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




What is an [Orthodontist]?

orthodonticsLAST UPDATED: SEPTEMBER 28, 2017

All About Your Orthodontist: They’re Not Just the Braces Guy

While their realm of specialty lies in treating people with improperly positioned teeth, they are also trained in the treatment and control of facial growth (also known as dentofacial orthopedics) and the development/shape of the jaw. Even if you don’t need braces, an orthodontic specialist is still trained to treat a variety of maxillofacial problems. The difference in a dentist vs orthodontist is an orthodontist can treat structural issues that arise at any point in your life.


What Do They Fix Besides Crooked Teeth?

Your doctor has a wide range of tools available to help fix an array of dental issues, both structural and cosmetic. Whether they’re using braces, headgear, or plates, they can help fix a ton of stuff! Wide gaps, for example, aren’t just cosmetic; they can affect your speech, too. Your doctor can help close those gaps permanently, restoring self-confidence and preventing any permanent issues. Crooked teeth can also impede your speech or ability to eat, as well as affect the health of your gums and teeth. If your bite is off, this can create wear and tear on your teeth and cause problems with the structure and growth of your jaw. Just because you’re an adult and you’re done growing, your jaw can constantly change shape as you age, so keep that in mind if you’re hesitating about seeing a specialist.


What is a bad bite?

Known medically as malocclusion, a bad bite means the teeth are crooked and misaligned with an imperfect alignment between the top and bottom sets of the teeth. This can happen for any number of reasons, but the most common reason is usually because there was frequent thumb sucking as a child or an injury to the mouth. A bad bite doesn’t affect your physical health, but it can have a negative impact on how the face develops as it grows, not to mention creating crooked or protruding teeth. A really bad malocclusion can inhibit eating and speech, not to mention making it more difficult to keep the teeth brushed properly. Besides protruding front teeth, a bad bite commonly causes crowding of the teeth, leading to premature removal of baby teeth to make room for the others. The upper and lower teeth might become asymmetrical, and the adult teeth coming in might become impacted or malpositioned. Overbites are very common, too, which just means the upper teeth come down too far over the lower ones when the mouth is closed. Some kids end up with a reverse bite where the upper teeth fit behind the lower ones or an open bite where there’s an opening between the upper and lower teeth.

When Should You Start Orthodontic Treatments?

Orthodontic treatment typically isn’t started until the adult teeth have come in around 12 or 13 years of age. At this age, all of the adult teeth are in and fully developed. Of course, orthodontic treatment can arise at any time in your life, so don’t dismiss seeing an orthodontist even if you’re out of high school!

When you or your child goes into an orthodontic practice, they’ll do a complete work-up to gauge the current state of the teeth. If it’s a child, the doctor will predict how the teeth will develop without orthodontic intervention. No matter the age, however, they’ll take a full medical/dental history, perform an examination, take x-rays of both the teeth and jaws, and create plaster imprints and model of the teeth. All of these tools will be combined to create an intensive treatment plan.

Orthodontic Tools Used to Fix the Teeth

Fixed Appliances

Fixed oral appliances are the most common tools used in orthodontic treatment. There are more restrictions on food and drinks, as well as athletics, but they usually get the best results. Braces are used the most often, of course, and serve to fix crooked and misaligned teeth and malocclusions. Fixed space maintainers are put in when a child prematurely loses a baby tooth to keep that space open for the adult tooth. A band is affixed to one of the teeth next to space and a wire will go from the band to the other tooth. Special fixed appliances aren’t used all that often, but they may be beneficial to kids who tongue thrust or suck their thumb. They’re quite uncomfortable for the child, so they are only used if necessary.

Removable Appliances

Removable appliances treat minor problems or prevent future problems by curbing thumb sucking. They should be kept in the mouth at all times except when eating or flossing. Aligners are an option for adults who want braces without the “metal mouth” look. They’re pretty much invisible and they can be removed for brushing and eating. Headgear is unsightly but serves well to slow upper jaw growth while keeping the back teeth in their proper positions. Palatal expanders make the upper jaw’s arch wider. It’s made up of a plastic plate that’s put on the upper palate. Screws put pressure on the joints in the bone and force the bones outward. Removable retainers are also put on the roof of the mouth and used to keep the teeth from moving into their original (misaligned) positions. Splints are put into the top or lower jaw to help the jaw close properly when the patient is dealing with temporomandibular joint disorder (TMJ) syndrome.

Now is the time

Don’t wait another minute! It is time to make that smile a vision of perfection! Contact Tisseront Orthodontics today for a complimentary consultation with Dr. Stephan Tisseront – the leading Harmony braces provider in the USA.

