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Are there alternatives to having teeth removed for braces? 1

Are there alternatives to having teeth removed for braces?

teeth removed

LAST UPDATED: MAY 29, 2018

Are there alternatives to having teeth removed for braces?

If you have ever had to have a tooth pulled for any reason, you already know why so many orthodontic patients are keen to avoid this experience in their treatment!

In fact, this is one of the first questions many nervous new orthodontic patients have. “Will I have to have any teeth pulled?” The moment they ask this question, it is easy to see they are hoping to hear a resounding, “No!”

But the truth tends to fall somewhere in between. A variety of factors can influence the best treatment approach, including the patient’s age, the degree of tooth overcrowding, other issues (such as bite asymmetry) that need attention, whether dental surgery is an option and similar considerations.

In this article, let’s take a closer look at the orthodontic treatment alternatives available to minimize or avoid the need for tooth extraction.

FAQ

What Is The Damon System of Braces?

One of the most popular new types of orthodontic treatment is called The Damon System. This system has a proven ability to deliver optimal results in shorter treatment times with no need for tooth extraction.

The Damon System can be applied with traditional metal or clear hardware with optional colors for young patients who wish it. This lightweight, yet powerful, system is simple and streamlined to minimize discomfort and treatment duration.

What Is The Invisalign System of Aligners?

The Invisalign System offers a complete alternative to the use of braces for orthodontic treatment. Instead of metal or clear hardware, Invisalign turns to a series of clear aligners that are similar to mouth guards or retainers. They are slim, lightweight, fully removable for cleaning or special occasions and easy to use.


Invisalign is available for teen and adult patients. Except in cases where there is damage to a tooth that makes it unsalvageable (such as severe decay) or in situations of extreme tooth overcrowding at a later age, Invisalign typically minimizes the need for tooth extraction.

Similar to how the Damon System works, Invisalign aligners can actually help to expand the jaw. By placing pressure strategically on the jaw and tooth system itself, the aligners can help encourage the jaw to grow new bone and thus make room for teeth affected by overcrowding. This can eliminate the need to extract any teeth.

What Is Tooth Slimming?

Tooth slimming is another orthodontic technique that can help to minimize or avoid the need for extracting teeth. Sometimes, the reason why teeth are crowded in the mouth has to do with jaw size, and sometimes it has more to do with tooth size.

In the cases where teeth width is contributing to overcrowding, it is often possible to slim down the responsible teeth by shaving minimal portions from each side. This can give all teeth more room to grow in comfortably without having to extract any teeth.

What is most important to understand about this is that tooth slimming typically occurs over time anyway as the patient ages. Just the process of chewing, brushing, flossing and other activities will cause the type of tooth friction that can aid in slimming.

But sometimes natural slimming is still not enough or there isn’t an option to wait until it happens naturally and still achieve orthodontic treatment results. In these cases, manual tooth slimming is a good second choice to avoid tooth extraction.

What Is A Palate Expander?

For younger patients (aged 16 or younger), a palate expander can often provide a smooth path to avoid tooth extraction. The palate expander works to widen the palate before it hardens into place (which commonly happens around age 16). This makes room for teeth to grow in without as much risk of overcrowding.

Will I Need Dental Surgery?

For patients who are quite averse to tooth extraction regardless of need, sometimes dental surgery can achieve the same results. Dental surgery is, of course, invasive in a different way, but it also avoids some of the unknowns that extracting a tooth can create.

In most cases, dental surgery will have one of two aims: to either move the top row of teeth back in the mouth or to move the bottom row of teeth forward.

What Are Temporary Anchoring Device (TAD)?

Finally, the TAD is yet another option to potentially bypass tooth extraction. This technique secures one or more critical teeth in place using a small implant under the gemlike.

With the help of these implants, it becomes easier to control jaw alignment and ease overcrowding issues into adulthood.

Contact Gorton & Schmohl Orthodontics

Dr. Jasmine Gorton, Dr. Bill Schmohl and Dr. Sona Bekmezian are the team behind the “WOW Smile” that Gorton & Schmohl Orthodontics has become known for. As a Top 1% Provider (Aligntech) and #1 Marin Country Orthodontic practice, Drs. Gorton, Schmohl and Bekmezian focus on so much more than just your appearance goals. They bring to bear the very latest in cutting-edge orthodontic treatment in identifying how to deliver optimal oral health and a white, straight smile with the least treatment time and cost.

All three orthodontists are board certified by the American Board of Orthodontics. As a team, they are each and all together innovators who are active on the front lines of research, as well as teaching and mentoring the next generation of orthodontic practitioners and giving back to the community.

In Marin County, Calif., you can visit Gorton & Schmohl Orthodontics to have an examination and treatment from these professionals:

• Dr. Jasmine Gorton
• Dr. Bill Schmohl
• Dr. Jeff Nichelini

An orthodontist will discuss orthodontic options with you to repair problems such as crowded teeth, crossbites or overbites. Depending on your malocclusions, you can wear one of these devices:

• Retainers
• Invisalign
• WildSmiles
• Braces with colors
• Traditional or Damon Clear

We also offer WowSmiles and Acceledent options to our orthodontic patients. Schedule an appointmentby calling 415-459-8006 today.

