Orthodontics on Silver Lake!

(302) 672-7776

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!”

 

Excellent Orthodontic Experiences and Outcomes for Those with Autism Spectrum Disorder

The CDC estimates the prevalence of ASD (Autism Spectrum Disorder) is one in 88 live births (one in 56 boys and one in 256 girls). These patients are at greater risk for oral problems, due to behavior and communication issues, personal neglect, avoidance of social contact, and medication side effects.

A recent article* (reference available on request) discussed applying the  Applied Behavioral Analysis (ABA) – a learning method used to help these patients build “socially useful repertoires”, and “reduce socially problematic ones.”

One way to implement this method is by using a Picture Activity Schedule – a series of pictures showing the procedures to learn.

A study to test the effectiveness of this method was carried out at Nassau Suffolk Services for Autism. Each child’s baseline results were compared with his or her post-ABA results. Patients were shown pictures of the planned procedures twice a day for 2 weeks.

After 2 weeks of ABA training, 13 completed all steps (more than before), 2 completed some and the same student failed to complete any of the steps. The students also showed significantly faster completion times after picture training.

At OSL, we have also implemented this concept, and we are thrilled with outcomes to-date:
1.  We use videos demonstrating the planned procedure with all of our patients as a way to prepare for a successful appointment, or
2.  We ask the non-ASD sibling to go first for the records with the ASD sibling watching his or her sibling
3. We show the patient a picture of what the next step is to communicate to the patient in the chair.

DIY Orthodontics?

About half of adults use the internet to access information regarding their health decisions. However, not all of this information is accurate, or easy to understand. Some information has the potential to be dangerous. There are Youtube videos describing the use of rubber bands, paperclips and other household items for “Do it Yourself” (DIY) orthodontics. (1) PastedGraphic-1

Many authors of orthodontic topics, such as oral hygiene with braces, or treatment with Invisalign are orthodontists. Dr. Steckel publishes this monthly blog on our website to provide accurate, easy to understand, and relevant answers to common questions.

Her sources for these blog topics are the current literature, and clinical experiences in her practice. Please see previous OSL blog posts on February 2015, and May 2014 as examples.

The concern with DIY is the risks of unintended consequences, and gum tissue not being healthy enough for orthodontic treatment. The risks include loss of teeth, damage to gum tissue, and the need for expensive restorative treatment to replace the damaged teeth.

You do not need a referral from your dentist to make an appointment with Dr. Steckel. At your first appointment, she will determine the health of your gums and teeth, and help you choose which orthodontic option will benefit you. Orthodontic treatment can transform your smile, and the foundation for this is healthy gums and good oral hygiene!

(1) A.J. Zak; Orthodontic Products, April-May 2015 pgs. 70-74

“Brush up” on Your Knowledge for Children’s Dental Health Month

Children’s Dental Health Month is a great time to “brush up” on dental health knowledge. It is important to brush two times a day, using small circles, for two full minutes. Watch the video below to see how.

A trip to the orthodontist can also be an important part of dental health. Teeth that are aligned properly look and feel good. The ability to speak, chew, and bite, as wellCDHM as good dental health can all be dependent on properly aligned teeth.

If your child’s teeth are not properly aligned, it can lead to dental problems. A check-up, no later than age 7, will help Dr. Steckel provide treatment at the right time in your child’s developmental process. Call us to schedule your child for his or her first orthodontic appointment today! 302-672-7776

Summer snacks, cool drinks and your teeth

Hope you are having a great summer-whether simply getting outside more and or going to local events in Kent County, DE, we’re busy at Dr. Steckel’s office helping our patients keep their smile improvements on schedule, and healthy.
Our advice for our patients on diet choices was recently supported by a clinical study (Jain, P., Gary J.J; May/June 2014 General Dentistry, pgs. 63-68) undertaken at Southern Illinois University, to examine the relationship between
1. Oral hygiene
2. Consumption of snack foods and
3. Consumption of sugar-sweetened beverages
Question
: Which of these behaviors (or lack there of) present the greatest risk to developing dental decay? What do you think?

 

 

 

 

 

Answer: Sugar-sweetened beverages are a stronger risk factor for dental decay than snack foods!! The types of snack foods included fruit, ice cream, salty snacks, and soft candy.
Even though we may brush thoroughly,
maintaining good oral hygiene is not sufficient to prevent dental decay!
Sugar-sweetened beverage consumption is the stronger indicator of dental decay
All Orthodontics on Silverlake patients know this, and make a promise to limit their intake of these beverages.
Look for the next blog post for suggestions on some summer beverage suggestions to keep those pearlies white!

Until then, how about a tall glass of water…?

How to Best Prevent White Spots

We all know that wearing braces can lead to the accumulation of plaque, and plaque is a major etiologic factor in the process that can lead to demineralization or “white spots.” Nobody wants to see white spots on their teeth after finishing their braces, especiallyDr. Steckel

Brushing is a great start!

How do we reduce the chances of white spots from happening? Well, if you are a patient at Orthodontics on Silverlake (OSL) you know we talk about brushing your teeth at every visit- whether you’re a fantastic brusher of if you need help to improve your brushing. So good brushing on a regular basis, what else? Avoid eating acidic foods and drinking acidic drinks like sodas and sports drinks- they can scar your teeth by reacting with the enamel of your teeth.

Using Flouride Can Help!

How about using fluoride-containing toothpastes, rinses, gels? When used regularly, these products keep the surface of your teeth protected against white spots to strengthen the enamel and saturating the saliva with protective fluoride ions.(1) So we recommend using these, as does your general dentist, when you get your teeth cleaned every 6 months.

Chewing Gum Sweetened By Xylitol


Chewing gum has a cleansing affect as well, and this is improved significantly when the gum is sweetened with Xylitol. Xylitol is a naturally-derived sweetener found in the Stevia plant. A study was done to evaluate the effectiveness of chewing-gum and the progression of dental decay. (2)The results showed a significant difference between children who chewed the gum sweetened with Xylitol vs. those that did not. No untoward side-effects from chewing the gum was noted.

I encourage patients who want to chew gum to chew gum with this natural sweetener! We haven’t seen any untoward effects as well, only happier patients at Orthodontics on Silverlake!

After Treatment

Once you get done with your orthodontic treatment, you want to be done! We want to help you with that by preventing white spots, tooth decay and any other common problem. By following these helpful tips, brushing regularly with fluoride toothpaste and chewing gum that is sweetened by Xylitol, you are significantly reducing your chance of continued treatment after braces. Our staff at Orthodontics on Silverlake is happy to answer any questions you may have so feel free to contact us as we are always delighted to speak with our patients!

(1) Hellwig, E., Lennon A.M. 2004 Systemic vs Topical Fluoride. Caries Research 38,pp 258-262
(2) Kandelman, D., Gagnon G. 1987 Clinical Results After 12 months…Consumption of Chewing Gum containing Xylitol, JDR 66:8 1407-1411
Call us: (302) 672-7776 | 42 Hiawatha, Lane, DE 19904 View Map