tag:blogger.com,1999:blog-68270305858607417912024-03-12T16:47:59.404-07:00Larchmont Village Orthodontist - Hancock Park - Los AngelesOrthodontics is a science but not a mystery.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comBlogger27125tag:blogger.com,1999:blog-6827030585860741791.post-5660433921064723032013-10-03T15:21:00.000-07:002013-10-03T15:26:06.529-07:00The effects of over-the-counter analgesics on orthodontic tooth movementBy far the most frequently asked question in every orthodontic office is, “When are my braces coming off?” In the fast-paced, busy lives of patients, there is little time to spend on lengthy orthodontic therapy. In the ever-advancing field of orthodontics, many barriers have been overcome, leading to healthier results and more beautiful smiles. Now, the focus is on reducing treatment time.<br />
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Faster care without sacrificing quality would be advantageous in (a) reducing hygiene problems, (b) increasing patient acceptance of treatment plans and (c) creating a higher level of overall treatment satisfaction.<br />
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With the emphasis on shortening treatment time, it is critical that practitioners be aware of all medications that patients are taking that could unknowingly slow down their orthodontic treatment. Orthodontic patients often use over-the-counter analgesics to control the discomfort associated with tooth movement as well as to treat other ailments. <b>Many of these pharmaceutical agents are known to systemically influence bone and the velocity of tooth movement</b>.<br />
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Research has shown that traditional anti-inflammatories/”pain killers” such as Advil®, Motrin® and Aspirin® decreased the rate of orthodontic tooth movement. <b>Tylenol®</b> had no effect and should therefore be considered the analgesic drug of choice for patients undergoing orthodontics, unless contraindicated by the patient’s medical history or physician.<br />
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(Summarized from original article written by Dr. K. Sakas) Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-60075656067708694562012-10-30T21:54:00.001-07:002012-10-30T22:01:41.019-07:00Happy (and dentally safe) Halloween!<br />
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<span style="color: black; font-family: Arial, Helvetica, sans-serif;">While
dentists and orthodontists have a professional conflict with Halloween, we also
know that holiday snacks are a fact of life.<span style="mso-spacerun: yes;">
H</span>ere are some suggestions to enjoy a fun and dentally safe Halloween:</span><br />
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<span style="color: black;"><span style="color: black; font-family: Arial, Helvetica, sans-serif; mso-fareast-font-family: "Times New Roman";">Before going out trick-or-treating, try to ensure your children eat a good, hearty meal so there will be less temptation to gorge on candy. </span></span><br />
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<span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: black;"><span style="color: black; mso-fareast-font-family: "Times New Roman";"><span style="color: black;">Tooth decay occurs when candy and other sweets mix with bacteria in the sticky plaque that constantly forms on teeth to produce acid, which can wear away enamel. </span></span></span><span style="color: black;"><span style="color: black;"><strong>Chewy, sticky treats are particularly damaging </strong>because not only are they high in sugar, but they spend a prolonged amount of time stuck to teeth and are more difficult for saliva to break down. </span></span><span style="color: black;"> <strong>Hard candies are tough on teeth as well</strong> because kids tend to suck on them at a leisurely pace for an extended period of time.</span></span><br />
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<span style="color: black;"><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: black; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;">The majority of d</span><span style="color: black;">entists who hand out candy choose chocolate because when it comes to teeth and sugar, it's really a matter of time. <strong>Chocolate dissolves quickly in the mouth and can be eaten easily</strong>, which decreases the amount of time sugar stays in contact with teeth.</span></span></span><br />
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<span style="color: black;"><span style="font-family: Arial, Helvetica, sans-serif;">At the end of the night, it's a good idea to
remove the sticky, gummy and chewy choices from your child's candy haul.<span style="mso-spacerun: yes;"> And remember: </span><span style="color: black;">the worst thing a kid can do is go to bed without brushing after gorging
on the night's loot.</span></span></span><br />
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<span style="color: black; font-family: Arial, Helvetica, sans-serif; mso-fareast-font-family: "Times New Roman";">And last
but not least, promote good oral health care habits to your children year-round
by encouraging twice daily brushing with fluoridated toothpaste, daily flossing
and regular dental checkups.</span><br />
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<span style="color: black; font-family: Arial, Helvetica, sans-serif; mso-fareast-font-family: "Times New Roman";">Happy Halloween!</span></div>
Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-1308202560634182702012-10-16T10:51:00.001-07:002012-10-16T10:52:13.346-07:00Is Phase II always necessary after Phase I?<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt;">Because orthodontic
care is not a “one size fits all” approach, not all patients need or will
benefit from a two-phase orthodontic treatment.<span style="mso-spacerun: yes;">
</span>Each patient has a unique problem that requires an unique, individualized treatment plan.<span style="mso-spacerun: yes;"> </span>In fact, most children do not need Phase
I orthodontic treatment and can actually wait until most or all permanent teeth are
present.</span><br />
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<div class="MsoNormal" style="border: none; line-height: normal; mso-border-bottom-alt: solid windowtext .75pt; mso-padding-alt: 0in 0in 1.0pt 0in; padding: 0in;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt;"><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">When early orthodontic intervention is not necessary,
careful monitoring of growth, development and observation of the eruption of
the adult permanent teeth will allow me to make the call of when treatment
start is ideal to obtain the best bite and smile possible in the timeliest manner.</span> </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt;"><span lang="EN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-ansi-language: EN;">After the completion of Phase I orthodontic treatment, usually a period of retention of the obtained results and observation will follow. If no long-term risks are associated with not continuing
with Phase II treatment, the orthodontist will make it optional and elective