Gorton & Schmohl Orthodontics
900 Larkspur Landing Circle,Suite 200 Larkspur CA 94939 Tel: (415)-459-8006

Three Reasons Your Orthodontic Braces Are Still On 3

Three Reasons Your Orthodontic Braces Are Still On

Perfect SmileThree Reasons Your Orthodontic Braces Are Still On

One of the worst parts about having braces is not the pain necessarily as much as it is the time. After your kids receive their braces, the next question they will most likely ask is, “When do I get these off?” Unfortunately, they usually don’t like the answer.

One way to help stave off the potential disappointment you may see in their faces is to explain to them the benefits of having braces in the first place. Telling them that their smile will become clearer and their teeth healthier should make them feel better.

In addition, try to remind them of why they have braces in the first place. Particularly if they have to have them on for an extended amount of time, they may be confused as to why. If that arises, here are a few reasons you can tell them.

1. Your Treatment Plan Doesn’t Align With What’s Happening In Your Mouth

Generally speaking, orthodontist visits are around once a month – possibly more, if the orthodontist feels they’re necessary. Between visits, however, things can happen inside your mouth that prolong the amount of time the braces will have to stay on, such as wisdom teeth coming in or a cavity inside one of the teeth. In some cases, a tooth that needed to be extracted and wasn’t will push into the braces and cause them to fall out of alignment. This can delay the process considerably as the doctor will then need to take care of the issue and reset the braces.

Make sure you tell your orthodontist whenever you notice something out of place. Next to your child, you’re the one who sees their mouth more than anyone else, so ask questions and remind them to tell you if they feel something strange. The second they communicate something remotely noteworthy – even if you think it’s nothing – call your orthodontist to communicate what happened.

Here are a few other things you can do to help ensure your child’s schedule stays on track:

  • Never skip appointments. If you have to skip, for whatever reason, call as soon as you know and try to get another appointment as close to the original as you can.
  • Schedule your appointments somewhat close together. Any more than a month or two between appointments is too long for your orthodontist to stay on top of your progress unless they specifically say otherwise.
  • Follow the instructions that the orthodontist gives you in the take-home packet. Make sure you’re wearing your rubber bands, avoiding difficult candy, or anything else they’ve advised.
  • Be on time for all appointments. If you’re late, the doctor may have to push you back a little bit to make time for other appointments, or even reschedule if it gets too bad
  • Do all work on time. If your orthodontist says something needs to be removed or fixed, get it done as quickly as possible.

2. How Well Your Child’s Mouth Takes to the Braces

Not everyone reacts to braces the same way. Some people’s teeth move freely, shortening the amount of time the braces will have to stay on, while others’ are more stubborn, prolonging the treatment indefinitely. When an orthodontist tells you that it will take a certain amount of time, they are making the best approximation of that timeline based on what they see in your child’s mouth and their experience dealing with other patients.

Still, problems can crop up during the treatment that also lengthens the amount of time braces could stay on. Ankylosis, for example, is a condition that keeps your teeth from moving as much, which normally would be a good thing except it combats the very thing that braces are trying to accomplish. TMJ problems can be caused by arthritis and can also inhibit progress.


Ultimately, it boils down to how well your child’s body responds to the treatment, which can change wildly from person to person. Although your orthodontist may suggest a timetable of six to twelve months, if they expect at the outset that it will take longer, be prepared to wait at least that amount.

3. The Original Plan May Be For Longer Than Normal

What looks abnormal to you and your child may just be the plan all along according to your orthodontist. During the initial evaluation, your orthodontist will examine the jaw structure, teeth strength, and other factors to determine how long the braces should stay on. They will need to gather as much data as possible to make an approximation, but it could be longer depending on what they see.

Keep in mind too that when your orthodontist is making their evaluation about your child’s braces, they are not only trying to correct smiles and straighten teeth, they’re also looking to offset long-term health issues that they see may be a problem down the road. For that reason, the timetable can fluctuate, but as long as you’re doing what you’re supposed to in regards to your children’s teeth, your orthodontist will keep up their end of the bargain as well and help create a beautiful smile.

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

What is the Best Age for My Child to See an Orthodontist? 5

What is the Best Age for My Child to See an Orthodontist?

What is the Best Age for My Child to See an Orthodontist? 6

What Is the Best Age For My Child To See an Orthodontist?

Seeking Early Orthodontic Treatment For Your Child Is Essential

When you are a parent, you probably want to know the best age for your child to visit an orthodontist for an evaluation. In the past, experts recommended waiting until a child was older, but today, orthodontists suggest an earlier evaluation to determine if a child has facial or mouth abnormalities. If a child has a problem with her palate or jawbone, then it is easier to repair the abnormality when she is younger. As children become older, their bones are harder, making it more difficult to change the growth patterns of a jaw or palate.

Having Straight Teeth Will Improve Your Child’s Overall Well-being

In addition, if you notice that your young child has malocclusions of her primary teeth, then she will have a poor bite. Having a poor bite at a younger age indicates that the permanent teeth will also be misaligned, and a bad bite can make it difficult for your child to chew food or speak properly. In many cases, bad bites and tooth malocclusions are genetic, and if you or your older children had these problems, then a younger child may also have misaligned teeth.

Congenital Abnormalities Can Require Early Orthodontic Treatment

When your child has a congenital condition in her mouth, visiting an orthodontist at an early age is essential. Congenital conditions of the face and mouth such as a cleft lip or palate can require extensive orthodontic treatment at a young age. If your child has a growth disorder, then her jawbone may need treatment with headgear or expanders to create a larger mouth that is big enough for the majority of her adult teeth.

