Is it Required that Teeth are Shaved to Correct Crowding with Invisalign?

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LAST UPDATED: APRIL 25, 2017

If you are thinking about Invisalign treatment, whether it is for yourself or your teen, you are probably dealing with an issue that requires the orthodontist to correct crowding. While Invisalign is a wonderful solution for anyone who wants the benefits of braces without the appearance of traditional metal wires and brackets, there is also a down side to Invisalign aligners. In some cases, teeth shaving is the only answer.

FAQ

How does the orthodontist deal with Crowding Issues?

The majority of orthodontic patients are dealing with crowding problems. There simply isn’t enough space in their mouths, resulting in overlapping or crooked teeth. To correct crowding, Clovis Orthodontics will need to find a solution that will create space in the mouth. This can happen in three different ways. Teeth can be removed to make more room for the rest of the teeth to shift into place, the arch can be expanded, or teeth can be shaved to create space. When shaving is performed, only the slightest amount of tooth is actually removed. Otherwise, you will need to think about more extreme methods, such as tooth extraction, to get the same results. Invisalign treatment is attractive, effective, and convenient. Aligners can be removed during sporting events, special occasions, and when eating. It’s an excellent solution for anyone with an active lifestyle, helping them to avoid many problems that can occur with traditional braces. Invisalign aligners make it much easier to keep teeth clean, ensuring healthier teeth as well.

What is the solution?

Choosing to move forward with orthodontics is a major decision. It means making a financial investment and a commitment to yourself that will take a long time to finally see the end results. Whether you opt for Invisalign or another form of orthodontic treatment, it will likely mean at least a year of treatment for most cases. More often, two years can be expected. You need to be satisfied with the alternative that you choose in the end. You also need to understand what will be involved in every step of the way for your treatment plan. If you are completely opposed to teeth shaving, your orthodontist is still going to need to make room. Tooth extraction means saying goodbye to adult teeth forever, while shaving will only remove a portion that is not noticeable in the least. The choice is yours.

Contact Clovis Orthodontics Today

Visit Nalchajian Orthodontics to learn about Invisalign and other orthodontic solutions. Discover what services are offered at your local orthodontist’s office. The next step is to set up your consultation so that you can find the answers to all of your questions. Through evaluation, your orthodontist will be able to devise a treatment plan and discuss what is involved in the process. If you are concerned about teeth shaving, find out what other options are available to get satisfactory results. Orthodontics can truly change your life or the life of your child. The only way to find out more is to make that call.

Nalchajian Orthodontics
7501 N Fresno St, Suite 105, Fresno, CA 93720
Phone: (559) 432 7100

Is it Required that Teeth are Shaved to Correct Crowding?

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Five Tips in Caring for Your Braces during Orthodontic Treatment

braces

LAST UPDATED: MARCH 28, 2017

When wearing braces on your teeth, there are several important measures you should practice regularly to take good care of both your braces and your teeth. Especially when your teeth are first fitted with braces, you need to avoid eating certain foods and snacks. For the first couple of days, while getting accustomed to your new braces, eat soft foods. By not eating hard breads, raw carrots or apples and thick or tough servings of meat, you will avoid getting food particles stuck between the braces and your teeth and gums.

FAQ

What are some foods that should be avoided?

Refrain from munching on hard candies, nuts and gooey or sticky snacks that can become lodged in your braces. These food types can separate the braces’ brackets from your teeth. They can also reshape connecting wires and weaken the dental cement that binds brace bands and teeth together. It is necessary to observe these habits until you and your mouth become used to your new orthodontic appliances.

What are the different types of braces?

There are three major types of orthodontic braces recommended by an orthodontist:

Metal Braces. – The most commonly worn type of dental appliances today is new and improved metal braces. These quality stainless steel braces correct the alignment of teeth by means of their metal arch-wires and brackets. Many young people use colored elastic bands to add color and character to their smiles.

Clear Braces. – Clear ceramic braces are much less noticeable than metal braces. They are often favored by patients in their late teens and by adults for cosmetic reasons. Because ceramic orthodontic appliances are larger in size and less flexible than metal braces, they need more attention to maintain good dental hygiene. These clear braces are worn most frequently on the upper front teeth for alignment correction.

