Dental authorities recommend having children visit an orthodontist for an evaluation when they reach the age of 7. Parents will be given information about their dental development and overall skeletal growth, along with recommendations about the timing of their dental treatment. With this in mind, an orthodontist will monitor a patient every 6 or 12 months, until the time has come to begin treatment.

When children reach this age, their first permanent incisors and molars have generally erupted to the extent that the orthodontist can diagnose skeletal problems, crowding, and cross-bites. If treatment begins at this age, an orthodontist can also monitor incoming permanent teeth while guiding the growth of the child’s jaw.

Here are some benefits of taking this approach:
? The front teeth will be less prone to injury as they are moved back.
? Patients are usually cooperative at this age, and treatment will help provide the positive self-image they will need in their formative years.
? It will help gain space for the child’s permanent teeth by regulating the width of the lower and upper dental arches.
? It will reduce the probability of impacted permanent teeth and permanent tooth extractions in the future.
? It will assist in correcting the child’s thumb-sucking while regulating any abnormal speech or swallowing problems they may have.

Orthodontic appliances

These may be made of ceramic, plastic or metal, and while some are brackets that are bonded to the teeth, others are removable. Braces gradually move teeth to the desired position with a constant, gentle pressure that is carefully controlled. Today, patients can opt for brackets that are clear or have a metallic color, along with the color of the ties orthodontists use to hold the wire in place. The wires are less conspicuous than they used to be, and the newest innovations can do the job while causing the patient less discomfort. Also, those who choose traditional metal braces can now add colored elastics for a one-of-a-kind smile, which appeals to many children.

Based on the child’s growth pattern and the severity of their dental problem, treatment may take from one to three years. This is difficult to estimate at the start, because growth rates often vary widely. In addition, if the child is cooperative in using the recommended headgear or rubber bands, this will be a deciding factor in causing the treatment regimen to produce the desired results.

Tags: annapolis, annapolis orthodontist, Braces for Children, braces maryland, maryland, maryland orthodontist, md, orthodontist

All that glitters is not gold. For more than five million people in the United States and Canada, what glitters may be their braces.

More people than ever are being treated by orthodontists who are members of the American Association of Orthodontists (AAO). Patients wearing braces need to pay special attention to keeping braces, teeth and gums clean during orthodontic treatment.

“By following their orthodontist’s guidance on dental hygiene and avoiding certain foods while wearing braces, patients will be on track to a lifetime of healthy teeth and a beautiful smile,” says Dr. James J. Caveney, president of the AAO.

Plaque is the reason that patients need to be vigilant about dental hygiene during orthodontic treatment. If plaque is left on teeth and around braces, patients may develop swollen gums, bad breath, scarred and discolored teeth, and even cavities. When plaque is removed regularly during treatment, patients are rewarded with the best possible results in the shortest time possible.

To help patients in their fight against plaque, orthodontists recommend the following tools:

1. Toothbrushes (manual, travel and power varieties);
2. Fluoride toothpaste;
3. Dental floss;
4. Interproximal brush-tiny, cone-shaped brush that is designed to slip under the archwire and remove plaque and food particles in hard-to-reach spots around brackets and between teeth; and
5. Fluoride rinse.

Once a patient has the proper tools, they can fight plaque by following these guidelines. To begin, patients should clean their teeth at least four times a day (after each meal and before bed) with a soft, rounded-bristle manual or power toothbrush in good condition and a fluoride toothpaste. And their orthodontist’s instructions on how to properly brush with braces should be followed.

“A travel toothbrush is a great way to make brushing more convenient when away from home,” says Dr. Caveney. “But if no toothbrush is available after a meal out, at least rinse the mouth thoroughly to clear most large food particles.”

Brushing alone, however, will not remove all of the plaque. Floss should be used at least once every day between teeth, around brackets and at the gumline. Reusable floss threaders help patients maneuver dental floss between archwires and teeth. Pre-cut floss with ready-made threader tips can be helpful as well.

Patients also need professional cleanings at the dentist’s office at least every six months to keep teeth and gums in top condition during orthodontic treatment. Even with diligent attention to daily dental hygiene, professional cleanings are key in removing plaque build-up.

And while patients are working at keeping braces, teeth and gums clean, they should try to avoid some potential braces-busting foods. Those foods include anything that is hard, sticky, crunchy or chewy-like taco chips, caramels, hard pretzels, taffy, unpopped popcorn kernels, peanuts-even sugarless bubblegum.

Softer foods and a good diet are important to successful orthodontic treatment. A balanced diet provides nutrients that are essential to bones and tissues undergoing change during treatment. And fresh vegetables such as carrots and celery are okay to eat, provided they are cut up in small pieces rather than bitten.

Orthodontic patients who follow these tips will be rewarded with a healthy, beautiful smile. Attention to oral hygiene is especially important for people with braces, for strong, healthy teeth.