Bring Your Child To an Orthodontist When She Loses Her First Primary Teeth

According to several orthodontic associations, having a child’s teeth and oral cavity examined by the age of 7 is necessary. At this age, a child is typically beginning to lose some of her primary teeth and a few of her permanent teeth are erupting. An orthodontist can collect X-rays of your child’s face and mouth to determine if the erupted teeth are healthy and also, you can learn more about the tooth buds that are still in your child’s gums.

Prepare Your Child For Her First Orthodontic Visit

Bringing a younger child to an orthodontist might seem like a frightening experience for her, so you should make sure to prepare in advance by talking about the appointment. You can bring your younger child to an older sibling’s appointment so that she will learn what occurs at the orthodontic facility. It is important for older siblings to avoid telling your young child any horror stories that will make her nervous.

The Orthodontist Will Examine Your Child’s Teeth

The office staff and hygienist will make your child feel welcome, and there is often a fun area in the orthodontic facility that is designed for children who need to wait for an appointment. If an orthodontist finds problems with your child’s oral cavity or teeth, then she might need to begin treatment right away, or alternatively, the orthodontist may recommend waiting until more of her permanent teeth erupt.

What Are the Different Types Of Malocclusions?

Children can have an assortment of malocclusions, including:

  • Overlapping teeth
  • Wide spaces between teeth
  • Crossbite
  • Overbite
  • Impacted teeth
  • Abnormally shaped teeth
  • Extra teeth
  • Missing teeth

If your child requires braces, then the devices are customized to fit properly while the items apply pressure against the teeth.

What Type Of Braces Can Children Wear?

An orthodontist can help you plan your child’s orthodontic treatment. Young children must wear braces rather than using aligners to straighten their teeth. The most affordable option for children is traditional metallic braces that have steel wires and brackets. However, some children want to wear brightly colored wires and fancier brackets that have designs. It is also possible for children to have lingual braces that have brackets that are fastened to the backs of their teeth.

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

6 Things You Need To Know Before You Get Invisalign 8

6 Things You Need To Know Before You Get Invisalign

Invisalign Can Be Your Perfect Solution To A Healthy Smile

Whether you are a teenager getting braces for the first time, or an adult who wants to fix their smile, Invisalign is a great choice for you. There are a few things you should know about Invisalign before you get started.

invisalign info

 

WHY SHOULD I FEEL CONFIDENT ABOUT INVISALIGN?

invisalignIn the course of exploring all the different options, there are for straightening your or your children’s teeth, you’ve most likely heard about Invisalign. This revolutionary system is a great alternative to traditional wire braces. The use of wire hardware to straighten teeth is notorious for its discomfort and impracticality. Not only that, but it also carries the possibility of other, more serious problems, such as plaque build-up, tooth/bracket breakage or even tooth loss, due to decay from not being able to clean your teeth properly under the wire obstruction.

Read More

WHAT HAPPENS AFTER INVISALIGN TREATMENT IS COMPLETED

invisalign

Whether you are considering Invisalign treatment or are already a patient, you may have questions about what happens once treatment is finished. To maintain the beautiful new smile you have invested in there are some additional steps and ongoing care. The aftercare process and continued treatments best for you or your child will be determined in consultation with your orthodontist, but there are some basic things you should know.

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WHAT ARE THE DISCOMFORTS ASSOCIATED WITH INVISALIGN?

invisalign Invisalign is an orthodontic set of teeth aligners that exert pressure on the teeth making the teeth to move into a different position. Many people who opt for Invisalign over braces report both positive and negative effects. While teeth aligners are viewed by many people as better treatment options for people with various teeth conditions, patients often experience certain discomforts when they use this form of treatment.

Read More

ARE TRADITIONAL BRACES CHEAPER THAN INVISALIGN?

invisalignA smile is beautiful, and you will feel more confident about it when you have straight teeth. Only an orthodontist can tell you exactly what treatment is right for your teeth, but there are two basic choices in braces: traditional metal braces or clear Invisalign braces. While the cost is generally comparable, it may depend on a number of factors including the length of time you will wear the braces, geography, complexity of issues, whether you have dental insurance, and how much the insurance will cover. First, however, you need to know about the similarities and differences between the two main types of braces.

Read More

WHAT IS INVISALIGN AND HOW DOES IT WORK?

invisalign

Crooked teeth might seem like a minor cosmetic issue, but if they go untreated, they can turn into a big problem in the future. For better or for worse, people judge others by their appearance, and crooked teeth can make it harder to land a job or get a date. Many people also feel self-conscious about their crooked smile and avoid laughing or talking for fear that others will judge them. If you’re concerned about your child’s crooked teeth (or even your own), there are plenty of options available for straightening them. One popular option is Invisalign. Not sure what Invisalign is or how it works? Keep reading to find out.

Read More

HOW IS INVISALIGN DIFFERENT FROM TRADITIONAL BRACES?

invisalign

Invisalign is a dental correction method that realigns teeth without the need for metal fixtures, brackets, or braces. The Invisalign system employs custom designed, transparent, and removable alignment fixtures. Traditional braces can be endearing, especially on children and teens. Most adults, however, don’t like the aesthetic of clunky metal fixtures attached to their mouths. Invisalign conversely is barely detectable and complements the smile while improving it. Invisalign offers additional benefits, which make this correction procedure a great option according to orthodontists.

