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Welcome to the Office!

March 15th, 2023

What do you imagine when you picture an orthodontic office? Do you see a steady stream of teenagers walking through the doors? Teen magazines in the reception room? Backpacks stowed under every chair? If so, we have an update for you.

In today’s office, you’ll find grade school kids, teens, and adults (and children’s books and games, and even the occasional golf magazine). Today’s orthodontic patients are more diverse than ever before!

Why? Because today, more than ever, more of us can benefit from orthodontic treatment.

Young Children

Even before a child’s adult teeth come in, a visit to Springfield Orthodontics is a good idea. In fact, dentists and orthodontists recommend an orthodontic exam around the age of seven for every child.

Early intervention can make sure that there’s enough space for those incoming permanent teeth and can help correct jaw alignment problems for a healthy bite.

  • Palatal expanders can gently enlarge a small upper dental arch to make room for adult teeth.
  • Space maintainers will save room for an adult tooth to erupt in just the right spot if a baby tooth is lost too early.
  • Treatment for malocclusions like overbites, open bites, and underbites while young bones are still growing helps create a more comfortable, healthy bite and may prevent more complicated treatment in the future.

Older Adults

If you’ve always wanted straighter teeth or a pain-free bite, don’t let an imaginary age limit prevent you from getting orthodontic treatment! As long as your teeth and gums are healthy, orthodontic treatment is a terrific way to keep them healthy.

  • If you have painful bite issues which have never been treated,
  • If you’ve always wanted straighter teeth,
  • If your teeth have become more crowded over time,

there’s no time like the present to start working toward the smile you’ve always wanted.

Bonus: new technology in braces and aligners makes orthodontic treatment more subtle and discreet than ever before.

  • Traditional braces—brackets are smaller than ever, and come in a choice of several materials and colors, including ceramic brackets and tooth-colored and clear brackets.
  • Lingual braces—the least visible treatment, because brackets and wires are attached behind the teeth.
  • Clear aligners—a removable and almost invisible way to straighten teeth.

Tweens & Teens

Teenagers still make up the majority of patients in orthodontic treatment. Orthodontists often recommend starting treatment between the ages of ten to 14, because:

  • Most of the adult teeth have come in, so problems with crowding, spacing, or crooked tooth alignment can be diagnosed and corrected.
  • The jawbone is still growing, and the bone is not as dense, so it can be easier to realign teeth and jaws for straighter teeth and a symmetrical bite.

Today’s treatment choices offer more options and are more effective than ever before. Depending on a teen’s orthodontic needs, Drs. Kaswiner, Handsman, and Silagi might suggest:

  • Traditional braces or aligners
  • Elastics (rubber bands) used with braces to bring the upper and lower teeth into alignment.
  • Functional appliances—together with braces or aligners, appliances like the Herbst® appliance, the Forsus™ device, the twin-block appliance, and headgear can work inside and/or outside the mouth to help correct problems with tooth and jaw alignment.

It’s no longer just the middle school and high school crowd you might meet in your orthodontist’s waiting room. Children, teenagers, and adults can all benefit from orthodontic treatment at our Springfield, NJ office. If someone in your family is one of those people, give your orthodontist a call to see just what orthodontic treatment can offer. Welcome in!

Orthodontics and Implants

March 8th, 2023

Maybe you’ve wanted braces since childhood. Maybe you had them, but your teeth have shifted over time. Maybe you’re tired of living with an uncomfortable bite. Good news! If you’re not happy with your adult smile, that doesn’t mean you’ve missed the opportunity to have the healthy, attractive smile you’ve always dreamed of.

While there are many benefits to having orthodontic work done as a child, there’s a lot to be said for orthodontic treatment as an adult. After all, you know exactly what you want. You’re dedicated to following your treatment plan. You have plenty of discreet orthodontic options available now, from clear aligners to lingual braces, to make your treatment as inconspicuous as possible.

But, on occasion, adult treatment does come with some adult baggage. Worried about your crowns, fillings, or veneers? If these restorations are part of your dental history, we can generally work with them. Dental implants? Those might fall into a slightly different category.

Implants are a great way to restore your smile because they function like your natural teeth. They are designed to look just like natural teeth, and they allow you to speak, chew, and bite with confidence. Implants even stimulate the jawbone when we chew just as natural teeth do, helping to prevent bone loss in the jaw as we age.

But there is one important difference between implants and natural teeth: implants are firmly anchored in the jaw, while your natural teeth can change position.

Why is this a concern? Because tooth movement is one of the basics of orthodontic treatment. Unlike implants, our teeth aren’t firmly anchored in our jaws. They are held in their sockets by a ligament which cushions them and connects the tooth to the bone.

When braces or aligners gently apply consistent pressure to the teeth, the ligaments and eventually the bones holding the teeth reshape themselves in response to this pressure, and then become stable again during the retainer phase of treatment.

Implants, on the other hand, are crowns attached to a metal cylinder or screw that is surgically implanted into the jawbone. After several months, osseointegration takes place—which is a technical way of saying that the metal base fuses with the bone. This means that there won’t be any movement taking place—good when you’re chewing, but not helpful for realignment!

If you haven’t yet replaced a missing tooth with an implant, it’s often best to wait before starting orthodontic work. We can design treatment around a missing tooth, leaving room to accommodate an implant in just the right spot when your orthodontic treatment is finished.

If you have an implant already, the placement of your implant will help determine your treatment:

  • If your implant is already perfectly placed for your future alignment, braces or aligners can be designed to work with and around your implant.
  • If the placement is almost ideal, you might find a very small degree of misalignment acceptable, and we can plan your treatment around your existing implant.
  • If it’s not possible to work with your implant where it’s presently located, it is possible to remove an implant. You would then have the implant procedure redone after your orthodontic work is complete.