Tisseront Orthodontics

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

Phone: (703) 773-1200

Difference Between a Dentist And an Orthodontist


Generally speaking, the patient seeking help correcting for an overbite, crowding of teeth or other such malocclusion is referred by their dentist to an orthodontist. In terms of treatment, you need the expertise of a specialist to appreciate the nuances and determine the best method to straighten your teeth while retraining the muscles of the mouth. The extra years of education, training, and experience assures each patient is treated by a doctor who has specialized knowledge to ensure that the outcome is safe and effective. This is just a thumbnail description of the difference between a dentist and an orthodontist.


Education and Experience

The practice of dentistry starts the same for general practice as it does for a specialty. Each must have at least a bachelor’s degree before applying to an accredited dental school where a four-year doctoral program must be completed. However, this is where the path splits.

At this point, the dentist may start on establishing a practice. Typically, your primary dental care provider will diagnose, treat and help you manage your routine oral healthcare. Treatment most patients are familiar with include:

  • Annual check-ups
  • Routine Cleaning
  • Teeth whitening
  • X-rays
  • Fillings
  • Gum care
  • Crowns and bridges
  • Root canal
  • Veneers
  • Dentures
  • Extractions

The dentist interested in pursuing their speciality education must serve a two- or three-year residency in orthodontics. This may only be accomplished through an ADA approved, university-affiliated program. Where a dentist must complete eight years of higher education, the specialist continues to complete 10 or 11 years before being allowed to have the designation “Orthodontist,” a distinction that may only be accorded the person who has successfully completed all the requirements to practice this specialty.

Orthodontic Appliances and Treatments

Most patients are first introduced to their specialist when they are going to be fitted for orthodontic appliances. These could be in the form of braces, wires, brackets, retainers or some of today’s innovative options for invisible teeth straightening. In addition to Invisalign and Invisalign Teen that use clear thermoplastic aligners, there are also Harmony® Braces, the customized Lingual braces that are placed behind the teeth.

Orthodontic accreditation to practice as a licensed specialist includes ongoing educational requirements throughout one’s career in order to stay up to date with the latest scientific achievements. This makes it exciting for patients who want to be on the edge of clinical developments. Technological advances continue to introduce significant devices and their new procedures to the field of orthodontics.

Orthodontics Improve Your Quality of Life

Patients who have been referred to get specialized help in keeping teeth and jaws working together for effective speaking and comfortable biting and chewing will soon become as familiar with their specialist as they likely have become with their general dentist over the years. Typically, as children reach their teenage years after the permanent teeth have come in is when the first signs of the need for teeth straightening are evaluated and any corrections are suggested. Young adults, as well as mature adults, are also finding more opportunities these days to improve their smiles by availing themselves of the specialized, non-surgical treatments provided by this specialty.

Today’s variety of orthodontic appliances offer more convenience, comfort and positive outcomes than as few as ten years ago. The duration of teeth straightening treatment can last between 6 and 15 months. Each course of treatment is unique to the individual and special care is given to ensure the patient is as comfortable with treatment as possible.

Orthodontics Improve Your Overall Health

Whether you are dealing with misaligned teeth, crowded teeth, overbite, underbite, crossbite, spaces or gaps between the teeth or temporomandibular disorders(TMD), your orthodontics specialist is there to help you. Parents, especially, need to know about the dental problems their children may be facing to prevent damage that may occur to the teeth or gums if they are not corrected.

A nutritious diet for good health relies upon a healthy bite. Seemingly small issues may lead to more serious problems down the road when treatment is avoided, and more than your smile may suffer for it. When you are referred to a specialist to handle treatment that is outside the scope of your general oral health care practitioner’s expertise, you can rest assured your overall health is the primary concern. It just so happens that this treatment also means ending up with a balanced bite and a beautiful smile.

Offering a Free Consultation

For expert treatment from a personable Orthodontic specialist, visit Tisseront Orthodontics in Reston, Va., for a free consultation to improve your smile. Dr . Stephan Tisseront welcomes children, teenagers and adults. We provide an assortment of orthodontic treatments that include:

• Lingual braces from Incognito and Harmony
• Invisalign aligners designed for teenagers and adults
• Traditional metal and wire brackets
• Surgical treatments
• Retainers

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

Phone: (703)773-1200

Difference Between a Dentist And Orthodontist

Benefits of Braces: It Goes Beyond a Beautiful Smile

bracesLAST UPDATED: JUNE 28, 2017
Braces will align your child’s teeth, and while they may not love wearing them now, they will certainly love the benefits that come from having straight teeth. There are numerous positive advantages to fixing your child’s teeth when your child is young. Those benefits are both social and health related.

While having straight teeth is often thought of as a cosmetic or social issue, having crooked teeth can have an impact on the health and future well-being of your child. Before you dismiss it as being too expensive or a cosmetic issue, think about the impact crooked teeth will have on your child’s future. A beautiful smile is not a frivolous expense when it comes to your child’s future happiness. The orthodontist can help you find an option that works for your family.