Read More

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

 

Can I consider further treatment if I’m not satisfied with my smile after [braces are off]? 10

Can I consider further treatment if I’m not satisfied with my smile after [braces are off]?

braces

LAST UPDATED: APRIL 24, 2018

Can I consider further treatment if I’m not satisfied with my smile after braces are off?

When you approached your orthodontist about braces or Invisalign, you did it because you want a straighter, prettier smile. You want more confidence, and you want to fix what you perceive are imperfections in your mouth. It’s not unreasonable, and your orthodontist was likely very happy to help you choose a solution to fix your smile. Your ortho explained to you your smile would not be 100% perfect following the use of either method, but that your smile would be better.

Now your braces are off or your Invisalign needs are no more, and you’re so excited to see the final result and your new smile. Unfortunately, you’re not entirely satisfied. You thought it would be better. You envisioned it differently in your mind. Your ortho’s warnings fell on deaf ears when you assumed some people might not like their results, but your smile would surely turn out perfect. It happens, and it happens more than you imagine. What can you do about it?

FAQ

What Options Do You Have?

If you wore braces and want to discuss the use of Invisalign with your ortho once you’re dissatisfied with your smile, you might be disappointed. Brackets and aligners work the same way to straighten your teeth. The only difference is one is affixed permanently to your teeth while it does the work and the other is removable. You might not get the option to use one after the other failed to provide the results you were hoping for because that’s not how it works in every situation.

You do have options, however. You can speak to your ortho about how you feel. Discuss in-depth what it is about your smile you’re not satisfied with, and see what options are available. There might be other issues you’re concerned with, and you might find there are options available to help you further appreciate your smile such as continuing the same treatment method or contacting a cosmetic dentist.

If it really is the straightness of your teeth that didn’t change as you were hoping, your doctor might allow you to put the brackets back on to keep straightening them. There are some occasions when your brackets simply came off too early and left you without the intended results. If you used aligners incorrectly, you might need them longer. It’s easy to do this with aligners as they are so easily removable. If you don’t follow the ortho’s usage instructions, you might find you don’t like your results.

Cosmetic Dentistry

If your teeth are straight but there are other issues upsetting you, your ortho might recommend you see a cosmetic dentist. Some people realize when their teeth are finally straight it’s the size, shape, or even size of their gums they don’t like. Some people realize their teeth just aren’t very white. Other people want more options. A cosmetic dentist can enhance your ortho’s work by allowing you to get the shade of white you desire or by changing the shape of your teeth.

Teeth Move Over Time

Another problem some people face is the realization their teeth are crooked once again as they get older. The simple fact is teeth shift over time, and this is a real problem. If you get older and notice your teeth are shifting back into a crooked place, you can call your ortho to discuss the problems. Some people end up wearing brackets or aligners a second time later in life. There is nothing wrong with this, and it’s not the fault of the ortho or even your own fault it happened.

You might not even notice your teeth are shifting over the years until your ortho mentions it at an appointment. He or she might use this opportunity to discuss your oral healthcare needs and suggest correction methods you can use. You probably don’t want to go through this again, but your straight smile might be worth it in the long run.

Listen to Your Ortho

You just never know if you’ll be entirely satisfied with the results of any straightening techniques. You spend months wondering what your smile will look like as you wear brackets or aligners, but you just don’t know until they come off. If you’re not satisfied, you do need to ask yourself if this is your own fault. Did you follow instructions? Did you see the ortho every time you were scheduled? Did you care for your aligners and wear them as you were instructed?

If you listen to your ortho carefully, you can increase the chances of liking your new smile when your brackets come off. Don’t panic if you don’t. Talk it through, be honest, and ask what options are available to you. Most people find there are additional techniques available to them that work, and few people are left completely dissatisfied.

Schedule an Orthodontic Examination in Larkspur Today

In Marin County, Calif., you can visit Gorton & Schmohl Orthodontics to have an examination and treatment from these professionals:

• Dr. Jasmine Gorton
• Dr. Bill Schmohl

An orthodontist will discuss orthodontic options with you to repair problems such as crowded teeth, crossbites or overbites. Depending on your malocclusions, you can wear one of these devices:

• Retainers
• Invisalign
• WildSmiles
• Braces with colors
• Traditional or Damon Clear

We also offer WowSmiles and Acceledent options to our orthodontic patients. Schedule an appointment by calling 415-459-8006 today.

Gorton & Schmohl Orthodontics
900 Larkspur Landing Circle,Suite 200 Larkspur CA 94939 Tel: (415)-459-8006

Can I consider further treatment if I’m not satisfied with my smile after braces are off?

female celebrating

Are there alternatives to having teeth removed for braces?

Are There Alternatives to Having Teeth Removed for Braces?

When you’re thinking of getting braces or Invisalign to have your teeth straightened, it’s possible that your orthodontist will recommend to you that you have one or more teeth removed in order to accommodate the application of braces. While the extraction of a tooth is a procedure that’s typically used in order to save the tooth in question, this procedure can also be applied to orthodontic treatments in certain situations. Having a tooth removed is never something that a person looks forward to, which is why you may want to be aware of any alternatives that will allow you to avoid having your teeth removed.

Situations Where an Orthodontist May Remove Teeth for Braces

When you are attempting to have your teeth straightened with braces or an Invisalign treatment, it’s possible that your orthodontist will tell you that the only way for you to be able to have your teeth straightened with braces is by first having one or more of your teeth removed. The most common reason as to why this procedure is recommended by an orthodontist is because of overcrowding, wherein the teeth are too close to each other, resulting in you or your child’s teeth being protruded. By extracting a tooth, this provides your teeth with more room for them to erupt properly. If your lip position isn’t ideal, your orthodontist might also recommend that a tooth is extracted in order to improve the overall appearance of your lips.

