Orthodontics on Silver Lake!

(302) 672-7776

Ortho Mythbusters #3 :

 

 

MYTH: Patients LOVE their retainers

FACT: Patients are happier with straight teeth

 

 

 

We are passionate about excellent results!

Retainers are planned for our patients to reduce the the chance of relapse after orthodontic treatment. Alpine & Rafetto Orthodontics (ARO) – formerly OSL- provide retainers based on the doctors’ recommendations, and original diagnosis of the case. Our patients like their teeth to stay as straight as possible. Stability post-treatment is based on 4 factors: periodontal, occlusal, soft-tissue, and growth.*

Fixed retainers: Maintain your result better, and are difficult to lose.

We review instructions on wear and care the day the retainers are placed. Our ARO-OSL doctors lecture to local hygienists so they know how to help you keep your retainers intact as long as possible.

Removable retainers: Are made to fit well and we instruct on proper wear and care. This retainer can be lost at school, at a friend’s house, a restaurant… We go over ways to avoid this!

One study showed 86% of patients will experience various amounts of relapse if they do not wear retainers.

So LOVE your retainer, wear and care for it, and enjoy your orthodontic results!

*Evidence-Based Orthodontics,” Huang, Richmond, Vig, Wiley-Blackwell 2011
** Relapse and the Need for Permanent Fixed Retention,” Durbin,D. JCO Volume XXXV No.12 2001

 

Orthodontic Mythbusters #2

MYTH: The Best Time to Begin Orthodontic Treatment is the Same for Everybody…

FACT: Dr. Steckel and the American Association of Orthodontists’ (AAO) recommend that a child should receive his or her first orthodontic evaluation by age 7 years. For some young children, NOT ALL, early orthodontic treatment can reduce the time spent in braces and possibly eliminate the need for future tooth extractions. A thorough evaluation can help determine if treatment would be beneficial for the child now or when to start in the future. These days, braces aren’t just for kids, and Invisalign isn’t just for adults!
 
Fun Bonus– Our new patients will have a great time at their first visit with Dr. Steckel and our OSL team.
 
While starting orthodontic treatment at a young age can be very beneficial in many ways, it is never too late to achieve a healthy, straight and beautiful smile!

Individualized Treatment Based on Evidence 

At Orthodontics on Silver Lake, we believe in evidence-based treatment, meaning that we follow clinical evidence to identify the best treatment options and techniques available for every patient. For each patient we see, we provide a clear explanation of his or her specific orthodontic needs, detailed information about the patient’s options, and expert guidance in making the right decisions.

It’s Never Too Late for Orthodontic Treatment- if you have healthy teeth and gums, and an interest in improving your smile. Call Anna or Annabel today at OSL at (302)672-7776 or visit us at doverorthodontics.com to find out more. 

photo credit: Columbia Pictures

 

ORTHODONTIC MYTHBUSTERS #1

ORTHODONTIC MYTHBUSTERS #1

MYTH: Orthodontists run behind schedule and keep you waiting for your appointment.

FACT:  There can be orthodontic emergencies that change and slow the schedule. However, those should be few and far between.

OSL patients in Dover, DE can rely on us to see them at their appointment time IF

They arrive 5 mins before their appointment to brush their teeth, and then we’ll get started for their planned adjustment.

In fact, patients and parents frequently compliment us at OSL and appreciate our efforts to see them on time!  #betteratthelake #teamosl

IF our patients cannot arrive on time, then we ask them to communicate this change as soon as possible so we can find an appointment option to accommodate them.

A recent study of orthodontic patients showed that those patients with good oral hygiene and shorter treatment times had better attendance at appointments than those who did not brush well and/or who had longer treatment plans.*

So -if you’re a good brusher, and you are ready to start your orthodontic treatment with Invisalign®, then call Team OSL at (302)672-7776, doverorthodontics.com

 

 

*Ref: “Factors affecting patients’ adherence to orthodontic appointments” Am J Orthod Dentofacial Orthop. 2016 Mar;149(3):319-24. doi: 10.1016/j.ajodo.2015.07.040.

If You See Pink…Go to the Sink!

If you see pink…go to the sink!
All of our patients at Orthodontics on Silver Lake (OSL) in Dover,DE share one common goal: “White, straight teeth” 
And all of us at OSL love helping our patients get there.

