Orthodontic Fact #1 Almost 25% of patients that wore braces had to get them again after treatment because they failed to wear retainers as they were advised


As mothers, nothing gives us more joy than our children’s smiles. However, when that smile is less than perfect, we will do whatever we can to make it flawless. Once we have spent the time and money to get our child’s teeth straightened, chances are we would like them to stay that way. (Duh!) How do we achieve that? I am so glad you asked…


Retention is a way of ensuring the newly-straightened teeth will be set for life. After the braces are removed, the teeth have a propensity to move back into their original position of growth. Wearing a retainer as advised by the orthodontist is crucial to keeping the teeth straight. It allows time for the bone and ligaments surrounding the teeth to rearrange to their new position.

Retainer Facts

  • The orthodontist will tell you when and for how long the retainer should be worn.
  • The alternative to a retainer made of pink plastic and silver wire is one made of clear plastic that fits right over your teeth, making it virtually invisible (much like Invisalign).
  • There are two categories of retainers: fixed and removable. Fixed retainers are attached to the back of your teeth, so they cannot be seen when you smile. Removable retainers come in different shapes and sizes, depending on your orthodontic needs. They can and should be removed before eating, brushing, and flossing (also similar to Invisalign).

Good news: Even if the retainer must be worn all the time once the braces are first removed, you can look forward to eventually having to wear them only at night.

Help your child celebrate their perfected smile by making sure it stays that way. Don’t let them become a statistic!  Contact us today for more information on orthodontic treatments and to schedule an appointment for your child.


The Finance Side of Braces

bracesWe know that braces and orthodontic care are expensive, but they are an investment in you or your child’s beautiful and healthy smile that also impact your overall oral health. In children, this can address issues before they cause problems. Dr. Tisseront is committed to supporting you through the process of understanding your options and finding the best way to meet your needs and your budget.


Our office accepts most major credit cards and most insurance plans. Our staff is always available to assist you with paperwork necessary to billing your insurance plan(s) that may cover portions of your services. We also offer affordable payment plans. Oral health should not be viewed as a luxury but as an important part of health care for yourself and your child.


Our staff will discuss your unique orthodontic needs with you and go over all options and associated costs with you. You will know exactly what you are paying for, how much you are responsible for and what your payments will be before you agree to proceed. The cost of orthodontic treatment varies depending on your individual needs and the treatment plan chosen to meet those needs, but we will work with you to design a treatment plan that you understand and there will be no hidden or surprise costs. We accept

  • VISA
  • Mastercard
  • Discover
  • American Express


Braces or Invisalign?

We consider both what type of treatment will best address the needs of your orthodontic care and what the costs are. Many people think of braces as the only option they have, but this is not always true. Advancements in orthodontic care provides more and better options today, and those options are becoming more affordable as well. Our staff helps you to analyze all of the costs of treatment so that you fully understand not only your investment but the long-term financial benefits of your different choices. The “costs” of your treatment plan are more than only financial.

Invisalign Is A Cost Saver

Many people fear this newer alignment option because in the past it has been much more expensive. Thanks to advances in orthodontic care, this option is now fairly comparable in cost to older traditional types of orthodontia. The financial costs are also offset by other savings in time, necessary appointments, and the flexibility offered by this treatment. This unique alignment system features much easier cleaning methods, does not limit your food options, is much less irritating to your gums and you are given custom made aligners that you change for yourself on schedule so that you do not have as many office appointments as you would with traditional methods. Consider the financial savings in gas costs, fancy cleaning devices and extra visits for broken wires alone, and it is clear that technology has offered a more cost effective method. When developing your treatment plan, we do consider which method is best for your alignment needs and will explain to you why we are recommending the method we do. This may be a better option for you or your child and cost should not deter you from considering it, but we will help you to understand the costs associated as well as the benefits.

Consider All the Options

Your treatment plan is individualized and we try to offer you options within that plan that will be cost efficient for you and meet your orthodontic needs. We encourage you to discuss any concerns you have with us. There are many ways to finance your orthodontic care.

