Our Blog

Stewardship

June 21st, 2017

Dr. Nate here today, and I thought I would write about something entirely outside of dentistry: community pride.  Canton, Ohio has been my home my entire life.  After a 10 year period away at different schools, I couldn’t wait to move back home and raise a family here.  Unfortunately, with my generation, and now the Millennial generation, this is becoming more and more rare.

Why am I proud to live in Canton?  Quite simply, the people are fantastic!  Certainly it isn’t for the weather…but is it really that bad????  No comments on that, please.

Another source of local pride is Hall of Fame Week.  Knowing that all of the football inductees speak with The Pro Football Hall of Fame in the background on national TV is a proud moment as a significant portion of the country focuses on Canton.  There aren’t too many cities our size that receive such exposure!

But I feel there is more to community pride than a TV event.  To me there can’t be pride without the responsibility to be a steward to the community.  And that requires ACTION!

At the beginning of 2017 I was honored to be a part of Leadership Stark County’s Spotlight Program.  I included the link for those that are interested.  At our meetings we learned about some of the inner-workings of Stark County— how it runs, open service projects, our local history, and so much more.  I gained a tremendous level of respect for those who have helped shape Stark County (and the surrounding areas).  Their secret?  Service to others.

My hope (and challenge) is that you use this summer of 2017 for more than vacations, pool time, sports, or even barbecues.  Become engaged in our community, maybe even do something service oriented.  Be a steward for this amazing place we all call home.

Photos Credited:

Copyright: <a href='https://www.123rf.com/profile_benkrut'>benkrut / 123RF Stock Photo</a>

Copyright: <a href='https://www.123rf.com/profile_benkrut'>benkrut / 123RF Stock Photo</a>

Stubborn Teeth!

June 14th, 2017

Dr. Theresa here today to write about an intriguing subject: impacted teeth.  For the sake of simplicity, I will only focus on one of the most commonly impacted teeth, Maxillary (upper) canines.  Canines are commonly referred to as the “i-teeth.”  An impacted tooth means it has finished developing, but is unable to erupt.

What makes the upper canines become impacted?  There are multiple theories, and none of them have been officially proven.  So we will discuss the most realistic ones.

First, the size of the teeth could be larger than the space available in the jaw (simply called ‘crowding.’)  When this happens, there is not enough space for the canine to erupt into the mouth which inevitably traps the canine in the bone.

Second, the baby canine tooth does not fall out at the appropriate time.  If the baby canine remains in the mouth too long then the permanent canine does not have a chance to erupt into the mouth.  Remember, there is a ‘normal’ permanent tooth eruption sequence (more on that below).

Third, the canine can develop sideways (horizontal), but no one has a reasonable explanation as to why.

Lastly, the development of one of the adjacent teeth can affect the upper canine eruption path.  Usually this would be the Lateral Incisor (one of your front teeth), and in the cases with impacted canines the incisor would be peg shaped and smaller than ideal.  I put this theory in because we have seen a recent string of patients with extremely small upper incisors whose canines are impacted.

Is there a way to avoid canine impaction?  In most cases yes there is, but it does require an orthodontic visit around age 7.  For those avid readers of our blog (all 6 of you—thank you by the way!), we had a post about the ideal time to visit the orthodontist.  Here is the link.  So what are we, as orthodontists, looking for?

We begin by making sure there is progress with losing baby teeth and gaining permanent teeth.  We also take a special X-ray to determine the canine location.  The X-ray also assesses the development of all teeth, and whether the baby teeth are inhibiting normal permanent tooth eruption.  In regards to the upper canines, they normally erupt into the mouth around age 11.

If the baby canines are not loose by age 10 AND you haven’t seen an orthodontist, it is our recommendation that you discuss the situation with your dentist.  We are also happy to take a look at any time.

As previously mentioned, early intervention can prevent or decrease the severity of an impacted canine.  The goal of early intervention is to guide the proper tooth eruption, and to ultimately make any treatment as comfortable as possible.

We hope that everyone has a great start to their Summer!

The Story of Retainers

May 3rd, 2017

Dr. Nate here this week to explain why you need a retainer after braces. Simply: teeth move. It doesn't even matter whether you've had orthodontic treatment or not. As long as you are alive, your teeth will shift over time. There are two main reasons why teeth move...

Let's first start with physiology. Teeth are surrounded by bone, but that bone is subject to the forces of biting (occlusion). So while teeth feel firmly attached to your head, they are part of a mini-earthquake every time you bite down. This constant change can cause teeth to shift with time.

As for the second reason, I have to start with some orthodontic research. Adults who had braces back in the early 80's will tell us that they were told long ago that retainers didn't need to be worn forever. And they are correct.

But, just as anything else in medicine and dentistry, our treatments are based in the best AVAILABLE research. And up until 1985 orthodontists were recommending retainers be worn for "a few years."

In 1985, an orthodontist named Rolph Behrents published a paper called "Growth in the Aging Craniofacial Skeleton" that definitively showed that faces continue to grow throughout a lifetime. Now understand that this growth is minimal, say 1mm over a 10 year period. But believe me when I say this paper was revolutionary in terms of dictating future orthodontic treatments, especially in the area of retainers.

Why would a small amount facial growth affect tooth position? Dr. Behrents showed that facial growth isn't symmetrical between the upper and lower jaws. Instead the lower jaw grows more than the upper jaw. This tends to put stress on the lower front teeth, and causes them to crowd. This is why adults most often notice that their lower teeth have moved more than the upper jaw counterparts. Again, this is an insidiously slow process. But it is one that over 10 years will cause you to notice that your teeth have moved. So, how do we combat this?

Retainers!

At the end of orthodontic treatment, we give our patients retainers. In a future blog post, we will discuss the different retainer types. These retainers do exactly what they say. They retain position. Our instructions are clear-wear your retainers as long as you want your teeth to stay straight.

If you've had orthodontic treatment in the past, and have lost or stopped wearing your retainers, we would recommend that you find a way to get new ones. It is a simple solution that could help you avoid more complicated problems later.

Confident Smiles!

April 26th, 2017

Dr. Nate here on a continuation from last week’s blog post on adult Orthodontics.

As Orthodontists, we are experts on crafting wonderfully balanced smile esthetics.  While the reasons for wanting an improved smile are as unique as every patient we see, there is a common underlying theme.

Self-confidence.

What can increased self-confidence do for adults?

Lets start with the professional world.  We have so many adult patients that want to improve their smiles for their careers.  The reason…there is a ton of research that talks about how important a confident smile is to the interview process, and to potential customers.

The smile is consistently the number 2 focal point of a person’s eyes when they are introduced.

Anyone know what the number 1 facial focal-point is?  Feel free to answer in the comments section.  But back to the point…

And there are many, many more scenarios where that new smile is desirable.

What if you are getting married soon, and want that perfect smile for your pictures?  Or, what if you are a mother who hasn’t treated yourself in lord-knows-how-long?  Wait, isn’t Mother’s Day coming up?????

These are just a small sample of reasons our adult patients have sought out our practice.

We offer so many treatment options, including truly esthetic methods such as Invisalign.  Our incredible team is able to accommodate any schedule and any timeline.

So, give us a call and come meet your new smile!

Generations of Smiles