Invisible Orthodontic Appliances. – Invisible (completely clear) braces like Invisalign® braces straighten teeth with use of easy-to-wear, removable and invisible aligners. Since these orthodontic appliances are removable, you need not worry about what you eat. You can enjoy your favorite meals and snacks without concern about damaging or clogging your braces with hard or sticky foods. With your braces removed, you can easily floss and brush your teeth as usual. These braces will not cause mouth irritations, scrapes or cuts since they contain no metal parts.

FAQ: Do Orthodontic Braces Cause White Spots on Teeth?

 

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How can I take care of my braces?

Best practices to observe as caring tips for your braces include the following five steps:

1. Floss and Brush Your Teeth Regularly. – When wearing braces, you should floss carefully and often to protect both teeth and braces. Use dental floss gently near the braces’ arch- wire and floss between teeth with easy sawing movements. First, brush with a soft-bristle toothbrush, moving from top to bottom of each tooth and then from bottom to top. Afterward, brush teeth again using a proxabrush, which is structured specifically for careful cleansing between brace parts.

Brush downward and then upward into the space between brace wires, brackets and bands, cleaning braces and teeth thoroughly. If oral hygiene becomes difficult while wearing braces, using a waterpik or air-flossing device can be helpful for dislodging stubborn food particles stuck between teeth and braces. Many orthodontists recommend bushing with a fluoride toothpaste and rinsing your mouth with a fluoride-based mouthwash.

2. Wear Elastic Bands on Teeth Continuously. – Unless your orthodontist gives you other instructions, try to wear elastic (rubber) bands on your teeth except when brushing. The gentle, but persistent force they exert will assist in realignment of teeth as needed. By wearing these bands faithfully, you may even shorten the time needed for wearing braces to correct bad alignment of teeth. Even if you experience some discomfort while wearing bands, try to keep them in place in your mouth for best results in straightening your teeth.

If, however, you feel pain or notice a grating or popping sensation in your jaw’s joint area, remove the elastic bands and consult your orthodontist. Especially if you have any problems with opening and closing your mouth normally, seek professional advice immediately. You should not be alarmed, however. Often, such problems with jaw joints can be solved by brace adjustments. Also, any discomfort you may encounter during the first few days of wearing these dental appliances will most likely disappear completely. You should change to new elastic bands every 12 hours, at least, so always keep a good supply handy.

3. Contact Your Orthodontist About Broken Brackets and Wires or Loose Brace Bands – If you experience loosening brace bands or broken brackets and wires, consult your dental specialist right away. Although there are very few emergencies associated with wearing orthodontic appliances, broken or loose brace parts can cause injury to your mouth.

What precautions do I need to take with my braces?

Before seeing your orthodontist for these problems, you should take the following precautions:

Loosened Brackets. – Most orthodontists give patients some orthodontic wax when installing dental braces. If any of your braces’ brackets become loose, you can protect your mouth by covering the brackets with a wax cushion. You can also use this wax to reconnect loosened brackets temporarily.

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Loosened Spacers and Bands. – If they should loosen or detach from the braces’ structure, spacers will need replacing or reattaching. Loosened bands will have to be reattached by cementing.

Bent or broken wires. – You can push any bent or broken brace wiring away from your tongue and soft mouth tissues with a pencil eraser to avoid injury. For more protection, you can coat the wire ends with orthodontic wax. If you should develop a mouth abrasion or cut, rinse your mouth with an antiseptic mouthwash or with salt water.

4. Protect Your Braces While Playing Sports Games. – If you play contact sports while wearing orthodontic appliances, you should wear a mouthguard for protection from damage to braces and injury to your mouth. If you have an accident involving your mouth and braces, contact your orthodontist for treatment advice.

5. Stop Smoking While Wearing Braces. – Smoking while wearing braces can discolor your teeth unevenly. Once braces are removed, this discoloration will be obvious, and you may find it necessary to schedule bleaching treatments for your darkened teeth.

Wearing modern braces can straighten and realign the teeth of most patients today. For best results, it is helpful to keep your braces clean and in good condition.

