How long does orthodontic treatment take?

Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.

What is a "bad bite"?
A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced - either too far apart or too close together - can also cause bite problems.

Frequent causes of bite problems:

  *  Heredity
  *  Thumb-sucking
  *  Premature tooth loss
  *  Accidents

Benefits of orthodontic treatment:
Appearance - Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.

Preventing Decay - It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues - An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:

Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.

Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.

Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.

Length of orthodontic treatment:
Treatment typically ranges from 12 - 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time


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What are the Early Signs of Orthodontic Problems?

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development.

Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.

If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

* Difficulty when chewing or biting
* Chronic mouth-breathing
* Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
* Overbite - when the upper teeth overlap the lower teeth by more than 5mm
* Top front teeth that cover more than 25% of the bottom teeth while biting
* Underbite - when the top front teeth go behind the bottom row of teeth when biting
* Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
* Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
* The center of the top and bottom teeth don't line up
* Uneven teeth-wearing
* Baby teeth coming out too early for the child's age
* Pain in jaws
* Clicking in the jaw joints
* The jaw shifts off-center while chewing or biting
* A jaw that protrudes, or recedes, too much
* Difficulty speaking or enunciating clearly
* Chronic biting of the inner cheek or roof of the mouth
* Asymmetrical facial structure
* Grinding or clenching of the teeth


If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

Braces without Embarrassment

Adults who need orthodontic care often share the misconception that they are too old for braces and would rather not deal with the embarrassment. You are probably familiar with horror stories about rubber bands snapping, mishaps with kissing, and unsightly food sticking in metal braces. Many adults believe that braces are just for children, but they are neglecting all the benefits of correcting misaligned teeth. Braces may cause you to feel self-conscious, but they are temporary. Along with straightening your teeth, braces also provide the following benefits:

• Better oral hygiene
• Easier to clean aligned teeth
• Less complicated dental procedures
• Eliminate the embarrassment of crooked teeth

One common reason for not correcting misaligned teeth is the appearance of metal braces. Adults do not want to face co-workers and friends with colored rubber bands and metal laced throughout their mouths. The expert healthcare professionals at SingHealth suggest several alternatives that are just as effective as metal braces. You have three options for correcting your misaligned teeth without the embarrassment, and they include:

Ceramic braces

Lingual braces

Invisalign®

Ceramic braces are like metal ones except that they match the natural color of your teeth. This option is less noticeable and will usually not show up in photographs. Lingual braces are attached to your back teeth only, so no one will know that you have a corrective device. Invisalign consists of clear plastic coverings that you can remove for eating and teeth brushing. All of these options lead to a more attractive smile that you do not have to feel embarrassed about.

If you do choose metal braces to correct your teeth, you should consider the following suggestions for limiting embarrassing moments. The rubber bands holding the brackets in place come in silver, which will draw less attention to your mouth. Changing the removable rubber bands on a regular basis will help prevent the material from wearing down and snapping. If you chew with your back molars and cut your food into manageable bites, you are less likely to get particles stuck in your braces. Following our treatment advice and instructions will limit the time you have to wear corrective devices. Focus on the end result of straighter teeth whenever you feel particularly self-conscious about your braces.

Preventing Decay While Wearing Braces

Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces:

1. Eat Braces-Safe Foods. Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, popcorn can also bend or break your braces. On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids.

2. Proper Brushing. You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can't always reach.

3. Ask About Special Cleaning Tools. There are also special brushes, or other tools, to get under and clean your braces. You can also find many of these items at your local pharmacy.

4. Regular Teeth Cleaning. It's important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others.

As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

What's a palatal expander and why would I need one?

A palatal expander "expands" (or widens) your upper jaw by putting gentle pressure on your upper molars and is used to make the bottom and upper teeth fit together better. It also makes more room for teeth and helps to promote a broader, more aesthetic smile.
Palatal expansion is usually not painful, but you may feel some minor discomfort. It’ll take a little time for you to get used to your appliance, so you may experience difficulty speaking and swallowing for the first day or two.
Adjusting your appliance as directed will ensure you keep on schedule with the rest of your orthodontic treatment plan. It takes about a few weeks to achieve the desired amount of expansion, after which you’ll keep wearing your expander for about six months, giving time for the new bone to form and stabilize. Our team will give you detailed instructions about how to adjust your appliance and can answer any questions you may have about your palatal expander.

Top ten tips for keeping your BRACES sparklin’ clean!

Keeping your teeth clean is more important than ever when you have braces! Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:


1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.


3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.


4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.


6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.


7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.


9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.


10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help! We hope this helps, and remember to give our team a call if you ever have any questions!

Independence Day Facts, Tips, and Party Invitations!

