tag:blogger.com,1999:blog-67470995174673494072024-03-13T05:50:38.816-07:00Wheeler Orthodontics' BlogWheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-6747099517467349407.post-11912240706646591982013-08-08T19:14:00.001-07:002014-03-26T15:49:04.743-07:00What Makes Us At Wheeler Orthodontics Unique<!--[if gte mso 9]><xml>
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<div class="MsoNormal" style="line-height: 15.75pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: Arial,Helvetica,sans-serif;"><a href="http://1.bp.blogspot.com/-RtaFtllqmxE/UgRQUO-QDqI/AAAAAAAAAUM/9YFt1c4uhys/s1600/299446_10151192034896462_342278729_n.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-RtaFtllqmxE/UgRQUO-QDqI/AAAAAAAAAUM/9YFt1c4uhys/s320/299446_10151192034896462_342278729_n.jpg" height="148" width="200" /></a><span style="font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">At Wheeler Orthodontics, we are
dedicated to providing fun, affordable, </span><span style="font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">comfortable, </span><span style="font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">quality, interactive, and individualized
care to every patient, at each visit, starting with the initial consultation.
We believe everyone, whether you’re a child, a teenager, or an adult, deserves
a straight, attractive, and a confident smile.</span></span></div>
<div class="MsoNormal" style="line-height: 15.75pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span>
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span>
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span></div>
<div class="MsoNormal" style="line-height: 15.75pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: Arial,Helvetica,sans-serif;"><b><span style="font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">Top
Ten Reasons to Choose Wheeler Orthodontics:</span></b><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;"> </span></span><br />
<a href="http://3.bp.blogspot.com/-KLbNJtcOd5I/UgRO63daoDI/AAAAAAAAATw/fZfM9iqtF58/s1600/Wheeler+Office+Hi+Res.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-KLbNJtcOd5I/UgRO63daoDI/AAAAAAAAATw/fZfM9iqtF58/s1600/Wheeler+Office+Hi+Res.jpg" height="200" width="150" /></a><span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">1.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">Fun, friendly, family atmosphere</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">2.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">Gentle, compassionate, individualized care for children,
teens, and adults</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">3.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">Utilization of the most current technology available in
orthodontics</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">4.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">Fast, comfortable, and affordable treatment</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">5.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">Wireless internet in the reception room and throughout the office</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">6.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">Healthy, confident smiles that last a lifetime</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">7.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">In-house, complimentary digital diagnostic records including
radiographs, photos, and study models</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">8.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">Full service, in-house dental laboratory where we make all
our retainers on site</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">9.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">Refreshments (coffee, tea, and in-office baked cookies) in
our reception room</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-fareast-font-family: Arial;">10.</span><span style="font-size: 7.0pt; mso-fareast-font-family: Arial;"> </span><span style="font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Board-quality
finishes to treatment—giving the highest return on your smile investment!</span></span></div>
<div class="MsoNormal" style="line-height: 15.75pt; margin-left: 30.0pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span></div>
<div class="MsoNormal" style="line-height: 15.75pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: Arial,Helvetica,sans-serif;"><br /></span>
<span style="font-family: Arial,Helvetica,sans-serif;"><b><span style="font-size: 10.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";">Why
patients choose our office:</span></b><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"> </span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">We are a family owned and operated
practice</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">We treat all of our patients like
family</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Warm, friendly and fun atmosphere</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Cutting edge sterilization and
patient safety practices</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"> ·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Open office design--parents are
welcome to sit chair-side during their children’s visits</span></span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-3_KvNZqj66E/UzNYPmXZeMI/AAAAAAAAAUk/raiJL1-VLw4/s1600/_MG_0892.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-3_KvNZqj66E/UzNYPmXZeMI/AAAAAAAAAUk/raiJL1-VLw4/s1600/_MG_0892.JPG" height="212" width="320" /></a></div>
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">We do not overbook our schedule—we respect
your time</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Dr. Wheeler is a “hands-on”
orthodontist—meaning he makes all the adjustments and gives treatment updates
to parents at every appointment.<span style="mso-spacerun: yes;"> </span>He pays
attention to detail and listens to your needs.</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Complimentary WIFI internet access
in reception area for patients and parents</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Fun patient contests in the office
with great prizes</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Dr. Wheeler maintains a cutting-edge
approach to advances in orthodontics</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">We treat many dental professionals,
their spouses, children and staff</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Board certified with the American
Board of Orthodontics</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Voted "Gold Medal Winner, Best
Orthodontist" by San Joaquin Magazine for 2012 and 2013</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Named a Tom Terry Seminars
Exceptional Office for “Excellence in Patient Safety and Infection Control”
(honored to the top 2% of all dental offices) for 4 years running</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Assistant Clinical Professor at the
University of California, San Francisco, teaching the next generation of
orthodontic specialists</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Complimentary initial exam and
complimentary in-house digital diagnostic records (initial, progress, and
final)</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">We use the latest technology with
highest quality appliances and techniques, often resulting in shorter treatment
times and few visits</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">We never recycle brackets or
wires—in fact all our brackets and wires remains sealed in sterile packaging
until opened for use</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">We offer invisible treatment options
like clear braces, lingual braces, Invisalign, and Invisalign teen</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">We feature top of the line 3M
products as well as the Damon Q system</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Email and voice appointment
reminders and on-line access to appointment and account information</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Flexible financial arrangements</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">In-house, no interest financing
available. We accept all major credit cards.</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Delta Dental Premier provider and we
accept most insurances</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Multiple family member discounts</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Discounts given for payment in full
at the start of treatment</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">Pre-Orthodontic Observation Program,
at no charge for young patients</span></span><br />
<span style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·</span><span style="font-size: 7.0pt; mso-fareast-font-family: Symbol;">
</span><span style="font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">24/7 Emergency Phone Service </span></span><br />
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<br />
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">--- Doc W</span></div>
<div class="separator" style="clear: both; text-align: center;">
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WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com24tag:blogger.com,1999:blog-6747099517467349407.post-23378635242812968642013-07-25T20:22:00.000-07:002014-08-12T14:48:31.399-07:00What to Expect With Your Child’s Palatal Expander<!--[if gte mso 9]><xml>
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<![endif]--><a href="http://4.bp.blogspot.com/-wYxbqEH_3n0/UfHoap44OcI/AAAAAAAAAS4/d1VqJfS3WRQ/s1600/Hyrax.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-wYxbqEH_3n0/UfHoap44OcI/AAAAAAAAAS4/d1VqJfS3WRQ/s1600/Hyrax.jpg" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">One of the most common
orthodontic appliances used in young and growing children is the palatal expander. These
appliances can look a little intimidating and barbaric at first to patients and
parents and the very thought of having to “do the turns” every day at home can
seem scary to a lot of parents. Trust me, they are not as bad as they
seem.<span style="mso-spacerun: yes;"> </span>I have been using expanders successfully
in my practice for years and have been thrilled at how well they work for my
patients.<span style="mso-spacerun: yes;"> </span>So I wanted to share some
things with those of you who might have just received, or will be receiving your
expander on what can you can expect of having an expander as part of your orthodontic
treatment?</span> </div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-qzvIciFuP0Q/UfHqxbwAy3I/AAAAAAAAATc/PKLrR-M8cY0/s1600/palatal-expanders.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-qzvIciFuP0Q/UfHqxbwAy3I/AAAAAAAAATc/PKLrR-M8cY0/s320/palatal-expanders.jpg" height="280" width="320" /></a></div>
