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Is It Safe To Undergo Orthodontic Treatments During Pregnancy?

pregnantShould You Undergo Orthodontic Treatment During a Pregnancy?

You might wonder if it is safe to undergo orthodontic treatment during pregnancy with braces or Invisalign aligners. In some cases, you might already have orthodontic devices on your teeth, so you wouldn’t want to remove the devices because this would disrupt your treatment plan. However, you should tell your orthodontist that you are pregnant because it can change the way that you are treated. If you are pregnant, then your body goes through rapid changes, including gaining weight. In addition, your body chemistry changes, leading to problems with excess saliva and other oral health issues.

It Is Often Difficult To Cope With Aligners or Braces While You Are Pregnant

Many pregnant women also experience morning sickness, and this condition leads to nausea or vomiting. If a woman is vomiting, then the excess stomach acid in her mouth can damage the wires or brackets of braces. When a pregnant woman is wearing Invisalign aligners, she may need to remove the devices frequently when she is nauseated or vomiting, and this can also disrupt an orthodontic treatment plan.

Changes In Weight Will Affect How Your Braces or Aligners Fit

Pregnant women also gain weight, and this can change how often she needs to have her braces adjusted to fit properly. Fortunately, an orthodontist understands how to cope with changes in weight because the children and teenagers who wear braces also have this problem. However, if you are wearing plastic aligners to straighten your teeth, then you will probably need new molds to make the devices. When adults wear aligners, they have usually stopped growing, so an orthodontic office uses the original set of molds to create the series of clear plastic aligners. The size of a woman’s mouth might change as she is pregnant, but an orthodontist can collect a new set of molds for her customized aligners.

Aligners and Braces Can Irritate Your Gums and Jawbone

Women who aren’t wearing aligners or braces while pregnant can wait to begin orthodontic treatment. When you begin orthodontic treatment, it can lead to irritation in the oral cavity with swollen or bleeding gums. The pressure on your teeth can lead to pain in the jaw, neck and shoulders, but if you are pregnant, then your physician won’t want you taking pain medications. The hormones in your body from pregnancy can make it more difficult to shift your teeth into the correct positions. If you are wearing aligners, then you might need to remove the devices frequently because you are consuming more meals and snacks throughout the day.

Visit an Orthodontist For Loose Teeth

Some women do have problems with their teeth during a pregnancy, including teeth that become loose in the gums. If this happens to you, then you should make an appointment with an orthodontic office right away. Make sure to inform the office staff and hygienist that you are pregnant to avoid too much exposure to harmful X-rays. If you have loose teeth, then it is important to begin orthodontic treatment as soon as possible, but you should avoid taking any medications without your physician’s approval.

Orthodontic Treatment Is Necessary For Injuries or Other Oral Health Issues

Another reason to begin orthodontic treatment during pregnancy is that you have an injury to your mouth. When your teeth are damaged by a vehicular accident or sports injury, an orthodontist can help you. It is possible to save chipped, dislocated or loose teeth with a variety of treatments. Experts recommend avoiding medical images or X-rays while you are pregnant, so you should discuss your orthodontic treatment with your physician before undergoing treatment.

There Are Numerous Types Of Braces

If you are planning a pregnancy, then visit an orthodontist first to determine if you need braces or aligners. The best time for an orthodontist to collect medical images is before a pregnancy. Alternatively, you can wait until after you give birth to begin orthodontic treatment. There are numerous types of braces available, including:

  • Traditional metal wires and brackets
  • Ceramic braces that have clear wires and tooth-colored brackets
  • Lingual braces worn on the backs of your teeth

In addition, you might need treatment with palatal expanders or headgear.

You Can Wear Aligners For Mild To Moderate Malocclusions

When you have mild to moderate malocclusions of your teeth, you can wear clear plastic aligners that are designed using Invisalign software. These devices are worn for 23-hours each day and night, but you must remove the items to consume food, drink water and perform oral hygiene. An orthodontist will create up to 30 sets of aligners that are made in different configurations to shift your teeth into the correct positions in six months to one year.

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.

 

teens with braces

How to Care for Braces During [Pregnancy]

pregnancy

How to Care for Braces During Pregnancy

Pregnancy affects every part of your body, including your teeth. The change in your hormones as well as the increased blood flow throughout your body make you more susceptible to inflammation and irritation of your gums and mouth. So whether you were already wearing braces when you became pregnant or started your regimen during pregnancy, it’s important to take special care of your orthodontic appliances and overall oral health. Make sure you are aware of the special considerations you need to make, and be sure to work closely with your orthodontist to take care of any issues that arise.

