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

 

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!

Have a Spooktacular Smile This Halloween!

The American Association of Orthodontists and your favorite Dover Orthodontist Dr. Stephanie Steckel offer these tips to keep your teeth safe from decay, and protect your braces or aligners during Halloween season:

 

  1. Avoid sticky situations-Say boo to hard sticky crunchy or chewy foods or candy! Say yes to soft chocolates. peanut butter cups, or melt in your mouth treats.
  2. Keep it clean-Enjoy your treats AND brush and floss really well after you do! Use your brushes we’ve given you. Ask us for some new brushes and floss at your next appointment and we are happy to oblige!
  3. Orthodontists like Dr. Steckel have spent time planning your treatment so you get the best results. Take care of your metal or clear braces, Invisalign, Teen Invisalign and they will work for you!
  4. At Orthodontics on Silver Lake, we love October and National Orthodontic Health Month- stop in or call us at 302-672-7776, or check us out at www.doverorthodontics.com

OSL Halloween Blog Image 2015

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

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.

 

Another reason to get orthodontic treatment as an adolescent

Whether fixed braces or Invisalign (R), most patients will have a stage in their treatment where elastics or rubber bands are worn for optimum results.
imgres One recent Case Report in the American Journal of Orthodontics and Dentofacial Orthopedics (AJO-DO) August 2014, Vol. 146, Issue 2, pages 227-237) showed the power of consistent elastic wear with upper jaw expansion in a growing patient. This treatment could not be done with an adult due to limited treatment options available when growth is not happening.
Elastics align the top teeth to properly fit with the bottom teeth, to fix cross-bites, and to finalize the patient’s treatment results. And, (as they did for the patient above) they can play a role in effecting a jaw correction in a cooperative, growing patient.
A literature review comparing treatment effects of different overbite (“Class II”) correcting appliances showed the results are similar when Elastics are compared with Herbst or imgres2Forsus (R) appliances. Using Elastics with Teen Invisalign can also minimize the side-effects seen with these Class II appliances. The elastics are worn full-time and are a light-type elastic. (AlignTech, March 25, 2014: Common Sense Class II Invisalign Teen Treatment; Barry J. Glaser DMD)
NOTE: These results are comparable ONLY in growing patients, not adults. The changes seen in Teen patients are a combination tooth changes (63%) and skeletal changes(37%).
Which type of appliance is most effective? It depends on the individual situation!  We are seeing  excellent results with our motivated Dover Air Base patients!  Call us for a consultation and Dr. Steckel will meet with you and your child to review options before we begin treatment.
Invisalign Teen Logo
Whether girl or guy- our patients at Orthodontics on Silver lake are rewarded with great results for their “super” efforts with Elastics!

Mrs. IncredibleMr. Incredible

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