Orthodontic braces are a familiar sight, especially among tweens and teens: metal brackets and wires attached to the front of the teeth for all to see. Now imagine the opposite: much the same hardware, but now positioned out of sight on the back of the teeth.
It's not your imagination: It's the latest development in orthodontic technology called lingual braces. Developed simultaneously by two orthodontists in Japan and Beverly Hills, these appliances are placed on the tongue or “lingual” side of the teeth rather than the traditional labial or “lip-side.”
Generally, lingual braces can correct any bite problem labial braces can. The difference lies in how each method does its job: Traditional braces exert pressure or “push” against the teeth, while lingual braces “pull” the teeth into better alignment.
So, why choose lingual over labial? For one, they're “invisible” to others: all the hardware is on the backside of the teeth, out of sight. They're also not as readily exposed to blunt force facial trauma, which can damage traditional braces (a driving impetus for the Japanese doctor to develop them for his martial arts patients, and his American counterpart for a law enforcement patient working in a rough area).
Patients may also prefer lingual braces over removable clear aligners, another popular tooth-movement option. Fixed lingual braces achieve the same quality of “invisibility” as removable aligners, but without the inconvenience of removing them as patients must with aligners for eating, snacking or cleaning.
They can, however, be costly, running 15-35% more than labial braces. Patients may also have difficulty adjusting to them because they can affect speech and tongue comfort. However, any discomfort and initial regret with choosing lingual braces tends to fade as most patients grow more accustomed to them after a week or so.
There's one other “perk” to lingual braces—unlike patients with traditional braces who have to wait for their removal to see the finished bite correction, patients with lingual braces get an unobstructed view of their progress all during wear. That can definitely boost morale during the long treatment period!
Lingual braces haven't been around long, so not every orthodontist offers them. But the list is growing, and there soon may be a provider near you for this new teeth-straightening alternative.
If you would like more information on lingual braces, 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 “Lingual Braces: A Truly Invisible Way to Straighten Teeth.”
About one American baby in 700 is born with some form of lip or palate cleft—and the percentage is even higher in other parts of the world. At one time this kind of birth defect sentenced a child to a lifetime of social stigma and related health issues. But thanks to a surgical breakthrough over sixty years ago, cleft defects are now routinely treated and repaired.
Oral and facial clefts happen because a child’s facial structure fails to develop normally during pregnancy. This causes gaps or “clefts” to occur in various parts of the mouth or face like the upper lip, the palate (roof of the mouth), the nose or (more rarely) in the cheek or eye region. Clefts can have no tissue fusion at all (a “complete” cleft) or a limited amount (an “incomplete” cleft), and can affect only one side of the face (“unilateral”) or both (“bilateral”).
There was little that could be done up until the early 1950s. That’s when a U.S. Navy surgeon, Dr. Ralph Millard, stationed in Korea noticed after reviewing a series of cleft photos that tissue needed to repair a cleft was most often already present but distorted by the defect. From that discovery, he developed techniques that have since been refined in the ensuing decades to release the distorted tissue and move it to its proper location.
This revolutionary breakthrough has evolved into a multi-stage approach for cleft repair that often requires a team effort from several dental and medical professionals, including oral surgeons, orthodontists and general dentists. The approach may involve successive surgeries over several years with dental care front and center to minimize the threat of decay, maintain proper occlusion (the interaction between the upper and lower teeth, or “bite”), or restore missing teeth with crowns, bridgework or eventually dental implants.
While it’s quite possible this process can span a person’s entire childhood and adolescence, the end result is well worth it. Because of these important surgical advances, a cleft defect is no longer a life sentence of misery.
If you would like more information on treatment for a cleft lip or palate, 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 “Cleft Lip & Cleft Palate.”
Ever since childhood, when her career as a model and actress took off, Brooke Shields has enjoyed worldwide recognition — through advertisements for designer jeans, appearances on The Muppet Show, and starring roles in big-screen films. But not long ago, that familiar face was spotted in an unusual place: wearing a nasal anesthesia mask at the dentist's office. In fact, Shields posted the photo to her own Instagram account, with the caption “More dental surgery! I grind my teeth!” And judging by the number of comments the post received, she's far from alone.
In fact, researchers estimate that around one in ten adults have dental issues that stem from teeth grinding, which is also called bruxism. (Many children also grind their teeth, but it rarely causes serious problems, and is often outgrown.) About half of the people who are teeth grinders report problems like persistent headaches, jaw tenderness and sore teeth. Bruxism may also result in excessive tooth wear, and may damage dental work like crowns and bridges; in severe cases, loosened or fractured teeth have been reported.
Researchers have been studying teeth grinding for many years; their findings seem to indicate that it has no single cause. However, there are a number of factors that play a significant role in this condition. One is the anatomy of the jaw itself, and the effect of worn or misaligned teeth on the bite. Another factor relates to changes in brain activity that occur during the sleep cycle. In fact, nocturnal (nighttime) bruxism is now classified as a sleep-related movement disorder. Still other factors, such as the use of tobacco, alcohol and drugs, and a high level of stress or anxiety, can make an individual more likely to experience bruxism.