Healthy Gums

When teeth are crooked or overlapping, it can be difficult to clean them properly. There’s no space for flossing. When children have a hard time flossing, they are at risk for more cavities over their lifetime. Some damaging plaque can cause gum disease. Oral hygiene is linked to periodontal disease, which can cause an increased risk of heart disease, stroke and high cholesterol. Not only will fixing crooked teeth give your child a straight, beautiful smile, it will set them up for a healthier life in the future.

Better Digestion

Your teeth play a major role in how food gets digested. Proper digestion begins with the teeth, which break down food before it enters the stomach. The process of chewing grinds food, but also prepares it further with enzymes in the mouth. When the teeth are out of alignment, they can’t grind food down effectively. This makes it difficult for the stomach, which has to make up for the lack of enzymes. When the teeth are straight, it’s easier for food to be chewed. There won’t be trouble digesting large chunks of food. The orthodontist can assess your child’s teeth and provide a treatment plan to straighten his or her teeth.

Speech Improvements

Between the lips, tongue and teeth, words are formed by controlling air flow and the tongue moving against the teeth to form certain sounds. When the teeth are out of alignment, it can cause speech problems such as a lisp or whistling when the person speaks. Children who become self-conscious about their speech problems can develop a stuttering problem, and they can start mispronouncing words. While the fix might cause further impediments to speech as the teeth are aligned, in the long run, proper alignment of the teeth will fix the speech problem entirely.

Bone Erosion

When there are no teeth to support the bone, the bone itself can start to erode. This can also be true for the gaps and spaces left by misaligned teeth. With a bad bite, the teeth that meet can be placing uneven pressure on the bone because they are not aligned correctly. Disorders like Temporomandibular joint can result when a person’s bite is unbalanced. TMJ can cause earaches, headaches, jaw pain and popping when chewing. Orthodontics will eliminate the spaces between teeth and create an even bite pattern.

Self Confidence and Self Esteem

Crooked teeth can become a serious problem when the person doesn’t want to interact with others. They won’t speak with confidence, and that can have a serious impact on social interactions. If your child’s teeth are not fixed when they’re younger, they will grow up fixated on their crooked teeth, which will undermine their happiness and sense of fulfillment. While they may think that becoming “brace face” or “wire mouth” will have a negative impact on their social life in junior high or high school, as a parent, you know that crooked teeth could impact the rest of their lives including the type of job they get and person they marry.
It’s unfortunate, but the level of a person’s attractiveness has an impact on whether he or she will get a job, receive a promotion or a pay raise. Researchers at Rice University, as reported by Business Insider, conducted a study on beauty and its impact on professional success. The study was limited to how facial appearance influences a job interview. According to Juan Madera, who was a co-author of the study, interviewers were distracted by facial features and remembered less about the content of the interview. They didn’t react favorably to those candidates, and it led to a decrease in ratings for those candidates. With orthodontics, you’re setting your child on a road to financial and career success.

Crooked, misaligned teeth are a difficult problem that can be solved early in a child’s life. Without orthodontics, your child’s teeth will worsen over time. There is the potential for gum disease with all the associated risks of health problems like heart disease and high cholesterol. There’s potentially a lifetime of cavities and root canals in your child’s future. There’s the distraction and social problems associated with crooked teeth too. It can have a detrimental impact on the type of job the person gets as an adult too. Crooked teeth have an influence on the life and happiness of the child as he or she grows into adulthood.

Contact Dr. Tisseront at Tisseront Orthodontics for a consultation to find out the best way to treat your child’s crooked teeth, and learn about the type of orthodontics that can lessen the impact on your child’s social development. There are braces that can be placed behind the teeth, invisible ones and other types of orthodontics for your son or daughter.


Foods to Avoid While Wearing Braces


When your braces first go on, whether you’re using traditional shiny metal brackets or Invisalign treatment, there are several foods that you should avoid. This isn’t your orthodontist advice. Instead, it’s necessary in order to keep your brackets, wires, and appliances in place, doing their job to make a better, brighter smile.


What are some Foods to Avoid?

There are several foods that are on the list that you shouldn’t eat at all while you’re wearing braces. They include:

  • Popcorn
  • Whole apples, pears, and other crunchy fruits that haven’t been cut into thin wedges
  • Uncooked carrots, including baby carrots
  • Crunchy corn chips
  • Gummy candy
  • Whole nuts
  • Hard candy and crunchy candy, including treats like peanut brittle
  • Whole, crunchy pickles
  • Hard, crunchy pizza crusts (soft crust and the rest of the pizza are fine; just avoid the crunchy crust)
  • Peanut butters
  • Extremely sticky candies like taffy
  • Corn on the cob (off the cob is fine)
  • Tough meats–beef jerky and Slim Jim type snacks, in particular
  • Ribs and chicken wings on the bone–taking the meat off the bone makes these edible again

What are some Non-Food Items to Avoid?

