Join Feller & Feller Orthodontics for their Open House in Green River on August 10th

Join us for food, prizes, and a chance to win 50% off of a new or existing treatment at our open house on August 10, from 10-2pm.

To meet our patients needs, both our Rock Springs & Green River loactions will provide some of the most necessary orthodontic services.

  • Exams
  • Placing and Removal of Braces
  • Invisalign Scans
  • Regular Appointments

We’re very excited to be able to provide these great services to our patients and their families!

Schedule Your Appointment Today!

Meet Your Orthodontic Specialists

Joseph P. Feller, D.M.D., M.S.

“I love being an orthodontist!  I enjoy every day I work because I get the privilege of improving people’s self-image and getting to know them along the journey.  Probably my favorite part is the day our patients get their braces removed.  I love the joy on their faces as they finally see their gorgeous smile. It truly changes how they view themselves.  What a privilege to be a part of!  I am grateful for our amazing staff and my wise and progressive partner, Dr. Jack. I am excited to be part of Feller Orthodontics for years to come!”

P. Jack Feller, D.D.S., M.S.

“Early in my college career, I had the opportunity to visit the orthodontic office of my wife’s uncle, and I was absolutely astounded to see the before-and-after photos of his patients. Even in a static image, you could see the confidence and self-esteem that resulted from the beautiful smiles he created. I decided then and there that I wanted to have that kind of impact on patients by helping them have breathtaking smiles. I want my patients to have a place they look forward to visiting – an environment where they feel safe, comfortable, supported and loved – a place patients hesitate to leave because they face a harsher world outside our offices. Our patients know that we genuinely care about them because we show them every day.”

Contact Information

Dental Office of Dr. Bryce Castillon
100 Commerce Dr, Green River, WY 82935

*We will be operating out of the dental office of Dr. Bryce Castillon for the time being.

 - This post was paid for by the business or individual represented above. We reserve the right to remove any comments. If you'd like to advertise your business in a future promotion similar to this, call our Advertising Team at 307-922-0700 or send us a message.

Join Feller & Feller Orthodontics for their Open House in Green River on August 10th

This content was originally published here.

Making a Visible Difference | Valderrama Orthodontics

“I always saw dentistry as a part of a more HOLISTIC view of healthcare.”

Dr. V consulting with a patient different options, traditional or clear, lingual braces or clear aligners.

When we search for healthcare providers, there are two qualities that engender trust. The kind of trust that provides peace of mind in the moment and confidence in the future. Between medical professionals and their patients, it is based on their doctor’s ability; are they qualified? And their empathy; do they really care?

It would be difficult to determine which quality is stronger in Dr. Natalia Valderrama, of Valderrama Orthodontics in Melbourne. How many graduate from medical school in dentistry at just 18? Not one in a million people, but perhaps one in a million doctors. Then, she became a celebrated and innovative provider of oral health and treatment, in the poorest and most remote parts of her native Columbia, often traveling by horseback to treat villages in rural areas.

Looking back on what drew her towards dentistry she said, “I loved science and was fascinated with how the human body operated.” This, along with the influence of her mother, a biology professor; her father, a philosopher and a philanthropist; and her own orthodontist, who gave her a transformative experience when she was a teenager and encouraged her focus on her profession.

“I had such a wonderful experience with an orthodontist and saw what a difference they could make in a life. I prayed that one day I would be able to have that kind of impact on others.”

COMING TO AMERICA

State of the art equipment, software and technology allows digital treatment planning of cases for individualized needs

With latest scanning technology, her patients do not have to take impressions and molds any longer, since everything is done via the internet.

Already a successful and experienced dentist with her own practice, at 25 she came to America on vacation and was captivated by how clean, modern and safe it was. “I loved the country and three days after my arrival, I decided this is where I wanted to live,” Dr. Valderrama said.

Though eminent in her native country, like many immigrants before her, she had to divert to a slightly different track to help her achieve American citizenship and an ability to practice dentistry. She chose to become a registered nurse.

“Part of the reason I did that is was I wanted to understand how the larger healthcare system in America worked,” she explained. “By becoming a nurse, I served in hospitals in the ER, labor and delivery and intensive care; my goal was to become a better overall clinician. I always saw dentistry as a part of a more holistic view of healthcare.”

She then went through a special international advanced program in general dentistry at the Eastman Institute for Oral Health at the University of Rochester. Having finished that program, she continued on to complete a specialty in orthodontics and dentofacial orthopedics.

Orthodontists, in addition to completing their general dentistry training, spend two to three years specializing in the diagnosis, prevention and correction of misaligned teeth and jaws, including overbites, occlusions and overcrowded mouths.

THE DIFFERENCE EXPERIENCE MAKES

Consultations include a digital photo and radiographic analysis as well as an oro-facial, respiratory and dental assessment of the patient.

“I wanted to be in a place where I could help people and I realized that in dentistry I have the power to change people’s lives,” Dr. Valderrama said. “That is why we offer free consultations; because part of my mission is to use my knowledge and experience for the betterment of others.”

One of the critical differentiators she identified, being initially trained and practicing in a poorer country, was that the focus of healthcare in these countries is on prevention, rather than curing people once they are sick. Early detection and intervention are foundational to their approach. From a quality of life, as well as the practicality of pure economics, the benefits are obvious. “If you can detect and intervene early, it has a huge impact,” she observed.

In addition, Dr. Valderrama is proactive in taking the initiative to refer patients to other medical specialists. “The longer you wait to treat a problem, the worse the problem has the potential to become. A simple referral to an ENT(Ear, Nose, Throat specialist), speech therapist or a general dentist can make a remarkable difference.”

Dr. Valderrama, is also committed to collaboration and with digital technologies at her disposal she is able to consult with specialists and clinicians from around the world.

CHANGING FACE OF ORTHODONTICS

“My practice covers both sides of the age spectrum,” she said. “For the young, we focus on early diagnosis and treatment, but I also have patients as old as 82.” The explanation is simple: she is seeing and treating people who have been suffering the effects of poor alignment all their lives.

Thus, they have gum problemsbecause they can’t floss properly,or their teeth are wearing incorrectly. Now with life expectancies increasing with each generation, what was once considered old, is now seen almost as middle age. Thus, orthodontic care becomes a healthy, quality of life and lifestyle option.

The case for having straight teeth isn’t simply a cosmetic issue, rather it helps ensure your teeth last longer and your overall health is improved. Therefore, if you are expecting to live to 100 or 110, then orthodontic care in your 50’s and 60’s makes perfect sense. “These individuals have the potential to be able to keep their teeth for an additional 40 or 50 years,” she said.

According to the American Association of Orthodontics, children should see an Orthodontist for an exam before they are 7 years old. Dr. Valderrama offers complimentary consultations at her practice: Valderrama Orthodontics in Suntree/ Viera.

The post Making a Visible Difference | Valderrama Orthodontics appeared first on Space Coast Living Magazine.

This content was originally published here.

What Dallas Dentists Say About Mail-Order Orthodontics – D Magazine

Two years ago, I plopped down nearly five grand to have my teeth straightened with Invisalign. The orthodontic alternative to traditional metal or clear braces uses a series of removable custom aligners to move teeth into tidy rows. Everything about the process—from having a mouth full of plastic for 22 hours a day to monthly visits to my dentist—was annoying. I hated every second of it, but I am happy with the results.

I was likely a candidate for the much less expensive SmileDirectClub, but it was only after I began treatment that Facebook started serving me ads for the nascent direct-to-consumer orthodontia business. Founded in 2014 and based in Nashville, SmileDirectClub opened its first Dallas office downtown at WeWork in March 2017, only a few months before I began Invisalign treatment. Today, it has five freestanding SmileShops in North Texas. In June, the company unveiled locations inside four CVS pharmacies in Dallas, Plano, Bedford, and Fort Worth, with seven more planned for 2019. That has drawn frowns from some Dallas dentists.

SmileDirectClub bills itself as teledentistry meant to “democratize access to a straighter smile through an affordable and convenient direct-to-consumer platform.” It has spawned many imitators with camel-cased names that suggest gaps between words, like gaps between teeth, are ugly. They include SmileLove, ClearCorrect, and SnapCorrect. Some dentists and orthodontists are concerned about the potential for permanent damage from this lightly guided approach to teeth straightening. In April, the American Dental Association filed a citizen petition with the U.S. Food and Drug Administration to shut down SmileDirectClub. The public has until October 22 to comment.

But is the pushback legit or merely outrage over a market disruption?

“Well, that is the question,” says a 30-year dentistry veteran and top Invisalign provider in Dallas who called the issue “a very hot topic.” It’s so hot that she wouldn’t speak on the record for fear of litigation. “The concern is unidentified problems that can develop without the supervision of the dentist watching the movement of the teeth,” she says. Though she admits, “I’ve had two SmileDirect patients come in, and I have to tell you, I don’t hate it.” For that opinion, she says, her colleagues might pop her in the mouth.

There are differences in the treatments. The Invisalign treatment is available only through a licensed dentist, whom you have to see repeatedly during treatment. It has been around since 1997, and if you want to go this route, your dentist will look at your teeth and gums and take X-rays to determine if you are a candidate. If you get the green light, a dental tech takes 3D scans of your teeth with a wand called an iTero. Those images are sent to Invisalign, which sets a treatment plan and 3D-prints a series of removable aligners. In a couple of weeks, you return to your dentist for the first of the aligners, which are like super thin mouth guards for the upper and lower teeth. You wear each of them every minute that you are not eating or cleaning your teeth for 10 to 14 days. Then you move to the next set of aligners in the series. Every 30 to 45 days, you visit your dentist for an exam and to get a few more aligners. Invisalign treatment generally lasts 12 to 18 months. The average cost is $5,750.

None of the Dallas practitioners I spoke to are worried about losing patients to SmileDirectClub. All insist that their concerns are a matter of health and safety.

Treatment through SmileDirectClub works similarly. The biggest differences: no in-person visits to the dentist and a much lower price. A patient declares that his or her teeth and gums are healthy before visiting a SmileShop for 3D scans or purchasing an at-home impression kit from CVS, Macy’s, Bed Bath & Beyond, or the internet. A licensed dentist or orthodontist reviews the scans or impressions to determine the patient’s eligibility and set a plan. The patient is then asked to check in with a SmileDirectClub dentist every 90 days via phone, text, or email and to continue regular checkups with his or her own dentist. SmileDirectClub claims treatment lasts on average just six months—presumably because it accepts only mild to moderate cases of crowding or spacing, and focuses on moving only the front teeth. (Invisalign can be used to treat more severe cases.) It costs $1,895 plus $49 for the impression kit (scans are free).

Dr. Sarah Poteet has a private dentistry practice near Preston Center. She says she has a patient who is likely going to lose a tooth as a result of an infection that she feels was exacerbated by SmileDirectClub treatment. “If someone has gum disease or bone loss, and you start moving teeth in a compromised foundation, you can end up losing teeth as a direct result of that movement,” Poteet says. “The problem with cavities and gum disease is that patients don’t always feel pain. People look at their teeth and they look fine. They think, I can get a better deal. It’s cheaper to do this, and I don’t have time, and I am just going to take the shortcut.”

In other words, she says, it’s risky to move your teeth without knowing for sure that your dental health is A+, and the price you pay could be something you can’t put on a credit card.

“It’s not that the systems inherently don’t work,” says orthodontist Dr. Brody Hildebrand of Preston Hollow Specialists, which provides traditional braces as well as Invisalign. “There is merit to the technology. The issue is who is overseeing things. Who is the person responsible for the treatment and how does the patient address issues when they arise? The fact is, problems happen.”

That’s not something SmileDirectClub disputes. “If there is an outcome that is undesirable, we get involved and manage it,” says Dr. Jeffrey Sulitzer, chief clinical officer at SmileDirectClub. “It’s a significant small minority, and you handle it as you would anything as a clinician.” He stresses that the business works “with Texas-licensed doctors, managed by the same rules and regulations. They are doctors with the same passion about standard of care and the same passion for making sure the dental board is comfortable. Ninety-eight-point-five percent of the doctors affiliated with SmileDirectClub treat patients in their own practices as well. A lot of establishment organizations are pushing back, even though they know the model is safe, efficacious, and productive. They don’t want it to be true.”

I called the Dallas County Dental Society to ask about that. Its president, Dr. Brad Crump, referred me to the American Dental Association. A senior manager in the communications department there emailed me a list of links to its website. One of them warns against “potential irreversible harm” from direct-to-consumer orthodontic services. A representative at the Baylor College of Dentistry told me to call the American Association of Orthodontists. As part of a consumer alert, that organization has posted on its website a list of 14 questions to ask when considering direct-to-consumer orthodontics.

Though Dr. Poteet admits the uproar is a bit of a turf war, none of the Dallas practitioners I spoke to are worried about losing patients to SmileDirectClub. All insist that their concerns are a matter of health and safety.

So should you trust your smile to teledentistry? Should you drop by CVS to begin a teeth-straightening plan? That depends. If you don’t have a major dental problem and you’re a responsible adult committed to brushing, flossing, and regular dental checkups, you’ll likely be just fine. But do your research first. Google. Talk to a dental professional. Be honest with yourself. And know that, as Hildebrand warns, if you end up with a misaligned bite that causes problems down the road, your dentist may say, “I told you so.”

This content was originally published here.

Introducing LightForce Orthodontics and Its Customized 3D Printed Bracket System

The LightForce Orthodontics team. L-R: Kelsey Peterson-Fafara, Dr. Alfred Griffin, Craig Sidorchuk, and Dr. Lou Shuman.

A dental resident walked into a bar full of Harvard graduate students. No, it’s not the beginning of a bad joke, but actually the genesis of venture-backed startup LightForce Orthodontics, which officially launched at this year’s American Association of Orthodontists (AAO) Annual Session. The team is making what it calls the world’s first customized 3D printed bracket system for the digital orthodontics field.

The startup’s founder and CEO, Dr. Alfred Griffin, comes from a long line of dentists, and had just completed a combined dental and PhD program at the Medical University of South Carolina before moving to Boston in 2015 to attend the Harvard School of Dental Medicine for his residency. He wasn’t used to the whiteout conditions of a hard New England winter, and spent a lot of time holed up in his apartment, dreaming up the innovative bracket system.

Dr. Larry Andrews and A-Company first introduced fully programmed brackets in 1970, and not a lot has changed since then.

“Standard orthodontic prescriptions are essentially a compromise from the outset,” explained Dr. Griffin in the special edition AAO issue of this year’s Orthodontic Practice US. “They are an “all patients equal” proposition. But no two patients have exactly the same tooth morphology or exactly the same bite. So why would we think they should all have the same ‘ideal’ finish?

“The concessions with pre-programmed brackets have been imposed by several constraining factors. Two of the primary constraints are inflexible bracket manufacturing technologies and the imprecision of analog treatment planning.”

It costs hundreds of thousands of dollars and takes anywhere from six to twelve months, using injection molding, to create molds for one standard prescription, which is about 20 brackets of different programming and shapes – not a realistic environment for patient-specific customization. So Dr. Griffin turned to 3D printing, which already has many applications in the dental and orthodontics fields, such as creating aligners, molds, implants, dentures, and even braces.

Most braces are “off the rack,” and even though skilled orthodontists can make this work, Dr. Griffin knew that 3D printing, which is a good fit for custom applications, could be used to make patient-specific braces. So he created a patented system for 3D printed orthodontic treatment brackets, using material nearly identical to injection modeled ceramic brackets but that’s been formulated specifically for 3D printing.

“Delivering a patient-specific prescription for each case, the LightForce system is unlike anything you’ve ever used,” claims the website. “Each bracket is custom created and 3D-printed, bringing a new level of flexibility and clinical possibilities. This enhances treatment efficiency and minimizes time-consuming adjustments in all phases of treatment.”

That same snowy winter, Dr. Griffin attended a local happy hour with Harvard graduate students, and after buying a few rounds, explained his idea to the group. Engineer Kelsey Peterson-Fafara immediately recognized the potential, and would soon be employee #1. Not long after LightForce, originally titled Signature Orthodontics, was accepted into the Harvard Innovation Lab accelerator, Dr. Griffin met orthodontist Dr. Lou Shuman, who had been an important member of the executive team for another dental company using 3D printing: Invisalign. He soon asked Dr. Shuman to be the company’s co-founder, and help reach out to the venture capital community.

LightForce Orthodontics was one of 128 applicants chosen to join the MassChallenge Accelerator program in 2016, and became entrepreneurs-in-residence at the MassChallenge facility, later receiving $50,000 in equity-free financing as one of the 15 winners. The next step was locking down venture capital, but Dr. Griffin didn’t want to work with just anyone – he was looking to change how orthodontics works at a fundamental level, not just for a cash grab. The company’s first major funding came from AM Ventures (AMV), which is dedicated to investing in 3D printing.

“We wanted a strategic investor — not just someone with money,” Dr. Shuman said. “We wanted expertise in our fundamental technology. AMV was an ideal partner for LightForce.”

Speaking of expertise, AMV introduced Dr. Griffin and Dr. Shuman to EOS founder and industry pioneer Hans Langer, who believes that LightForce has achieved the two most important components in the future of 3D printing: creating high value customization, and having a market that’s large enough to support it.

LightForce continued to grow, staying on as Alumni in Residence at MassChallenge through 2017, hiring expert dental software developers, finalizing the bracket design, and receiving FDA clearance for the system. The startup closed its Series A funding round last summer, enjoyed a successful debut at the 2019 AAO Annual Session, and has multiple patients in treatment who wanted to be the first to sport customized, 3D printed braces.

