Hometown Orthodontics | Dr. Virdee | Sudbury Orthodontist | Mississauga Orthodontist | Invisalign | Braces | Port Credit
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Dr. Virdee’s Blog

Lower Lingual Holding Arch

22 Sep 2017, Posted by admin in Uncategorized

 

When there is early loss of baby teeth in the lower arch Dr. Virdee might recommend something called a  Lower Lingual Holding Arch.  We use this often in Mississauga / Sudbury patients who are in their mixed dentition (have lost some baby teeth but still do not have all of their adult teeth yet).  This is a temporary retainer appliance which is placed to hold the molars in place and prevent them from drifting forward.

The reason we do this is baby teeth are much larger than adult teeth. If we are able to preserve the space we can use it to help treat crowding in the adult permanent teeth as they erupt.  This can help prevent the need for extractions later on and allow the permanent teeth to erupt better.

This appliance has two bands on the adult molars and a passive stainless-steel wire that touches the inside (lingual) service of the lower teeth.

While undergoing treatment with this Lower Lingual Holding Arch we recommend you avoid sticky chewy foods and gum.  You can brush your teeth and floss as normal taking extra care to clean your appliance as well.  Speech usually improves within a couple days as you adjust to the appliance.

Impressions

15 Sep 2017, Posted by admin in Uncategorized

When you get started in your orthodontic journey the first step is usually dental impressions. In our Port Credit / Sudbury office we have a strong clinical team which will make this comfortable for all of our patients.

This can be stressful for many patients because they don’t really understand what is going on – when in reality it is a very fast procedure which does not cause any pain. It is best to explain to your children that impressions are easy and not something they need to be worried about.

Impressions are usually taken when you begin and finish orthodontic treatment and when fabricating dental appliances.

We take an orthodontic impression by using a tray that fits over your teeth and filling it with a dental material called alginate. Alginate is a powder when mixed with water turns into a putty like consistency. This is than placed in the patients mouth until the material sets.

When the material hardens you are left with an imprint or “negative” of your gums and teeth. We than pour this up in stone or plaster to make a dental cast of your teeth.

Dr. Virdee and her staff will ensure this is a pleasant experience for everyone!

Seperators

31 Aug 2017, Posted by admin in Uncategorized

In our patients, we commonly use bands on the back molar teeth for orthodontic appliances or for metal bands to be used with braces.  These bands are much like metal rings that wrap around your entire tooth. Most patients do not have spaces between their teeth, and fitting a ring would be painful. To make room we put something called a separator in approx. 1 week before this appointment to create enough room to make the patient as comfortable as possible.

Our patients do very well with these separators and you will often hear them called “donuts” or “gummy bears” in our Port Credit clinic. These rubber bands are essentially small elastics that are first stretched out with a special instrument. We put them in by flossing them between the contacts of your teeth where additional space is needed. The patient might feel a slight pressure because of the rubber band squeezing between their teeth.

Between the appointments we ask the patient not to floss or pick at their separators. It is also important to avoid chewy sticky food as this can dislodge the elastic. If a separator falls out, this is normal it just means that enough space has been created. If this is to happen please call us and we can schedule you to have your separator replaced before your next visit.

The separators feel a little bit like you have a piece of food stuck between their teeth.  Patients may notice that they have a brief soreness from the slight tooth movement and pressure. If you have any discomfort during this process you take over the counter pain medication which can be recommended by your local Port Credit Orthodontist Dr. Virdee.

Retainers

31 Aug 2017, Posted by admin in Uncategorized

Fixed Retainers

It is an exciting time when your braces finally come off – however this is also the most critical stage of your treatment.  You will most likely be getting a wire on the lingual (tongue side) of your top and bottom teeth. This will help to prevent your anterior teeth from moving after you have completed orthodontic treatment.

This is put on your teeth very much like how the braces were put on. The metal wire is glued on to your teeth with a special dental adhesive. You may notice a bit of an adjustment period as your tongue gets used to the wire. Any discomfort or speech issues caused by tongue obstructions typically resolve themselves within a couple of days.