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<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Arch expansion is one of
the most common ways to eliminate crowding and correcting crossbites in growing
patients. I call it a <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">game changer</i></b> in the realm of
orthodontics.<span style="mso-spacerun: yes;"> </span>Expanders can easily solve
some orthodontic problems that were difficult to solve in orthodontic cases of
the past. Expanders have greatly reduced the need for routine extractions, and
have eliminated the need for many jaw surgical procedures. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">To work successfully, palatal
expansion requires that the growth plate in the roof of the mouth (specifically,
the mid-palatal suture) has not yet fused. Typically, this fusion usually
occurs between 12 and 16 years of age, and usually occurs earlier in girls than
in boys.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">An expander is attached
to the upper arch by bands placed around the upper first molar teeth. There are
many variations of expanders being used today in modern orthodontic offices, but at Wheeler Orthodontics we prefers the “HYRAX”—which is short for <b style="mso-bidi-font-weight: normal;">HY</b>genic <b style="mso-bidi-font-weight: normal;">RA</b>pid e<b style="mso-bidi-font-weight: normal;">X</b>pander.<span style="mso-spacerun: yes;"> </span>Although there are removable expanders on the
market, glued in ones have a very important advantage in that they cannot be
lost, taken out, or forgotten.<span style="mso-spacerun: yes;"> Hyrax-expanders are easily cleaned! </span>Also
important is that glued in expanders like the HYRAX maintain an intimate contact
with the teeth, and the gentle force of the expansion does not overpower the
ability of a removable expander to maintain its position in the mouth, where removable ones can be easily dislodged.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-nomWjeil__s/UfHpejReDpI/AAAAAAAAATE/qKi0TnLYa8A/s1600/imagesCARM0LGB.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-nomWjeil__s/UfHpejReDpI/AAAAAAAAATE/qKi0TnLYa8A/s1600/imagesCARM0LGB.jpg" /></a></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">While there may be some
initial discomfort right after an expander has been placed--just because there
has never been anything like that attached to the teeth before--for the most
part upper arch expansion is painless. Patients report that they feel a little “pressure”
on the teeth, in the roof of the mouth, behind the nose, and even between the
eyes as their expander is activated. This pressure fades within minutes.<span style="mso-spacerun: yes;"> </span><i style="mso-bidi-font-style: normal;">And
keep in mind that an expander does its job in about 3-4 months, then it is removed,
so it is not in the mouth for a long time.</i></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Besides pressure, you
can also expect your child to speak a little funny for the first couple of days—which
will quickly pass.<span style="mso-spacerun: yes;"> </span>Additionally, you may
hear them slurping as their mouth creates extra saliva after expander
cementation. One of the most visible signs that the suture is opening (the
desired effect) is the appearance of a space between the upper central
incisors. The space is created as the expander pushes the two halves of the
palate in opposite directions. Once you have stopped activating the expander,
it is normal for the space to close quickly. This occurs by active closing
forces that the braces will provide, combined with the help of elastic fibers
in the surrounding gum tissues together working to return the teeth together
and to close the gap. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://3.bp.blogspot.com/-rmtFUJU3qwA/UfHqpyaaYUI/AAAAAAAAATU/L1x6Vz6K-aw/s1600/LilPalateshighres.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-rmtFUJU3qwA/UfHqpyaaYUI/AAAAAAAAATU/L1x6Vz6K-aw/s200/LilPalateshighres.gif" height="153" width="200" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">To make the first couple
of days more bearable for your child as they adapt to their new expander, you
may want to find some fun foods for them to eat that don’t require a lot of
chewing. Examples include yogurt, pudding, mashed potatoes, ice cream, etc. A
day or two after their delivery appointment, the expander will feel natural in
their mouth and normal eating will resume. While expanders are more forgiving
of hard and sticky foods than are braces, it is still recommended that patient
avoid anything that would get stuck in the expansion screw.<span style="mso-spacerun: yes;"> </span>However, we got you covered that situation, as
we will give you a gadget that will help you remove anything that gets
accidentally stuck around the expander.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Because there is always a
potential relapse (movement back towards the original size) if expansion is
made to fast, Dr. Wheeler recommends that the expander is only turned once every
other day.<span style="mso-spacerun: yes;"> </span>This allows for a nice,
continuous, and harmonious rate of expansion that is biologically compatible
with the tissue of the growth plate and your child’s inherent rate of growth.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://3.bp.blogspot.com/-W-dvZ6_00Dk/UfHqQso9VII/AAAAAAAAATM/KUXey2UjfMw/s1600/untitled.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-W-dvZ6_00Dk/UfHqQso9VII/AAAAAAAAATM/KUXey2UjfMw/s320/untitled.png" height="211" width="320" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">One really cool thing expanders
can do, besides the obvious effect of making room for the eruption of permanent
teeth and in creating jaw harmony, is the ability an expander has of widening
the nasal passages and upper airway.<span style="mso-spacerun: yes;"> </span>The
bone of the palate, is the same bone that makes the floor of the nasal
passages.<span style="mso-spacerun: yes;"> </span>So orthodontically widening
the palate also widens the nasal airway. So you might see this nice
side-effect:<span style="mso-spacerun: yes;"> </span>Improved nasal breathing in
your child.<span style="mso-spacerun: yes;"> </span>This improvement can be
significant! This can have a life-long improvement in reducing the risk of
sleep apnea, sinus and ear infections, mouth-breathing, and snoring, especially as your child moves into
adulthood.<span style="mso-spacerun: yes;"> Sleep can be improved!!</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">--- Doc W</span><br />
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: x-small;"><a href="http://www.wheelerortho.com/" target="_blank"><span style="color: #999999;">Content used with permission by Dr. Greg Jorgensen</span></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #999999;"><span style="color: black; font-size: x-small;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog</a></span> </span></div>
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.wheelerortho.com/" target="_blank"><img border="0" src="http://4.bp.blogspot.com/-IjdUgmpaJiw/UP3dhAZ8NkI/AAAAAAAAABA/z8c334QrIwo/s400/footer.png" height="110" width="400" /></a></div>
<br />WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com79tag:blogger.com,1999:blog-6747099517467349407.post-32855371831986072202013-07-25T19:14:00.001-07:002014-08-12T14:46:00.672-07:00When Do I Get My Braces Off?<!--[if gte mso 9]><xml>
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<![endif]--><a href="http://2.bp.blogspot.com/-WkeoY92Dv6k/UfHZhop6GuI/AAAAAAAAASU/MNyNGmfxxCU/s1600/untitled.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-WkeoY92Dv6k/UfHZhop6GuI/AAAAAAAAASU/MNyNGmfxxCU/s200/untitled.png" height="200" width="200" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The absolute, single most most common question
I get as an orthodontist is this: <b><i> “When do I get my braces off?” </i></b></span><br />
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Although treatment
is unique for every patient, there are some basic objectives and steps of orthodontic
treatment that are similar for the majority of the patients I see in my office.
<span style="mso-spacerun: yes;"> </span>If you have braces now and want to know how
you are progressing, please read on…</span><br />
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";"> </span>
<br />
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">In my office there are
three distinct phases of treatment through which every patient must pass.
Although their order may be switched or there may be some overlap between them,
the three steps of orthodontic include resolving the crowding/spacing, aligning
the teeth, and correcting the bite.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">In the first step,
crowding is corrected by either expanding the arches or by removing teeth
through extractions. Teeth cannot be aligned if there is simply not enough room
for them. The decision to expand or extract is determined by a number of
variables including the size of the teeth, the size of jaws, the amount of bone
and gum tissue supporting the roots, and the profile and facial esthetics. The
first step is to create room so that the teeth can be aligned. If a patient has
extra space at the start of treatment, that space must be closed during this
step.<span style="mso-spacerun: yes;"> </span>If the teeth are crowded, then
space must be created for them.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://3.bp.blogspot.com/-yMQ63aMx56A/UfHa27mCh7I/AAAAAAAAASg/i2QF6Zh5BrY/s1600/taz%2520teeth%2520tightening.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-yMQ63aMx56A/UfHa27mCh7I/AAAAAAAAASg/i2QF6Zh5BrY/s200/taz%2520teeth%2520tightening.jpg" height="171" width="200" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Once there is room, the
second step is to align or straighten the teeth. Aligning the arches is
accomplished using wires, elastic chains, springs, and other auxiliaries that
rotate, tip, torque, tweak and tease the teeth into their desired positions.
Another common step in the alignment process is “repositioning” individual
brackets. Sometimes brackets cannot be put in the right place on the first day
because of the bite, the alignment, or the shape of the teeth. After the teeth
have been partially aligned however, the brackets can then be moved to better
positions.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The third step of
treatment is correcting the bite or making the upper teeth fit the lower ones.
This must be accomplished in all three planes or dimensions of space, front to
back (overbite or underbite), side to side (crossbites), as well as top to
bottom (open bite or deep bite). Making the upper match the lower is
accomplished with wires, rubber bands, springs, or in extreme cases surgery.