for the parents of a child who just underwent Phase I orthodontic treatment.<span style="mso-spacerun: yes;"> </span>While this is not typical, it is quite possible.</span> </span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><br /></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">For some kids that need Phase I orthodontic treatment, however,
the problems that are being addressed are extensive, and full correction may
not be attained until treatment moves on to Phase II.<span style="mso-spacerun: yes;"> </span>The most common problems that usually do
require </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt;">two-phase
orthodontic treatment are severe crowding being treated without extraction of
permanent teeth, “underbites” and severe “overbites.”</span></div>
Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-81136218561713665592012-08-02T15:17:00.000-07:002012-08-02T15:21:55.407-07:00What is “Phase II orthodontic treatment?”Phase II orthodontic treatment follows early orthodontic intervention (a.k.a. Phase I) usually after a period of “rest and growth.” The goal of Phase II Treatment is to position all the permanent teeth as to maximize and protect their function as well as ensure long term health of the bite and chewing system.<br />
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Phase II treatment often does not require extraction of permanent teeth. It is best accomplished with full braces or Invisalign®, and usually lasts less that 2 years due to the improvements made in Phase I Treatment. This is especially relevant for patients as they enter their teenage years.<br />
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It is important to note that after Phase I orthodontic treatment most young patients typically have 16 new teeth that are erupting or will erupt in the next two or three years. These new teeth did not have brackets on them during Phase I simply because they were not in the mouth.<br />
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An orthodontist cannot determine how these teeth will erupt but can do everything within his or her skills to preserve or gain space for these erupting teeth. We are highly trained professionals but simply cannot control a patient's DNA. Actually, we work against DNA to create healthy and beautiful smiles that will last a lifetime.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-60493538191261788852012-04-18T16:27:00.002-07:002012-04-18T16:29:22.054-07:00How does two-phase orthodontic treatment benefit my child?The benefits of early treatment are the creation of an environment that promotes unimpeded optimal eruption of the permanent dentition and more balanced chewing/biting and facial growth. This will consequently provide better chewing function, more pleasant dental and facial esthetics and make any needed further correction in a second phase of care more comfortable and timely.<br /><br />The following is a list of potential benefits of Phase I early orthodontic treatment:<br />- Reduce of the need to extract permanent teeth through improvement of the width of the dental arches and preserving or gaining space for erupting permanent teeth<br />- Influence jaw growth in a positive manner thus reducing or eliminating the need for jaw surgery; <br />- Lower the risk of trauma to protruded front teeth; <br />- Correct harmful oral habits improve esthetics and self-esteem;<br />- Simplify and shorten treatment time for definitive orthodontic treatment (phase II);<br />- Increase stability of final treatment results;<br />- Reduce likelihood of impacted permanent teeth;<br />- Improve speech development;<br />- Guide permanent teeth into more favorable positions; and<br />- Improve compliance before the busy teenage years.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-22275638173224372762012-03-21T15:06:00.001-07:002012-04-18T16:27:11.247-07:00What kind of dental problems need early (Phase I) orthodontic treatment?Problems that should be addressed through Phase I orthodontic treatment between ages 8-12 to avoid serious problems later include lack of space for eruption of all permanent teeth, crossbites (when one or some upper teeth fail to cover opposing lower teeth), and facial growth imbalances that cause severe overbites and underbites.<br /><br />Some of the most direct results of interceptive treatment are:<br />- Reducing the need for tooth removal by creating room for crowded erupting teeth and reserving space for unerupted teeth;<br />- Creating facial symmetry by directing jaw growth;<br />- Reducing the risk of trauma to protruding front teeth;<br />- Reducing the risk of premature tooth wear and chipping of the teeth; and<br />- Elimination of habits that create bad bites.<br /><br />It is important to note that after Phase I most patients typically will have 16 new teeth that will be erupting within the next couple of years. The way these teeth erupt will play an important role in determining the need or not of a second phase of treatment (Phase II).Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-39841194661190220592012-02-02T15:27:00.000-08:002012-02-02T15:31:25.964-08:00What is “two-phase” orthodontic treatment?Two-phase orthodontic treatment consists of two separate times a child receives orthodontic treatment. A first phase of treatment is done while the child still has some baby teeth. A second phase takes place when a child has most or all of their permanent teeth. Braces may or may not be used in the first phase of treatment, but are always used in the second phase.<br /><br />Common reasons for initiating a first phase (Phase I) of treatment are:<br /><br />- Preventing a problem from developing (preventive treatment);<br /><br />- Interception of a developing problem before it becomes worse and harder to treat later (interceptive treatment);<br /><br />- Guidance of the growth of the jaw bones that support the teeth (growth modification).<br /><br />In my office I recommend a first phase of treatment when I determine that a child’s problem, if left alone, will create an unhealthy environment for the growth and development of his or her teeth, gums, jaws and face. This kind of treatment is timed to predictable stages of dental development to provide the greatest potential for improvement and correction of a child’s bad bite or to take advantage of a child’s growth and development for treatment purposes.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-65988959394176912592012-01-13T10:27:00.000-08:002012-01-13T10:34:30.657-08:00Health problems linked to periodontal disease – part 2Here are some more of the general health consequences an untreated bad bite can lead to as the cause of gum and/or periodontal disease.<br /><br />Pregnant women that have periodontal disease are seven times more likely to have a baby that is born prematurely or too small. Physicians ponder over the possible relationship between premature births and low birth weight babies with periodontal disease in the mother. The reasoning is that toxins given off by the bacteria have a bad effect on the baby and might trigger premature birth.<br /><br /><em>S. mutans</em> is a bacteria that lives in the dental plaque. It is known that it causes cavities and churns out acids that erode teeth. Sometimes <em>S. mutans</em> can enter the bloodstream and travel to the heart halves causing dangerous endocarditis. Straight teeth collect less dental plaque.