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Early Orthodontic Assessment and Treatment (Benefits)

UPDATED 28-11-18

The Benefits of Early Orthodontic Assessment and Treatment. There are a number of different teeth and jaw conditions that can develop in children as they grow. Many of these conditions can be corrected quickly and easily. With an early assessment and proper orthodontic treatment, a wide range of conditions can be prevented. Children and parents benefit from early orthodontic assessment as well as treatment. This can begin as early as seven years old. It will save parents money, time and worry.

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Complete Guide to Oral Health (EPIC TRUTH)

Complete Guide to Oral Health. Good oral health is important at any age. The steps a person takes to care for their teeth and gums will benefit them for life. Those who do not care for their teeth can experience tooth decay, tooth loss, and gum disease, which can all cause a person to feel embarrassed about their smile. Proper oral hygiene practices need to begin taking place as soon as a child cuts their first tooth and should continue throughout life.

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What Are Orthodontic Elastics? (Rubber Bands)

What are orthodontic elastics? When visiting an orthodontist, there are many different appliances that you can and should get for yourself. By working with the pros, you will be able to achieve the beautiful smile that you have always wanted. Whether you’re an adult in braces or have a child in braces. You will want to know more about the different appliances that they might be fitted for. You will find that working with the pros helps you to figure out what is best for you or your loved ones.

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What are Lingual Braces? (FACTS)

What are Lingual braces? If you are considering different treatment options to help you achieve the smile you always wanted, then you must have heard about lingual-braces. But what are these lingual braces? What are their pros and cons? We are going to look at this treatment option and its facts to help you make a well-informed decision.

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White Spots on Teeth (THE ANSWERS)

A bright, white smile with straight teeth is the goal when patients choose to use orthodontic braces to correct the alignment of their smile. But sometimes parts of the surface of a patient’s tooth become too white. Showing small white spots or patches, you may be experiencing what is known as white spot lesions (WSL). And your orthodontist may want you to take additional steps to prevent the spread of further white spots to the surfaces of your exposed teeth.

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Three Reasons You Haven’t Gotten Your Braces Off

orthodontistThree Reasons You Haven’t Gotten Your Braces Off

After having worn braces for awhile or a time period that feels like awhile to you, you might start to wonder when you can have the structured removed. Similarly, your kids may regularly ask about the end date of the treatment if they are the ones wearing the braces. While you must speak with your orthodontist to find out why you still have to wear the braces, you can consider some of the following reasons before the appointment date.

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Why does the orthodontist recommend removing teeth?

orthodontistWhy does the orthodontist recommend removing teeth?

Most people associate the orthodontist with a professional who aligns and straightens teeth. The idea of removing teeth during orthodontia treatment doesn’t seem to match with the specialty. However, there are numerous instances when your Reston, VA, orthodontist might suggest a removal. Take a close look at the reasons that prompt a tooth-removal procedure. It’s entirely normal and common among most orthodontia patients.

Baby Teeth Hanging On

Parents are so thrilled to see their children’s baby teeth come in. They might also dread the day that they fall out. This sign of maturity usually occurs around age five or six. Baby teeth, however, don’t always fall out on a regular schedule. There are often times when a few teeth just hold on for many months.

If you know that orthodontia treatment will be necessary for the child, pulling the remaining baby teeth is an option. This choice is beneficial in a number ways, such as:

  • Soft baby-teeth roots
  • Only a handful of teeth to remove
  • Opens up space for permanent teeth to erupt

When baby teeth remain in place, they hinder normal growth and possibly derail future, orthodontia-treatment success.

Crowding Along the Jaw

As permanent teeth work their way into place, they might be incredibly large in comparison to a child’s jaw. The child simply needs to grow into his or her teeth. As an adult, the teeth will look normal with the mature face.

Orthodontists may opt to remove teeth when the child is about to receive braces, however. Although the brackets and wires are designed to align the teeth, too many teeth on a small jawbone will look crowded. The alignment may not ever be achieved.

Doctors will pick the best teeth to remove as they ease the crowding scenario. In the end, the procedure improves the smile.

Considering Expanders

Many orthodontia professionals turn to expanders as a way to reduce the number of teeth being pulled for crowding. Children are perfect candidates for expanders. Their jaws and mouth palates are still developing.

Professionals place expander or metal appliances in the mouth. Over time, the appliance enlarges the palate and jaw so that they can accompany more teeth. Parents who opt for this treatment will be active participants with these required tasks at home, such as:

  • Turning the expander screw to a certain position each day or week
  • Helping the child with oral hygiene so that the expander can do its work

Expanders may help with spacing, but some tooth-removal processes might still be required. Every case will be unique to the person’s physiology.

