Posts for tag: orthodontic treatment
The movie Bohemian Rhapsody celebrates the iconic rock band Queen and its legendary lead vocalist, Freddie Mercury. But when we see pictures of the flamboyant singer, many fans both old and new may wonder—what made Freddie’s toothy smile look the way it did? Here’s the answer: The singer was born with four extra teeth at the back of his mouth, which caused his front teeth to be pushed forward, giving him a noticeable overbite.
The presence of extra teeth—more than 20 primary (baby) teeth or 32 adult teeth—is a relatively rare condition called hyperdontia. Sometimes this condition causes no trouble, and an extra tooth (or two) isn’t even recognized until the person has an oral examination. In other situations, hyperdontia can create problems in the mouth such as crowding, malocclusion (bad bite) and periodontal disease. That’s when treatment may be recommended.
Exactly what kind of treatment is needed? There’s a different answer for each individual, but in many cases the problem can be successfully resolved with tooth extraction (removal) and orthodontic treatment (such as braces). Some people may be concerned about having teeth removed, whether it’s for this problem or another issue. But in skilled hands, this procedure is routine and relatively painless.
Teeth aren’t set rigidly in the jawbone like posts in cement—they are actually held in place dynamically by a fibrous membrane called the periodontal ligament. With careful manipulation of the tooth, these fibers can be dislodged and the tooth can be easily extracted. Of course, you won’t feel this happening because extraction is done under anesthesia (often via a numbing shot). In addition, you may be given a sedative or anti-anxiety medication to help you relax during the procedure.
After extraction, some bone grafting material may be placed in the tooth socket and gauze may be applied to control bleeding; sutures (stitches) are sometimes used as well. You’ll receive instructions on medication and post-extraction care before you go home. While you will probably feel discomfort in the area right after the procedure, in a week or so the healing process will be well underway.
Sometimes, dental problems like hyperdontia need immediate treatment because they can negatively affect your overall health; at other times, the issue may be mainly cosmetic. Freddie Mercury declined treatment because he was afraid dental work might interfere with his vocal range. But the decision to change the way your smile looks is up to you; after an examination, we can help you determine what treatment options are appropriate for your own situation.
If you have questions about tooth extraction or orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Simple Tooth Extraction” and “The Magic of Orthodontics.”
Mayim Bialik has spent a good part of her life in front of TV cameras: first as the child star of the hit comedy series Blossom, and more recently as Sheldon Cooper’s love interest — a nerdy neuroscientist — on The Big Bang Theory. (In between, she actually earned a PhD in neuroscience from UCLA…but that’s another story.) As a child, Bialik had a serious overbite — but with all her time on camera, braces were just not an option.
“I never had braces,” she recently told Dear Doctor – Dentistry & Oral Health magazine. “I was on TV at the time, and there weren’t a lot of creative solutions for kids who were on TV.” Instead, her orthodontist managed to straighten her teeth using retainers and headgear worn only at night.
Today, there are several virtually invisible options available to fix orthodontic issues — and you don’t have to be a child star to take advantage of them. In fact, both children and adults can benefit from these unobtrusive appliances.
Tooth colored braces are just like traditional metal braces, with one big difference: The brackets attached to teeth are made from a ceramic material that blends in with the natural color of teeth. All that’s visible is the thin archwire that runs horizontally across the teeth — and from a distance it’s hard to notice. Celebs like Tom Cruise and Faith Hill opted for this type of appliance.
Clear aligners are custom-made plastic trays that fit over the teeth. Each one, worn for about two weeks, moves the teeth just a bit; after several months, you’ll see a big change for the better in your smile. Best of all, clear aligners are virtually impossible to notice while you’re wearing them — which you’ll need to do for 22 hours each day. But you can remove them to eat, or for special occasions. Zac Efron and Katherine Heigl, among others, chose to wear clear aligners.
Lingual braces really are invisible. That’s because they go behind your teeth (on the tongue side), where they can’t be seen; otherwise they are similar to traditional metal braces. Lingual braces are placed on teeth differently, and wearing them often takes some getting used to at first. But those trade-offs are worth it for plenty of people. Which celebs wore lingual braces? Rumor has it that the list includes some top models, a well-known pop singer, and at least one British royal.
So what’s the best way to straighten your teeth and keep the orthodontic appliances unnoticeable? Just ask us! We’d be happy to help you choose the option that’s just right for you. You’ll get an individualized evaluation, a solution that fits your lifestyle — and a great-looking smile!
For more information about hard-to-see (or truly invisible) orthodontics, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Orthodontics for the Older Adult” and “Clear Aligners for Teenagers.”
Nolan Gould, who plays Luke on the popular TV comedy Modern Family, has beautiful, straight teeth. But in an exclusive interview with Dear Doctor magazine, the young actor said it wasn't always that way.
“My teeth used to be pretty messed up,” Nolan said. “I had two extra teeth when I was born. They hadn't come out (erupted) yet. And all the other teeth that were already there were starting to point backwards because it was getting so crowded in my mouth. At about the age of 7, I started going to the orthodontist to get my teeth checked.”