Tags: annapolis, annapolis orthodontist, braces, Caring for Teeth with Braces, maryland, Maryland Braces, md, orthodontist

Temporary anchorage devices provide our doctors a fixed, immovable anchor for space closure, molar uprighting, correction of anterior open bites and many other tooth movements. In this way we will be able to get results that may not have been accomplished with braces alone. The advantages to the patient include, greater comfort, i.e. no headgear, lip bumpers and other auxiliaries; decreases treatment time and drastically reduces compliance required. Placing the temporary anchorage device is done in the office and is practically pain-free.

What is a TAD?
A TAD is a miniature screw that we position in the mouth. It serves as an anchor for moving specific teeth in the most controlled and predictable way possible. TADs are made of a sterile medical-grade titanium alloy. They eliminate cumbersome appliances (e.g., headgear) and allow us to treat certain cases better and faster than ever before. TADS are truly revolutionizing orthodontic treatment.

How exactly is the TAD positioned?
After numbing the area where the TAD is to be placed, we use gentle pressure to insert it through the gums and into the bone between your teeth.  While it’s normal to assume that the procedure would be painful, it is actually pain-free.  We apply a fast-acting numbing gel where the TAD will be inserted.  After the gel desensitizes the area topically we use a small amount of local anesthetic that completely numbs it.  You may feel some slight pressure during insertion but no pain.  The entire procedure takes only a few seconds.

How long will the TAD need to stay in place?
As the name implies, the anchorage device is temporary and is typically removed in a few months when it is no longer needed to assist in tooth movement.

Will it hurt to remove it?
No. The entire process takes only a few seconds.

Will I have pain after the TADS are placed?
No.  Some patients say they feel a little pressure for a short period afterward.  Only a few patients have reported needing to use an over-the-counter medication such as acetaminophen or ibuprophen.

What if it aches the next day?
There is no call for alarm.  Minor aching associated with a new tooth movement is not only normal, but expected; however, if you have concerns, simply call our office and we’ll make an appointment to see you.  We’ll probably suggest that you take an over-the-counter remedy to lessen the ache.

What if the TAD or its attachment causes an irritation inside my cheeks or lips?
For immediate relief, you may be able to cover the attachment that is causing the irritation with a cotton swab or a small amount of wax.  Call the office and we’ll give you instructions and/or make an appointment to see you.

What if the TAD comes loose?
On occasion, a TAD might become a little loose.  In most cases this minor mobility is nothing to be concerned about; however, if you feel the TAD is excessively loose, or it is causing you discomfort, call the office and we’ll make an appointment to see you to determine if the amount of give is normal.

How do I keep it clean?
Rinse with chlorhexidine two to three times per day for the first seven days.  Dip a soft toothbrush in the chlorhexidine and brush lightly around the miniscrew during the first week.  Brush the “TAD” as if it is a tooth thereafter.  Contact the office if you experience any swelling or persistent pain.

Orthodontists have used TADs since 1983 and oral surgeons and orthopedists have used miniature screws like this for decades longer.  Recent refinements in the devices and the procedures for their use have propelled the application of TADs to a heightened level in orthodontics.  With TADs, orthodontic treatment options have never been greater.  We are proud to be at the forefront of this exciting technology and feel confident that your experience with it will be comfortable and the results exemplary.

Tags: annapolis, annapolis orthodontist, maryland, md, orthodontist, TAD, temporary anchorage device

WARM UP TO A BEAUTIFUL SMILE

Invisalign Special Event

Drs. Philbin and Reinheimer will be providing Invisalign treatment consultations to answer your questions about Invisalign treatment, the clear way to straighten teeth. If you have wondered if Invisalign is right for you, ask the scheduling coordinator to schedule you for an appointment for this special event.

For eligible* Invisalign Special Event patients:

• Complimentary consultation
• $500 off your Invisalign treatment
• Hurry! Offer ends December 31, 2009.
• Financing options available

Space is limited to the first 20 appointments.
* Ask the scheduling coordinator about Invisalign Special Event patient eligibility.

Drs. Philbin and Reinheimer
802 Bestgate Road Suite B Annapolis MD 21401
101 St. Claire’s Place Suite 104 Stevensville MD 21666, MD (410)263-5600
www.marylandbraces.com

*Invisalign Special Event and associated promotions are hosted and sponsored by Drs. Philbin and Reinheimer / 802 Bestgate Road Suite B Annapolis MD 21401 and not by Align Technology, Inc.

Tags: annapolis, annapolis orthodontist, invisalign, Invisalign Maryland, maryland, Maryland Braces, md, orthodontist

The Damon System is not just a new product, it’s a whole new way of treating patients. Conventional treatment often requires removal of healthy teeth and/or the use of palatal expanders to make space. This approach is often uncomfortable, takes longer, and can leave a narrower arch and a flat profile. Damon smiles are full, natural 10-tooth smiles achieved with light biologically-sensible forces, and are specifically designed to improve the overall facial result of each patient.