The Protrusion Factor

There are many other factors that orthodontists must consider before they apply traditional appliances or opt for Invisalign. The angle that the teeth protrude from the jawline is a consideration. With teeth that stick out, the lips follow suit. The entire face has an unusual shape.

Doctors suggest teeth removal in this instance because the extra space gives the protruding teeth a place to retreat. Through orthodontia treatment, the teeth can now hang in a vertical position that’s more attractive. The lips respond in kind, which improves the patient’s overall appearance.

Tooth Impactions

Your child’s baby teeth may be falling out at a regular pace, but one or more permanent teeth aren’t dropping down. In fact, the child might have an impacted tooth. Unless the tooth can be surgically pulled down by the proper experts, most professionals will suggest removal.

The impacted tooth might be at an usual angle, causing pain and impeding other teeth from moving downward. Parents should approach this removal option as a good idea for the long term. The child will have fewer teeth along the jawline to straighten. Crowding won’t be an issue. If there’s any pain, the child will feel much more comfortable with the tooth removed.

Bite Corrections

The majority of patients have some sort of misaligned bite. These issues include:

  • Underbites
  • Crossbites
  • Overbites

Brackets, wires and rubber bands might fit a few bite issues, but others persist. In the past, orthodontists had no choice but to recommend outright surgery. There’s a better choice today, however.

By removing strategic teeth, the professionals can create the appearance of a normal bite. There’s no need to put the patient through a surgery when extractions make a big difference. After the procedure, everyday treatments can proceed. Patients might choose Invisalign over other options in order to further improve the smile.

Wisdom Teeth Frustrations

As your child grows into a teenager, the orthodontia treatment may be nearing an end. However, the wisdom teeth tend to grow in at this age. These molars aren’t always welcome because they further crowd the teeth that may be relatively straight at this point.

Allowing the wisdom teeth to erupt in the mouth can lead to these issues, such as:

  • Straightened teeth twisting in place
  • Headaches
  • Painful chewing

Most orthodontists will suggest wisdom-teeth removal as soon as they erupt into the gums. The procedure is commonplace and requires a short recovery. Because teenagers are still young by physiological standards, they should heal with no residual side effects.


Schedule an Appointment with Tisseront Orthodontics

At Tisseront Orthodontics in Reston, Va., you can receive a free consultation with Dr. Stephan Tisseront to learn more about your orthodontic options. Our orthodontist takes care of children, teenagers and adults at our top-of-the-line office, and he offers these treatments:

• Lingual braces – worn on the backs of teeth
• Invisalign – aligners for teenagers or adults
• Ceramic orthodontia – made with clear wires and color-matching brackets

It is also possible to reduce your orthodontic treatment time by using a small device from AcceleDent Aura that helps to accelerate the movement of your teeth into the correct positions.

Call us today at 703-773-1200 to schedule an examination with Dr. Tisseront in our state-of-the-art orthodontic facility.

Tisseront Orthodontics
11720 Plaza America Drive, Ste. 110 Reston VA 20190-4762

Phone: (703)773-1200

What Causes Abnormal Jaw Pains and How to Treat It

happyWhat Causes Abnormal Jaw Pains and How to Treat It

There are several conditions that can lead to pain in the jaw. Some are fairly benign while others are serious. Whatever the cause, a person with a painful jaw should be seen by an orthodontist, a medical professional who specializes in problems with the jaws and the bite. Here are some conditions that may cause jaw pain and how to treat them:

Temporomandibular Joint Disorders

These are problems that affect the temporomandibular joint, or TMJ. This joint is found both sides of the lower jaw. It allows the mouth to open and close in conjunction with the muscles and the nerves in the jaw and the skull. Pain can arise when something goes wrong with one or more than one of these systems. The cause can be:

Arthritis in the Jaw

The jaw is a joint, and like other joints in the body it is subject to osteoarthritis. This happens when the cartilage that cushions the ends of the bone start to wear away, and the bones start to grind against each other.


This is when the patient grinds their teeth, often at night while they’re asleep. The grinding may be loud enough to wake the person next to them. Some of the symptoms are a tightness in the jaw muscles and a jaw that locks. The jaw, face and neck are also painful or sore.

Autoimmune Disorders

An autoimmune disorder such as rheumatoid arthritis can also lead to pain in the jaw.

Symptoms of TMJ Disorders include:

A dull ache on one side of the jaw that may be in the temple, the back of the head, in front of the patient’s ear or along their jaw. It can start gradually or come on suddenly.