It’s amazing how many things you discover that you put in your mouth when you’re undergoing orthodontic treatment and can’t anymore. These bad habits aren’t just hard on your teeth in general. They’re even harder on those critical brackets and wires! To help keep your orthodontics in good shape, avoid the following:

  • Chewing your nails. It can bend wires or even cause brackets to pop off.
  • Chomping on ice. You can still have ice in your drink, but you shouldn’t put in your mouth by itself. This includes “sucking” on the ice, which could still cause rough handling of your brackets.
  • Chewing on pens and pencils, which can lead to unnecessary stress on brackets and wires.
  • Chewing gum. Some orthodontists may allow the use of sugar-free gum, but in general, it’s best to avoid it altogether.

What are Foods to Eat With Caution?

Yes, your orthodontist is serious when they tell you to exercise caution when consuming certain foods! While they can be consumed safely, it’s important to follow proper consumption instructions so that you aren’t endangering the integrity of your brackets, wires, or Invisalign treatment.

  • Chewy bread like bagels should be consumed carefully. It’s better to break them up into small pieces before consuming. It’s also important to note that bread, in general, may get balled up underneath your wires, making it difficult to clean them.
  • Hard, crunchy chips and hard tacos should be consumed with caution. Typically, it’s better to break them up in pieces or consume them one at a time.
  • Candies and soda, in general, should be consumed cautiously when you’re undergoing orthodontic treatment. It’s hard enough to get your teeth clean when you don’t have a mouthful of appliances! Decay can sneak in when you least expect it, so avoiding or minimizing treats that are high in sugar will be best for the time being.
  • Bread with a hard, firm crust like French or Italian bread should be cut up into small pieces. Cut the crust off entirely or chew it with your back teeth to avoid causing problems with your brackets.
  • Raw vegetables need to be cut up in small pieces before consuming. For an even better option, try steaming or sauteing vegetables to create a softer texture that will be easier to chew.
  • Hard, crunchy cookies should be softened in milk or avoided for their softer counterparts for the time being.

What are Foods You Can Have with braces?

The list of foods that you can’t have while wearing braces is extensive and often frustrating! Fortunately, there are plenty of foods that you can still have. Many of them may become your new favorites. If you’re having trouble putting together a new grocery list or figuring out what to eat, try some of these:

  • Cheese
  • Soft fruit like watermelon, cantaloupe, plums, and peaches, especially cut up into small pieces.
  • Small fruits like grapes, blueberries, and strawberries, though it might be best to opt for seedless grapes for now.
  • Bananas
  • Yogurt, frozen yogurt, and ice cream
  • Bread, especially soft ones
  • Muffins, cakes, and soft cookies that don’t contain nuts
  • Eggs in any form–scrambled, hard boiled, and over easy are all approved!
  • Pasta noodles in any sauce you like, as long as it doesn’t contain nuts
  • Soups, stews, and chilis
  • Hamburgers and hot dogs
  • Any meat of your choice as long as it’s not on the bone

Adapting to a new diet because of your orthodontic work can be difficult at first. Keep in mind, however, that it’s done to help complete your treatment in a timely manner and ensure that you don’t experience discomfort as a result of bent or broken appliances. When in doubt, assume that you need to avoid hard, sticky, or potentially damaging foods and check with your orthodontist at your next appointment.

Offering a Free Consultation

For expert treatment from a personable expert, visit Tisseront Orthodontics in Reston, Va., for a free consultation concerning your malocclusions. Our orthodontist is Dr. Stephan Tisseront who is able to examine and treat adults, teenagers and children. We provide an assortment of orthodontic treatments that include:

• Lingual braces from Incognito and Harmony
• Invisalign aligners designed for teenagers and adults
• Traditional metal and wire brackets
• Surgical treatments
• Retainers

Tisseront Orthodontics
11720 Plaza America Drive, Ste. 110 Reston VA 20190-4762 Phone: (703)773-1200

Foods to Avoid While Wearing Braces


What Is a Palatal Expander and Why Is It Needed?



Orthodontists help to straighten crooked teeth and treat problems with jaw development and facial growth. One of the most important orthodontic tools is the palatal expander. This appliance prevents, reduces, or corrects the severity of some jaw and teeth problems leaving room for growth of teeth. The palatal expander works by gently expanding the roof of the mouth and upper jaw. Timing is the key to this device’s efficiency. It is designed to capitalize on changes in tooth and jaw development unlike braces, which can work at any age.


What are some problems that may be treatable with a palate expander?

Posterior crossbite: Occurs when the upper teeth become too close to the back part of the lower teeth. This results in a narrow palate with the back of the upper teeth “biting” the lower teeth.

Teeth crowding: Lack of sufficient space in the jaw prevents the adult teeth from erupting in their correct positions. Crowded teeth can be aligned by palatal expansion, which may eliminate the need for teeth extraction.

Impacted teeth: Teeth that have not started erupting may become blocked by crowded teeth.

Breathing problems: This occurs when a high plate and narrow arc block air passages.

Palatal expansion may not do away with the need of your child to wear orthodontic braces but it can reduce treatment period for many jaw and teeth problems. In addition, it gives your child a beautiful smile helping to improve his or her self-esteem and confidence.