Call Us Today To Learn More

At Nalchajian Orthodontics in California, an orthodontist can examine your teeth to determine if you need to wear headgear. You can schedule an appointment with either:

• Dr. Nicole Nalchajian
• Dr. Greg Nalchajian

In addition to fitting headgear on patients, our orthodontic team offers these devices to repair your teeth:

• Traditional braces with metal brackets and wires
• Invisalign aligners made of clear plastic
• Ceramic braces made with color-matching brackets

Contact us today to learn more about Invisalign aligners or headgear at one of these locations:

• Clovis – 559-299-9561
• Fresno – 559-432-7100

We also offer a complimentary consultation after your examination

Nalchajian Orthodontics
7501 N Fresno St, Suite 105, Fresno, CA 93720
Phone: (559) 432 7100

Five Tips in Caring for Your Braces during Orthodontic Treatment

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Can I consider further treatment if I’m not satisfied with my smile after braces is off?

braces off

LAST UPDATED: FEBRUARY 28, 2017

If your teeth are not straight, braces can help you to straighten them, hopefully giving you the smile you have always dreamed of. However, some people find after their treatment, their teeth  aren’t as perfect or as straight as they would have liked. If you find yourself in this situation, your mind may be racing with questions. Here are some frequently asked questions about braces and straight teeth.

FAQ

Can Braces Give You Perfectly Straight Teeth?

Braces can help to straighten and align teeth, but they can’t fix every situation. If you have a severe over or under bite, or a twisted tooth, you may always have slight character flaws or imperfections to your teeth that braces, or other straightening systems, can’t fix. As such, you need to be realistic about what braces can do for you and what they cannot do for you. In some instances, other cosmetic procedures may be needed if you are looking for a flawless grin. Consult with an orthodontic professional and/or a cosmetic dentist to find out what you can expect with these dental devices and what is unrealistic to expect out of them.

What Should I Do If I Am Not Happy With My Smile When the Braces Come Off?

It is everyone’s worst nightmare. They shell out the money and time for braces and then the day comes when they get them off. But instead of being happy with what they see in the mirror, they are underwhelmed. If this is what you feel, you may be wondering how to proceed. If this is happening to you, you will want to meet with an orthodontist and a cosmetic dentist.  Unfortunately, many people are unhappy with their teeth and they may think it is the straightness of them, when realistically, it is something completely different, such as the shape and color. This is where a comsetic dentist comes in. They can fix the shape and size of the teeth to get you those pearly whites you are after.  If you are positive that it is the straightness of the teeth that is the issue, the professional who placed braces on evaluate your situation and give you options as to what can be done.

What Happens if I’m Not Happy With How Straight My Teeth Are When the Braces Come Off?

Your orthodontist will want you to be happy with the results of having braces. If you are not, there are options available to you. One option is to put the braces back on, so that you can achieve the look that you want. If the braces have been removed to early or you didn’t follow the dentist’s suggestions while having them on, this may help to correct the problem.  Another popular option that is now available is Invisalign. Invisalign is a clear tray system that slowly shifts the position of your teeth, helping to straighten them. This clear tray makes it so no one knows you are wearing a straightening device. If your braces have been removed but you still desire a different look without the metal and appearance of traditional braces, this may be a great option to continue your teeth straightening journey.


The last option is to wear headgear at night as you sleep. Wearing headgear can slowly continue your teeths journey to straightness, without you having to wear braces. This is perfect for those who just need to re-shift their teeth or those whose teeth need just a bit more work.

I Was Happy With My Smile But Now My Teeth Look Crooked Again. Why?

As you get older, your teeth can end up shifting with age. As such, it is important that you understand that braces are never a permanent solution. As you age, your teeth will move and this can cause them to shift position and become uneven or crooked again. This is especially true if you lose a tooth and do not have an implant or crown placed, as it gives your teeth room to shift.  Luckily for you though, if your teeth do shift, braces or teeth alignment systems can be placed and used to quickly and easily re-straighten your teeth. Most people do not have to wear the teeth straightening devices as long as they did the first time, especially if the shifting is caught fairly early on.

Is There Anything I Can Do To Ensure I Am Happy With My Appearance When the Braces Come Off?