  • Pain when chewing
  • Popping sounds in the jaw
  • A jaw that can’t open all the way without pain
  • A jaw that locks
  • A toothache
  • A headache and aches in the shoulders and neck
  • Dizziness
  • Ears that ring or feel stopped up


Jaw pain that comes from TMJ can respond to over-the-counter pain medications in some patients. If these drugs are not strong enough, the orthodontist can prescribe stronger analgesics, usually types of non-steroidal anti-inflammatory medicines. Other medications include antidepressants and muscle relaxants. Muscle relaxants are used on a fairly short-term basis.

Sometimes treatment for a TMJ disorder might be an adjustment in the patient’s diet or teaching them jaw exercises that help their jaw to relax and stretch properly. The orthodontist may also treat the patient with ultrasound and warm and cold compresses to help with the pain. Some people benefit from psychological counseling that helps them handle stressors that make their pain worse.

The orthodontist may inject the TMJ with corticosteroids. Botox can be injected into specific muscles in the jaw to ease the pain. The Botox interrupts neurotransmitters and allows the jaw muscles to slacken.

The orthodontist can also fit a patient with occlusal appliances such as mouth guards or oral splints. Though these devices do work, no one is quite sure why.


If conservative methods don’t work, the orthodontist may recommend surgery to ease the pain of TMJ disorders. There are several of these surgeries.

Arthrocentesis. In this treatment, the orthodontist places tiny needles in the joint then irrigates the joint to wash out debris that might be causing the jaw to become inflamed.

TMJ arthroscopy. The orthodontist uses miniaturized surgical tools to repair the jaw. This cuts down on the risks of surgery such as bleeding and infection.

Modified condylotomy. This is surgery on the mandible, which is the lower jaw. It is chosen to treat both pain and locking.

Open joint surgery. This surgery, also called arthrotomy, is used to fix or even replace the joint of the jaw. It is the last resort if nothing else works. In this surgery, the orthodontic surgeon can put the disc back into place if it is out of place, or remove it. They can reshape the bone or use a graft from the muscle of the patient’s temple to place in the joint space to keep the bones from rubbing together. Some surgeons even take bone grafts from the patient’s ribs.

Other Causes of Jaw Pain

Jaw Fracture

The jaw can be fractured by a blow or a fall. The jaw is not only painful but bruised and swollen, and there may be numbness in the lower lip. If a broken jaw isn’t treated, it may heal improperly and be misaligned. A minor fracture can be eased by rest, painkillers and a soft food diet. But surgery is needed to repair a severe fracture.

Jaw Dislocation

A dislocation is when the TMJ is unseated and the mandible is out of alignment. The symptoms are the same as for a jaw fracture. The doctor gives the patient muscle relaxants to help the joint relocate and bandages the jaw.

Call Tisseront Orthodontics Today To Schedule an Appointment

At Tisseront Orthodontics in Reston, Va., you can have an examination from our knowledgeable orthodontist. Dr. Stephen Tisseront provides orthodontic treatments for adults, teenagers, and children with these devices:

• Aligners – designed using Invisalign software
• Braces – metal, ceramic and lingual
• Retainers – to keep teeth in position after orthodontic treatment ends
• Surgical orthodontics – removal of baby or extra teeth

Our patients can have iTero archwires designed at our orthodontic office, and we also offer Acceledent Aura devices to reduce treatment time. Call us today at 703-773-1200 to schedule an examination with Dr. Tisseront in our state-of-the-art orthodontic facility.

Tisseront Orthodontics
11720 Plaza America Drive, Ste. 110 Reston VA 20190-4762


I Don’t Have Any Dental Problem: Should I Still Visit and Orthodontist?

orthodontist visitI Don’t Have Any Dental Problem: Should I Still Visit an Orthodontist?

This is a question that is commonly asked. The answer to this question is yes. Even though you may not think that you do not have any dental problems, the problem may not be something that you can identify yourself. Often times, many people think that they have the same knowledge as an orthodontist but in reality, they don’t. Orthodontists go to school for ten to eleven years after completing high school. In this additional schooling, Orthodontists learn everything necessary about fixing teeth. Using the internet to research dental information can be extremely confusing and could lead to further damage.

Dental care is not something that should be taken lightly. Taken proper care of your teeth is very important. This proper care includes visiting dental care professionals. If teeth are not properly cared for the results can be detrimental. Everyone only gets ones set of teeth, so you better care for the ones you got.

