When Do I Get My Braces Off?

braces wiresWhen Do I Get My Braces Off?

If you have braces, you’re probably wondering how long you have to have them on and when you’ll be able to get them off. This is a common question that patients have for their orthodontist. Having braces is sometimes uncomfortable, and most people who have them are looking forward to the day when they can finally have them taken off. They sometimes get in the way of your regular eating habits, and they can even cause stress in your day to day life. Knowing when you won’t have to wear them anymore can give you a goal to wait for and make the treatment until then easier to deal with. Though your orthodontist may not be able to tell you the exact day you’ll have them taken off, they can probably give you a ballpark estimate, based on a few different factors.

The complexity of the Original Issue

The number of problems that were determined at the start of treatment, and the complexity of those issues, will play a role in how long you’ll need to be in treatment. Some problems are not fast to correct, which will extend the duration of the treatment. Difficult issues include teeth that are facing the wrong way in their socket; crowding that isn’t reacting well to spacers; and large gaps in the teeth. On the other hand, something more simple, like moving a couple of teeth around, can be a much quicker process, which means you’ll be in treatment for a short amount of time, assuming your teeth respond as they should to the treatment.

Additional Issues That Arise

Sometimes you go in for one type of treatment, but another type of treatment is needed to fix an issue you didn’t realize you had. Or, it’s possible that there isn’t an additional issue, just that the original treatment plan isn’t working and another process has to be used. Even if you do have multiple issues to address, it’s much better to discover them while you’re already undergoing treatment than to have treatment end and then have to start it again in the future.

Make Sure to Follow Instructions

In order to have the braces taken off as soon as possible, it’s necessary to follow directions as perfectly as you can. Not following the instructions can potentially slow down the entire process. Make sure to always clean your teeth thoroughly. Additionally, you’ll be given instructions on how to care for your teeth, even if you have a more modern treatment like Invisalign. The more involved you are and the better you adhere to the directions, the more likely it is that your treatment will remain on schedule.

While some treatment plans require basic mouth and teeth care, other issues require more input from the patient. For example, if you have a bridge, which will widen your bite, you may need to adjust it every day. If you don’t do this, it will take a lot more time to widen your upper or lower bite than necessary. Other treatments, like ones that require rubber bands (also called elastics) or headgear needs input and participation from the patient in order for treatment to proceed as it should.

Your Teeth and Treatment

Another factor in how often you can have your teeth back to normal is how they’re responding to the treatment. Sometimes, your teeth just do not do what they’re supposed to do. Invisalign can be used for a variety of teeth issues, but some teeth may just adjust more slowly than expected. If your teeth don’t respond to the treatment as well or as quickly as expected, it’s possible you’ll need to continue the treatment for longer than expected.

Here are a few considerations before treatment can end:

Are your teeth straight enough?

Sometimes the patient doesn’t like the alignment of their teeth and they want them to be straighter before finalizing treatment. A few extra months may be necessary to get the results you want.

Are the gaps closed well enough?

If gaps aren’t closed, plaque and food can build up there, which can lead to various problems, like bone decay. Sometimes it takes a few extra weeks to finish closing the gaps.

Is the bite aligned as it should be?

Even if your teeth are straight and the gaps are closed, your bite may not be exactly what it should be. This is one of the main things that will be looked at to determine whether or not you’ve completed the treatment. Your upper bite and lower bite have to line up so there’s the correct amount of overlap.

Preparing for Special Events

If you’re nearing the end of treatment and you have a special event approaching, like your wedding day or starting a new job, it’s possible that you can be back to normal in time for the special day. You may get lucky and have the treatment sped up by a week or two so that you can have the gear removed in time for the event. Make this clear as early as possible so the removal date can be scheduled a week or two in advance of the event.