Another common situation where a tooth removal may be recommended by your orthodontist is due to an imprecise jaw position that’s so severe that your bite is substantially off. The removal of your tooth in this instance is likely the best option to prepare you for braces. By far the most prevalent reason for the removal of a tooth when preparing for braces is in order to create the proper spacing for these braces, which allows the orthodontist to move the teeth to their proper positioning. The extraction of a tooth also provides the orthodontist with the ability to correct various flaws around the teeth that would otherwise be impossible to accomplish if all of the teeth were left in. While there are a variety of alternatives to having one or more teeth removed when preparing to obtain braces, a tooth extraction may be the preferred option for you.

If you have questions about the removal of your teeth and if any alternatives can be used in place of this method, the best source of information will be your orthodontist, as they will be able to identify all treatment options open to you as well as whether one would be more effective than another, which is important advice to listen to when the end goal is having your teeth straightened. It’s also important that you don’t avoid having your teeth straightened with braces or Invisalign due to the need for a tooth extraction or similar procedure, as the issues within your mouth may only worsen over time if left untreated.

The Usage of Dental Surgery As an Alternative

One of the primary reasons that you may wish to opt for a tooth removal when recommended by your orthodontist is that the main alternative that can be used in place of an extraction is that of dental surgery. There are a wide range of dental surgeries and procedures that can be used for the correction of the majority of issues that tend to call for a tooth removal. For instance, there are many times where a pronounced overbite can be more readily corrected with surgery than with any other treatment option, as this surgery involves either the sliding of the top row of teeth backwards or the moving of the jaw forward. If you’re wary of having a surgery done on your teeth, opting for a tooth extraction may be preferable to you.


If the reason for the tooth extraction is to make more room for the eruption of other teeth when preparing for braces, you may want to consider a dental surgery that’s known as tooth slimming, which is an extensive process that calls for the grinding of your teeth on both sides so that these teeth can be slimmer and will afford your other teeth more room to grow. This occurs naturally with everyone, but you may want to consider this type of procedure if your child needs braces and this procedure would allow for that. There are also instances when the orthodontist will recommend that a temporary anchoring device is placed over your teeth to help provide enough pressure to move your other teeth to their proper position. Although this option isn’t for everyone, it can be used in placement of a full tooth extraction.

There are also times when these surgeries could allow you to avoid braces altogether, while the removal of certain teeth in your mouth by your orthodontist typically only corrects the immediate problem wherein you will still require braces in order for your teeth to be properly straightened. In general, the best way to identify which of these options is best for you is to first speak with your orthodontist and make sure to ask any questions you have that would help to ease your worries.

Call Gorton and Schmohl Orthodontics Today

If you live in Larkspur, Calif., then you can schedule an appointment at Gorton & Schmohl Orthodontics where we have three orthodontists to help you, including:

• Dr. Jasmine Gorton
• Dr. Bill Schmohl
• Dr. Jeff Nichelini

An orthodontist will have a consultation with you to discuss your treatment that might include:

• Braces – WildSmile brackets and wires in fun colors
• Damon Clear – clear brackets
• Retainers – to keep teeth in place after treatment
• Invisalign – customized plastic aligners

Our patients are treated using the Wow Smiles system that creates a unique smile for your face. Call us today at 415-459-8006 to schedule your first appointment.

Gorton & Schmohl Orthodontics

900 Larkspur Landing Circle, Suite 200 Larkspur, California 94939

Phone

415-459-8006

 

What is the Best Age for Your Child to Get Orthodontic Braces? 13

What is the Best Age for Your Child to Get Orthodontic Braces?

childrenWhat Is The Best Age For Your Child To Get Orthodontic Braces?

Orthodontic braces aid in correction of crooked teeth. Usually, an Orthodontist recommends the procedure after critical evaluation on positioning of teeth and jaw that affect chewing, swallowing as well as appearance. According to professionals in the field, braces are worn between 12 to 30 months depending on complexity of the patient’s case. However, there is no time limit to the procedure considering individual cases may respond to the treatment in different ways.

There are three primary reasons that attribute to the treatment procedure extension to 30 months and beyond. These include;

  • Beginning the procedure before complete loss of baby teeth
  • Untimely surgical procedures and tooth extraction
  • Mid-course shift of treatment plan from the original

Evidently, timely placement of the orthodontic braces is critical for quick and effective treatment. Nevertheless, the decision to begin the procedure is beyond an Orthodontist and a patient. Parents have a major role in determining when their child should begin the treatment. Previously, teenagers and adults dominated the orthodontic clientele because of the need to improve appearance. Today, the orthodontic braces are increasingly becoming common among children. It is critical for parents, especially mothers, to keep a close eye on their children’s teeth alignment. Specialists recommend treatment in early years of tooth development because it is less costly. The procedure also takes a relatively shorter period on kids as compared to adults.

An Orthodontist’s appointment is critical if any abnormally is noticed. There is no room for ignorance considering it does not take any special skill for a mother to notice crooked teeth or misaligned chewing. Although consultants differ on appropriate time of Orthodontic braces placement to children, there are other Orthodontic appliances besides braces. Hence, it is never too early for a mother to book an Orthodontic appointment for a child.

