How long does orthodontic treatment take?

Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.

What is a "bad bite"?
A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced - either too far apart or too close together - can also cause bite problems.

Frequent causes of bite problems:

  *  Heredity
  *  Thumb-sucking
  *  Premature tooth loss
  *  Accidents

Benefits of orthodontic treatment:
Appearance - Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.

Preventing Decay - It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues - An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:

Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.

Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.

Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.

Length of orthodontic treatment:
Treatment typically ranges from 12 - 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time


.    

Preventing Decay While Wearing Braces

Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces:

1. Eat Braces-Safe Foods
Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, popcorn can also bend or break your braces. On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids.

2. Proper Brushing
You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can't always reach.

3. Ask About Special Cleaning Tools
There are also special brushes, or other tools, to get under and clean your braces. You can also find many of these items at your local pharmacy.

4. Regular Teeth Cleaning
It's important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others.

As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

When Should I Schedule an Orthodontic Evaluation for My Child?

Most parents know that routine dental care should begin during the toddler years. But many are unaware of when orthodontic treatment should begin. According to the American Association of Orthodontists, the ideal age for an orthodontic evaluation is age seven or before, when children usually have a mixture of adult and baby teeth. Although treatment usually will not begin until one to five years after the initial evaluation, the evaluation is helpful in determining whether your child has any problems with emerging teeth -- regardless of how subtle.

Children have more formidable bone structures than teenagers and adults, and as they grow, orthodontic appliances can help guide jaw growth, which may prevent the development of an overbite or under-bite, as well as tooth crowding due to space limitations. Orthodontic treatment is also helpful for guiding newly emerging adult teeth into a proper alignment, which is not only aesthetically advantageous, but also helpful in preventing tooth decay.

Why Early Evaluation?
Taking your child to the orthodontist for an evaluation means that you may be able to identify problems with the jaw and teeth early when they are still easy to treat. Early treatment often equals a more simplified treatment plan, which is beneficial to both children and their parents. Often, earlier treatment can cost less to correct a problem than delayed treatment. If a problem is detected, our team will discuss corrective options and provide a recommended treatment schedule. Depending on your child's orthodontic needs, he or she may benefit from:

* Palatial Spacers - Helpful for correcting a crossbite by expanding the width of the upper jaw.
* Fixed Functional Appliance - Helpful for correcting severe upper tooth protrusion.
* Headgear - Helpful for guiding healthy growth of new teeth and the jaw. Headgear is removable, but usually must be worn at least 10 hours per day.

If your child is approaching the age of seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination.

What are the Early Signs of Orthodontic Problems?

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development. Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice. If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

* Difficulty when chewing or biting
* Chronic mouth-breathing
* Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
* Overbite - when the upper teeth overlap the lower teeth by more than 5mm
* Top front teeth that cover more than 25% of the bottom teeth while biting
* Underbite - when the top front teeth go behind the bottom row of teeth when biting
* Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
* Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
* The center of the top and bottom teeth don't line up
* Uneven teeth-wearing
* Baby teeth coming out too early for the child's age
* Pain in jaws
* Clicking in the jaw joints
* The jaw shifts off-center while chewing or biting
* A jaw that protrudes, or recedes, too much
* Difficulty speaking or enunciating clearly
* Chronic biting of the inner cheek or roof of the mouth
* Asymmetrical facial structure
* Grinding or clenching of the teeth

If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

Burning Invisalign questions, with Dr. Tomassetti and Dr. Lin

Are you wondering what Invisalign treatment is really like, and what effect it will have on your day-to-day activities? Will it slur your speech? Will people know you're in treatment? You're not alone in your concerns!

Dr. James Tomassetti, Dr. Edward Lin, and our team thought we’d share this list of questions and answers for anyone pondering Invisalign treatment at Apple Creek Orthodontics.


How exactly does Invisalign work?
Using 3-D computer imaging technology, Invisalign creates a series of custom-made, clear aligners exclusively for your teeth, based on the treatment plan that we specify for you. Each aligner moves teeth incrementally and is worn for about two weeks, then replaced by the next in the series until the final position is achieved.


Will I experience pain during treatment?
Most people experience temporary discomfort for a few days after a new aligner is placed. This feeling of pressure is normal and is a sign that Invisalign is working by sequentially moving your teeth to their final destination.