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

All About Braces: 6 Questions You May Have When Thinking About Getting Braces

Before you get braces, here are some things to consider

Getting braces can be a big decision. Whether you are a teenager getting braces for the first time, or an adult who is getting them for the second time, there are several things you should know about before you get braces.

all about braces

How Often Should I Brush My Teeth With Braces?

brush teeth bracesAlthough an orthodontist is primarily responsible for installing your orthodontic mouth appliances, the eventual success or failure of the corrective treatment depends largely on your own behavior. If you do not take care of your mouth by routinely brushing and flossing, braces and Invisalign technology will likely be ineffective and a colossal waste of money and time. Wearers of these appliances know that they are uncomfortable, if not outright painful, and most patients simply want to finish the treatment as soon as possible.
Read More

Why do I need teeth removed for my braces?

An Orthodontist may recommend that some teeth be removed before braces (also known as dental cases or cases) are put in for various reasons. However, this is not always the case and is only done when it is absolutely necessary and other options will not work. Read on for a few reasons your orthodontist might recommend extraction of some teeth.
Read More

 

What Your Child Should Expect Before and After Braces

Your child’s smile is an important part of their self-esteem and confidence. It is rare for a child to develop perfectly straight teeth and some kids have such misalignment problems that it is almost necessary that they visit a local orthodontist. Going to any oral healthcare professional can be scary to a kid, but there are certain things they’ll want to know both before and after receiving treatment. Understanding the process of orthodontic care will allow them to feel confident in the chair while having their teeth straightened.
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What Are the Signs That Braces May Be Needed?

Millions of people in the United States wear braces, even some celebrities. If you are thinking about getting braces, you should know that you are not alone. Your orthodontist may have suggested that you undergo metal bracket treatment or an alternative form of alignment correction. The following are some signs that you do need the treatment. You may want to consider signing up for it if any of the symptoms apply to you.
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How to Maintain Your Braces

Orthodontic braces are generally worn for 18 to 30 months. It is therefore vital for a patient to keep them and their teeth clean in order to prevent massive tooth decay. These days, they can be removable, like Invisalign, or not. Braces, like the traditional metal variety, that have been installed in the patient’s mouth are difficult to clean. Plaque and food can get trapped in the spaces between the wires and brackets and thus cause enamel stains and decay. Food can also react with the metal in them and the bacteria in the mouth to permanently bleach the teeth, producing light spots.
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What foods can’t you eat with braces

The teeth straightening process can feel long and arduous. You could end up with braces for up to a few years if you’re not careful about the foods you eat. Metal brackets and wires can easily pop, snap or break. The wrong foods can wreak havoc on your teeth in a variety of ways. Make sure you follow the advice that your orthodontist gives and eat only foods that are approved for your teeth straightening plan.
Read More

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

Can you still get braces if you have fillings?

braces

LAST UPDATED: APRIL 24, 2018

There’s no need to wonder if fillings in your teeth ruin any chance of you or your loved one being able to wear braces. Many people in the same situation have reached the attainable goal of aligned teeth. A matter of fact, every single day, an orthodontist makes dreams of straighter teeth become a reality for someone who has fillings.

FAQ

Straighter Teeth May Help You Reduce the Number of Fillings You Need in the Future

Crooked teeth or gap teeth may have played a role in why cavities formed in the first place. Teeth with large, unnatural gaps between them or teeth that aren’t properly positioned are harder to clean. The lack of a daily thorough cleaning often leads to cavity formations. These open spaces need to fill as soon as possible for improved oral health. Aligning devices may be a part of the solution to straighten imperfect teeth and make them easier to clean. This could end the cavity-forming and the need-for-fillings cycle.

Teeth Straightening Appliances Make Teeth Stronger

A popular misconception is that aligners make teeth with fillings weaker. The fact is that these appliances make teeth stronger. Over time, the device reinforces and stabilizes your teeth as they continue to straighten and align in the perfect position. Orthodontic treatment continues with adjustments made at intervals throughout the duration of wear.

Misaligned Teeth Can Cause Pain and Lead to Digestive Problems

The bottom and top parts of your jaw must line up when you chew. Otherwise, pain can occur during this process. If you’re in pain, you may not break up your food into manageable pieces. When this happens, the food doesn’t dissolve in the stomach in a proper manner. What’s more, digestive aliments may result. For example, an overgrowth of bacteria in the colon may form. Improper movement of food through the small intestine may happen as well.

