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Orthodontics

What Is an Orthodontist?

Orthodontists, dental specialists who focus on tooth movement and facial development, complete an addition two or more years of school after the four years required for dental school. 

When Should Your Child See the Orthodontist?

We agree with the recommendation of the American Association of Orthodontists that a child should have an orthodontic evaluation completed by the time he or she turns seven

First Exam

We offer free orthodontic examinations and consultations for new patients here at Sporting Smiles Pediatric Dentistry & Family Orthodontics. This initial consultation allows you to receive expert advice about any possible treatment needs, available options, and appropriate timing so you can make decisions about this important investment. During this consult, feel free to ask us any questions so that we can make sure that all your concerns have been addressed and you are getting the information you need about your treatment options.

“Early” or Phase I Orthodontics

Dr. Vahab practices with a conservative philosophy regarding when to initiate “Early” or “Phase I” braces and only recommends early orthodontics when it is absolutely necessary.

Typically, children begin orthodontic treatment after all the adult teeth have fully erupted. This usually takes place between the ages of 11 and 13. In some cases, however, certain problems can develop that need to be treated early to prevent more involved or invasive treatment further down the road. Early orthodontics are usually initiated around the ages of 8 to 10.

During this developmental period, there is still a mixture of adult and baby teeth and the bones are still growing. Some of the most common conditions that may require early orthodontic treatment include:

  • Narrow jaws
  • Crossbites
  • Underbites
  • Deep overbites ("bucked" teeth)
  • Asymmetric bites
  • Open bites
  • Jaw growth discrepancies
  • Space discrepancies

If the Phase I window is missed on these conditions, they could be much more challenging to treat later, after the jaw is done growing. 

Phase I: Anterior Crossbite
Phase I: Bucked Teeth
Phase I: Crowding

Phase I: Deep Overbite
Phase I: Open Bite
Phase I: Posterior Crossbite

 

 

 

 

 

 

 

 

 

 

Surgical Orthodontics

Orthodontic problems aren't limited to the positioning of the teeth. When irregularities of the jaw are also involved, which can inhibit your ability to chew, speak, and even breath correctly, we can discuss orthognathic surgery (surgical orthodontics). In addition to relieving your discomfort, surgery can also improve the appearance of your facial features! In a nutshell, we use surgery to straighten your jaw. 

Because it's necessary to make sure that your teeth are in their correct positions following your surgery, we will recommend braces along with surgical jaw correction. 

Surgical orthodontic treatment is appropriate for adults or young adults who have finished growing and find themselves with severe abnormalities in their bite or esthetic concerns about their facial features.. This usually works out to about age 16 for girls and 18 for boys.  

Presurgical orthodontics is performed first, followed by the surgery, which is an oral surgeon performs in a hospital setting. Once surgery is complete, most people are able to return to work or school within about two weeks. Over the next four to eight weeks, your body will continue to heal, and once this is complete, you'll return to our office so that we can perform any "fine tuning" that is necessary.

Most of the time, braces are worn for about six to twelve months after surgery. 

Frequently Asked Questions

At any moment, there are over more than 5 million children and adults in the US currently wearing braces. At Sporting Smiles Pediatric Dentistry & Family Orthodontics we want to make the experience of wearing braces a positive one. Therefore, we want to dispel many of the popular, weird and myths about braces:

Can Braces Rust?

NO – Braces are made of high grade medical metals, like titanium alloy, and therefore will NOT rust.

Can I Play Contact Sports Wearing Braces?

YES – Wear a mouth guard! Mouth guards are for everyone, whether they wear braces or not. Mouth guards not only save teeth, but may also protect against jaw fractures.

Am I Able to Play A Musical Instrument While Wearing Braces?

YES – Of course you can.

Can Braces Become Locked Together if Two People with Braces Kiss?

Almost Impossible – It is extremely difficult to lock braces while kissing as today’s braces are much smaller and sleeker.

Do Braces Set Off the Metal Detectors at The Airport?

NO – The amount of lightweight medical grade metals used in braces will not affect metal detectors.

Do Braces Interfere with Electronic Devices or Radio Signals?