When the bite is right, the backs of the top teeth rest lightly on the fronts
of the bottom ones and the teeth should interdigitate nicely, such as how the
teeth of a zipper fit together.</span></div>
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<a href="http://1.bp.blogspot.com/-B-tUEnGJ4b4/UfHbR7dSy-I/AAAAAAAAASo/elXIMjs1HYU/s1600/11345624-teethwhite.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-B-tUEnGJ4b4/UfHbR7dSy-I/AAAAAAAAASo/elXIMjs1HYU/s200/11345624-teethwhite.jpg" height="115" width="200" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";"> </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The “When do I get my
braces off?” question usually arises during the third or “bite step” of
treatment. By that time the crowded, crooked teeth are gone, the smile looks
great, and the patient is generally happy with how things look. I have to admit
that the first half of treatment exhibits more dramatic changes and is more
exciting than the last half. But I must stress that it is during the final
phase however where the overall bite is corrected so that the results will be
healthy and stable.<span style="mso-spacerun: yes;"> </span>I admit, this can be
a hard sell to some people.<span style="mso-spacerun: yes;"> </span>But rest
assured that these small tweaks and adjustments are very important.<span style="mso-spacerun: yes;"> </span>I am a big believer that the best long-term
retainer is a good bite.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">If you are wondering if
you’re getting close to getting your braces off, compare what you see in your
mouth with this quick checklist:</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";"> 1. Are the teeth
straight?<br /> 2. Are the spaces between the teeth closed completely?<br />
3. Do the upper front teeth overlap the lower front teeth appropriately (not
too deep, but no visible space between them)?<br />
4. Are the outer cusps of the upper teeth resting on the outside of the
corresponding ones in the lower?<br />
5. Is the overbite or underbite corrected?</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">If it is obvious that
your teeth are still crooked, have spaces between them, or you still have a
deep bite or overbite, you probably still have some time remaining. If your
treatment time is longer that was originally estimated, check out another
article I wrote about that at <a href="http://wheelerortho.blogspot.com/">http://wheelerortho.blogspot.com/</a>
entitled Dr. Wheeler’s Formula for Successful Orthodontic Treatment.<span style="mso-spacerun: yes;"> </span>If you have specific questions about your
smile or your treatment, ask me to explain what objectives remain in your
treatment.<span style="mso-spacerun: yes;"> </span>Rest assured that your braces
will come off when the best result is achieved and not before. </span><br />
<br />
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">--- Doc W</span><br />
<br />
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><br /> </span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: x-small;"><a href="http://www.wheelerortho.com/" target="_blank"><span style="color: #999999;">Content used with permission by Dr. Greg Jorgensen</span></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #999999;"><span style="color: black; font-size: x-small;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog</a></span> </span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.wheelerortho.com/" target="_blank"></a></div>
</div>
WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com3tag:blogger.com,1999:blog-6747099517467349407.post-48974546887168876512013-07-25T18:36:00.002-07:002014-08-12T14:46:40.885-07:00What is the Purpose of a "Recall" or an "Orthodontic Observation" Appointment?<!--[if gte mso 9]><xml>
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<a href="http://2.bp.blogspot.com/-4myBhHZXnRs/UfHSisYI3GI/AAAAAAAAASE/dcdbLcW9M_A/s1600/hectic-schedule.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-4myBhHZXnRs/UfHSisYI3GI/AAAAAAAAASE/dcdbLcW9M_A/s200/hectic-schedule.jpg" height="200" width="191" /></a><span style="font-family: SegoeUISemibold; font-size: 14.5pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";"></span><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Life at times can be very hectic. </span><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Moms and dads have busy
schedules. <span style="mso-spacerun: yes;"></span>Picking their children up from school and
taking them to the orthodontist is no simple task. Sometimes the appointments
are very short and can seem meaningless. One of these appointments is the
observation or recall visit. These appointments are usually less than 15
minutes and many wonder if they are really necessary at all. Recall or observation
appointments are very important, and here’s why…</span></div>
<br />
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";"> </span>
<br />
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Observation or recall
visits are scheduled for orthodontic patients who are either not yet quite
ready for braces (where we may be waiting for a tooth or two to erupt) or have
had a first phase of treatment already and are waiting for their remaining
permanent teeth to come in so they can finish their orthodontic treatment. The
orthodontist often will take a progress x-ray at this appointment to help him
evaluate your child’s dental development. There are three things that I look
for when your son or daughter is in my chair.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://3.bp.blogspot.com/-dv90I3YUlr4/UfHO51PX3TI/AAAAAAAAARk/066VJ6xfEGM/s1600/_MG_0937.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-dv90I3YUlr4/UfHO51PX3TI/AAAAAAAAARk/066VJ6xfEGM/s200/_MG_0937.JPG" height="133" width="200" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">First, if the patient
has had an interceptive phase of treatment, the first order of business is
checking the condition of the retainers. Our Phase 1 retainers removable
retainers designed to hold the correction of the teeth me made with braces, and
to hold the space so the remaining permanent teeth can erupt into position as
best as possible.<span style="mso-spacerun: yes;"> </span>If a retainer comes
loose or is lost, the teeth would be free to shift or move and the result of
the initial treatment compromised. It only takes a couple of minutes to adjust
a loose retainer. If the teeth have shifted it is not so easy to realign teeth without
putting the braces back on. Another type of retainer we use in young patients
is called a space maintainer. It is designed to preserve the space necessary
for the eruption of a permanent tooth after the corresponding tooth is lost
early. It is at a recall appointment that we determine when it is appropriate
to remove a space maintainer.</span></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-hxQIbS4AgAk/UfHSExBjUgI/AAAAAAAAAR8/owWMmzuzQEA/s1600/Marielaina-Perrone-DDS-Teeth-Eruption-Missing-teeth-boy.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-hxQIbS4AgAk/UfHSExBjUgI/AAAAAAAAAR8/owWMmzuzQEA/s200/Marielaina-Perrone-DDS-Teeth-Eruption-Missing-teeth-boy.jpg" height="132" width="200" /></a></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The second objective of
this appointment is to evaluate the loss of primary teeth and the eruption of
the permanent replacements. Losing primary teeth on time and in the right order
can help the permanent teeth come in straighter. If I notice that a baby tooth
is not falling out on time, or I identify in an x-ray that the permanent teeth
are headed in the wrong direction, I usually recommend that a patient see their
family dentist to get the baby tooth in question removed. Evaluating the loss
of primary teeth and the eruption of permanent ones really doesn’t take much
time, but ignoring developing problems can add months or years to a patient’s
orthodontic treatment.</span></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-yLYkyG0brmw/UfHPGh6_gxI/AAAAAAAAARs/gYNzzU9IgwQ/s1600/_MG_0950.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-yLYkyG0brmw/UfHPGh6_gxI/AAAAAAAAARs/gYNzzU9IgwQ/s320/_MG_0950.JPG" height="212" width="320" /></a></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The third objective of
any observation appointment is to counsel with the family about the timing of
the next phase of treatment. My philosophy is that I will begin no treatment
before a patient is ready. This might mean waiting a few months or even years.
If we start too early, your son or daughter may have the braces on too long. If
we wait too long, we might miss the opportunity to keep treatment as short as
possible or end up extending it high school years where important <span style="mso-spacerun: yes;"> </span>prom or graduation events happen, which interfering
with them is not too popular with patients or their families!</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Having your orthodontist
follow your child’s development will help them receive the care they need when
they need it. Although observation and recall appointment are short and
sometimes seem like a wasted trip, your orthodontist <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">knows exactly </i></b><span style="mso-spacerun: yes;"> </span>what to look for at an observation or recall
appointment and will make sure that your child is progressing towards an
excellent orthodontic result. Next time your son or daughter has an observation
visit with your orthodontist, make sure and ask for an explanation of the
things he was looking for and what he found. I think you’ll find that these
short, to-the-point appointments are as important as any appointment you’ll
ever have.</span></div>
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">
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<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">--- Doc W</span><br />
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: x-small;"><a href="http://www.wheelerortho.com/" target="_blank"><span style="color: #999999;">Content used with permission by Dr. Greg Jorgensen</span></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #999999;"><span style="color: black; font-size: x-small;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog</a></span> </span></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
</div>
<div class="separator" style="clear: both; text-align: center;">
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WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com3tag:blogger.com,1999:blog-6747099517467349407.post-33491926277244177082013-07-24T13:05:00.000-07:002014-08-12T14:48:06.884-07:00Two-Phase Orthodontic Treatment: Everything You Need to Know <!--[if gte mso 9]><xml>
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<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://2.bp.blogspot.com/-iKuYGtpdiV8/UfAa4L8hvgI/AAAAAAAAAP0/SKQ1MkJkIXM/s1600/braces1.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-iKuYGtpdiV8/UfAa4L8hvgI/AAAAAAAAAP0/SKQ1MkJkIXM/s200/braces1.jpg" height="132" width="200" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Two-phase orthodontic
treatment (also known as early, preventative, or interceptive orthodontics) seems
to be more popular today than ever before. It is not uncommon to see braces on elementary
school children.<span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Why is this so?</i></b><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The American Association
of Orthodontists, The American Dental Association, and the American Academy of Pediatric Dentstry all recommend that all children be seen by an orthodontist by age 7
so that the growth and development of their teeth and smile can be evaluated.
