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What Are The Signs (of a Good Orthodontist)

Maintaining healthy teeth, gum, and jawbone structure begin from infancy and continues into adulthood. It is essentially a lifelong process of visiting your dentist for routine checkups and cleaning and your orthodontist for specialized care. Children, teenagers, and adults typically see their orthodontist for problems such as overcrowding teeth, underbites, overbites, receding jaw, or protruding jaw.

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What Guidelines Help Children? (Remain Cavity-free)

What guidelines will help children remain cavity-free? Cavities are one of the most preventable oral health conditions that your child can get, but it does take a strong commitment from you and your child to reduce their risk of developing tooth decay. Today, the American Academy of Pediatric Dentistry guidelines are the most trusted resource available to help you work with your child’s orthodontic care team to lower their risk of developing cavities. To help you get started, these are some of the most simple guidelines that you can follow to help your child avoid the most common pediatric dental issues.

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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