<br /><br />Lastly, a study from Sweden concluded that exposure to inflammation early in life increases the risk of developing Alzheimer’s disease by a fourfold factor. One of the major sources of infections detected by this study was periodontal disease.<br /><br />In conclusion, while we can’t say that straight teeth and good oral health can prevent certain types of cancer or Alzheimer’s disease, we can say that the constant inflammation resulting from the association between crooked teeth and periodontal disease may lead to severe consequences later in life.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-37264119718723214062011-12-05T14:07:00.000-08:002011-12-07T09:48:22.645-08:00Health problems linked to periodontal disease - Part 1If your teeth are not aligned properly in your mouth it is harder to exercise proper oral hygiene. Left untreated, a bad bite can lead to periodontal disease.<br /><br />Gum disease - which can be secondary to having crooked teeth - isn’t just a problem for your oral health. When your mouth is full of harmful bacteria fighting it out with your immune system, your whole body is affected, just as it would be if you had a bad infection anywhere else in your body.<br /><br />While inflammation is your body’s normal reaction to fight off infection, when inflammation in your mouth goes on for a long time, it can lead to inflammation throughout your body – and that’s a well-known risk factor for atherosclerotic cardiovascular disease (a.k.a “heart disease”) and even having a stroke.<br /><br />Studies have shown that preventing inflammation to begin with is the best way to reduce your risk of heart disease and stroke. That means good dental hygiene is key. In order to exercise the best oral hygiene possible, your teeth and bite must be aligned properly.<br /><br />It might sound far-fetched to associate crooked teeth, poor oral hygiene, periodontal disease and certain types of cancer. There is, however, a correlation between a history of periodontal disease and several cancers, including a 36% increased risk of lung cancer, a 49% increased risk of lung cancer, and a 54% increased risk of pancreatic cancer. Peridontal disease has also been associated with colon cancer and some types of blood cancer.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-62247018119621952942011-11-03T11:55:00.000-07:002011-12-07T09:48:22.645-08:00Why are crooked teeth a health problem?<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmQ2XgHHbYtrfxb8Mkgj5BxyQMPkp43ow1AoyPglhBdMboZmJ480CO1UBlAZrwyJoanitk9CiTKCoKB1Huy0dMddxkAYFccR-ZBgBcv8sbADN-JFDZho0czSibAHpY1P0UPk-xrLT94E4/s1600/CrookedTeeth.jpg"><img style="MARGIN: 0px 10px 10px 0px; WIDTH: 320px; FLOAT: left; HEIGHT: 196px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5670846775442438210" border="0" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmQ2XgHHbYtrfxb8Mkgj5BxyQMPkp43ow1AoyPglhBdMboZmJ480CO1UBlAZrwyJoanitk9CiTKCoKB1Huy0dMddxkAYFccR-ZBgBcv8sbADN-JFDZho0czSibAHpY1P0UPk-xrLT94E4/s320/CrookedTeeth.jpg" /></a><br /><br /><div>Teeth that are not aligned properly in your mouth can create what orthodontists call “malocclusion” (bad bite.) Left untreated, a bad bite can lead to periodontal disease and create abnormal amounts of stress on the teeth and jaws, which lead to premature wear.<br /><br />Straightening your teeth can reduce the risk of serious dental problems because it’s easier to clean them properly when they are well-aligned. What we have also learned through scientific research in recent years is that straightening your teeth and correcting your bite can actually help you live a longer, healthier life.<br /><br />Does this sound too good to be true? It’s not.<br /><br />When teeth are crooked and crowded it’s hard to keep them clean even if you are very diligent about brushing and flossing. Chances are that over time some hard-to-reach areas will end up being neglected and you will develop periodontal disease. This means that your gums that hold your teeth in place get infected. Your gums become swollen and bleed easily when you brush your teeth. This initial gum infection is called gingivitis.<br /><br />If left untreated gingivitis can progress to periodontitis, which literally means “inflammation around the tooth.” The gums pull away from the teeth and form little pockets of infection from trapped food and bacteria. Infections activate your body’s immune system, which in turn attacks the bacteria. The battle between bacteria and the immune system will start to break down the gums, connective tissue and bone that hold your teeth in place in the jaws. That can make chewing painful and difficult, and can lead to teeth that become so loose that they fall out or need to be extracted.</div>Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-24378117620342336732011-10-12T09:11:00.000-07:002011-12-07T09:48:22.647-08:00The Herbst Appliance<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGoOcp80b0NDC1Pi4ugQvu9sNraVQF0xFeL9OjKIBjQgi43Q62jJI-rjnkHKZdPuszsGq5Sp5PlJW5GbJG99-YCsvAjc715tgxHV6AX8qsC_XS_iln_fCKPQipaGEGa5wHr63x2-4mejs/s1600/ScreenShot001.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 197px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGoOcp80b0NDC1Pi4ugQvu9sNraVQF0xFeL9OjKIBjQgi43Q62jJI-rjnkHKZdPuszsGq5Sp5PlJW5GbJG99-YCsvAjc715tgxHV6AX8qsC_XS_iln_fCKPQipaGEGa5wHr63x2-4mejs/s320/ScreenShot001.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5662642448941735922" /></a><br />This appliance is not a new appliance. It has been around in the world of orthodontics for about 50 years. It gained popularity in the last 20 years as the focus of orthodontic treatment shifted to individualization of patient care to address specific issues, and not use the same treatment techniques for everyone.<br /><br />The Herbst appliance is very effective in correcting large overbites due to small lower jaws in patients that are growing. It is used to enhance the growth of the lower jaw in a forward direction. The lower jaw is held forward by a pair of tubes and rods working together similar to a shock absorber to connect the upper and lower jaws.<br /><br />The Herbst appliance corrects “overbites” by holding the lower jaw in a forward position, which in turn is what encourages lower jaw to accomplish its maximum genetic growth potential, helping it to grow and catch up with the upper jaw. The growth center of the lower jaw is near the joint area and the Herbst appliance works “remodeling” this area.<br /><br />By utilizing the Herbst appliance while a young patient is growing, we can maximize their growth potential and possibly eliminate the need for extraction of permanent teeth or a jaw advancement surgery to fix the bite in the future. <br /><br />The Herbst appliance is cemented on the back molars and is in place and active 24 hours a day. It generally stays in place for 12 months along with front braces. Once it is removed, braces are added to the side teeth for an approximately 12-18 months to complete tooth alignment.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-40199678655413599512011-09-21T09:37:00.000-07:002011-12-07T09:48:22.647-08:00Treatment of "Overbites" - part 2/2But what about those patients whose “overbite” is due to a small lower jaw? Does it make sense to adapt a good upper jaw to a faulty lower one? The answer is no. Limiting the growth of a good upper jaw or moving well-positioned upper front teeth to “fit” a small lower jaw may produce an acceptable bite. It will not, however, produce an attractive face.