Oral Health and Pregnancy

The constant fluctuation of your hormones during pregnancy can create a number of changes in the health of your mouth and gums. Many women experience symptoms of dry mouth, bad breath, or even loose teeth. Likewise, morning sickness can expose your teeth to excess stomach acid and increase the wear of enamel. Pregnancy can also increase your chance of developing gum disease and even gum infections.

Many women also experience significant changes in their eating habits and may cravings for new or different foods. Certain foods can have a negative impact on your orthodontic appliances. Changes in hormones can changes in tooth movement, and if you gain a considerable amount of weight, it can even change the shape of your gums, mouth, and face, requiring more frequent adjustments.

Dental Care

Ideally, you should visit your regular dentist before becoming pregnant or as soon after you know you are expecting as possible. There is no risk in getting dental x-rays at this point, as your dentist can use a special shield to protect you and your baby. Likewise, you can have your teeth cleaned by a hygienist as you normally would, and it is in your best interest to get a professional cleaning before beginning any kind of orthodontic treatment. However, if you choose Invisalign, cleaning isn’t a problem, as you can simply remove the aligners.

Daily Hygiene

Many of your daily hygiene practices should be similar to that before your pregnancy and braces. For example, you should floss daily and brush at least twice a day. If you have metal or ceramic orthodontic appliances, you need to be particularly careful to clean the tooth surfaces as well as the wires and brackets. Some women still prefer a regular toothbrush; however, others find a waterpik to be more effective. You’ll also need to be extra careful while flossing. You may want to use a metal or plastic holder to contain the floss to make it easier than just using your fingers.

Dietary Concerns

When you are expecting, you’re not just eating for yourself. You are also laying the foundation for your child’s nutritional habits and overall health. A healthy, balanced diet increases your chance of a healthy baby and decreases the chance that you will experience any nutrition-related concerns. With certain orthodontic appliances, you will need to eliminate some foods altogether. Popcorn and hard candy, for instance, can increase your risk of breaking a wire or bracket. Likewise, sugary treats of any kind increase your chance of tooth decay, which is a more significant concern with the change of hormones and your immune system during pregnancy. Additional, refined carbs, such as white bread, baked goods, and white rice, have less nutritional benefit and leave a film on your teeth. Instead, opt for high-quality proteins, vegetables, fruits, calcium rich dairy, whole grains, and healthy fats – beneficial for you, your baby, and your dental appliances.

Potential Issues

Because pregnancy makes you more susceptible to certain dental issues, it is important to be alert for potential problems that could arrive. Many women find that their teeth become more sensitive during pregnancy. This isn’t normally too much of an issue; however, you may experience more pain after an adjustment or notice that your teeth hurt more between tightenings. Additional pain in relation to your adjustments can also mean that your pregnancy is impacting the movement of your teeth.

Additionally, if you’re experiencing cravings, it could be a signal that you are lacking certain nutrients. For example, if you are craving nuts – a food that can break your brackets or wires – it could actually mean that you need more iron, folate, or B12.

Keep in mind that healthy gums don’t typically bleed and are not puffy or inflamed. These issues could be signs of gingivitis. Additionally, some women may develop small raspberry-like swellings known as “pregnancy tumors.” These are not cancer and typically go away after delivery; however, they may bleed easily. It is important that you make your orthodontist aware of any of these symptoms as you notice them.

When it comes down to it, wearing braces, whether traditional or Invisalign, during pregnancy is not that different than any other time in your life. You can begin treatment prior to or during pregnancy with no significant issues; however, it is important that you pay particular attention to your daily oral hygiene and any issues that develop if you are completing treatment while pregnant. While the timing of your treatment is obviously up to you, it is worth noting that it may be easier to attend to regular appointments while pregnant than when chasing an active toddler.

At any rate, if you follow suggested daily hygiene practices, adjust your diet as suggested, and pay close attention to any issues that may arise, you should have no issues with treatment during pregnancy. Visit Tisseront Orthodontics today to book your consultation.

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

braces

How Often Should I [Brush My Teeth] With Braces?

braces

LAST UPDATED: DECEMBER 26, 2017

Although 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.