The brackets can be perfectly contoured to any tooth morphology. The initial system was made to compete with metal brackets, and LightForce is now working on higher-aesthetic options and looking at different materials, as well as perfecting its service and supply chain logistics. It’s a simple three-step digital workflow: scan, create the 3D model, and print. The online interface is intuitive, with cloud-based treatment planning software that allows users to make adjustments directly on the model, before the custom 3D printed appliance is shipped in just 7-10 business days after approval.

In order to keep up with a changing industry, LightForce’s treatment planning system will keep evolving as necessary. Aligners are becoming more capable, but many orthodontists still use braces for their patients, which is why LightForce is looking at the larger marketplace.

Dr. Griffin explained, “We don’t want to bring the idea to market and say `here’s how to use it.` We want to bring this to the orthodontist and ask them, ‘What can you do with it?’”

As direct-to-consumer companies gain popularity, Dr. Griffin wants the startup to acknowledge the expertise of the orthodontic community, and help the field, not just take it over.

Discuss this and other 3D printing topics at 3DPrintBoard.com or share your thoughts below.

The post Introducing LightForce Orthodontics and Its Customized 3D Printed Bracket System appeared first on 3DPrint.com | The Voice of 3D Printing / Additive Manufacturing.

This content was originally published here.

Airway Perspective on AAO Obstructive Sleep Apnea and Orthodontics White Paper – Spear Education

Author’s note: The topic of the impact of tooth extraction on the airway can be very contentious. My hope is this article serves as a tool to allow collegial discourse between restorative dentists concerned with airway and the orthodontists who they look to for solutions.

Recently, I had a new patient come to see me “looking for some veneers.” She had four bicuspids removed for orthodontics in the early 1970s and was given a headgear, but routinely found it on the floor at night. Also, her tonsils and adenoids were removed when she was very young due to recurrent infections.

She complains of a lifetime of poor sleep and never feeling refreshed. She is on multiple high blood pressure medications and has reflux. Ten years ago, she was snoring so badly her husband requested a sleep study.

The study diagnosed her with snoring and apnea. The treatment was UPPP (palatal surgery) and repair of a deviated septum. She feels that she can breathe better than before the surgery, but the symptoms never cleared. She still snores and has unrefreshing sleep.

My examination revealed multiple teeth with recession, some significant. Generalized pathologic wear and erosion. The maxillary anterior teeth were retroclined with lingual facets from pathway wear. The lower anteriors were over erupted. The tongue volume appeared normal, but the oral volume was limited. Her airway, on examination, was constricted with an exaggerated protective retraction of her tongue during examination of the oropharynx.

I thought to myself, “Could the removal of four teeth and subsequent retraction of the anterior teeth be culpable in her medical and dental history?”

The OSA and orthodontics relationship is relatively new

In 2019, the American Association of Orthodontists (AAO) released its “Obstructive Sleep Apnea and Orthodontics” white paper. It was the culmination of a two-year project by a panel of sleep medicine and dental sleep experts. They were tasked to produce guidelines for the role of orthodontists in the management of obstructive sleep apnea (OSA).

In the end, the group could not develop any formal OSA guidance for orthodontists. This is interesting given that orthodontists are charged with managing the anatomy of the airway and they work with medical providers on airway anatomy issues like cleft palates and orthognathic surgery.

While it was not stated in the paper, in my opinion, the reason for the lack of specificity of recommendations comes from the nature of the science that was being evaluated. When medical colleagues review dental literature, routinely they are struck by the poor quality of the data. Dental research is typically not well funded, the numbers of participants are limited, the follow-up is short, and it lacks untreated control subjects.

Orthodontics takes years to complete and many years to determine any impact. And finally, the relationship between OSA and orthodontics is a relatively new concept that has rarely been tested in sleep laboratories. Instead, most studies on airway change look at cephalometric or CBCT volumetric alteration and infer (all be it incorrectly) that bigger is better. The conclusions of the AAO white paper are, therefore, going to be constrained by this lack of quality evidence.

Bicuspid extraction addressed

Curiously, section 12 of the AAO white paper, “Fallacies About Orthodontics in Relation to OSA,” addresses the issue of bicuspid extraction. It begins, “Conventional orthodontic treatment never has been proven to be an etiologic factor in the development of obstructive sleep apnea. When one considers the complex multifactorial nature of the disease, assigning cause to any one minor change in dentofacial morphology is not possible.”

This conclusion is true, but the key word is “proven.” There is also a lack of proof orthodontics is not a factor in the development of OSA. The disease is multifactorial but minor changes in oral volume, vertical dimension, and mandibular protrusion have been shown to change the airway and sleep apnea significantly. To argue that removal of four teeth is an unremarkable change is, at least, questionable given available data.

The paper continues, “The specific effects on the dental arches and the muscles and soft tissues of the oral cavity following orthodontic extractions can differ significantly, depending on the severity of dental crowding, the amount of protrusion of the anterior teeth and the specific mechanics used to close the extraction spaces.”

Zhiai Hu1 published a systematic review evaluating the effect of teeth extraction on the upper airway. It included only seven articles. They were divided by the reason for treatment:

The Class I bimax group all had anterior tooth retraction without boney changes. Three of the four articles showed a reduction in upper airway dimension, the last showed a reduction but not to the level of significance.

The one article on crowding differed because the orthodontic technique allowed the molars to move forward ~3mm. That created an increase in the airway dimension.

Finally, the unspecified group did not provide a discussion of the direction of movement (retractive or molar movement) and found small increases for both extraction and non-extraction groups. A conclusion that can be reached from this review is if you retract the anterior teeth, the airway size reduces and if the molars move forward, the airway improves or remains the same.

Impact of volumetric change

The white paper goes on to state, “The impact that orthodontic treatment with or without dental extractions may have on the dimensions of the upper airway also has been examined directly, first with two-dimensional cephalograms and more recently with three-dimensional CBCT imaging…

“In discussing orthodontic treatment to changes in the dimensions of the upper airway, it also is helpful to understand that an initial small or subsequently reduced or increased size does not necessarily result in a change in airway function.”

This is one of the issues medicine has with dental literature. Dental researchers rarely study the actual impact of the volumetric change. It is not enough to say the space is smaller. It needs to be quantified with sleep data. It also needs to be followed over time.

However, Christian Guilleminault highlighted a reduction in the ideal size of the upper airway can lead to abnormal breathing over time, initially with flow limitation, then with a progressive worsening toward full-blown OSA.2> Rarely would testing at the completion of orthodontics demonstrate a compromise. It is the stressful breathing night after night that compromises the airway and makes people more prone to breathing issues during sleep.

Existing evidence suggests the opposite

The AAO white paper does highlight a paper that attempts to answer the question about compromise later in life.

“One such study assessed dental extractions as a cause of OSA later in life with a large retrospective examination of dental and medical records… The study concluded that the prevalence of OSA was essentially the same in both groups, and that dental extractions were not a causative factor in OSA.”

A.J. Larsen3 reviewed insurance records for 5,500 patients between the ages of 40-70. Dental radiographs determined if the subjects were missing four bicuspids or had a full complement of teeth. They matched the two groups for age, BMI, etc. Then they reviewed their medical records to see if the subject had received a diagnosis for apnea.

The results showed that 9.56% of the non-extraction and 10.71% of the extraction group had a diagnosis of OSA. This was not significantly different. Thus, the authors’ conclusion was there was not a relationship between OSA and premolar extractions.

It is currently estimated that 80-90% of OSA patients are undiagnosed. Larsen’s paper states because the subjects all have insurance, they would expect physicians would note the symptoms and get them a sleep study and diagnosis.

There is absolutely no evidence to support that assertion and the existing evidence suggests just the opposite. From pediatricians to primary care, physicians are not diagnosing apnea effectively. The conclusion of the article should be extraction and non-extraction individuals are underdiagnosed at almost the same rate.

Orthodontic literature is not conclusive

The AAO paper goes on to state, “Overall it can be stated that existing evidence in the literature does not support the notion that arch constriction or retraction of the anterior teeth facilitated by dental extractions, and which may (or may not) be the objective of orthodontic treatment, has a detrimental effect on respiratory function.”

Once again, it is true existing evidence does not support that position because there is no quality evidence at this time, not that the relationship does not exist. This should, in my opinion, be a call for more research rather than posturing the topic as a fallacy.

Orthodontic literature is not conclusive on whether premolar extractions impact the airway. A weakness of all the studies is they are based on CBCT or cephalometric radiographic measurements and not sleep data. How a patient uses the existing airway volume is more critical than the size and that’s never measured.

Is there ever a time when I agree with an orthodontic recommendation of extractions? Absolutely. I will, however, ask my specialist:

The most important take away should be the need to intervene earlier. Attempting to direct craniofacial development may keep us from ever needing to know the answer to, “Does the extraction of four bicuspids impact the airway?”

Jeffrey Rouse, D.D.S., is a member of Spear Resident Faculty.

1. Hu Z, Yin X, Liao J, Zhou C, Yang Z, Zou S. The effect of teeth extraction for orthodontic treatment on the upper airway: a systematic review. Sleep and Breathing. 2015;19(2):441-451.

2. Guilleminault C, Huseni S, Lo L. A frequent phenotype for paediatric sleep apnoea: short lingual frenulum. ERJ Open Research. 2016;2(3):00043-02016.

3. Larsen AJ, Rindal DB, Hatch JP, et al. Evidence Supports No Relationship between Obstructive Sleep Apnea and Premolar Extraction: An Electronic Health Records Review. Journal of Clinical Sleep Medicine. 2015;11(12);1443-1448.

This content was originally published here.

Invisalign just conducted a global ad agency review as it looks to ramp up its marketing to fend off rivals like SmileDirectClub

  • Invisalign has dominated the rapidly-growing clear braces market, with 2018 revenues up 29.4% to $1.7 billion, but it faces competition from DTC rivals like SmileDirectClub.
  • SmileDirect went public this week at a valuation of $8.9 billion.
  • To maintain its status in the market, Invisalign plans to boost ad spend across platforms to target an audience beyond orthodontists and parents of teenagers.
  • The company recently conducted a global ad agency review that pitted the three largest holding companies against one another.

Adults of a certain age who know the pain of wearing braces understand why clear plastic aligners that provide a less invasive and unsightly alternative make up a rapidly growing industry. 

Invisalign pioneered the technology more than 20 years ago, but now it finds itself facing fresh competition from direct-to-consumer challengers. Parent company Align Technology’s stock price has dropped by more than 50% in the past year as competitors encroach on its market share.

That competition has come from companies like SmileDirectClub, a five-year-old Nashville-based startup that allows customers to skip the doctor’s office and buy aligners straight from its own website or nearly 400 retail locations, which this week went public at a valuation of $8.9 billion. The stock dropped 28% on the first day of trading, but cofounders Jordan Katzman and Alex Fenkell still became two of America’s youngest billionaires overnight, as Business Insider reported.

Invisalign previously invested in SmileDirectClub, but now it’s looking to hold off the rise of that brand and other challengers like Candid Co. by expanding its advertising efforts. 

Publicis beat out WPP and Omnicom to win a three-way holding company pitch.

One source with knowledge of Invisalign’s strategy said the company, which has primarily advertised to orthodontists and parents of teenagers in the past, wants to build on consistent growth in the category by increasing its ad spend to target new audiences on more platforms. International consultancy Comvergence estimated that Align Technology spent about $10 million advertising the brand in the US last year.

A spokesperson said the company does not comment on its advertising business.

Read more: Buzzy healthcare startup SmileDirectClub just went public. Here are the execs and investors who stand to benefit the most.

Several sources with direct knowledge of the matter said Align Technology recently consolidated the Invisalign brand’s creative, digital, and media buying business with Publicis Groupe after conducting a global review that pitted the world’s three largest ad agency holding companies — WPP, Omnicom, and Publicis — against one another.

These parties told Business Insider that a multi-agency Publicis team beat out its bigger competitors to win the business this week. Spokespeople for all three companies declined to comment.

Prior to the review, WPP’s Wavemaker and MDC Partners’ Colle and McVoy handled ad buying and creative duties for Invisalign, respectively. The latter agency was not involved in the review and will end its four-year relationship with the brand by the end of the year.

SmileDirectClub follows the ad industry’s in-housing trend, hiring top agency talent to build its own team.

This strategic shift follows the dissolution of a financial partnership between the company and its most prominent competitor. Align purchased a 19% stake in SmileDirectClub before approximately 40 of its own key patents expired in 2017, but earlier this year an arbitrator found that it had violated a non-compete clause by copying SDC’s store concept, forcing the closure of its 12 retail locations and the return of its ownership stake.

“Invisalign treatment is the most advanced clear aligner system in the world and backed by more than 22 years and over $1 billion investment in technology and R&D,” read a statement from an Align Technology representative who said the company no longer holds any interest in its rival.

Meanwhile, SmileDirectClub has taken a very different approach to its own marketing efforts by bringing all of that work in-house.

At the beginning of the year the company hired Bruce Henderson, formerly chief creative officer at IPG events agency Jack Morton, to run its 125-strong internal team, and in May it blanketed New York’s Times Square with an out of home campaign including digital billboards and ads in nearby taxis and subway stations as it prepared to go public.

SmileDirectClub CEO David Katzman rang the Nasdaq opening bell along with cofounders Alex Fenkell and Jordan Katzman on September 12, the day the company’s stock began trading. A representative did not respond to a request for comment on this story.

SEE ALSO: Meet the 30-year-old cofounders of SmileDirectClub, Jordan Katzman and Alex Fenkell, who just became 2 of the youngest billionaires in the US

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NOW WATCH: This Facebook exec cofounded and then got fired from Pets.com. Here’s why she is no longer hiding from this failure.

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How Young Can Kids Get Braces? An Orthodontist Weighs In

Youve adored your childs goofy grin since forever. Then, those beautiful little baby teeth fall out and in come the permanent ones. If your kids teeth begin to grow in crooked or flaring, you might find yourself thinking about correcting that dental dilemma. So how young can your child get braces if it turns out they might need it not only for a straight smile, but also help the way they might eat and speak.

“The American Association of Orthodontics (AAO) recommends that children have their first orthodontic consultation at the age of seven, Dr. Erika Faust, an orthodontist at Elite Orthodontics in New York City, tells Romper. By this age, your childs first adult molars have appeared and her permanent bite has been established. So, if there is any deviation from a normal bite we can take steps to correct it early. Of course, there are some exceptions to this rule, such as correcting a thumb-sucking habit or for a patient who might need to learn proper tongue placement while swallowing, reported the American Association of Orthodontics (AAO).

During an initial visit, there are some things that orthodontists look for to see if getting braces at an early age might be necessary. At the first consultation, we determine if there are any severe bite or alignment issues that need to be immediately addressed, and if so, we begin treatment, says Dr. Faust. In many cases, more moderate orthodontic treatment is recommended and the patient can wait until most baby teeth have come out. That said, an early intervention procedure might be performed prior to getting braces, such as removing a baby tooth, so that a permanent tooth can take its place. Orthodontists also evaluate for proper tooth development and eruption to make sure that all of the permanent teeth are coming in properly. Thats why taking your child to the orthodontist for an initial appointment sooner rather than later can help determine if early intervention methods might be necessary.

In most cases, braces go on around ages 11-13. At this point, pretty much all of your childs baby teeth will have fallen out and hell have his permanent ones. And thats when you might start seeing superficial issues, like crowding or crooked teeth. But theres a small window when orthodontics will work, and thats mostly due to your child’s age and attitude. Starting treatment later than ages 11-13 risks poorer patient cooperation and the likelihood that treatment wont be finished before important life events like senior pictures, prom, and graduation, explains Dr. Faust. That’s why it’s best for your child to brace himself (ha) and get braces before becoming a full-blown teenager.

But having straight teeth isnt the only end goal of electing to get braces. Proper orthodontic treatment can allow your child to chew and eat correctly as well as speak more clearly. Jaw discrepancies are corrected much easier and faster in growing children than in adults, says Dr. Faust. Neglecting these issues can result in the need for a much longer time in braces in adolescence, extraction of permanent teeth, and in severe cases, jaw surgery later in life.

Getting braces is almost a rite of passage in the tween years. While most children should be assessed during their elementary school years, middle school is often when many kids begin orthodontic treatment. And before you know it, your child’s smile will be picture-perfect once again.

This content was originally published here.

Candid adds connected device to remote orthodontics – MedCity News

The ScanBox connected device helps to monitor patients who are using aligners virtually.

The device looks like a virtual-reality headset. But instead of covering people’s eyes, it peers into their mouths.

A teledentistry startup — Candid — hopes the device can give it an edge in the crowded field of straightening people’s teeth.

The company is one of several offering clear teeth aligners and treatment plans to match. This year the company has been field-testing a technology called Dental Monitoring that involves handing patients a connected device, called a ScanBox. The device connects to a patient’s smartphone, captures images and sends them to a remote orthodontist. The uploaded images also are scanned using an AI algorithm that can track a patient’s progress, assess their oral hygiene and detect any potential health issues, such as visible cavities or gingival recession.

Patients are asked to send images every seven to 10 days, more often than they would go for checkups at a traditional orthodontist, said Dr. Lynn Hurst, chief dental officer for Candid, in a phone interview.

Hurst, who is based in Austin, Texas, had been using an earlier version of the technology in his own practice since 2016. The introduction of the ScanBox has made it easier to use, he said.

“It’s extremely robust,” Hurst said.

Based in New York City, Candid was founded in 2017 and features a network of several dozen orthodontists. Some patients may be assessed in one of Candid’s retail studios in major cities like Atlanta, Chicago, San Diego and Seattle. Others come through online channels.