<br /><br />Considering the aforementioned, what is the proper way of addressing an “overbite” due to a small lower jaw? The short answer is to encourage the lower jaw to grow and “catch up” with the upper jaw on pre-teen and early-teen patients. This concept gained popularity in Europe in the 50’s and arrived in America in the 70’s. <br /><br />Although many times orthodontists accomplish corrections that are worthy of “wows,” there’s hardly any magic in what we do. We can’t “grow” a lower jaw or make it grow to pre-determined standards. When it comes to growth, orthodontic treatment is limited to the individual genetic growth potential each person has. What we can do, however, is try to create a treatment environment conducive to taking advantage of the maximum growth potential each person has during the growing years.<br /><br />When it comes to treating the “overbite” of someone with a small lower jaw, there are many different appliances that once in place in the mouth can encourage the lower jaw to accomplish its maximum genetic growth potential. My appliance of choice is the HERBST APPLIANCE, which I will write more about in my next posting.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-27315831582672446552011-08-16T16:18:00.000-07:002011-12-07T09:48:22.648-08:00Treatment of "Overbites" - part 1/2<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilA33EbzY1bE7VzLhALU0Iqyszcor_pK0ib53nv3Z3ZMpwHqZ4ICKRro7A0xrcnp34wJ8yahbU5CxYf-yKy-VyWHYBbr0m1poJPzlXkg9MEALOxfDER4c4zA5SdjHcN-PtRO53i3B2k_s/s1600/overjet.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 226px; height: 114px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilA33EbzY1bE7VzLhALU0Iqyszcor_pK0ib53nv3Z3ZMpwHqZ4ICKRro7A0xrcnp34wJ8yahbU5CxYf-yKy-VyWHYBbr0m1poJPzlXkg9MEALOxfDER4c4zA5SdjHcN-PtRO53i3B2k_s/s320/overjet.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5662640291834586850" /></a><br />The purpose of correcting an “overbite” is not cosmetic. It is important to have a proper bite where the teeth work as they are intended to prevent future problems and breakdown of the teeth and jaw muscles. That said, positive changes to the jaw line and facial profile will also be noticed.<br /><br />The job of an orthodontist is not to solely move teeth. Our specialty is called “Orthodontics and Dentofacial Orthopedics” and this means that we also must consider the structure of the whole face when deciding how to move teeth.<br /><br />In the past, all “overbites” were treated with either a headgear or the removal of two permanent upper teeth to allow moving the front teeth towards the back (towards meeting the lower teeth). You may be wondering: “are headgears still around??” The answer is, you bet they are. And you want to know why? Because they are efficient if properly worn.<br /><br />The headgear is an appliance that prevents the upper jaw from continuing to outgrow the lower jaw. The appliance is attached to the upper first permanent molars (back teeth), via bands and tubes. A backwards force is the applied through a neck or head strap to limit the forward growth of the upper jaw. This type of treatment works well for patients that have a prominent upper jaw and/or upper front teeth that need to be moved back. <br /><br />Headgears can also be used to make more space for teeth to come in. In this instance the headgear is attached to the molars and a light force is applied to help to draw these molars backwards in the mouth, opening up space for the front teeth to be moved back using braces and bands. Multiple appliances and accessories are typically used along with the headgear, especially braces and elastics.<br /><br />But what about those patients whose “overbite” is due to a small lower jaw? Does it make sense to adapt a good upper jaw to a faulty lower one? Stay tuned for the answer in my next entryDr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-6823942415597825402011-07-19T15:06:00.000-07:002012-01-30T14:24:24.154-08:00"Overbites"One of the most common bite situations an orthodontist deals with on a frequent basis is the correction of bites where lower teeth are set back relative to the top teeth. Such situations are often referred to as “overbites” by most people. In orthodontics, however, overbites mean something else. What the public calls “overbite” is called excessive overjet by orthodontists. For the purpose of this blog entry, I will use the term “overbite” in quotes so my colleagues will not think wrong of me.<br /><br />In order to determine the best treatment for someone with an “overbite” problem, it is important to establish which jaw is at fault. An orthodontist is trained to look at a patient's facial profile much like a Plastic Surgeon.<br /><br />Basically, the orthodontist needs to determine why the upper front teeth are far from the lower front teeth. Is it because the upper jaw is too big for the lower jaw? Is it because the lower jaw is too small? Or is it because of both?<br /><br />A thorough first examination plus a complete set of records, with digital photographs, radiographs and study models are key to helping me determine which jaw is at fault and what is the proper treatment for an ideal correction that improves the bite and the facial profile.<br /><br />The purpose of correcting an “overbite” is not cosmetic. It is important to have a proper bite where the teeth work as they are intended to prevent future problems and breakdown of the teeth and jaw muscles. That said, positive changes to the jaw line and facial profile will also be noticed.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-59717771523867323052011-07-19T15:03:00.000-07:002011-12-07T09:49:04.615-08:00"Overbites"One of the most common bite situations an orthodontist deals with on a frequent basis is the correction of bites where lower teeth are set back relative to the top teeth. Such situations are often referred to as “overbites” by most people. In orthodontics, however, overbites mean something else. What the public calls “overbite” is called excessive overjet by orthodontists. For the purpose of this blog entry, I will use the term “overbite” in quotes so my colleagues will not think wrong of me.
<br />
<br />In order to determine the best treatment for someone with this an “overbite” problem, it is important to establish with jaw is at fault. Basically, the orthodontist needs to determine why the upper front teeth are far from the lower front teeth. Is it because the upper jaw is too big for the lower jaw? Is it because the lower jaw is too small? Or is it because of both?
<br />
<br />A thorough first examination plus a complete set of records, with digital photographs, radiographs and study models are key to helping me determine which jaw is at fault and what is the proper treatment for an ideal correction that improves the bite and the facial profile.
<br />
<br />The purpose of correcting an “overbite” is not cosmetic. It is important to have a proper bite where the teeth work as they are intended to prevent future problems and breakdown of the teeth and jaw muscles. That said, positive changes to the jaw line and facial profile will also be noticed.