Different orthodontists recommend different oral care strategies and techniques, but we’ve taken the liberty of distilling those suggestions into a concrete set of recommendations concerning when and how orthodontic patients should brush their teeth.

FAQ

When Should I Brush?

Most orthodontists agree that patients should brush their teeth at least after every meal, in order to prevent the buildup of food leftovers in the mouth. These food scraps can lead to bad breath, teeth yellowing and even plaque or more serious oral afflictions. As long as you are brushing gently in a circular pattern, there really is no limit for how often you should brush your teeth — some people really enjoy the feeling of clean teeth and may brush between 5 and 7 times a day, whereas others may restrict brushing to after meals and before bed.

Whatever your brushing situation, make sure to brush your teeth before going to bed: spending eight or more inactive hours with a dirty mouth is certainly unhealthy in every respect.

How Should I Brush With Braces?

Before brushing, make sure to rinse the mouth thoroughly with water. This rids the mouth of excess food particles and clears up some of the space between the teeth and the orthodontic appliances. After rinsing, brush with fluoride toothpaste at both an upward and downward angle for each tooth. Brushing up and down on each separate bracket will keep each tooth’s available area free of plaque and should restrict the spread of yellowing or browning.

After brushing, make sure to floss properly to rid the spaces between brackets and teeth of any leftover food. Patients may find it helpful to use a floss threader in order to force the floss more easily between the wires. Floss threaders can be bought cheaply at any major pharmacy, and your orthodontist’s office will be able to supply them as well. Post-flossing, the teeth should be brushed again for 30 seconds, and then the mouth should be rinsed with either water or a mouthwash solution.

When Should I Brush My Teeth With Invisalign?

These appliances are slightly different than other forms of corrective mouthwear, but the cleaning process is still simple and easy to teach to even the unruliest of children. Because these clear brace products are fully removable plastic aligners, the cleaning process is more comprehensive and effective. The plastic aligners are simply replaced every two weeks or so until your teeth are straight as an arrow — most people won’t even suspect that you’re seeing an orthodontist!

Now on to another easy question — when to brush? You should really be brushing after every meal or snack, but sometimes the brushing can be forgone if the snack was something compact like an apple or a banana. Snacks that are more likely to get stuck in your teeth, such as granola bars, necessitate a dutiful brush after their consumption. With clear brace technology, food is less liable to get stuck in your teeth or gums, so brushing 5 to 7 times a day could even be considered overkill.

How do I Brush My Teeth With Invisalign?

The brushing instructions are largely the same as those above, with a few notable exceptions. In addition to brushing and caring for your teeth, you must also care for your removable plastic aligners. This means brushing them gently with your toothbrush every time you remove them from your mouth — this action will help reduce the potential for plaque buildup or nasty scents. The aligners should also be brushed and rinsed every morning after waking up and every night before bed. It is important to give equal attention to both the insides and outsides of your aligners during cleaning sessions. Invisible alignment structures that suffer from a lack of cleaning become, well — not so invisible.

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

 

Invisalign provider Reston VA

How to [Clean Invisalign]

invisalignHow to Clean Invisalign

If you have aligners, it’s important that you keep them clean. If you don’t keep them clean, bacteria will grow on the aligners. When bacteria grows on aligners, it can ruin them and make you sick. You’ll want to clean your aligners each day.

There are many ways you can clean your braces at home, and there are also products that you can buy to help clean them. Here are some professional cleaning products for your Invisalign.

Retainer Brite

Retainer Brite is a tablet that dissolves and kills bacteria on your braces and prevents plaque. You’ll want to place one tablet into warm tap water and soak your aligners for 15 minutes. After you’ve soaked them for 15 minutes, you’ll want to rinse them with warm water. If you have a cordless sonic cleaner, you’ll want to clean them with that. Using a cordless sonic cleaner will remove bacteria and plaque from areas that are difficult to get to. Retainer Brite may not remove excessive plaque that has grown on your braces, but it’s a good product to use to prevent plaque.

SonicBrite

SonicBrite is a powder that comes with a sonic cleaner. SonicBrite is a very strong product that kills bacteria and removes the most stubborn plaque. If your aligners have a lot of plaque, you may need to clean it several times with SonicBrite to remove it all. To clean your aligners with SonicBrite, you’ll want to measure one spoonful of powder, and place it into the sonic cleaner with warm tap water. Next, place your aligners into the liquid, and turn on the sonic cleaner. The sonic cleaner will run for approximately 15 minutes. After the sonic cleaner turns off, be sure to take your aligners out, and rinse them with warm water.