The Quest for Perfect Teeth Started Long Ago

Many archaeologists believe that the fascination with having straighter teeth began around 1000 B.C. Researchers found dental bridge-like materials in Greece that date back to that timeframe. Some believe the practice of early orthodontics began with the ancient Egyptians. Archaeologists found the remains of mummies with brace-like structures on their teeth. These early dental devices consisted of cords made of animal material that wrapped around the teeth, presumably, to close gaps.

The Evolution of Braces

In the 1800s, these devices went by another name. Teeth became straightened with appliances called wire cribs, and gum elastics. It wasn’t until the 1900s that the term “braces” became popular. During most of that century, single bands of various materials around each tooth formed sturdy teeth aligners.

This was standard practice until the 1970s. That’s when dental adhesive replaced the need for wrapping each tooth. A streamlined practice of applying the aligner is now the norm.

There are three basic parts of the traditional teeth aligner. An orthodontist fits the custom device to match the specifications of your teeth. The traditional brace apparatus consists of three main parts: Brackets, a band or bonding material, and an archwire. Each tooth gets a bracket fitted to it. A band or bonding material enables it to stay in place. The archwire connects each of the brackets along side one another.

Modern Aligners to Fit Your Modern Lifestyle

Today, technological advancements have improved the design, construction, and comfortable wear of aligners. Applying these teeth straightening devices is a routine procedure that can improve your health and dental hygiene.

Harmony® Lingual – This style fits behind your teeth. It’s unnoticeable to others when you smile. It’s so comfortable you’ll forget you’re wearing a dental straightening device.

Incognito™ Lingual – You can keep your secret to yourself and only those in our office. Incognito™ fits behind your teeth. It’s suitable for any age. Athletes, musician, teens, and professionals especially love this device style.

Invisalign – The removable aligners continue to grow in popularity. It’s an effective alternative to wearing traditional teeth aligners.

Invisalign Teen – Teens, in particular, appreciate the comfort of this age-appropriate style.

The Recommended Age for Straightening Teeth

Young children, the elderly, and all ages in between can wear straightening appliances for the teeth. You’re not too old to be fitted if you have healthy your teeth and gums. However, you can be too young. Many professionals recommend waiting until children are around 12-years-old. This is about how long it takes most children to lose their baby teeth and grow in permanent teeth.

The age range for children has some flexibility though. For some children, permanent teeth may come in between the growth ages of 9 and 11. As a guide, wait until the permanent teeth appear in the front of the mouth. Always get a professional opinion and consult with an orthodontist who’s certified in fitting both teenagers and adults, such as Dr. Tisseront. You’ll get a customized recommendation that’s well suited to meet your child’s needs.

If you or your loved one has fillings and needs an aligner, that’s nothing to worry about. Teeth straightening devices make your teeth stronger. There are many style options from which you can choose. A customized solution is the best answer to a beautiful smile.

You’re worth the time it takes for a dental device to straighten your teeth in an effective way. The result is a set of teeth with perfect alignment and long-term self-confidence that money can’t replace. Make the investment in better health today.

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

How Can Widely Spaced Teeth Impact Your Overall Health

smileHow Can Widely Spaced Teeth Impact Your Overall Health?

At some point in the past, gaps between teeth were considered trendy. However, these teeth can pose significant health problems, and these can go beyond simple oral conditions. Small gaps, especially between the front incisors, are not real risks to dental health. However, wider gaps should get fixed urgently. Wide gaps usually result from hereditary conditions. The loss of teeth can also lead to the development of large gaps between teeth. Certain diseases and facial traumas might also cause the problem. Fortunately, the problem can easily be fixed by an orthodontist. Here are some health problems that can be caused by wide spaces between teeth:

1. Poor Nutrition

Your overall health is influenced by what you eat. Wide gaps between teeth can affect your ability to chew harder foods such as vegetables. This can make you miss out on essential nutrients.

Widely spaced teeth don’t usually chew well. Incomplete chewing makes you miss out on certain nutrients since the food is not broken down into small enough particles. Your intestines will not be able to absorb nutrients from large food chunks easily.

The saliva in the mouth also contains digestive enzymes such as lingual lipase. If you fail to chew food well enough, you might end up with digestion problems.