Orthodontic braces are more effective after growth of permanent teeth. Usually, this is at the age of seven. Although placing the braces earlier than 7 years can still be effective depending on the kid’s complication; the procedure is likely to be more complicated and exceed the standard twelve to thirty months.

After seven years old, children lose all their teeth and grow new ones. It is only at this point that an Orthodontist can identify the specific cause of misalignment thus determining the correct type of brace. Besides, issues such as overcrowding and protruding only come after growth of permanent teeth.

Hence, placement of braces before may not be effective if overcrowding occurs after the brace set. Overbite and underbite are also treated by orthodontic braces. When the upper jaw is bigger than the lower jaw, it is referred to as an overbite. An underbite occurs when the lower jaw is bigger. This condition is known as Malocclusion.

Causes

There are numerous causes of malocclusion, uneven bite, overcrowding, and crooked teeth. Inheritance is one of the key factors that necessitate brace treatment for children. Specialists cite that kids of people that underwent an orthodontic brace procedure are more likely to experience the same. Accidents and thumb sucking are also leading causes of early loss of baby teeth thus tooth complications hence need for braces.

Exceptions

Standard orthodontic brace procedures take up to 30 months for patients with at least seven years. However, there are exceptions to the set guidelines. First, a patient might have malocclusion that entails severe crowding and excessive crowding. In some cases, the canines protrude dangerously out of the mouth hence the need for immediate and specialized braces that may take up to two years. Patients with such complications have to endure longer time with the braces because Orthodontists wait for complete tooth eruption before removing the braces.

Secondly, severe tooth complications impact an individual’s social life. In the case of a school going kid, a protruding or crooked tooth may attract attention that will wear down the kid’s self-esteem. In such a scenario, an Orthodontist may recommend brace treatment procedure even when the baby teeth of the patient are not out. Additionally, tooth protruding exposes an individual to danger. Especially for children, a protruded tooth can break or tear flesh on the mouth or hurt a second party considering kids are playful.

Types of Braces

There are three common types of braces, namely; stainless steel, ceramic, and plastic braces. Although orthodontists prescribe either of the brace material depending on complexity of a patient’s case, straightening and fixing misalignment are the main functions of orthodontic braces. Invisible trays are also commonly used appliances by orthodontists to fix small dental issues.

The clear material on the treatment appliances make it invisible. It is a unique treatment procedure because the trays are customized to match an individual’s tooth line.


Apart from the stainless steel, ceramic, and plastic braces that constitute of rubber bands, wires, and brackets, orthodontists also use headgears as a treatment appliance. An orthodontist can prescribe the appliance to a child depending on severity of the issue. Headgears apply more pressure on the teeth by using a horseshoe-shaped wire that ties from the back teeth. Usually, one tooth is removed to allow space in the mouth for adjustment of the targeted teeth.

After placement of braces, a parent should ensure the kid visits the Orthodontist periodically for adjustments and monitoring. Parents also have a responsibility to ensure braces of their children are kept clean. Considering braces are made of wires, food can easily get stuck hence causing more damage. Therefore, regular brushing of teeth and use of flossers is necessary.

Patients should also avoid sugary and hard foods because they can damage the braces. Properly aligned teeth help in chewing and overall oral health.

Visiting an Orthodontist

The American Association of Orthodontists (AAO) suggests that a child see an orthodontist by the child’s seventh birthday. Contact Gorton and Schmohl Orthodontics today to schedule a complimentary consultation.

In Marin County, Calif., you can visit Gorton & Schmohl Orthodontics to have an examination and treatment from these professionals:

• Dr. Jasmine Gorton
• Dr. Bill Schmohl

An orthodontist will discuss orthodontic options with you to repair problems such as crowded teeth, crossbites or overbites. Depending on your malocclusions, you can wear one of these devices:

• Retainers
• Invisalign
• WildSmiles
• Braces with colors
• Traditional or Damon Clear

We also offer WowSmiles and Acceledent options to our orthodontic patients. Schedule an appointment by calling 415-459-8006 today.

Gorton & Schmohl Orthodontics
900 Larkspur Landing Circle, Suite 200 Larkspur CA 94939 Tel: (415)-459-8006

wow smile patient paulina

At What Age Do Baby Teeth Normally Fall Out?

baby teethAt What Age Do Baby Teeth Normally Fall Out?

There is excitement all around when a child loses their first baby tooth. The appearance of the first permanent tooth represents the next stage of a child’s life. But losing that first tooth is worrisome if it occurs too early or not soon enough. You might have concerns about when your child’s baby teeth should fall out. If so, here’s some info you can use.

Losing Baby Teeth

Children rarely do anything right on schedule. You can add losing baby teeth to that list. Most children typically lose their first tooth by the time they’re 6 or 7 years old. The baby teeth then continue to fall out following the order in which they grew. However, tooth loss can occur sooner or later than expected.

It’s not unheard of for a child to lose their first tooth before their fifth birthday. That first tooth might even stick around until the child is 8 years old. This isn’t how it typically occurs, but there’s usually no cause for alarm. In most cases, when a child loses the first tooth depends on when it grew.

The first tooth usually appears by the time a baby is 6 months old. But that cute little center tooth might show up at 3 months. It’s even possible the first tooth won’t appear until after you’ve celebrated baby’s first year. Keep track of when your child grows new baby teeth. This can give you an idea of when the child is likely to start losing teeth. The sooner the first tooth appears, the sooner it will fall out.