Age 7 may sound early for a visit to the orthodontist, but in fact that's exactly the age we recommend for a first orthodontic evaluation. Malocclusions (bad bites) often become noticeable around this time, as the child's permanent (adult) teeth erupt. We might already be able to see evidence of the following problems: crowding, too much space between teeth, protruding teeth, extra or missing teeth, and sometimes problems with jaw growth. So even if your child is too young for braces, it is not necessarily too early for an orthodontic evaluation.
This type of exam can spot subtle problems with jaw growth and emerging teeth while some baby teeth are still present. Early detection of orthodontic problems makes it easier to correct those problems in the long run. Waiting until all of the permanent teeth are in, or until facial growth is nearly complete, may make correction more difficult or even impossible. That's why the American Association of Orthodontists recommends that all children get a check-up with an orthodontist no later than age 7.
Orthodontic treatment itself usually begins between ages 7 and 14. Therapy that begins while a child is still growing, often referred to as “interceptive orthodontics,” helps produce optimal results. In Nolan's case, an early orthodontic evaluation allowed his orthodontist enough time to plan the most effective treatment. Nolan's two extra teeth were removed before they had a chance to push his other teeth even further out of alignment, and he was given orthodontic appliances which fit behind the teeth.
“You can remove them, which is really good for acting, especially because you can't see them. I can wear them 24/7 and nobody will ever notice.”
One thing that is noticeable, however, is Nolan's perfectly aligned smile!
If you would like to learn more about improving tooth alignment with orthodontics, please contact us to schedule an appointment for a consultation. To read Dear Doctor's entire interview with Nolan Gould, please see “Nolan Gould.” Dear Doctor also has more on an “Early Orthodontic Evaluation.”
Kristin Cavallari's flawless smile has been featured on TV, film and magazine covers. But the 25-year-old actress and reality-show personality didn't always have a perfect set of teeth. In fact, she told Dear Doctor magazine — where readers recently voted to crown her with the “Smile of the Year” award — that her dental treatments began the same way many do: with orthodontics in sixth grade.
“I had the ‘spaghetti catcher,’ which is what everyone used to call it,” she reminisced. But by that, she didn't mean a strainer — she's talking about what dentists call a “palatal expander.”
In case you're not familiar with this orthodontic device, a palatal expander takes advantage of the natural growth patterns of a child's upper jaw to create additional space for the top set of teeth. How does it work? Basically, it's similar to braces: By applying gentle pressure, the appliance creates changes in the jaw. Unlike braces, however, it's invisible — it fits between the upper teeth, close to the roof of the mouth.
During the three to six months a child wears the palatal expander, it pushes the left and right halves of the upper jawbone apart, and then maintains and stabilizes the new, wider spacing. Since the palatal bones don't fuse until after puberty, tightening it a little bit each day for the first few weeks provides a quick and painless method of making the upper jaw a bit roomier. And that can be a very good thing. Why?
There are lots of reasons. For one, it can relieve the condition called “crowding,” when there is not enough space in the upper jaw to accommodate the proper alignment of the permanent teeth. In the past, teeth often had to be extracted in that situation. It may even allow “impacted” teeth — ones which are blocked from erupting by other teeth — to come in normally.
It can help treat a “crossbite,” when the back top teeth come down to bite inside (instead of outside) the lower back teeth. It also generally shortens the total time a child needs for orthodontic treatment. That's good news for any teenager — even if their own day-to-day “reality show” isn't featured on TV!
If you would like more information about palatal expanders, please contact us or schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Palatal Expanders” and “Early Orthodontic Evaluation.”
Everyone knows Vanna White as the elegant co-host of the popular game show Wheel of Fortune. But here's one thing you may not know: White is listed in the Guinness Book of World Records as television's most frequent clapper, with an average of 720 claps per show — that's over 28,000 per season! And here's something else: the star with the megawatt smile wore braces as a kid, and she's not too shy to talk about it.
“I only had to wear them for a year and it was a good experience for me,” she told an interviewer for Dear Doctor magazine. But when it was time for her son to get them, White noticed something different. “We used to have those silver bands that went all the way around each tooth, and they don't have that anymore. It is fascinating to see how far they have come.”
We're glad she noticed! In fact, orthodontic appliances have advanced a good deal in the past decade or so. Instead of using metal bands, brackets holding the wire part of braces are now typically attached directly to the teeth with a dental adhesive. For an even less obtrusive look, ask about using colorless brackets instead of metal ones — that way, the only part that's clearly visible is the thin wire itself. And in some situations, braces can be placed on the lingual (tongue) side of the teeth, making them all but invisible.
Another type of nearly invisible appliance is the clear orthodontic aligner. The aligner system consists of a series of precision-made transparent “trays” that fit over the teeth. Each tray is worn for a few weeks, and each moves your teeth by a small amount; together, they can help correct mild to moderate orthodontic problems. And the best part — they're really hard to notice! That makes them perfect for both adults concerned about a “professional” look, and image-conscious teens.
So if you're a TV star — or if you'd just like to have a brighter and better smile — it's never too late to get started! If you would like more information about orthodontics, please contact us for a consultation. You can learn more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Clear Orthodontic Aligners.”