An orthodontist reviews each patient’s case, determines whether they are eligible for treatment and, if so, comes up with a treatment plan. The aligners are then mailed to patients, who generally must be at least 16 years old and have mild to moderate alignment issues. Orthodontists monitor their treatment.

Altogether, the program costs about one-third as much as traditional teeth straightening, said Nick Greenfield, Candid’s president and CEO.

Dental Monitoring will add a couple hundred dollars to the price. But patients using the ScanBox have been more likely to stick to their treatment plans and complete their plans more quickly, Greenfield said in a phone interview. Compliance typically is around 80% range. Patients on Dental Monitoring were 95% compliant, he said. And their treatment time was 27% shorter on average.

The company evaluated other devices but its orthodontists liked the Dental Monitoring program best. The ScanBox and the program are the products of a company itself called Dental Monitoring.

“For us it was a really exciting opportunity,” Greenfield said, adding that Candid’s goal is to make care safe, accessible and affordable.

The global market for clear aligners is valued at roughly $2.2 billion but is expected to reach $8.2 billion by 2026, according to a report by Fortune Business Insights. Candid has plenty of company in the market. There are Invisalign clear aligners made by Align Technology Inc. and mail-order provider SmileDirectClub Inc. SmileDirectClub went public this year but has faced criticism, as has remote orthodontics in general. The American Association of Orthodontists has issued a consumer alert on direct-to-consumer orthodontic companies.

However, Candid executives defended their approach saying that it exceeds the standard of care offered in bricks-and-mortar offices.

“Not only am I doing what they’re doing in their practices, I’m actually going beyond that,” said Hurst, a co-founder of Candid. He sees patients through the Candid platform and noted that it is designed and implemented by orthodontists themselves.

“I think that’s extremely critical,” Hurst said. “We’re the experts in that space.”

Hurst was one of five orthodontists in the Candid network who field-tested the Dental Monitoring program. It was offered first to patients who came in through Candid’s studios, where aides could train patients in using the ScanBox. In early 2020 it will be available to patients online.

The program also could allow Candid to expand into moderate and moderate-to-severe cases of misaligned teeth, a condition known as malocclusion, Hurst said.

For now, he said, “We’re just choosing to stay in the shallow end of the pool.”

Hurst said his practice also has been testing remote services for patients under 16, though it means ensuring parents are on board as well.

So far Hurst has tested starting treatment of children with in-person consults at a Candid studio and with remote consults via audio-video conference. Those have gone well, he said. The next step is to start treatment entirely online, where a patient uploads information and waits for the orthodontist’s response and treatment plan.

“Ultimately our patients will tell us, and our parents will tell us, does that make them comfortable,” Hurst said.

Photo: Candid

CORRECTION: An earlier version of the story wrongly identified the chief dental officer of Candid. His name is Lynn Hurst and not Nick Hurst. The company is based in New York, not Austin.

This content was originally published here.

Machine learning helps Invisalign patients find their perfect smile | CIO

Machine learning helps Invisalign patients find their perfect smile

Align Technology’s mobile app helps Invisalign wearers stay on schedule, while machine learning and other features help lure prospective consumers to try the orthodontic device.

The mobile computing trend requires enterprises to meet consumers’ expectations for accessing information and completing tasks from a smartphone. But there’s a converse to that arrangement: Mobile has also become the go-to digital platform companies use to market their goods and services.

Align Technology, which offers the Invisalign orthodontic device to straighten teeth, is embracing the trend with a mobile platform that both helps patients coordinate care with their doctors and entices new customers. The My Invisalign app includes detailed content on how the Invisalign system works, as well as machine learning (ML) technology to simulate what wearers’ smiles will look like after using the medical device.

“It’s a natural extension to help doctors and patients stay in touch,” says Align Technology Chief Digital Officer Sreelakshmi Kolli, who joined the company as a software engineer in 2003 and has spent the past few years digitizing the customer experience and business operations. The development of My Invisalign also served as a pivot point for Kolli to migrate the company to agile and DevSecOps practices.

The pitch for a perfect smile

My Invisalign is a digital on-ramp for a company that has relied on pitches from enthusiastic dentists and pleased patients to help Invisalign find a home in the mouths of more than 8 million customers. An alternative to clunky metal braces, Invisalign comprises sheer plastic aligners that straighten patients’ teeth gradually over several months. Invisalign patients swear by the device, but many consumers remain on the fence about a device with a $3,000 to $5,000 price range that is rarely covered completely by insurance.

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ClearCorrect vs Invisalign: Benefits, Before and After, Safety, and Cost

Contents

If you’ve been thinking of getting your teeth straightened, you probably know how difficult it is to find a treatment option that’s tailor-made to your unique goals. Traditional braces have been proven effective, but there’s a host of downsides, too — they’re bulky, uncomfortable, and not the most attractive option.

Enter invisible braces. Chances are you’ve already heard about Invisalign, but there’s another company that’s out to revolutionize the way we smile. ClearCorrect invisible braces are a new kind of orthodontic treatment that promises straight teeth with the least amount of fuss.

Bonus points: these industry-disrupting braces are made in the United States by a socially conscious company that uses recycled and eco-friendly packaging. These details, coupled with the fact that they’re more affordable than the competition, make ClearCorrect a popular choice among millennials.

What is ClearCorrect?

ClearCorrect aligners are a unique alternative to traditional metal braces. The primary benefit is that they’re totally invisible — in theory, they’ll give you a straight smile without anyone even noticing. They’re also removable, which means you can take them out before eating or during special occasions.

Like most clear aligners, ClearCorrect braces provide gradual adjustments to the teeth. Your orthodontist will first take photos and x-rays of your smile and then submit your prescription to ClearCorrect. Next, the company will create a set of custom aligners just for you. Occasionally, your orthodontist will request new sets that change along with your teeth.

Most people are required to wear their clear braces for up to 22 hours a day until an orthodontist deems the treatment plan complete. Treatment time varies from person to person, but most people see full results within one to two years.

Orthodontists recommend this treatment for both adults and teenagers to correct crowded teeth, spacing, underbites, overbites and crookedness.

Does ClearCorrect work?

ClearCorrect has been proven effective in a wide range of orthodontic studies.

One study showed that it was a valuable tool in correcting anterior crossbite, a condition where the top teeth rest behind the bottom teeth when the mouth is closed. Another showed that it was a great option for treating the correction of crowding, an issue that makes it hard to floss between teeth and compromises a perfectly straight smile.

Not only that, but ClearCorrect can be used in instances where traditional orthodontics failed. For example, some orthodontists use ClearCorrect as a solution to issues caused by traditional orthodontic bonding. In other words, clear braces are as good as — and in some cases even better — than traditional methods that are commonly used to straighten teeth. There’s even evidence to suggest that they’re just as effective at treating severe crowding as standard methods.

What’s better, ClearCorrect or Invisalign?

ClearCorrect and Invisalign are often compared, primarily because they both provide clear, custom-fit aligners that are more appealing to those who don’t want to fuss with traditional braces.

Both are excellent options with successful track records for mild to extreme cases of various dental issues. In either case you will be required to wear your custom-fit aligners for the majority of the day, except when you’re eating, drinking, flossing or brushing your teeth.

Still, there are some differences. The most significant reason why many orthodontists and patients are beginning to favor ClearCorrect over Invisalign is the cost: since ClearCorrect only charges the dentist a third or less of the cost of Invisalign, many dentists feel that it’s a more profitable option.

What’s more, many people report that ClearCorrect aligners are more comfortable than Invisalign. This is because ClearCorrect fabricates several trays at a time to ensure that they fit perfectly. Some patients also prefer ClearCorrect because their aligners are made in America.

>>To learn more frequently asked questions about Invisalign, check out our article on how Invisalign works

Does ClearCorrect hurt?

Doctors often recommend the use of ClearCorrect and other invisible braces as a more effective treatment option for patients who have “appliance-phobia.” This means that people who have fears associated with fixed appliances on the teeth (i.e. traditional braces) tend to do better with removable aligners that aren’t permanent.

Metal braces can be uncomfortable and even painful, which is why many people are hesitant to go the traditional route. On the other hand, ClearCorrect is virtually pain-free. A multi-stage polishing process ensures that no sharp or rough edges are found on the aligners, making ClearCorrect a relatively comfortable experience, even when worn for long periods of time. And while most patients do experience some mild discomfort in the first couple of days of wearing ClearCorrect aligners, this typically fades away relatively quickly.

When you’re wearing ClearCorrect aligners that are properly fitted to your teeth and gums (achieved through a 3D model that perfectly matches your teeth), you shouldn’t feel a thing. With that said, some patients do complain of sore gums. You should see your orthodontist if this persists for more than two days — he or she will be able to tell if your aligners are not the ideal size and shape for your mouth.

Are ClearCorrect aligners safe?

Most people aren’t too keen on the idea of having a foreign object inside their mouth for most of the day. That’s totally understandable.

The good news is that ClearCorrect aligners are designed to be safe for long-term use. They contain no BPA or phthalates, and have been approved for use by the FDA. Because of this, ClearCorrect is generally considered safe for use by pregnant or nursing patients. Nevertheless, you should speak with your primary care physician and orthodontist if you become pregnant while using ClearCorrect.

How much does ClearCorrect cost?

As mentioned above, the cost of ClearCorrect makes it one of the most desirable orthodontic treatment options on the market for those who dream of straight teeth.

ClearCorrect treatment costs less than Invisalign and other clear aligner treatments because the company itself charges ClearCorrect providers significantly less.

There are several different treatment plans which differ in terms of cost. Your customized treatment will help you determine the right option for your budget and dental needs. The company offers Flex (limited) and Unlimited pricing options. Those who require the full treatment option can expect to pay anywhere between $4,000 and $5,000 for the best results. The Flex option is a good choice for those who don’t have severe crowding or crookedness, and costs between $2,500 and $3,500 total.

Will my insurance cover it?

Another great thing about ClearCorrect is that many dental insurance companies cover the procedure right alongside traditional braces and other orthodontic treatments.

Make sure to check with your insurance provide to see whether or not this type of treatment — which typically falls under the category of clear aligners — is covered. Those who do qualify for some relief under insurance may be able to save up to $3,000 on ClearCorrect braces.

Is ClearCorrect better than traditional braces?

As modern dentistry advances, it’s becoming more and more apparent that clear braces have the capacity to do all of the same things that metal braces can and more. In fact, one of the biggest myths associated with clear braces is that they move teeth more slowly than their metal counterparts. This just isn’t true. A good straightening treatment will work as quickly (or as slowly, depending on your perspective) whether the aligners are made of metal, ceramic or plastic.

Metal braces aren’t the most economical option — a full treatment rings up for as much as $6,000 — but they are almost always at least partially covered by insurance. However, metal braces are by and large considered the most durable solution out there.

The fact that metal braces last longer than other types makes them appealing for people who have to wear braces for long periods of time. Make sure to talk to your orthodontist or ClearCorrect provider about all of your different treatment options before committing to one.

This content was originally published here.

O’Leary retires; Tsunoda to take over orthodontics practice – Wisconsin Rapids City Times

For the City Times

WISCONSIN RAPIDS – Dr. Michael O’Leary, of O’Leary Orthodontics, will retire after 42 years practicing orthodontics in the Wisconsin Rapids area.

“I extend my deepest and sincere thanks for the confidence, trust, and support shown throughout the years by my patients and the community,” Dr. Michael O’Leary said. “Superior care for my patients is of utmost importance to me. We took some time to find the right doctor and I am thrilled to announce that Dr. Kan Tsunoda joined the practice in May. I will miss all of you very much, but I know you will really like him.”

Dr. Kan Tsunoda will continue to provide orthodontic treatment under the new practice name “Rapids Orthodontics.”

“Rest assured, the familiar faces on the orthodontic support team will still be at Rapids Orthodontics to provide the same level of personalized care,” the company said in a release.

Tsunoda attended dental school at Midwestern University College of Dental Medicine-IL and completed his masters in oral biology and orthodontic specialty certificate at the University of Illinois at Chicago.

Tsunoda said he enjoys the outdoors and is excited to be a part of the community with his wife and four daughters.

For more information, call 715-421-5255 or visit www.RapidsOrthodontics.com.

Rapids Orthodontics is located at 440 Chestnut Street, Wisconsin Rapids.

This content was originally published here.

Designing a Welcoming Orthodontics Office – Spear Education

With more adults being referred for orthodontic care, it’s necessary to create an office that is welcoming not only for children, but for older patients, as well.

The first thing your patients notice when they walk into your practice is the design. With that in mind, use these office design techniques to make your practice feel more welcoming for patients of all ages.

Adult-friendly amenities

Filling an orthodontics office with toys, video games and family-friendly movies may be a hit for kids. However, the approach does not provide key conveniences for adult patients, who account for one in four of the orthodontic patients in the U.S., according to the American Association of Orthodontists.

“Most ortho practices are set up to be efficient for providers, and attractive to children and adolescents, who are generally their target market,” said Spear Resident Faculty member Dr. Cheryl DeWood.

After 22 years in private practice as a general practitioner, Dr. DeWood chose to pursue an education and career in orthodontics.

Based on her experience as a practicing orthodontist since 2005, Dr. DeWood learned that an office designed around child-like elements fails to make adult patients feel welcome.

“This type of set-up emphasizes a ‘fun’ or juvenile atmosphere and is generally lacking in adult amenities, including private treatment areas,” Dr. DeWood said. “For GPs who are looking to refer adults, this isn’t very appealing.”

“I have been telling my colleagues for years that they are missing a growing part of the ortho market by limiting their ability to accommodate adult patients,” she said.

For example, the ADA Marketplace blog recommends that “stacks of magazines, books or newspapers can help keep the adults happily preoccupied.”

The ADA also encourages having soothing music playing in the office and access to refreshments like coffee and tea.

Effective use of color and light

The color scheme you pick for your practice can have a significant psychological impact on your patient. According the ADA Center for Professional Success, utilizing bright and bold colors like red and yellow can cause your patient’s anxiety to rise, whereas shades like sky blue or cool-toned purples can have more of a relaxing or cheerful effect.

Orange, the complement to blue on the color wheel, can be used for smaller touches in an orthodontics office for a bright accent. But if orange is used too much, it can be overstimulating.

Industry experts also recommend adding a few lamps with warm bulbs to your office to create a sunny, inviting space, or swapping out old light fixtures for lamps with a modern look for a fresh, new atmosphere.

Reduce stress with aquariums

It’s no accident that fish tanks are utilized in numerous dental and health care offices.

A 2015 U.K. study by the National Marine Aquarium, Plymouth University and the University of Exeter found that viewing an aquarium display led to lower blood pressure, lower heart rate and an improvement of mood, and these benefits increase as the number of fish increase.

The study says that “an individual does not need to spend long in front of an (aquarium), just five minutes, to derive significant benefits.”

The ADA Marketplace blog adds that aquariums can be particularly helpful for offices that have pediatric patients but can decrease stress in patients of all ages.

According to the ADA, “not every aquarium has to have the grandeur (or price tag) of a 1,000-gallon tank. A simple tank is a great tool for keeping people calm as the colors, lights and animal life provide a healthy distraction from stress.”

This content was originally published here.

Cranston orthodontist fears a burglary, but finds a turkey

John Hill Journal Staff Writer jghilliii

CRANSTON, R.I. — It was Columbus Day and Joseph E. Pezza and his wife had gotten back from a weekend in Nashville. The Pontiac Avenue orthodontist decided to stop by the office to check the mail and make sure everything was set for Tuesday morning.

But someone was already waiting in the office. He’d come through the office window, a fully grown wild turkey.

The waiting area was strewn with broken glass, Pezza said, and at first he thought he been the victim of a burglary. He went into his office to leave a message for the building manager and while he was wondering if he should call the police, the reason for the carnage became apparent.

“I went back into the room and all of a sudden this bird flies over my head,” Pezza said.

Pezza said he immediately headed back to his office, closed the door and waited for the building crew.

Pezza and his son Gregory are Pezza Orthodontics, located in a four-story office building off Pontiac Avenue near the interchange with Pontiac Avenue and Route 37. Birds sometimes bump into the back windows of the building, some of the office staff said, but the turkey was a first.

“It was double-pane glass, “ Pezza said, in wonder that the bird could fly high enough and fast enough to smash through the window. And survive

The maintenance crew worked to get the bird into a large bucket to get the bird out of the building, Pezza said, but it collapsed and died, possibly of shock or injuries suffered in the crash.

For now, the window is covered with a square of wood, with a felt turkey hanging from the center.

He declined to say if the incident was going to affect his plans for Thanksgiving.

This content was originally published here.

Visiting an Orthodontist – Women Fitness Magazine

The Benefits of Visiting an Orthodontist
The Benefits of Visiting an Orthodontist

The Benefits of Visiting an Orthodontist : When we know that something is going wrong with our teeth, a toothache or sensitivity perhaps, we generally think about making an appointment to see a dentist. However, what about when you have a dissatisfaction with your smile?

If you have always been unhappy about the state of your teeth or you just want to see an improvement in your smile, then what you need to do is visit an orthodontist. You may be interested to know that your orthodontist in Stockport can offer various non-surgical treatments that your dentist can’t. Read on to find out what services your orthodontist can provide:

What does an Orthodontist do?

An orthodontist is a qualified dentist who has undertaken years of study to become a specialist. He or she can help adults and children alike with common dental problems using a variety of non-surgical procedures and corrective appliances. These include aligners such as Invisalign or metal braces to correct crooked teeth, but this is just one of the issues an orthodontist can help with.

