Starting an Orthodontist Office

When opening an orthodontist office, your main concern should be your patients.  Making your office environment friendly and welcoming is a must.  Patients who feel comfortable will have a more enjoyable experience and be more likely to return as well as to recommend you to their friends and associates.  In many areas of your patients’ lives today they will find ready entertainment.  For instance, satellite TV for restaurants, Wi-Fi ready hotspots, hand held smart phones that allow them to take entertainment with them, as well as other waiting time entertainment options.

When starting your practice, of course, the priority at your office should be showing that you have the knowledge, skill, and training to take proper care of their orthodontic health.  Once you have established your training and skill as a provider; patients also want to feel that you care about them, and more importantly about their time.

Showing your patients that you care about their time can be done in several ways:

  • Hiring an office staff members who are friendly and courteous
  • Understanding the value of their time by meeting set appointments on schedule
  • Providing an enjoyable experience while in the waiting area

Your office staff will be the first impression of your office.  From the person answering the phone and scheduling the appointment to that first friendly face they see as they walk through the door.  If you have a staff of knowledgeable and friendly people your patients will feel more confident in your practice.  A friendly greeting as a patient enters the door to the office goes a long way in helping them feel reassured and comfortable.

Once you have that caring friendly staff, your priority needs to be creating an enjoyable waiting experience.  The waiting experience is almost as important as the orthodontic care your patient will receive.  We all know that no one enjoys waiting.  You should first of all run your practice in such a way as to minimize wait times.  If a patient enters your office and has a minimal wait time, they are sure to return and to spread the good word.

Though you have minimized the wait, some time spent in the waiting room may be inevitiable.  That is why it is important to provide ample entertainment options for your patients when they do have to wait.  A few suggestions are:

  • Magazines – Subscribe to magazines and/or newspapers from various genres so as to offer variety.  By providing different options you are enabling your patients access to items that will interest them.
  • Television – There are options such as videos, or TV from DISH Network as an option for your waiting rooms as well as in your individual patient rooms.  Dish Network provides programming options to meet individual preferences.
  • Wi-Fi – Many patients will have their own smart phones that are Wi-Fi ready and allow them access to their own applications and programs.  Make their wait enjoyable by providing this option for them.

Making your patients’ experience in your office a pleasant one will bring you repeat and referral business.

Foods That Are Good For Someone With Braces when they are Sick

Braces and snacksIf you’ve ever worn braces you would understand the limits imposed on what you can eat.  The options are even more limited when someone is sick. It’s an unfortunate tragedy, it seems, when all you want is to share in the fun and grab some popcorn and soda at the movies, or just chew a simple piece of gum. There are a lot of different types of food that can get caught in your braces so a lot of foods aren’t recommended when you have braces. However, not all treats are off limits. If you or a friend have braces and are sick it is helpful to have a few ideas for some snacks ahead of time. Here are some ideas to get your friend if they are feeling under the weather.

  • Milkshakes, everyone loves them and they won’t hurt your braces. Be careful of having a milkshake with items such as nuts or other big chunks because it may cause your friend a trip to your orthodontist.
  • Muffins- Everyone loves muffins some even taste like cake just be careful to not eat ones with nuts because they may get caught in braces. Most other types of breads are fine also.
  • Cookies-Cookies can be a great way to satisfy cravings, Mrs. Fields get well cookies make a great choice.
  • Cheesecake is soft and tasty, your friend will be sure love you for it.
  • Ice Cream- Just make sure you don’t have items such as nuts or chunks.
  • Lot’s of people love cheese. You can eat almost any type of soft cheese and you won’t have problems with your braces.
  • Yogurt or pudding (with whipped cream)
  • Broth soups
  • Bananas with chocolate sauce
  • Quesadilla

Even with all these options there are defiantly some foods you want to avoid. You will not want to give the following items as get well items for your friends with braces. Generally any sticky, hard, chewy or crunchy foods should be limited or avoided. The American Association of Orthodontics recommends avoiding: caramel, nuts, licorice, jelly beans, hard pretzels, bubble gum, candy corn, lollipops, taco chips and ice. An off-limits treat now and then is acceptable but be sure to brush and floss afterwards and when it comes to hard, crunchy items, chew lightly.