Possible Cause for Concern

As a general rule, tooth loss shouldn’t occur before the child’s fourth birthday. Losing a tooth that soon could indicate a problem. Losing the first tooth after the seventh birthday could also mean there’s a problem. In either case, you might want to consult an orthodontist for an examination and X-rays. There’s probably nothing wrong, but it doesn’t hurt to check.

A baby tooth should remain in place until a permanent tooth is ready to appear. The permanent tooth grows below the baby tooth. Eventually, the new tooth pushes the baby tooth out into the cold. It’s also possible that your child will experience premature tooth loss. This means a baby tooth has fallen out before the growth of a permanent tooth. Perhaps the child took a hard fall or got hit with a toy.

In addition to premature loss, delayed loss can indicate a problem as well. There is a rare occurrence in which a child develops a mesiodens. That’s a fancy way of saying the child has developed one or more extra teeth. The extra teeth can block permanent teeth, and prevent them from growing normally. This abnormality occurs in about 1% of the population, and it’s a main cause of delayed loss of baby teeth.


A child can also develop two rows of teeth. Some people refer to this as shark teeth, but that’s not very nice. The child isn’t turning into a shark. It just means the baby tooth didn’t fall out when the permanent tooth grew. The result is an extra set of teeth. If the baby tooth is loose, then your child can wiggle it out with their tongue. But if the extra tooth isn’t loose, then an extraction is possibly needed.

Other problems that can affect a child’s teeth include:

  • Cavities
  • Tooth Decay
  • Gum Disease
  • Thumb Sucking

The Tooth is Loose

What happens when a child is annoyed or curious about a loose tooth? More than likely, the child will shove their fingers into their mouth to yank at the tooth. They will continue to do this no matter how many times you tell them to stop. A wobbly tooth is annoying, but germ infested little hands should stay away. And yanking on a loose tooth can make the root prone to infection.

Reassure your child that the tooth will drop out when it’s ready. It will likely happen while the child is eating or sleeping. The child can also gently wiggle the tooth using their tongue.

Note that a loose tooth isn’t always an indicator of an incoming new tooth. It’s common for a tooth to get knocked loose during playtime or during a fall. Get the child’s tooth examined to make sure the permanent tooth isn’t damaged.

Visiting an Orthodontist

The American Association of Orthodontists (AAO) suggests that a child see an orthodontist by the child’s seventh birthday. Contact Gorton and Schmohl Orthodontics today to schedule a complimentary consultation.

In Marin County, Calif., you can visit Gorton & Schmohl Orthodontics to have an examination and treatment from these professionals:

• Dr. Jasmine Gorton
• Dr. Bill Schmohl

An orthodontist will discuss orthodontic options with you to repair problems such as crowded teeth, crossbites or overbites. Depending on your malocclusions, you can wear one of these devices:

• Retainers
• Invisalign
• WildSmiles
• Braces with colors
• Traditional or Damon Clear

We also offer WowSmiles and Acceledent options to our orthodontic patients. Schedule an appointment by calling 415-459-8006 today.

Gorton & Schmohl Orthodontics
900 Larkspur Landing Circle, Suite 200 Larkspur CA 94939 Tel: (415)-459-8006

Is It Safe to Undergo Tooth X-rays During Pregnancy? 16

Is It Safe to Undergo Tooth X-rays During Pregnancy?

PREGNANT WOMAN WITH BRACES

Is It Safe to Undergo Tooth X-rays During Pregnancy?

If you are an expecting mom and need to get a dental x-ray done, you may be questioning whether the process can be harmful. This is especially true for women nearing the end of their pregnancy. Read on to discover the facts surrounding tooth x-rays during pregnancy so you can make the best choice for you and your baby’s health.

Why You Would Need an X-Ray

An orthodontist may need you to get a dental x-ray for a variety of reasons. One leading reason is to determine whether or not gum disease is present. X-rays are also useful for detecting underlying decay. In some cases, x-rays can also aid orthodontists in determining other issues such as how well the teeth are lining up, bone loss and serious infections. Regardless of the reason why your orthodontist has requested that you get one done, you can be sure there is a good reason behind it.

X-Rays and Pregnancy

Up until recently, many people believed that x-rays were harmful for pregnant women. The logic behind this was that the exposure to radiation could lead to complications with the embryo or fetus. People assumed that serious birth defects or deformities would occur as a result.

Fortunately, this is not the case nowadays. In fact, the American College of Obstetricians and Gynecologists (ACOG) actually recommends that women who are pregnant maintain dental check-ups, cleanings and x-rays. Modern x-raying equipment uses an extremely low amount of radiation that poses a very low risk of causing health complications for both the mother and unborn baby.

If you are still feeling nervous about the radiation used during a dental x-ray, you can rest assured knowing that the risk factors are extremely low. This is because only a small amount of the body, the teeth primarily, are exposed to the radiation. In most cases, the developing embryo or fetus is not exposed to the process at all. Having one x-ray done poses an insignificant risk to your baby’s health. However, if you need several done intermittently within a short period of time, you may want to speak with your orthodontist about delaying the process until after you give birth.

Safety Precautions

Many healthcare professionals recommend wearing a lead apron or similar shielding device over your abdomen if you are pregnant during an x-ray. This tool can put your worries to rest by completely protecting the region from radiation during the process. You can speak with your orthodontist about this prior to the procedure to request one.