There is never a guarantee that you will be happy with the end results. When you go through the years of having braces and you are anxious to see what your teeth look like and if they are straight, you could be disappointed if they are not as straight as you would like for them to be. Following the recommendations of your orthodontist while the braces are on give you the best chance at being happy with the result. Keep your appointments and make sure that the braces are adjusted and tightened on a regular basis. Avoid eating food that can damage or bend the brackets. And should a bracket become loose, get it fixed right away. This can minimize the amount of time you have to wear these orthodontic devices and increase the likelihood that they will straighten your teeth as best they can.

Get More Information

Nalchajian Orthodontists are one of the best orthodontists specializing in Invisalign. Their offices are located in Clovis and Fresno and complimentary consultation is also offered by Nalchajian. For getting the best results out of Invisalign treatment, you should definitely call Nalchajian Orthodontist now. You can contact Nalchajian via phone, email or through live chat on the website.

Nalchajian Orthodontics
7501 N Fresno St, Suite 105, Fresno, CA 93720
Phone: (559) 432 7100

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Orthodontic Devices: Bite Plane

biteplane

Orthodontic Devices: Bite Plane

Orthodontic treatment begins well before braces are out on your teeth. Depending on your unique issues, certain appliances need to be worn first. A bite plane is one of the first appliances our patients will wear.

What is a Bite Plane?

A bite plane is a small orthodontic appliance used when the upper teeth significantly overlap the lower teeth. This appliance helps to “open” the bite. It is worn prior to getting braces to eliminate the risk of bottom brackets popping off during treatment. It also helps prevent damage to the gums in back of your front teeth caused by the lower teeth constantly being in contact with them.

How do I Wear It?

Your bite plane may be removable or fixed into your mouth. If it is removable, it should only be taken out for the purpose of cleaning it. Bite planes must be worn 24 hours a day, especially when eating. This is because most of the correction of the bite is achieved during chewing. If the bite plane is left out longer than it should be, the teeth can move and necessitate the need for a new appliance. This will prolong the entire course of orthodontic treatment. If your bite plane is fixed, or cemented, into your mouth, you should brush it when you brush your teeth.

What to Expect

Most patients report that it feels strange to talk, eat, or swallow with their new appliance. This is because your back teeth will not touch while the appliance is in. You will eat foods with only your front teeth, so it is important to eat slowly and gently. You may notice you are talking strangely when the appliance is first put in, but this will go away after a couple of days. Your teeth may feel sore for the first few days. Tylenol or other over-the-counter medication will help with that. You should avoid chewing gum and other sticky foods when you get your bite plane.

Call Us Today To Learn More

At Nalchajian Orthodontics in California, an orthodontist can examine your teeth to determine if you need to wear headgear. You can schedule an appointment with either:

• Dr. Nicole Nalchajian
• Dr. Greg Nalchajian

In addition to fitting headgear on patients, our orthodontic team offers these devices to repair your teeth:

• Traditional braces with metal brackets and wires
• Invisalign aligners made of clear plastic
• Ceramic braces made with color-matching brackets

Contact us today to learn more about Invisalign aligners or headgear at one of these locations:

• Clovis – 559-299-9561
• Fresno – 559-432-7100

We also offer a complimentary consultation after your examination.

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Orthodontic Devices: Bionator

bionator

Orthodontic Devices: Bionator

Orthodontists specialize in the straightening of misaligned teeth and the correction of the bite. Orthodontists know that a confidant smile makes the world a brighter place. Crooked teeth can also lead to health problems that, if caught early, can be prevented.

The Bionator

Patients with an overbite, or over-jet, often wear a Bionator to help correct these problems. The Bionator appliance was designed for:

  • Daytime use
  • Comfortable wear
  • Promotion of normal speech patterns while in place

Starting Young

Children with overbites are good candidates for the Bionator. The end results have proven it to be the right device for many younger patients. A child can start wearing the Bionator when they are able to wear a removable appliance, usually around the age of 7. Most children like the way it looks and feel little to no pain during the process. If the alignment is done early, extensive orthodontic treatments may not be necessary at an older age. Good self-confidence is formed early on and helping them feel confident about their smile is a big step in the right direction.