Here are some more items you may want to avoid.
  • Jolly Ranchers or other hard candy-Can get stuck and break off your brackets.
  • Whole apples-Just cut the apples and you should be okay
  • Peanut brittle
  • Caramels are sticky and can cause problems with your braces, the sugar also can cause bacteria to grow.

Whatever your decide to get your friend as a treat to wish them to feel better they will be appreciative of your thoughtfulness. One thing to keep in consideration is that sugar can be trapped in your braces which can cause bacteria to grow and cause tooth decay and infection so be smart on your choices for you and your friends.

Causes of and Cures for Gum Disease

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Gingivitis

Gum disease, also referred to as gingivitis (characterized by the inflammation of the gums) and periodontitis (characterized by a bacterial disease of the gums), occurs when bacteria is allowed to grow and eat away at the soft tissue of the mouth, especially the already sensitive gums. Symptoms of gingivitis can be as minor as slight sensitivity to cold and warm temperatures of food or to severe concerns such as loss of teeth. Gingivitis is the beginning stages of gum disease with periodontal disease being the more advanced incarnation of the illness. Periodontal disease can progress to the point that irreversible damage has been sustained and even if the disease can be reversed there will still be the need for extensive dental work to restore the appearance of a healthy mouth, which may or may not be possible dependent on the amount of gum decay, tooth loss and bone damage sustained throughout the disease.

Gingivitis begins when the bacteria collected in plaque builds up to such a degree that it causes the gums to become inflamed, appearing swollen and red. Other symptoms include bleeding from the gums due to brushing and increased sensations of pain and irritation while brushing, flossing and eating. At this point gingivitis is merely an annoying development that can still be reversed. The teeth have not been affected nor have the gums become too weak or damaged to sustain their hold on the teeth. It is extremely important to begin the reversal process immediately once the beginning signs of gingivitis have come to the patient’s attention. This will help to keep the disease from developing into a much worse state.

If gum disease is allowed to progress to the periodontitis stage then the symptoms will develop into inner layers of the gums and bones pulling away from the teeth and forming pockets in the tissue. These pockets become hiding places for food particles and other oral bacterial debris, greatly increasing the risks for infection of the soft tissue of the mouth and of the teeth. Having a bacterial infection growing within the gum line can cause major health hazards and, if allowed, the infection may spread to other parts of the body as well. As the body wars against the growing infection bone and connective tissues that hold the teeth in place begin to erode. As this happens the teeth become looser and tooth loss can occur. Gum disease is currently the leading cause of adult tooth loss. Often sufferers become aware of their symptoms before the disease is irreversible but they allow themselves to let their embarrassment color their decisions and do not seek help until it is too late to correct the extensive damage.

The best way to fight against the onset of gum disease is to take preventative steps for oral health. Brushing teeth daily is a must, especially in the mornings and before bed, as these are the times when bacteria will begin to become corrosive. Flossing is another important step to eliminating as much bacterial and plaque build up in the mouth as is possible. For those already experiencing the beginning stages of gingivitis brushing and flossing may seem painful but the only way to reverse the disease is to cleanse the mouth as thoroughly as possible until the bacteria is no longer infectious. Brush and floss softly but thoroughly.

Try to avoid salty or sharp food items while the gums are repairing themselves. Chips and similar food items can cut the overly sensitive gums and cause increased pain or discomfort during necessary daily brushing and flossing sessions. It is also recommended that sugary beverages and foods are avoided while healing is taking place as these foods are damaging to the overall health of the mouth and instigate greater bacterial growth. There are instances when a family history of gum disease may be a contributing factor and it is important for a gum disease sufferer to keep their dental health professional apprised of their family history and their current concerns. Regular visits with a dentist will help to alleviate the symptoms of gingivitis in the hopes that nothing more severe will develop. Through proper care gum disease can be beaten and it is important to follow all the daily dental health steps that have been recommended by a dental health professional.

