Posts for tag: braces

By James B. Howell, D.M.D.
March 29, 2016
Category: Dental Procedures
MasterIllusionistBenefitsfromtheMagicofOrthodontics

Magician Michael Grandinetti mystifies and astonishes audiences with his sleight of hand and mastery of illusion. But when he initially steps onto the stage, it’s his smile that grabs the attention. “The first thing… that an audience notices is your smile; it’s what really connects you as a person to them,” Michael told an interviewer.

He attributes his audience-pleasing smile to several years of orthodontic treatment as a teenager to straighten misaligned teeth, plus a lifetime of good oral care. “I’m so thankful that I did it,” he said about wearing orthodontic braces. “It was so beneficial. And… looking at the path I’ve chosen, it was life-changing.”

Orthodontics — the dental subspecialty focused on treating malocclusions (literally “bad bites”) — can indeed make life-changing improvements. Properly positioned teeth are integral to the aesthetics of any smile, and a smile that’s pleasing to look at boosts confidence and self-esteem and makes a terrific first impression. Studies have even linked having an attractive smile with greater professional success.

There can also be functional benefits such as improved biting/chewing and speech, and reduced strain on jaw muscles and joints. Additionally, well-aligned teeth are easier to clean and less likely to trap food particles that can lead to decay.

The Science Behind the Magic

There are more options than ever for correcting bites, but all capitalize on the fact that teeth are suspended in individual jawbone sockets by elastic periodontal ligaments that enable them to move. Orthodontic appliances (commonly called braces or clear aligners) place light, controlled forces on teeth in a calculated fashion to move them into their new desired alignment.

The “gold standard” in orthodontic treatment remains the orthodontic band for posterior (back) teeth and the bonded bracket for front teeth. Thin, flexible wires threaded through the brackets create the light forces needed for repositioning. Traditionally the brackets have been made of metal, but for those concerned about the aesthetics, they can also be made out of a clear material. Lingual braces, which are bonded to the back of teeth instead of the front, are another less visible option. The most discrete appliance is the removable clear aligner, which consists of a progression of custom-made clear trays that reposition teeth incrementally.

How’s that for a disappearing act?!

If you would like more information about orthodontic treatment please contact us or schedule an appointment for a consultation. You can also learn more about the subject by reading the Dear Doctor magazine article “The Magic of Orthodontics.”

By James B. Howell, D.M.D.
January 06, 2016
Category: Dental Procedures
EdenSherandtheLostRetainer

Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!

If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.

If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?

As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.

And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?

By James B. Howell, D.M.D.
May 09, 2015
Category: Dental Procedures
Tags: celebrity smiles   braces  
DwightHowardABrightNBAStarWithaSmiletoMatch

Have you started orthodontic treatment recently? Are you having a little trouble getting used to your braces? If so, you are not alone: Everybody goes through an adjustment period during which they momentarily wonder if they’ll really ever get used to this. Don’t worry — you will! And we’ve never heard anyone say, on the day their braces come off and their new smile is revealed, that they aren’t glad they went the distance. Just ask Houston Rockets all-star center Dwight Howard, who discussed his own orthodontic treatment in a recent interview.

“I’m sure I was no different than anyone else who has ever had braces,” he told Mediaplanet. “At first I hated them so much… That changed once I got used to them and I actually grew to love them.” What’s Howard’s advice? “Do exactly what your orthodontist says and know that the outcome is well worth it in the end.” We couldn’t agree more! Here are some tips for wearing braces comfortably:

  • Hard & Chewy Foods: If you love fresh fruits and vegetables, that’s great; there’s no reason to give them up, just the really hard ones. You don’t want to bite into an apple or carrot or any other hard foods like bagels and pizza that have any “size” to them. Small pieces may be ok as long as they can’t bend your wires. Chewy, sticky candy should really be avoided completely. Same with soda, sports drinks and so-called energy drinks because they contain acids that promote tooth decay and can cause a lot of damage around the braces.
  • Effective Oral Hygiene: Keeping your teeth clean is more important than ever, but also more challenging than ever. It’s easy for food to get stuck under wires and around brackets, but failing to remove it can cause tooth decay, gum irritation and soreness. Therefore, the cleaner your teeth and your braces are, the healthier you will be. Use interdental cleaning brushes and/or a floss-threader to get behind your wires. A mouthrinse can also help strengthen teeth and keep bacteria in check. If you have any questions about how to clean between your teeth, please ask for a demonstration at your next visit.
  • Pain Relief: Some soreness at the beginning of orthodontic treatment is normal. To relieve it, you can use an over-the-counter pain reliever and/or a warm washcloth or heating pad placed on the outside of the jaw. If brackets or wires are rubbing against the inside of your cheeks or lips, try applying wax to these areas of your braces. If this does not offer enough relief, we may be able to trim the end of a poking wire. Call us if you need help with this.