What Are The Mechanics of an Upper and Lower Jaw Expander?

According to the American Dental Association (ADA), baby teeth are often replaced by permanent teeth between the age of 6 and 13. Sadly, not all children have jaws big enough to accommodate the adult set of teeth. This causes misalignment and teeth crowding.

Upper Jaw Expander

The upper jaw expander works by stretching the cartilage and bone of the palate. Successful palatal expansion occurs between the ages of 14 and 16. Upper expanders are often fixed to the molars with metal rings. They are also detachable in some cases. They have expansion screws which when activated gently separates and stretch the flexible cartilage. This process takes several weeks or months. You may notice a gap between your child’s front teeth. This shows that palatal expander is working.

At first, an expander might feel uncomfortable and bulky but this will fade with time .It may also cause excess salivation, which will affect your child’s speech as he adjusts. During this period, give your child foods that do not require much chewing such as ice cream, pudding, mashed potatoes, yogurt, or soup. Avoid giving the child sticky foods that may become stuck beneath the expander.

Lower Jaw Expander

The function of a lower expander is dissimilar to that of the upper expander. The lower expander only moves the teeth. It does not expand the bones neither does it have a stitch to close. It mainly aligns teeth that are pointed inward. Enough bone and gum tissue around the roots should be available for this to work. If not, extraction might be required for best results.

Lower expanders resemble upper expanders. Orthodontists recommend using retainers with well built-in expansion screws. However, some opt for Invisalign to align and straighten the teeth and others use lip bumpers. Invisalign treatment is often recommended as an alternative for expander.

How Can I Keep Up with Oral Hygiene?

Regular and routine oral care is important for any child whether they are using expanders or not. Ensure your children brush their teeth twice a day. Daily flossing and cavity protection will help prevent tooth decay.

Debris and food can be trapped under an expander. Use a water jet or a special syringe to spray water under the expander to remove the food debris. A flexible palate cleaner can also be used to slide under the expander and remove food materials and debris.

Why does my child need a palatal expander?

  • To give the child a better bite
  • Align teeth better by creating space for crowded teeth
  • Widen air passages to make breathing easier

The Palatal Expansion Process

Rapid Palatal Expansion

A bionator may be required for lower jaw expansion. The expander works by turning a key in the center of the expander. The key pushes the arms of the expander approximately 1-2 millimeters a week. The procedure should be repeated twice a week for 2 to 3 weeks before the next orthodontic visit. Once the rapid palatal expander has been put in place, it may take a week or two for the patient to adjust to eating and speaking. Patients may experience an unusual feeling of excess space in the mouth once the expander is removed. An expander is usually left in the patient’s mouth for 9 weeks but this may vary depending on the severity of the dental problem. Once the expander is removed, the patient enters a 6-month retention period. During this time, a retainer is put in the patient’s jaws to keep the teeth in alignment.

Surgically Assisted Rapid Palatal Expansion

In some cases, palate halves may fuse in the same palate tissue. In such cases, the expander will have to be surgically inserted into the mid-palatal suture. The surgery is normally performed by an oral-maxiofacial surgeon.

First, the mid-palatal suture is dissected into two parts. Then the center of the mid-palatal suture is inserted into the open slit. The mid-palatal suture is later closed by the surgeon. The procedure is then completed by an orthodontist who connects the palatal expander’s band rings to the maxillary molars.

Efficiency of the Palatal Expander

The main factors affecting the efficiency of palatal expanders include rate of Expansion, duration of treatment, and age of the patient.

To reduce the chances of a relapse, your orthodontist may decide to expand your child’s palate beyond the initial target. Once you reach your target, the orthodontist will guide you on how long the child should use the retainer.

Free Consultations

Dr. Stephan Tisseront has an orthodontic practice in Reston, Va., where he treats children, teenagers and adults. Tisseront Orthodontics has top-of-the-line diagnostic equipment to determine if orthodontic treatment is necessary. Patients at Tisseront Orthodontics might need to wear:

• Removable Invisalign aligners made of clear plastic
• Lingual devices worn on the backs of your teeth
• Surgical treatments for serious orthodontic problems
• Retainers to maintain the positions of your teeth

Lingual devices worn on the backs of teeth are extremely popular to avoid having noticeable wires and braces, and Dr. Tisseront offers the Harmony and Incognito brands. Make a telephone call to 703-773-1200 to schedule your free consultation.

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

Phone: (703)773-1200

What Is a Palatal Expander and Why Is It Needed?

good orthodontist

What Makes a Good Orthodontist?



An orthodontist is more than just a person who helps patients to overcome teeth alignment; this specialist is a temporary friend. This specialist spends time with the patient examining him or her. Then the alignment export works with the patient to achieve straight smile restoration. Furthermore, the specialist talks the patient through every step of the process. The specialist is a huge part of the patient’s life during treatment. For that reason, a prospective patient must be sure to thoroughly investigate the prospective orthodontist before scheduling dental work. The following are seven qualities that make a good provider:


What about the orthodontists demeanor?