How to Care for Your Teeth with Braces—Part II: How to Floss + Extra Tips

F-shaped and Y-shaped dental floss wands

Care for Teeth by Flossing

Flossing

Flossing with braces can seem like a pretty tedious job, but it is really important, so don’t give up! You should floss every single day, preferably at bedtime after you have brushed your teeth. This will help remove any plaque left after brushing. If your gums aren’t healthy, they will probably bleed the first few days, but stick with it and the gum tissue will heal.

Flossing with braces is a little tricky at first but it gets easier with practice. A floss threader makes the job easier. There are also pre-cut lengths of floss you can buy that have a stiff “threader” end, eliminating the need for a separate floss threader. Figure out what works best for you. Either way, use the following technique:

  • Thread your floss under the archwire that connects your braces together.
  • Wrap the floss around the tooth on one side. Push the floss up towards the gum line, making sure the floss gets all the way under the gums, and then slide the floss down toward the wire. Be careful not to use too much force—you don’t want to bend your archwire! Slowly slide the floss up and down several times, right against the tooth, to remove all the plaque.
  • Wrap the floss around the neighboring tooth and repeat the process.
  • Once both teeth are flossed, pull out the floss and thread it between the next two teeth.

Interdental toothbrush

An interdental toothbrush (Proxabrush) can be very useful in cleaning under orthodontic wires and around the braces. Brush the tooth surface slowly and carefully so you do not damage your braces.

Antiseptic Rinse

After brushing and flossing, your orthodontist may recommend an antiseptic dental rinse to manage minor gum inflammation or mouth irritations from orthodontic appliances or canker sores, etc. Some antiseptic rinses also contain fluoride, providing extra protection against cavities.

Removable Appliances

If you are using a removable orthodontic appliance, it will accumulate food particles and plaque just like your teeth do. Every time you brush your teeth, brush your appliance. Once a day you should soak your appliance in a glass of water with a denture-cleaning tablet, such as Efferdent. (Use room temperature tap water; hot water could distort your appliance.) This will help prevent plaque buildup and oral infections and will keep your appliance tasting better.

Tips & Tricks

Put your time in front of the TV to good use! Sit down with your toothbrush (without toothpaste) and give your teeth and gums a thorough massage. You can do this while studying, or riding in the car, or anytime your hands are free. Spend up to 30 minutes a day doing this!

Also remember that anytime you eat, if you are unable to brush or floss, at least swish your mouth out with water. You can also carry toothpicks or small bristle brushes to help remove debris from your braces—just be gentle so you don’t damage your gums or your braces.

Regular Dental Checkups

Just because you are seeing your orthodontist regularly, doesn’t mean you can skip your regular dental visits! In fact, you will probably need to go more frequently than you did before. Many patients with braces continue to see their dentist every six months for a thorough examination, but increase visits with their dental hygienist to every three months for cleanings. Ask your hygienist how you are doing—if you have great oral hygiene you may not have to go as often, but if you have trouble keeping your teeth clean you may need to go even more frequently.

Be sure to read Part I: How to Brush

How to Care for Your Teeth with Braces—Part I: How to Brush

Toothbrush, photo taken in Sweden

Keep Your Teeth Clean with Regular Brushing

Braces are a big investment—and not just in money! It takes effort and dedication to care for your teeth while you are going through orthodontic treatment. What a shame it would be to spend thousands of dollars and many months wearing braces, only to take them off and find that your teeth are now scarred and discolored as a result of improper oral hygiene.

Braces create lots of small nooks and crannies for food deposits to hide in. If that food is not completely and thoroughly removed, a thick plaque can form on the teeth and gums. The plaque-forming bacteria in your teeth thrive on the sugars in food, and release acids that attack tooth enamel and gum tissue, causing bad breath, gingivitis (gum disease—marked by swollen, puffy, red, overgrown, or bleeding gums), and tooth decay. Plaque can even develop on the tooth roots under the gum and cause breakdown of the bone supporting the tooth.