Some common problems that occur with teeth are:

  • toothache
  • stained teeth
  • cavities
  • chipped teeth
  • impacted teeth
  • cracked teeth
  • sensitivity to cold
  • hyperdontia (too many teeth)
  • crooked teeth
  • gaps between teeth
  • gum problems
  • clenching teeth
  • grinding teeth
  • wisdom teeth problems
  • no room to floss

Some of these problems are more serious than others, but all of these problems should be addressed. This is just a list of problems that commonly occur. Not every dental problem is listed. If you feel any type of discomfort or unusual pain you should contact a dental care professional immediately. Waiting to contact a professional could allow the problem to worsen.
There are many things that you can do to prevent these problems from happening. If you are suffering from a toothache a few things that could help are rinsing your mouth with warm water, flossing to remove food caught between teeth, and taking an over-the-counter pain reliever. If swelling, pus, or a fever is noticed a more serious problem could be forming such as an abscess. A dental professional should be contacted as soon as possible to receive antibiotics or further dental work.

If a client has stained teeth there are many correct ways to remove the stains. Some things that stain your teeth are foods, medications, tobacco, and trauma. There are multiple ways to whiten them. Your dentist could apply a whitening agent or a special light. A dentist could supply you with plastic teeth trays and you could apply the bleach gel at home. This bleach gel is offered at dentistry offices and some stores. The easiest way to whiten your teeth is to use whitening toothpaste or whitening rinses. If using a whitening toothpaste or rinse only remove surface stains are removed.

If holes are formed in your teeth this can mean you have cavities. Cavities are formed when bacteria or plaque builds up on your teeth. This bacteria destroys the outer shell of the tooth, referred to as enamel. As you get older teeth may start decaying at the gum line or around the edges, which is a problem. Brushing your teeth at least twice a day with a toothpaste that contains fluoride is encouraged to prevent these problems. A few more things that could reduce the chance of getting cavities are
limiting snacks, flossing daily, rinsing with mouthwash, and regular dental appointments. If you are worried about this issue you can ask your dentist if a sealant would help.

The most common dental problem is chipped teeth. Any accident can cause a tooth to chip even if the accident is not so serious. If the chip is large enough and the tooth bonding is strong a crown may be performed by using a material to replace the chipped area. If more work is needed a root canal may be performed before the veneer or crown.

If an adult tooth does not grow in properly this means that is impacted. This usually means that it is stuck against other teeth, bone, or tissues. If an impacted tooth is not bothering you than it is probably fine to be left uncared for. On the other hand, if it is bothering you it can be surgically removed by a dental professional.

When caring for a cracked tooth a crown is usually recommended to protect the crack and prevent it from worsening. If the tooth is sensitive then the problem is more difficult to deal with. In bad cases, root canals or pulling the tooth may be necessary. People with fillings are more likely to experience cracked teeth.

If you are experiencing sensitive teeth the first step to resolving the problem is finding the cause. Sensitivity could be caused by cavities, worn enamel, worn fillings, gum disease, fractured teeth, or exposed gums. Once the source is identified sensitivity can be cured by root canals, filling, gum treatment, desensitized toothpaste, or gel.

Most people have 20 baby teeth and 32 adult teeth. In a few rare cases, some people have extra teeth called hyperdontia. People who have this often have a cleft pallet or tumors. The extra teeth can be removed or an orthodontist can fix your bite.

Braces are for people of all ages. They don’t only make your teeth straighter, it also helps your overall dental health and relieves pain. Teeth can be straightened by braces, retainers, aligners, or Invisalign. Invisalign is an alternative to wire braces that uses transparent, incremental aligners to adjust teeth.

These are a few ways to prevent problems with your teeth. If you do experience any of these problems this information also provides some examples of proper care and treatment. If you do face any of these problems you should contact a dental health care provider immediately. If you are fortunate enough to not face any of these problems you should be sure to attend appointments regularly to keep up with your dental health.

Schedule Regular Appointments At Tisseront Orthodontics

You must continue to visit our orthodontist on a routine basis to make sure that your braces are in optimal condition. Dr. Stephan Tisseront offers a variety of types of braces to his patients, including:

• Traditional metal
• Beautiful ceramic
• Lingual devices

To schedule an orthodontic evaluation for an adult, teenager or child, contact our orthodontic facility today at 703-773-1200.

Braces Before and After



Braces are more than just a smile or overbite correction; they inspire confidence – confidence to face the world with a smile on your face, knowing you look your very best. Although we wish it wasn’t so, we all know that kids can be cruel to one another and any deviance from what is considered normal or attractive invites criticism and ridicule. Unfortunately, there is no way to avoid all of the drama and heartaches, but we can help our kids and give them the best smile possible.


What Can Orthodonture Do?

Many young people are embarrassed by problems with their teeth and never want to smile. Crooked or protruding teeth are not the only reason to take corrective measures, though. There are some physical problems that can arise when the teeth do not properly align, such as TMJ (Temporomandibular Joint Dysfunction) which causes pain and sometimes cause the jaws to lock, severely limiting or completely preventing the jaws from opening. Braces can realign the teeth, effectively curing TMJ.