An orthodontist can diagnose a problem which may not have occurred to the patient, but which has been causing significant difficulties in eating and smiling and could even have been causing pain. These can include:

An incorrect jaw position or jaw joint disorder such as temporomandibular disorder, or night-time teeth grinding can also be diagnosed and treated.

Other services which an orthodontist can provide include:

Why visit an Orthodontist?

Too many people are inclined to simply put up with dental problems, particularly where there are cosmetic anomalies rather than having things fixed. The problem is that if things are not treated, they can go on to become much worse over time.

For example, where the teeth are overcrowded or overlapping, they can be difficult to clean properly. Eventually, this could lead to tooth decay and even gum disease. A gap in the teeth, which is called a diastema, can become larger over time and this can have the effect of pushing adjoining teeth out of position. An orthodontist can correct this by pulling the teeth back together essentially filling in the gap.

Problems with the teeth generally start in childhood and having misaligned teeth, or too many teeth, in childhood can be especially problematic for the child as they grow. Early visits to an orthodontist are advisable where braces will usually be recommended and fitted to precisely correct the child’s problem teeth.

Gum Disease

Dentists will always advise on how to prevent gum disease and will tell you that the best way is to practice correct oral hygiene through regular brushing and flossing of the teeth, and using the correct type of toothbrush and toothpaste. Unfortunately, gum disease is still a problem which if left untreated can have far-reaching effects.

Gum disease begins with plaque, which if not properly removed turns into tartar. This build-up can cause the gums to become sore and inflamed. Tartar is very difficult to remove and can only be removed professionally by your dentist or orthodontist.

When teeth are misaligned or overcrowded, there is a greater likelihood of developing gum disease through an inability to clean them properly, but if your teeth are correctly aligned and spaced this likelihood reduces. Corrective orthodontic treatment, along with advice on correct brushing and flossing techniques, will ensure good oral health as well as a healthy smile you can be proud of.

Related Videos about the Benefits of Visiting an Orthodontist :

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The benefits of Orthodontics and Straight Teeth In Children and Adults – Winnipeg Dentist

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orthodontist appointment stages, how long after your first orthodontist appointment do you get braces, orthodontist consultation fee, orthodontist vs dentist, what happens at your second orthodontist appointment, orthodontist consultation questions, orthodontist meaning,


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Dr. Mario Paz: Orthodontist Shares Stress Reducing Tips for Those Grinding Teeth Over Pandemic Fears | eNewsChannels News

(MARINA DEL REY, Calif.) — NEWS: Throughout his 30-year career, Dr. Mario Paz is used to hearing reasons why patients grind their teeth at night, but now it’s about COVID-19. “Fears of the virus are creating new anxieties causing patients to clench their jaws for sustained period. This alters their bite causing pain,” he says.

According to Dr. Paz, “Stress is something we must attempt to manage, or it will manage us. Teeth grinding may lead to jaw pain and what is known as Temporomandibular Joint Dysfunction (TMD), which may require braces to correct.”

Instead, Dr. Paz encourages people to focus on gratitude as a way of reducing their anxiety. “The first step is to be intentional, acknowledging stress takes a toll on the body and the mind. A powerful antidote is to cultivate an attitude of gratitude,” he advises.

According to a Harvard Mental Health Letter dated June 5, 2019, “In Praise of Gratitude,” expressing thanks can lead to improved health and greater happiness. The article gives six suggestions for cultivating gratitude, including writing a thank you note and jotting down three to five things you’re grateful for each week. “As you write, be specific and think about the sensations you felt when something good happened to you,” the article states.

Patients suffering symptoms due to excessive grinding should contact their dental professional after COVID-19 quarantines have been lifted. “Hopefully, we can all better manage stress from this virus in the days ahead,” says Dr. Paz.

About Dr. Mario Paz Orthodontics

Since 1990 when Dr. Paz opened his Beverly Hills office he has been as known as a pioneer in lingual braces technology, better known as “invisible” braces. Past president of the American Lingual Orthodontic Association (ALOA), Dr. Paz taught lingual braces at the UCLA Orthodontics School for two years and is a member of the European Society of Lingual Orthodontics, Sociedad Ibero-Americana de Ortodoncia Lingual, the American Association of Orthodontists, American Dental Association, the Western Los Angeles Dental Association and founding Member of the World Society of Lingual Orthodontics. Dr. Paz is now exclusively located in Marina Del Rey.

Learn more at: https://www.invisiblebraces.com/meet-dr-mario-paz/

For more information:
Dr. Mario Paz
310-822-4224
info@invisiblebraces.com

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Behind the Scenes at Our Invisalign® Treatment Consultation – Happy Mothering

Last Updated on

This post was sponsored by the Invisalign® brand and all opinions expressed in my post are my own.

A couple of months ago, we were presented with the opportunity to partner with the Invisalign® brand for complimentary treatment for our daughters. Our girls are 9 and 11, so they’re right at the age where we are exploring different options for orthodontic treatment. We knew Zoë definitely needed to have her overbite corrected and Kaylee has expressed interest in having her teeth straightened, so they were both pretty excited to go see the orthodontist.

We were worried about braces since snowboarding is such a huge part of the girls’ lives. I can’t imagine how painful it would be to smack your face with braces. So the idea of Invisalign treatment over traditional braces was definitely appealing to all of us.

To find out if they qualified for treatment, we scheduled an initial consultation for both girls! Brian even created a really great video of our entire visit so you can actually experience the initial consultation first hand. After watching the video, you can read more details about our experience under the video.

What is Invisalign Treatment?

If you’re not familiar with Invisalign treatment, it’s an alternative to traditional braces. It’s actually considered the most advanced aligner system in the world! Unlike braces, Invisalign treatment is a convenient system for straightening teeth that allows you to remove the nearly clear aligners to enjoy the foods you love and maintain good oral hygiene.

How it works is that you get a series of clear aligners made that will slowly straighten your teeth by shifting them just a little bit at a time. The material the aligners are made from has been shown to straighten teeth more predictably than any other clear aligners*, so that’s something to keep in mind when you’re considering your options. I was surprised to learn that Invisalign clear aligners are able to move teeth horizontally, vertically, and can even rotate them if necessary. I always assumed, incorrectly, that they were only for minor corrections.

* Compared to off-the-shelf, single layer .030in material

Since they’ve been on the market for over 20 years now, they’ve had a lot of experience helping people with everything from simple to complex orthodontic cases. So far, more than 6 million people have gone through Invisalign treatment**.

** Data on file at Align Technology as of October 29, 2018

Since our daughters snowboard and are very active, we were much more interested in Invisalign clear aligners than traditional braces.

In case you’re curious, the cost of Invisalign treatment is often comparable to braces and many dental insurance plans cover Invisalign aligners just as they would any other orthodontic treatment, so check with your provider.

Our Initial Consultation

Our initial consultation was with Hoff Orthodontics, which is a local Invisalign-trained orthodontic practice.

When we first walked in, we were greeted and checked in. Then we were given a tour of the office.

After the tour, it was straight over to imaging for both girls. They took pictures of their face, all of their teeth and their bite.

Then did a 3D scan of their heads so we could see everything that is going on.

We then headed back over to the Dr. Hoff’s office where he could examine the girls’ mouths and talk about the imaging with us. We discussed Kaylee first since she’s younger.

Kaylee Still Has a Lot of Baby Teeth

Right now, Kaylee isn’t quite ready for Invisalign clear aligners because she still has too many baby teeth, as you can see in the 3D image of her head. We did learn, however, that she needed to have a special retainer made to hold space in her mouth for her adult teeth to come in properly.

We’ll reevaluate whether she’s a good candidate for Invisalign treatment again when she has lost her baby teeth.

Zoë is Ready for Invisalign Treatment

After we finished up talking about Kaylee, it was time to talk about Zoë. She just turned 11, but she only has one baby tooth left. We knew she had an overbite, but we didn’t realize she had other things in her mouth that needed to be corrected like a cross-bite.

Dr. Hoff explained, in detail, the issues with Zoë’s teeth, then concluded that she would be a good candidate for Invisalign treatment. He expects her treatment to take up to two years to complete.

He explained the advantages of Invisalign treatment over traditional braces to us (you can watch his full talk in the video above). Some of the points he made were that eating food is easier since braces aren’t in the way and maintaining good oral hygiene is easier since you’re not trying to brush around brackets. You simply remove your aligners in order to eat, brush, and floss as you normally would.

We live in the mountains and have to drive over an hour each way to the orthodontist. That’s no big deal, we’re used to it, but with traditional braces, there are emergencies that need to be addressed. A bracket comes loose, a wire breaks or the wire is poking into your child’s gums and it’s straight to the orthodontist to get it fixed.

You don’t have those same issues with Invisalign clear aligners. There are no wires to worry about and no emergency appointments to fix them if they break. That is a huge reassurance for us since we do live so far from the orthodontist.

No More Pink Goo: On to Digital Impressions

After we decided that Zoë was ready for treatment, it was straight to get the scans to have her Invisalign clear aligners made. It was such a fascinating process! You have to watch the video further up in this post to see how it works.

When I had braces, I had to bite into that messy pink goo to get my impressions done. It tasted awful and it made me gag. If you had braces, then you probably have vivid memories of that experience too. While you can still use the goo for impressions if your practice doesn’t have a digital scanner, you can now also receive impressions digitally with Invisalign treatment, on their iTero® digital scanner. My sweet daughter didn’t have to experience my childhood memory of the pink goo.

The iTero® scanner takes thousands (6,000 to be exact***) of images every second to recreate a 3D digital image of the inside of your child’s mouth on the computer. This allows the orthodontist to create a treatment plan and the Invisalign brand to create your child’s clear aligners.

*** Data on file at Align Technology as of November 7, 2018

When they’re done scanning, you even get to see a rendering of what your child’s new smile could look like. It’s really neat!

Follow Zoë’s Invisalign Treatment Journey

We’ll be talking about Zoë’s Invisalign treatment journey on the blog and social media over the next year. In the next post, you’ll get to see Zoë in her Invisalign clear aligners, so stay tuned!

Find an Invisalign Treatment Provider

If you’re curious whether Invisalign treatment is right for your child, you can use the Doctor Locator feature on the Invisalign® brand website to find an Invisalign-trained orthodontist in your area.

Have you or your child had Invisalign treatment? I’d love to hear your experience in the comments.

Pin this post to your Parenting or Health board!

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This content was originally published here.

Illinois orthodontist wins ADA Stanford Award for retainer research

An Illinois orthodontist won the American Dental Association’s 2019 John W. Stanford New Investigator Award for her research paper evaluating the effects of eight cleaning methods on copolyester polymer, a material commonly used in clear thermoplastic retainers.

This content was originally published here.

Well-known Irmo orthodontist passes away at 42-years-old – ColaDaily.com | You need the news, not the paper

SHARE: FacebookTwitterLinkedinPinterestGoogle+tumblr Dr. Jim Raman. Photos obtained from Irmo Smiles website and Facebook. It was announced that a local orthodontist at Irmo Smiles, Jim Raman, has passed away. Irmo Smiles sent out a letter notifying patients of the doctor’s death, describing it as “a tragic loss.”  It was mentioned that all appointments of Raman’s wife Misti, who is also a…

This content was originally published here.

Orthodontist, dentist practices told to shut down offices

TROY – Cooney Orthodontics, one of the region’s larger practices, is closing its two offices for 11 days except for emergency cases per recommendations from the the American Dental Association, the American Association of Orthodontics and the New York State Dental Association Board of Trustees.

Other practices have announced the same, such as The Smile Lodge pediatric dentistry office in Clifton Park, which serves children from the Mohawk Valley, Capital Region and Adirondacks.

“At this point, taken together with Governor Cuomo’s announcement closing additional businesses, we have decided for the safety of our patients and staff to temporarily close both our Troy and Ballston Lake offices starting Tuesday March 17th through Friday March 27th,” Cooney wrote. “If you have an appointment scheduled during this time, we will be reaching out to reschedule shortly,” the practice said in an email to patients.

This content was originally published here.

14 Things You Should Know Before You Get Invisalign | Chief Health

Invisalign braces sound fantastic – don’t they? They actually are too! However, here are 14 things you should know before you get Invisalign…

Every time a celebrity smiles for the camera, we can’t help but notice the perfect set of teeth they have. Some people feel envious of the perfectly straight set of pearly whites, while others can only hope that they get new ones just like Dustin Matarazzo (Stranger Things).

Sometimes, even after wearing braces for a decade, teeth don’t become flawless. People, who have gone through the pain of wearing traditional braces know the discomfort of the entire process.

Even after taking them off, there might be significant space between the teeth, which can cause difficulty in chewing.

Apart from the functional challenges, uneven teeth can cause a significant lack of confidence. We have seen teenagers, and young adults shy away from photos and selfies because they are conscious of their crooked teeth.

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Some impressionable children spend hours in front of the mirror practicing closed-mouth smiles or daydreaming about the day they will have straight teeth.

Teeth can be stubborn, and it can take multiple rounds of braces and jaw surgeries to correct the dental alignment. It is not only a costly procedure but also a painful one. Most adults do not have a health insurance plan that covers dental surgeries.

Moreover, these surgeries can take multiple sittings over two to four weeks, depending upon the complications. One modern and almost pain-less alternative is the Invisalign method.

According to an expert Orthodontist, Invisalign is similar to braces, but instead of metal wires and brackets, Invisalign uses invisible, custom-made aligners or retainers of plastic. These are significantly less noticeable than regular braces.

If you are an adult, who has always shied away from wearing braces as a kid, or someone who remembers how odd it felt wearing colorful “straightjacket” on your teeth, the Invisalign braces are worth a try.

Since these are relatively new and not a lot of orthodontists in the city work with them, you might find it challenging to find consolidated information on Invisalign and their benefits. We are happy to share the insight from Invisalign users from the last few years –

1. You Will Need To Wear Them 22 Hours Per Day

We have seen actors wear their retainers before sleeping and take them off before leaving for work. Like many Hollywood fantasies, their retainer wear time is one as well.

You might want to rethink your plans of taking them off for going on date night or heading to bed. You should keep them on unless it is time for breakfast, lunch, or dinner. Moreover, you might want to invest in a couple of travel-sized toothbrushes for emergencies.

2. Breakfast, Lunch, & Dinner Are Your Friend

Taking Invisalign braces off and putting them back on can be a difficult task when you’re first starting out. With this in mind, you will want pack on the calories for breakfast, lunch, and dinner to avoid excess snacking and taking your braces off more than you need to.

3. You Might Receive More Attachments Than You Expect

Invisalign braces sometimes include attachments. These attachments hold the Invisalign aligners in place and stick to your teeth just like braces brackets. They are often enamel-colored so the bumps are virtually invisible.

It is quite similar to wearing braces, except the Invisalign attachments are inconspicuous and less uncomfortable. Be warned – you may be told that you only need a few and end up with 20 (or more).

4. You May Lose Weight

Since the recommended wear time is 22 hours, that leaves two hours to eat per day. It’s an ambitious goal, but you should do your best to follow the guidelines. It really sucks to pull off your aligners more times than necessary because of how tight the Invisalign braces are and how sore your teeth may become. Even if you attempt to pack on the calories at mealtime, you may still be hungry many hours throughout the day – resulting in weight loss.

5. Say Goodbye To Your Favorite Lipstick

Colored lip gloss and lipsticks won’t be your friend when you begin using Invisalign braces. Lipstick and colored lip gloss easily sticks to the aligners and the attachments. Clear lip balm and gloss will be okay, but even they can leave a waxy residue on the aligners. Dramatic eye makeup can draw some of the attention away from your teeth.

6. No More Manicures

Popping the aligners in and out is almost impossible without nails, so unless you’re hapy with chipped nails, you should only buff them and stay away from painting them. If you still want to have gorgeous nails and avoid chipping them, you will want to buy an aligner removal tool.

7. Kissing Gets Awkward

Who would’ve guessed it? Yes, it is really weird trying to kiss with a giant plastic device all in and around your mouth. However, Invisalign shouldn’t kill your love life unless kissing is all you’re good at… (Don’t worry – we are only teasing!)

8. Whitening Isn’t An Option Until After You’re Finished

As long as the attachments are on your teeth, whitening won’t be an option until the treatment is complete. However, brushing your teeth often and avoiding stain-causing beverages will help your enamel quite a bit.

9. You Will Have To Be More Careful About Oral Hygiene

Brushing your teeth will become an addiction once you get the Invisalign braces. It is quite easy to get food and bits of snacks in the attachments.

Unless you brush more than three times per day, at least once every meal, you will suffer from bad breath and cavities. Not brushing is the leading cause of plaque buildup and tartar formation.

Always carry a toothbrush and toothpaste set with you, along with a small bottle of any mouthwash your orthodontist recommends.

10. The Invisalign Attachments Capture Stains

When you drink tea and coffee, without a complementary brushing habit, you are at full risk of developing stains on your attachments. Although Invisalign is almost invisible, these stains can take away that advantage. You might end up with blotchy looking attachments with bits of sugary stacks stuck all over your teeth.

11. No Hot Food

You can only drink cold water, or drinks at room temperature because hot water and other hot beverages will easily stain the aligners. Plus, they might even warp the attachments.

You might want to avoid sugar and alcoholic drinks. Alcohol with high congener content can increase the plaque buildup and stain the aligners. Reports from regular Invisalign users state that drinking red wine can stain the retainers almost immediately.

12. You Will Receive A Refinement Aligner

Once you complete your basic set of Invisalign retainers, you will receive another set of custom designed refinement aligners that can fix any stubborn crooked teeth. These can take care of the slightly misaligned teeth and the unsightly spaces between them. You should speak with your orthodontist before you begin your Invisalign treatment.