Smile

Nalchajian Orthodontics in Fresno, California understands how important a high self-esteem is. Their excellent staff and orthodontists go out of their way to make sure that each patient is given the tools they need to succeed under their care. They offer a complimentary exam for new patients, which is a great time to meet the staff and have any questions answered. Come prepared for:

  • Digital X-rays
  • Digital photos
  • Treatment plan
  • Time line for completion
  • Financial investment
  • Payment plans

Call Us Today To Learn More

At Nalchajian Orthodontics in California, an orthodontist can examine your teeth to determine if you need to wear headgear. You can schedule an appointment with either:

• Dr. Nicole Nalchajian
• Dr. Greg Nalchajian

In addition to fitting headgear on patients, our orthodontic team offers these devices to repair your teeth:

• Traditional braces with metal brackets and wires
• Invisalign aligners made of clear plastic
• Ceramic braces made with color-matching brackets

Contact us today to learn more about Invisalign aligners or headgear at one of these locations:

• Clovis – 559-299-9561
• Fresno – 559-432-7100

We also offer a complimentary consultation after your examination.


The Discomfort With Invisalign

invisalign

LAST UPDATED: JANUARY 24, 2017

There is no doubt about the fact that Invisalign has single handedly solved most of the problems associated with braces and orthodontic procedures. Not only has it made people embrace dental health, it has also eradicated problems associated with metal braces. However, this doesn’t mean that there are no Invisalign problems at all. Like every other treatment, using Invisalign patients might find some issues with these invisible aligners when they get one from their orthodontist. Orthodontists would like all their patients to know about these problems before the patients decide to invest in Invisalign.

It should, however, be mentioned that unlike metal braces and aligners where patients just have to live with the issues, Invisalign comes with various remedies, tricks and tips to make the treatment progress smoothly and without hassles. Orthodontics Clovis specialists have come up with instructions on how to avoid these problems with Invisalign, and they are as follows:

FAQ

What is considered a Tooth Issue?

As per statistics of Invisalign treatment by various orthodontists, discomfort in the tooth and related issues are experienced by about 50% of the patients. The attachments of Invisalign can sometimes cause pressure, pain and tenderness around the tooth and gums. Usually, a couple of the teeth would experience the pressure and discomfort but with some people, all the teeth might feel a bit tender. This might not happen all the time. When the attachments are being taken out by the patient or when they are being worn again is the time when most people report the pain.

What are some Tips and Solutions for tooth issues?

The reason behind the pain and pressure is that Invisalign works by moving a few teeth one at a time. Thus, pressure is exerted over some teeth and the rest are left as they are. It is the basic working of this treatment and there is no way to avoid it. However, a lot of patients report that once they get used to wearing their aligners, the discomfort disappears. So, the trick is to wear the aligners as much as possible in the beginning to get used to them. Choosing quality Clovis Orthodontists would be a great solution as well.

What Do I Need To Know About Taking Invisalign Out While Eating?

While consuming food, it is important to take the aligners out. This is because chewing food involves force and the Invisalign aligners are made using flexible material. The force can have a damaging effect on the aligners by bending them out of shape or causing them to chip and crack. This is why eating after taking the aligners out is recommended. Initially, this might seem like a chore but with time, patients get used to it and establish a time to eat. Even if Invisalign is worn while eating, the cleaning process would not change one bit.

What are some tips for eating with Invisalign?

Orthodontists recommend starting off with soft foods that wouldn’t put too much pressure on sensitive teeth and gums. To get into the habit of wearing Invisalign all the time, they should be worn to bed on the first day the patient gets them. 8 hours of sleeping with the aligners would ensure that acquaintance with the aligners begins as early as possible. If the pain worsens, orthodontists often recommend anti-inflammatory tablets and pain killers to deal with the discomfort. It’s worth mentioning that taking the aligners out while eating is always a better option – time, pain and effort wise.

What do I need to know about Drinking Liquids With Invisalign?

As mentioned before, the soft and supple material of Invisalign makes it vulnerable to hard foods. It also makes the aligners sensitive to extreme temperatures. While it might be okay to drink water at room temperature with the aligners still on, orthodontists do not recommend doing the same when hot or cold drinks are consumed. The aligners could get dents, bubbles, scratches and might be permanently damaged or discolored because of the liquid. However, there is no getting away from the discomfort of taking Invisalign out every time a glass of wine or a mug of coffee is consumed.