  • Dental insurance
  • Flexible spending accounts
  • Reasonable and affordable payment plans

Insurance coverage varies depending on your company and plan, but we will work with you to get the most out of your insurance plans to cover your orthodontic care. Typically your health plan does not cover orthodontic costs (there may be exceptions), but dental insurance does provide coverage. Some insurance coverage also requires that you have held coverage for a minimum period before you have access the orthodontic benefit, so you should consult with your Human Resources or directly with your insurance provider if you are not familiar with the requirements, limitations and levels of coverage. Our staff is always happy to assist you with gathering the necessary information from your dental health plan to understand specifically what portion of your treatment may be covered and what your out-of-pocket costs would be. Unfortunately, most dental health plans do not cover orthodontic services for adults, and you may have to consider other options for payment.

You may also consider beginning a flexible spending account (FSA) or health savings account (HSA) through your employer if one is offered. These accounts allow your employer to set aside money from your check that goes into an account that will reimburse you for medical and dental costs, including orthodontic treatment. Whether for your child or yourself, this is a way to “save” for medical needs that will not be covered by your insurance. If you are planning ahead to make an investment in Invisalign for yourself, this may be an effective way to set aside the money since you may not have any insurance coverage for the treatment.

Remember, we also offer flexible payment plans that can be designed to work realistically within your budget.

Our Commitment To You

We are proud to offer you a convenient location and comfortable office with friendly staff, utilizing the latest technology and knowledge about orthodontic practices. Our goal is to ensure you have the best care at a price you understand and feel good about. We pride ourselves on providing you stellar services.

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

Most smiles are started by another smile!


Did you know that smiles are contagious? Try it and see: Try smiling at someone you don’t know and see if they don’t smile back. A casual, relaxed smile can make you and others feel great. That’s because the facial muscles that lift up your lips and relax the muscles around your eyes send messages to the brain that you are feeling good. The brain then tells the body the same message, and you will definitely feel better.

Smiling uplifts other people.

In addition, whoever you meet will share the positive feeling that comes from seeing a happy face. Whether others know you or not, they will immediately, maybe even subconsciously, relax, and appreciate your good mood and positive expression. They will likely return your smiling expression, causing a chain reaction when they then smile at others they meet.

Facial expressions are remembered.

Family members earn reputations based on whether they are happy or not.  Making the effort to appear pleasant has immediate as well as long-term results, making us feel good momentarily while establishing a reputation for good moods and a positive outlook.

Orthodontic help is available.

If you want to enhance the effect of your smiling face, consider a consultation with an orthodontist. A treatment plan that includes braces can make your teeth more attractive than ever by closing gaps, setting tipped teeth upright, and even turning teeth into the right position. You will be amazed what a simple treatment plan with braces can do to maximize your facial expression.

To learn more about various treatment options, contact an orthodontist like Dr. Tisseront, who can explain how the process works. A thorough exam can be done to determine the type of treatment that might improve your dental structures and smiling capabilities. Soon, you can look your happiest and most attractive.

Today, Give a Stranger One of Your Smiles, It Might Be the Only Sunshine He Sees All Day!

quotes about smiles

No one doubts the power of a beautiful smile in transforming a person’s disposition. That being said, a smile is easy if you have a well-aligned set of teeth or jaw-line.  Sadly, some people have either a perceived or actual misalignment of their teeth that would tend to influence their outlook on life, and make them feel somehow inferior to those around them.

How Do We Do It?

Well, first of all, we smile a lot–before and after our young patients enter our facilities. Presenting and providing a confident atmosphere is one way to reassure your family that the chosen process of orthodontic care is of utmost quality. Most important of all for youngsters, is that the treatment is pain-free as well.

It’s All In The Mind!