By age 7 most children have grown in all four of their 6-year-molars as well as
all four of their permanent upper and lower incisors. With these teeth in
place, your doctor can identify most of the orthodontic problems your child may
have, and can predict how growth will impact your child’s overall dental
development, and can counsel you on whether early treatment would be
beneficial.</span></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-dQY6iLVUpSM/UfAczsXW0bI/AAAAAAAAAQY/j07eSr-qAwQ/s1600/ada.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-dQY6iLVUpSM/UfAczsXW0bI/AAAAAAAAAQY/j07eSr-qAwQ/s200/ada.jpg" height="133" width="200" /></a><a href="http://2.bp.blogspot.com/-xQCauoSCjPs/UfAek0bSgbI/AAAAAAAAAQo/5m45OO3N-wQ/s1600/American%252520Academy%252520of%252520Pediatric%252520Dentistry.gif" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-xQCauoSCjPs/UfAek0bSgbI/AAAAAAAAAQo/5m45OO3N-wQ/s1600/American%252520Academy%252520of%252520Pediatric%252520Dentistry.gif" /></a><a href="http://3.bp.blogspot.com/-DRfb72RToxM/UfAcvPVtK1I/AAAAAAAAAQI/OrQg5HRFqHg/s1600/AAO-logo-11--color.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-DRfb72RToxM/UfAcvPVtK1I/AAAAAAAAAQI/OrQg5HRFqHg/s200/AAO-logo-11--color.jpg" height="75" width="200" /></a></div>
<br />
<br />
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">What kinds of dental problems
should be addressed early when your child still has lots of baby teeth?</span></i></b></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The first type of
problem has to do with the amount of space available. <i style="mso-bidi-font-style: normal;">Crowded</i> and <i style="mso-bidi-font-style: normal;">crooked</i> teeth
overlap each other and they cannot be lined up straight. Teeth with too much
space or with excessive flaring may actually prevent other permanent teeth from
coming into the mouth. Crowding in the front of the mouth is obvious. Crowding
in the back of the mouth is not so obvious, and may only be visible with the
aid of an x-ray radiograph. Moderate crowding and spacing problems should be
addressed at an early age so that the remaining permanent teeth can come in
correctly.<span style="mso-spacerun: yes;"> </span>If treatment is delayed, some
of the teeth may become impacted (do not erupt) or can damage the root of
adjacent teeth.<span style="mso-spacerun: yes;"> </span>I am a believer that if
you make room for the permanent teeth to erupt, you give those teeth the best
chance to erupt where they belong.<span style="mso-spacerun: yes;"> </span>This
I feel leads to long-term stability.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The second type of
problem has to do with <i style="mso-bidi-font-style: normal;">upper and lower
jaw coordination and harmony</i>.<span style="mso-spacerun: yes;">
</span>Normally, the teeth of the upper are positioned on the outside of the
lower teeth, when lined up correctly. When the top back teeth sit inside of the
lower ones (crossed-over), we call that <i style="mso-bidi-font-style: normal;">a
posterior crossbite</i>. When the upper front teeth are behind the lower front
teeth, we call this an <i style="mso-bidi-font-style: normal;">anterior crossbite, negative overjet,</i>
or an <i style="mso-bidi-font-style: normal;">underbite</i>. Teeth in crossbite
may reveal an underlying jaw problem that is best addressed at a young age. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://2.bp.blogspot.com/-bd5HbkD6IpA/UfAnzTG_xaI/AAAAAAAAARE/x-8ga44oTeY/s1600/diagram-overjet.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-bd5HbkD6IpA/UfAnzTG_xaI/AAAAAAAAARE/x-8ga44oTeY/s320/diagram-overjet.jpg" height="169" width="320" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The opposite of an
underbite is an “<i style="mso-bidi-font-style: normal;">overbite</i>” (also <i style="mso-bidi-font-style: normal;">called excessive overjet</i>) where the
upper teeth stick to far out, often making it difficult to chew or even to
close the lips together. Mild overbites are common and not a concern until all
the permanent teeth are in. Moderate to severe overjets can cause significant
social problems for young patients and make them more susceptible to dental
injuries because the teeth stick out. Although overbites cannot be totally
eliminated until a child has finished growing, it is advisable to “get a head
start” to reduce their severity for safety and self-esteem reasons.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Ideally the top front
teeth vertically overlap the bottom front teeth about half way. If they overlap
too much, we call this a <i style="mso-bidi-font-style: normal;">deep overbite</i>
or <i style="mso-bidi-font-style: normal;">deep bite</i>. If they don’t overlap
at all, we call this an open bite. Both conditions may hint that there may be
underlying jaw problems that need attention at a young age. An open bite may
also be due to oral habits such as <i style="mso-bidi-font-style: normal;">thumb-
or finger-sucking</i> that can harm your child’s dental development. <span style="mso-spacerun: yes;"> </span>Orthodontists can help young patients break
such harmful habits.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Finally, it should be
noted that in the past, extractions of bicuspids were often required for an
orthodontist to be able to correct the bite.<span style="mso-spacerun: yes;">
</span>Simply the patient waited too long to start treatment, and had to accept
the pre-existing, and usually constricted skeletal dimensions.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>There
has been some recent scientific evidence that shows that expansion of the upper
jaw actually opens up the nasal passages to aid in clearer breathing.<span style="mso-spacerun: yes;"> </span>A more open airway can vastly reduce snoring
or heavy night-time breathing, and can reduce incidences of ear and sinus
infections.<span style="mso-spacerun: yes;"> </span>Scientific evidence also
shows that a constricted upper jaw can have a significant restraining-effect on
the way the lower jaw grows.<span style="mso-spacerun: yes;"> </span>In essence,
a narrow upper jaw prevents the lower jaw from growing forward normally,
resulting in a deficient or weak chin.<span style="mso-spacerun: yes;">
</span>Think of this analogy:<span style="mso-spacerun: yes;"> </span>Have you
ever tried on shoes that were too narrow?<span style="mso-spacerun: yes;">
</span>The narrowness of the shoe prevents the foot from sliding forward to be
fully sitting inside the shoe.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://1.bp.blogspot.com/-d5F7Nrb9CnA/UfAo27rmXLI/AAAAAAAAARU/F0elBWycpmM/s1600/palatal-expanders.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://1.bp.blogspot.com/-d5F7Nrb9CnA/UfAo27rmXLI/AAAAAAAAARU/F0elBWycpmM/s320/palatal-expanders.jpg" height="280" width="320" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">What is involved with
the first phase of treatment?</span></i></b></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Many first phase
treatments use some type of growth modification device like a palatal expander,
habit appliance (to stop thumb or finger sucking), or a functional appliance
(to reduce an overbite). First phase treatments allow your orthodontist to take
advantage of your child’s inherent growth potential, to harness it into a way
to resolve dental issues before they truly become a problem.<span style="mso-spacerun: yes;"> </span>Following the first phase of treatment,
retainers are used to maintain the results achieved, and to help guide the
eruption of the remaining permanent teeth.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Will early treatment
guarantee that a child will not need treatment later? </span></i></b></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The answer is almost
always no. Early treatment is commonly called two-phase treatment because more
than 90 percent of children who undergo treatment at age seven or eight must
finish when the remaining permanent teeth are in place. The </span><span style="font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">typical </span><a href="http://www.gregjorgensen.com/common-treatments.php"><span style="color: windowtext; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; text-decoration: none; text-underline: none;">Phase 1</span></a><span style="font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">
patient<span style="color: black;"> finishes the first phase of treatment with 12
primary teeth still remaining. The second phase cannot begin until all of those
remaining primary teeth are gone and the permanent ones have come in fully
(around age 11-13). If a child has problems so severe at age 7 that they need
interceptive care, the chances are pretty good that he or she will need to have
the second phase of treatment to finish their smile.</span></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-BjiNhYAgVFk/UfAnXo5NaFI/AAAAAAAAAQ8/uVubDVOe8yo/s1600/choose-easy-hard.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-BjiNhYAgVFk/UfAnXo5NaFI/AAAAAAAAAQ8/uVubDVOe8yo/s200/choose-easy-hard.jpg" height="200" width="200" /></a></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The best way to look at
two-phase treatment is this. Instead of waiting until your child is a 13 years
old and then putting him or her through two to three years of difficult
treatment, your orthodontist is recommending an easier approach. Why not let
him help your child over some of the biggest hurdles now, so that when all the
adult teeth are in (junior high and high school) treatment will be easier,
better, and faster? That is the goal of early treatment.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">Between the two phases
of treatment, patients are seen at regular intervals so that the orthodontist
can check the condition of the retainers, the loss of the baby teeth, and the
arrival of the remaining permanent ones. Periodic x-rays help your doctor make
sure that everything is developing as desired. It is also an opportunity for
the orthodontist to repair the retainers and refer you back to your general
dentist if primary teeth are not being lost on schedule.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://4.bp.blogspot.com/-gAb1NZFz-3g/UfAm7PtLWuI/AAAAAAAAAQ0/PjB0OH19cnE/s1600/timingBanner.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-gAb1NZFz-3g/UfAm7PtLWuI/AAAAAAAAAQ0/PjB0OH19cnE/s320/timingBanner.jpg" height="96" width="320" /></a><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The second phase of
treatment begins ideally after the last primary tooth is lost, about the same
time the 12-year-molars make their appearance. Treatment may begin earlier if
the patient is having social problems due to their smile, the orthodontic
problems are severe, or there are teeth that cannot take their place without
help. Treatment will take too long if started too soon, and it will not be
finished before the end of high school if started too late.<span style="mso-spacerun: yes;"> </span>It is all about <i><b>timing</b></i>!</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">So doesn’t two-phase
treatment cost more? </span></i></b></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The answer is yes, for
most offices.<span style="mso-spacerun: yes;"> </span>Putting braces on twice,
making two sets of retainers, as well as the extra observation visits all cost
money.<span style="mso-spacerun: yes;"> </span>However, at Wheeler Orthodontics,
I consider two-phases of treatment as being two parts of <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">one</i></b> treatment—just
divided over two different time periods.<span style="mso-spacerun: yes;">
</span>Our fees for the 2 phases of treatment, when added together, will cost
the same as doing one long phase later.<span style="mso-spacerun: yes;"> </span>We
do not want to make doing a two-phase treatment approach to be a financial
disadvantage to our patients and parents.<span style="mso-spacerun: yes;">
</span>We want our patients to benefit from the upside of two-phases of
treatment, when indicated for the reasons aforementioned.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";">The key factor is we want to take advantage of growth (which we can orthodontically direct in our
favor).<span style="mso-spacerun: yes;"> </span>Waiting too long for all
permanent teeth to erupt may disqualify us from being able to orthopedically expand
the dental arches. Early treatment allows the orthodontist to achieve results
he cannot get in a single treatment later. Many girls, who tend to mature faster than boys, finish growing before their second molars are in place. Teeth that erupt into the wrong place,
through the wrong tissue, may never look as good even if their position is corrected
later on.<span style="mso-spacerun: yes;"> </span>Furthermore, overall long-term
stability of teeth that erupt out of alignment is less than if the teeth are
allowed to erupt through good tissue in the arch.<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Extractions and surgery that might have been
avoided with early intervention may become necessary—which in itself is an
added expense that can be quite pricey. Most important however is the
improvement in self-esteem that occurs when a child is given a pretty smile to
go with them through the socially awkward junior high years. How much is your
child’s self-esteem worth to you?</span><br />
<br />
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">--- Doc W</span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: x-small;"><a href="http://www.wheelerortho.com/" target="_blank"><span style="color: #999999;">Content used with permission by Dr. Greg Jorgensen</span></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #999999;"><span style="color: black; font-size: x-small;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog</a></span> </span></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://www.wheelerortho.com/" target="_blank"><img border="0" src="http://4.bp.blogspot.com/-IjdUgmpaJiw/UP3dhAZ8NkI/AAAAAAAAABA/z8c334QrIwo/s400/footer.png" height="110" width="400" /></a></div>
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<span style="color: black; font-family: "Lucida Sans Unicode","sans-serif"; font-size: 9.5pt; mso-fareast-font-family: "Times New Roman";"></span>
WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com13tag:blogger.com,1999:blog-6747099517467349407.post-5471566158071498592013-05-14T11:50:00.002-07:002014-08-12T14:48:59.986-07:00Dr. Wheeler’s Formula for Successful Orthodontic Treatment<!--[if gte mso 9]><xml>
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<br />
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-KW3mY5G0AXk/UZKHZ3iIXqI/AAAAAAAAAPU/Pg06yTPy1kk/s1600/4534brac.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-KW3mY5G0AXk/UZKHZ3iIXqI/AAAAAAAAAPU/Pg06yTPy1kk/s200/4534brac.jpg" height="189" width="200" /></a></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Getting your braces on is exciting, but
getting them off is the <i style="mso-bidi-font-style: normal;">best</i> day
ever!!! So you may be asking yourself, “How can <b style="mso-bidi-font-weight: normal;">I </b>help my orthodontist help <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">me</i></b> get to that ‘<i style="mso-bidi-font-style: normal;">best day ever</i>,’ with the best result possible in the most efficient
way available”?<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://2.bp.blogspot.com/-vP6reHi-dxs/UZKBwhXXc9I/AAAAAAAAAOQ/O_HSdRT9A1M/s1600/Consistency.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-vP6reHi-dxs/UZKBwhXXc9I/AAAAAAAAAOQ/O_HSdRT9A1M/s200/Consistency.jpg" height="170" width="200" /></a><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">The answer is simple...<span style="mso-spacerun: yes;"><span style="font-size: large;"><i><b> </b></i></span></span></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"></span><span style="font-size: large;"><b><i>Consistency and compliance</i></b></span>. </span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Let me
elaborate…</span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">You (the patient) are a significant variable
that affects your treatment time. Your orthodontist may have the perfect
diagnosis and treatment plan designed and prepared for you, but he cannot
succeed without <i style="mso-bidi-font-style: normal;">your </i>cooperation.