A lot of patients completely stop consuming fizzy drinks, coffee, tea, juices and alcohol because they have their Invisalign treatment going on. This shouldn’t be done. With a little bit of time and practice, wearing and removing the aligners would become second nature to the patient and wouldn’t seem so tedious. In fact, drinking cool water can often help with the pain and tenderness in the gums for beginner Invisalign wearers. It can also be helpful of establishing a drinking routine so that there are no surprises when it comes to Invisalign.

Will Invisalign Give Me Problems With Speech?

Speech issues are pretty common with all orthodontic treatments and Invisalign Clovis orthodontists say it’s no different. However, to be fair, the discomfort with Invisalign is relatively more bearable and less permanent as compared to other treatments. Initially, a lot of people experience problems with clear speech. Developing lisps or slurring words together is also common. It can be difficult to properly enunciate difficult words. The sounds made by “s” and “th” in words can also sound garbled. However, patients should know that this issue is short term in nature and once they follow the remedial measures, there would be nothing to worry about.

Patients should spend time with close friends and family members while they are in the transitioning phase. Reading out loud from a book or in front of a mirror can be pretty helpful too. Speech exercises have been known to have a positive impact. Instead of avoiding conversation, talking more would help to speed up the process. It would make the slurring disappear and the lisp would either be eliminated or would become less pronounced with practice and time.

Get More Information About Invisalign

Nalchajian Orthodontists are one of the best orthodontists specializing in Invisalign. Their offices are located in Clovis and Fresno and complimentary consultation is also offered by Nalchajian. For getting the best results out of Invisalign treatment, you should definitely call Nalchajian Orthodontist now. You can contact Nalchajian via phone, email or through live chat on the website.

Nalchajian Orthodontics
7501 N Fresno St, Suite 105, Fresno, CA 93720
Phone: (559) 432 7100

The Discomfort With Invisalign

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Orthodontic Devices: Rubber bands

Orthodontic Devices: Rubber bands

Rubber bands are a type of orthodontic device that is sometimes used during orthodontic treatment. They are fully removable and must be attached by the patient according to directions provided by the orthodontist.

What Is the Purpose of Rubber Bands?

Rubber bands put pressure on the teeth and jaws and can help move teeth or correct improper bites, such as crossbites and overbites. Different sizes can be used to place more or less force on the jaws and teeth. They also come in a variety of colors so that the wearer can mix and match the color of their rubber bands. The rubber bands attach to hooks on the brackets and are stretched from one hook to another; they can be configured in a variety of ways to achieve specific purposes. Some common configurations include:

  • Top to bottom
  • Front to back
  • Side to side

When To Wear Rubber Bands

The orthodontist determines when rubber bands are necessary and will show you the proper way to attach them to your brackets. Usually rubber bands should be worn all the time and only removed so the patient can eat and brush their teeth. Fresh rubber bands should be used daily. The duration that rubber bands are needed varies; the orthodontist keeps an eye on the progress and decides how long rubber bands should be worn, often slowly decreasing wear after the desired result has been accomplished. It is important to carefully follow your orthodontist’s directions for wearing rubber bands to achieve the best results.

Call Us Today To Learn More

At Nalchajian Orthodontics in California, an orthodontist can examine your teeth to determine if you need to wear headgear. You can schedule an appointment with either:

• Dr. Nicole Nalchajian
• Dr. Greg Nalchajian

In addition to fitting headgear on patients, our orthodontic team offers these devices to repair your teeth:

• Traditional braces with metal brackets and wires
• Invisalign aligners made of clear plastic
• Ceramic braces made with color-matching brackets

Contact us today to learn more about Invisalign aligners or headgear at one of these locations:

• Clovis – 559-299-9561
• Fresno – 559-432-7100

We also offer a complimentary consultation after your examination.

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Orthodontic Devices: Temporary Anchorage Devices (TADs)

Orthodontic Devices: Temporary Anchorage Devices (TADs)

When an orthodontist is using braces to straighten teeth, it’s a bit like a tug of war. The concept behind braces is to move teeth gradually to a new position by applying force with rubber bands or wires. The wire and rubber bands must be attached to something solid to create the necessary tension, which is where temporary anchorage devices (TADs) come in.

Why TADs?

Some orthodontic procedures, such as correcting an overbite, require considerable force to move teeth. In the past, patients would wear headgear to anchor the back teeth while the front teeth were moved into the correct position. Headgear worked, but it was not very popular, especially with teens. German and Asian dentists began using TADs in the late 1990s and these devices were approved in the US in 2005.