You need to brush your retainer just as you would your regular teeth to ensure it stays clean. Brush your teeth (on your tongue side) more carefully, and floss your teeth with a floss threader (or super floss) to keep your teeth and retainer free from plaque. Avoid biting into hard foods that put more force on your front teeth, it is always advisable to use your side teeth to chew.

Dr. Virdee and her staff in Port Credit/Sudbury will show you how to properly take care of your new retainer to ensure your smile stays perfect for life! However, it is ultimately your responsibility to be aware of changes to your fixed retainer – please give us a call and let us know and we can bring you in for an appointment.

 

 

 

Removable Retainers

After you get your braces off you will also get a set of removable retainers. These retainers will be worn either full time or night time wear only and this will be decided by Dr. Virdee based on each individual patient.

When you first have your braces removed they will take an impression of your teeth. The dental molds will than be used to make casts to fabricate your retainers. These retainers are made using a clear material that hug your teeth.

The Pro’s to this type of retainer is that it looks invisible and most people find it very comfortable to wear.  To keep your retainer clean you can always dip it in mouth wash and clean it with a soft toothbrush. Remember to not clean your retainer in hot weather as this will cause distortion making your retainer no longer fit.

 

Reverse Pull Headgear

31 Aug 2017, Posted by admin in Uncategorized

 

Sometimes when a patient has an underbite we have to move the teeth and upper jaws ahead. This reverse pull head gear attaches to your rapid palatal expander (which we talked about in another blog) using elastics.

A reverse pull head gear helps move your top jaw forward using your bodies natural growth.  There is a limited window that this will work so it is best to have your child visit an orthodontist starting at age 7 to be checked for any skeletal jaw issues. This can eliminate the need for jaw surgery later in life.

It will take time to adjust to your new appliance but usually within a couple days sleeping becomes much easier. This appliance works better the more you wear it so it is very important to follow Dr. Virdee’s instructions.

Like any appliance that is cemented in your mouth if anything comes loose call our Port Credit/Sudbury office and we can make sure we take care of you as soon as possible!

Herbst Appliance

04 Aug 2017, Posted by admin in Uncategorized

 

 

 

A Herbst appliance in simple terms is an appliance used to stimulate the growth of the lower jaw. The reasons an orthodontist would prescribe this device is when a patient has a very deep bite.  A deep bite is a condition that causes the teeth to line up incorrectly this means your upper teeth overlap your lower teeth significantly and could possibly impinge on your palate and/or cause malocclusion. If this condition is left untreated it could impact the over-all health of the teeth, jaws and gums! The biggest benefit to the Herbst appliance is you can maximize their growth potential and eliminate the need to have orthognathic (corrective jaw) surgery later on in life.

Most people are curious about what this appliance looks like.  The best thing about the Herbst appliance is no one will even notice that you have it in! When you have a herbst appliance you have crowns cemented to your molar teeth with rods that connect the upper jaw to the lower jaw by the molars.  This appliance puts your jaw into a forward position.  By making adjustments to the tube the orthodontist is able to control the jaw’s position in relation to the upper teeth. You can still open and close your mouth normally while wearing this appliance.  This appliance is worn in the mouth for approximately 12 months.

Dr. Virdee routinely uses these appliances in our Port Credit / Mississauga patients. Things to expect when wearing this appliance is some mild soreness and maybe some headaches as you adjust to wearing the Herbst this is completely normal and usually symptoms improve within about a week. If you develop any sores anywhere the appliance rubs you can use wax to protect these areas inside your mouth. Salt water rinses can also aid in reducing any pain and tenderness.

We recommend eating soft foods for the first couple of days until you become more comfortable. While treatment is going on it is good to continue to avoid chewy sticky foods as this could be uncomfortable and stick to the appliance which could cause the appliance to come apart.  It is recommended to brush your teeth atleast twice a day taking extra care to clean your appliance – meaning cleaning the crowns covering your teeth as well as the rods.

If any part of the appliance becomes loose or breaks please contact us right away.

Thumb Habit Appliance

23 Jun 2017, Posted by admin in Uncategorized

 

 

Sometimes when a child does not outgrow their thumb sucking habit it can have negative effects on the development of their jaws and teeth. Thankfully – there is an orthodontic device that can correct this problem.  Most children stop thumb sucking typically between the ages of 2 – 4 years of age.  When thumb habits persist after the eruption of the permanent teeth negative effects such as misalignment of teeth and improper growth of the mouth this is because the jaws in small children grow very rapidly. which is why the constant pressure of a thumb or finger can deform the soft bone around the upper front teeth.