Believing that a child’s experience with an orthodontist should be different than their experience at their dentist’s office, we start by making sure we have video games in the waiting room, educational videos about their orthodontic journey, ice cream and a pot of brewing coffee for moms in the reception areas. This alone should put smiles on any of our patient’s faces.

Learn More

If you have crooked teeth or a protruding jaw line, that’s no problem for us as our treatments are cutting-edge, and our tools are the latest in orthodontic technology.  Most of all, we can provide you with braces that others won’t be able to see, and if you prefer not to wear braces at all, we may be able to arrange that too! How? Using 3D computer imaging Invisalign technology, Dr. Tisseront may custom-prescribe a quality treatment plan for you! Start smiling again as you make a lifetime investment in your future. A complimentary consultation at our Reston, Virginia facilities is available now by simply calling (703)773-1200 today or by visiting our website for more information.

Why should I visit the dentist during my treatment?

dental care

While most of you take your bite for granted, it is a complex process that involves precise coordination between your teeth, jaws, gums and facial muscles. One small structural defect in any of these parts can lead to “bad bite” or malocclusion. A variety of factors can contribute to these orthodontic problems. Many people inherit crooked teeth from their parents and grandparents. Others are used to sucking their thumb which leads to the deformation of teeth and jaws. Accidents and premature tooth loss due to gum disease can also contribute to malocclusion. Occasionally, your dentist may not be able to identify the actual cause.

Types of Conditions

Millions of Americans suffer from orthodontic issues caused by crooked, crowded and poorly aligned teeth. Individuals with straight teeth may also also have such problems, especially if their lower row of teeth are too far forward or too far backward when compared to the upper row. These issues can be classified into many types:

Protruding frontal teeth – As the name indicates, the front teeth of individuals with this condition stick out impacting facial features and physical appearance.
Crowding – Crowding occurs if you have a narrow jaw that doesn’t have space for all the teeth.
Asymmetrical teeth – In this condition, upper and lower teeth do not match, especially when you close your mouth.
Overbite – Overbite, also known as deep bite, happens when the upper row of teeth come over the lower row.
Open bite – Open bite refers to the gap between upper and lower rows of teeth upon clenching.
Reverse bite – Reverse bite happens when the upper row of teeth stay behind the lower row upon clenching
Underbite – Underbite occurs when your lower set of teeth are protruding forward or the upper set of teeth are too far back.
Spacing – Spacing refers to gaps between the teeth due to tooth loss or simply because the teeth do not fill-up your mouth.

Your orthodontist will perform a thorough clinical examination and also rely on x-rays images and plaster models for accurate diagnosis and treatment.


Malocclusion is not a disease and does not have a direct impact on your health and well-being. However, when left untreated, it can lead to serious complications. Many people with bad bite have an awkward smile which impacts their self-esteem and may even lead to depression. Crooked and crowded teeth are prone to tooth decay and cavities as they are difficult to clean. In extreme cases, teeth can also prevent jaws from developing properly which can, in turn, interfere with chewing and speaking.  Hence, it is important to treat the condition promptly and effectively.

People often start their treatment in teenage years. The idea is to allow the adult teeth to develop fully before interfering with their positioning. Some patients develop the problems slowly and hence, start the treatment as adults. There are several options and the choice can be confuting and overwhelming for many patients. Your dentist will explain the pros and cons and help make an informed decision.

Fixed Appliances:

  • Braces
  • Fixed space maintainers
  • Special fixed appliances

Removable Appliances:

  • Aligners
  • Headgear
  • Lip and cheek bumpers
  • Palatal expander
  • Removable retainers
  • Removable space mainteners
  • Slints

A high quality orthodontic treatment will help align the tips of the teeth, close wide gaps between the teeth, straighten crooked teeth, and rectify the bite. These changes will translate into a beautiful smile, and improved speech and chewing. They will also contribute to better oral health and hygiene.

Importance of Regular Dental Visits during Treatment

Most people should wear their braces for one to three years, depending on the condition. You may be required to wear retainers after that to maintain the teeth in their new position. These new materials apply constant, subtle force to re-position your teeth.