Some things you might be doing can sabotage your own treatment time.<span style="mso-spacerun: yes;"> </span>These include 1) Missing, changing, or
spreading out your appointments, 2) Arriving late to appointments so the chair-side
technicians do not have sufficient time to perform all planned procedures, 3) Not
getting other necessary procedures done in a timely manner (surgeries,
extractions, restorative work, etc.), 4) Breaking or bending your wires or
brackets between visits, or 5) Not following instructions regarding rubber band
wearing, aligners, and oral hygiene. Consistently doing your part will not only
help keep your treatment on schedule, it will give you the best final results
too.</span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">At the start of treatment, we gave you an
estimated time of how long your braces would be on. This estimated time
considers and assumes that you as a patient are being 100% consistent and
compliant with what we have recommended for you to do.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-dZ-Rm8r4sOU/UZKDgjVm8_I/AAAAAAAAAOc/vYfVRT4iiUk/s1600/Gas+Tank.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-dZ-Rm8r4sOU/UZKDgjVm8_I/AAAAAAAAAOc/vYfVRT4iiUk/s200/Gas+Tank.jpg" height="150" width="200" /></a></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">The intervals for adjustment visits we set
up range from 3 to 8 weeks—although typically it’s every 6 weeks.<span style="mso-spacerun: yes;"> </span>This interval is determined by the goals we
have for that particular interval, and considers the bio-mechanical properties
of the particular wires and ties we have selected for use.<span style="mso-spacerun: yes;"> </span>We set up the following visit to coincide
when the previous adjustment’s activation is about to “run out of gas”.<span style="mso-spacerun: yes;"> </span>It has been proven scientifically that teeth
move most efficiently under light, steady, and continuous forces.<span style="mso-spacerun: yes;"> </span>If that application of a continuous force is
ever interrupted, it takes a bit of time to get back into the “sweet spot” of efficient
tooth movement.<span style="mso-spacerun: yes;"> </span>We just don’t want an
activation to ever “run out of gas”.<span style="mso-spacerun: yes;"> </span>In
fact, even just rescheduling an appointment just 1 week longer than ideal can easily
add 3-4 weeks to your treatment time.<span style="mso-spacerun: yes;"> </span>If
you have been given rubber bands to wear—wearing them only 80% of the time
causes the job to be done in twice the time, and wearing them only 50% of the
time causes them to take 8 times as long for the treatment to be done.</span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-Tj4vXogKU9E/UZKDqx9pWmI/AAAAAAAAAOk/I528VtBCuaY/s1600/couple_pushing_a_car_18avr0399rm.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-Tj4vXogKU9E/UZKDqx9pWmI/AAAAAAAAAOk/I528VtBCuaY/s200/couple_pushing_a_car_18avr0399rm.jpg" height="112" width="200" /></a></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Let me give you analogy.<span style="mso-spacerun: yes;"> </span>Have you ever had to push a stalled car?<span style="mso-spacerun: yes;"> </span>You might have noticed that it takes a little
bit of strength and effort to get the car to start rolling; however, once it is
rolling it is so much easier to push.<span style="mso-spacerun: yes;"> </span>This
is true with tooth movement as well.<span style="mso-spacerun: yes;"> </span>All
of what I am talking about occurs on the biological/physiological level within
the supportive tissue around the roots of the teeth.<span style="mso-spacerun: yes;"> </span>Once orthodontic treatment starts, special
cells are recruited by the body to migrate around the root of the teeth and
respond only to the stimuli of pressure…some remove old bone (osteoclasts),
some make new bone (osteoblasts). When forces are added to the teeth in a
consistent manner, this process works smoothly.<span style="mso-spacerun: yes;">
</span>However, if these forces are interrupted by missing appointments, poor
compliance with rubber band wear, or having broken appliances that need to be
constantly repaired, then these cells get confused by the mixed signals they
receive.<span style="mso-spacerun: yes;"> </span>This, at a minimum causes a
stop in the tooth movement (which takes a while to “get back up to speed”), but
worse tends to cause the patient to experience an elevated level of tooth discomfort.<span style="mso-spacerun: yes;"> </span>In rare cases, these cells get so confused
they can actually start resorbing other hard tissue like tooth root structure,
instead of remodeling bone.</span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-xVYqzjSuqyU/UZKGKpDkeqI/AAAAAAAAAPE/PaRnOVA8qq8/s1600/Tooth-Movement.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-xVYqzjSuqyU/UZKGKpDkeqI/AAAAAAAAAPE/PaRnOVA8qq8/s320/Tooth-Movement.jpg" height="224" width="320" /></a></div>
<br />
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Another important factor is to be consistent
and compliant with your oral hygiene.<span style="mso-spacerun: yes;">
</span>Keeping your teeth and gums free of bacteria-laden plaque keeps the
supportive gum tissue strong and healthy.<span style="mso-spacerun: yes;">
</span>If plaque is allowed to accumulate, then the gum tissues can get rather
inflamed as they try to fight off the infection of the bacterial plaque.<span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Teeth simply do not move in areas of active
inflammation.</i></b><span style="mso-spacerun: yes;"> </span>To combat this you
must be vigilant and consistent with your hygiene including, brushing and
flossing twice or more times daily, and in seeing your family dentist regularly
for thorough check-ups and cleanings (at least every 6 months or sooner, if
advised to do so by your family dentist).<span style="mso-spacerun: yes;">
</span><i style="mso-bidi-font-style: normal;">It’s a war against plaque!!</i></span></div>
<div class="separator" style="clear: both; text-align: center;">
<i style="mso-bidi-font-style: normal;"><a href="http://3.bp.blogspot.com/-hCpHCs7Sa90/UZKFDybvHcI/AAAAAAAAAO4/pKEm9sI2140/s1600/acid_attack_tug.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-hCpHCs7Sa90/UZKFDybvHcI/AAAAAAAAAO4/pKEm9sI2140/s320/acid_attack_tug.png" height="145" width="320" /></a></i></div>
<br />
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">If you are in treatment now and are
concerned by your prolonged treatment time, consider these three factors: Are
you really doing your part and is there any room for improvement? Have you
discussed your treatment progress with your orthodontist to see if anything has
changed from his perspective? If you’re confident that both of you are doing
your best, it may be that your body’s response to treatment is just slow. <span style="mso-spacerun: yes;"> </span>Sometimes, it’s the individual’s biology that limits
tooth movement to a slow pace.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Also consider this as well…Not all
orthodontists are the same.<span style="mso-spacerun: yes;"> </span>Some are
really focused and invested personally on making sure your treatment is
complete.<span style="mso-spacerun: yes;"> </span>Isn’t it comforting to know
your orthodontist Dr. Wheeler has the integrity to finish the job he started,
as opposed to one cutting corners just to say he finished “on time”?<span style="mso-spacerun: yes;"> </span>Any treatment less that completed is
unsuccessful treatment in my mind.</span></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">So to help your orthodontist help <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">you</i></b>
get the most out of your treatment …be <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">consistent and compliant </i></b>with…</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 13.8pt; mso-add-space: auto; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: Cambria; mso-fareast-font-family: Cambria;"><span style="mso-list: Ignore;"><b> 1)<span style="font: 7.0pt "Times New Roman";">
</span></b></span></span><b><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Making all your scheduled appointments</span></b></div>
<b>
</b><br />
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 13.8pt; mso-add-space: auto; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<b><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: Cambria; mso-fareast-font-family: Cambria;"><span style="mso-list: Ignore;"> 2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Making it to your appointments on time</span></b></div>
<b>
</b><br />
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 13.8pt; mso-add-space: auto; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<b><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: Cambria; mso-fareast-font-family: Cambria;"><span style="mso-list: Ignore;"> 3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Following all of our instructions regarding rubber band wear,
aligner or appliance wear, and in following through with referrals for any adjunctive
procedures (extractions, surgeries, etc)</span></b></div>
<b>
</b><br />
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 13.8pt; mso-add-space: auto; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<b><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: Cambria; mso-fareast-font-family: Cambria;"><span style="mso-list: Ignore;"> 4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Keeping your teeth clean through good oral hygiene practices</span></b></div>
<b>
</b><br />
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 13.8pt; mso-add-space: auto; mso-list: l0 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;">
<b><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: Cambria; mso-fareast-font-family: Cambria;"><span style="mso-list: Ignore;"> 5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Cambria","serif"; font-size: 12.0pt; mso-bidi-font-family: "Lucida Sans Unicode"; mso-fareast-font-family: "Times New Roman";">Making your treatment a team approach—having both the parent and
