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Chronic Health Conditions & Extra Dental Care [2019 FACTS]

Children with long-term health issues require special care. While you may carefully monitor your child’s health by attending extra doctor’s appointments and watching for new symptoms, you may be unaware of the effects that their condition has on their oral health. Many of the most common chronic health conditions that children face create changes in their mouth that require you to prioritize helping them pay extra attention to their teeth and gums.

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The Real Effects of Sugary Snacks on Teeth (EPIC FACTS)

What you eat can make a stark difference in preventing cavities from forming and reducing the number of dental procedures needed to correct problems with the teeth, gum, and jawbone. Sugary foods, including sugary snacks and beverages, can create dental problems for toddlers, children, teenagers, and adults. Persons wearing dental appliances such as expanders, braces, aligners, or retainers are even more vulnerable. These are orthodontic treatments designed to straighten crooked teeth and correct jaw misalignment.

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Devices that Speed-Up Treatment (Explained!)

Devices that Speed-Up treatment. The one similarity among many human beings is the fact that no one frowns upon the notion of a beautiful grin. The reality, however, is that not so many people are thrilled about having to use braces for years in order to attain a straight smile. For many adults and teenagers alike, receiving the news that orthodontic treatment may take as much as three years for you to notice results often tends to be a very bitter pill to swallow.

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woman thinking

5 Reasons Widely Spaced Teeth Impact Your Health

How Can Widely Spaced Teeth Impact Your Overall Health? Widely spaced teeth are a concern not merely for the vain or those overly concerned about their appearance. There are a number of serious concerns associated with widely spaced teeth, including Gingivitis, mouth sores, and tooth decay. In general, widely spaced teeth lead to the extra build up of bacteria including tartar and plaque. The impact of this can be severely life-damaging and, at the very least, highly inconvenient.

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TO PULL TEETH OR NOT?

teeth

TO PULL TEETH OR NOT?

At Gorton & Schmohl Orthodontics, we are passionate about our work and our commitment to non -extraction techniques have always been an important part of our practice. Our extensive experience treating adults as well as children has only reinforced this, since we can see the long term effects of different orthodontic treatments on not only the teeth, but the surrounding gums, bone and overall health.
There are 2 approaches to resolving significant crowding- make room so that the teeth can fit or remove permanent teeth so that the teeth don’t need to fit because they are not there anymore. Both approaches will result in the teeth looking straight and fitting together well, yet there are many other esthetic, health and patient experience issues that should also be taken into consideration…

A few points to consider:

1) Q: WHAT IF THEY ARE JUST BABY TEETH?

What about removing some baby canine teeth so that the front permanent teeth have room to line up better?

A: Removing the baby canine teeth is officially the path to a process called “serial extraction”. Sometimes doctors are not clear in communicating that after the baby canines get extracted, then next comes removal of the baby first molars (x4) so that the permanent canines can come in. Lastly, the PERMANENT first premolars (x4) need to be removed, since at some point the severe lack of space still needs to be addressed. The parents are always very happy with the “easy” solution to have great esthetic improvement in the straightness of the front teeth once those first baby teeth are removed, but they don’t realize that the path ends in removal of permanent teeth

2) FACIAL APPEARANCE LONG TERM

The normal pattern of aging is for the face to flatten and sag. The position of the front teeth and thickness of the lips influence the extent to which this will happen. Removing permanent teeth can lead to less support of the lips, creating a more flat profile. The effects of this are less obvious at the end of treatment in a young teenager, only becoming more apparent in the adult years.

3) OVERALL HEALTH LONG TERM

Yes, your mouth can affect your overall health!
Research studies are showing that the collapse of the dental arches can contribute to sleep apnea /snoring later in life, as the tongue has less space and gets pushed back towards the throat. This appears to be more prevalent for people who were treated with removal of permanent teeth or with headgear, as these both maintain or even further reduce the space available inside the mouth. While snoring can be viewed as a lifestyle concern, it can also be indicative of a more serious health concern such as sleep apnea. The pauses in breathing that happen with sleep apnea are correlated with heart failure/higher mortality rates after age 50.

4) THERE ARE DIFFERENT KINDS OF EXPANDERS

There are 2 different approaches expansion for young children (usually 2nd/3rd grade). One approach is to widen the middle part of the face (upper jaw, nose) and the other is to widen only the teeth and the bone immediately above the teeth that holds the permanent teeth.

