Tech Tips from Dr. Jasmine Gorton

Learn more about Dr. Jasmine Gorton and the changes we have made to the way orthodontics is practiced (especially with COVID-19). Some technologies are applicable to other areas of dentistry as well!

Gorton & Schmohl orthodontic patients were among the first worldwide to be treated with Invisalign for early expansion

Gorton & Schmohl orthodontic patients (including my son Kai) who were among the first worldwide to be treated with Invisalign for early expansion. We have found this technique to be effective, also more patient-friendly and hygienic than traditional expanders.

The demand for esthetic, comfortable orthodontic treatment appears to be on the rise across all age groups. Not surprisingly, parents’ perceptions of the types of appliances that are acceptable for their children
closely mirror their standards of esthetics for themselves. According to a survey by Rosvall and colleagues, clear aligners and lingual appliances are generally preferred, followed in order by ceramic appliances, ceramic selfligating appliances, and self-ligating stainless steel (including hybrid).

1 The same study found that esthetic appliances were acceptable to more than 90% of adults, while traditional stainless steel and metal self-ligating brackets were acceptable to only 55% and 58%, respectively.

 

Corona FAQ

Keeping Invisalign Clear Aligners Clean While Sheltering-in-Place

Dr. Jasmine Gorton and her son demonstrate the easiest way of keeping Invisalign clear aligners clean at home.

Corona FAQ

COVID-19 FAQs Specific to Gorton & Schmohl Orthodontics

When will Gorton & Schmohl Orthodontics start seeing patients?

As soon as it is safe to do so! We have been working hard with our administrative team managing rescheduling, mailing rubber bands, mailing aligners, answering questions, etc. All of our team, including our clinical assistants, are using this time for training such as technique courses for the orthodontic assistant permit certification. We don’t yet know when our building will be re-opened, but when it is, we plan to be available to you immediately and better than ever!

What additional safety precautions are in place for when the office reopens?

We want to make sure that you feel comfortable and safe in our office environment. We have been keeping up on the medical literature surrounding COVID-19 and will be implementing some additional precautions, at least for the short term:

  • Check in procedure: We have placed hand sanitizer by the self check in screen and will also be checking patients in vis verbal communication with our front desk. If you arrive early and/or we are not able to seat you immediately upon your arrival, you may wait in the outdoor courtyard downstairs or in your car and we can text you when ready.
  • Hospitality: Our hospitality stand with coffee, tea, etc as well as magazines, fidget spinners, video game joysticks and patient prize basket will be removed (sorry!)
  • Patient seating: We will modify our schedule to allow seating of patients with the 6 ft recommended “social distancing”.
  • We will maintain masks / gloves refreshed and in place, even outside of direct patient care

Keeping safe from Covid-19

What can Invisalign patients do while they are waiting for an appointment?

Keep moving forward in your aligners at your usual pace, trying to never have them out for more than 30 min at a time for meals. Our office is mailing aligners (and rubber bands when indicated). If you have not received your aligners within the time frame of your original appointment, this is because they needed to be re-designed to remove and / or delay the placement of attachments and/ or tooth reshaping in order to continue to move ahead with treatment with mailed aligners. Remote monitoring using cheek “retractors” is available via Dental Monitoring and/or Invisalign Virtual Care so that our doctors can continue to monitor your treatment closely.

What can Braces/ Expander patients do while waiting for an appointment?

Please avoid any hard or sticky foods! Hard foods can bend a wire causing discomfort and/or unintended tooth movement and can knock off 1 or more braces, which extends treatment. Sticky foods have a pulling action and can cause a wire to pull out and feel pokey and/or can pull braces off.  Preventing breakage is a key component to finishing treatment on time.  Please let us know if you need more rubber bands and we can mail them to you. If you have a question about your treatment, please use a spoon to move your cheek out of the way to send us a photo for our doctors to review ([email protected])

Has anyone working at the office tested positive for COVID-19?

Due to our strict pre-existing infection control procedures, prompt office closure and social distancing at the onset of the outbreak, it does not appear that any team member has contracted COVID-19. As always, any team member with symptoms of any illness is requested to stay home and the same is true for our patients.

Will there be Saturday/ Sunday appointments to “catch up” on delayed appointments?

Currently, our professional buildings are locked and without HVAC (heating and air conditioning circulating) on both Saturdays and Sundays. We do not feel that this is an optimally safe environment for patient care. We will see patients M-F during business hours as soon as we have access to the office, utilizing additional safety precautions mentioned above.