patient—be active participants in the treatment.<span style="mso-spacerun: yes;"> </span>Ask questions, be engaged in your investment
of orthodontic care--come into the office, sit chairside for your child’s visit
and not just sit in the car.</span></b><br />
<br />
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">--- DocW</span><br />
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: x-small;"><a href="http://www.wheelerortho.com/" target="_blank"><span style="color: #999999;">Content used with permission by Dr. Greg Jorgensen</span></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #999999;"><span style="color: black; font-size: x-small;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog</a></span> </span></div>
</div>
<div class="separator" style="clear: both; text-align: center;">
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WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com5tag:blogger.com,1999:blog-6747099517467349407.post-89082544145714778202013-05-14T11:17:00.001-07:002014-08-12T14:47:45.970-07:00Esthetic Orthodontic Appliances: What To Do When Invisalign Is Not An Option<!--[if gte mso 9]><xml>
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<br />
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Many people who want straight teeth
never go through with treatment because they just do not like the way braces
look. In 1998, Align Technology introduced Invisalign tooth positioning
aligners. Up until that time, the only cosmetic alternatives to traditional
metal braces on the teeth were clear (ceramic) or lingual (inside) braces. Why
do orthodontists still use clear braces when Invisalign seems so much better?</span>
</div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://1.bp.blogspot.com/-9YKs5W2eHUI/UZJorGVvuBI/AAAAAAAAANE/rxXKk3hAJyI/s1600/invisalign_with_logo.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://1.bp.blogspot.com/-9YKs5W2eHUI/UZJorGVvuBI/AAAAAAAAANE/rxXKk3hAJyI/s320/invisalign_with_logo.jpg" height="134" width="320" /></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Align Technology’s introduction of
Invisalign changed the field of orthodontics forever. First, for appropriate
cases, Invisalign does provide the esthetic alternative to metal braces that
many patients are seeking. Second, because Align bypassed professional
providers and marketed directly to the public (think Nexium—“Little Purple Pill”
and Viagra), they created a demand for their product and an expectation that
teeth can now be straightened without wires and brackets glued to the teeth.
Third, because the Invisalign system seems so much easier to use than
conventional braces, more than 300,000 non-specialist general dentists are now
also offering orthodontic services in their practices. Although these changes
have encouraged more patients to seek treatment...<b><i>Invisalign is not a
replacement for braces in all cases. </i></b></span></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Here's why...</span></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><b><i><br /></i></b></span></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">First, although clear aligners are
appropriate for many orthodontic problems, they are still biomechanically
inferior to conventional braces in many situations. Because it is more
difficult for plastic shells to create some of the forces required for complex
tooth movements like turning round teeth, making teeth longer, and paralleling
roots in extraction cases, most orthodontists still prefer to use brackets and
wires for moderate to severe cases—where underlying skeletal discrepancies may
exist in addition to dental issues.</span></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Second, by taking Invisalign
directly to the public without explaining its limitations, Align forces
orthodontists to be “the bad guys” who more often than not have to give
disappointing news to overly optimistic prospective patients. My practice
statistics indicated that only one out of eight patients who come in hoping for
Invisalign actually have problems that qualify for aligner therapy. The other
seven would be treated to a better result with braces.</span></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Third, because Invisalign appears
easier to use than braces, dentists with little or no orthodontic training are
now also offering orthodontic services to their patients. Since most of us
trust the advice of our family dentist, rarely do we question when he or she recommends
a new service. The results obtained by any doctor however are determined by his
skills and experience. Eliminating brackets and wires does not eliminate the
need for accurate diagnosis, treatment planning, and case management.
Invisalign is simply a tool. <i>Just because I can buy the same golf clubs as
Tiger Woods does not mean that I can shoot the same scores as he does!</i></span></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://2.bp.blogspot.com/-Xy9-u2ddbmo/UZJ4sceS9_I/AAAAAAAAANo/NdLT3WjuzZk/s1600/121009_woods.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-Xy9-u2ddbmo/UZJ4sceS9_I/AAAAAAAAANo/NdLT3WjuzZk/s200/121009_woods.jpg" height="200" width="200" /></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">I use Invisalign in my orthodontic
office. It is effective for mild and some moderate crowding and alignment cases. It
is especially good for patients who have had previous orthodontic treatment but
did not wear their retainers and have experienced some relapse. I like the fact
that my patients can take out their aligners to eat and brush. Patients like it
because it looks so much better than braces. So in many cases, Invisalign is
actually my treatment tool of choice.</span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-gTJ3x0WUYyY/UZJu0TnN9mI/AAAAAAAAANQ/PINli87S07Q/s1600/ClarityADVANCEDmodel_0.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-gTJ3x0WUYyY/UZJu0TnN9mI/AAAAAAAAANQ/PINli87S07Q/s200/ClarityADVANCEDmodel_0.jpg" height="200" width="183" /></a></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">If Invisalign isn’t appropriate for
your particular problem, what other options do you have? The most tried and
true, economical alternative is clear braces. They have been around a long time
and are now better than ever! Modern manufacturing techniques have overcome
practically all of the long-standing weaknesses that have plagued previous
generations of clear brackets. Today’s appliances are stronger, smaller, and do
not stain like previous models. They can be used for the exact same complex
movements as metal brackets and move the teeth just as efficiently. The only
drawback is they still cost your orthodontist more to purchase (which he must
pass on to you).</span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-CB7i8iFaPOE/UZJ4R7TPEMI/AAAAAAAAANg/HcXeHxYdF0U/s1600/TomCruiseBracesPix_1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-CB7i8iFaPOE/UZJ4R7TPEMI/AAAAAAAAANg/HcXeHxYdF0U/s320/TomCruiseBracesPix_1.jpg" height="320" width="228" /></a></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">So if you are dead set against metal
braces, you now have three options. Invisalign might be perfect for you if your
problems are only mild. If you want the ultimate invisible treatment, you
should consider lingual braces—which we use the Incognito system. If you want the most
cost-effective esthetic alternative to “railroad tracks” that can actually move
your teeth like metal however, ask your orthodontist to show you today’s clear
braces. I think you’ll be impressed!</span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-lTvGt97jUFE/UZJ_kcocAaI/AAAAAAAAAOA/ato_dRcqZYw/s1600/incognito-braces.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-lTvGt97jUFE/UZJ_kcocAaI/AAAAAAAAAOA/ato_dRcqZYw/s200/incognito-braces.png" height="190" width="200" /></a></div>
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<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">--- Doc W</span><br />
<br />
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<span style="font-size: x-small;"><a href="http://www.wheelerortho.com/" target="_blank"><span style="color: #999999;">Content used with permission by Dr. Greg Jorgensen</span></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #999999; font-size: x-small;"><span style="color: black;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog</a></span> </span></div>
<div class="separator" style="clear: both; text-align: center;">
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WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com4tag:blogger.com,1999:blog-6747099517467349407.post-31585232088916991572013-03-07T12:21:00.000-08:002014-08-12T14:47:33.503-07:00When Comparing Orthodontic Fees: Need To Compare Apples To Apples…<!--[if gte mso 9]><xml>
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<a href="http://4.bp.blogspot.com/-tHTvviUKGK8/UTjnnaqJMcI/AAAAAAAAAC0/GK_cZ4wbhQQ/s1600/apples-and-oranges.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-tHTvviUKGK8/UTjnnaqJMcI/AAAAAAAAAC0/GK_cZ4wbhQQ/s200/apples-and-oranges.jpg" height="131" width="200" /></a><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Let’s
face it. Healthcare is expensive. Lasik surgery can cost $5000 or more for
three short visits. A broken arm will cost you $7000 or more at the emergency
room. Laser hair removal can cost even more than that! In today’s economy with
incomes down and expenses up, it is not uncommon for families to price shop for
everything. Is price shopping for orthodontics a good idea? How can some
offices provide care for less? Does it really matter who puts on the braces?</span></div>
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<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Fees
in my office are determined by what it costs us to provide the service. We have
an accounting firm that keeps a close watch on our cash flow (we are a business
after all) and about once a year we evaluate what we’re taking in (fees) and
what we’re paying out (overhead). Our fees are about middle of the road for Stockton.