It’s hard to believe, but July is already here and half of 2012 has already passed! As July 4th approaches, our team thought it would be fun to share some facts and safety tips for celebrating our country’s independence day.

Fun Facts:

• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.

• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.

• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’

• The first public Fourth of July event at the White House occurred in 1804.

• And what could be more fitting than spending the day in a place called “America”? There are five such places in the country, with the most populous being American Fork, Utah, with 21,941 residents. Check out American Fact Finder.

Safety Tips:

• Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.

• Keep a bucket of water or a garden hose handy in case of fire or other mishap.

• Never carry fireworks in a pocket or shoot them off in metal or glass containers.

• To prevent a trash fire, be sure to douse the spent fireworks with plenty of water from a bucket or hose after fireworks complete their burning and before discarding them.

• Make sure fireworks are legal before buying or using them.

What are your plans this 4th of July? Share them with us! We’d love to hear what you and the rest of the community will be doing to celebrate! (Don’t forget to make sure there are no restrictions on fireworks! Check out this link to see if fireworks might be an issue for you this year.)

Also, check out these 4th of July party invitations, eGreeting cards, and delicious recipes!

July 4th eCard invitations!

Happy Independence Day eCards

Independence Day Recipes

Photo by shawnajean

Stay Cool with a Braces-Friendly Summer Treat!

Summer is here!

Kids and adults alike will now be spending more time outside being active and enjoying the hotter temperatures. What’s better on a hot summer day than a delicious treat that will cool you down after doing something active in the summer sun? Luckily, our friends at the American Association of Orthodontists (AAO) have just the thing, Watermelon Sorbet! You can find the complete recipe below:  

Watermelon Sorbet  

Ingredients
• ¾ cup water
• ¼ cup sugar
• 1 teaspoon lime juice
• 2 to 3 cups watermelon, diced, no seeds or rind  

Directions
In a small saucepan, heat the water, sugar, and lime juice on medium high for 1 to 2 minutes, stirring until the sugar has dissolved. Chill this “syrup” at least 20 minutes. In the meantime, place the watermelon chunks in a food processor or blender and liquefy them. Add the chilled syrup to the watermelon puree and blend. Freeze sorbet in an ice-cream maker according to manufacturer’s directions. Serve immediately.

Happy Summer!

Orthodontic Emergency? We can help!

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment with our office. You might be surprised to learn that you may be able to temporarily solve many problems yourself until you get in to see us…  

The following solutions may help you relieve your discomfort: Poking Wire: Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.  

Loose Bracket or Band: If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.  

Loose Wire: Using a tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.  

Loose Appliance: If your appliance is poking you, place wax on the offending part of your appliance.  

Headgear Does Not Fit: Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, headgear becomes more comfortable the more it’s worn, so be sure you’re getting in the prescribed hours.  

General Soreness: When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain. Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

Making Your Life Better with Orthodontics

The number one goal of orthodontic treatment is to give you or your child a good bite, meaning straight teeth that work well with the teeth in the opposite jaw. A good bite makes it easier for you to eat, chew and speak. It can enhance your dental health and your overall health, and may well improve your self-esteem. As a part of your comprehensive dental health care plan, orthodontic treatment can help you retain your teeth—and your smile—for a lifetime.

Let your smile express yourself! Nothing can show the world how happy you are quite like a beautiful smile. In fact, it’s one of the first things others notice about you, too. With orthodontics, you can be proud to flash your smile, because you’ll know that your smile truly represents your positive attitude.

Make your mouth healthy! Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are easier to clean, reducing the amount of plaque buildup and risk for gingivitis. The cleaner you keep your teeth, the longer they’ll last!

Feel free to live your life! Orthodontics is easier today than ever before, with treatment options that fit your lifestyle and schedule. We can personalize your treatment to suit all of your needs!

June marks National Dairy Month!

In honor of June Dairy Month, our team at our practice would like to thank all of our hard working families in the Dairy Industry. We all rely heavily on the hard work that our country’s farmers do! In fact, dairy is important to your overall health! A 2008 study from the American Academy of Periodontology (AAP) found that regular consumption of dairy products, such as milk, cheese and yogurt, can lower your chances of contracting periodontal disease (also known as gum disease). Results of the study show that adults who consume at least 55 grams of lactic acid a day are less at risk for gum disease. Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth. Questions about which foods you should steer clear of and which you should enjoy during orthodontic treatment? Give us a call or ask us on Facebook!

Summer is just around the corner!

Now that summer is just around the corner, we know you all are starting to make big plans for vacations and trips! The summer months can be a busy time for a lot of our patients, and we know how hectic your lives can be! Just be sure to remember keep up with your dental health care and your appointments with our practice!