What’s a TAD?

A TAD is a small implant – usually about the size of a small wood screw. In fact, they are also known as mini-screws, mini implants and micro implants. They are typically made of titanium alloys. This metal is bio-active, which means it will bond with bone and not be rejected or corrode. After injecting a local anesthetic, the orthodontist screws the TAD into the bone of the jaw. This provides the necessary anchor point to move or stabilize certain teeth.

What are the Advantages?

TADs are much less visible than head gear – most look like a small stud earring resting on top of the gum. Routine oral hygiene is all the care required, although an antiseptic mouthwash may also be recommended. Removing the TAD is even easier than inserting it and in most cases doesn’t even require local anesthetic. TADs may eliminate the need for more extensive orthodontics, tooth extraction or even surgery.

Call Us Today To Learn More

At Nalchajian Orthodontics in California, an orthodontist can examine your teeth to determine if you need to wear headgear. You can schedule an appointment with either:

• Dr. Nicole Nalchajian
• Dr. Greg Nalchajian

In addition to fitting headgear on patients, our orthodontic team offers these devices to repair your teeth:

• Traditional braces with metal brackets and wires
• Invisalign aligners made of clear plastic
• Ceramic braces made with color-matching brackets

Contact us today to learn more about Invisalign aligners or headgear at one of these locations:

• Clovis – 559-299-9561
• Fresno – 559-432-7100

We also offer a complimentary consultation after your examination.

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Orthodontic Devices: Lingual Arch

lingual archOrthodontic Devices: Lingual Arch

Sometimes, a patient who wears braces or Invisalign may need a bit of help when it comes to bringing their teeth into alignment. One way to help is for the orthodontist to fit them with a device called a lingual arch.

The orthodontist places a lingual arch to stabilize the patient’s second molars. It is sometimes used with young patients who have lost at least one deciduous molar and allows the space for their adult teeth when they erupt. People with their permanent teeth are also fitted with a lingual arch to keep their molars in place while their front teeth are aligned. Without the lingual arch, it’s possible for the molars to move out of place even while the patient is undergoing orthodontic treatment to straighten their other teeth. With children, this can interfere with the eruption of their permanent teeth.

Unlike Invisalign, the lingual arch can’t be removed by the patient because it’s cemented to the molars. It’s a bit uncomfortable for the first few days, but the patient can take pain medicines such as ibuprofen for the discomfort. The patient’s tongue may also be tender, and they may also need to eat a soft diet at first. The orthodontist recommends rinsing the mouth with warm, salty water.

As with traditional braces, it’s important to keep the lingual arch clean. This can be done with brushing and a device such as a water-pik to remove food particles from between the gums and the wire. The patient needs to avoid foods that are sticky and hard.

A lingual arch that’s placed in the lower jaw is called the lower lingual arch, while an arch that’s placed on the upper teeth is called the transpalatal arch. It is kept on for about six to eight months while the other teeth either erupt or come into alignment.

Expert Care

Nalchajian Orthodontics offers an opportunity to receive expert dental care from a Fresno or Clovis orthodontist. With an evaluation concerning needing braces to have a more attractive appearance and a stronger bite. Patients can choose between two experts at Nalchajian Orthodontics facilities, including:

Dr. Greg Nalchajian
Dr. Nicole Nalchajian

finally, all ages of patients are welcomed at Nalchajian Orthodontics to learn if plastic aligners or metal braces are necessary to straighten teeth or decrease unsightly gaps. Call to schedule an appointment today, or contact Nalchajian Orthodontics with an online form.

Nalchajian Orthodontics
7501 N Fresno St, Suite 105, Fresno, CA 93720
Phone: (559) 432 7100

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What Are the Signs That Braces May Be Needed?

bracesWhat Are the Signs That Braces May Be Needed?

What comes to mind when you think of dental braces? Maybe you imagine a girl with freckles who has two ponytails and huge metal braces on her teeth. The braces might cause the young girl to have a speech impediment. These orthodontic devices tend to have a negative connotation, but times are changing. Getting braces is now a normal occurrence. Still, some people may be wondering if they need these dental brackets.