Our goal is to make your orthodontic treatment as comfortable as possible on the way to achieving your all-star smile. If you have questions about adjusting to braces, contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”

By James B. Howell, D.M.D.
September 23, 2014
Category: Dental Procedures
BillRancicsSmileHelpsClosetheDeal

Can having a great smile help land you a high-level business position, a TV show, and a bride? Maybe — at least if you go by the example of Bill Rancic.

The 42-year-old Chicago native is well known as the first winner of NBC-TV's The Apprentice, a reality show where contestants vied for a job with Donald Trump's organization. Shortly after his selection as Trump's newest hire, Rancic met his future wife, Giuliana, when she interviewed him for E! News. Flash forward a few years, and the couple is now hosting their own reality TV show on Style network.

So how much has Bill's winning smile helped?

“I think a great smile says a lot about a person — especially in our professions,” Bill recently said in an interview with Dear Doctor magazine. He also mentioned that having a few cosmetic dental treatments helped him close the deal.

As a child, Bill wore braces to correct an overbite. For both kids and adults, orthodontic treatment is often the first step toward getting the smile of your dreams. The practice of orthodontics has changed dramatically in the past 20 years and there are now a number of choices available in lieu of traditional metal braces.

Not Your Father's Braces
For those who need to maintain a “professional” image, tooth-colored braces offer a less noticeable way to straighten your teeth. Lingual braces are another option that's suitable in some situations. These are truly invisible: bonded on the tongue side of the teeth, they can't be seen from the front.

Or, you may be able to forego braces altogether and use a series of clear plastic aligners to gradually bring your teeth into alignment. Not only are these difficult to notice, but they can be completely removed for short periods of time — at important board meetings, for example.

Red-Carpet Tooth Whitening
More recently, Rancic had tooth whitening treatments. Depending on the degree of lightening needed, these can range from custom-fitted bleaching trays that you wear at home under the supervision of a dentist, to in-office whitening treatments that work in far less time. Both can be effective in lightening your teeth by six shades or more.

But if you need the ultimate in whitening, veneers may be the best option. These are fingernail-thin coatings, made of pearly-white porcelain or composite material, that are placed directly on the tooth surfaces. Realistic and durable, they can provide a “Hollywood white” smile that's ready for the red carpet.

Did Bill's cosmetic dental work really improve his life? We can't say for sure — but as his wife Giuliana recently told Dear Doctor, “First impressions are very important, and having a beautiful smile will help anyone make a great impact on others.” So perhaps it worked on her!

If you would like more information on how cosmetic dental treatments can improve your smile, please contact us or schedule an appointment for a consultation. You can learn more about this topic in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Important Teeth Whitening Questions Answered.”

ActressFlorenceHendersonYouAreNeverTooOldToStraightenYourTeeth

Florence Henderson has inspired generations of people through her portrayal of America's most beloved TV mother, Carol Brady, on one of the longest running situational comedies, The Brady Brunch. Today Florence is still a role model but for a much different audience: senior citizens.

Henderson created the FloH Club as an organization to assist senior citizens with understanding and embracing technology, as she described in an interview with Dear Doctor magazine. “I was inspired to create the FloH Club because of my own fear of technology and because I didn't want to keep asking my children for help,” she said.

And while Henderson was blessed with naturally straight teeth and has had no cosmetic work done, she is not opposed to it. “I wouldn't care how old I was, if I had misaligned teeth or felt I needed cosmetic dentistry I would certainly do it!”

One teeth-straightening option many adults consider is clear orthodontic aligners. They are an excellent way for self-conscious adults to align their teeth without feeling that they will appear as an awkward “brace-faced” youth — a look that is commonplace for the teenage years.

But what are clear aligners? They are an alternative system to traditional braces that use a sequence of individual, custom-fitted trays that are clear and removable to gradually straighten teeth. They are usually recommended for correcting mild to moderate spacing problems or crowding of the teeth, and for cases in which there are no major issues with your bite (i.e., your back teeth fit together properly and biting forces are distributed evenly on all of your teeth).

To learn more about this method of aligning teeth, you can continue reading the Dear Doctor magazine article “Clear Orthodontic Aligners.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss what treatment options will be best for you. And to read the entire interview with Florence Henderson, please see the Dear Doctor article “Florence Henderson.”



Louisville, KY Cosmetic Dentistry
James B. Howell, D.M.D.
3936 Dutchmans Lane
Louisville, KY 40207
(502) 899-7766

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