<br />Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-84174722331969523272011-06-14T14:31:00.000-07:002011-12-07T09:48:22.651-08:00Are braces better than Invisalign?<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYaQe7ujs2fHTcPlSW2BF57O951NgHw4PB6AU-T5TW6xdH7d49ynOt4U9A8MdeuNX9zgxYi00942Ij8ACLEQML16tQrdtLHlOJdWA_Cb98jPEOAxL8qFL0O4_qoTsgdmouS3Y8OFA3FRo/s1600/bracesvinvisalign.jpg"><img style="MARGIN: 0px 10px 10px 0px; WIDTH: 307px; FLOAT: left; HEIGHT: 164px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5670855773821156914" border="0" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYaQe7ujs2fHTcPlSW2BF57O951NgHw4PB6AU-T5TW6xdH7d49ynOt4U9A8MdeuNX9zgxYi00942Ij8ACLEQML16tQrdtLHlOJdWA_Cb98jPEOAxL8qFL0O4_qoTsgdmouS3Y8OFA3FRo/s320/bracesvinvisalign.jpg" /></a><br /><br /><div>This is a difficult one to answer. There are pros and cons with every type of orthodontic treatment and both you and I have to weigh these up before making the right decision.<br /><br />Invisalign is a very good system which is proving to be very popular with a great many patients because of its esthetics, convenience and how it fits the modern urban lifestyle. It uses a highly transparent, patent-protected material that makes the aligners appear practically invisible.<br /><br />Clear aligner treatment, however,is best suited to those patients with orthodontic problems that are not extreme. Severe overbites, underbites and situations where permanent teeth need to be removed for straightening of the teeth are usually better addressed with braces or with an initial period of braces followed by Invisalign for completion of the treatment.<br /><br />All in all, when it comes to selecting the best way to correct your bite and furthering you smile, my final decision is individualized and made based on your orthodontic problem, your personal needs and requirements and – most of all – your expectations of the treatment results and outcome.<br /><br />Gone are the days of “doctor knows best.” Yes, doctors do know quite a bit. But so do you when it comes to your expectations and how you want to straighten your teeth. Come on in for a complementary evaluation so we can see if Invisalign is right for you.</div>Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-63176275630205615232011-05-04T10:08:00.000-07:002011-12-07T09:48:22.652-08:00Is Invisalign® right for me? The Pros and Cons of Using the Invisalign System<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKYcE7jvwhCC0fi1WwMiXmNDwqpj_5CEjG9b0y-KhjjJUH5VuqBtijLem8Cxb23DEQ4olg10GlYDyWyuVYCGPcexiOpgfTPieZN5_oY50fdnJPc4fl8JfpA71Q5CfLwu9sohzWAr2KdWA/s1600/invisalign.jpg"><img style="MARGIN: 0px 10px 10px 0px; WIDTH: 220px; FLOAT: left; HEIGHT: 151px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5670855646649446610" border="0" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKYcE7jvwhCC0fi1WwMiXmNDwqpj_5CEjG9b0y-KhjjJUH5VuqBtijLem8Cxb23DEQ4olg10GlYDyWyuVYCGPcexiOpgfTPieZN5_oY50fdnJPc4fl8JfpA71Q5CfLwu9sohzWAr2KdWA/s320/invisalign.jpg" /></a><br /><br /><div>Aside from the benefit of correcting your teeth with a virtually invisible system, there are other advantages to using the Invisalign system. At the same time, there are some potential drawbacks that should be taken into consideration when trying to determine if this method is right for you.<br /><br />Each pair of Invisalign aligners needs to be worn 22 hours per day. The fact that the aligners can be removed when necessary is one benefit that you will not find with traditional metal-wire braces. Correcting your teeth with an ultra esthetic and virtually invisible system is a major benefit. Other advantages are comfort, convenience and making your teeth look and function better with an appliance that fits your lifestyle.<br /><br />Since you can remove the Invisalign aligners, you can eat with more comfort and you can brush your teeth more thoroughly than you would with traditional braces. It’s key, however, to not abuse this benefit and to not turn it into a habit of removing the aligners several times a day.<br /><br />Another benefit of the Invisalign system is that it is more comfortable than braces because the aligners do not apply a great deal of tightening force to your teeth. Metal braces can make the teeth sore from time to time and may lead to local inflammation of the gums (if oral hygiene is not proper) as well as general irritation of the soft tissues of the mouth. Also, there are virtually no emergency visits compared to those associated with traditional braces (poking wires, canker sores, loose appliances, etc.)<br /><br />While the Invisalign system is effective when it comes to moving teeth, at the same time there are some potential drawbacks that the orthodontist must consider when determining if this treatment method is right for you.<br /><br />In more severe misalignment situations, where a great deal of movement of the teeth is required or where one or more teeth need to be removed in order to correct the bite, Invisalign may not be the best treatment choice. Such situations are better addressed either with full treatment with braces OR an initial period of braces followed by Invisalign for completion of the treatment.<br /><br />Compliance is key. I cannot stress enough that in order for the Invisalign aligners to realistically and efficiently move teeth, they need to be worn at least 22 hours per day. I tell all my Invisalign patients that the reason why Invisalign is cool is because it’s virtually invisible and not because it can be removed any time you want. If you need to remove the aligners several times a day, the final results may be below your expectations and a period of braces may be needed to rectify the situation.</div>Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-87135032522898000212011-04-06T11:14:00.000-07:002011-12-07T09:48:22.653-08:00Invisalign® – An OverviewInvisalign® is a type of orthodontic appliance that can be used in place of traditional braces to close gaps between teeth and straighten those that are crooked.<br />With the help of computerized technology and three dimensional modeling, invisible aligners are fabricated to correct the position of the teeth without the use of metal, wires or other visible components.<br /><br />Unlike traditional braces, the Invisalign® system is completely clear and virtually impossible to notice when in use. They are very effective correcting some dental problems and most treatments can generally be completed in anywhere between six months to slightly over one year.<br /><br />By fabricating a series of clear aligners to exactly fit your teeth, the Invisalign® aligners are able to slowly move teeth to their proper, desired positions for a more attractive smile. Each set of aligners works for 2 to 3 weeks before moving on to the next set. At each visit you receive 2 or 3 sets of aligners (as well as the starting dates for each) and products to keep them clean and hygienic.<br /><br />If the Invisalign® system is indicated for your treatment, we will take impressions of your teeth with hi-definition putty material. The next step is to obtain several high definition photographs of your teeth from a variety of different angles. With this information, a 3D digital animation of your teeth and bite will be developed. With my direct input, this virtual model is then used to simulate how your teeth will be moved to their final position.<br /><br />Finally, from this CGI (computer-generated image) simulation, your aligners will be custom-made to fit your teeth perfectly. Although some minor discomfort can be experienced when you first start using the aligners, most people find this type of treatment to be quite comfortable. An additional advantage is that the aligners can be removed when necessary so you can eat with more comfort and exercise proper oral hygiene without difficulties. Also, there are virtually no emergency visits compared to those associated with traditional braces (poking wires, canker sores, loose appliances, etc.)