Why are we higher than some but lower than others? Here are four variables that
affect fees…</span></div>
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<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Perhaps the most visible difference between orthodontic offices
is the physical facility and equipment. Our office is conveniently located, has
lots of free parking, and the office and treatment areas are very open, bright,
and inviting.<span style="mso-spacerun: yes;"> </span>There is plenty of
comfortable seating in our reception room. We utilize state-of-the-art <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">in-house</i></b>
digital radiography and diagnostics and have 12 computers throughout the office
to enhance treatment.<span style="mso-spacerun: yes;"> </span>We have 6
comfortable treatment chairs to deliver our services, and have an <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">on-site</i></b>
dental lab where we can make custom retainers and removable appliances with
high-quality, quick turn-around capability.<span style="mso-spacerun: yes;">
</span>Admittedly, we could straighten teeth with less, but each one is a gear
in our “well-oiled-machine.”<span style="mso-spacerun: yes;"> </span></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-q8UMes6o1Fs/UTjxLnYgXwI/AAAAAAAAADc/GsqYesSz5Hk/s1600/78968941.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-q8UMes6o1Fs/UTjxLnYgXwI/AAAAAAAAADc/GsqYesSz5Hk/s200/78968941.png" height="152" width="200" /></a><a href="http://3.bp.blogspot.com/-ngwpGcAHYAo/UTj1gBhXEMI/AAAAAAAAADs/zq4NW1TuZt4/s1600/clarity-advanced.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-ngwpGcAHYAo/UTj1gBhXEMI/AAAAAAAAADs/zq4NW1TuZt4/s200/clarity-advanced.jpg" height="106" width="200" /></a></div>
<div class="MsoNormal" style="line-height: 13.8pt; margin-left: .5in; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">A second variable that affects our fees is the <i><b>quality of
the treatment</b></i> we provide. I’ve been in practice for over 11 years now. Many of
my team members have been with me most of that time. They are very talented and
know what they are doing. They cost more than inexperienced technicians… and
they are worth it. <span style="mso-spacerun: yes;"> </span>We also use the most
efficient braces available. We feature 3M Unitek brackets (both in traditional
metal and clear).<span style="mso-spacerun: yes;"> </span>They cost us a lot more
than mail-order brackets from overseas or from recycled/refurbished ones here
domestically. The proven quality, reliability, precision, and consistency
provided by our brackets make the extra expense worth it. We also use the
latest technology in wires. Wires, more than anything else, determine the
position of teeth at the end of treatment. In fact, all our wires and brackets
are individually packaged so they remain sterile until the moment we use them
in the mouth.<span style="mso-spacerun: yes;"> </span>It is impossible to hire
the most talented staff, use the best brackets, provide the most efficient
wires, and still charge the same as those who do not. Conversely, it is
impossible to obtain our results without them.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 13.8pt; margin-left: .5in; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="line-height: 13.8pt; margin-left: .5in; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://3.bp.blogspot.com/-3GIx1PNQMbo/UTjp84-cmJI/AAAAAAAAADM/R1MS52JhoJM/s1600/untitled.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-3GIx1PNQMbo/UTjp84-cmJI/AAAAAAAAADM/R1MS52JhoJM/s1600/untitled.png" /></a><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">The third and perhaps biggest difference between treatment
costs has to do with <i><b>what is included</b></i> in our fee. When price shopping, it is
important to make sure that you compare “apples to apples”. <span style="mso-spacerun: yes;"> </span>For example, when it appears that our fee for
a first phase of treatment is higher, it turns out that our quote includes a
lot more (i.e. an expander, upper and lower braces, and retainers while the
competing office only recommended an expander or a space maintainer). <span style="mso-spacerun: yes;"> </span>Our office includes the costs of the
diagnostic records, including intra- and extra-oral photography, digital
radiographs, and study models, as part of the treatment fee.<span style="mso-spacerun: yes;"> </span>Our fees do not include hidden costs.<span style="mso-spacerun: yes;"> </span>Some offices often charge extra fees for
broken brackets, when an appointment needs to be rescheduled, or when the
doctor needs to perform treatment planning and consulting.<span style="mso-spacerun: yes;"> </span>Many offices also charge several hundreds of
dollars for diagnostic records on top of the treatment fee. Others do not include
retainers and retainer adjustment appointments in the pricing, and if they do
often provide temporary or provisional retainers.<span style="mso-spacerun: yes;"> </span>Some offices will continue charging monthly
payment installments, if treatment takes longer than contracted for, and will
do so until treatment is completed.<span style="mso-spacerun: yes;"> </span>It
is not uncommon in these offices to end up paying twice as much as was
originally presented.<span style="mso-spacerun: yes;"> </span>The take home
message is that it is important to ask what is included in a proposed fee
because apples and oranges rarely cost the same.</span></div>
<div class="MsoNormal" style="line-height: 13.8pt; margin-left: .5in; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 13.8pt; margin-left: .5in; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">The fourth and final factor is one that is often overlooked
is <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">patient
safety</i></b>.<span style="mso-spacerun: yes;"> </span>We pride ourselves on
not merely meeting minimum standards but far exceeding them.<span style="mso-spacerun: yes;"> </span>To keep us on the vanguard of patient safety,
we keep ourselves constantly updated so we can implement new technology and
techniques.<span style="mso-spacerun: yes;"> </span>For example, we utilize
steam sterilization in an autoclave of all our instruments and utilize category
4 sterilization bags.<span style="mso-spacerun: yes;"> </span>Standard
sterilization bags only measure if an adequate temperature was reached...but
they don’t indicate if that heat was maintained long enough, if sufficient
pressure was reached, or if the steam penetrated to the surface of the
instruments. Category 4 sterilization bags have indicators to ensure that all
four elements have been reached:<span style="mso-spacerun: yes;"> </span>heat,
time, pressure, penetration.</span></div>
<div class="MsoNormal" style="line-height: 13.8pt; margin-left: .5in; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 13.8pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Choosing
orthodontic care for yourself or for your child can be a life-changing
decision. The quality of the result and treatment experience will not be the
same just because the doctor has a license. We understand that orthodontic
treatment is an investment for you or your child; we want to ensure the maximum
return on your investment.<span style="mso-spacerun: yes;"> </span>You may be
able to find cheaper orthodontic care elsewhere, but you won’t find better
treatment than Wheeler Orthodontics!<span style="mso-spacerun: yes;"> </span></span><br />
<br />
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"><b>Doc W</b></span></span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: x-small;"><a href="http://www.wheelerortho.com/" target="_blank"><span style="color: #999999;">Content used with permission by Dr. Greg Jorgensen</span></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #999999;"><span style="color: black; font-size: x-small;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog</a></span> </span></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
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WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com2tag:blogger.com,1999:blog-6747099517467349407.post-83072295927600384572013-02-07T17:05:00.000-08:002014-08-12T14:47:19.132-07:00Is All Orthodontic Treatment The Same? <!--[if gte mso 9]><xml>
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</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-zn0CbDVKoKE/URROBda4RRI/AAAAAAAAACU/a9ToRarr2Rg/s1600/co%2520smile.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-zn0CbDVKoKE/URROBda4RRI/AAAAAAAAACU/a9ToRarr2Rg/s200/co%2520smile.gif" height="175" width="200" /></a></div>
<br />
<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">An attractive, healthy smile is an
asset that can last a lifetime. Not only will orthodontic treatment influence
how you feel about yourself, it will also contribute to how healthy and stable
your teeth are in the long run. Selecting the right orthodontist for you and your
family is too important to simply accept the lowest bid. All smiles are not created
equally and just because a dentist has a license is no guarantee that you will
be happy with the results. Here are some points you may want to consider as you
choose your orthodontist:</span><br />
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<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<br />
<ul>
<li><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">First,
consider the organization of the office and staff. Although you may not
understand malocclusions or treatment mechanics, you can tell a well-run office
when you see one. Is everything clean and in its place? Is the technology and
equipment up-to-date? Is the staff friendly, well-trained, and helpful? If so,
it is safe to assume that an equal amount of care will go into the treatment
they will provide. The quality of care you will receive will mirror the level of
organization and technology of the office.</span><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"> </span></li>
</ul>
<ul><a href="http://4.bp.blogspot.com/-gAN3M8-vVuM/URRK1Q3UzLI/AAAAAAAAABk/i5FVYfJxC3c/s1600/_MG_0899.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-gAN3M8-vVuM/URRK1Q3UzLI/AAAAAAAAABk/i5FVYfJxC3c/s200/_MG_0899.JPG" height="131" width="200" /></a>
<li><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Second,
what is the doctor’s attitude towards his job? Will the doctor be passionate
about your child’s care and can he or she communicate a vision of your
treatment plan so that it makes sense? A good orthodontist will examine your
child at every appointment to make sure that treatment stays on schedule. Not
all orthodontists are “hands-on” and it shows.</span></li>
</ul>
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</div>
<ul><a href="http://1.bp.blogspot.com/-WYh_HlJD85Y/URRK_h9oKWI/AAAAAAAAABs/CO096R08IQM/s1600/P1060482.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a>
<li><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Third, is
the orthodontist really a good doctor? How did you find him, a recommendation
or an advertisement? Have you actually seen his work? Do you have friends who
can vouch for him? There is a misconception that as long as a doctor has a
degree, he’ll be able to give you the same results as anyone else. If that was
the case, finding the lowest fee would make sense. Unfortunately, not all
treatment is the same. A good orthodontist will be very particular about their
final results while others are content just going through the motions. A good
orthodontist will have an eye for beauty and understands the factors that make
up an esthetic smile as well as a functionally sound bite. For something this
important, you should ask to see actual examples of their work.<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span></span></li>
</ul>
<ul><a href="http://4.bp.blogspot.com/-fdpK1ndwqQA/URRPF_gH9aI/AAAAAAAAACk/_B_LK6DlppQ/s1600/seal.gif" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-fdpK1ndwqQA/URRPF_gH9aI/AAAAAAAAACk/_B_LK6DlppQ/s1600/seal.gif" /></a><a href="http://2.bp.blogspot.com/-gFRXH_HQTCU/URRL1k6l_AI/AAAAAAAAAB0/ceyEkKTZEh8/s1600/DeVera.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a>
<li><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Fourth, is
your orthodontist board certified?<span style="mso-spacerun: yes;"> </span>Board
certification is a </span><span style="font-family: "Verdana","sans-serif"; font-size: 9.0pt;">voluntary
examination process of <a href="http://www.americanboardortho.com/" target="_blank">The American Board of Orthodontics </a>(ABO) that allows the
orthodontist to present treated cases which will be evaluated by expert
examiners of the Board during a Clinical Examination. Involvement in the
certification process is a demonstration of the orthodontist's pursuit of
continued proficiency and excellence<span style="color: #838383;"> </span></span><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">in clinical orthodontics.<span style="mso-spacerun: yes;">
</span>In fact, Dr. Wheeler is one of only two board certified orthodontists situated
between South Sacrament and Modesto.<span style="mso-spacerun: yes;"> </span>Dr.