NO – Braces are not magnetic nor do they interfere with popular electronic devices or your favorite radio station.

Foods You Can Eat with Braces:
Milk based soft foods and drinks such as cheese, pudding, etc.
Soft Breads such as pancakes and soft tortillas.
Cooked Grains such as pasta and rice.
Meats such as meatballs, deli meats and cooked chicken.
Seafood such as crab cakes, salmon and tuna.
Cooked Vegetables such as mashed potatoes, steamed vegetables and cooked beans.
Fruits such as bananas, applesauce and cut fruit.
Treats, but limited, milkshakes, Jelll-O, soft cake and simple ice cream flavors.
 
Foods to Avoid with Braces:
Sticky Foods such as caramel, chewing gum and chunky peanut butter.
Hard Foods such as nuts, hard candies and granola bars.
Hard Breads such as bagels, hard rolls, and pizza crust.
Crunchy Foods such as popcorn, chips or ice.
Other Foods: apples, carrots and corn on the cob.
  • When it comes to infants, avoid putting them to bed with a bottle. It’s also beneficial to try to keep shared utensils or toys away from them, so they don’t get additional germs in their mouth.
  • It is important to establish a healthy oral hygiene routine as early as infants have their first tooth come in. Parents can begin brushing at least once a day at bedtime and as children become old enough to brush, parents can create a routine and make it fun!
  • Children and adults should brush their teeth at least twice per day and for at least two minutes each time. Do not forget to brush your tongue as well. In addition to brushing you also need to floss at least once per day.
  • Visit to your dentist’s office at least every 6 months for a check up and cleaning. This will help ensure a healthy mouth, as your dentist will be able to discover any issues that may arise.
  • See an orthodontist as recommended by your dentist or if you feel you have issues that may warrant a consultation with one. Such issues as bite misalignment, braces, and teeth straightening are best handled by an orthodontist, who is a trained specialist in these areas.
  • Always use a mouth guard when playing sports. This simple little device, which can be picked up at a sporting good’s store, can save you a great deal of pain and money later!
  • Replace your toothbrush regularly, which is every two to three months or as the bristles become frayed.
  • Keep drinks in check! Sugar drinks should be avoided or kept to a minimum, as well as highly acidic drinks (e.g., citrus sodas and sports drinks, etc.), which can eat away at and erode the tooth enamel.

Orthodontic specialists have 2-3 years of advanced clinical and academic training in addition after becoming a dentist. They specialize in aligning teeth and Jaws, establishing healthy bites, and improving the function of your smile.

Orthodontics can range from 6-36 months. The average treatment time for realignment of the “occlusion” or bite is 18-20 months. However, if the bite is already in good function, a dramatic aesthetic improvement of the front teeth can be achieved in 6-12 months.

Meet Our Doctors:

Natasha Khurana, DDS, IBCLC

Dr. Khurana is a Diplomate of the American Board of Pediatric Dentistry. She earned her dental degree from the University of Maryland and attended New York University’s College of Dentistry ...

Nirali Mehta, DMD, IBCLC

Dr. Nirali Mehta was born and raised in beautiful Northern Virginia. She received her undergraduate degree at Virginia Tech, in Blacksburg, Virginia (Go Hokies!) before moving to Glendale, Arizona, where ...

Monica Dinh, DDS, MS

As a skilled, board certified orthodontic provider, Dr. Monica Dinh is committed to providing patients with the highest quality of orthodontic care. Born and raised in Northern Virginia, Dr. Dinh ...

Featured Blog Posts - Orthodontics

June 6, 2017

What You Need To Know About Crossbites

Typically, when a parent brings a young child to the dentist, the last discussion they’re expecting to have is one centered on braces and orthodontic appliances. Yet, even at ages three and four, a talk about braces, sagittal expanders, and retainers can indeed be front and center when a child is diagnosed with a crossbite. The question then is what to do about it, how soon should intervention take place, and what the complications are that can arise if nothing is done at all. Let’s get some answers.

What Exactly Is a Crossbite?

Imagine for a moment you’re sitting in front of a nice soup bowl with a wide flat brim, and inside that bowl is hearty chowder you’d like to keep ...

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