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Posts for: June, 2013

By Ronald L. Schoepflin, D.D.S.
June 27, 2013
Category: Dental Procedures
FiveFactsAboutPalatalExpanders

Have you heard of palatal expanders? If your child needs orthodontic work, then you ought to hear about them! These small appliances offer plenty of advantages to kids whose smiles, due to a variety of problems, may need some help. Here are five things you should know:

1. Palatal expanders are small orthodontic appliances that fit inside the mouth.

Custom-fabricated for each child, these devices are placed near the roof of the mouth, in between the two rows of upper teeth. They consist of two small metal brackets with a tensioning system that can be adjusted by a tiny key. Not everyone needs one, but they can really benefit kids with certain orthodontic conditions.

2. Palatal expanders take advantage of a child's natural growth processes.

That's part of the reason they work so well. Since the bones of a child's upper jaw don't fuse together until sometime after puberty, it's relatively easy to move them apart before that time. The palatal expander applies gentle pressure to gradually move the left and right halves of the upper jaw apart, over a period of a few months. Then it's left on several weeks longer, allowing new bone to fill in and stabilize the expansion.

3. Palatal expanders are helpful in treating a variety of orthodontic problems.

Crowding — that is, not having enough space in the jaw to accommodate all of the teeth — is one major issue. A related issue is impacted teeth: These are teeth that are blocked from coming in (erupting) by other teeth or jaw structures. A third issue is crossbite: That's when the back top teeth come down to bite inside, rather than outside, the bottom teeth. Gaining additional space in the upper jaw can help relieve all of these problems.

4. Palatal expanders can eliminate the need for tooth extraction.

Once upon a time, extraction was the only way to solve these problems. However it's an invasive (and potentially complex) procedure. A palatal expander can often provide the same — or better — results, via a noninvasive method.

5. Palatal expanders typically shorten overall orthodontic treatment time.

They're generally worn for a total of three to six months, but they can considerably shorten a child's overall orthodontic treatment time. Plus, they're invisible — a big plus to image-conscious teens. Could they benefit your child?

If you have questions about palatal expanders, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Palatal Expanders” and “The Magic of Orthodontics.”


By Ronald L. Schoepflin, D.D.S.
June 14, 2013
Category: Dental Procedures
BaseballandBracesJoeGirardisBargain

Sometimes, we all need a bit of prompting to do what's good for us. When Serena Girardi, the 10-year-old daughter of New York Yankees manager Joe Girardi, needed to have orthodontic treatment, she was a little nervous. To help lessen her anxiety, Girardi, then 45 years old, made a deal: if she got braces, then he would too.

“What I didn't realize,” said Girardi in an interview with ESPN, “is that she only had to get four on her front teeth and I got the full mouthful.”

But that didn't stop the baseball great from keeping up his end of the bargain. In a separate deal with his son Dante, who also needed braces, Girardi agreed to wear blue rubber bands. “It's a good look,” he said. What will he do if his third child needs braces? Stay tuned...

Whether it starts as a bargain with your kids or as a promise to yourself, orthodontic treatment can offer real benefits at any age. In fact, about one out of five orthodontic patients today is an adult. Studies have shown that up to three-quarters of all adults have some form of orthodontic problem, like drifting or crowding of teeth. And having a great-looking smile not only improves self-confidence, but can also boost an adult's social life, and even enhance his or her career opportunities.

If you or your child may need braces, but you're put off by the dreary metal hardware you remember from back in the day, take heart! Plenty has changed in the field of orthodontics since you were a teenager — and it's not just the color of the rubber bands.

In many cases, clear or colorless ceramic braces can be used instead of metal ones. These stain-resistant orthodontic appliances blend in well with your own teeth, making them much less evident. It may be possible for them to be placed on the lingual (tongue) side of the teeth, where they're even less visible.

Clear aligners offer an alternative to braces that's appropriate for some people. Aligners are a series of precision-made “trays” composed of polyurethane plastic. Worn 20-22 hours per day for a period of months, these appliances gradually move teeth into an improved position. Besides being virtually invisible, another advantage of these trays is that they may be removed for eating and for important occasions. Once recommended only for adults, they have recently become available to teenagers as well.

What's the best way to find out whether you or someone in your family could benefit from orthodontics, and which treatment option best suits your individual needs? Come in to our office for a consultation! After a thorough examination, we would be happy to recommend the most appropriate treatment methods for your particular situation.

If you have questions about orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Orthodontics For The Older Adult” and “Clear Aligners for Teenagers.”