Cleanse Freshen Go

If you take your aligners in and out of your mouth constantly, you’ll want to purchase these cleaning wipes. If you don’t have access to running water, this product is a great way to clean your aligners. Cleanse Freshen Go also makes a retainer cleaning spray.

DentaSoak

To use DentaSoak, you’ll want to mix it once, and use the soaking solution for an entire week. By soaking your aligners for 15 minutes, it’ll kill bacteria. The product also removes plaque after several uses.

OAP Cleaner

The company that makes this product claims that it kills 99.9 percent of bacteria within 60 seconds. The cleaner comes in gel and foam form. The foam is best for people who have Invisalign.

Home Methods

If you’re looking for an inexpensive way to clean your aligners, you have several options to choose from. Before you use any of these home methods, you’ll want to ensure that you avoid cleaning your aligners using caustic chemicals, bleach, soda and baking soda. Some people believe that soaking aligners in soda will clean them, but this isn’t true. Soaking your aligners in soda will only make bacteria grow. You should never clean clear aligner trays or a clear retainer by brushing them with a toothbrush. By doing this, you risk putting small scratches on them, and it’ll make them appear cloudy.

Mouthwash

You can soak your aligners in equal amounts of water and mouthwash to kill some bacteria and temporarily improve the smell of your aligners. Unfortunately, most mouthwash includes alcohol. Alcohol can be harmful to your plastic aligners. You should avoid regularly soaking your aligners in mouthwash, and only use this method occasionally.

Hydrogen Peroxide and Water

You can mix equal amounts of warm tap water and hydrogen peroxide to clean your retainer. Let your retainer soak for 30 minutes. After they are done soaking, you’ll want to rinse your retainer thoroughly with warm water. Hydrogen peroxide will kill bacteria, but unfortunately, it won’t remove plaque.

Antibacterial Soft Soap

Using a clear antibacterial soft soap is a great way to keep your aligners clean, fresh and clear of bacteria. Unfortunately, using this method won’t remove or prevent plaque.

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

 

 

Is All Orthodontic Treatment The Same?

orthodontic treatment

Is All Orthodontic Treatment The Same?

When you’re attempting to find the best orthodontist for yourself or your child, it’s important to understand that not all orthodontic treatment is the same. You should also avoid believing that a higher price indicates better quality, as this largely isn’t true in today’s world. Since orthodontics is a difficult field to get into, almost every option available to you will provide you with orthodontists that have gone to college and dental school and have received the necessary degrees and licenses to go along with the title. What you need to focus on is asking the right questions and obtaining key information that will allow you to better understand which orthodontists are worth your time and money.

How to Choose the Right Orthodontist

Although most orthodontists will have received extensive training and education, it’s possible for people to become dentists in a limited capacity in order to perform a small selection of services and operations, but these people will have received far less training and education. When you’re looking for the right one to take your child to for braces or Invisalign, the best ones will have at least 2-3 years of post-dental education that centers around jaw function and development, while they will also have a comprehensive amount of education about how to improve bites, the straightening of teeth, and tooth movement.

Make sure that they have received board certification in Virginia as well. Although this is a voluntary exam, the taking of it signifies that the prospective orthodontist is serious about continued excellence in dentistry and the field of orthodontics. Ascertaining this information for each option that you’re considering is the first step towards narrowing your list and selecting one that’s right for you and your child.

Make Sure to Ask Questions

There are a series of questions that you can ask before requesting any braces or Invisalign treatment that will allow you to identify if they are a good option. For instance, always make sure to ask what things they look for when determining your specific orthodontic treatment. It’s also recommended that you request case studies and photographs that highlight cases that they’ve handled in the past that are similar to what you’re going through at the moment, as this is one of the best ways to ascertain quality.

You may want to inquire about whether or not they will be able to provide you with detailed imagery of what your teeth will look like once the procedure has completed, which you should request before any treatment has begun. Certain orthodontic equipment allows for the creation of accurate simulations that can provide this imagery as needed. A few additional questions you might want to ask include what the treatment time is, why now is the most advantageous time to go through the treatment, and why the suggested treatment is the best option available. Once you know the answers to these questions and you determine that they are satisfactory to you, you can be confident that you’ve chosen the right option.