2. Gum Diseases

Spaces between teeth make it easier for you to clean your teeth. However, wide spaces only serve to increase the room for bacteria and plaque to grow. Gum diseases will develop soon after. A buildup of plaque will lead to the development of gingivitis, and this will result in periodontal disease.

You might experience bleeding gums, especially when you brush, floss or eat. Gum diseases also cause a generally painful sensation in the mouth. Signs of infection such as pus may also be visible. It might also worsen your breath or make some of your teeth loose. In some cases, the gums may appear to be peeling back from the teeth. They might also be swollen, reddened, and sore when touched.

These conditions are hard to treat, so you should take preventive measures. The treatment for these diseases could be in the form of root planing, curettage, scaling, and hydrogen peroxide mouthwashes.

3. Heart Disease

People with moderate to advanced gum diseases are at a higher risk of developing heart disease. This is because of the spread of bacteria through the bloodstream. These organisms can end up in the heart and attach themselves. Eventually, these bacteria will cause inflammation in the heart, and this will result in diseases like endocarditis. Other heart-related diseases such as clogged arteries and stroke can result from the infection of the heart by oral bacteria.


Gum diseases often go undetected since they don’t always show symptoms. It is important to go for dental checkups regularly even if you feel healthy. Cardiovascular diseases usually develop in people with chronic gum diseases.

4. Cavities

Cavities also result from the accumulation of tartar, plaque, and bacteria in the mouth. Since these are hard to eliminate in people with widely spaced teeth, they will grow and eat the surface of the teeth.

5. Misalignment of the Jaws

Wide spaces can make teeth shift out of place and get misaligned. This will affect your feeding, in addition to your general physical appearance. You may also experience serious pain in the jaw, ear, and forehead. People with misaligned teeth usually have broken sections in the teeth because of hitting too hard on certain surfaces. Chipping of the teeth is not just a cosmetic problem; it can increase your sensitivity to hot and cold foods.

How Can You Correct Widely Spaced Teeth?

An orthodontist can easily correct widely-spaced teeth, even if they have already grown to become crooked and misaligned. Correcting the state of your teeth will prevent the health conditions noted above and give you a beautiful smile. The confidence that comes with a beautiful smile can improve the overall state of your life considerably.

Here are some methods used to correct widely spaced teeth:

  • Braces– This is one of the most commonly used methods of treating widely-spaced teeth. It will take a considerable amount of time for the gap to be reduced, and you will still need to wear a retainer to hold the teeth in place.
  • Invisalign– These are braces that are designed to solve the cosmetic problem associated with wearing traditional braces
  • Dental surgery– In some people, the gaps between teeth are caused by a labia frenum, and this will have to be corrected through dental surgery. Some of the gum tissue will have to be removed, and then your orthodontist can offer other methods of reducing the tooth gaps. There are many forms of surgery that can be used for this purpose, including laser procedures.
  • Veneers– This is a form of cosmetic dentistry that helps to hide the gaps between the teeth. Dental bonding can be used instead of veneers.
  • Dental implants– If your gap is caused by the loss of a tooth, you can go for dental implants or bridges to cover the space.

Other Health Issues

Wide spaces between teeth can lead to many health conditions and may also affect your self-confidence. Some health conditions that are linked to wide spaces between teeth include heart ailments, gum diseases, poor nutrition, poor digestion, cavities and misalignment of the jaws. It is important always to get your teeth checked for gum diseases since the condition leads to the development of many conditions. You should also get the gaps between your teeth reduced to stay healthy.

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

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.

Bruxism

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

Treatment

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.

Surgery

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

 

braces

Why do I need [teeth removed] for my braces?

braces

LAST UPDATED: MARCH 27, 2018

Why Do I Need Teeth Removed For My Braces?

An Orthodontist may recommend that some teeth be removed before braces (also known as dental cases or cases) are put in for various reasons. However, this is not always the case and is only done when it is absolutely necessary and other options will not work. Read on for a few reasons your orthodontist might recommend extraction of some teeth.

FAQ

What Is Crowding?

