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.

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!”

 

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

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.

 

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