Braces are the beginning, but the system makes the smile.
Certified Damon System doctors combine three key components, which when used together, deliver faster treatment, fewer appointments, greater comfort, and consistent high-quality results:

1. Damon passive self-ligating braces that eliminate the need for elastic or metal “ties”. With Damon tie-less braces you can experience treatment without tightening.

2. Light high-technology shape-memory wires
that move teeth faster and require fewer adjustments.

3. A new clinically proven treatment approach
that aligns your teeth and enhances your facial aesthetics - usually without extractions or rapid palatal expanders.

Conventional braces on the left are tied in with elastics, which cause friction and pressure, making treatment slower and less comfortable. Damon braces use a slide mechanism to hold the wire, which allows teeth to move more freely, quickly and comfortably.
Damon braces are designed to be discreet, comfortable and easy to keep clean. Without the elastic ties which attract and collect plaque, Damon braces make dental hygiene easy during treatment.

Tags: annapolis, braces, damon braces, damon system, maryland, md

So what happens when you decide Invisalign is for you? Simply visit an Invisalign-trained doctor for a consultation to discuss the goals you have for your smile. Once your doctor determines that Invisalign is right for you, he or she will write up a detailed treatment plan, and a set of virtually invisible aligners will then be sent to your doctor. Your Invisalign system may look like a simple piece of plastic, but it’s much more. With advanced technology, your Invisalign aligners are custom-made for you, and only you. Over time, your teeth should move to reveal the smile you’ve been looking for. So take a look at the steps you and your doctor will take to get you to a brand-new smile.

Your initial consultation with your dentist or orthodontist, is oftentimes offered free of charge. During this visit, you’ll discuss the issues you have with your teeth and what kind of results you would like to see. Once your doctor decides your situation is suitable for Invisalign treatment, a treatment plan will be mapped out with your goals in mind. Then, impressions and pictures of your teeth will be taken for digitization purposes.

The impressions of your teeth will be digitized in order for your doctor to work with a computerized 3-D image of your teeth. Then, your doctor will plan your tooth movements throughout your entire treatment timeline. You’ll be able to see a virtual representation of your teeth before, during, and after completion of the Invisalign process so you can see what your smile should look like when you’re done with treatment.

From your doctor’s precise treatment plan, customized aligners are created with advanced technology for you to wear at each stage of your treatment. While the number of aligners varies for each individual situation, a full set of treatment typically includes 20-30 aligners per arch.

You should wear your aligners at all times, with the exception of eating and drinking, in order to complete your treatment in the timeline determined by you and your doctor. You’ll go in for occasional checkups, to monitor your progress and to receive your next set of aligners. During the entire treatment process, you’ll be able to watch your teeth gradually moving into place. Your smile will, little by little, move into something you’d like to show off. The people around you will be sure to notice your new-found confidence.

Choosing the Invisalign system is a smart decision on your part because the advanced technology provides you with customized treatment to give you a smile that suits you. And even with all that superior technology, we make it easy for you to get Invisalign.
Ora Reinheimer

Tags: annapolis, braces, clear braces, invisalign, invisalign treatment, maryland, md, orthodontics, orthodontist

We are pleased to announce that after 11 years in our current location, our practice will be relocating just a few blocks away.  We appreciate your confidence in us and are pleased that we will be able to care for you in our new facility. As of July 20th, all patients will be cared for in our new office located at:
802 Bestgate Road, Suite B
Annapolis, MD

Our telephone number has not changed: (410) 263-5600.
There is ample, convenient parking attached to the building. Driving directions and more information about the relocation will be posted on our website.

We remain committed to providing you with the best care possible, in the most comfortable setting for you and your child’s needs.  We appreciate the confidence you have in our practice and are committed to providing you with the highest quality of care, delivered with thoughtfulness and compassion.
Please call us with any questions you may have. We look forward to continuing to care for you in our new location.

Best regards,
Drs. Philbin and Reinheimer

The clear alternative to braces
The new Invisalign teen system sraightens your teeth with clear aligners that are comfortable and practically invisible.

You can still do the things you want, like play lacrosse, eat popcorn at the movies,hang out with your friends, get in photos, and chew gum all the while straightening your teeth. It’s the clear choice.

Monday, June 15, 9–5 at our Annapolis office
Tuesday, June 16, 1–7 at our Stevensville office
For Invisalign Open House patients:
Complimentary consultation
$1,000 off your Invisalign treatment
Space is limited. Adults also welcome.
Please call our scheduling
coordinators today at
410-643-6636 or 410-263-5600!
Dr. Phil Philbin & Dr. Ora Reinheimer | Orthodontist
Offices in Annapolis and Kent Island
MarylandBraces.com/Invisalign

Tags: braces, invisalign, maryland, md, teen

Dr. Ora Reinheimer recently became board certified by the American Board of Orthodontics.