How Substandard Orthodontic Treatment Can Adversely Affect You

Orthodontic treatment can entirely alter your eating, jaw joint, speech, smile, and a wide array of muscle functions that are necessary in everyday life. Issues with this treatment can be costly to repair, which is why it’s essential that you select the right orthodontic facility for your needs. Substandard orthodontic treatment can greatly affect you in a negative way, such as through the development of the TMJ condition and the pain that results from it due to a bite that has been poorly aligned. Other issues that could occur due to a bad bite caused by orthodontic treatment include the wearing, cracking, and chipping of your teeth, all of which are difficult and costly to repair, taking up more of your time and money.


Another common issue that results from bad orthodontic treatment is that of gum recession due to the roots of your bone having been improperly aligned. When this occurs, you could suffer from pain and other problems that might require gum grafting and surgery to properly fix. By making the right decision the first time among the main orthodontists available to you, you will be able to avoid any of these problems along with the pain and costs that come with them.

One way to safeguard against bad orthodontic treatment is by looking around at the facilities and technology that your treatment might involve, as the quality of these components can accurately reflect the quality of the orthodontic office that you’re considering. It is here that you are traveling in order to obtain a smile that you will have for the remainder of your life, which is why it’s so important that the decision you make is the right one. Although the facilities you will be in and the technology that will be used on you shouldn’t be the only factor into how you judge prospective orthodontists, it should be one metric used as you’re assessing your best course of action.

If you require orthodontic treatment for any reason, call us today at Tisseront Orthodontics so that we can set up an initial consultation for you! We look forward to giving you a healthy smile and provide you with quality care with each visit.

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

braces

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

bracesWhy 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.

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

tisseront orthodontics actual patient

Three Reasons Your Orthodontic [Braces] Are Still On

bracesThree Reasons Your Orthodontic Braces Are Still On

Braces have become fashionable. Because of their shine, many kids and young adults love the idea of having to receive them; they’re just another glitzy accessory. Receiving braces is truly a memorable day. But getting them off is even more memorable. After an examination, orthodontists are able to tell their patients how long they should expect to wear their braces. By the time treatment is supposed to end, most people are ready to have their braces off. Sometimes, however, treatment unexpectedly lasts longer than planned. This is due to a few common factors that play major roles in whether or not your braces come off on time.

Your Orthodontist Was Too Speedy or Inattentive to Your Needs

Orthodontists are expertly trained to diagnose, apply, and remove braces. While most of them take the adequate amount of time to properly assess your teeth and to predict the amount of time needed to correct them, some of them focus more on speed. They want to get you into that chair and back out. Some negatives that can arise from moving too fast are

  • an incorrect diagnosis
  • an incorrect treatment plan
  • scheduling appointments too far apart

This doesn’t allow your orthodontist to effectively monitor your progress. If appointments are adequately spaced apart, your professional could notice sooner any flaws in the treatment plan and be able to immediately correct his errors.

Speediness can be a plus, but when it comes to the matter of the teeth, ensure that your professional is taking his time and isn’t rushing.

You Haven’t Been Taking Good Care of Them

You play a major role in how effective your treatment is. Caring for your braces exactly as you are told will help the process run more smoothly. Try to avoid things such as these.

Arriving late to appointments.

Time is a resource for both you and your orthodontist. If you’re late to an appointment, all procedures that were scheduled – such as extractions or surgeries – will have to be rushed or not be performed at all. You will have to catch up on these at a later visit, lengthening your treatment time.

Missing appointments

Keep missed and changed appointment times to a minimum. Your ortho knows how often your teeth should be examined and monitored. If you must call to reschedule an appointment, try to keep your new appointment date close to the last one. This way, if there is anything the orthodontist needs to catch or observe, he can do so before it becomes a major problem.

Breaking your brackets and wires

Constantly needing to replace bent or damaged braces could add months or even years to your treatment plan. Avoid eating hard foods to lessen your risk of damaging your braces.

Not following oral hygiene or other instructions given to you by your orthodontist

Follow your orthodontist’s instructions just as they are given. Bad oral hygiene could cause infection, which impedes the movement of teeth. Infection also swells your gums, making it more difficult for the orthodontist to work on your teeth. Avoid thumb-sucking or lip-biting as they can also impede your progress.