The way that a specialist carries himself or herself speaks volumes about the establishment as a whole. It also provides the prospective patient with a preview of things to come. An uneasy first-meeting will most likely breed an uneasy continuance and an uneasy procedure. A patient must feel comfortable with the specialist or the process will not work. The goal is for the patient to receive care in a situation that will prevent injury and error. Therefore, the demeanor is the first thing the patient should review.

What about the orthodontists efficiency in the office?

Another good quality of an orthodontic firm is efficiency. Efficiency can be described as an overall calm and organized flow. Patients should not have to wait in line for extended periods of time. They should also have their questions answered promptly. The office should be clean and devoid of any negative attitudes or conversation. The paperwork should be in order. Someone should answer the phone calls within seconds after someone calls, as well. Customers like it when they walk into an organized building full of people that emit a friendly vibe.

What about the orthodontists compassion?

Compassion is another important element that means a great deal to people who visit a specialist for alignment work. Compassion is caring enough about the patient to tell him or her the truth at all times. It is having sympathy for a patient’s situation no matter what the situation may be. People appreciate an alignment specialist who is softhearted and has a high level of compassion. Compassionate hygienists and specialists will converse with the patients in a loving and caring manner. They will do everything in their power to ensure that each patient is comfortable. Tasks such as bringing water to the patients, hanging their coats or helping them understand their X-rays play a part in exercising compassion.

What about the orthodontists empathy?

Empathy is slightly different from compassion in that it includes an understanding of how a person feels in a given situation. Empathy almost always involves someone taking an action that results in a positive outcome for someone else. Empathy can cover a wide variety of situations, but one can use financial aspects to explain it in its entirety. An empathetic specialist might be willing to offer a patient a discount on the braces or a payment plan for Invisalign if that person understood the patient to be destitute.

What about the orthodontists integrity?

Integrity is one of the most important qualities that a provider can have. Other words for integrity are honor and valor. A specialist’s office should be one that does not slack on integrity. It should always give clients fair and honest pricing for procedures and processes. The office personnel should never breach customers’ trust by using their information for other purposes, either. An interested person can check on a provider’s integrity several ways. The easiest way is to check with the Better Business Bureau. The BBB provides businesses with a letter grade and a report about the number of complaints the business had. An interested consumer can search for the orthodontist’s office and then check the grade and the number of complaints. Another way that a consumer can check the status of a dental office is to check the consumer reviews. The consumer reviews will explain how other people’s experiences filled with eh provider. The prospective patient can then make a decision and on the findings. The office may have some additional testimonials on its website.

What about the orthodontists convenience?

The term convenience refers to making it easy for customers to get the services they need. An example of convenience is offering several types of payment options. A specialist’s office may take credit cards, debit cards, checks, cash and insurance, for example. They may take discount dental plans from consumers in addition to their insurance policies. Discount dental plans are plans that give consumers steady discounts on various procedures. Customers can receive up to 70 percent off of their work in some cases. Furthermore, the office may have some discount deals of its own. The office may also assist patients with a connection to a third-party provider, as well.

What about the orthodontists training and certifications?

Finally, a prospective client wants to know that the office he or she is visiting has competent specialists who will perform their care with the highest level of professionalism. Seeing credentials usually gives patients and sense of Prospects should not feel as if asking for credentials is inappropriate. An orthodontic specialist should be able to show proof of his or her training immediately. A reputable practitioner will do that with no problems or complaints. Once a client checks a prospective caretaker’s office, that person can then move on to scheduling an appointment.

Call Tisseront Orthodontics

Tisseront Orthodontics is an excellent choice for patients of all ages in the area. Patients can come in and see Dr. Tisseront for braces, Invisalign, Botox treatments and the like. Dr. Tisseront is a specialist that uses self-esteem boosting techniques to keep his customers happy and well rounded. An interested person can contact the facility by completing an online form or calling. Someone will schedule a consultation that will lead the patient to the best course of action for the problem. The consultation is absolutely free as a courtesy to all people who want to have their mouths examined. Patients can discuss the costs after the initial period. Make a telephone call to 703-773-1200 to schedule your free consultation.

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

Phone: (703)773-1200

What Makes a Good Orthodontist?

Everything You Ever Wanted to Know About Lingual Self-Ligating Braces



In our fast-paced world, we all want things done faster. Perhaps you would like your teeth straightened out to give you a better smile and help you chew your food better, but are discouraged by the length of time it takes to wear braces before treatment is complete. Traditional wire braces prescribed by many orthodontists typically take about two years before treatment is complete. But, that is no longer the case. Self-ligating braces have changed the face of orthodontics in a big way. These special braces are reputed to take considerably less time to accomplish the same task as traditional braces.


What Is A Self-Ligating Brace?