<br /><br />In summary, Invisalign® can be used to correct a wide variety of orthodontic problems. Nonetheless, as it is the case with any modality of treatment, this system does present limitations. In more severe cases, where a great deal of tooth movement is required, or where one or more teeth need to be removed in order to correct the bite, Invisalign® may not be the right choice.<br /><br />It is important to consult with an orthodontist for this type of treatment as he or she is most qualified to recognize the aforementioned circumstances in order to better educate patients regarding treatment expectations and outcome.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-90861794670128233542011-02-22T20:39:00.000-08:002011-12-07T09:48:22.654-08:00A modified toothbrushing technique that reduces risk of cavities<!--[if gte mso 9]><xml> <w:worddocument> <w:view>Normal</w:View> <w:zoom>0</w:Zoom> <w:trackmoves/> <w:trackformatting/> <w:punctuationkerning/> <w:validateagainstschemas/> <w:saveifxmlinvalid>false</w:SaveIfXMLInvalid> 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style="font-family:arial;"><span style="line-height: 115%;font-size:100%;" >According to a study published in September’10 by the prestigious American Journal of Orthodontics and Dentofacial Orthopedics, the use of a modified brushing technique significantly reduced the incidence of new carious lesions in orthodontic patients when compared to routine oral hygiene instructions with fluoride toothpaste.</span><span style="line-height: 115%;font-size:100%;" ><br /></span></p> <p class="ja50-ce-para" style="font-family:arial;"><span style="line-height: 115%;font-size:100%;" >The study titled “Modified fluoride toothpaste technique reduces caries in orthodontic patients: A longitudinal, randomized clinical trial” followed 100 orthodontic patients randomly divided into 2 groups.<span style=""> </span>Each patient was examined before starting orthodontic treatment (baseline) and shortly after removal of the appliances in a 2-year study period.<span style=""> </span>The test group patients were instructed to use the modified brushing technique while the control group patients were given routine clinical oral hygiene instructions.</span><span style="font-size:100%;"><br /></span></p><p class="ja50-ce-para" style="font-family:arial;"><span style="font-size:100%;">The modified brushing technique that was more effective in preventing caries in orthodontic patients than normal oral hygiene instructions consists of the following steps:</span></p> <p class="ja50-ce-para" style="font-family:arial;"><span style="font-size:100%;">(1) use ¾ of one inch of toothpaste on a wet toothbrush;<br />(2) spread the toothpaste evenly on both upper and lower teeth;<br />(3) brush all surfaces of the teeth for 2 minutes;<br />(4) use a small amount of water, the equivalent of a handful with the dentifrice remaining in the mouth and filter the dentifrice slurry between the teeth by active cheek movements for 30 seconds before expectorating;<br />(5) avoid further rinsing with water;<br />(6) avoid drinking or eating for 2 hours;<br />(7) brush twice a day, after breakfast and at night before going to bed.</span></p> <p class="ja50-ce-para" style="font-family:arial;"><span style="font-size:100%;">Compared with other dental specialists, orthodontists have a great opportunity to emphasize fluoride toothpaste regimens since patients usually visit the clinic every few weeks, giving the orthodontist an excellent opportunity to stress the importance of using fluoride toothpaste and. Although this technique is highly efficient, patients must be aware that slurry rinsing with the toothpaste can cause some oral discomfort and irritation of the oral mucosa.<span style=""> </span>Also, the use of dental floss lessens the risk of dental cavities between the teeth during orthodontic treatment.</span></p> <p class="ja50-ce-para" style="font-family:arial;"><span style="font-size:100%;">In my website you will find a section especially dedicated to how to maintain good and proper oral hygiene during orthodontic treatment, including brushing techniques and how to use dental floss appropriately. <a href="http://www.larchmontortho.com/PatientInfo/OralHygiene/tabid/74/Default.aspx">http://www.larchmontortho.com/PatientInfo/OralHygiene/tabid/74/Default.aspx</a></span></p>Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-80837455565230736262011-02-05T11:49:00.000-08:002011-12-07T09:48:22.655-08:00Avoiding cavities during orthodontic treatmentIf you thought brushing and flossing were important before you got braces…well, you were right. But people undergoing orthodontic treatment need to be even more dedicated to good oral hygiene.<br /><br />Braces trap food very easily, which contributes to dental plaque formation. If plaque is not carefully removed from teeth and from around braces, patients run the risk of developing gum disease, dental decay and bad breath."<br /><br />Plaque is a mixture of bacteria, debris and bits of food. The bacteria feed on sugars and produce acids. The acids can irritate your gums, erode the enamel on your teeth and contribute to bad breath. It's important to remove the plaque thoroughly and often. Then, when your braces come off, the surfaces of your teeth underneath the braces will be healthy and strong and look good.<br /><br />The very early stages of dental cavities are white, opaque spots on the surface of the teeth. These spots are technically called areas of “enamel demineralization.” They are associated with a rapid process caused by cavity-inducing bacteria that develop around the braces.<br /><br />Despite improvements in materials and preventive efforts, demineralization can occur around orthodontic appliances as early as only 1 month into treatment. There is a higher risk of demineralization adjacent to brackets at earlier ages, because of the lower resistance of enamel and poorer cooperation by younger patients in the orthodontic treatment process.<br /><br />Toothbrushing remains the cornerstone of good oral hygiene. Many patients ask me about electric toothbrushes (are they better, is it worth it buying one, etc.). Regardless of brand, I believe an electric toothbrush is an excellent addition to anyone’s set of tools for home dental care.<br /><br />Today’s electric toothbrushes are both highly effective and reliable. Their efficacy in comparison with that of the manual toothbrush has been evaluated in a large number of clinical studies carried out by academic institutions and contract research companies specializing in dental research. These studies consistently have shown the electric toothbrush to be superior, with results demonstrating greater plaque removal and, as a consequence, more improvement in gingival condition than that achieved with a manual toothbrush alone.<br /><br />Fluoride toothpaste has been widely used for more than 4 decades and remains a benchmark for the prevention of dental caries. It reduces caries in both permanent and deciduous teeth. For this reason, fluoride toothpaste is important as an effective caries-prevention measure worldwide.<br /><br />Four factors influence the anticaries efficacy of fluoride toothpaste: 1. frequency of brushing; 2. duration of brushing; 3. fluoride concentration; and 4. postbrushing rinsing. Brushing should be done two or three times daily and patients should be persuaded to brush for no less than 2 minutes each time.<br /><br />Flossing is an excellent aid to oral hygiene during orthodontic treatment. Dental floss is either a bundle of thin nylon filaments or a plastic (Teflon or polyethylene) ribbon used to remove food and dental plaque from teeth. The floss is gently inserted between the teeth and scraped along the teeth sides, especially close to the gums. Dental floss may be flavored or unflavored, and waxed or unwaxed. Whichever type you choose does not matter. The important thing is to use it at least once daily, preferably before bedtime.