In our office, we have a low dose CBCT 3D x-ray to determine which kind of expander would be best for each patient. For patients with a narrow airway on the x-ray and/or a history of relatively consistent snoring, we recommend the more comprehensive approach of expanding as much as possible. Otherwise, have the alternative of a slower, more customizable expander or we can use Phase 1 Invisalign for the expansion (no difference in fee and more patient-friendly). For patients needing a lot of upper expansions, we also provide a lower expander to make sure the teeth don’t get too far away from each other in a side-to-side direction. We have photos of our expanders on our website https://marinortho.com/making-space/

5) Q: WHAT IS THE PATIENT EXPERIENCE LIKE WITH EXPANSION?

a) FIRST APPOINTMENT (RECORDS): In our office, parents need not be concerned about our triggering a gag reflex- we no longer take impressions/molds for anyone, only scans (no radiation exposure with those). https://marinortho.com/itero-invisalign/

We also take photographs with a regular camera and a low dose digital 3D CBCT xray. With the xray, nothing goes inside the mouth, it just spins around, similar to a panoramic 2D digital xray that some dentists have.
Unless Invisalign will be used for the expansion, 2 little rubber bands called “separators” are flossed into the area between the last 2 upper teeth on each side. These can make the teeth feel a little bit sore for a couple of days and this can be soothed with either Tylenol or gentle vibration. https://marinortho.com/acceledent/

b) SECOND APPOINTMENT (EXPANDER): Unless Invisalign will be used for the expansion, the separators are removed and the upper expander is fit, adjusted, then “glued in” for the duration of treatment (usually 6-12 months). Since it can feel strange to talk/swallow for the first couple of days with the new expander, we do not do any activation that first appointment in order to minimize any soreness from tooth movement initially.

7) They can see exactly what the expanders look like on our website..

8) We do not charge for our consults – they can book online https://marinortho.appointlet.com/ or by phone 415-459-8006

Do Braces Make the Roots of Your Teeth Shorter?

makeupPeople are often concerned about root shortening (root resorption) when it comes to braces and Invisalign. With the use of modern orthodontic techniques, it is highly unlikely for a patient to experience any significant root resorption.

The Basics of Resorption

Research shows that for orthodontic patients, only 2% of them will finish treatment with root resorption that the eye can detect on an xray. Other studies indicate that some people are genetically more prone to root shortening. Other contributing factors can be a very long time in braces, pushing the teeth too hard, or trying to push the teeth too fast in the absence of acceleration techniques. Fortunately, a tooth can often withstand a significant amount of root resorption without having any long term symptoms. The literature reports that a root can lose as much as half of its length without having any impact on the person. Even people genetically predisposed to root shortening typically don’t lose more than 1/4 of the root length. That means that even though it is visible on the xrays, it is not a medical problem.

To minimize the incidence of root resorption, Drs Gorton & Schmohl focus on optimizing the treatment timing for each patient, to avoid having the braces on too long, they use the latest technology in gentle wires to move the teeth to keep the forces gentle, and they only move teeth more quickly if they have changed the surrounding environment with proven acceleration techniques such as Acceledent, Biolux, and/or PROPEL / microperforation. At the time of this writing, board certified Drs Jasmine Gorton and Bill Schmohl are the only orthodontic practice in the area offering all 3 of these innovative techniques to improve efficiency without increasing the concern about root resorption (as evidenced in our before and after records).

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

Teeth-friendly Fruits & Vegetables No. 3: Kiwi

kiwi

A Healthy Smile is a Happy Smile

You know how important your teeth are. You are faithful about flossing every day and brushing after every meal. You see your dental hygienist and visit the dentist’s office when you should. You eat the right kind of foods as well, such as kiwi, to protect your teeth from decay. No matter how well you take care of oral hygiene, orthodontic issues can still get in the way. If you are dealing with spacing problems, an overbite, or an underbite, an orthodontist can help.

Learn About Your Treatment Options

When you hear the word orthodontist, you think braces. There have been many advances in the field, providing you with more options. You don’t have to go the route of traditional braces with metal brackets and wires. You can consider Invisalign. Invisalign allows you to wear aligners that are clear at least 22 hours a day. They are custom-made for you and will shift your teeth into the proper position over time. The treatment time and cost is similar to traditional methods. Many patients prefer the clear aligners because they are removable and no one notices them while you are wearing them.

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

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