Some things are unavoidable. If you or your child gets sick, you may have to miss an appointment. That’s understandable. But doing the best you can on your part makes for a more effective treatment plan.

Your Biological Response Is Delaying Your Progress

In this case, both you and your orthodontist have done everything by the book. Your orthodontist has properly assessed the teeth; you have kept up your oral hygiene and have done everything you were told of how to properly care for your braces; you each have flawlessly fulfilled your roles.

But there is one thing that is rarely taken into account in the initial examination: your biological response. People’s teeth grow in differently.

  • Ankylosis is a condition that doesn’t allow teeth to move.
  • Some patient’s teeth move more rapidly than others.
  • The teeth in some people move slower than normal.

Each of these factors can drastically affect treatment time. However, delayed or slowed progress does not equal no progress; treatment can still be successful even if the patient possesses these complications. If you have these problems, speaking to your orthodontist about your options and your particular situation will help you to better understand any new steps that are needed in your treatment process.

An orthodontist who is too brief; your own inability to follow instructions; your body’s natural growth patterns – all of these are things that affect treatment time. These factors mean the difference between having a smooth transition into a brace-free life or letting your braces have an extended stay. Everyone is in control of only his own actions, so just as you can’t control the treatment you’re prescribed, your doctor isn’t responsible for whether or not you follow his instructions, and it also isn’t up to him how quickly your teeth grow. As long as you and your doctor do your roles well, however, the treatment will be a success in due time.

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

Invisalign treatment from start to finish

invisalign aligner

LAST UPDATED: OCTOBER 31, 2017

If you have always dreamed of having a smile that is filled with beautiful and straight teeth, but don’t want to deal with braces, then correcting your alignment using an Invisalign treatment may be your best solution. This type of orthodontic treatment is the most popular option for adults that have minimal alignment issues or for those that are embarrassed about getting braces. Invisalign treatment uses removable aligners that are not visible to others to correct your tooth alignment. In order to custom design your retainers, Dr. Tisseront uses 3D imaging technology to create a series of aligners to straighten your teeth. Before deciding on whether this procedure is the right choice, you should do a little research to discover what to expect from start to finish. The following paragraphs will detail the process from beginning to end so you can have a clear picture of what to expect before, during and after treatment.

FAQ

Why choose an alternative to braces?

Straightening your teeth as an adult is a big decision. Most of your peers had their teeth straightened when they were teenagers, and after hearing their teen horror stories, it can leave you feeling uncomfortable about the idea. However, there are now many more options available to you now than there were for your friends when they were young. If you don’t want to deal with the trouble it takes to brush your teeth, floss or have to worry about having metal wires irritate the insides of your cheeks, then your decision is clear.

Invisalign’s program allows patients to have their teeth straightened comfortably and effectively without the embarrassment and uncomfortable process of having a bunch of metal put into your mouth. With this style of orthodontic treatment, you will be able to eat whatever food you want because the retainers are removable. You won’t have to worry about poor dental hygiene as you will also be able to follow your regular brushing and flossing routine as well.

What should you expect during your consultation?

During your consultation, x-rays, impressions and photographs of your teeth will be gathered to create a digital image of your teeth. Once all of the data is collected, a treatment plan can be put into place. Using this information, Dr. Tisseront will be able to predict precisely how your teeth are going to move over time. He will also be able to show you how your teeth will move during each stage of the treatment. He will also be able to give you an estimated length of time for the treatment.

During the consultation, you should be asking as many questions as possible. This treatment can be very exciting as it seems comfortable and easy, but it requires you to be diligent in wearing the retainers. Make sure that this is something that you will be able to commit to every day. If you are not dedicated to wearing your retainers on a daily basis, then this program is going to be ineffective and will end up being a waste of time and money for you in the long run.

What should you expect during treatment?

Once you have finished your consultation and are ready to begin the treatment process, a series of retainers will be made for you. The retainers are made from BPA-free plastic and should be smooth and comfortable for you to wear. The typical length of time that a person wears each retainer is approximately two weeks. This means that every so often you will need to schedule an appointment to have your progress evaluated.

In order to have the retainers work effectively, and for you to spend the least amount of time going through treatment, you should wear the retainers for at least 22 hours out of every day. The retainers should only be removed when you are eating meals, going through your normal brushing and flossing routine, or cleaning the retainer.