COVID-19 FAQs Specific to Gorton & Schmohl Orthodontics

Fluoridated Water & Your Child's Teeth in 2020 | QUICK FACTS 1

Fluoridated Water & Your Child’s Teeth in 2020 | QUICK FACTS

Fluoridated water. When it comes to the health and safety of your child, many parents wonder if it is safe for their kids to be consuming fluoridated water. And what type of toothpaste can and should be used so that their smile can be bright and beautiful. If you’re drinking town or city water, chances are pretty good that you are going to have fluoridated water. Fluoride is added to the water supply in an attempt to help the oral health of residents. In this post, we’ll show you the lowdown on fluoridated water and your child’s teeth. Let’s get going.

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woman thinking

Pediatric Orthodontist Training (Fact Sheet)

Pediatric Orthodontist training requires a great deal of dedication along with many years of training and practice. These specialists work hard to understand all areas of orthodontics and how to apply them to the special psychology and anatomy of children. Working with the young in any area can be exciting and challenging. A successful Pediatric Orthodontist should have a natural love for children as well as an interest in oral health and orthodontic procedures.

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At What Age Do [Baby Teeth] Normally Fall Out? 2

At What Age Do [Baby Teeth] Normally Fall Out?

baby teethAt what Age do Baby Teeth Normally Fall Out?

Also known as deciduous or primary teeth, these are the first set of teeth in the human development and that of other diphyodont mammals. In most cases, they develop in the embryonic stage but become visible during infancy. Each baby tooth normally appears at a specific time. For example, the first upper central incisor erupts between 8 and 12 months while the lower first molar erupts when an infant is between 14 and 18 months.

Baby teeth are functional for years, and a child can be able to chew just about anything. They, however, start to fall out when the permanent teeth are ready to sprout. Just like each baby tooth appears at its own time, the falling out is also systematic and gradual. The last one usually falls out when a child is between ten and twelve years. The timeline for sprouting and shedding can, however, be different for some kids.

When do Baby Teeth Fall Out?

The average age when a baby tooth starts becoming loose is five or six years. Some children begin shedding theirs as early as four years while others start late at seven years. It is quite normal, so no parent should be alarmed. If you need further affirmation of this, you can visit the nearest orthodontist. They can clarify the matter and make you feel at ease with your child’s teeth shedding situation. You can tell your child’s tooth is loose when you notice them touching it quite a lot. A kid is more likely to tell their parent as soon as they realize they have a wiggly tooth.

The first tooth to fall out, which is normally the first one to also appear, is the lower central incisor. This happens when a child is around six or seven years. It is closely followed by the upper central incisor. These two incisors can start getting loose at the same time. Your child will be tempted to touch them all the time, so it is essential to encourage them to wash their hands before doing so. Touching teeth with dirty hands can promote the spread of bacteria in the mouth and even cause infections.

The lateral incisors; both upper and lower, are usually the next teeth to fall out. These too can loosen at the same time, or one will do so slightly earlier than the other one. It usually happens between seven and eight yrs. Observe your child and know the right time to take them to a specialist like an orthodontist for removal.

The next fall out are the first molars. These might make it hard for your child to eat, so put them on foods that are easy to chew. Also, discourage them from trying to yank them out themselves as a broken tooth might result in more problems. If it, however, happens, make sure you take them to a specialist.

Second molars are usually the last ones to fall out just like they are the last ones to erupt. They too can make it painful for your child to eat, so make sure whatever they consume is soft enough. Observe the degree of looseness and when you are sure they are ready to be pulled out, take them to an orthodontist. If you do not know when the right time is, you can still take them to the specialist as soon as they become wiggly to get an estimated time of when the orthodontist can remove them.

Preparation for Baby Teeth Falling Out

  • Avoid giving your child drinks that are too cold or too hot. Their loose teeth are sensitive at this particular point, so drinks that are at extreme temperatures may cause irritation or pain.
  • Remind your child not to yank out any loose teeth. Explain to them that doing so will result in the broken root being more vulnerable to infection, thus causing pain. Once they understand, they will be more careful when touching the wiggly tooth.
  • Start giving your child soft foods as soon as you realize they have a wobbly tooth. They may find it hard to chew hard food, and if they try too hard, the wiggly tooth may be yanked out.
  • If your child gets to about eight years without any teeth falling out, take them to an orthodontist just to ensure all is well. X-rays will be used to assess such as situation.
  • If a loose tooth fails to come out, take your child to a specialist who will pull it out using specific tools.