Wheeler also is an Assistant Clinical Professor at his <i style="mso-bidi-font-style: normal;">alma mater</i>, University of California, San Francisco, where he helps
teach clinically and didactically the next generation of orthodontists.</span></li>
</ul>
<ul>
<li><span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">Finally,
how do you feel when you are in the office? Is it a good fit for you and your
family? A good office should be a happy, fun place. Unlike your family
physician that you only see when you are sick, you will be visiting your
orthodontist and his staff for at least a couple of years, sometimes longer if
the treatment is done in two parts or phases. You should feel very comfortable
and <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">safe</i></b>.
The doctor and staff should make you feel at home.</span></li>
</ul>
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<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">All orthodontic treatment is NOT the
same. The facilities and technology are a reflection of the orthodontist who
will create the smile that you or your child will have the rest of your life.
You really need to vet the doctor to whom you will entrust this important care.
As with most things in life, you usually get what you pay for. When it comes to
your smile, you can’t afford to make a mistake.</span></div>
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<span style="font-family: "Helvetica","sans-serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">--- Doc W</span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: x-small;"><a href="http://www.wheelerortho.com/" target="_blank"><span style="color: #999999;">Content used with permission by Dr. Greg Jorgensen</span></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="color: #999999;"><span style="color: black; font-size: x-small;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog</a></span> </span></div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<span style="color: #999999;"><span style="color: #999999;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/"></a></span></span><br />
<div class="separator" style="clear: both; text-align: center;">
<img border="0" src="http://4.bp.blogspot.com/-IjdUgmpaJiw/UP3dhAZ8NkI/AAAAAAAAABA/z8c334QrIwo/s400/footer.png" height="110" width="400" /></div>
WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com9tag:blogger.com,1999:blog-6747099517467349407.post-67596398714203385942013-01-17T14:18:00.003-08:002014-08-12T14:47:07.757-07:00X-rays: An orthodontist's friend<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Your child just had “X-rays” taken at
the dentist last month. Why does the orthodontist need to take another one? In
fact, why do orthodontists need X-rays at all?<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 13.8pt; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<a href="http://3.bp.blogspot.com/-1wyssWpL9Rs/UPh1UvzmlRI/AAAAAAAAAAM/lm8k043sQNo/s1600/ME1087.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-1wyssWpL9Rs/UPh1UvzmlRI/AAAAAAAAAAM/lm8k043sQNo/s400/ME1087.jpg" height="165" width="400" /></a><span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">X-rays, officially called
radiographs, are images created when a beam of radiation passes through the
body and hits a sensor (or a piece of film in older machines) on the other
side. X-rays have the ability to create pictures revealing the differences in
the densities of the tissues through which they pass. The “shadows” cast on the
digital sensor or film allow doctors to see objects hidden by the skin and
bone. The most common X-rays taken by general dentists are called bitewings. In
a bitewing, the dentist gets a detailed picture of a small group of teeth that
reveals the health of the enamel, inner canals, and roots. Enamel and fillings
are dense and appear white in color on the radiograph. The bone around the
teeth, the root canals, and decay are less dense and therefore appear darker.
Dentists are trained to interpret the light and dark patterns so they can
distinguish normal tissues from abnormal ones.<o:p></o:p></span></div>
<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">X-rays are essential in orthodontics
for many reasons. First, orthodontists are also dentists and, although they are
focused on different things, they share the responsibility of identifying
pathologies if they are present. These include abscesses, tumors, and other
things that are not necessarily directly related to straightening the teeth.
Although rare, such pathologies are many times identified for the first time by
orthodontists and lives can be saved as patients are referred for treatment.<o:p></o:p></span></div>
<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">The second reason orthodontists take
X-rays is to help them diagnose and treat orthodontic problems. Orthodontic
X-rays focus more on the position and form of the teeth and jaws than on
individual teeth like bitewings. Orthodontists are especially interested in
missing, extra, impacted, or misplaced teeth, and short, long, or misshaped
roots. Problems with the jaws include bones that are too big, too small,
asymmetrical (off center), too far apart, too close together, or misshapen.
X-rays provide orthodontists with essential information that helps them
determine where problems exist and the best way to correct them. The size,
shape, and position of the teeth and bone in X-rays dictate if surgery or tooth
extraction will be necessary.<o:p></o:p></span></div>
<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Orthodontists also take X-rays
during treatment so they can monitor how treatment is progressing. Not all
effects of orthodontic treatment are visible to the naked eye. Although very
rare, moving teeth in some individuals (about 2%) causes the roots to shorten.
Orthodontists must check for this during treatment so they can determine if and
how long tooth movement should continue. Sometimes orthodontists observe how
the teeth are moving to help them finalize the treatment plan. I prefer not to
remove permanent teeth if possible, so in many borderline crowding cases I will
begin to align the teeth just to see how the teeth and bone respond. If the
progress X-ray reveals that there is not enough bone to accommodate all of the
teeth, I can always have some removed along the way.<o:p></o:p></span></div>
<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">After treatment, a final X-ray is
taken to evaluate the outcome of treatment and make recommendations for other
necessary procedures (i.e. wisdom teeth). Ideally then, I take one radiograph
at the beginning of treatment, one after about six months, and one after the
braces come off. Each of these X-rays exposes a patient to less radiation than
they would receive taking a typical airplane flight. All dentists are taught to
use the ALARA principle (As Little As Reasonably Achievable) when it comes to
radiation. I am careful to take X-rays on my patients only when it is in their
best interest, and I assume that my colleagues also do the same. </span></div>
<br />
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">We are
now using faster equipment, more sensitive films and sensors, better
collimation, lead aprons, thyroid collars, and digital equipment (which greatly
reduces the need for retakes) than ever before. These improvements have
resulted in a 60% reduction in radiation exposure since I got my license in
1999. Today’s patients receive the equivalent of only one additional day’s
worth of background radiation (from the sun) each time they get a pano.<o:p></o:p></span><br />
<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span>Don’t be afraid to ask your orthodontist the reason for your next X-ray.</div>
<br />
<i>Doc W</i><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-IjdUgmpaJiw/UP3dhAZ8NkI/AAAAAAAAABA/z8c334QrIwo/s1600/footer.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-IjdUgmpaJiw/UP3dhAZ8NkI/AAAAAAAAABA/z8c334QrIwo/s400/footer.png" height="110" width="400" /></a></div>
<br />
<div style="text-align: center;">
<span style="color: #999999; font-size: x-small;">Content used with permission by Dr. Greg Jorgensen</span></div>
<div style="text-align: center;">
<span style="color: #999999; font-size: x-small;"><a href="http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/">http://www.gregjorgensen.com/blog/2012/11/why-does-the-orthodontist-need-another-x-ray/</a></span></div>
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WheelerOrthohttp://www.blogger.com/profile/05822338488183277784noreply@blogger.com14568 Feather River Drive, Stockton, CA 95219, USA37.982968 -121.3467990000000312.4609335 -162.65539300000003 63.5050025 -80.038205000000033