My Blog

Posts for: January, 2014

By Denise A. Perrotta DMD
January 30, 2014
Category: Dental Procedures
MatthewLewisAdultOrthodontics

If you haven't seen a recent picture of Matthew Lewis, the actor who played Neville Longbottom in all eight Harry Potter movies, you may be in for a surprise: It seems the plump, awkward teenager from Gryffindor has been magically transformed into a post-Hogwarts hunk. What kind of wizardry did it take to change his memorably snarled teeth into a leading man's sparkly smile? The kind skilled cosmetic dentists perform every day!

While special effects created some of the character's dental disarray, the actor's own teeth were far from perfect. And, as Lewis recently noted, the film studio urged him to postpone cosmetic dental work until the movies were all done. “It was something I'd always wanted to do, but it would have meant me wearing a brace for two years,” he told an interviewer with the Yorkshire Evening Post. “Warner Brothers said if I put it off until we'd finished filming they'd pay for it — and they did.”

There are plenty of people, like the twenty-something actor, who put off orthodontic treatment until after their teen years. If you're wondering whether there's still time to get orthodontic work done, then take heart — it's never too late to straighten your teeth!

Today, an estimated twenty percent of orthodontic patients are adults. Compliance with the orthodontic program (meaning thorough regular brushing and flossing, wearing elastics, etc.) is often less of an issue with adults than with teens. Plus, there are some options that can help ensure your orthodontic appliances will fit in with a more mature image.

One is colorless braces. In this system, the brackets (the parts that are bonded to the front teeth and hold the archwire) are made of a clear ceramic material that blends in with the tooth's natural color. This makes them hard to see unless you look closely. Inconspicuous yet effective, clear braces have been the first choice of many celebrities, such as Tom Cruise and Faith Hill... and lots of “regular” adults too.

Another option is lingual braces. These are truly invisible, because they attach behind the teeth (on the tongue side) instead of in front. They work just like the standard braces, and they're appropriate in many situations. However their cost is higher, and the space they occupy in the mouth may take the wearer a bit of time to get used to.

A third option is clear aligners. Unlike braces, which aren't normally removed until orthodontic treatment is nearly complete, clear aligners are easily removable. They consist of a series of transparent trays made of special plastic, which are worn over the teeth 22 hours per day. Each tray in the series is worn for a few weeks, and each moves the teeth a small amount; all together, they can accomplish a big change.

Aligners work well for correcting mild to moderate malocclusion (bite problems). Plus, you can temporarily remove them for important social occasions. But best of all, they're virtually undetectable — so whether or not you play the role of a wizard in the movies, you won't need a magic spell to make them invisible!

Which option is right for you? That's something we would be happy to discuss. If you would like more information about adult orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”


By Denise A. Perrotta DMD
January 15, 2014
Category: Dental Procedures
Tags: orthodontics  
TreatingImpactedCanineTeeth

There are only a few teeth that are known by nicknames. The big, late-blooming third molars (“wisdom teeth”) are one set; another set is the sharply-pointed canines, also called the “eyeteeth”. These two sets of teeth have something else in common: They can both suffer from the failure to develop in the proper place. Impacted wisdom teeth are a well known problem; impacted canines, however, are an issue that’s seen less frequently — but can often be effectively treated without extraction (removal).

What does the term “impacted” mean? In dental terminology, it indicates a tooth that is growing in a position where it can’t erupt (grow in to the bite) properly. This sometimes happens in cases where the bite is “crowded” — that is, where there isn’t enough space in the jaw for all of the teeth to develop properly. An impacted tooth remains “buried” to some extent in the tissues of the gums and jaw. It may eventually cause various problems with the roots of neighboring teeth, or even form a cyst (fluid-filled sac). That’s why treatment of impacted teeth is so important.

Impacted third molars (wisdom teeth) are generally removed (extracted), and are rarely missed. Canines, however, are located near the front of the mouth, forming an important component of an aesthetically pleasing smile. Therefore, whenever possible, it’s preferable to bring these teeth into good alignment with the rest of the smile rather than remove them. How is this done?

The process begins with a series of radiographic images (x-rays or CT scans) that show the exact positions of the affected teeth. Next, a minor surgical procedure, performed under local anesthesia, is used to expose the crowns (surfaces) of the impacted teeth. Then, a bracket is bonded to the surface of the tooth, which can be attached to orthodontic appliances. These appliances will, in time, move the tooth into a better position.

Impacted canines can be a serious problem — but the good news is that, with the proper treatment, it’s often possible to bring them into alignment with the rest of your smile. If you would like more information about treating impacted canine teeth, call our office for a consultation. You can learn more in the Dear Doctor magazine article “Exposing Impacted Canines.”




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