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Does my child need two-phase treatment?

November 13th, 2018

You might be surprised to see one of your second grader’s friends with a dental appliance. Isn’t orthodontic work just for teenagers? And, if not, should your seven-year-old be sporting braces right now? The answer to both of those questions is “Not necessarily.” Two-phase treatment is a process designed to correct issues that arise during different times in your child’s life.

First Phase Treatment

We recommend that every child have an orthodontic evaluation around the age of seven to determine if there is a problem that would benefit from early treatment. First phase orthodontics is not the same as orthodontics for older patients. The focus here is on the developing bone and muscle structures which form your child’s bite and provide space for the permanent teeth when they arrive.

There are some clear-cut orthodontic goals that are much easier to attain when children’s bones are still growing.

  • Reducing Crowding

If your child’s mouth is small, the permanent teeth will have little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time. Sometimes the extractions necessary to create more room for permanent teeth in later years can be avoided, as well as the possibility of an impacted tooth—one which doesn’t erupt because it is blocked by other teeth.

  • Dealing with Jaw and Bite Concerns

Bones and muscles do not always develop properly, leading to problems with jaw and facial structure. Your younger child still has growing bones, so this is a great time to gently re-form the jaw into a healthy shape. Problems caused by crossbites, underbites, open bites, and other malocclusions can be reduced with early treatment.  

  • Protecting Teeth

If your child has protruding front teeth, these teeth are more likely to be damaged in falls, at play, or while participating in sports. We can gently reposition them.

Second Phase Treatment

Second phase treatment is designed for your older child. After a resting period, when the permanent teeth finish erupting, we should see your child to evaluate any further orthodontic needs. This is the time to finish the process of straightening the teeth and making sure that each tooth fits together properly for a comfortable and healthy bite. This phase usually makes use of braces or aligners, and can take approximately 12-24 months.

Two-phase treatment is not necessary for every child. But there are some unique reasons that early orthodontics might be recommended for your child, even if it’s clear that more orthodontic work will be needed later. Make an appointment with Dr. Mark Mappes at our Nashville, TN office, and let’s evaluate your child’s orthodontic needs, whether now or in the future, for a lifetime of beautiful smiles.

Generic Clear Aligners vs. Invisalign®

November 6th, 2018

You may have a talent for home repairs. You may be able to rebuild your computer. You may even be able to put together a whole room of furniture armed only with flat-box kits and an Allen wrench. But, please—don’t try do-it-yourself orthodontics!

Now that generic clear aligners are available, you might consider giving them a try to save some money. But is straightening your own teeth really a good idea? Before you are tempted, let’s look more closely at the products and the dental science involved.

Invisalign®

  • Invisalign clear aligners are used by orthodontists and dentists with experience in custom treatment for your smile. A 3D image of your teeth will be captured by the iTero Element® scanner. Using special software, your doctor can map out each projected shift in your teeth, and even show you a projection of your finished smile!
  • Your Invisalign aligners will be tailored to fit your teeth precisely using the 3D scan and 3D printing. They are made from SmartTrack® material, a product specifically engineered for a perfect, comfortable fit. Invisalign aligners are even trimmed to fit your individual gumline to prevent irritation.
  • When your first sets of Invisalign aligners arrive at our Nashville, TN office, Dr. Mark Mappes will check for fit, answer any questions you might have about use and care, and let you know what to look for and what to expect. Your progress will be monitored with visits every six to eight weeks. (And for parents of teens, Invisalign aligners can offer blue “compliance indicators” to let you know they are being worn the 20-22 hours a day necessary for the best and fastest results.)

Generic Aligners

  • You might be required to make a putty mold of your own upper and lower teeth, which is not the easiest thing to do well, and to take selfies of your teeth.
  • The aligners will be sent to you in the mail. They are generally made of hard plastic with generic gumlines. There will be no one to tell you if the aligners fit properly.
  • They are sometimes less expensive because there is no in-person medical supervision. A dental professional working for the company will look at the model created from molds you submit, and recommend a series of aligners to correct the problems he detects by looking at the model and your selfies. This supervisor will not be able to assess the overall dental health of each patient to make sure teeth and gums are healthy and ready to start treatment, and will not be able to tell if the teeth are moving properly or improperly once the aligners are in use.