Can other people see that I'm in treatment?
One of the benefits of Invisalign is that the aligners are clear. You can straighten your teeth without anyone knowing.


Can I smoke during treatment?
We discourage smoking while wearing the aligners as they may become discolored.


Are there any foods I shouldn’t eat while in treatment?
You can eat normally during the entire course of treatment. One of the advantages of Invisalign is that the aligners are removable. Simply take the aligners out before each meal, brush when you're finished eating, then reinsert the aligners afterward.


What about chewing gum?
We recommend removing your aligners for all meals and snacks, as gum and other chewy substances can stick to the aligners.


How often must I wear my aligners?
Aligners should be worn all day, except when eating, brushing, and flossing.


Will my speech be affected by the aligners?
As with any orthodontic treatment, aligners may temporarily affect your speech. If this does happen, your tongue will adjust within a day or two and your speech should return to normal.


How do I clean my aligners?
The best way to clean your aligners is by brushing and rinsing them in lukewarm water.


How often must I visit the office during treatment?
For most patients, visits every 4-6 weeks are frequent enough for us to determine that your treatment is progressing properly. We will provide you with a specific schedule that supports your individual treatment plan.

If you have additional questions about the Invisalign treatment, please give our office a call, or visit us on Facebook!

Independence Day Facts, Tips, and Party Invitations!

It’s hard to believe, but July is already here and half of 2012 has already passed! As July 4th approaches, our team thought it would be fun to share some facts and safety tips for celebrating our country’s independence day.

Fun Facts:
• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.
• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.
• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’
• The first public Fourth of July event at the White House occurred in 1804.
• And what could be more fitting than spending the day in a place called “America”? There are five such places in the country, with the most populous being American Fork, Utah, with 21,941 residents. Check out American Fact Finder.

Safety Tips:
• Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.
• Keep a bucket of water or a garden hose handy in case of fire or other mishap.
• Never carry fireworks in a pocket or shoot them off in metal or glass containers.
• To prevent a trash fire, be sure to douse the spent fireworks with plenty of water from a bucket or hose after fireworks complete their burning and before discarding them.
• Make sure fireworks are legal before buying or using them.

What are your plans this 4th of July? Share them with us! We’d love to hear what you and the rest of the community will be doing to celebrate! (Don’t forget to make sure there are no restrictions on fireworks! Check out this link to see if fireworks might be an issue for you this year.)

Also, check out these 4th of July party invitations, eGreeting cards, and delicious recipes!
July 4th eCard invitations!
Happy Independence Day eCards
Independence Day Recipes



Photo by shawnajean

Orthodontic Emergency? We can help!

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment with our office.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you get in to see us…

The following solutions may help you relieve your discomfort:

Poking Wire: Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.

Loose Bracket or Band: If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.

Loose Wire: Using a tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.

Loose Appliance: If your appliance is poking you, place wax on the offending part of your appliance.

Headgear Does Not Fit: Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, headgear becomes more comfortable the more it’s worn, so be sure you’re getting in the prescribed hours.

General Soreness: When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.

Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

April is Oral Cancer Awareness Month, from Apple Creek Orthodontics

Visiting your dentist during your orthodontic treatment will not only help keep your teeth and mouth healthy while you have braces, but will also help keep the rest of your body healthy. The fact is, every hour of every day in the U.S., someone dies of oral cancer, which is the sixth-most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved. Since April is Oral Cancer Awareness Month, we would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene while you’re undergoing orthodontic treatment.

Your dentist is specifically trained to diagnose, treat, and prevent oral health problems. Please let us know if you have any questions about your oral health during your next adjustment appointment. Take care of your teeth!

What causes crooked teeth?

There are several reasons why some people's teeth grow in crooked, overlapping, or twisted. Some people's mouths are too small for their teeth, which crowds the teeth and causes them to shift. In other cases, a person's upper and lower jaws aren't the same size or are malformed. Most often, crooked teeth are inherited traits just as the color of your eyes or hair. Other causes of crooked teeth are early loss of baby or adult teeth, undue pressure on the teeth and gums, misalignment of jaw after facial injury, or common oral health problems in children such as thumb sucking, tongue thrusting, or prolonged use of a bottle or pacifier.