How to Pull Out a Tooth

If you are going to pull out your kid’s baby tooth without the help of a specialist, follow these steps:

  • Wash your hands with soap and rinse them well
  • Wiggle the loose tooth back and forth to make sure it is ready to come out
  • If it is ready, twist it slightly, and it will come out
  • Examine the gums to ensure no tooth remains are stuck in the area
  • If you notice any redness the following day or your child complains of pain, book an appointment with your orthodontist immediately

Conclusion

Do not ignore a loose tooth and also encourage your child to always speak up whenever they realize one is wobbly. If you notice your kid is scared about their teeth being pulled out, you will have to regularly check them until all of them are pulled out at the right time. Failure to remove wiggly baby teeth will result in the permanent teeth being crooked, a problem that your child may have to deal with even when they are adults.

Fix Your Smile Today

Contact Gorton & Schmohl Orthodontics today to set up your consultation. There’s no reason to put off a visit to our helpful team of professionals. It is our goal to help you make the most of your smile.

Dr. Jasmine Gorton

Dr. Bill Schmohl

When your teeth are aligned properly and your jaw is flowing smoothly, you will find more reasons to flash those pearly whites every day. Let Gorton & Schmohl Orthodontics be your partner in good oral hygiene.

Gorton & Schmohl Orthodontics
900 Larkspur Landing Circle, Suite 200, Larkspur, California 94939 415-459-8006

 

Orthodontic Fact #6 The first braces were of a piece of flat metal in 1720. 3

Orthodontic Fact #6 The first braces were of a piece of flat metal in 1720.

braces

Align and straighten. That’s exactly what dental braces have been designed to do. In fact, the first pair were invented in the early 1700s, consisting only a piece of flat metal connected to the patient’s teeth by using several pieces of thread. Talk about a rustic look. Orthodontics has advanced significantly during that time, and today, achieving a healthy, Hollywood smile is within reach for people of all ages.

Causes of Imperfect Smiles

Malocclusion is the fancy medical term used by the orthodontist to describe teeth that are crooked or out of position. It’s not usually anyone’s fault. Often times, genetics play a role. Maybe your small jaw produced large, crowded teeth, or just the opposite with small teeth that drift inside a larger jaw. As a toddler, you may have sucked your thumb or had a pacifier in your mouth for too long, pushing teeth out of their proper position.

Whatever the case, your orthodontist is a highly trained professional whose mission is to align and straighten each patient’s teeth. What’s most encouraging are the wonderful advances in orthodontic materials and technology for braces.

Traditional Metal VS Modern Clear

Traditional metal wires with metal brackets are still useful in straightening teeth with more complicated orthodontic issues. Clear plastic aligners by Invisalign, however, have revolutionized the way in which we wear braces. They are removable, and almost invisible while wearing them, more comfortable and able to straighten teeth quicker than their old-fashioned silver cousins.

Invisible Aligners Go Ivy League

Invisalign has made such an impact to the profession of the modern orthodontist, that prestigious Harvard University began requiring its orthodontic grad students complete Invisalign certification before they received their diploma.

The highly skilled experts at Gorton & Schmohl Orthodontics can put everything into proper perspective, especially your smile. Make an appointment today!

Words of Wisdom No.3 - Clean your tongue 4

Words of Wisdom No.3 – Clean your tongue

tongue

When you use Invisalign, it is important to keep your tongue as clean as possible. You can easily remove Invisalign when you need to so that you are able to care for your teeth and tongue properly. If you want to have good oral health, you can ask your orthodontist to help you figure out a cleaning regiment that will be right for you.

An Unclean Tongue Can Lead To:

  • Bacteria
  • Plaque in Your Mouth
  • Bad Breath
  • Gum Disease

Bacteria

When you forget to brush your tongue, bacteria can start to form in your mouth. This bacteria can cause all sorts of problems. Whether you have braces or not, it is going to be necessary to keep your entire mouth clean. If you leave bacteria on your tongue, you could end up having to deal with more plaque in your mouth. This plaque can dull your beautiful smile, so you should be sure to brush your teeth up to the 3 times a day and make sure that your tongue is properly cleaned. You can enjoy the results of having a tongue and mouth that is well taken care of.

Bad Breath

If your tongue is not properly cleaned, you could develop a case of bad breath. By making sure that your tongue is cleaned correctly, your breath will be as fresh as possible. You can also avoid tooth decay if your tongue is cleaned on a regular basis and stop gum disease from starting too.

When you visit your orthodontist, be sure to ask him for tips on keeping your tongue clean. If you have braces, you should be sure to talk to a dental expert about the importance of properly caring for your teeth, tongue, and gums. You want to make sure that you have great overall dental health. Contact Gorton & Schmohl Orthodontics for reliable orthodontic services.