What can be done for people whose teeth grinding is causing problems? Since this condition may have many causes, a number of different treatments are available. Successful management of bruxism often begins by striving to eliminate the factors that may cause problems — for example, making lifestyle changes to improve your health, creating a soothing nighttime environment, and trying stress-reduction techniques; these may include anything from warm baths and soft music at bedtime, to meditation and mindfulness exercises.
Several dental treatments are also available, including a custom-made occlusal guard (night guard) that can keep your teeth from being damaged by grinding. In some cases, a bite adjustment may also be recommended: In this procedure, a small amount of enamel is removed from a tooth to change the way it contacts the opposite tooth, thereby lessening the biting force on it. More invasive techniques (such as surgery) are rarely needed.
A little tooth grinding once in a while can be a normal response to stress; in fact, becoming aware of the condition is often the first step to controlling it. But if you begin to notice issues that could stem from bruxism — or if the loud grinding sounds cause problems for your sleeping partner — it may be time to contact us or schedule an appointment. You can read more about bruxism in the Dear Doctor magazine article “Stress and Tooth Habits.”
Getting a smile upgrade doesn’t necessarily require extensive dental work. You might be able to change your appearance for the better with teeth whitening.
This technique employs a bleaching solution that brightens dull enamel, the outermost layer of teeth. It isn’t a permanent fix, but if cared for properly your brighter smile could last two years or more.
Here’s what you need to know about this proven smile brightener.
Know your options. Enamel whitening is usually obtained in one of three ways: a dentist performing the procedure in-office; at home using custom trays created by a dentist; or at home with an over-the-counter whitening product. The in-office option is the most expensive—but since dentists use a stronger bleaching solution, your brighter tint may last longer and dentists can control the degree of whiteness better.
Know your preferences. That last point is important if you’re looking for a particular look. Teeth whitening can give you a dazzling “Hollywood” smile or one that’s a bit more subtle. It all depends on your lifestyle and personal preferences. Because of their advanced techniques and equipment, you may have better chances getting the look you want from your dentist rather than by doing it yourself.
Know your limitations. This type of teeth whitening won’t work if the staining originates within the teeth—for that you’ll need an invasive procedure only a dentist can perform. You’ll also want to be careful with any whitening if you have dental work like crowns, veneers or fillings: the bleaching solution won’t alter these materials’ color, which could make them stand out beside whitened natural teeth. And if you have diseased teeth and gums, those need to be treated first before any cosmetic procedures like whitening.
Teeth whitening is a great way to take years off a smile. Even if you plan to whiten your teeth at home see your dentist first for a complete examination and helpful tips on products and techniques.
If you would like more information on teeth whitening, 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 “Important Teeth Whitening Question…Answered!”
October is National Orthodontic Health Month, and the more than 18,000 members of the American Association of Orthodontists want you to know the importance of a good bite. Correcting a bite problem can do wonders for your health and well-being—and the added benefit of a more attractive smile can do wonders for your self-image and relationships.
Perhaps, though, you’re well past your teenage years and think you might be too old to consider having your teeth straightened. Not at all: Even if you’re a senior adult, you can still undergo bite correction as long as your overall periodontal health is sound.
But then why go through the effort and expense of orthodontic treatment? Here are 3 top reasons why correcting a poor bite is worth it at any age.
Improve digestion. As we chew during eating, our teeth turn food into digestible bits that our body can easily process for nutrients. Misaligned teeth, though, aren’t as efficient at this first step in the digestion process, causing less efficiency at retrieving nutrients along the way. Correcting your bite could therefore improve your digestion and your health.
Prevent dental disease. While you need to brush and floss every day to prevent tooth decay or gum disease, it’s a lot easier if your teeth are properly aligned. Crooked teeth are more prone to collect and harbor disease-causing plaque that can “hide” from brushing and flossing. Correcting your bite can make it easier to remove plaque, thereby decreasing your risk of a tooth-destroying infection and gum disease that can contribute to chronic inflammation in the body.
Renew your confidence. While the previous two therapeutic reasons are primary for orthodontic treatment, don’t discount the power of an improved smile. Gaining a more attractive smile can boost your confidence in social and business situations—which could change your life. Consider it the added “cherry on top” that accompanies better health and wellness when you correct your bite.
If you’re interested in a healthier life and a more attractive smile, see us for a complete orthodontic evaluation. Even if you’re an older adult, you may still be a good candidate for bite correction. And you might not even need to wear braces: depending on your condition, we may be able to correct your bite with clear aligners that are nearly invisible to others while you’re wearing them.
There are good reasons for improving your bite. The sooner you do, the greater the benefits to your health and confidence.
If you would like more information about orthodontic treatment, please contact us to schedule a consultation. To learn more, read the Dear Doctor magazine articles “Moving Teeth With Orthodontics” and “Orthodontics for the Older Adult.”
This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.