Having crooked teeth isn’t just a cosmetic issue; it can lead to serious health problems as well. Crooked teeth can:
• interfere with proper chewing
• make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis
• strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth
There are several orthodontic procedures that can help correct crooked teeth, and at Apple Creek Orthodontics we have many services that we can customize to meet your needs, including traditional metal braces, clear braces, and Invisalign®. We want you to be proud to show off your smile!

Making Braces Fit into Your Life

When you get braces at Apple Creek Orthodontics there are a few things you’ll have to adjust to get optimal results in the shortest amount of time. If you have any questions about the “do’s and don’ts” of living with braces, feel free to ask Drs. James J. Tomassetti, Edward Y. Lin or any member of our staff during your next adjustment!
Eating
When you have braces, there are a few types of food that can damage your brackets and bend your wires, leading to more appointments and longer treatment times. By simply avoiding sticky, chewy, crunchy, and hard foods, as well as foods that require biting into like corn on the cob, your orthodontic experience will be much easier.
Cleaning
You’ll never believe the amount of food that can get stuck between your braces when you eat. In addition to causing bad breath and tooth decay, it looks pretty gross, too. It’s so important to brush your teeth after every meal and floss every day, and even though it’s kind of a hassle, it’ll all be worth it in the end.
Sports
Protecting your smile if you play sports is essential when you have braces. Mouthguards help protect your teeth and gums from injury. Drs. James J. Tomassetti, Edward Y. Lin can create a custom mouthguard just for you if you plan on participating in any kind of contact sport or you can purchase an adjustable mouthguard at the front desk and the doctors will be happy to mold it to your mouth.

February is American Heart Month

Did you know February is American Heart Month? It’s a great time to take notice of the health of your heart, says Drs. James J. Tomassetti, Edward Y. Lin. Cardiovascular disease remains American's number one killer, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care.

Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. And because people with dental insurance are more likely to visit their dentist when they should, a healthy mouth begins with a visit to Apple Creek Orthodontics. In observance of Heart Month, Drs. James J. Tomassetti, Edward Y. Lin says it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25). If you have any questions about heart health, or about your treatment at Apple Creek Orthodontics, please give us a call today.

Apple Creek Orthodontics, supporting National Children's Dental Health Month

We can't believe it's almost February! Each February for the past 62 years, the American Dental Association (ADA) sponsors National Children's Dental Health Month to raise awareness about the importance of oral health. Developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums.

For kids wearing braces, brushing and flossing can become more difficult, requiring extra time and vigilance to remove food particles that accumulate on and between the teeth and in braces. If the health of your teeth is ignored during treatment with braces, the results can be significantly compromised. Both Drs. Tomassetti and Lin are available and happy to explain why effective brushing and flossing is one of the most critical actions needed from patients during orthodontic treatment. Have you visited our Appleton office lately? Give us a call and schedule an appointment!

We also invite you to connect with us on Facebook!

Ask Drs. Tomassetti & Lin: “I’m 34 – am I too old for braces?”

Great question, and you are absolutely not "too old" for braces! At Apple Creek Orthodontics, nobody is “too old” for braces! In fact, we read a fascinating statistic recently: adults getting braces has actually jumped 24 percent since 1996! Also, one of every five patients in orthodontic treatment nowadays is over the age of 21. Of course, braces help make your teeth stay strong, healthy and become perfectly-aligned. But we’d like you to know orthodontic treatment with Drs. Tomassetti or Lin can be successful at any age, and adults especially appreciate the benefits of a beautiful smile.

In fact, we are proud to offer an adult-friendly option for straightening teeth called Invisalign, which uses a series of invisible, removable and comfortable aligners that no one can tell you're wearing. So, you can smile more during treatment as well as after.

If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation at our Appleton, Wisconsin office. Please give us a call at 203-227-6061 to set one up and have a wonderful rest of the week!

Happy Holidays from all of us at Apple Creek Orthodontics!

In love with your new smile? Tell us about it!

At Apple Creek Orthodontics, our goal is to create a comprehensive team approach to treatment, focusing on personalized patient care in an atmosphere that patients of all ages can enjoy. It is our intent to make every visit a pleasant experience.

