Orthodontics on Silver Lake!

(302) 672-7776

“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.

 

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.

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

Why are younger patients ages 8-10 seen by Dr. Steckel at OSL?

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Facts about early treatment options for 8-10 year olds:

preteen group

  • A typical 8-10 year old may still have 12 baby teeth
  • Sometimes the baby teeth are stuck and can interfere with the permanent teeth erupting on schedule
  • Sometimes the permanent teeth erupt into the wrong path or position
  • Your family dentist may rely on an orthodontist, such as Dr. Steckel, to check these developmental problems

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  • Interceptive Orthodontics may be recommended by Dr. Steckel in Dover, DE for your 8-10 year old after she reviews the diagnostic records
  • This is different than braces, because it is planned to correct a developmental problem with your preteen’s teeth

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  • Interceptive treatment can involve an expander, partial braces, space maintainers, or other treatment methods which Dr. Steckel and Team OSL will review with you during your complimentary consulation
  • Call today for your Preteen’s smile evaluation at 302-672-7776 or visit us at www.doverorthodontics.com

 

 

 

See below for a great example of how Dr. Steckel helped a happy pre-teen with his smile:

before-after

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.

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

When is the Best Time To Begin Orthodontic Treatment?

Our orthodontist, Dr. Stephanie Steckel agrees with the American Association of Orthodontists’ (AAO) recommendation that a child should receive his or her first orthodontic evaluation by the age of 7. By the time a child reaches this age, several aao_logopermanent teeth have erupted, allowing orthodontists to identify possible problems. For some young children, early treatment can reduce the time spent in braces and possibly eliminate the need for future tooth extractions. Even though many children do not need treatment when they are young, a thorough evaluation can help determine if treatment would be beneficial for the child’s dental future.

 

missingtoothWhen Dr. Steckel has the opportunity to see patients at an early age, she can correct small problems before they become larger, more expensive ones. Early orthodontic intervention may consist of the patient wearing removable or fixed appliances to allow for proper jaw growth and improved tooth spacing.

 

 

 

It’s Never Too Late for Orthodontic Treatment

 

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! These days, braces aren’t just for kids, and many of the patients we see at our Dover orthodontic practice are adults. Adults now have many choices when it comes to wearing braces. We offer several different types of braces including metal braces, clear ceramic braces, In-Ovation self-ligating braces and Invisalign, which is a very discreet way to improve one’s smile. Many of the adults we treat opt for clear braces or Invisalign as both are very low-profile in nature.

Invisalign logo

 

 

 

 

 

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.

 

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…?

It’s Never too Late…

Maybe you did not want “braces’ when you were a teenager. Now you’re an adult and you notice your teeth have shifted, and have discolored. You do not like to smile.

According to respondents to a recent study (1), conducted on behalf of the American Association of Orthodontists, 75% of adults surveyed reported improvements in career and personal relationships which they attributed to their post-orthodontic treatment smile. 92% of respondents say they would recommend orthodontic treatment to to other adults.


An overwhelming majority said their initial concerns went away shortly after treatment began:

With an attractive smile you can face your career and personal relationships with confidence”

“A more brilliant smile and the straightest teeth…gave me confidence to do anything.”

“I found someone who cared about me”

When I meet with new patients at Orthodontics on Silverlake, my team and I get to know you and listen to what you hope to accomplish. We review before and after pictures together, and help you understand what to expect as your smile improves over time.Both Invisalign (R) and braces, with a well-prepared treatment plan, continue to yield excellent results for our adult patients.

Call us today at 302-672-7776 to start smiling more!
Or go to our website orthodontics on silver lake

 

 

 

 

 

(1) Data from the 2012 AAO Economics of Orthodontics Survey (formerly the Annual Economic Survey and Biennial Patient Census Survey)
Call us: (302) 672-7776 | 42 Hiawatha, Lane, DE 19904 View Map