Whether you use a power or manual toothbrush or interdental brush; rubber tip or dental floss, or water pik; mouthrinse, each of these oral hygiene products have instructions to follow for the best results.

Optimum Results=Plaque-free teeth, non-bleeding gums, and fresh breath
Poor Results=Plaque and food particles left on the teeth and surface of your tongue. The bacteria in your mouth then break down the food particles, releasing chemicals that have a strong odor leading to bad breath.
One way to check that your oral hygiene efforts are working is to use a pink disclosing tablet after brushing and flossing. This tablet produces a harmless pink stain that clings to plaque, the film of bacteria that is always forming on the teeth and gums. It is a built in check for the user to see where he/she missed brushing.  If you see pink…go to the sink, and brush off the plaque to reveal your clean teeth.
If Dr. Steckel recommends a mouth rinse for you, then it’s best used after your teeth are completely clean.
Any questions? Call us at (302)672-7776 to speak with Anna or Annabel to take the first step to your “White, straight teeth” 

Ref: JADA, Vol 135, December 2004

“I have 2 rows of teeth”

Baby teeth are great space holders for our permanent teeth… until they are not!
We generally lose all of our baby teeth by age 12 years of age.
If they are not lost on schedule, eruption problems with our permanent teeth can occur.
Dr. Steckel sees patients starting at 7years of age and older to evaluate growth, jaw patterns, function, baby teeth, and esthetics to properly time the start of orthodontic treatment.
The patient below  was 15 years old at his first appointment and he had 2 baby teeth.
The baby teeth blocked the permanent teeth and forced them to erupt on his palate. The baby teeth were removed and then the patient started Teen Invisalign therapy. He wore his aligners and finished with all permanent teeth aligned, and a
great smile!
The patient’s comments: “Getting braces was tough at first, but after a while you get used to it. I developed good oral hygiene habits. The appointments are relatively quick and simple with friendly service.” -D.H.
Take HomeTiming is everything- especially with baby teeth. If you have any questions about baby teeth and Teen Invisalign treatment, call us at OSL (302)672-7776.

 

Make Space, Reduce Treatment Time and Keep Your Teeth!

Orthodontic treatment enhances the attractiveness of your smile, and one way Dr. Steckel can create space for your teeth to straighten is using IPR (=Interproximal Reduction) to “slenderize” your teeth. This procedure also reduces the development of “black triangles” between the teeth-which happens commonly with adult patients.
A research study was carried out to assess dental health after IPR. 43 consecutively treated patients ages 19-71 years of age who had IPR done 4-6 years previously were examined for dental decay. None of them reported sensitivity to temperature after the procedure, and the difference in decay development between the treated (2.5%) and untreated teeth (2.4%) was not significant.*
*Ref: Zachrisson B., et al; AJODO Vol 139, January 2011, Issue 1, pgs. 90-98
IPR can be used with fixed braces or Invisalign or Teen Invisalign treatment. The photo below shows one example of IPR:
In summary, IPR is a quick, easy, and low risk procedure with the benefits of saving time and your teeth.
Call us at (302)672-7776 in Dover, DE to schedule a consult when you’re ready to start on the road to your new smile!

DIY Plastic?

DIY PlasticsIf you Google “Straighten my teeth”, one search result is “direct to consumer.”

There are growing options in this area, but one of the biggest is Smile Direct Club (SDC). This option allows you to skip going to an orthodontist. With this, there is no orthodontist office exam. Sounds good- maybe this option is for you?

At home treatment with SDC starts with impressions you take at home, and send into the company. The impressions need to be perfect, or expect delays in getting your aligners. But the steps to getting the aligners also involve a process that may result in you not being approved for treatment, especially if your case is too complicated. In other words, if you need more than 20 aligners to correct your teeth, you are not approved.

That being said, if
1. your case is “mild”, and
2. you’re not too picky,
3. you’re looking to spend as little as possible,
4. you’ve informed yourself,
Then direct to consumer may be an option for you.

But for most patients, straightening teeth is complex. Achieving excellent results for my patients at Orthodontics on Silverlake (OSL) in Dover involves knowing you, your diagnosis, and any limitations in planning your treatment. Most patients getting aligner treatment need more than 20 aligners to correct their bite and address the concerns. I am an “ Elite doctor” with Invisalign and have successfully treated hundreds of patients since 1999. The vast majority of my patients love the Invisalign experience and the results.