Postponing an X-Ray

If you are still uncomfortable with getting a dental x-ray done during pregnancy, you may want to speak with your orthodontist about the possibility of postponing the process until after you have given birth. The first trimester of development is considered to be the most vulnerable. If you are currently in it, you may be able to delay your procedure briefly until this stage of development is over.

However, you should also keep in mind that a serious infection or other issue could hinder your health and even your baby’s health if not properly dealt with. Sometimes an ultrasound can be used instead of an x-ray which would remove the risk of radiation exposure. However, only your orthodontist can determine whether this i a good option for your needs. This is a matter of determining whether the benefits outweigh the risks that you and your orthodontist must discuss prior to moving forward with a procedure.

Preventative Tips

In some cases, you may be able to avoid the need for an x-ray entirely. By taking preventative action and maintaining good oral care, you can significantly reduce your need for emergency dental procedures. Make sure you receive regular exams and cleanings to prevent decay and other issues. At-home you can do your best to avoid the need for x-rays by making sure you brush twice a day and floss thoroughly every day. Often times people do not brush for long enough, forget to get the roof of their mouth or ignore hard to reach areas. Unfortunately, these bad practices can still lead a fully committed brusher to gum disease, decay and ultimately x-rays over time. Take your time and invest in a quality electric toothbrush if needed to ensure high quality cleaning every day.

If you are worried about getting an x-ray during pregnancy, you can rest assured knowing that the risks are extremely low. The benefits associated with the procedure significantly outweigh any small chance of complications arising. By maintaining proper daily oral hygiene, you can reduce the need for emergency x-rays, dental work and the use of medications during your pregnancy.

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

How to Care for Braces During [Pregnancy] 18

How to Care for Braces During [Pregnancy]

pregnancy

How to Care for Braces During Pregnancy

Seeing the positive result on a pregnancy test is an exciting, emotional, and overwhelming time in any woman’s life. Whether you were hoping this would happen or you are shocked at the result, you can’t help but feel the excitement mixed with some nerves. If you’ve been pregnant before, you know about the many different ways pregnancy affects your body and changes your life. If this is your first pregnancy, you might have a lot to learn about what to expect.

Your doctor provides you with a list of foods you can no longer eat while expecting, he or she might recommend less strenuous exercise, certain medications become off-limits, and everything in your life changes just a bit. If you have braces, it changes even more. Your oral health is more important when you’re pregnant than ever. If you develop gum disease, your baby could be born with a low birth weight, you could go into premature labor, and you could face other issues with your pregnancy and the health of your child.

It’s important you see your dentist when you become pregnant to check your oral health, and it’s even more important you call your orthodontist right away if you have braces. It’s perfectly safe to wear braces and to carry a child at the same time, but some of the care and some of the routine procedures you go through when you wear braces might change a bit with a baby on board. Don’t confuse calling your dentist with calling your orthodontist. You should call both, but it’s your orthodontist who needs to see you to discuss the importance of caring for your braces while you’re also carrying a baby.

Call Your Orthodontist

As soon as you find out you’re pregnant and ready to tell, call your orthodontist and let the office know you’re pregnant. They need to note this in your chart so they know how to handle your appointment when you come in. You might not get x-rays while pregnant, and you definitely won’t end up with certain medications or even anesthesia if work is necessary. Your orthodontist needs to know you have a baby on board, and it doesn’t hurt to remind him or her of this fact when you are in the office, too.

Spend More Time Caring for Your Teeth and Braces

Now that you have a baby on the way, your oral health is that much more important. Now is a great time to focus on really cleaning your teeth well while pregnant. Spend the entire two minutes brushing each section of your mouth twice a day. Take extra time to clean your braces, and be sure you are following the list of foods you can and cannot eat both while expecting and while wearing braces. If you have some health concerns due to your pregnancy that might also affect your braces, ask your orthodontist how to handle the situation.

Understand How Pregnancy Can Affect Braces

Your pregnancy can’t directly affect your braces itself, but it can affect your hormones. Your hormones can affect your teeth and gums, and that can affect your braces. This is a time in your life when your hormones go up, down, and around regularly. There is no telling what you might experience and when you might experience it. All you know is that at some point you might suffer from sensitive teeth and/or gums, you might find it difficult to eat certain foods because they hurt or irritate your mouth, and you might notice your braces aren’t as comfortable as they were.

While these are all normal changes during pregnancy, you are always encouraged to contact your orthodontist if you feel something is wrong. He or she might check you out and tell you everything is just fine, but there’s always a chance something isn’t right with your braces and they can fix the problem and send you home feeling a lot better.

Maintain All Dental Appointments

If you did it prior to getting pregnant, keep doing it now that you are pregnant. This means brushing, flossing, and keeping appointments with all your oral healthcare providers. If you’re scheduled for a cleaning with the dentist, go to it and let them know you’re pregnant. Your cleaning isn’t going to affect your braces or your pregnancy, but do let your dental professional know you are expecting.

If you have an appointment to let your orthodontist tighten your braces, go to the appointment. Remind them you are pregnant even if you already called because you never know if a note was missed or lost before the orthodontist had a chance to read it. Your orthodontist is here to help you navigate both braces and your pregnancy, and all you need to do is ask how that’s possible.

If you’re expecting a baby, go ahead and take your time to enjoy the excitement and the moment. There aren’t many times in your life you’ll get to feel this way as pregnancy isn’t something you experience often. However, do call your orthodontist to schedule your next appointment and to share the good news.

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