Orthodontic cases work by straightening and aligning your teeth over time. The wires put pressure on your teeth so that they can move in the right direction. In order for them to move, there has to be space in your jaw. Your orthodontist will access the space required to align your teeth and the space you have available in your jaw. If your teeth are overcrowded and there’s not enough space, then some teeth will have to be extracted to make space for the movement of the teeth as they are realigned. An alternative to teeth extraction, in this case, is increasing the dental arches.

Crowding can be mild or serious. Mild crowding of the teeth can be resolved by other methods aside from extraction such as expanders (Dentofacial Orthopedics). Cases can also help fix crowding of teeth. This is common for children below 15 years of age.

Serious cases of overcrowding are more complex and most of the time extraction will be necessary. However, because people differ in bone structure and facial features, other might have their teeth removed while others might not. If you have more gum space available, then there is space for the teeth to move when braces are installed, and there will be no need for extraction. However, if you don’t have ample gum space, then your teeth have to be removed to create space. The same goes for those who have more bone mass than others.

Protrusion

When your front teeth protrude outwards, then your lips will too, and some people find this unattractive and uncomfortable. Dental cases can help fix this problem, but you will have to get some teeth removed on the side in order for the protruding front teeth to be properly aligned and improve the appearance of not just your teeth, but your lips as well. Alternatively, the lips might be okay, but the teeth beneath are positioned in a crooked manner. They will still have to be moved inward, and this will require an extraction of some teeth.

There are various things that could cause protrusion. The main one is genetics. The upper jaw can be larger than the lower jaw making the front top teeth stick out. Alternatively, the lower jaw can be larger than the upper jaw making it extend outwards. This condition usually gets worse with time and should be dealt with as early as possible. Habits such as thumb sucking and using a pacifier after 18 months can lead to protrusions in young children. Some children have teeth that are too large for their mouths, and this can cause an uncomfortable protrusion of the larger teeth. Whatever the case, aligning the teeth back to a normal and comfortable position might require an extraction.

Jaw Size Discrepancy

Differences in the size of the lower and upper jaw can either lead to overbite or underbite. An overbite occurs when the front jaw protrudes more than the lower jaw, and underbite occurs when the lower jaw is more extended than the upper jaw. Mild cases of overbite and underbite do not require removal of any teeth. However, if the difference in jaw sizes is apparent, then extraction has to be done to make space.

Missing, Extra or Damaged Teeth

If you have any missing or excess teeth in your mouth, your doctor could recommend tooth extraction before the tooth alignment process begins.


If you have a damaged tooth, the doctor might decide it is best to extract it in anticipation of a restorative process in future. Along with this, they might also recommend the removal of other teeth to make space for the alignment of the rest of the teeth.

Which Teeth are Removed?

The most common teeth for extraction purposes are the premolars (first bicuspid). These are located between the eye-teeth (teeth located under the eyes) and the molars. However, there are times when your doctor will recommend that the wisdom tooth be removed. It is always best to go with a renowned doctor who knows what they are doing.

Is the Extraction Process Painful?

This depends on which tooth has been chosen for extraction. Extraction of the premolars is a fairly simple process. It requires an anesthetic, either local or one for the whole body. Getting your wisdom teeth removed is more complicated and painful. You will have to be sedated, and stitches are involved. Bruising after the extraction is also common.

Can I Get Dental Cases at 40?

Yes, you can. Dental cases can be installed at any age although it is recommended that you do it as early as possible. Modern technology makes it easier to get them done. You can even get invisible braces through Invisalign technology.

Tooth extraction is a normal process before teeth are aligned and straightened, and you shouldn’t be afraid of it. You don’t have to get your teeth removed, except in the most serious of conditions.

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.

How To Care For Your Braces

beautiful smileHow To Maintain Your Braces

If you must wear braces to straighten your teeth, then it is essential to care for the devices properly. When you aren’t maintaining the brackets and wires of your braces, it can lead to broken or dislocated devices that won’t repair your malocclusions. Having damaged braces will disrupt your treatment plan, leading to frequent visits to your orthodontist for repairs. If you want to straighten your teeth as fast a possible, then you must follow your orthodontist’s guidelines on a daily basis. Here are several ways to take proper care of your braces throughout your treatment time.