Signs That You Need Braces

There are many reasons why someone might need braces, but it usually boils down to bite issues or malocclusions. Bite problems are usually inherited but not all the time. For example, a kid who sucked his or her thumb too long might develop an overbite. Other issues are associated with dental decay or even accidents. Bite problems could even occur because you are a mouth breather, since this action places unnecessary strain on your jaw, which could cause a misalignment issue.

Still, it might be a little hard to know when braces are actually needed. The following are a few signs that might help you identify a problem:

Abnormalities With Baby Teeth

One early sign of an issue can be seen with baby teeth. Kids who lose their teeth too early or a little too late might have an issue that requires a closer look. Determining if teeth have fallen out at the right time depends on when the first tooth came in. Normally, baby teeth show up when a child is three, meaning that they should be falling out around six or seven. Be leery if teeth fall out before or after those years.

Chewing Issues

Bite issues usually cause people to have problems chewing or biting. This means that you might have trouble eating a relatively tough piece of meat, or you might notice that you end up swallowing large chunks of foods instead of properly chewed food. Chewing problems can end up causing digestion issues, because large chunks of food are harder to digest.

Misaligned Teeth

It is pretty easy to tell that your teeth are misaligned or a little crowded, but there are times when the issue is more subtle. It might be a good idea to have one of our orthodontic specialists evaluate your bite just to be sure. One issue usually associated with misaligned teeth are dental injuries like biting the cheek frequently or the roof of the mouth. If you notice that your teeth do not fit together properly, this also tells you that you have some type of misalignment that should be dealt with.

Incorrect Jaw Position

The position of your jaw could be compromised for various reasons. A sign that you might have this issue is if you notice that your jaw is not in proportion with the rest of your face. You may also hear a grind-like sound or a dull click when you chew or move your jaw for any reason. Keep in mind that these symptoms are also associated with jaw joint disorders, but one of our orthodontists would have to evaluate the issue to determine what your specific problem is.

These are just some of the most common signs that you might need braces, but there may be others. It might be a good idea to talk to one our orthodontists to see if there really is a need for braces.

Are These Dental Brackets Really Important?

Some people make the mistake of thinking that braces are only meant to beautify a smile. A beautiful smile is just one outcome, but it is not the only reason you should consider braces. For one, misaligned teeth make it easier for bacteria to hide from dental floss, toothbrushes, and mouthwash. This means that you might be in danger of getting a cavity or gum disease, because your teeth are slightly misaligned. Both of these issues can get worse should they go untreated. These issues can lead to dental loss and infect other teeth that do not have a cavity.

You should remember that some people also suffer from depression and anxiety due to misaligned teeth. It is no secret that one of the places that most people pay attention to or look at when meeting another person is that person’s smile. It is this fact that makes some people who have bite issues anxious or depressed. Both of these feelings release neurotransmitters like cortisol. An excess of this substance in the body can lead to clog vessels or circulation issues.

Some bite issues are so severe that is causes a person to have a speech impediment. A problem like this can haunt you at school, work, and social events.

You should know that you have many options when it comes to braces like the following:

  • Traditional braces, though, they are much thinner nowadays
  • Ceramic braces, which can be made to resemble your teeth
  • Lingual braces that are tucked behind the teeth
  • Invisalign, which is made up of two invisible and removable aligners

Expert Care

Nalchajian Orthodontics offers an opportunity to receive expert dental care from a Fresno or Clovis orthodontist. With an evaluation concerning needing braces to have a more attractive appearance and a stronger bite. Patients can choose between two experts at Nalchajian Orthodontics facilities, including:

Dr. Greg Nalchajian
Dr. Nicole Nalchajian

finally, all ages of patients are welcomed at Nalchajian Orthodontics to learn if plastic aligners or metal braces are necessary to straighten teeth or decrease unsightly gaps. Call to schedule an appointment today, or contact Nalchajian Orthodontics with an online form.

Nalchajian Orthodontics
7501 N Fresno St, Suite 105, Fresno, CA 93720
Phone: (559) 432 7100



- Phone: (559) 432-7100
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7501 N. Fresno St, Suite 105 Fresno, CA 93720
Opening Hours: Mon-Wed 8:00-17:00, Thu: 7:00-15:00