The good news is that with proper care, you can keep the enemy—plaque—from ruining your teeth. The first step is to BRUSH often and well! Use a soft-bristled toothbrush and toothpaste that contains fluoride. Plan on spending several minutes, several times a day, taking care of your teeth. Remember, you are making an investment! Use small circular, vibrating motions, making sure to brush each surface of every tooth in your mouth, including the areas above, below and between each brace:

  • Start with the outside of the teeth, with the brush at a straight angle.
  • Brush the area between your gums and braces. Place the toothbrush at an angle so that you feel the bristles under your gum line and can get under the brackets; angle down for the upper teeth, up for the lower teeth.
  • Clean under the braces and the rest of your teeth by angling the brush up to reach your upper teeth and down to reach your lower teeth.
  • Brush the chewing surface of your teeth.  Move the brush back and forth, careful to reach those back teeth!
  • Finish by brushing the inside of the teeth.

After you are finished, rinse your mouth out with water. Your orthodontist may also recommend an antiseptic and/or fluoride rinse.

You should brush your teeth properly after every meal and snack. Always keep extra toothbrushes handy—take them with you to school or work! You will also need to replace your toothbrush more often—the braces will make it wear out quicker—so be sure to replace it whenever the bristles start to fray.

Be sure to read Part II: How to Floss + Extra Tips

What is Orthodontia?

The price of good teeth

The price of good teeth

Your dentist may be telling you that you are in need of an orthodontist and this may leave your mind blank or might bring up vague images of wire braces from friends in your teenage years. The simple answer is that orthodontia is the specialty in dental medicine that deals with the straightening and correcting of the misalignments of the teeth. This can include crooked teeth, crowded teeth, teeth that have too much space between them or irregular bites (such as an over bite or under bite). While orthodontic care is more common in the adolescent years there are many adults that find themselves in need either because their concerns with not caught in the past or because the recent events have caused changes to the alignment of teeth, such as the crowding possible due to impacted wisdom teeth or external trauma to the mouth.

Wire dental brace are still the most common form of braces used in the orthodontic field. Over the years these braces have been vastly improved and while there is an increased measure of care involved with them they are not the hassle that they may have been twenty or even ten years ago. These braces offer a wide range of colors and are still considered to be the best and most accurate way to correct the misalignment of teeth. Other options include Invasalign, which is a clear plastic aligner that is fitted for the specific abnormalities of your mouth. New aligners a created with minor adjustments to gently direct the correction of abnormalities. While these aligners can be effective they do require more care and have proven to be unsuitable for a number of patients. Another dental treatment in this field is known as Suresmile and is 3-D imaging services that includes the aid of a robot and is said to significant shorten the time required for straightening teeth.

An orthodontic professional can also recommend the use of additional removable straightening and corrective appliances such as expansion appliances, headgear and a wide range of other corrective devices. One of the most common of these continued aligning appliances is that of the retainer, a device that is fitted to your specific palate and then used, generally at night, to either continue alignment or to keep previous orthodontic alignments in place. Retainers are common amongst those that have worn braces in the past.

Unfortunately, many dental insurance plans consider the more common aspects of orthodontia, such as braces, to be cosmetic concerns and may only offer partial to no coverage for orthodontic visits and procedures. The exception to this rule includes teeth that are so crooked or misaligned as to cause health concerns such as jutting teeth that cause contusions or severe cutting to the lips or the inside of the mouth or orthodontic measures required after severe trauma to the mouth or jaw after such events as car accidents or physical assaults. Often dental insurance agencies will require written consent of such needs from a medical professional.