Once you start the treatment, it is important to maintain proper oral hygiene with regular brushing, flossing and mouth washing. Routine dental check-ups are very important and should never be neglected. During the visit, your dentist will check the health of your teeth and gums and make sure they are in great shape. Early diagnosis of infections can lead to prompt treatment and prevent unwanted infections. Thorough professional cleaning also helps remove any residual plaque in your oral cavity.

Your aligners may also break or become loose, especially when you eat hard, chewy foods. Accidents and injuries can also impact your orthodontic appliance. While the pain and discomfort are evident in most cases, some patients may not feel anything. However, in such cases, you will not see the desired results at the end of the treatment. Additionally, your teeth and gums will be more prone to infections and injuries. During your routine visit, the orthodontist will examine the braces and adjust their position. Skipping these visits may delay the treatment and may also lead to unwanted complications. On the other hand, visits during the treatment will give you peace of mind knowing the alignment is progressing well.

Recent statistics reveal that 4 million Americans wear orthodontic appliances, and about 25% of these people are adults. Apart from improving your physical appearance and boosting self-esteem, orthodontic treatments may also lower the risk of dental diseases. Nonetheless, proper hygiene and regular dental visits are crucial for the success of this procedure. Hence, never neglect your dental visits during treatment.

Let us Help

We at Tisseront Orthodontics would be happy to discuss with you how we can help you make your smile a memorable one, how we can aid in caring for your teeth’s health, and how an orthodontist may be your answer if customized braces are necessary. Make your appointment today

The world always looks brighter from behind a smile

life quotes

When the world appears bleak, try smiling. If that seems like odd advice, think about it. Frowning will not make you feel better. In fact, you’ll probably feel worse. Not only that, but a frown will make those around you feel bad, too, especially if they can’t do anything to help.

Smiling makes you look and feel better.

Smiling, on the other hand, can actually make you feel better physically. Moving your mouth muscles upward to project a feel-good emotion, even if you’re not really feeling that way, sends a powerful message to your brain. The brain begins to release endorphins that circulate throughout your body with a feel-good message. In moments, your smile becomes genuine as your body receives the signal of contentment.

Problem teeth may discourage smiles.

Some people smile seldom because they are embarrassed about their teeth. They feel that an uneven bite or gaps between teeth are unsightly. They place a hand over their mouths when they smile or try not to show emotion. This not only interferes with the feel-good emotions they could experience from lifting their lips to grin, but it also inhibits the release of happiness hormones that could improve their mood and make them feel better.

Orthodontic treatment can help.

Those with orthodontic issues like missing or twisted teeth, irregular alignment, or gaps may be able to wear braces to treat these issues. Consulting an orthodontist is the first step. A complete examination will be done to determine the scope of treatment that may be needed. Then a treatment plan that typically includes braces will be developed and discussed with the patient.

To learn more about your dental improvement options, contact a competent orthodontist like Dr. Tisseront to schedule an appointment. Your questions will be answered, and you may be able to schedule an examination and x-rays for an accurate diagnosis and treatment plan.

The shortest distance between two people is a smile

smile quotes

Make someone happy by giving that person a great big smile. It will convey warmth and caring and a wish for a good day.  If you are not happy with your smile, you may need the help of an orthodontist to restore and enhance the natural beauty of your teeth or possibly provide braces to fix major issues.

Your health

Your smile is a great asset and also says a great deal about your overall health. Applying a whitening product or having broken, cracked or missing teeth corrected is very important as well as tending to your gums.  Most tooth decay and almost all gum diseases can be prevented with good oral hygiene. Taking a few minutes every day to brush and floss is not a lot of effort to put out in return for a lifetime of healthy teeth and gums.

Avoid sugary foods

Simple sugars such as those found in carbonated soft drinks and even fruit drinks are broken down by bacteria in the mouth, and acids are produced that can erode enamel and cause decay. Especially sipping drinks raises the acid levels, and sticky candies linger on the surfaces of the teeth.

