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!

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.

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!

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!

Why do I need a braces adjustment so often?

When you have braces, your wires will need to be replaced with new ones regularly. It is the slow, steady pressure placed on your teeth that move them into their desired positions, so these adjustments are a vital aspect of your treatment. We have set out a specific treatment plan to achieve your optimal results, and keeping up with your appointments will allow your treatment to be completed in the predicted amount of time.

Scheduling your adjustments sooner than planned may result in more pain and discomfort, because your teeth haven’t been allowed to settle into their new positions properly. Skipping appointments or scheduling them farther apart will result in a much longer treatment time. Visiting our office regularly will also allow us to answer any questions you may have, check for damaged appliances, and monitor your progress.

Am I Too Old for Braces?

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 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!

Connect with us on Facebook!

We will be rolling out our new Facebook Timeline page soon and would love for you to check it out! You’ll find all the useful information that was there before, but now in a fun, new layout. When you Like us on Facebook, you’ll be able to check out photos of our office, find out about new events and contests, or you can even leave a note about how much you enjoyed your visit at our office. We love hearing your feedback to make our practice serve you and your family even better. To make life even easier, if you “Like” us on Facebook, you’ll automatically receive updates from our office right on your own news feed!
See you on Facebook!

Which questions should I ask during my orthodontic consultation?

When you visit Skyland Smiles for your orthodontic consultation, you’ll probably have a lot of questions. We want you to be prepared for your appointment and feel in charge of your orthodontic treatment decisions, so keep these questions in mind to ask when you come in for your appointment:
• How long will I have to wear braces?
• Will getting braces hurt?
• Will I have to wear additional appliances to correct jaw problems while I have braces?
• What can I eat when I have braces?
• Are there certain things, like playing sports or playing an instrument, which I won’t be able to do?
• How can I make sure my teeth stay clean and healthy while I have braces?
• How often will I need to come in for appointments?
• How much will my orthodontic treatment cost?
Dr. Lohner and team are here to answer all your questions and concerns, and we’re happy to explain all aspects of your treatment plan and expected outcome. Your orthodontic experience should be comfortable, hassle-free, and most importantly, leave you smiling!

How do I prevent tooth decay during my treatment?

Great question!
If you are brushing and flossing daily during your orthodontic treatment with, we think that’s great! But, don’t forget that it’s also important for you to visit your general dentist every 3-to-6 months in addition to brushing your teeth and flossing (and visiting our office, of course). Regular dental checkups are important for maintaining good oral health, especially during orthodontic treatment.
Tooth decay, which is caused by sugars left in your mouth, can turn into an acid, which in turn can break down your teeth. Children are at high risk for tooth decay because adolescents tend to be lax in their oral hygiene habits. Proper brushing and flossing routines, combined with regular dental visits, help keep tooth decay away.
If you have any questions, please be sure to ask our team during your next adjustment appointment, or ask us on Facebook!

President’s Day Fun Facts!

Monday was Presidents’ Day, a day known for celebrating of both George Washington’s and Abraham Lincoln’s combined Birthdays. Presidents’ Day was created in 1971, when President Richard Nixon combined the birthdays of two of our most well-known presidents into one single federal holiday. Presidents' Day also marks a hard-earned day off from work and school for a lot of our patients.

Here are a few fun facts about our nation’s presidents:

*Abraham Lincoln, our 16th president, carried letters, bills and notes in his tall stovepipe hat.

*George Washington is the first president to be featured on a postage stamp.

*Ronald Reagan, our 40th president, broke the so-called "20-year curse," in which every president elected in a year ending in zero died in office.

*Abraham Lincoln was the tallest of the U.S. presidents, measuring 6’ 4” tall.

*Virginia is the birthplace of more United States presidents than any other state, followed by Ohio and Massachusetts.

*Harry S. Truman was the first president to have his Inauguration and speeches televised.

Making Braces Fit into Your Life

When you get braces at Skyland Smiles. there are a few things you’ll have to adjust to get optimal results in the shortest amount of time. If you have any questions about the “do’s and don’ts” of living with braces, feel free to ask Dr. Lohner or any member of our staff during your next adjustment!
Eating
When you have braces, there are a few types of food that can damage your brackets and bend your wires, leading to more appointments and longer treatment times. By simply avoiding sticky, chewy, crunchy, and hard foods, as well as foods that require biting into like corn on the cob, your orthodontic experience will be much easier.
Cleaning
You’ll never believe the amount of food that can get stuck between your braces when you eat. In addition to causing bad breath and tooth decay, it looks pretty gross, too. It’s so important to brush your teeth after every meal and floss every day, and even though it’s kind of a hassle, it’ll all be worth it in the end.
Sports
Protecting your smile if you play sports is essential when you have braces. Mouthguards help protect your teeth and gums from injury. Dr. Lohner can create a custom mouthguard just for you if you plan on participating in any kind of contact sport!