Follow the Correct Dietary Plan To Protect Your Braces

There are certain foods that you are not supposed to consume while you are wearing braces so that you won’t break the wires or brackets. While this might seem annoying, the long-term benefits of orthodontic treatment are important. Despite having restrictions of your dietary plan, there are numerous foods that you can eat, and you should make sure to ingest enough nutrients to keep your bones and teeth healthy.

Learn To Avoid Eating Certain Foods

After you begin orthodontic treatment, your mouth will hurt, and you may also salivate more as your body adjusts to having a foreign object inside the oral cavity. You should plan on eating a lot of soft foods for a few weeks to avoid having any pain while chewing food. Fill your kitchen cupboards and refrigerator with jars of applesauce, cans of soup and other soft foods. At the same time, avoid buying the foods that are restricted, including:

  • Potato chips
  • Popcorn
  • Nuts or seeds
  • Peanut butter
  • Bagels
  • Hard or sticky candies
  • Pretzels
  • Raw vegetables and fruits

There are also beverages that you should avoid drinking, including citrus juices, sport drinks or carbonated beverages that are acidic and high in sugar. Not only are these beverages bad for your teeth, but also, the sugar and acids can damage the wires or brackets of your braces.

Avoid Bad Habits That Can Damage Your Braces

If you have bad habits, then you will need to make some changes to protect your braces. Some bad habits that can damage your braces and teeth include chewing on your fingernails, pencils or ice cubes. In addition, you should stop smoking cigarettes or using vaping devices that can harm your oral cavity’s tissues and braces. It is vital to protect your braces and teeth with a customized mouth guard while you play sports or engage in other strenuous physical activities.

Use Proper Oral Hygiene Practices

Oral hygiene is important for everyone, but it is especially important when you wear braces. The foods that you eat can build up on the wires and brackets of braces, leading to additional bacteria that can cause cavities or gingivitis. Having food particles on your braces is unattractive, and it can lead to horrible bad breath. If you don’t practice proper brushing and flossing, then not only will you have plaque on your teeth, but also, you will have hardened debris on the brackets and wires of your braces. Follow these steps to maintain the cleanliness of your braces.

Step 1: Have the Correct Devices For Brushing and Flossing

Make sure to use the types of floss and toothbrushes that are recommended by your orthodontist. In addition to having a toothbrush and floss at home, you will want to carry these items with you to care for your teeth and braces while you are at work or school. Your orthodontists will also tell you what type of toothpaste to buy so that you don’t discolor the clear wires or ceramic brackets of some types of braces. When you like to use mouth rinses, use the brands that your orthodontist suggests to avoid degrading your braces with certain ingredients.

Step 2: Remove Elastics First

If your braces have elastics or other removable devices, then you should remove these items before brushing, flossing or rinsing your mouth. Keep these removable items in a safe location to avoid damaging the devices while you are performing oral hygiene.

Step 3: Rinse Your Mouth First

Rinse your mouth first by swishing a lot of water in your mouth or by using an oral irrigator. This will remove most of the debris from the brackets and wires of your braces.

Step 4: Brush Your Teeth Carefully

Brush your teeth carefully, making sure to use the toothbrush and toothpaste on each tooth. You should use a mirror to help you remove the food debris from each side of every tooth.

Step 5: Floss Your Teeth At Least Once a Day

Make sure to floss your teeth at least once a day, but you should use caution to avoid damaging the wires and brackets of your braces.

Step 6: Rinse Your Mouth Again

After flossing and brushing, rinse your mouth again to remove all of the loosened food debris and toothpaste. You can also use your oral irrigator again to remove any debris from your mouth.

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.

How Much Does [Invisalign Express] Cost for Only Upper Teeth?

girl smiling in a field

LAST UPDATED: FEBRUARY 27, 2018

How Much Does Invisalign Express Cost for Only Upper Teeth?

When you learn that your children need braces, you likely have an assortment of questions. In fact, you’ve even discovered that they are getting Invisalign express on their upper teeth only. One of the most prominent inquiries in your mind is likely about the cost of this procedure. The exact answer is one that depends upon a variety of factors.