If the thumb habit is not stopped it can result in the upper teeth flaring out while the lower teeth are being pushed inward. The growth pattern of the lower jaw can also be effected this can cause misalignment of the teeth, an open bite (where the front teeth do not overlap the bottom teeth), crossbites (where the upper teeth sit inside the lower teeth) or multiple other problems.

A commonly used appliance Dr. Virdee uses is called a “palatal crib” also known as a thumb crib. This appliance is placed on the upper teeth by an orthodontist. It is positioned behind the upper teeth on the roof of the mouth. The crib is held on to the teeth by being glued to the molar teeth by metal bands. The design of the crib is usually three semi circles. The wire behind the upper front teeth is not very noticeable. This stops thumb sucking quite quickly in most children. The crib keeps the thumb from touching the gums behind the front teeth which takes the enjoyment away from the habit.  This appliance is custom made for your child’s mouth.

There isn’t any pain associated with wearing this device however there may be some soreness the first night while the child adjusts to this appliance.  Some children have trouble falling asleep for a couple of days afterwards.

As with many appliances it is best to avoid chewy sticky foods so that the appliance does not become loose. Your orthodontist will continue to monitor you during treatment and decide the appropriate time to remove the thumb crib.

Orthodontic Expander

23 Jun 2017, Posted by admin in Uncategorized

It is common to see wide confused looking eyes when our patients (and their parents) learn they need to get an expander.  It is nothing to be afraid or worried about Rapid Palatal expansion is quite common in orthodontics. Dr. Virdee routinely uses expanders in her Port Credit and Sudbury patients.  Although intimidating at first it really is an excellent dental appliance with great results.  By taking advantage of the bodies natural growth process you can sometimes correct a bad bite from an early age.

An orthodontist might recommend palatal expansion for various reasons. When your child has some crowding due to a narrow arch or a cross bite your orthodontist will advise you of the benefits of palatal expansion. A narrow arch meaning the upper jaw is to narrow for the lower jaw. And a cross bite is when a tooth or multiple teeth are not in the correct position in the jaw resulting in a malocclusion (the back teeth might bite inside the lower teeth instead of outside).

How expansion works is in the upper jaw there is a suture that runs directly down the middle this suture is called the mid palatine suture. By placing an expander, you can slowly apply pressure to this suture to create additional room.  The additional room is created because the pressure created by the expander encourages bone growth on both sides of this suture resulting in a wider palate. The expander is usually turned once a day by the patient or parent. In orthodontics time is of the essence when using palatal expansion because you need to ensure the growth plate has not fused this usually happens at approximately 14-16 years of age but can differ between individuals.

Most commonly this appliance which is fabricated in a lab is bonded or glued to your child’s top teeth and covers their palate – there is little discomfort when the appliance is placed and patient acceptance is usually very quick in children. During expansion, you will notice a space open up between the upper front teeth – this is normal and will reduce on its own.  This space is created because the jaw is being pushed in opposite directions.

There shouldn’t be any pain during expansion however it is common to experience feelings of pressure when the key is being turned. You may notice some difficulty speaking within the first couple of days and it is best to stick to some softer foods and treats when getting used to the appliance. There will also be an increase in saliva as the mouth adjusts to having the appliance in.

The orthodontist will let you know how many turns of the expander are required per day and will give you instructions in person on how to properly turn the key.  Once the achieved expansion is complete the appliance will stay in the mouth for a couple of months to ensure minimal relapse.  While undergoing expansion, it is important that you follow the orthodontist’s directions and not miss any appointments as progress is monitored very closely.

How to get straight teeth fast!

25 Aug 2015, Posted by admin in Uncategorized

One of the most popular questions that patients in Sudbury like to ask me is:  “How can I get straight teeth in the quickest time possible?”  The best answer is:  With Acceledent Aura!

The photo below is of Jessica, a patient of ours from Sudbury that used Acceledent in combination with Invisalign and finished her treatment in 6 months!  Thats amazing!