Dr. Joseph Lohner , reminding you to protect your mouth this winter

With winter sports under way for a lot of our patients, Dr. Joseph Lohner thought it would be a good time to remind our young athletes wearing braces to take care of both their mouth and appliances while participating in contact sports (and non-contact sports) this winter.

More than half of the seven million sports and recreation-related injuries that occur each year are sustained by youth between ages 5 and 24. Sixty-seven percent of parents say their child does not wear a mouth guard, yet, 70 percent say their biggest fear when their child plays is that they will get hurt. Despite the risks, many kids are still not wearing mouth guards and facial protection during games and practices.

Many people think a mouth guard is effective just to protect your teeth. But research has shown mouth guards can also reduce lower jaw impact that causes concussions and other dental injuries. Our staff at Skyland Smiles encourage you to head over to the American Association of Orthodontists’ website for a quick primer on the importance of mouth guards and facial protection.

We hope this helps you remember to always wear a mouth guard and other forms of protective gear when participating in fall sports! We encourage you to give us a call if you have any questions or ask us on Facebook!

Have you had a check-up lately?

Even if you brush and floss daily, as well as maintain your braces and visit our office during your orthodontic treatment it is still important to visit your local dentist every 6 months, or as recommended.

Why?

• Your dentist can detect and treat tooth and gum problems that you may have never felt or noticed.
• Even thorough daily oral care may not be enough to prevent cavities and oral decay.
• Frequent visits can allow your dentist to treat a problem early to prevent future complications.
During an oral exam your dentist can check the health of your mouth, teeth, gums, cheeks and tongue. Checkups will also include a thorough teeth cleaning and polishing.
If you have not visited a dentist in the past six months, please let us know! Dr. Joseph Lohner will be happy to provide a few great references here in the area!

-- Dr. Joseph Lohner& Team

Are you wearing your mouth guard?

With fall sports close to wrapping up and winter sports right around the corner, many patients here at the office of Joseph H. Lohner, DDS will once again pick up the ball, bring the cleats out of seasonal retirement and hit the fields for the return of sports action! During this time, however, Dr. Joseph Lohner and our team urge our young athletes to play it safe when out on the field. Here are a few ways to ensure your mouth’s safety this fall and winter, courtesy of our friends at the American Association of Orthodontists:

1. Wear mouth guards for contact sports such as basketball, wrestling and hockey
2. Wear a helmet
3. Wear protective eyewear
4. Wear a face shield to avoid scratched or bruised skin
5. Be alert, even as a spectator

We hope that helps! Dr. Joseph Lohner and team will tell you protective gear is vital for anyone engaging in tooth or mouth-threatening activities. If you have any further questions about any of these tips, please contact our office or ask us on Facebook.

Stay safe!

Happy November! From Joseph H. Lohner, DDS, MS, PA

Happy November, everybody! Believe it or not, we’re almost in full holiday mode! But before we at Joseph H. Lohner, DDS, MS, PA forget about the spooky month that was, we’d like to know how you celebrated Halloween! What did you wear? How much candy did you get? Did you have fun?

If you have any photos or videos that you would like to share with us, please send them our way or feel free to post them on our Facebook page!

We hope you all had a happy and safe Halloween! Also, what are you up to this month? Anything exciting happening in your life? If so, we’d love to hear all about it!

Lastly, have you been in for a dental checkup lately? It’s important that you see your general dentist, as well as visiting Dr. Joseph H. Lohner. If you have questions about your orthodontic treatment or just want some general information, give us a call or ask us during your next visit!

Halloween TIPS from the American Association of Orthodontists

It’s almost that spooky time of year again and Vernon and Sparta orthodontist, Dr. Joseph H. Lohner, and our team thought we’d share some Halloween tips from our friends at the American Association of Orthodontists.

Trick-or-treating safety guidelines:

• Young children should always be accompanied by an adult
• Carry a flashlight
• Wear a light-colored or reflective costume
• Choose face paint over masks for young ghosts and goblins
• Have an adult inspect all treats before the children dig in

To protect your braces, steer clear of the following Halloween treats, or recipes with these ingredients:

• All hard candies
• All chewy candies
• Caramel
• Nuts
• Licorice
• Taffy
• Jelly beans
• Hard pretzels
• Bubblegum
• Popcorn (including unpopped kernels)
• Ice

Of course, Halloween does not have to be completely treat-less. Braces-friendly Halloween treats can help you enjoy the “spook-ta-cular” holiday. For example, plain chocolate candy is okay, provided you remember to brush and floss afterwards. Bobbing for apples as well as caramel apples are not recommended. However, you can enjoy thinly sliced apples, dipped in yogurt or creamy chocolate sauce.

Dr. Joseph Lohner suggests looking for foods that are soft, such as soft chocolate that can melt in one’s mouth or peanut butter cups. Overall, candies that aren’t sticky, chewy, hard or crunchy are generally acceptable.

HAPPY HALLOWEEN from the entire team at Joseph H. Lohner, DDS, MS, PA!