13. Consult With Your Orthodontist When Planning Vacations

Find out from your orthodontist about the next set of appointment dates before you head off to the tropics for summer. Although the Invisalign attachments require next to no maintenance, as long as you are regular with your brushing and honest with your oral hygiene, you might want to consult your dental expert before you make big plans in the next few months.

14. It’s A Small Sacrifice For A Giant Gain

Wearing Invisalign retainers is a breeze compared to wearing the metal braces we received as children. The duration of wearing this retainer will vary from one person to another depending on the condition of their teeth. You should consult your orthodontist regarding the different stages of Invisalign and refinement retainer attachments.

There aren’t too many cons of wearing Invisalign instead of going for metal braces or corrective surgery. The cost is negligible considering the long-term positive effect of the retainers on teeth alignment and self-confidence. Invisalign will help you make the right choice in life, and it will give you the perfect teeth you have always desired.

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This content was originally published here.

SBA Finalist Spotlight: Northern Virginia Orthodontics

Thank you to Northern Virginia Orthodontics for answering a few of our questions.
Congratulations on being named a finalist for Health & Wellness Business of the Year!

1.Tell us your story of how your company got to where it is today? 

After finishing my orthodontic residency at the Medical College of Virginia in Richmond in 2006, my wife and I knew we wanted to move to Loudoun County. We both grew up nearby, and were aware of the planned residential growth, excellent schools, and the fact that Loudoun would be a great place to raise our kids and open an orthodontic practice. We settled on Brambleton Town Center, centrally located in Loudoun, to both live and work. With my vision to make an impact on patients, my team, and my community, I opened Northern Virginia Orthodontics in February of 2008. We saw just two patients that day, and despite the economy crashing in 2008 and 2009, NVO continued to grow thanks to our dedication to treating patients like our own family, over-delivering on top-notch service, and changing lives both inside and outside our office.

Since opening our doors in 2008, we’ve expanded twice in our Brambleton office, added the East Coast’s first, adult-only Invisalign Center, earned the title of Washingtonian Magazine’s Top 50 Places to Work, treated the most Invisalign patients in the state of Virginia, and in 2017 became the #2 Invisalign provider in the entire country.

Despite all these incredible accomplishments, what I’m most proud of is NVO’s impact on the local community. To date, NVO has donated over $1 million to local schools and organizations, as well as to pediatric cancer research and awareness. With our brand new 501(c)(3), The NVO Foundation, we can continue to do even more to help those in need right here in Loudoun County. It’s been an incredible ride going from just two patients that very first day to now seeing over 100 patients on a daily basis, but NVO is just as committed as ever to changing smiles and impacting lives.

2. What would it mean to you and your company to win a Small Business Award?  

Winning an award of this magnitude would serve as affirmation that Northern Virginia Orthodontics is impacting and improving the Loudoun County community, and would serve as fantastic recognition for our entire team.

3. If you weren’t running your own business/working at this business, what would you be doing?

I’ve always had a passion for medicine and helping others, hence becoming an orthodontist. I couldn’t imagine not working at NVO, but if I had to do anything else, I’d probably be a pilot.  I love flying and aeronautics.

4. What book are you reading right now? / What is your favorite book?

“Tools of Titans” by Tim Ferriss. It’s a study of successful people’s habits, and focuses on three critical elements – health, wealth and wise. Great read for anyone, especially business owners.

5. If you have 24-hours off, and your family was out of town, what would you do?

I’d work out, eat a healthy breakfast, then look for a D.C. sporting event to attend, like a Nationals or Capitals
game. Then a good glass of wine with dinner and call it a day – but I’d rather be with my family!

6. What is the smallest thing that has made the largest impact on your business?

Having no fear of change. It’s absolutely essential to assume risk, and to be open to change as your business grows.

7. What did you want to be when you grew up as a child? / What was a childhood dream that you had?

A professional baseball player. Baseball was my passion growing up, and remains a giant part of my family. My oldest son is currently plays baseball at the University of Arizona, and my wife and daughters love the sport as well.

8. Who is the one person that has influenced you the most in your career?

There are so many people that have influenced me along the way, but my older brother has definitely influenced me the most. He has a solution for every problem. He is an attorney by trade, but is always there when I need an opinion on anything business-wise and has been a huge part of NVO’s success.

9. What is your favorite thing about running a business in Loudoun County?

The growth and success of the county, and the pro-business mindset of its leaders.

10. If you’re not in the office where can we find you?

At my son’s baseball game, my daughters’ soccer games, a local winery, a D.C. sporting event, teaching the orthodontic residents at MCV (Medical College of Virginia), or out helping others.

11. What is your favorite weekend activity in Loudoun County?

Visiting one of Loudoun County’s many incredible wineries with family and friends.

The post SBA Finalist Spotlight: Northern Virginia Orthodontics appeared first on Loudoun Chamber.

This content was originally published here.

Our November Practice of the Month — Zammitti & Gidaly Orthodontics

mysocialpractice.com

Congratulations to our November Practice of the Month — Zammitti & Gidaly Orthodontics!

This month we’d like to spotlight an absolute social media powerhouse practice, Zammitti & Gidaly Orthodontics! They’re using social media dental marketing to reach new audiences, strengthen relationships with current patients, and stand out in their community.

They also impressed us with their phenomenal reviews presence, with over 350 positive patient reviews across Facebook and Google.

We reached out to Michelle Camp, patient care and marketing coordinator of the practice, for some insight on how social media is growing their business and what’s been working for them. Take something from what their team has learned to apply in your own social media strategy!

Ready for a quick demo of our reviews service? Fill out the form below.

Q&A With Michelle Camp, Marketing Coordinator

(Responses edited for length and clarity.)

What has been the biggest surprise of social media marketing for you?

The biggest surprise of using social media in our practice is how fun and exciting it is creating the posts. Our staff has really loved getting involved in taking pictures, sharing their fun facts or just listening to our silly post ideas. Taking pictures of the staff and patients is a fun and quick way to break up the day/week and add some excitement to our patient’s visits.

Which of your team’s social media efforts have shown to be most effective?

The social media tool or tactic that has been most successful has been our “Fun Fact Friday”–where each staff member shares a little fact about themselves that our patients may not otherwise know. People love getting to know our staff and doctors through these posts. Our patients look forward to this post in particular because it is fun to see everyone’s unique answers while also thinking about what their answer would be for each week’s fun fact.

What has been the biggest challenge of using social media in your practice?

The biggest challenge of social media marketing has been staying fresh and current. We have a large multi-doctor, multi-location practice and it can be difficult to make sure all employees/doctors/locations are included while being sure we are not posting the same thing each week. My Social Practice has helped us with this challenge by providing interesting new content ideas.

What has been the biggest benefit to your patients since you started using social media?

The number one benefit of our social media for our patients is that it helps patients to develop a more intimate relationship with our practice. With our daily posts our patients get a little glimpse behind the scenes while also getting to know our employees and doctors more. Our patients can see that we are a family that works hard while having fun too.

What has been the biggest benefit to your practice since you started using social media?

The #1 benefit social media has brought to our practice is the ability to always stay on people’s minds. Everyone is scrolling through Facebook and Instagram at some point throughout the day. When they scroll past our posts it helps people to think about us when they otherwise wouldn’t. If they are current patients it may be a reminder to tell a friend about our office. If they are not patients yet it may be that extra reminder to call our office to schedule a consultation. Social Media brings our practice into people’s homes and into their everyday conversations.

What kind of feedback have you gotten from patients about your social media?

Luckily, the feedback we have received from our patients about our social media efforts has been positive. We have had parents of patients and older patients themselves tell us how much they enjoy our posts. I personally have been able to use this feedback to get to know our patients more, asking them what they dressed up as for Halloween or what their least favorite food is.

What do you do in your office to promote your social media presence?

Right now our employees promote our social media presence in a low-key, laid-back manner. It may be as simple as mentioning a recent post or telling a patient to look for an upcoming post. Of course, taking pictures of patients and telling them to look for their photo on our social media is a great way to promote also! We don’t ever want a patient or parent to feel pressured or uncomfortable so something as simple as “check us out on Facebook/Instagram” has done the trick so far.

What advice would you have for a dental practice just starting to build their social media presence?

For a dental practice just starting out on social media I would tell them to stay true to their values and beliefs. Social media is an amazing platform that can reach a lot of people, it is important that what is being displayed on your practice’s social media is a great representation of who you are and what you believe in. Put your best qualities out there and let social media be another marketing platform that keeps you on people’s minds.

Which My Social Practice product or service has been the most help to you?

My Social Practice’s Engagement Boxes have been the biggest help for our practice. Each engagement box has included a great variety of fun and interesting tools/props/ideas to help our posts stay fun and fresh. Each engagement box has been filled with fun props along with well-made signs and ideas for each post. We have always been impressed with the content delivered within each box!

Thank you for sharing, Michelle! Your team really understands how social media grows dental practices, and we’ve loved watching your online presence grow!

Dental social media marketing is about growing practices through increasing your reach, enhancing your local reputation, and building relationships with patients and potential patients. My Social Practice has remained laser-focused on these key objectives for over a decade as we’ve built the perfect dental social media solution.

Even if you have no social media experience and no time to learn, My Social Practice can do all the heavy lifting for you—growing your practice while you focus on serving your patients.

and we’d love to show you step-by-step how we can make your practice shine online!

Ready for a quick demo of our social media service? Fill out the form below.

The post Our November Practice of the Month — Zammitti & Gidaly Orthodontics appeared first on My Social Practice – Social Media Marketing for Dental & Dental Specialty Practices.

This content was originally published here.

Our November Practice of the Month — Zammitti & Gidaly Orthodontics

mysocialpractice.com

Congratulations to our November Practice of the Month — Zammitti & Gidaly Orthodontics!

This month we’d like to spotlight an absolute social media powerhouse practice, Zammitti & Gidaly Orthodontics! They’re using social media dental marketing to reach new audiences, strengthen relationships with current patients, and stand out in their community.

They also impressed us with their phenomenal reviews presence, with over 350 positive patient reviews across Facebook and Google.

We reached out to Michelle Camp, patient care and marketing coordinator of the practice, for some insight on how social media is growing their business and what’s been working for them. Take something from what their team has learned to apply in your own social media strategy!

Ready for a quick demo of our reviews service? Fill out the form below.

Q&A With Michelle Camp, Marketing Coordinator

(Responses edited for length and clarity.)

What has been the biggest surprise of social media marketing for you?

The biggest surprise of using social media in our practice is how fun and exciting it is creating the posts. Our staff has really loved getting involved in taking pictures, sharing their fun facts or just listening to our silly post ideas. Taking pictures of the staff and patients is a fun and quick way to break up the day/week and add some excitement to our patient’s visits.

Which of your team’s social media efforts have shown to be most effective?

The social media tool or tactic that has been most successful has been our “Fun Fact Friday”–where each staff member shares a little fact about themselves that our patients may not otherwise know. People love getting to know our staff and doctors through these posts. Our patients look forward to this post in particular because it is fun to see everyone’s unique answers while also thinking about what their answer would be for each week’s fun fact.

What has been the biggest challenge of using social media in your practice?

The biggest challenge of social media marketing has been staying fresh and current. We have a large multi-doctor, multi-location practice and it can be difficult to make sure all employees/doctors/locations are included while being sure we are not posting the same thing each week. My Social Practice has helped us with this challenge by providing interesting new content ideas.

What has been the biggest benefit to your patients since you started using social media?

The number one benefit of our social media for our patients is that it helps patients to develop a more intimate relationship with our practice. With our daily posts our patients get a little glimpse behind the scenes while also getting to know our employees and doctors more. Our patients can see that we are a family that works hard while having fun too.

What has been the biggest benefit to your practice since you started using social media?

The #1 benefit social media has brought to our practice is the ability to always stay on people’s minds. Everyone is scrolling through Facebook and Instagram at some point throughout the day. When they scroll past our posts it helps people to think about us when they otherwise wouldn’t. If they are current patients it may be a reminder to tell a friend about our office. If they are not patients yet it may be that extra reminder to call our office to schedule a consultation. Social Media brings our practice into people’s homes and into their everyday conversations.

What kind of feedback have you gotten from patients about your social media?

Luckily, the feedback we have received from our patients about our social media efforts has been positive. We have had parents of patients and older patients themselves tell us how much they enjoy our posts. I personally have been able to use this feedback to get to know our patients more, asking them what they dressed up as for Halloween or what their least favorite food is.

What do you do in your office to promote your social media presence?

Right now our employees promote our social media presence in a low-key, laid-back manner. It may be as simple as mentioning a recent post or telling a patient to look for an upcoming post. Of course, taking pictures of patients and telling them to look for their photo on our social media is a great way to promote also! We don’t ever want a patient or parent to feel pressured or uncomfortable so something as simple as “check us out on Facebook/Instagram” has done the trick so far.

What advice would you have for a dental practice just starting to build their social media presence?

For a dental practice just starting out on social media I would tell them to stay true to their values and beliefs. Social media is an amazing platform that can reach a lot of people, it is important that what is being displayed on your practice’s social media is a great representation of who you are and what you believe in. Put your best qualities out there and let social media be another marketing platform that keeps you on people’s minds.

Which My Social Practice product or service has been the most help to you?

My Social Practice’s Engagement Boxes have been the biggest help for our practice. Each engagement box has included a great variety of fun and interesting tools/props/ideas to help our posts stay fun and fresh. Each engagement box has been filled with fun props along with well-made signs and ideas for each post. We have always been impressed with the content delivered within each box!

Thank you for sharing, Michelle! Your team really understands how social media grows dental practices, and we’ve loved watching your online presence grow!

Dental social media marketing is about growing practices through increasing your reach, enhancing your local reputation, and building relationships with patients and potential patients. My Social Practice has remained laser-focused on these key objectives for over a decade as we’ve built the perfect dental social media solution.

Even if you have no social media experience and no time to learn, My Social Practice can do all the heavy lifting for you—growing your practice while you focus on serving your patients.

and we’d love to show you step-by-step how we can make your practice shine online!

Ready for a quick demo of our social media service? Fill out the form below.

The post Our November Practice of the Month — Zammitti & Gidaly Orthodontics appeared first on My Social Practice – Social Media Marketing for Dental & Dental Specialty Practices.

This content was originally published here.

Straighten Out Your Orthodontics Billing

Managing billing at your orthodontics practice can take up as much time as you spend with your patients. If your current payment software doesn’t integrate with other platforms like QuickBooks Online, you could be spending hours reconciling payments.

Integrated technology cuts through the red tape for orthodontic payment processing. Integrated payments means that your billing, credit card processing, customer management, and business analytics are all in one place. In this blog, we’ll explore how you can straighten out your orthodontics billing and save money with integrated technology.

Use ACH to Save on Fees

ACH, or “automated clearinghouse,” payments are great for invoicing patients. ACH payments are a secure, low-cost option, especially if you send invoices through a virtual terminal.

ACH costs less than $1 per transaction to providers, unlike credit cards that vary in percentages, usually between 3-4% per transaction. Those savings add up, especially if you’re billing a patient for a high-cost procedure. Once you send a patient an invoice, they can enter their bank account information and complete the payment. Patients can also set up autopay for recurring invoices so you don’t have to worry about late payments. You’ll get paid faster and at a much lower cost.

Use Practice Management Software to Track Your Payer Mix

Your payer mix is crucial to your practice’s cash flow. A payer mix is the total distribution of how your patients pay for their care. They can pay through private insurance, government-funded options, or completely out of their own pocket. Having a good balance between the three creates a steady cash flow for your practice. For instance, if your payer mix leans towards federal insurance programs like Medicaid, changes in regulations can upset your cash flow and revenue.

You can track your payer mix through practice management software like OrthoTrac. You can even check the status of insurance claims and reimbursement so you get paid faster. To stay competitive, you should assess your payer mix and make adjustments as necessary, like accepting more forms of insurance. And to work even more efficiently, choose a payment processor like Fattmerchant that integrates seamlessly with OrthoTrac and other practice management software.

Sync Your Data to End Reconciliation

Integrated technology means you don’t have to stop using the tools you already love, like QuickBooks Online. Integrated technology will work with other tools to create a seamless experience. You can manage patients, their insurance information, payments, and outstanding invoices all without needing to log into separate tools.

Fattmerchant integrates with practice management software like OrthoTrac and DentalXchange, plus 200 other applications and platforms. You can manage the most vital aspects of your orthodontic practice’s billing from one platform. Plus, with our 2-way sync with QuickBooks Online, your data is automatically transferred between the two platforms, making reconciling a thing of the past.

See how integrated payment technology can help your orthodontics practice.

The post Straighten Out Your Orthodontics Billing appeared first on Fattmerchant.

This content was originally published here.

Invisalign vs. Traditional Braces: Why Some People Still Choose the Metal Look

Getting teeth straight is almost a rite of passage. Middle schools and high schools are full orthodontia, but sometimes we need a little help realigning our smiles in adulthood, too. Invisalign, the game-changing brand of clear aligners has been around since 1997 and has been a clear choice for teeth straightening since then. But traditional braces aren’t obsolete and are still a viable option for those who want to straighten their smile. 

You May Also Like: Should You Be Doing At-Home DIY Teeth Straightening?