Luckily, most orthodontic offices are more than willing to work with you outside of your dental insurance coverage by offering discounts and reasonable payment plans. While aligning teeth may still be considered a cosmetic dental measure the truth is that many have felt the need to have their teeth corrected and it is not a vain or unnecessary step as far as thousands of people are concerned. Your smile is a big part of how you are seen by those around you and it makes complete sense that those with severe misalignments seek to have them corrected. It is important to get recommendations from friends and to research potential orthodontic practices thoroughly before devoting any money to one. A proper orthodontist will be willing to go through your specific needs step by step and will not recommend unnecessary procedures just to pad his or her own bank account. A reputable office will offer reasonable discounts and payment plans. Beware of offices that offer too good to be true prices as they will normally have some way of taking advantage of you hiding in the fine print. Overall, pay attention to your own intuition. You should be able to tell when you are being “sold” instead of assisted.

Now That I Have Braces, What Can I Eat?

red apple eat with bracesGetting braces can feel a bit overwhelming at first, especially when you’re not sure what you can and can’t eat. Will you have to live on baby food and soup for two years? Of course not, but there are some general rules and guidelines that you will need to follow in order to prevent damage to your braces and to keep your teeth healthy.

It doesn’t take much force to remove or “break” the braces off your teeth. The cement used to fasten the brackets to your teeth is designed to come off easily. You wouldn’t want the orthodontist to have to use a jackhammer to get your braces off! But that means that any heavy force can cause damage to your braces, which can in turn extend the treatment time.

Hard, crunchy foods can easily break off brackets; sticky foods can loosen brackets and bend or distort wires, as well as stay on your teeth and braces for a long time, increasing risk of decay. Use good judgment—avoid anything hard or sticky.

Here is a partial list of “NO” foods:

Hard Foods

  • Ice (not exactly a food but absolutely destructive to your braces and your teeth)
  • Popcorn
  • Nuts, peanut brittle
  • Hard candy
  • Hard or extra crunchy chips
  • Candied apples (which are also sticky!)
  • Hard breads (pizza crust, bagels, hard pretzels)

Sticky Foods

  • Gum
  • Fruit Roll-ups
  • Gummy bears
  • Taffy and Caramels
  • Starburst
  • Bit-O-Honeys
  • Skittles
  • Milk Duds

Hmmm… notice that all the sticky foods are candy? All candy can pretty much be classified as hard or sticky, if not BOTH! Do your teeth a favor and step away from the candy!

Use Caution

  • Fruits and Vegetables: Whole, raw fruits and vegetables such as apples, celery and carrots should be sliced and eaten carefully. Corn on the cob should be sliced off.
  • Grains: Hard crusty breads should be broken and eaten in small pieces; avoid small seeds and unground whole grains.
  • Meats: Be careful with stringy or tough cuts of meat; do not eat meat right off the bone (ribs, chicken wings); cut meat into small, bite-sized pieces.

When your teeth hurt, or when you just can’t think of anything that isn’t forbidden to eat, here are some nice safe choices for you:

  • Yogurt
  • Soft cheeses, such as brie, cottage cheese, or thinly sliced Swiss, cheddar, etc.
  • Milk or chocolate milk
  • Custard or pudding
  • Soft, smooth-textured bread
  • Muffins without nuts or chunks
  • Corn bread, corn muffins
  • Tortillas
  • Pancakes
  • Couscous
  • Pasta
  • Soft-cooked rice, risotto
  • Polenta
  • Grits
  • Meatloaf or meatballs
  • Chicken salad
  • Thinly sliced lunch meats
  • Tofu
  • Soft-cooked fish
  • Tuna salad
  • Soups
  • Soft-cooked carrots, squash
  • Mashed potatoes
  • Fresh spinach, chard, kale, or other greens, cooked or steamed until very soft
  • Avocados, guacamole
  • Salsa (non-chunky)
  • Beans (mashed it necessary)
  • Hummus
  • Bananas and other soft, ripe fruit
  • Applesauce
  • Ice cream, frozen yogurt, sorbet, sherbet
  • Milkshakes and smoothies