<br /><br />Many people tend to disregard flossing in thinking that brushing is more than enough for their dental care. Brushing but not flossing is like cleaning only 65% of your teeth leaving 35 % dirty. The main role of flossing is to eliminate food particles caught between the teeth. Non-removal of those particles often lead to cavities and other problems. Researchers found that gingival bleeding, gum disease-causing bacteria and halitosis (“bad breath”) were greatly reduced when flossing is done at least once daily.<br /><br />In my website you will find a <a href="http://www.larchmontortho.com/PatientInfo/OralHygiene/tabid/74/Default.aspx">section especially dedicated to how to maintain good and proper oral hygiene</a> during orthodontic treatment, including brushing techniques and how to use dental floss appropriately.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-65311441317503698272010-12-17T08:47:00.000-08:002011-12-07T09:48:22.656-08:00Bruxism (Teeth Grinding or Clenching) – part 2 of 2This is part two of my thoughts concerning tooth grinding. The following entry will focus on treatment of bruxism.<br /><br /><em>Bruxism </em>is the medical term for the grinding of teeth or the clenching of jaws, especially during deep sleep or while under stress. This affliction occurs in 5% to 20% of adults, and in 30 % of children in the age group of five and six years.<br /><br /><strong>Treating Bruxism</strong><br />Whether the grinding is caused by misaligned teeth or psychological stress, most kids outgrow it. A combination of parental observation and dental visits can also help keep the problem in check. <br /><br />In more severe, chronic cases where the grinding and clenching cause facial and jaw soreness and/or damage the teeth, Dr. Martines may prescribe a special night guard. Molded to a child’s teeth, a night guard is similar to the protective mouthpieces worn by football players. Though a mouthpiece may take some getting used to, positive results are often observed.<br /><br /><strong>Helping Your Child</strong><br />Whether the cause is anatomical or psychological, some kids are be able to reduce dental grinding by relaxing before bedtime. For example: by taking a warm bath or shower, listening to a few minutes of soothing music or reading a book.<br /><br />For bruxism that is caused by stress, try to find out if there is a specific something that is upsetting your child and find a way to help. For example: a kid who is worried about being away from home for a first camping trip might need reassurance that mom or dad will be nearby if anything happens.<br /><br />If the issue is more complicated, such as managing a busy school and extra activities schedule, moving to a new town, a new school, making new friends, and especially, discuss your child’s concerns. Try to ease any fears and make changes in his/her daily routine to reduce anxiety. If you’re concerned about your child’s emotional state, talk to your physician or pediatrician.<br /><br />In some cases, these basic stress relievers may not be enough to stop bruxism. If your child has trouble sleeping or is acting differently than usual, an assessment by a therapist may be beneficial. This can help determine the cause of the stress and an appropriate course of treatment.<br /><br /><strong>How Long Does Bruxism Last?</strong><br />Childhood bruxism is usually outgrown by early adolescence. Most kids stop grinding when they are done losing their baby teeth. However, a few children do continue to grind into adolescence or until the stress that leads to it is addressed properly.<br /><br /><strong>Preventing Bruxism</strong><br />Because some dental grinding is a child’s natural reaction to changing teeth and to growth and development, most cases are benign and cannot be prevented. Stress-induced bruxism can be addressed with the basic stress relievers here described and by talking with your children regularly about their feelings and helping them deal with daily-life stress.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-63515289575386872392010-11-19T14:40:00.000-08:002011-12-07T09:48:22.657-08:00Bruxism (Teeth Grinding or Clenching) – part 1 of 2Bruxism is the medical term for the grinding of teeth or the clenching of jaws especially during deep sleep or while under stress. This affliction occurs in 5% to 20% of adults. Three out of every 10 kids will grind or clench with the highest incidence in children under five. Hyperactive children experience bruxism more frequently.<br /><br />This is such an interesting and vast topic that I have split it in two parts. In the first part I will concentrate on explaining what bruxism is and what causes it. The next entry will focus on addressing and treating bruxism.<br /><br /><strong>Causes of Bruxism</strong><br />Though studies have been done, no one knows exactly what causes bruxism. In some cases, kids may grind their teeth because the top and bottom teeth aren’t aligned properly. Others do it as a response to discomfort from an earache or teething, or as a way to ease soreness, just as one might rub a sore muscle. Most kids, however, outgrow these fairly common causes for grinding by the time most or all permanent teeth have erupted.<br /><br />Stress – usually expressed as nervous tension, constant worry, anxiety and even anger – is another possible cause for grinding the teeth. For instance, your child may be having trouble coping with a busy school and extra activities schedule, worrying about a test at school, or experiencing a change in routine (a new sibling or a new teacher). Even arguing with parents and siblings can cause enough distress to prompt teeth grinding or jaw clenching. <br /><br /><strong>Effects of Bruxism</strong><br />Generally bruxism does not hurt or harm a child’s teeth. In fact, many cases go undetected with no adverse effects, though some may result in mild morning headaches or earaches. Most often, however, this condition is more bothersome to the parents, caretakers and others in your home because of the grinding sound.<br /><br />In some extreme circumstances, nighttime grinding and clenching can wear down tooth enamel, chip teeth and cause facial pain and jaw problems, such as temporomandibular joint disease (TMJ). Most kids who grind, however, do not have TMJ problems unless their grinding and clenching is chronic and persistent for many years.<br /><br /><strong>Diagnosing Bruxism</strong><br />Most children who grind their teeth aren’t even aware of it, so it’s often siblings or parents who identify the problem. Some signs associated with tooth grinding are: <br />• Grinding noises when your child is sleeping<br />• Complaints of a sore jaw or face in the morning<br />• Thumb sucking<br />• Fingernail biting<br />• Gnawing on pencils and toys<br />• Chewing the inside of the cheek<br /><br />If damage to the teeth is detected, Dr. Martines will ask your child a few questions, such as:<br />• How do you feel before bed?<br />• Are you worried about anything at home or school?<br />• Are you angry with someone?<br />• What do you do before bed?<br /><br />In my next blog entry I will write about addressing and treating bruxism, so stay tuned!Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-3538014032325721522010-10-05T11:15:00.000-07:002011-12-07T09:48:22.657-08:00Damon BracesOrthodontic technology is constantly evolving and new forms of treatment are appearing all the time. There are now alternatives to the conventional wire and metal brace which are less noticeable and more comfortable to wear.<br /><br />One example of orthodontic technology is the Damon braces. The Damon braces are a "friction-free" system which means no metal or elastic ties hold the wires in the braces. Color or metal ties are used in other types of braces which exert a force on the teeth and cause them to move. On the other hand, this also causes friction which can be uncomfortable and make tooth movement progress slowly.