A Clear-Cut Case
Invisalign are clear, removable, plastic aligners that are custom made to fit your smile and slip over your teeth to straighten them for anywhere from 10 to 14 months. Invisalign aligners gradually move your teeth back into place. The cosmetic dentists we spoke to said Invisalign has been the clear choice for patients for mainly for aesthetic reasons. “The trays are clear and barely visible so they don’t make people feel self-conscious when wearing them,” says New York cosmetic dentist Irene Grafman, DDS. “Also, the trays are way more comfortable than having brackets on all your teeth which can cause tissue irritation.” 

“My patients choose Invisalign to avoid metal braces,” says Malibu, CA cosmetic dentist Bob Perkins, DDS. “The biggest benefit of Invisalign is the fact that you don’t have to have a silver band across your smile for years.” Newport Beach, CA cosmetic dentist Robert McHarris, DDS adds time and budget are also big factors in choosing the clear trays: “The cost is often comparable or less than metal braces and sometimes treatment time is accelerated compared to metal braces.”

Ceramics & Metallics
Traditional braces are made up of metal or ceramic brackets and metal wires. Today’s metal brackets are smaller and less noticeable than the metallic braces of the past. Ceramic braces are the same size and shape as metal braces, but have clear or tooth-colored brackets and sometimes wires that blend in with teeth. 

“Good candidates for traditional braces are people with severe jaw related issues, such as top and bottom jaw not in alignment,” says Dr. McHarris. “Often these cases also require services of an oral surgeon.”

Dr. Grafman adds that she typically will consider traditional braces for more extensive cases. “Anytime I must bring down an ankylosis tooth, which is one that never came down, or if I have to move a tooth that is straight right or left without tilting it. Traditional braces are also good for when you lose a tooth and the molars can shift or tilt into that space. If I need to open up the space for an implant, it is better done with braces.”

Whether comfort is king or metallic orthodontia is the only option, the good news is the waiting period for straighter teeth isn’t that long. In just a little over a year, it’s possible to comfortably and affordably shift and straighten your teeth for your best smile yet.

This content was originally published here.

starsis applies terrazzo furniture to orthodontist surgery in south korea

in the south korean city of hwaseong-si, design studio starsis has realized the interior of an orthodontist practice. characterized by bright spaces and a rich material palette, the project has been formed by the architect to perfectly fit the needs and background of the client while creating a tranquil environment for awaiting customers.

all images © hong seokgyu

when approaching the design, starsis took inspiration from teeth and the layout of the human jaw to create a plan from rounded, overlapping shapes. after applying this idea to the architecture, it resulted in an internal space in which the oval forms overlap. by limiting straight lines and placing curves inside the tight space, the organic aesthetic is maximized, creating a soft and friendly atmosphere within the orthodontist surgery.

the reception desk and hardwood shelves made from terrazzo, viewed from the waiting area

the interior is defined by white walls lit with warm-colored lights, terrazzo furniture, wooden fittings built into the walls and plants full of lush greenery to provide a sense of ease and relaxation for those who visit the practice for treatment. these materials are combined by the steel furniture, which is finished with paint and placed above the terrazzo floor in perfect harmony.

the entrance viewed from the corridor, and wooden and steel furniture for waiting customers

the furniture and reception desk viewed through the glass window

the wall with the reception desk and hardwood shelves made from terrazzo

the walls are 3.7m high and made of steel for solidity

there is an inspection room, a corridor and a powder room

the triage room viewed through the glass where the floor and walls are finished with 50 x 50mm white tiles

the corridor leading to the examination room

the corridor leading to the consulting office and photography room

on the wall there is built-in furniture where examination instruments can be placed and stored

steel pillars with sketches of spatial symbols and geometric shapes

project info:

project name: malocclusion ; offbeat teeth

location: 127-5, dongtansunhwan-daero, hwaseong-si, gyeonggi-do, south korea

total area: 2198.31 ft2 (204.23 m2)

designboom has received this project from our ‘DIY submissions‘ feature, where we welcome our readers to submit their own work for publication. see more project submissions from our readers here.

edited by: lynne myers | designboom

This content was originally published here.

How Invisalign® Encourages My Teen’s Passion for Adventure

This post was sponsored by the Invisalign® brand and all opinions expressed in my post are my own.

My teen is always up for an adventure. If you asked Ryan what his favorite hobbies are, he’d tell you traveling and photography. He loves an adventure. We all do. It’s one of the reasons I homeschool, or road school, to be able to take our learning on the go. Whether we’re at home or exploring El Morro in Puerto Rico we’re not ones to turn down an adventure!

That’s one of the reasons we love Invisalign® treatment so much!

Invisalign aligners are transforming Ryan’s smile without compromise and with more predictability* thanks to SmartTrack® material. With over 20 years of innovation and 7 million+ smiles have enabled Invisalign treatment to correct simple to complex orthodontic cases, like Ryan’s. He can continue to go on all the adventures, eat all the things he likes (and even try new foods) while in treatment. Unlike traditional braces, there’s no restrictions when it comes to food! So there’s no holding him back when it comes to eating his way through our travels. (*compared to 0.30 inch off-the-shelf aligners)

Before we started his treatment, Ryan and I sat down and went over all the instructions from Dr. Segal, his orthodontist at Segal & Iyer. I made sure he understood that this was his responsibility. I cannot wear his Invisalign® aligners for him, only he can.

In order for his treatment to be successful, he has to make sure he follows all the directions Dr. Segal gave him. 

It’s been about 10 weeks since he started treatment and he’s done phenomenally well. He wears his aligners all day long, only taking them out to eat or drink. In just these 10 weeks, he’s already notified such a difference in his smile that it encourages him to keep going.

It’s boosted his confidence so much and he readily smiles more for pictures and throughout our whole trip.

Plus we didn’t have to worry about any unexpected office visits (like you do with traditional braces) while we’re away. If a set of aligners break, you just move back to your old set or up to you new set.* That’s it!

*Consult your Invisalign provider before reverting to previous aligners or wearing new aligners

When his case fell out of his backpack in Disney and his top aligners broke, we didn’t worry. He just moved onto the next pack. Simple as can be.

I always try to include an educational aspect into all our trips. Since we homeschool and travel a lot, I use every place we visit as a learning tool. Whether it’s through the local cuisine or just immersing ourselves into the local scene, he’s able to enjoy anything our adventures bring while not having to worry about his orthodontic treatment.

When it comes time to plan out our trips, we don’t worry that Invisalign treatment will hold us back. Invisalign aligners give him ( and me) the confidence to know that he can try all the new foods he wants and we won’t have to avoid any restaurants tough to chew foods. Plus since Invisalign aligners transform his smile without compromise, we can still get the perfect family shot or selfie where he’s actually smiling.  When we sit down and discuss what historical sites or things we want to learn more about and make a list of things to see and do, and Ryan makes sure to packing his aligners is at the top of that list!

Sometimes I even put him in charge of all our educational activities and I let him plan the whole itinerary.  It’s doubles as a research project. He’ll look into the different sites and activities available and pick out ones he thinks we’ll all enjoy.

If you or your child need orthodontic care, Invisalign aligners are a convenient choice for active and jet-setting families.

Invisalign aligners let you transform your smile without compromise, so nothing holds Ryan back from hiking, swimming and truly exploring and immersing himself into wherever we’ll be.

Parents, you can learn more about Invisalign treatment for your tween or teens here, and be sure to take the free Smile Assessment for them!

To find an Invisalign provider near you, check out the Doctor Locator!

Dawn

The post How Invisalign® Encourages My Teen’s Passion for Adventure appeared first on A New Dawnn.

This content was originally published here.

Local orthodontist has concerns for Do-It-Yourself braces

BETTENDORF, Iowa (KWQC) – Getting braces is an expensive task, which makes do-it-yourself videos from online even more attractive. Orthodontists have noticed more and more patients coming to them with teeth actually worse than before because they tried correcting the problem themselves, in order to save money.

Dr. Steven Mack is an orthodontist at Mack Orthodontics in Bettendorf, Iowa, and he says he’s seen patients who order kits from online to fix their teeth instead of going to a professional. “You’re not just ordering shampoo online and you can send it back, or shoes,” he said. “It’s something that effects your body and effects your health.”

With all information being a click away nowadays, kids feel they can learn and know everything. “It’s a different generation nowadays. Kids want to do something, they immediately want to go to YouTube and watch a video,” said Dr. Mack. “They wake up, they’ve got a device in their hand and it’s just so common to them.”

“The internet has definitely played a role in this. I think people think that because I can buy shampoo and all these products online through Amazon and have them shipped directly to my house,” he said. “They need to remember moving teeth is not a product.”

Dr. Mack said the complications and health risks from not seeing a professional actually lead to higher prices later, when more work is needed to fix what a patient has made worse.

“There’s a lot of risks and possible complications that you can have if it’s not done properly,” he said. “It may cost you time, it may cause injury to yourself which can lead to possibly thousands of dollars of repair work.”

Dr. Mack says at the end of the day, let the pro’s be the pro’s.

“Who do you go to if there’s a problem? If things aren’t working you need to have a name, face, and person in office that you can follow up on,” he said. “At least you’re going to have options that you know are going to only solve problems and not create problems.”

This content was originally published here.

Think before you 3D print: DIY orthodontics receive warning from USC – 3D Printing Industry

Experts from the Herman Ostrow School of Dentistry at the University of Southern California (USC) have expressed concerns about businesses offering direct-to-customer 3D printed aligner services.

The worry with such services is that patients are missing out on crucial care steps provided by a one-to-one consultation with an orthodontist. This can include jaw x-rays, and general dental health checks, which are fundamental to the overall well-being of the teeth.

USC alumni Nehi Ogbevoen, now an accomplished orthodontist, explains, “There’s a lot of things we can catch on an X-ray — for example, impacted teeth. There are other things we can catch that, if you aren’t seeing a dentist regularly, can be really scary.”

“We not only want to improve aesthetics but also the function of the bite,” he adds,

“We’re trying to plan your bite and smile and how they are going to age over the next 30, 40 years.”

The open-source dental opportunity

In 2016 famed designer Amos Dudley shed significant light on the power of 3D printing in dentistry by creating his own corrective braces at home. The blog charting his homegrown dental care project comes with a disclaimer advising readers against taking such action on their own. However it seems it has sparked some concern within the professional dental market.

Not only this, but entrepreneurs seeking to cash-in on the opportunities offered by dental 3D printing have also started cropping up. And this, in particular, is what comes under scrutiny at USC.

The problem with “DIY” dentistry

As an established brand within dentistry Invisalign is of course a respected business within this sphere. However, “the world’s largest user of state-of-the-art 3D printing technology for making highly accurate, customized aligners,” is not the kind of opportunist targeted by USC critics.

Invisalign requires patients to organize an appointment before seeking treatment. It is instead such businesses that seem to solely operate online that have come under fire. Those that allow a patient to submit their own 3D scanned dental model for consideration, without consultation.

The problem here can be that any existing dental-health conditions can fly under the radar, causing deeper issues for the patient. In particular Hany Youssef, faculty member at the  USC Herman Ostrow School of Dentistry, has come face-to-face with a patient who suffered negative side effects due to a condition missed when undertaking this type of “DIY” dental care.

How to get low-cost dental care

Rather than scaremongering though, the recommendation here is that patients should be asking lots of questions before they go ahead with the low-cost alternative. It is also making orthodonists reflect on the high cost of treatment and, USC experts, believe that this new, more convenient approach will have a trickle-down effect on the wider dental industry.

Glenn T. Sameshima, chairman and program director of USC’s Advanced Orthodontics Certificate Program, says accessibility needs to be taken into account. “I see a future,” he adds, “20 to 30 years from now, when they’ll be able to do a combination of clear aligners and braces, with 3D printing bringing these costs down.”

Nominate your Dental Application of the Year and more in the 2019 3D Printing Industry Awards now. 

For all of the latest medical and dental 3D printing updates, subscribe to the 3D Printing Industry newsletter, follow us on Twitter and like us on Facebook.

Join 3D Printing Jobs to find your next opportunity.

This content was originally published here.

Antitrust Class Action Filed Against Invisalign Maker Over Alleged Dual-Market Competition Suppression

A Chicago dental practice has filed a proposed class action lawsuit against Align Technology, Inc. in which it alleges the Invisalign maker has leveraged its dominance in both the aligner and hand-held digital dental scanner markets as a means to suppress competition.

According to the 30-page suit out of Delaware federal court, Align Technology’s anti-competitive conduct has allowed it to not only artificially boost and/or maintain its market share and power, but to artificially inflate prices in both markets. The defendant’s alleged conduct, the lawsuit says, essentially amounts to a de facto bundling of its aligners and intraoral scanners that offers no corresponding discount to purchasers.

Align’s Technology’s Invisalign-brand aligners are by far the dominant product in the overall aligner market, the case begins. The defendant reportedly pulls in “well over a billion dollars per year” selling Invisalign, according to the suit.

The plaintiff charges that the defendant knew from the outset that dental practitioners’ use of digital scanners would make them more likely to use its aligners in that “once a dental practice purchases a digital scanner, that practice would be more likely to order more aligners as a way to pay for the scanner.”

“The bottom line,” the complaint reads, “was that more iTero Scanners meant more Invisalign orders.”

Since at least March 15, 2015, the defendant, the case claims, had been able to charge high prices and keep its profit margins in the black for Invisalign due to protection from “a thicket of hundreds of patents” Align Technology has supposedly wielded aggressively to “protect its aligner monopoly.” As the lawsuit tells it, however, once some of Align Technology’s key patents expired in 2017, the company was forced to turn its attention to the outside influence of competitors while keeping one eye on the lofty expectations of its investors. To juggle its predicament, the defendant “responded with the anticompetitive scheme” over which the lawsuit was filed, the plaintiff argues.

Moreover, the defendant’s possession of Invisalign-related patents, along with “other high barriers to entry” in the above-described markets, allegedly served as an effective deterrent for competitors looking to enter the market. 

“Instead of reacting to the advent of competition by improving its product or lowering its prices, Defendant worked to suppress that potential competition by using its dominance in the Aligner market to impair competition in the Scanner market, and then in turn using its dominance in the Scanner market to impair competition in the Aligner market,” the case reads.

With regard to the particulars of the defendant’s alleged competition-quashing scheme, the lawsuit says it came down to Align Technology’s production of both Invisalign and the tool with which dentists determine whether the treatment is right for a patient:

All this amounts to a de facto “closed system” that essentially makes it impractical for dental practitioners to order Invisalign aligners from other manufacturers, the case says. The defendant’s iTero scanner, according to the suit, does not accept scans in an industry-standard format nor from other scanners. The plaintiff stresses that this makes it more time-consuming and expensive for proposed class members to go outside of the framework set in place by Align Technology.

As of September 2018, Align Technology has “an over 80% share in the market for aligners in the United States and an over 80% share in the market for scanners in the United States,” the lawsuit says. With this much muscle, the defendant, the plaintiff alleges, has been able to leverage its position to inflate prices for its iTero dental scanners and Invisalign treatments.

The full complaint can be read below.

This content was originally published here.

‘Stranger Things’ Character Wears Shirt from Mo. Orthodontist

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‘Stranger Things’ Character Wears Shirt from Mo. Orthodontist

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  • Copyright 2017 Nexstar Broadcasting, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

  • Image copyright 2017 Getty Images. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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Enter For Your Chance to Win Invisalign For Your Child – SheKnows

When the final school bell rings and two months of unstructured free time stretch out before your kids, back-to-school season may feel like a lifetime away. But in reality, it’s just a few weeks, meaning now is the time to schedule all those late-summer doctors appointments. And if your child is one of the millions of kids in North America who will likely seek orthodontic help this year (according to the American Association of Orthodontists), you can add the orthodontist to that list.

With more than 6 million patients, parents and teens are increasingly choosing Invisalign treatment for everything from simple to complex cases. The clear aligners not only have the confidence-boosting benefit of being less noticeable, but because they are removable, they make it easier for teens to enjoy every type of food and care for teeth. They also are more convenient for teens who play instruments and safer for those who play sports. In fact, with Invisalign treatment, there are no emergency visits due to broken wires of brackets. If you want to learn more about Invisalign treatment, click here.

This summer SheKnows has partnered with the Invisalign brand to give parents a chance to win free Invisalign treatment for their child. Enter below for your chance to win. 

And once you’ve entered, follow the Invisalign brand on Instagram for more smiles. 

This post was created by SheKnows for Invisalign Brand. 

This content was originally published here.

Dracut orthodontist sinks his teeth into hydroponic gardening

James Pelletier, an orthodontist, created a hydroponic vegetable garden in his Dracut back yard to grow a better crop of tomatoes in a smaller space. Watch video at lowellsun.com. SUN photos /Julia Malakie)

Sun staff photos can be ordered by visiting our SmugMug site.

DRACUT — James Pelletier says he’d cry if he ever came home to find his tomato plants wilted.

“The biggest fear every hydroponic gardener has is a power failure,” he says.

The Dracut orthodontist circles around his labor of love on a recent Friday to make sure the solar-powered garden in his backyard is running seamlessly. The Big Boy tomatoes that grow in bato buckets are not yet ripe. All are bright green, some plumper than others.

As the sun bears down on Pelletier and the tight rows of tomato plants, he shares that he has trained them to thrive on one vine. “Because one vine doesn’t allow them to grow bushy and get wet, and get diseases,” he explains, reaching out to pull a velvety sucker from one plant.

Above, the crop; at right, a jar of sauce made from his tomatoes.

Sun staff photos can be ordered by visiting our SmugMug site.

“You only want one grow point, and that’s how you have one vine.”