Other conditions that can be treated by orthodontics, includes anteroposterior deviations, which includes conditions like overbite and underbite. Anteroposterior deviations describe a condition in which the teeth do not line up correctly. Another dental problem is overcrowding. Many people simply do not have enough room in their mouth to allow for proper alignment of permanent teeth. In this case, the teeth will be pushed out of alignment to allow for all the teeth to come in.

Are straight teeth important?

Despite what you might think orthodontics isn’t just for kids. Even adults can benefit from corrections in teeth alignment and straightening. Overcrowding, underbite, and overbite is not just a cosmetic issue, these conditions can lead to speech problems, problems chewing, gum disease, and tooth decay.

Although orthodontics is thought to be primarily for children and teens, in recent years many dentists and orthodontists are prescribing bite correction for adults as well. It is never too late to fix a problem or repair a smile. For some, corrective measures in childhood were financially impossible, other reasons for taking corrective measures in adulthood, include failure to wear a retainer properly after straightening in childhood resulting in the teeth moving out of alignment, and medical necessity resulting from TMJ and other conditions. Some just want to make cosmetic adjustments. It is estimated that more than a million adults are taking advantage of corrective dentistry every year.

How much does orthodontics cost?

Many people, naturally, worry that the cost will strain their budget too much. Obviously, this is a consideration. The cost for orthodontics varies by person and individual needs, but your orthodontist will work with you to create the best plan possible for your treatment. In addition, many dental plans will pay at least some of the cost, making it a very affordable option.

What is the difference between an orthodontist and a dentist?

You may wonder why you need to see a specialist (orthodontist) for smile correction when you already have a working relationship with your dentist. While technically your dentist can treat your teeth alignment and bite correction, they are not specially trained to perform this duty, whereas an orthodontist is specially trained to correct bite problems.

An orthodontist not only attends dental school but also has another three years of training studying the specifics of tooth movement and jaw function. At the end of their training in orthodontics, they must pass an exam to become certified. Being board certified is something you want to look for in an orthodontist.

What are the different types of brackets?

There are many types of brackets used to straighten teeth, and many more options than in the past, but, in the end, the most important component of your orthodontic treatment is the skill of your orthodontist. One type of dental appliance that is popular with adults is Invisalign trays, which straighten teeth through a series of trays that move the teeth gradually, just like traditional metal brackets, but are almost impossible to see. However, not all will be good candidates for this treatment option. Other types of brackets include the traditional metal and ceramic, and brackets that attach to the back of the teeth instead of the front. It’s not the brackets that make the difference; it is the skill and knowledge of the orthodontist.

What is Invisalign?

Many adults prefer these clear liners to the traditional metal brackets, which are less than attractive, and most adults will face a longer period of time for their teeth to be corrected than had they been corrected when they were younger. These liners are fitted exactly to your teeth and changed every few weeks as your teeth move.

These clear liners are nearly invisible to the naked eye and can be removed to brush, eat, and for special occasions when you don’t want to have to remove them during an event.

This method can treat the same types of problems treated with traditional metal brackets in some cases. The cost is similar to traditional methods, but they are far more comfortable. Some insurance plans will a portion of the cost and Flexible Spending Accounts can be used toward payment as well. They require a tiny bit more commitment than traditional brackets, in that they must be worn faithfully except those times you will need to remove them. They can’t work if they are not in your mouth.  Not all patients will be a good candidate for this type of treatment due to the complexity of their issues, but see your orthodontist and ask if this treatment is right for you.

Call Tisseront Orthodontics Today To Schedule an Appointment

At Tisseront Orthodontics in Reston, Va., you can have an examination from our knowledgeable orthodontist. Dr. Stephen Tisseront provides orthodontic treatments for adults, teenagers, and children with these devices:

• Aligners – designed using Invisalign software
• Braces – metal, ceramic and lingual
• Retainers – to keep teeth in position after orthodontic treatment ends
• Surgical orthodontics – removal of baby or extra teeth

Our patients can have iTero archwires designed at our orthodontic office, and we also offer Acceledent Aura devices to reduce treatment time. Call us today at 703-773-1200 to schedule an examination with Dr. Tisseront in our state-of-the-art orthodontic facility.

Orthodontist in Reston, VA offering caring service for both Children and Adults.
Specializing in Aesthetic Orthodontics (Lingual braces, Invisalign and Clear braces).
11720 Plaza America Dr, Ste 110 Reston, Virginia 20190

Phone: (703) 773-1200