Change your toothbrush

That should be done three or four times each year. Talk to the orthodontist or dentist about using special toothbrushes for braces. Some people find it easier to use an electric toothbrush.

Let us Help

We at Tisseront Orthodontics would be happy to discuss with you how we can help you make your smile a memorable one, how we can aid in caring for your teeth’s health, and how an orthodontist may be your answer if customized braces are necessary. Make your appointment today

What Are Lingual Braces?

lingual braces

People are appropriately concerned about the quality on the straightness of their teeth. In the United States alone, it is estimated that more than 4.5 million people use braces or some other appliance in order to straighten their teeth. Contrary to what some may believe, braces are not just for teenagers or for children. It is estimated that 25 percent of people who use braces or appliances to straighten their teeth are adults. In Dr. Tisseront’s office, it is even higher.  

There are a lot of different options that are available for individuals who want to straighten their teeth. The most recognized system of teeth straightening is traditional braces. Another option that many people have used is Invisalign invisible braces. There is a third option that many people have not heard of and that is lingual braces.

What Are Lingual Braces, and Why Are They Different from Other Types of Braces?

The word lingual makes reference to the tongue. This is an apt term to describe these types of braces because instead of being put on the front of the teeth, they are put on the back of the teeth or on the side of the teeth near the tongue and the pallet. Lingual braces are a great option for people who want to straighten their teeth while at the same time not having their braces visible to the rest of the world.

The first step in applying lingual braces is to take an impression of a patient’s teeth. That impression will be sent to a lab and used as the basis for creating customized brackets. Patient should expect the entire process to take between 5 to 6 weeks. Once the brackets have been designed, the doctor will then use a specific technique and bonding agent to cement the braces to the back of the teeth.

Lingual braces straighten teeth in a way that is very similar to traditional braces. They apply a very gentle yet constant pressure on the teeth. This forces the teeth to slowly move into their proper position over time. This treatment can take from between 18 months and 36 months. The duration of treatment will vary depending on how severe the overcrowding of the patient’s teeth is or how crooked their bite is.

Lingual braces are a worthwhile investment for someone who wants to straighten their teeth without having it affect the appearance of their mouth. There are certain requirements that a patient must fill in order to qualify for these braces.

Since lingual braces are custom-made to match the mouth of the patient, they do cost more than traditional braces, and the treatment is more complicated. One of the biggest factors leading to the additional cost is the materials. Every tooth will have a specially designed bracket and arch wire installed.

It can be a challenge to find an orthodontist who can install lingual braces because they require technical training and expertise that not all orthodontists have.

Types of Lingual Braces

When determining the type of lingual braces that you or your family member will use, it is going to be important to first sit down with the orthodontist and hear their recommendations. They will also be interested in talking with you to get your preferences. There are different companies that manufacture lingual braces, but they all basically work in the exact same way. The primary difference is the design of the bracket and the way that the brackets are attached to the back of the teeth. Some of the more popular Brands of invisible braces include Incognito, iBraces, and STb Light Lingual System.

Properly Caring for Lingual Braces

Any orthodontic appliance will only work if the patient maintains good oral hygiene. Good oral hygiene is important if a patient is going to guarantee that gingivitis and tooth decay do not affect their teeth. Proper hygiene would include things like:

• Spend at least two minutes twice a day to brush your teeth
• Brush your teeth and gum lines using a soft bristled toothbrush
• Floss teeth daily to remove plaque and food debris
• Flush out food debris from around the brackets and on the teeth using an oral irrigation device
• Use a fluoride rinse to strengthen your teeth

Since lingual braces are put on the back of the teeth, they may irritate your tongue and cause your tongue to feel tender. Patients can use a wax that is applied to the lower teeth that will cover the braces and help remove some of the soreness.