To ‘‘ligate’’ simply mean to tie or bind. Orthodontists use specialized orthodontic hardware to move teeth, which utilize the steady application of pressure over a period of time to align teeth and move them into their ideal positions. Traditional braces have three main components that are used to accomplish this task including the brace which is placed behind your teeth; an archwire that runs through each brace and uses corrective pressure to straighten the teeth; and a tie made of elastic material that connects the archwire to the brace. On the other hand, self-ligating braces eliminate the need for the elastic bands or metal ties used in traditional braces, and instead use a moveable component to entrap the wire. Simply put, conventional braces use ligatures or o-rings to hold the braces in place whereas self-ligating braces use the bracket itself to hold the wire in place without using any steel ties or o-rings. Some brackets have slides or doors while others have a clip.

Is Self-Ligation A New Kind Of Technology?

Well, not exactly. The first attempts to use these braces date back to the 1930s, but did not become a commercial success until the 1980s. Popular types of these braces include Harmony Lingual Braces, Damon braces, In-Ovation braces, SPEED braces, and SmartClip braces.

What are Lingual Braces?

Lingual braces are a special type of braces that are fixed on the back of teeth instead of the front as is the case with traditional braces. As such, the braces behind your teeth are virtually invisible. This eliminates a big cause of worry for many people who feel that wearing braces will make them look unsightly.

Popular types of lingual braces include Harmony braces and MTM No Trace braces. These braces utilize small easy-to-bond lingual brackets that are applied to the six upper or lower teeth usually in as little as 30 minutes. Lingual braces provide an easy and highly predictable treatment that is capable of achieving the desired results in as little as 12-24 weeks.

Harmony braces are highly advanced digitally customized braces whereby the orthodontist designs the brace to create a perfect smile for the patient. The orthodontist first performs a digital scan of the patient’s teeth and designs a fully customized brace that includes robotically bent arch wires created just for the patient. Harmony braces are perfectly engineered to be small, smooth and invisible. The self-ligating technology used in these braces helps the orthodontist achieve fast and precise alignment.

MTM No Trace braces are applied either directly or indirectly. To place them directly, the brackets are set below the incision edge which makes placement just a matter of placing the lingual retainer. Indirect placement allows the brace to be placed and bonded quickly.

Self Ligating Lingual BracesPatient Benefits:

  • Absolutely invisible
  • Small and comfortable to wear
  • Begins treatment just one hour after placement
  • Achieves results often in a matter of weeks
  • The patient makes fewer visits to the orthodontist

Practice Benefits:

  • Rapid-wire engagement using the self-ligating brackets
  • Eliminates patient compliance issues
  • Fast and easy placement
  • No wire changes required in most cases
  • The orthodontists has greater control of the treatment

Do Lingual Braces Hurt?

One reason why many people do not like the idea wearing teeth braces is the association with pain and discomfort. The soreness that is common when wearing braces comes from the frictional resistance caused by the considerable force impacted by the brace ties on your teeth. The orthodontic movement of your teeth by the ties is responsible for moving them into the desired places, but also unfortunately causes pressure inflammation in the surrounding gums. With conventional braces, the pressure is usually quite high hence the higher level of discomfort. However, with lingual braces less pressure is applied on your teeth thus allowing the teeth to move more freely. This makes the procedure more comfortable.

Less frictional force on our teeth also allows you to go for longer intervals between adjustments by your orthodontist.

What Are The Other Advantages Of Lingual Braces?

One of the biggest reasons why many people prefer lingual braces to conventional braces lies in the fact that they are simply more comfortable to wear, not to mention that the lack of ties and the fact that they are placed behind the teeth makes them virtually invisible. Overall, lingual braces tend to give more consistent results than traditional braces. You will also spend less time at your orthodontist when you visit for an adjustment since the procedure is much quicker without the all those ties.

Are Lingual Braces A Good Idea For An Adult?

Most people typically think of teenagers and young children as the prime candidates for wearing teeth braces. Whereas this was the case in the past, the availability of lingual braces has turned the tables, with a large proportion of people now wearing them as adults. Adults choose to wear braces for two main reasons: to straighten their crooked teeth and to prevent potential problems with their teeth in the future. Crooked teeth encourage teeth decay as well as problems such as headaches and earaches due to uneven pressure applied on the jaw during chewing. If you are an adult who is conscious about our teeth, then lingual braces would be perfect for you.

Taking Care of Your Teeth When Wearing Braces

  • Brush after very meal – oral hygiene is even more critical when you are wearing braces. Food particles can get trapped in braces which can cause teeth decay. Lingual braces are not as hard to clean as traditional braces. Nevertheless, brushing after meals keeps your teeth in good shape.
  • Floss regularly – once a day is usually enough.
  • Avoid eating very hard foods such as nuts or sticky food such as caramel or taffy.

With lingual braces, you can go through your normal life without any hitches. Additionally, you only need to visit your orthodontist less frequently than would be the case with other braces, making them ideal for people with busy schedules.