Talk to Drs. Kaswiner, Handsman, and Silagi about your treatment possibilities. By analyzing your orthodontic goals and working with your dental history, we can let you know exactly what can be done for your teeth and bite—even if you have an implant.

True, there are many benefits to having orthodontic work done in your childhood, but there’s a lot to be said for orthodontic treatment as an adult. And the greatest benefit of all? You’ll finally have the healthy, self-confident smile you’ve always dreamed of. Talk to our Springfield, NJ team about making that smile a reality.

Don't brush after EVERY meal!

March 1st, 2023

This may come as a surprise, but brushing your teeth right after a meal can be one of the worst things you can do for your healthy teeth. A toothbrush can be considered an assault weapon against your smile if used immediately after eating certain foods.

Enamel is like the tooth’s shield. It is a hard mineral exterior on each of your teeth. In reality, enamel is the hardest part of the human body—even stronger than bone! I like to regard it as a “super-structure.” But every superhero has a weakness, and enamel’s kryptonite is acid.

A healthy tooth lives in a mouth that has a proper pH balance. When that balance tips from alkaline to acidic, a harmful process called demineralization begins. Demineralization occurs when acids attack and soften the tooth surface. Pores and fissures form and harmful bacteria move in.

With each bite of food or drink, our mouth pH fluctuates. Highly acidic foods tip the balance of your mouth from a healthy alkaline to a dangerous acid. Here are some examples of those sources of acid: citrus fruits, soda, and sugary foods. There are certainly many others, but these are the most common.

So how does brushing your teeth immediately after a meal make this process even worse?

After eating highly acidic foods, your teeth are susceptible to damage. When you brush your teeth in this weakened state you are actually damaging your enamel. The abrasive bristles of the brush wear away the protective surface of the teeth. You should avoid brushing for at least an hour, or take other, simple preventive measures immediately following a meal.

First, rinse with or drink clear water. Then chew some sugarless gum. Both of these practices will produce saliva, restore a healthy pH level in your mouth, and coat your teeth with nourishing minerals. Out of all the sugarless gums available, the best of the best are those that list xylitol as the first ingredient. Another option is to consume cheese, milk, or another non-acidic food or drink to conclude your meal.

After you have given your mouth time to return to a healthy pH, feel free to brush your teeth. Just keep in mind that any time you eat acidic foods, you weaken your teeth. Make sure not to worsen the problem by brushing immediately after dining and damaging your teeth even more. Questions? Call us at Springfield Orthodontics.

Are you too sensitive?

March 1st, 2023

We’re not talking about tearing up at the end of a sad movie, or that uncomfortable scratchy feeling you get from a coarse wool sweater—no shame in that kind of sensitivity! But it is a shame if you’re feeling unpleasant tooth sensitivity, especially while you’re wearing braces. No fear—we have some helpful ideas to make you more comfortable as you create your healthy, confident smile.

What do we mean by tooth sensitivity? You know it if you’ve felt it. Pain when you have a cold drink. Or a hot one. Or a sweet treat. Wincing when a light breeze hits your smile. Discomfort after an adjustment.

Fortunately, these annoying twinges can be avoided or eased with some proactive practices.

Keep Up with Your Brushing and Flossing

The oral bacteria in plaque break down enamel when they’re left on the teeth for too long. The result is a cavity, which leaves your sensitive dentin, the layer of the tooth between the enamel and the inner pulp chamber, exposed to elements which can trigger pain. These all-too-common elements include heat, cold, air, or sweet foods. If you suspect you have a cavity, a visit to the dentist will make sure your tooth is cleaned and filled to prevent further damage.

Better yet, prevent cavities before they cause tooth sensitivity. It can be harder to keep your teeth their cleanest while you’re in braces, but it’s more important than ever. You don’t want to have brackets and wires removed, even temporarily, to treat a cavity! You can keep decay at bay by:

  • Brushing after every meal and snack.
  • Flossing whenever necessary, making sure to clean around your brackets and wires.
  • Using cleaning tools made for braces for the easiest and most effective dental hygiene.

Avoid Aggressive Brushing

If you’re using anything other than a soft toothbrush, time for a shopping trip! Using a stiff bristled brush is almost always too abrasive for even the strongest enamel. And vigorous brushing is more harmful than helpful. Poor tools and poor technique can wear away enamel, and, when enamel is worn away, the more sensitive dentin is exposed. Your gums can also be injured, exposing the tops of your roots—which are more sensitive than the enameled crowns.

If your teeth are sensitive because of abrasive brushing, talk to Drs. Kaswiner, Handsman, and Silagi about possible solutions for keeping your teeth both clean and strong.

  • Use a softer-bristled brush.
  • Try toothpaste designed for sensitive teeth.
  • Practice proper brushing technique. Gently rub, don’t scrub!

Care for Yourself after Adjustments

Your teeth might be sensitive after an adjustment. This discomfort is normal, and should pass in a few days. In the meantime, treat yourself kindly.

  • Brush as usual, taking special care to brush gently.
  • Fill your menu with soft and soothing foods. Cool treats like classic ice cream and pudding, or healthier choices like frozen yogurt and fruit smoothies. Comfort foods like cream soups and mashed potatoes. Or all-day breakfasts of oatmeal, pillowy pancakes, or scrambled eggs.
  • Take over the counter medication as recommended and as necessary.

Be sensitive to your needs while you’re in braces. If you’re feeling any kind of tooth sensitivity, talk to Drs. Kaswiner, Handsman, and Silagi at our Springfield, NJ office. We have solutions which will make sure you’re both comfortable and twinge-free on your journey to a healthy, attractive smile!

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