FAQ

What is the Severity of the Condition?

Even though your children are getting Invisalign Express for only their upper teeth, that doesn’t mean they have the exact same condition as everyone else who has also experienced this method. For example, you might ask a relative who has a child with the same fixtures. While the price might not prodigiously vary, it could be different. The exact cost of any orthodontic procedure is generally related to how severe the condition is.

How long do you need to wear braces?

Children also tend to need to wear braces for different amounts of time. While the name of the braces implies a truncated period of time, it doesn’t specify exactly how long. Your orthodontist will discuss with you how long your children need to wear the fixtures for. When they have to wear them for longer periods of time, you will likely end up paying more money overall.

How do you take care of your braces?

When you were a child and visited the orthodontist, you probably remember the importance placed on avoiding certain foods so that you did not damage your new structure. This type of fixture does not necessarily come with the exact same warnings as the brackets and wires do, but your kids will still have to take care of their structures. Failure to do so could mean that the structures break and require repair or replacement. If they break, then you will need to spend the money to do so.

Where do you live?

You’re probably aware that the cost of living is higher in some parts of the country than others, but you may not think of orthodontic care as a topic that is affected by this issue. Many areas of life are affected by the cost of living in a particular region. If you live in a part of the country that has a higher cost of living, then you may discover that the procedure and structures are going to cost more.

Which orthodontist should you choose?

The practice at which you are having the procedure done will also influence the cost. You may discover that an orthodontist who has been practicing in the community for decades charges more than one who has just a few years of experience. Deciding which one to opt for is a personal choice, but you should take all of the factors into account.

What do you need to do before you get braces?

As you are trying to figure out the cost for these structures, you are probably eager to learn the price tag attached to any related procedures. For example, your children might need to have teeth extracted before they can get the structures placed in their mouths. Sometimes, extra teeth will grow inside of the gums. Removal of those teeth is often necessary before moving forward with orthodontic care.

What do you need to do after you get braces?

Once the structures are removed from the teeth, your kids might be required to wear retainers. Now is the time to find out if the retainers will cost an additional fee or if they will be included with the overall price. Keep in mind that kids may need to switch retainers as their teeth progress. They may need to have a new retainer every few months as their teeth settle into their new positions.

Do I need to see the dentist if I have braces?

A number of times that your kids need to go to the dental professional while they have the structures on will vary, but it is likely that they will need to have some appointments. As you are planning the budget for this expense, find out how much these appointments cost.

What if I need an emergency appointment with the orthodontist?

This type of treatment is not one that comes with a lot of risks, but situations can arise. You should speak with the dental professional to find out what you need to do to avoid these types of scenarios, where to go if help is needed when the regular practice is not open and how much these emergency appointments tend to cost.

Should I get braces for my lower teeth?

You might think that you should get only the upper teeth done at this time since you assume doing so will be less expensive. When you look at the costs, however, you may find that having them both done at the same time is better in the long term. Also, your kids’ lower teeth might shift before you decide to have that procedure done. The price that is quoted then could be more than it is now.

Does dental insurance cover braces?

Working with an orthodontic practice that accepts your insurance is important. Paying for all of these costs without insurance is impossible for many people. When you first learn about the procedure required, find out what your insurance company does to help so that you know what you’re responsible for.

Do orthodontists offer payment plans?

In the event that you cannot afford the procedure, you can look into payment plans through your practice. Remember that if you opt for a payment plan, you may have interest added to the payments, so the procedure will cost you more overall.

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 arch wires 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

Phone: (703)773-1200

How Much Does Invisalign Express Cost for Only Upper Teeth?

Invisalign provider Reston VA

Are Orthodontic Exams Ok For When You Are Pregnant?

orthodontic tests when pregnant
If you are pregnant and planning a visit to an orthodontist, you may be concerned about how orthodontic tests will potentially affect your unborn child. The good news is routine tooth x-rays do not pose any harm to a developing fetus and they can usually be postponed until after the child is born. Here’s what you should know about orthodontic tests during pregnancy.