After years of trouble with growing tomatoes and subsequently running out of space in his yard for more tries, Pelletier, 57, wanted to find a way to grow the vegetables every year without having to move it to a new spot. He wanted something easier than conventional gardening. Pelletier read books on hydroponic gardening — a method of growing plants without soil — and made several attempts at the garden before building his current one two years ago. Three solar panels supply energy to batteries that run two special pumps and an aerator that, in turn, feed the tomato plants. Instead of soil, Pelletier uses coconut fiber and perlite.

He regularly pours different liquid nutrients into a reservoir built into the ground, which are then pumped into each tomato plant. Once the buckets the plants are in reach a certain level, the fluid drains back into the reservoir. The cycle repeats four times a day.

“I’m a scientist in my heart. I just get a lot of satisfaction out of doing it,” Pelletier says. “I am creating something from nothing and tweaking it this way and that way over the years to get it to do exactly what I want it to do.

It’s like a big, huge science experiment and, when it goes good like this, it feels great.”

The garden’s greatest threat according to Pelletier is blight, a plant disease that actually hasn’t affected his garden. There’s also a pesky chipmunk who sneaks into the garden to steal tomatoes. On this recent Friday, the chipmunk made an appearance, having stolen a small, green one.

After the science comes the fruit of Pelletier’s labor. Once the tomatoes have ripened, he and his wife, Karen, pluck them and prepare them for canning, sometimes with the help of their daughter, Mollie Andrews, 30. On the weekends they sit on their deck to can the tomatoes in Mason jars before storing them away.

The irrigation system for James Pelletier’s hydroponic vegetable garden in his Dracut backyard is powered by these solar panels. The garden also includes a bed of asparagus, center. SUN photos /Julia Malakie

Sun staff photos can be ordered by visiting our SmugMug site.

Karen makes sauce from the tomatoes, and dishes that also incorporate the other vegetables growing in their backyard such as zucchini. Pelletier says he also gives out canned tomatoes to relatives and neighbors across the street.

“I love it. He works very hard on it,” Karen, 58, says. “It takes a lot of time, but he enjoys gardening so we get a lot of beautiful vegetables from it.”

Follow Amaris Castillo on Twitter @AmarisCastillo

Batteries on the top shelf of this cabinet store power produced by Pelletier’s solar panels.

Sun staff photos can be ordered by visiting our SmugMug site.

This content was originally published here.

PROFILES IN SUCCESS: Cavanaugh takes hoops lessons into his work as an orthodontist

As Robert Cavanaugh walked through the Old Town Banquet Hall in Valparaiso last month, the former Valparaiso High School and Valparaiso University basketball player was struck by the amount of meaningful relationships he’d made with people in the room over the years.

Cavanaugh was one of 10 individuals inducted into the Valparaiso High School Hall of Fame on Jan. 20, and while he had two tables of supporters, Cavanaugh spent plenty of time floating around the room.

Joe Otis was holding court on one side of the room, telling old basketball stories. Mike Jones and Scott Anselm traded stories while forming a unique bond with Cavanaugh with the three having played for both the Vikings and the Crusaders. Former coach Bob Punter told a tale or two before introducing Cavanaugh to the audience.

The honor of getting inducted into the Hall meant a lot to Cavanaugh, an orthodontist with Cavanaugh & Nondorf Orthodontics, but the people is what he’ll remember.

“(Getting inducted) was kind of humbling,” Cavanaugh said. “The best part of it was going to the event and seeing all these people that were such a big part of my life. The evening itself was really neat because of getting to spend time with so many different people.”

Cavanaugh knows a lot of people simply because he is as ingrained in the Valparaiso community as one can be. He and his wife, Heather, have five children that have come up through the Valparaiso school system, the same system that produced Cavanaugh before he graduated in 1990.

Cavanaugh spent his first three seasons at VHS playing basketball under Skip Collins. The 1988-89 team won a sectional championship before falling in the regional. Collins gave way to Punter and Cavanaugh for his first taste of a different coaching philosophy.

“Skip was very regimented, very organized and very detailed,” Cavanaugh said. “Punter let us go a little bit more. We scored a lot more points going up and down the floor, but we gave up a little bit more, too.”

The 1989-90 Vikings also won a sectional title and Cavanaugh learned a life lesson in watching Collins, and then Punter, that he has taken with him to his orthodontics practice.

“You can see there’s ways to look at different approaches,” Cavanaugh said. “Now as a business owner, being in charge of 10 to 12 staff members, you can see that they’re all different. The coach has to decide what everyone is good at. Watching (Collins and Punter), there’s not only one way to do something, there’s positives and negatives.”

Cavanaugh set the IHSAA record for consecutive free throws at 72 his senior year and he made 102 out of 104 attempts from the charity stripe. Despite scoring 18.5 points per game and leading the Vikings in assists, Cavanaugh wasn’t highly recruited out of high school and it wasn’t until he had a stroke of good fortune that he found his landing spot.

“(Second-year Valparaiso University coach) Homer Drew called me and told me that he really liked me, but also wanted to tell me that he wasn’t going to recruit me because they didn’t need a guard,” Cavanaugh said. “The season ends and two of their guards leave. Homer called me and immediately offered me a scholarship. I was lucky how the opportunity came about.”

Cavanaugh started all four years for the Crusaders and has made a profound impact on the Valparaiso record book. He finished his career with the highest 3-point percentage at the time and now ranks No. 6 in program history. Cavanaugh is joined in the top 10 by Bryce Drew, Casey Schmidt and Mike Jones, all Valparaiso High graduates. Cavanaugh also ranks among the program’s best in assists and free throw percentage.

More important than individual statistics was the ascent of the team when Cavanaugh played for the Crusaders. Valparaiso won five games in each of his first two seasons before breaking through for 12 wins in 1992-93. The following year the Crusaders won 20 games, a mark they’d hit in eight of the next nine seasons.

“We were starting to see the hard work paying off,” Cavanaugh said. “It was about setting goals higher, having persistence. Those first couple years when you’re not winning, it’s hard. People are hanging their heads, but once you start winning, it changes your whole feeling.”

While basketball was a passions for Cavanaugh, so was dentistry. His father, Tom, worked in the field for 40 years and Rob gotten bitten by the bug at an early age. After graduating from Valparaiso, Cavanaugh completed his dental studies at the Indiana University of Dentistry in 1998 and then graduated from NOVA Southeastern University in Fort Lauderdale with orthodontic specialty education in 2001. Cavanaugh became board certified by the American Board of Orthodontics in 2005.

“During some of those summers (when I was younger), I worked for my dad in his office,” Cavanaugh said. “I started making some appliances. My grandfather was a general dentist and I had the opportunity to visit some of the other dentists in town.”

Dentistry is certainly a family business as far as Cavanaugh is concerned. His partner, Matt Nondorf, is the same way as his father, sister and wife also work in the field. Just as dentistry brings Cavanaugh and his family together, so does flying. Tom was a longtime flight instructor and Rob’s brother Brad owns Air One, an aerial photography business.

“During my sophomore year at VU I got my pilots license,” Cavanaugh said. “My dad was a flight instructor and was honored by the FAA with the Wright Brothers Award for 50 years of no accidents. Hanging out at the airport with all the guys, it’s something I’ve always had an interest in.”

Cavanaugh has built a successful business career, but the itch to compete is still there. He cures it with weekly basketball games and by coaching his children. While basketball has always come natural to him, Cavanaugh is finding a new love with following his children in cross country. While dentistry and sports don’t quite go hand in hand, Cavanaugh has found a balance between the two that is rooted in more life lessons he learned back at Valparaiso High.

“The big thing going into dental school was to remember time management and being able to multitask,” Cavanaugh said. “Learning how to deal with failures, how to make mistakes and to be persistent.”

This content was originally published here.

Living With Invisalign – What to Expect. From 123Dentist

Invisalign aligners are an effective alternative to metal braces. Most patients are able to get the same results with these clear aligners that they would achieve with brackets and wires. Invisalign aligners are clear, unobtrusive, and easily removable. If you’re considering Invisalign for your treatment, here are some quick answers to common questions about what it’s like to live with Invisalign.

What Should I Do About My Sports Guard?

The Importance Of MouthguardsInvisalign aligners help straighten your teeth, but they do not protect them. Don’t make the mistake of thinking your aligners can double as a sports guard. If you play contact sports, it’s best to remove your Invisalign aligners before playing and protect your teeth with a sports guard designed for just this purpose. This will protect your teeth while you’re on the field or the court and keep your aligners safe from damage as well.

Does Invisalign Effect What I Eat and Drink?

No, Invisalign won’t have any impact on what you eat and drink. This is one of the most compelling reasons to choose Invisalign over other treatment options. While popcorn, taffy, and other tricky treats can get stuck in the brackets and wires of braces, you won’t have any such problem with Invisalign. You can remove your aligners at any time. Just pop them out at mealtime and brush your teeth carefully before putting the aligners back in.

Can I Still Play an Instrument With Invisalign?

Since Invisalign is a removable option, you can take your aligners out if they make it difficult to play an instrument. If you play a woodwind or brass instrument, you’ll likely find it’s easiest to remove your aligners when you’re playing. This is fine as long as you remember to keep them in for 20 to 22 hours a day.

Will I Still Be Able to Kiss?

Though it can seem like a touchy topic, there’s no need to worry about kissing while you’re using Invisalign. The aligners are barely noticeable in your mouth, so there’s a good chance your partner won’t notice a thing. If you’re with someone who asks about your aligners, you can explain that it’s much easier and more comfortable to kiss with aligners than with braces, and plenty of people have braved kissing in braces!

Aligners are smooth and fitted close to the tooth. They won’t dislodge while you’re kissing. Though you may feel nervous your first few kisses, you’ll soon forget all about these unobtrusive aligners. Although it may be tempting to take your aligners out, try to do so only on special occasions. You need to keep them in for as many hours as possible each day to get the right results.

Will Invisalign Change How I Talk?

During your first few days with Invisalign, you may notice a slight change in your speech. Your tongue needs a little time to get used to this new device in your mouth. While you may have a slight lisp at first, this typically goes away. You should be speaking normally again in a short time.

How Can I Keep My Aligners Clean?

Orthodontist with Invisalign PatientThere are two steps to keeping your Invisalign aligners clean. First, you need to keep your mouth clean. Brush and floss your teeth after every snack and meal. If you skip brushing, you’ll get food, plaque, and bacteria in your tray. Since aligners sit so close to your teeth, they can trap these hazards right next to the tooth and gum line where they can cause ample damage. Keep your teeth clean to prevent this.

The second thing you need to do is clean the aligner itself while it’s out. There are several methods for doing this. You can soak your aligner trays in clear mouthwash, a 50-50 solution of water and hydrogen peroxide, Polident denture cleaner, or a 50-50 blend of vinegar and water. Invisalign also sells a cleaning kit designed just for your aligners. Whichever method you choose, make sure you’re using it daily to prevent discoloration of the aligner tray.

Do Invisalign Aligners Smell?

No, your Invisalign aligners should not smell if you’re taking care of them properly. If your aligners have an odour, this means you’re not cleaning your teeth or your trays as thoroughly as you should. Step up your cleaning routine to help eliminate the smell.

Will Invisalign Give Me Bad Breath?

Properly cared for, your Invisalign aligners won’t do anything harmful to your breath. As mentioned previously, if there’s any unpleasant odour coming from the tray, you may want to re-examine your oral hygiene routine. Since you should be brushing your teeth several times a day with Invisalign, you should actually enjoy much fresher breath than you might if you were brushing just twice daily.

Invisalign is a comfortable alternative to traditional braces, and as you can see, living with Invisalign is easier than you might think!

This content was originally published here.

The New Invisalign® Outcome Simulator 4.0 – iTero® Element™ Intraoral Scanner

Often Imitated. Never Simulated. Exclusive to the iTero® Element™ Scanner, the Invisalign® Outcome Simulator gives you a fun and engaging way to communicate the potential benefits of Invisalign treatment while increasing case acceptance. Simulated outcomes make it easy to show the benefits possible with Invisalign and may motivate greater patient acceptance. 3D Progress Tracking At…

This content was originally published here.

8 Celebrities Who Used Invisalign Treatment

A lot of people feel that, once they are adults or older teens, the time to improve their smiles with braces has gone by. But, thanks to advanced cosmetic dentistry, Invisalign allows many people to discreetly straighten their teeth without calling attention to the work.

Not convinced? Invisalign dentists straightened the smiles of all these celebrities while they were in the public eye:

1. Khloe Kardashian’s Invisalign Treatment

As a reality star, Khloe Kardashian is rarely far from the public view, which makes her self-improvement projects all the more noticeable. She’s slimmed down significantly during her years in the spotlight, shedding over 30 pounds with the help of a personal trainer. She decided to straighten her smile, as well, and had her braces put on last year at the age of 28.

Invisalign-Treatment-Justin2. Justin Bieber’s Invisalign Treatment

This Baby singer was still a teenager when he opted for clear Invisalign braces. In a Youtube video, he praised the braces’ unobtrusive look. The unobtrusive nature of the braces meant that they could really only be seen when he took them out to show them off.

Invisalign-Treatment-Katherine3. Katherine Heigl’s Invisalign Treatment

Actress Katherine Heigl began wearing Invisalign in 2007 in preparation for her wedding. With these discreet braces, she could keep attention on her instead of on the corrections to her teeth. These days, the former Grey’s Anatomy star is all smiles as she prepares for the premiere of her upcoming TV series State of Affairs.

Invisalign-Treatment-Tom4. Tom Cruise’s Invisalign Treatment

Hollywood hunk Tom Cruise has always been famous for his smile. But, when the star began bringing his kids to the orthodontist in 2002, he discovered that his front teeth were not as straight as they could be. He chose a combination of Invisalign and ceramic brackets to keep his smile metal-free while straightening his teeth.

Invisalign-treatment-Gisele5. Gisele Bundchen’s Invisalign Treatment

Not even supermodels are born perfect! Gisele Bunchen told interviewers that she started wearing Invisalign because one of her teeth was moving and made her smile look less than perfect in pictures. She wore the braces only at night, taking advantage of the Invisalign system’s flexibility.

Invisalign-Treatment-Zac6. Zac Efron’s Invisalign Treatment

As this actor made the jump from teen heart throb in High School Musical to grown-up stunner in fare like The Neighbors, he decided that it was time for the slight gap between his front teeth to transition to a solid white smile, as well.

Invisalign-treatment-eva7. Eva Longoria’s Invisalign Treatment

This steamy star began wearing Invisalign at age 36 to straighten her bottom teeth. No longer spooked by a crooked smile, the star is working on a new horror TV series based on Latin American folk tales.

Invisalign-Treatment-Serena8. Serena Williams’ Invisalign Treatment

This powerful tennis player made sure that her smile was as strong as her serve by wearing Invisalign braces as a teenager. Years later, she has a straight and stunning smile, and continues to stack up the Grand Slam wins.

Are you ready to take on your insecurities and improve your smile? Talk to a local dentist about Invisalign in Mansfield. There are a number of highly qualified Mansfield MA dentists who can talk to you about whether these invisible braces are right for you.

This content was originally published here.

HP and Smile Direct Club want to disrupt orthodontics with 3D-printed braces | VentureBeat

HP and SmileDirectClub hope to disrupt the $12 billion orthodontics business by making 3D-printed teeth molds.

At the Rapid 2019 3D printing conference, the company said they will use 49 HP Jet Fusion 3D printing systems around the clock to make more than 50,000 unique mouth molds per day. This means they have the capacity to make as many as 20 million individualized 3D-printed mouth molds in the next 12 months.

The goal is to revolutionize the way millions of people achieve a straighter smile.

“SmileDirectClub is digitally transforming the traditional orthodontics industry, making it more personal, affordable, and convenient for millions of consumers to achieve a smile they’ll love,” said Alex Fenkell, cofounder of SmileDirectClub, in a statement. “HP’s breakthrough 3D printing and data intelligence platform makes this level of disruption possible for us, pushing productivity, quality, and manufacturing predictability to unprecedented levels, all with economics that allow us to pass on savings to the consumers seeking treatment using our teledentistry platform.”

The orthodontics industry is 120 years old. SmileDirectClub cofounders Fenkell and Jordan Katzman first met at summer camp as teens with metal braces. They decided later that innovations in technology and telehealth could democratize access to safe, affordable, and convenient orthodontic care.

They started the company in 2014 using a digital network of state-licensed dentists and orthodontists who prescribe teeth straightening treatment plans and manage all aspects of clinical care — from diagnosis to the completion of treatment — using the company’s proprietary teledentistry platform. To date, they have served half a million customers in the U.S., Canada, and Puerto Rico, with plans to expand to Australia and the United Kingdom in 2019.

An estimated 80% of Americans could benefit from orthodontic care, yet only 1% receive it each year, with cost being the biggest prohibitive issue. In the U.S., 60% of counties do not have access to an orthodontist. By leveraging the benefits of teledentistry coupled with HP’s 3D printing technology, SmileDirectClub is bridging these gaps, offering people a chance to build confidence through a straighter, brighter smile at a cost that is up to 60% less than traditional options.

SmileDirectClub and its manufacturing partners rely on HP Jet Fusion 3D printing solutions to produce the mouth molds for each patient’s aligners and retainers, creating an average of more than 50,000 personalized mouth molds each day.

“SmileDirectClub and HP are reinventing the future of orthodontics, pushing the boundaries of customized 3D mass production and democratizing access to affordable, high-quality teeth straightening for millions of people,” said Christoph Schell, president of 3D Printing and Digital Manufacturing at HP, in a statement. “Through this collaboration, HP is helping SmileDirectClub accelerate its growth, enabling a new era of personalized consumer experiences only made possible by industrial 3D printing and digital manufacturing.”