Finally, while generic aligners may potentially have some success in minor tooth straightening, they are not created to deal with complex bite issues or malocclusions.  In fact, using generic aligners with no supervision can cause more serious dental problems than a patient started with.

Sure, sometimes a do-it-yourself project turns out well. But your teeth and bones are too important for home improvement. When it comes to creating a beautiful, even smile and balanced, comfortable bite while making sure of your dental health, it’s always best to trust a professional like Dr. Mark Mappes to provide you with gentle, tested, and successful care!

Don’t let braces ruin your Halloween

October 30th, 2018

Halloween is a time to enjoy delicious candies you might avoid the rest of the year. Youngsters who get to dress up and ask for sweet treats out trick-or-treating cherish this holiday.

If you have braces on, Dr. Mark Mappes would like you still to have fun and celebrate Halloween this year!

It’s easy to get carried away on Halloween by eating too much candy at once. Most parents try to prevent the all-too-common sugar high their kids experience on Halloween night. While there are certain candies that should be avoided, not all candy will cause problems for kids with braces. After trick-or-treating, you could trade unsafe candies with siblings and/or friends so they don’t miss out on the sugar buzz.

Dr. Mark Mappes and our team have come up with a list of teeth-friendly treats that should keep you from worrying about breaking your braces. We also came up with a list of candies to avoid, so as to save you a trip to our Nashville, TN office. Remember to be extra careful when you indulge this Halloween!

Braces-Friendly Sweets

  • Solid chocolate: Milk, white, or dark
  • Nougat-filled candy bars: Three Musketeers
  • Powdery candy: Sweet Tarts, Pixie Stix
  • Mint-flavored candy
  • Malted milk balls
  • Soft cookies
  • Peanut butter crackers

Avoid These Treats

  • Sticky candy: Starbursts, toffee, Tootsie Rolls
  • Hard candy: Suckers, Jolly Ranchers
  • Taffy
  • Caramels
  • Fruit chews
  • Gum
  • Caramel apples
  • Skittles
  • M&Ms

When in doubt, ask Dr. Mark Mappes if a particular candy is safe to eat when you have braces. We hope you enjoy your Halloween sweets, and look forward to seeing you at your next appointment! Happy Halloween!

What band color is right for your astrological sign?

October 23rd, 2018

For centuries, many have believed in messages written in the stars and constellations. Some people look to their astrological sign to understand their personalities and preferences better, and even to foresee their destiny.

Whether you’re a firm believer in astrology or just read your horoscope for fun now and then, your perfect band color according to the zodiac awaits below.

Aries – Red

You’re passionate, enthusiastic, and full of energy the world needs. You have an ability to light an inspirational flame in yourself and others.

Taurus – Green

You value growth and are filled with earth energy. Close relationships with family and friends are the foundation of your life.

Gemini – Orange

Orange is the color of diversity and inspiration. You have a knack for readily socializing with other people and value a close-knit community.

Cancer – Violet

Cancers have the ability to look deep within themselves for guidance and inspiration. Your thoughts dwell in the realm of dreams and emotion, and fill you with a deep understanding of those around you.

Leo – Yellow

Your humor, intelligence, and courage light up your surroundings like the sun. Use your charisma and positivity to help you achieve great things.

Virgo – Blue

Blue reflects your calm and peaceful personality. People come to you when they need guidance and your caring instinct for others runs strong.

Libra – Green

Your personality is both enchanting and delightful. Your ability to find a solution and heal is uplifting to those around you.

Scorpio – Red

You are full of passion and knowledge. You know your true value, and feeling accepted is important to keep your flame ignited.

Sagittarius – Violet

Violet reflects your electric enthusiasm for life. With your wisdom and passion for truth, you are always striving to reach your next goal.

Capricorn – Blue

Your perception is unmatched, and you’re able to see through the confusion to identify what truly matters. Your confidence and clarity will help you accomplish what you need to do.

Aquarius – Violet

Aquarians are sensitive, creative, and love to share their understanding with the world. You find joy in art, music, and writing to show others your special view of things.

Pisces – Indigo

You have powerful perception and your instincts are often correct. Your ability to understand emotions helps those around you to stay connected and present in the moment.

Next time you visit our Nashville, TN office, ask Dr. Mark Mappes for the band color that goes with your sign!

AAO