Orthodontic Tests and Pregnancy

Routine tooth x-rays such as those done during an annual check-up or to perform some dental procedures are considered very safe. The American College of Radiology has found that there is no diagnostic x-ray that produces a high enough radiation dose to cause effects in a developing fetus. With proper shielding, having x-rays done on your teeth while you are pregnant is considered safe by the American Dental Association.

Still, you may wish to stay on the safe side and avoid x-rays that aren’t necessary. Because the first trimester is the most vulnerable stage of fetal development, you may make the decision to avoid dental work during this time. Your orthodontist can postpone your routine x-rays until after you give birth. Some x-rays will be necessary if you require emergency dental procedures that shouldn’t be delayed such as a root canal. Keep in mind there has been no evidence that suggests any harm to a child from dental work during pregnancy.

The Importance of Dental Care During Pregnancy

While you may have concerns about x-rays while pregnant, it’s still important to see your orthodontist regularly for check-ups and care. Studies have linked dental disease and gum disease to pre-term labor and delivery. Some research also raises the possibility of a link between dental disease and low birth weight as well.

Regular dental care is important to protect your health as well as your child. After all, this is a crucial in your life and good oral health is directly linked to good overall health. Preventative care while you are pregnant can avoid oral infections, tooth decay, and serious dental emergencies.


Remember: pregnancy can cause some new oral health problems or worsen conditions that already exist. Two conditions are most common during pregnancy: gingivitis and tooth decay.

Tooth Decay

Pregnant women appear to be at a higher risk of cavities, possibly for several reasons. You may find yourself eating more carbs during pregnancy which may cause tooth decay. Morning sickness can raise the amount of acid to which your mouth is exposed which can damage the enamel of your teeth. Some women brush and floss less often during pregnancy due to tender gums, a sensitive gag reflex, and morning sickness.

Pregnancy Gingivitis

Hormonal changes during pregnancy can affect your mouth. Pregnancy gingivitis refers to swelling or inflammation of the gums that affects many pregnant women, especially during the first trimester. This form of gingivitis makes the gums irritated and sensitive. If it isn’t treated, it can progress just like normal gingivitis into more serious gum disease.

Preventative vs Regular Dental Care

Along with preventative treatment like cleanings, which are always safe and recommended during pregnancy, you may need dental work like cavity fillings and crowns. When you need dental work while you are pregnant, it’s usually recommended during the second trimester. This is because the first trimester is the most vulnerable stage while the third trimester can make it hard to lie on your back for a long period of time. There is also concern about potentially triggering labor during the third trimester.

In general, your orthodontist will try to postpone dental work until after you give birth for safety, but sometimes dental work is necessary. A tooth extraction or root canal should not be pushed off until birth as these conditions can lead to infection that may even reach your unborn child. Elective treatments like tooth whitening should always be postponed.

Tips for Good Oral Health During Pregnancy

The following tips can help you protect your oral health and your child for a happy, healthy pregnancy.

  • Eat a balanced diet for proper nutrition for yourself and your child. Minimize sugar which can contribute to dental cavities.
  • Brush twice a day with fluoride toothpaste and floss daily.
  • Schedule your regular cleanings and check-ups during your pregnancy.
  • When possible, postpone non-essential dental treatment until your second trimester or after birth.
  • Avoid elective dental procedures like whitening while pregnant.
  • Always let your orthodontist know if you are pregnant or suspect you are pregnant.

All orthodontists understand that it’s essential to avoid unnecessary risks, even with a procedure considered safe. Let your orthodontist know you are pregnant during your visit so your concerns can be addressed. Current ADA guidelines instruct orthodontists and dentists to avoid x-rays for patients whenever possible. When needed, lead neck collars and aprons are used to minimize any possible radiation exposure.

Contact Us Today

At Tisseront Orthodontics in Reston, Va., we offer an assortment of orthodontic treatments for children, teenagers and adults. Our patients can enjoy a free consultation concerning these orthodontic devices:

We also offer electronic devices that are designed for stimulating the nerves and alveolar bones in your jaw to reduce your orthodontic treatment time. Contact us today at 703-773-1200 to schedule your first orthodontic appointment with Tisseront Orthodontics.