Whether you've visited our convenient Appleton office for a week, months or even years, we'd love to hear your feedback about how our doctors and staff have fared during your orthodontic treatment! There are lots of ways you can share your thoughts about our practice on the Web, but we encourage you to head to our Google Local page and write a review there.

After all, your generous reviews help us create more beautiful smiles in Appleton and surrounding communities. Thanks in advance, and we hope you have a terrific week!

You may write your review here.

Are you wearing your mouth guard?

With fall sports close to wrapping up and winter sports right around the corner, many patients here at Apple Creek Orthodontics will once again pick up the ball, bring the cleats out of seasonal retirement and hit the fields for the return of sports action! During this time, however, Drs. James J. Tomassetti, Edward Y. Lin and our team urge our young athletes to play it safe when out on the field. Here are a few ways to ensure your mouth’s safety this fall and winter, courtesy of our friends at the American Association of Orthodontists:

1. Wear mouth guards for contact sports such as basketball, wrestling and hockey
2. Wear a helmet
3. Wear protective eyewear
4. Wear a face shield to avoid scratched or bruised skin
5. Be alert, even as a spectator

We hope that helps! Drs. Tomassetti, Lin and team will tell you protective gear is vital for anyone engaging in tooth or mouth-threatening activities. If you have any further questions about any of these tips, please contact our office or ask us on Facebook.
Stay safe!

Emergency care with Apple Creek Orthodontics

At Apple Creek Orthodontics, we know true orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call our Appleton office when you experience severe pain or when you have a painful appliance problem that you can't take care of yourself. We'll be able to schedule an appointment to resolve the problem.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you schedule an appointment with our office. When working with your appliances, you need to know the names of the parts of your appliances so you are able to identify what part is broken or out of place. After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions in your treatment plan. Click here for video instructions or give us a call to learn more! We hope you're off to a great Halloween season!

Cold season is here, from Apple Creek Orthodontics

Cold and flu season is here - Centers for Disease Control and Prevention says that a common cold usually includes sneezing, runny nose, sore throat and coughing. Symptoms can last for up to two weeks.

To promote a healthy and clean environment, Drs. James J. Tomassetti, Edward Y. Lin and our entire staff give a great deal of attention to sanitation and sterilization in our Appleton office at all times, as well as following all requirements for sterilizing instruments and work surfaces. For the protection of other patients and our staff at Apple Creek Orthodontics, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others.

And remember to constantly wash your hands and avoid contact with those who are ill! Stay Healthy!

Year-end insurance reminder from Apple Creek Orthodontics

Now that October is upon us, we wanted to send you a friendly reminder to schedule your orthodontic appointment prior to the end of the year to take full advantage of any flex spend, health savings or insurance benefits that you may have.

We tend to get busy towards the end of the year—do don’t wait to give us a call!!

October is National Orthodontic Health Month!

October is National Orthodontic Health Month, and our staff at Apple Creek Orthodontics wanted to remind all our patients to be careful when they bite into their treats this month. Remember, caramels, taffy, nuts, bubble gum, popcorn kernels and suckers are some of the foods you should be avoiding this Halloween Season! Indulging in these foods can break your braces and lengthen your treatment time with Drs. Tomassetti or Lin!

Also, in honor of “Orthodontic Health Month,” we’d thought we’d ask: What do you love about your braces? Share your story on our Facebook page!

September is Self-Improvement Month, from Apple Creek Orthodontics

These days, Americans everywhere are putting greater emphasis on health, fitness and self-improvement, and more people are seeking orthodontic treatment to improve their smile. September happens to be Self-Improvement Month, and our team at Apple Creek Orthodontics know that orthodontic treatment is an investment in self-improvement that will reap benefits for a lifetime. And, recent advances in orthodontia, such as Invisalign and more effective brackets and wires, now make orthodontic treatment more palatable for many interested in obtaining that beautiful smile.

Not only does orthodontic treatment give you that beautiful smile, it can also benefit your dental and general health. If teeth are poorly aligned, removing plaque and tartar by brushing and flossing alone may be difficult. A poor bite may result in fractured or excessively worn tooth surfaces, and the extra stress caused by a poor bite may even result in problems with your jaw joints.

If you’ve been thinking about getting that perfect smile, Drs. Jim Tomassetti and Edward Lin would love to have you visit for a consultation. Please give us a call to set one up!

See you soon!