HP and SmileDirectClub also announced a new recycling program, through which excess 3D material and already processed plastic mouth molds are recycled by HP and turned into pellets for traditional injection molding, leading to more sustainable production.

This content was originally published here.

Things Your Orthodontist Won’t Tell You

Close up macro shot of a male mouth laughing and showing his straight teethicsnaps/ShutterstockYour smile is one of the first things somebody notices about you, and seeing an orthodontist practically ensures you’ll always have straight, pearly whites. At least, that’s the idea. But as with any other doctor, your orthodontist has some things they wish you knew, but probably won’t ever tell you. (By the way, you’ll definitely want to follow these 10 golden rules for white, healthy teeth.)

Someone else might’ve used your braces before you

Beautiful young woman with brackets on teeth close upVP Photo Studio/ShutterstockBefore you get grossed out, this isn’t always the case—and if it is, it’s not actually as skeevy as you might think. According to foxnews.com, some orthodontists professionally sterilize and remanufacture used braces through companies like Ortho-Cycle, which saves up to 50 percent on costs. This process “is based upon the dissolution of polymerized acrylates at temperatures at which simultaneous sterilization occurs,” according to orthocycle.com.

We know when you haven’t been wearing your Invisalign

Close-up Of Woman's Hand Putting Transparent Aligner In TeethAndrey_Popov/ShutterstockDespite how persistent you are when you tell your orthodontist you’ve been actively wearing your Invisalign, they’ll know the truth right away. “We know if you haven’t been wearing your Invisalign because of a cool feature [on the aligners] (not just because of your answer to our question or the way your teeth look),” says Dr. Matthew LoPresti, DDS, a cosmetic dentist in Stamford, CT. “There are little blue marks towards the back of your aligners that should wear away as you wear the Invisalign. If the blue mark looks untouched, we know you haven’t been wearing the aligners.” (Here are some things your dentists NEEDS you to start doing differently.)

Your treatment will probably take longer than what we initially tell you

Close up of smiling black woman at dentistRocketclips, Inc./ShutterstockYour orthodontist might tell you your treatment will only take a year and a half to two years, but that’s a rough estimate. A lot of treatments take much longer than expected. “Delays in the process may occur like a misdiagnosis of your case, patient’s neglect, or unanticipated movement of the teeth,” says Danica Lacson, a representative for Hawaii Family Dental.

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Our fees might be negotiable

Credit cards close upsumire8/ShutterstockLet’s be honest, a trip to the orthodontist is anything but cheap. “The good news, though, is that orthodontists offer a variety of payment plans. Many allow patients to pay through monthly installments with no interest, and with some orthodontists, you can negotiate the fee itself,” according to foxnews.com. “Some orthodontists will give a discount, usually 5 to 10 percent, if you pay the total in cash or with a credit card at the beginning of treatment.” (You won’t believe these shocking diseases that dentists find first.)

You have to wear retainers after you complete your treatment—forever

teeth with retainerOlga Miltsova/ShutterstockIf you think you’re done with orthodontics after you finish your treatment—think again. “A retainer holds your teeth in place. After you complete Invisalign or any orthodontics, it is necessary to hold those teeth in place,” says Dr. LoPresti. “There are different options which include a removable clear retainer that is worn at night or a permanent fixed retainer that gets bonded to the back of your teeth.”

We know when you’re lying about wearing your retainer

Dentist holding Retainer, Orthodontics Dental concept backgroundponsulak/ShutterstockNot only do you have to wear a retainer after you complete your treatment, but your orthodontist will definitely know if you’ve really been keeping up with it. “Patients that complete their advised treatment and achieve their desired result but then fail to wear their retainers, generally have teeth that drift apart,” says Dr. Timothy Chase, co-founder of SmilesNY. “This can cause a relapse such as crowding, spacing or flaring of the teeth.” (Whatever you do, never, ever ignore these symptoms of a cavity.)

We know when you eat or drink with your Invisalign in

Macro close up of healthy female teeth biting raspberry.karelnoppe/ShutterstockIt might seem harmless to eat or drink with your aligners in, but you won’t be fooling your orthodontist. “When patients eat or drink liquids (other than water) come in to see me, their Invisalign trays are often slimy, dirty, and stained,” says Dr. Chase. “Not only does this result in a cosmetically undesirable appearance to the aligners but it also damages them and can lead to decay.”

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Braces aren’t just a cosmetic treatment

Close-up of ceramic and metallic braces on teeth. Orthodontic Treatment. Dental Care Conceptsalajean/ShutterstockIt might seem like people go to the orthodontist just to straighten out their teeth, but there are tons of other reasons, too. While some people can go through life with crooked teeth and be just fine, others actually require fixture in order to chew and speak properly. “While we do want everyone to have a perfect smile, the reality is not everyone requires orthodontics,” says Seth Newman, DDS, a board-certified orthodontic specialist. (You’ll never catch your dentist eating these 15 foods—and you shouldn’t be snacking on them, either.)

We know you don’t floss or brush as much as you say you do

Close-up Of Young African Woman Flossing TeethAndrey_Popov/ShutterstockRemember all those times you lied to your dentist or orthodontist when they asked if you’ve been flossing? Yeah… they knew you weren’t. “Those who do not brush and floss properly generally have a higher incidence of plaque calculus, gingivitis, and tooth decay,” says Dr. Chase. “A single day of forgetting to floss is damaging but a week or a month of poor hygiene will result in swelling of the gums, bleeding and a foul odor.” (This is the easiest way to get rid of bad breath, according to a dentist.)

Even if you don’t think your child needs orthodontics, get them checked out anyway

retainer for teeth - Beautiful smiling girl with retainer for teethpattara puttiwong/ ShutterstockEven if your child doesn’t show any signs of needing to see an orthodontist, you should really bring them in for a check-up no later than age seven. “If we see a patient early, we can remove baby teeth and the canine has a good possibility of coming in properly,” according to Dr. Jackie Miller, an orthodontist in Washington, MO, and member of the American Association of Orthodontists. “An early visit to the orthodontist can prevent and help detect future problems.” (Here are some dental etiquette rules everyone should follow.)

If you smoke, your treatment might take longer

Beauty & SmokeQuinn Martin/ShutterstockIn case you needed more of a reason to not smoke, it might actually cause you to need to make more trips to your orthodontist’s office. “Smokers give away their habit because of the excessive plaque that builds up on their teeth,” according to Dr. Chase. “This can have a big impact orthodontic appliances used to straighten teeth and result in a longer treatment period.”

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This content was originally published here.

Wilmington orthodontist uses 3D technology to get straight teeth

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  • You can learn while you sleep

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For Jessica Keogh, braces were not an option.

The 33-year-old never had them growing up as a kid. She’s always wanted to fix her crowded bottom teeth but hated the idea of sporting braces as an adult.

When her cousin told her about a website where a Wilmington orthodontist will give her a free consult about getting clear, plastic aligners to straighten her teeth, she gave it a shot. 

Now, months later, Keogh wears her aligners every day. Most people don’t realize she has them at work.

“Who wants braces,” she said, “Obviously, I’m going to take this.”

More: Westside Family Healthcare to close Middletown location Nov. 28

Wilmington orthodontist John Nista has developed a new process called “Simply Fast Smiles” that combines new industry concepts and emerging technology. The doctor said through clear, plastic trays, he can straighten some people’s teeth in six months. And the bill is typically about $3,000, half the normal cost of most sets of braces.

“If you say you’re going to the orthodontist because you need braces, the first thing that goes to your mind is that it’s going to be expensive, it’s going to take time and it’s going to be painful,” he said. 

“My piece of the puzzle doesn’t have to do that.”

Nista uses a 3-D scanner and printer, as well as advanced software, to create about 25 plastic moving aligners. He prints all of the plastic trays at the same time for the patients, resulting in fewer check-up appointments. The patients wear a new aligner every week, which incrementally straightens their teeth. 

Read: How’s your marriage? UD prof will pay you to tell her

While this program can be for anyone with adult teeth, most of his patients have been adults who have had previous dental work. 

Nista, who has been an orthodontist for 28 years, said the industry has changed and adapted its practices every couple of decades. But it wasn’t until Invisalign was created in the late 1990s that there has been such a major technological breakthrough in orthodontics, he said.

Invisalign showed orthodontists that clear, plastic aligners can efficiently move people’s teeth while avoiding the severe pain and unattractive look of braces. Forbes reported in April that Invisalign hit its 4 millionth patient last September. In 2016, the company’s sales reached $1 billion for the first time. 

In recent years, it has led to the creation of a handful of other clear aligner competitor companies. 

The startup SmileDirectClub has received national attention in recent months for its business model of saying it will straighten people’s teeth — without in-person doctor consults and X-rays.

People can get fit for aligners by going to a SmileDirectClub store or ordering a mail-in kit. The aligners are then sent in the mail and cost $1,850. There aren’t any locations based in Delaware. 

More: Report: Delaware ties for worst state in hospital safety

The American Association of Orthodontists has filed complaints with dental boards and attorney generals in 36 states against the company, saying its service can lead to medical risks. 

While Nista is also wary of the company, since there’s no direct contact with a doctor, he said it does signify the changing times of the industry. People don’t want to pay a fortune and invest a lot of time to get straight teeth.

“There is a big wave of this coming,” he said.

The first step of Nista’s “Simply Fast Smiles” is the free online consultation — which is done via selfie.

To see if a patient qualifies, Nista asks people to complete the “Smile Test” by submitting four photos that show different angles of a person’s mouth through his website. The images will be sent directly to Nista’s email. He’ll then determine the amount of work he or she needs and email the patient directly.

The idea to use telemedicine for orthodontics came to him when he watched his niece, a dermatologist, do a consult on her phone while on the beach during a family vacation. There’s no reason he couldn’t do the same thing, Nista recalled thinking. 

“Everyone knows how to take a selfie,” he said. 

Nista said it only takes orthodontists a couple minutes (at most) to decide if the aligners can properly straighten a person’s teeth in a short period of time. Looking at images via email saves time for both him and potential patients, he said. 

Telemedicine applications have become increasingly popular because doctors can treat patients in the comfort of their own homes reducing costs including travel time. The Medical Society of Delaware and Nemours/Alfred I. DuPont Hospital for Children have encouraged their doctors to use this technology in the past year. 

In addition to orthodontic X-rays and photographs, Nista uses software that takes a digital scan of a patient’s mouth. The computer program then shows what it will take for the teeth to get into a “goal position.”

It also creates the design of the 25 plastic aligners which are then 3D printed at the same time. Whitening gel is also included in the individual aligners.

For most patients, the aligners are changed about once a week. Additional aligners can be printed over the course of the six months if necessary, Nista said.

Read: Wilmington offers free health care to pets, their humans

Unlike other patients, Keogh has about 40 aligners due to the amount of work she needs on her teeth. She said the whole process was a lot easier than what she imagined, especially with the payments. 

She was still quoted a total of about $3,000. That’s about $800 less than what her mother paid for aligners at another practice. Since Keogh paid for it upfront, she said she doesn’t need to worry about for copays or charges for follow-up appointments.

Now at the halfway point, Keogh said she’s seen progress in her bottom teeth. It’s already boosted her confidence, she said. 

“I can’t wait till they’re all the way straight,” Keogh said. 

Contact Meredith Newman at (302) 324-2386 or at mnewman@delawareonline.com. Follow her on Twitter at @merenewman.

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This content was originally published here.

Things Your Orthodontist Won’t Tell You

Close up macro shot of a male mouth laughing and showing his straight teethicsnaps/ShutterstockYour smile is one of the first things somebody notices about you, and seeing an orthodontist practically ensures you’ll always have straight, pearly whites. At least, that’s the idea. But as with any other doctor, your orthodontist has some things they wish you knew, but probably won’t ever tell you. (By the way, you’ll definitely want to follow these 10 golden rules for white, healthy teeth.)

Someone else might’ve used your braces before you

Beautiful young woman with brackets on teeth close upVP Photo Studio/ShutterstockBefore you get grossed out, this isn’t always the case—and if it is, it’s not actually as skeevy as you might think. According to foxnews.com, some orthodontists professionally sterilize and remanufacture used braces through companies like Ortho-Cycle, which saves up to 50 percent on costs. This process “is based upon the dissolution of polymerized acrylates at temperatures at which simultaneous sterilization occurs,” according to orthocycle.com.

We know when you haven’t been wearing your Invisalign

Close-up Of Woman's Hand Putting Transparent Aligner In TeethAndrey_Popov/ShutterstockDespite how persistent you are when you tell your orthodontist you’ve been actively wearing your Invisalign, they’ll know the truth right away. “We know if you haven’t been wearing your Invisalign because of a cool feature [on the aligners] (not just because of your answer to our question or the way your teeth look),” says Dr. Matthew LoPresti, DDS, a cosmetic dentist in Stamford, CT. “There are little blue marks towards the back of your aligners that should wear away as you wear the Invisalign. If the blue mark looks untouched, we know you haven’t been wearing the aligners.” (Here are some things your dentists NEEDS you to start doing differently.)

Your treatment will probably take longer than what we initially tell you

Close up of smiling black woman at dentistRocketclips, Inc./ShutterstockYour orthodontist might tell you your treatment will only take a year and a half to two years, but that’s a rough estimate. A lot of treatments take much longer than expected. “Delays in the process may occur like a misdiagnosis of your case, patient’s neglect, or unanticipated movement of the teeth,” says Danica Lacson, a representative for Hawaii Family Dental.

Content continues below ad

Our fees might be negotiable

Credit cards close upsumire8/ShutterstockLet’s be honest, a trip to the orthodontist is anything but cheap. “The good news, though, is that orthodontists offer a variety of payment plans. Many allow patients to pay through monthly installments with no interest, and with some orthodontists, you can negotiate the fee itself,” according to foxnews.com. “Some orthodontists will give a discount, usually 5 to 10 percent, if you pay the total in cash or with a credit card at the beginning of treatment.” (You won’t believe these shocking diseases that dentists find first.)

You have to wear retainers after you complete your treatment—forever

teeth with retainerOlga Miltsova/ShutterstockIf you think you’re done with orthodontics after you finish your treatment—think again. “A retainer holds your teeth in place. After you complete Invisalign or any orthodontics, it is necessary to hold those teeth in place,” says Dr. LoPresti. “There are different options which include a removable clear retainer that is worn at night or a permanent fixed retainer that gets bonded to the back of your teeth.”

We know when you’re lying about wearing your retainer

Dentist holding Retainer, Orthodontics Dental concept backgroundponsulak/ShutterstockNot only do you have to wear a retainer after you complete your treatment, but your orthodontist will definitely know if you’ve really been keeping up with it. “Patients that complete their advised treatment and achieve their desired result but then fail to wear their retainers, generally have teeth that drift apart,” says Dr. Timothy Chase, co-founder of SmilesNY. “This can cause a relapse such as crowding, spacing or flaring of the teeth.” (Whatever you do, never, ever ignore these symptoms of a cavity.)

We know when you eat or drink with your Invisalign in

Macro close up of healthy female teeth biting raspberry.karelnoppe/ShutterstockIt might seem harmless to eat or drink with your aligners in, but you won’t be fooling your orthodontist. “When patients eat or drink liquids (other than water) come in to see me, their Invisalign trays are often slimy, dirty, and stained,” says Dr. Chase. “Not only does this result in a cosmetically undesirable appearance to the aligners but it also damages them and can lead to decay.”

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Braces aren’t just a cosmetic treatment

Close-up of ceramic and metallic braces on teeth. Orthodontic Treatment. Dental Care Conceptsalajean/ShutterstockIt might seem like people go to the orthodontist just to straighten out their teeth, but there are tons of other reasons, too. While some people can go through life with crooked teeth and be just fine, others actually require fixture in order to chew and speak properly. “While we do want everyone to have a perfect smile, the reality is not everyone requires orthodontics,” says Seth Newman, DDS, a board-certified orthodontic specialist. (You’ll never catch your dentist eating these 15 foods—and you shouldn’t be snacking on them, either.)

We know you don’t floss or brush as much as you say you do

Close-up Of Young African Woman Flossing TeethAndrey_Popov/ShutterstockRemember all those times you lied to your dentist or orthodontist when they asked if you’ve been flossing? Yeah… they knew you weren’t. “Those who do not brush and floss properly generally have a higher incidence of plaque calculus, gingivitis, and tooth decay,” says Dr. Chase. “A single day of forgetting to floss is damaging but a week or a month of poor hygiene will result in swelling of the gums, bleeding and a foul odor.” (This is the easiest way to get rid of bad breath, according to a dentist.)

Even if you don’t think your child needs orthodontics, get them checked out anyway

retainer for teeth - Beautiful smiling girl with retainer for teethpattara puttiwong/ ShutterstockEven if your child doesn’t show any signs of needing to see an orthodontist, you should really bring them in for a check-up no later than age seven. “If we see a patient early, we can remove baby teeth and the canine has a good possibility of coming in properly,” according to Dr. Jackie Miller, an orthodontist in Washington, MO, and member of the American Association of Orthodontists. “An early visit to the orthodontist can prevent and help detect future problems.” (Here are some dental etiquette rules everyone should follow.)

If you smoke, your treatment might take longer

Beauty & SmokeQuinn Martin/ShutterstockIn case you needed more of a reason to not smoke, it might actually cause you to need to make more trips to your orthodontist’s office. “Smokers give away their habit because of the excessive plaque that builds up on their teeth,” according to Dr. Chase. “This can have a big impact orthodontic appliances used to straighten teeth and result in a longer treatment period.”

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This content was originally published here.