If you have any questions about Invisalign and want to get that “Red Carpet Smile” started, call us at 302-672-7776 today. Ask for Anna, or Annabel or Jo and they’ll be happy to answer your questions.

Feb blog2

Ref: Daily News Lifestyle/April 6, 2017/Dr. Jamie Reynolds

Have a White Christmas!

We at Orthodontics on Silver Lake (OSL) wish our patients and their friends and families a fantastic holiday this year!

All through the year, we answer questions in the office about teeth whitening. It’s important to remember that what we do everyday has an impact on the color of our teeth, so

  •  Always remember to brush 2 minutes twice per day and floss daily
  • Avoid dark beverages, or brush whenever you can after drinking them (this includes sodas, sports drinks, wines, etc.)

teeth-whiteningA recent meta analysis of home-applied teeth whitening products, similar to those we have available for our Dover, Smyrna, and Kent county patients, showed that 73% of people who whiten their teeth will experience a whitening that is 2 shades lighter than the placebo group. 20% of people will experience a whitening effect that is 5 shades lighter. Retreatment for 50% of people may be necessary in 6 months, to maintain this effect.  (Niederman R. et al. “Effectiveness of dentist-prescribed, home-applied tooth whitening. A meta analysis”).

We offer 2 types of whitening products at OSL, and the results have been consistently good for our patients. Even those with braces can whiten their teeth while their braces are working to create their new smile! Our Teen Invisalign and Adult Invisalign patients follow a slightly different procedure, with consistent results as seen in the meta analysis. It helps that we at Orthodontics on Silver Lake have used this whitening product ourselves, so we can better hermeyhelp you have a successful experience. Call us today at 302-672-7776 to find out more about this cosmetic service we offer.

AND remember Dr. Steckel’s and Hermey’s advice: “Be nice-not naughty-to your teeth!”

 

Your Lips, This Summer!

Our focus on great smiles at OSL in Dover, DE includes protecting our lips, especially in the summer! When you put on the sunscreen with sun protection factor (SPF) also put on some lip balm with SPF. Why?

chapped_Lips1. Our lips have little to no melanin or pigment, so all of us, light or dark skinned, are susceptible to sun damage on our lips.

2. The sun’s UV rays can result in the formation of wrinkles around the lips which is a sign of premature aging and sun damage.

3. Lip cancer represented 50% of all oral cancers with 81% of new cases occurring on the lower lip, according to researchers at the University of Western Australia.

4. Prevalence is 3 times greater in men than women.

5. Only 37% of us who use sunscreen also use lip balm, according to a University of Texas Medical Branch survey of beach-goers.

6. Dr. Steckel’s plastic surgery colleagues recommend a UV lip balm with an SPF of 31,lifeguards that contain transparent zinc oxide (like the white stuff you see on the lifeguards’ noses at the beach, but clear) and moisturizers. Make sure you use it everyday, even when it’s cloudy!

 

Wishing you all a fabulous summer from your friends at Orthodontics on Silver Lake!

Question: What is Clear, Comfortable, and Virtually Invisible?

Question: What is Clear, Comfortable, and Virtually Invisible?
Answer: Invisalign is!
More and more patients at OSL are achieving their orthodontic goals with Invisalign. Dr. Steckel is happy to provide this opportunity for her patients to realize their goals
with this ever-advancing technique.
Advantages for Invisalign:
1. Easier brushing and flossing, less dietary restrictions, no “wire pokes”.
2. Comfortable to wear, and not obvious to most people that you have the aligners on
What patients need to know: It will change your daily routine to some extent. You need to wear them 22 hrs per day to complete treatment on schedule.
Disadvantages of Invisalign:
1. Being consistent with your aligner schedule is very important, or the treatment can take longer or not work.
2. Some patients still need braces on some of their teeth to get the best results. This can be determined at your initial appointment with Dr. Steckel.
A patient is shown below who recently finished Invisalign treatment, and then was able to have restoration with his dentist to complete his perfect smile.
Both he and his dentist were happy with the results achieved:
Before
After
Call us: (302) 672-7776 | 42 Hiawatha, Lane, DE 19904 View Map