During the summer, there are also a lot of foods and beverages that we all love to enjoy, but often these treats can damage our teeth. Sugary foods and drinks can be harmful to your dental health, so stay diligent by brushing at least three times a day and flossing at least once!

We look forward to hearing all about your plans for the summer, and be sure to take lots of pictures that you can share with us on Facebook! Stay safe, have fun, and brush and floss your teeth!

Congratulations to two of my alma maters for reaching the NCAA 2012 Lacrosse Championships!

Wishing you a safe and relaxing Memorial Day weekend!

Memorial Day weekend, a time to remember and honor the men and women lost while serving for our country. Memorial Day is also the unofficial start of summer, and for many folks getting out of town for three days after being cooped up in the classroom or the office spells sweet, sweet relief.

What about you? What are you up to this Memorial Day weekend? Whether you are headed to a barbecue, a camping trip, or just hitting the great American open roads, we’d like to hear all about it!

Our entire team wishes you a happy, safe and relaxing Memorial Day weekend!

“Am I Too Old for Braces?”

Absolutely not! Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In a society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:

           
• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease


           
• Pain or pressure from crooked teeth or a misaligned jaw


           
• A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.

As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.

If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

Ask Dr. Lohner: “What Should I expect During My Initial Consultation?”

Great question! When you first come in for your initial consultation, Dr. Lohner will conduct a comprehensive examination to assess your oral health. This will better enable us to determine the best treatment method for you.

Your orthodontic evaluation will consist of an oral and facial examination to assess your oral health. We will have you take intraoral and facial photographs as well as panoramic and cephalometric X-rays to help determine the proper orthodontic treatment method. Then, an impression of your teeth and bite will be taken to construct a model of your mouth. (This will help us when examining your diagnostic records).

At your second appointment, Dr. Lohner will discuss your options with you. Our team feels it’s important to take the time to carefully examine your diagnostic records after your consultation so that we can more thoroughly prepare for your treatment at Dr. Lohner's practice. This additional preparation will ensure that you receive the best orthodontic care possible. At this time, we encourage you to ask us any questions you may have about your treatment.

If you are seeking orthodontic treatment for your child, our staff asks that both you and your child attend the initial consultation. We feel it is important that both you and your child completely understand the doctor’s recommendations before we proceed with treatment.

Give us a call today and schedule a consultation! We look forward to hearing from you!

May is National Teen Self-Esteem Month!

At our office, we know image can be everything. At an age when image is so important, the thought of having braces may intensify the already-delicate confidence of today's teens. Well, May is National Teen Self-Esteem Month, and during this time, parents are encouraged to act as positive role models, help stop negative self-images, and improve confidence and security among teenagers.
One of the great ways to improve your confidence is to improve your smile. And that begins with a consultation at our office. After all, what better time to avoid having crooked teeth in your adulthood than coming in for a consultation?
We invite you to give us a call to schedule a consultation or ask us on Facebook!

Foods to Avoid During Your Orthodontic Treatment

There are a variety of foods you should avoid while you're wearing braces. Some foods can occasionally damage braces, but certain foods can bend the wires or even break the brackets on your braces. If you’re wearing braces, you should avoid starch, sugar and gummy foods, as these foods can be difficult to remove during brushing. Foods that are high in sugar and starch tend to cause plaque, cavities and even tooth decay. Avoid tough meats, hard breads and raw vegetables such as carrots and celery. Before long, you'll be able to bite a cucumber again. But you'll need to protect your orthodontic appliances when you eat for as long as you're wearing braces.  

Foods you should avoid include:
 • Chewy foods: bagels, hard rolls, licorice  
• Crunchy foods: popcorn, ice, chips  
• Sticky foods: caramels, gum  
• Hard foods: nuts, candy  
• Foods you have to bite into: corn on the cob, apples, carrots Also, chewing on hard things (for example, pens, pencils or fingernails) can damage the braces.

Damaged braces will cause treatment to take longer. If you have any questions on which foods you should be avoiding and why, we invite you to give us a call or ask our staff during your next visit.

Top ten tips for keeping your BRACES sparklin’ clean

Keeping your teeth clean is more important than ever when you have braces. Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:  

1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.  

3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.  

4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.  

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.  

6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.  

7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.  

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.

 9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.  

10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help! Hope this helps!

Spring is here! Do we have your current contact info?

Spring is in the air! As you probably know, you can always connect with us on our Facebook page, but we invite you to please contact our office with any updates to phone numbers and addresses, so that we may be able to reach you.

We also encourage you to call us and let us know if you have any new phone numbers or if your contact information has changed!

Thank you! Have a great week!