Now is the time

Tisseront Orthodontics is a reputed orthodontist in Reston VA. We have been proudly serving the Reston area for more than 10 years and created thousands of beautiful smiles. Our dedicated team provides the highest quality of care in a friendly atmosphere where we meet the needs of all our patients comfortably and affordably. We offer different types of orthodontic treatment including; Lingual braces, Clear braces, Invisalign and Conventional braces. Come and meet us and our amazing team today. We can’t wait to meet you!

Don’t wait another minute! It is time to make that smile a vision of perfection! Contact Tisseront Orthodontics today for a complimentary consultation with Dr. Stephan Tisseront – the leading Harmony braces provider in the USA.

Tisseront Orthodontics

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

Phone: (703) 773-1200

The Importance of Wearing Retainers After Treatment


You will probably be ecstatic when your braces are taken off. The sensation of smooth teeth on your tongue is the reward for many months or years of orthodontia treatment. However, your teeth-straightening days aren’t entirely over. You’ll receive a retainer after the brackets are taken off. Don’t discount the importance of the retainer, however, because it’s still an intricate part of your overall treatment. Take a deeper look at the importance of wearing a retainer so that you’ll remember it as a priority.

Teeth Naturally Move Over Time

Your teeth may look like they’re lined up as tightly as possible, but they can still move. The jaw, gums and chewing movement will all contribute to the teeth moving over time if you don’t wear the retainer as directed. The retainer normally has a fitted palate and wire construction that holds all of your teeth in place. Without this placeholder, the teeth have a chance to turn, tilt and become crooked once again. Your orthodontist might tell you that a person with perfect teeth may wear a retainer at night for the rest of their lives. This maintenance secret is how patients with fantastic smiles keep them so perfect.

The Wisdom Teeth Factor

Most people who wear orthodontia brackets are usually in elementary, middle or high school. This time period is perfect for teeth and jaw alignment as the body is still developing. As patients graduate to retainers, they’re normally close to the time when wisdom teeth erupt. By diligently wearing the retainer, patients maintain the necessary space in their jaw for the new teeth. In some cases, wisdom-teeth removal can be avoided with retainers in place almost 24 hours a day. If the teeth shift when a retainer isn’t worn, wisdom-teeth surgery is almost always necessary. Avoiding an extraction process is a good motivation for any patient.

Avoiding Braces Again

Wearing retainers after treatment is also critical when you want to avoid a repeat treatment with brackets and wires. If you neglect to wear the retainer, the teeth will eventually move into crooked positions. A worst-case scenario would involve brackets and wires placed back on your teeth. Although you might opt for Invisalign products at this stage, you’re still repeating a process that can be ultimately avoided. Some insurance policies may not cover a second round of orthodontia treatment when it was already covered in previous years. The simple act of sliding the retainer on will reduce the chances of requiring more extensive orthodontia treatment in the future.

Curbing Teeth Grinding

Regardless of the type of retainer that you wear, it does hold your jaw in a certain position. This orientation helps during sleep, especially if you grind your teeth. Because the retainer doesn’t allow free movement of your mouth during rest, the teeth won’t be subjected to hours of grinding action. When you don’t grind your teeth, the edges remain smooth and the alignment maintains its perfect position. It’s possible to cause a shift in the teeth if you don’t wear the retainer and grinding is an issue. You’ll notice that the retainer is more difficult to slide on after neglecting to wear it over a long time period. A week without a retainer is often long enough to make a negative impact on your smile.

Maintaining That Perfect Smile

The main motivation to wear your retainer is merely smile aesthetics. You want to keep that brilliant smile that’s been carefully carved out over many months of treatment. The retainer may seem like an overreaction to possible movement, but it truly works as a placeholder. As kids grow into the teen years and beyond, their teeth will slowly shift into a permanent position. The retainer is mainly there to stop any small aberrations from occurring. If one tooth shifts, the entire smile can be negatively affected and extensive repairs may need to be made.

When to Wear the Retainer

Your orthodontist will give you strict instructions about the retainer and its use. At first, you’ll probably wear it 24 hours a day except during meals. You might follow this guideline for one year or more. After a set time period, the professional will usually ask you to wear it only at night. It’s easy to forget about the retainer when it’s only a nighttime habit, however. Try to remind yourself with alarms and other tricks in order to keep up with the treatment. The professional will adjust the retainer at each appointment as you move forward from the initial brackets and wires.

Different Retainer Types

You might notice that you have a choice between two different retainer types, such as:

• Fixed

• Removable

A fixed retainer is actually bonded to the teeth with a corresponding wire. You keep this retainer on for as long as the professional deems necessary. It’s a more permanent way to keep your teeth as straight as possible. Removable retainers, in contrast, are easily slid in and out of the mouth. You’re responsible for their use as dictated by the professional.

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

The Importance of Wearing Retainers After Treatment