For some people, being able to speak clearly and enunciate while wearing lingual braces is a challenge. However, after a few weeks of practice, the majority of the wearers are able to get a feel for how to speak clearly even though the braces on the back of their teeth.

It is recommended that patients visit their orthodontist every six months to get a professional cleaning. This is essential for any patient looking to maintain good oral health while wearing lingual braces. Regular flossing will stop plaque from building up and will fight against tooth decay. Fluoride rinses and specialized toothpaste should be used to fight against gum disease.

As with all orthodontic procedures, there is some minor discomfort and inconvenience that comes with wearing lingual braces. Over time, a person will become accustomed to these braces and the feeling of discomfort will diminish. Additionally, there is some expense associated with wearing these braces. However, temporary discomfort and a small expense is worth it if it means that a patient can have a smile that they are proud of.

Many people are reluctant to wear braces even though they know that braces would make a drastic difference in their appearance. They are usually worried about how braces will look to other people. For individuals in this circumstance and who are not sold on the idea of Invisalign braces, lingual braces are the solution to the problem.

Contact us and set up an appointment today to learn about the teeth straightening options that are available for you. A beautiful smile and healthy straight teeth are worth any effort.

Of all the things you wear, your expression is the most important

smile quotes

When we meet someone, we often notice their facial expression first. As attitudes, moods, and feelings are expressed in facial gestures, we can get a quick read of someone’s personality and outlook by watching their eyes and mouth. A smile is a positive way of sharing emotion and establishing an amiable connection.

Smiling lifts your mood.

When a person smiles, the gesture automatically sends neurological messages to the brain to make you feel better. Even if the smile is artificial or to be polite, it can still lift your spirits and make you feel good. It’s hard to stay in a bad mood or feel sad when smiling, as this simple movement of your lips is quite therapeutic.

Smiling makes others feel good.

When someone smiles at us, we feel great. We might feel noticed, appreciated, or attractive. A smile is an uplifting greeting that is universally understood. We enjoy smiling at strangers to whom we don’t say a word, making both people feel good.

Smiling enhances your attractiveness.

A lovely smiling face is a physical asset. Some people are born with beautiful smiles, while others might be able to improve theirs with braces. An orthodontist will evaluate a person’s dental structures with a visual exam and x-rays, and prescribe a treatment plan that may include wearing braces for a brief period of time. Teeth can be straightened, moved to fill gaps, and turned if needed. At the end of treatment, your face can be more beautiful than ever, and your confidence will soar, making you even more attractive overall.

For more information on how to enhance your smiling features, contact Dr. Tisseront. You can quickly find out if orthodontic work is recommended for you, and the type of treatment that will be involved. Make the most of your natural features by enhancing them.

You don’t have to brush your teeth, just the ones you want to keep!

smile quote

Thank your toothbrush for saving your teeth! Regular brushing helps to keep teeth clean and bacteria-free. Most dentists recommend routine brushing along with twice-a-year dental checkups to ensure good dental health. Keeping your teeth clean will help to prevent cavities and tooth loss, which in turn helps to preserve your smile and keep you looking great.

Effective brushing.

Dental experts recommend brushing your teeth at least twice a day, morning and night. It’s even better to brush after meals when possible, or at least rinse with water after eating. Your dentist may suggest a certain kind of toothpaste, like tartar control or added fluoride, to help protect your teeth even more.

Flossing helps

To enhance dental protection, you should consider flossing your teeth at least once daily. Dental floss helps to remove bits of food caught between teeth or under the gum line, where they can cause inflammation that leads to cavities or gum disease. As with toothpaste, your dentist might recommend a specific kind of floss, whether waxed or flavored, for example.

Orthodontic Treatment

An orthodontist will evaluate your dental structures to see if you are good candidate for treatment that can straighten teeth and bring them together to close any open spaces. Braces are often used for treatments of this type to move teeth into their correct positions and improve overall evenness.

Contact Dr. Tisseront at for additional information and to schedule an appointment.