 

Jessica B Hometown Acceledent Invisalign

 

Gone are the days when orthodontic treatment involved 3-4 years in treatment with braces.  When parents bring their children in a consultation with me (some come from as far as Espanola, Mannitoulin Island, Massey, Sturgeon Falls and North Bay)  they will tell me how extremely long their treatment was and how lucky their kids are that treatment time is now shortened.  New technologies with braces have resulted in treatment time that is approximately 2 years or less for the average case.  However, recently, OrthoAccel Technologies introduced a device called Acceledent Aura that reduces your time in treatment by an additional 50%.  Imagine being in treatment for only 6 months or a year!

So what exactly is Acceledent Aura?

Acceledent is a simple-to-use dental device (a sort of a vibrator) that is attached to a mouthpiece.  The mouthpiece is fitted around your orthodontic appliances, be it regular braces, Invisalign or lingual braces is used for 20 minutes per day everyday.

acceledent-aura

 

How does Acceledent Work?

In order to understand how Acceledent works, we must look at the physiology of how tooth movement occurs in general.  Basically, an orthodontist like Dr. Virdee adds force to your teeth using braces or Invisalign, the forces that are created cause a complex molecular events that results in remodelling of bone in the direction of the force.  Remodelling means that tiny amounts of bone are removed and added by specialized bone cells.  So if we want a tooth to move forward, the bone around the direction of force will be removed by bone removing cells and the tooth will move into the space.  The space where the tooth was initially situated before tooth movement is then filled in by bone building cells.  In these steps, teeth gradually move into their desired places as guided by an orthodontist.

Acceledent uses SoftPulse Technology to help accelerate the process of bone removing and bone rebuilding (or remodelling of bone).  Basically micro vibrations or micro pulses are gently applied to the teeth which results in accelerated remodelling of the bone surrounding teeth.  the end result is that the teeth move faster, treatment speeds up and overall treatment time decreases with braces or Invisalign.

 

 

What are other benefits of Acceledent?

In addition to speeding up tooth movement, Acceledent also makes orthodontic treatment more comfortable.  Every patient has felt the discomfort associated with braces or Invisalign at some point in time.  This usually occurs when you go for an adjustment appointment or “have your braces tightened.”  Because Acceledent is delivering micro pulses to the teeth, this also increases blood flow to the teeth resulting in decrease in discomfort associated with adjustments.

 

What are the side-effects of Acceledent?

A number of patients and dentists always ask me whether Acceledent has any side-effect.  Some patients worry that speeding up tooth movement may cause gum disease or may result in root shortening (or root resorption).  These patients have every right to worry.  Yes, increased tooth movement can cause root resorption.  Since its advent in 2009, there are no cases published in any journal stating any occurrence of root resorption.  Acceledent has been cleared by the US Food and Drug Administration (FDA) as well as Health Canada.  If it was unsafe or resulted in side-effects to the population, it would not have been cleared by these agencies for use by patients.

 

What do the micropulses feel like?

The amount of force used with Acceledent is significantly less than that of an Oral-B tooth brush.  The way I explain it to my patients is that it produces less vibrations than your cell phone.

Hometown Ortho Acceledent Sudbury

 

How do I use Acceledent?

Easy – we’ll show you how before your appointment.  The key is to use it 20min continuously everyday.  After you’re done with it, just make sure to charge it for the next day.  The device automatically stops after 20min.  Using it more than 20 minutes per day will not further accelerate your treatment time.

 

How do I clean Acceledent?

Acceldent is made up of two parts:  the mouth piece and the activator (the piece that send micropulses to the mouth piece).  You can clean the mouth piece by removing it from the activator and using a tooth brush and tooth paste to clean it.   You can also soak the mouth piece in Listerine if you wish for about 1-2 minutes.  Make sure not to wash the activator, instead wipe it down with a cloth or Lysol wipes.

 

What do I do with my device after I’m finished with treatment?

Bring it back to us, we will recycle it for you!

 

 

For more information on any of the topics covered above, please contact us to schedule a complimentary consultation at (705) 470-4700 or email Dr. Virdee directly with your questions at drvirdee@hometownorhto.ca