More About Orthodontics From Dr. Stevens

There are so many questions about orthodontics that we never ask, so Dr. Stevens took some time to explain the most common concerns.

At what age should orthodontic treatment occur?

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age seven or earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander, Herbst, Facemask, headgear, or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients are adults.

How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?

Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment time on schedule.

Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires, you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers or wax can be provided to prevent discomfort.

Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give us a call at Stevens Orthodontics. We'd love to hear from you.

Is Invisalign® Really Customized for Each Patient?

Yes, it is, and that’s part of what makes it work. To find out if you are the right candidate for Invisalign treatment, the first thing we do is to take an impression of your teeth as they are now and digitize it. Using special software, we look at the current positioning of your teeth and compare it to the way your teeth should look.

Next we use special software to map out the exact path your teeth will take from the beginning of your treatment to the end. Based on the results, a set of custom aligners are created just for your teeth. Throughout the course of treatment, you will be required to wear these clear, removable aligners one at a time; each one moving your teeth closer and closer to their final, perfectly aligned position. And since the aligners are virtually invisible, nobody around you will even know you are wearing braces!

Dr. Stevens is a certified Invisalign provider. If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment, give us a call at 850-329-4641.

Oral Piercing: Is It Worth It?

Piercing, like tattooing, is one of today’s popular forms of “body art” and self-expression. If you’re thinking about getting a piercing – or if you already have one or more – there are some health risks you should know about.

Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Just touching your mouth jewelry (tongue barbells and lip and cheek labrettes) can lead to infection. Many people who have piercings tend to regularly touch them – which is a perfect opportunity for bacteria from hands to enter piercing sites. Also, food particles that collect around piercing sites can lead to infection.

Pain and swelling are other possible side effects of piercing. Your tongue – the most popular piercing site in the mouth – could swell large enough to close off your airway! Piercing also can cause uncontrollable bleeding or nerve damage. Damage to the tongue’s blood vessels can cause serious blood loss.

The hoop, ring, stud, and barbell-shaped jewelry can hinder your ability to talk and eat. Some people also develop a habit of biting or playing with their piercings – which can lead to cracked, scratched teeth; gum damage and recession; and sensitive teeth. There may also be a need for restorations, such as crowns or fillings, and additional dental treatment due to piercings.

Consider the potential pitfalls of piercing carefully before getting one. Keep in mind that it will be an added responsibility to your life, and will need regular upkeep. Make sure that you’re committed to the task of taking care of it for the full healing period and beyond.

If you have an oral piercing, pay special attention to it. Clean the piercing with antiseptic mouthwash after eating, and brush the jewelry when you brush your teeth. Of course, let us know if you have any questions.

--Stevens Orthodontics

Stevens Orthodontics is answering all your burning questions about mouthwash

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:

• Fluoride - fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.

• Antiseptic - an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.

• Combination - a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.

• Prescription - for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.

There are also many different brands of mouthwash. Some common brands include:

• Scope
• Listerine
• Act
• Crest
• Tom’s of Maine (all-natural)
• Plax (anti-plaque rinse)
• Breath Rx
• Orajel
• Targon (special mouthwash made for smokers)
• Rembrandt (whitening mouthwash)


If you are curious about which kind of mouthwash would work best for you, be sure to ask Dr. Stevens at your next dental appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!