<br /><br />The Damon braces use a clever slide mechanism which holds the archwire in place and allows the teeth to move easily and comfortably. Also, because of the advanced design and the light, biologically sound forces this system applies on the teeth, it allows a gentler correction of bite problems as well as improved facial harmony and smile width.<br /><br />Other types of braces require adjustments (or tightening) on a regular basis, and that can be painful. The Damon braces have a sliding mechanism which minimizes this problem, meaning less sore teeth and gums.<br /><br />The color elastic ties used with conventional braces can be a magnet for food debris and are very difficult to clean. Because the Damon braces are free from these ties, it’s easier to keep your teeth clean while in braces.<br /><br />In my experience with the Damon brackets compared to traditional brackets (with color elastomeric ties) I have observed:<br />- Improved patient oral hygiene;<br />- Reduced need to use expanders or remove permanent teeth before or during treatment;<br />- The fairly unobtrusive nature of the system that for most patients result in a shorter treatment period and more timely alignment of the front teeth;<br />- More convenience for patients and families due to the possibility of longer intervals between appointments and shorter in-office time for adjustments;<br />- More comfort during treatment and appointments.<br /><br />Now you may be wondering that since the Damon System can possibly shorten treatment time, does that mean it is harsh or unsafe? The answer is no. In fact, what makes this system work in a timelier manner for some patients is that it uses far gentler, more biologically sound forces than conventional braces. Very light titanium alloy wires in association with the low-friction nature of these braces gently guide the teeth to their ideal positions and improve the smile and facial harmony. <br /><br />The Damon brackets are not magic or better than any other bracket system. But they are more efficient, streamlined, comfortable and convenient for both me and my patients, making them superior in my point of view.<br /><br />For all this, and with the experience I have acquired practicing orthodontics for more than 16 years and teaching at the UCLA Department of Graduate Orthodontics for the last 5 years, I am excited to offer the Damon Braces System in my office.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-31072555748590703302010-08-17T21:37:00.000-07:002011-12-07T09:48:22.658-08:00Why should bad bites be treated?From time-to-time, people that are skeptical about braces ask me that question. Sometimes it comes in the form of “why do braces if m teeth will get crooked again?” There’s a variety of ways to answer these queries.<br /><br />As a result of a “bad bite” (which dentists and orthodontists refer to as a malocclusion) your teeth may be crooked, your bite may not work correctly and – unbeknownst to you – your jaws may not be functioning in the balanced manner they should. Over the course of time, the whole chewing system can show signs of breakdown in the form of facial muscular soreness, abnormal tooth wear, loosening of some teeth and sometimes grinding and even facial joint (TMJ) discomfort.<br /><br />According to studies published by renowned orthodontic journals, untreated bad bites can result in a variety of future problems such as:<br />- Crowded, crooked teeth are more difficult to properly brush and floss, which may contribute to tooth decay and/or gum disease (gum disease is the #1 factor for dental loss in adults);<br />- Protruding teeth are more susceptible to accidental chipping;<br />- Crossbites (when one or some upper teeth fail to cover opposing lower teeth) can result in unfavorable growth, uneven tooth wear and loosening of permanent teeth;<br />- Openbites can result in tongue-thrusting habits and speech impediments;<br />- Upper and lower teeth that do not fit well when biting may lead to difficulties or reduced efficiency in chewing.<br />- In some circumstances, and in addition to stress, a bad bite can contribute to TMJ pain and dysfunction, facial soreness and headaches.<br /><br />A bad bite is unstable by nature because the upper and lower teeth are not fitting well together. Therefore, it only makes sense that such unstable balance over the course of time will likely make a bad bite only get worse. Of course this degenerative process does not happen overnight. The discomfort it causes, however, may be felt more readily.<br /><br />Once a bite is corrected to fit the standards considered ideal – or close to ideal – and the fit of the teeth is much like that of a lid tightly covering a box all around, it’s easy to visualize how such bite relationship is more stable than a bad bite. <br /><br />It’s true the individual position of some teeth may change over time (and this will be addressed in a later posting about retainer wear), but the fit and benefits of a good bite will last and stay that way in the years to come.<br /><br />Ultimately, orthodontics does more than make a beautiful smile – it creates a healthier you.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.comtag:blogger.com,1999:blog-6827030585860741791.post-67318843049503788162010-05-18T13:30:00.000-07:002011-12-07T09:48:22.659-08:00Early Orthodontic Treatment: When and WhyQuite often parents tell me they didn’t get braces until they were fourteen, so why should their kid get treatment before that? That’s a fair question. Other people come up to me and ask me why kids nowadays get braces earlier now than before. <br /><br />While saying that may be partially true, it’s definitely not the whole truth since most kids do not need braces before the eruption of all their permanent teeth. The objective of early orthodontic treatment is to intercept specific developing problems that I detect during an examination.<br /><br />On a personal note, I was born in 1968, so my childhood took place in the 70’s when most people did not get braces early. Nevertheless, in 1977 when I was 9 my pediatric dentist told my mom I should see an orthodontist because it didn’t look like I was going to have enough space for my upper eye teeth to erupt. By the time I was 10 – in 1978 – I was wearing a headgear and some braces on my upper teeth. One year later, I had space for all my teeth and didn’t need braces again until I was 26. <br /><br />When orthodontic intervention is not necessary, an orthodontist can carefully monitor growth and development and begin treatment when it is ideal.<br /><br />Problems that should be addressed between ages 8-12 to avoid serious problems later include lack of space for eruption of all permanent teeth, crossbites (when one or some upper teeth fail to cover opposing lower teeth), and facial growth imbalances that cause severe overbites and underbites.<br /><br />Some of the most direct results of interceptive treatment are:<br />- Reducing the need for tooth removal by creating room for crowded erupting teeth and reserving space for unerupted teeth.<br />- Creating facial symmetry by directing jaw growth.<br />- Reducing the risk of trauma to protruding front teeth.<br />- Reducing the risk of premature tooth wear and chipping of the teeth.<br />- Elimination of habits that create bad bites.<br /><br />Phase I treatment simplifies or reduces – but not necessarily eliminates – the need for future comprehensive orthodontic treatment. The benefits of early treatment are the creation of an environment that promotes unimpeded optimal eruption of the permanent dentition and more balanced facial growth. This will consequently provide more pleasant dental and facial esthetics and make any needed further correction in a second phase of care more comfortable and timely.Dr. Luis Martines - Larchmont Village Orthodonticshttp://www.blogger.com/profile/06000102376380078511noreply@blogger.com