersburg, and Hagerstown office can enable your child to avoid lengthy procedures, extraction, or surgery in adulthood. Early orthodontic care will give your son or daughter a healthy, stable smile.