In essence, Board certification is a process by which an individual orthodontist is voluntarily examined by his/her peers as to orthodontic knowledge and clinical skills. The passage of the examination process is a demonstration to the dental profession and the general public of the orthodontist’s pursuit of continued proficiency and excellence in orthodontics.

The primary purpose of The American Board of Orthodontics is to elevate the level of orthodontic care for the public by encouraging excellence in clinical practice and specialty education. In its mission statement, the Board clearly defines four objectives: 1) to evaluate the knowledge and clinical skills of graduates of accredited orthodontic programs by conducting exams and conferring time-limited certificates; 2) to re-evaluate clinical knowledge and skills through administration of recertification exams throughout a Diplomate’s career; 3) to support the development of quality graduate, postgraduate and continuing education programs in orthodontics; and 4) to promote and encourage certification expertise throughout the world.

An orthodontist is a dentist who has completed an American Dental Association accredited graduate program in the specialty of orthodontics. A dentist who graduates from a specialty program becomes an orthodontic specialist who is eligible to become board certified through the voluntary examination process of The American Board of Orthodontics (ABO). Involvement in the certification process is a demonstration of the orthodontist’s pursuit of continued proficiency and excellence.

The certification process involves a thorough Written Examination covering all areas of information on which an orthodontist should be knowledgeable. Successful passage allows the orthodontist to present treated cases which will be evaluated by expert examiners of the Board during a Clinical Examination. Certification is now awarded for a time-limited period and the orthodontist must re-examine on a periodic basis to retain the board certified status.

Tags: annapolis, maryland, orthodontics, orthodontist

Invisalign Teen is a new product that can straighten your child’s teeth without the hassle, discomfort, and embarrassment of traditional braces. Your teen will receive a series of clear, virturally invisible aligner from the orthodontist, approximately every six weeks.

Q. How will I know how often my child is wearing their aligners?
A. The compliance indicators located on the upper aligner can estimate the approximate amount of time your teen spends wearing the product.  The indicators are designed to fade from blue to clear as a gauge of approximate wear time so you can endure your child’s compliance easily.

Q. What happens if my child does not wear the aligner for the recommended amount of time?
A. Invisalign Teen is most effective when worn per your doctor’s recommendation.  Overall, we find the aligners are most effective if worn 20 to 22 hours per day – and removed  only for eating, brushing, and flossing.  However, it is not detrimental to the alignment process if your child goes without wearing aligners for short periods of time once in a while.

Q. What happens if my child loses one or both of their aligners?
A. In the event that an aligner is lost or broken, your teen should inform their doctor right away.  The doctor will probably tell them to start wearing their last set or next set of aligners immediately.  He or she will then order your teen a new set of aligners to replace the ones that were lost.  In most cases the replacement aligners should arrive in a few days.

Q. If my son/daughter is 18 years old, do the use Invisalign or Invisalign Teen?
A. Ask your orthodontist when deciding between the two options.  Although your child may be a suitable candidate for the Invisalign full product, they may benefit from some of the new features that Invisalign Teen system offers.

Q. What is the difference between the adult Invisalign product and the Invisalign Teen product?
A. Although many of the benefits are the same, Invisalign Teen is differentiated by three new features that were designed specifically for a patient with the needs or the type of dentition commonly found in the teen age-group.

Q. How much time will my child spend at the orthodontist office?
A. Invisalign Teen requires very little manipulation or maintenance by the doctor in order to be effective, so your child will spend limited time visiting their doctor.  After the initial appointment follow-up appointments are usually scheduled every six weeks to check on progress and to provide your child with their next three sets of aligners.

Q. Is Invisalign as effective as traditional braces?
A. In the hands of a skilled practitioner and when worn per your doctor’s recommendation, Invisalign Teen can be as effective as traditional braces for many types of treatment.

Q. Is it easy to keep your teeth clean with Invisalign Teen?
A. Yes! Invisalign Teen allows your child to remove the aligners for eating and brushing their teeth, so it is much easier to maintain proper oral hygiene with our product than it is with traditional metal braces.  Best of all, food will not get caught on any fixed brackets and wires since Invisalign is removable and wire-free!

Q. What are some other advantages of Invisalign Teen over traditional braces?
A. In addition to keeping a clean mouth, an active lifestyle is made simpler when wearing Invisalign as opposed to the fixed wire and brackets.  Since the device is removable it’s easy for your child to play sports or an instrument as any teenager would – even one who is not in orthodontic treatment.

Tags: annapolis orthodontist, Invisalign teen, Maryland Braces, maryland orthodontist