What happens when treatment is finished?

While your teeth have been getting realigned to give you that beautiful straight smile you have always dreamed of, your jaw bone has been changing as well. When your teeth are moved, the bones of the jaw can become softer around the newly positioned teeth. This softening can allow your teeth to shift back to their original position if you do not have a plan in place to prevent this from happening. Luckily, over time the jaw bones will harden, and this makes it easier to keep your teeth aligned.

Once your treatment has concluded, it is recommended that you have yet another retained created for you to ensure your teeth stay straight. Because people’s teeth so often revert to the way they were, you should have a retainer designed for you even if you do not think that you will need one. This final retainer does not have to be worn during the daytime hours. For most people, just wearing the new retainer at night while they sleep will be enough to keep their teeth straight.

Make an Appointment Today

In order to have the perfect teeth, it is important to see a local orthodontist. There is none quite as good as Dr. Tisseront. When you visit Dr. Tisseront, you will learn more about their dental services such as what it takes to put in all kinds of braces like Invisalign. That’s why the next time you need Invisalign or any other type of braces placed on your teeth, give us a call.

STEPHAN TISSERONT, DDS MS

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

 

tisseront orthodontics in reston - patient

How Do I Clean My [Invisalign]?

How Do I Clean My Invisalign?

If you’re one of the millions of people who are considering getting Invisalign, you may have some questions. One of them may be about cleaning the aligners. Aligners have a completely different set of rules than regular braces do, and they have a different set of strengths and limitations. The following information will tell you how to clean your Invisalign aligners. It will also give you some information about wearing your aligners and maximizing the benefits that you get from them during your recovery.

Wearing Your Aligners

One of the features that clients cherish most about Invisalign is that they aren’t permanently set like braces are. Braces have many advantages to them, but they don’t’ come off with ease like the aligners do. Aligner patients don’t have to keep their aligners on for a full 24 hours either. The treatment plan only requires them to stay on for 22 hours a day, which leaves ample time for eating, drinking and cleaning one’s teeth. It also leaves time for the person to properly clean the aligners. Taking the time to properly clean the aligners can enhance and improve oral health during the treatment.

How to Clean Your Teeth With Invisalign

Unlike with other forms of alignment treatment, the aligners must come out of the mouth to receive an effective treatment session. It’s best if you clean the aligners at the same time you do all of your extensive daily dental hygiene work. That way, you can cut down the possibility of getting too much bacterial growth in your mouth. To effectively clean your teeth, you’ll need to rinse with water or mouthwash. Swish the liquid around for about 30 seconds and try to get it in between the teeth. Next, take some floss and clean between all of your teeth. Lastly, brush your teeth. You can end your session by using mouthwash again just for freshening purposes. Alternatively, you could do your initial rinse with water and your second rinse with mouthwash.

How to Clean Your Aligners

Aligner cleaning is nothing like the way that you clean metal brackets. All you need to do is take your aligners out of your mouth. When you get them out of your mouth, grab a toothbrush. Put some toothpaste on that toothbrush. Brush every part of your aligner just as you would do with your teeth. When you are done brushing, and you feel as though you have done a satisfactory job, you can rinse the aligners. You may be tempted to use hot water on the aligners, but please don’t. You may cause damage to them if you do it that way. It’s best to use lukewarm water to do the job.


You could opt not to use toothpaste on your aligner as some orthodontist recommendations are against it. If that’s the case, you can just brush your aligners with plain water, and that will help you to keep them in good shape. The point is to at least try to clean them something so that film doesn’t develop on them.

If you want to deep clean your aligners, you can create a solution using vinegar and water and brush them with that. Another thing you can do is use hydrogen peroxide with water and set them in it for a good 30 minutes. Those are some methods that will work for you if you want to keep your aligners super clean. You should clean them once a day and perhaps deep clean them once a week for the two weeks that you will wear them. You’ll be changing your aligners after two weeks of treatment with the previous set. Therefore, you don’t have to be perfect at cleaning them, but you do have to make an effort.

Tips for Maximizing Your Recovery

Cleaning is one part of maximizing your recovery so that you can get your gorgeous smile sooner. You’ll also want to ensure that you wear your aligners for the full 22 hours so that they can do the job that they need to do on your teeth. Additionally, you’ll need to contact the caregiver if you have any issues, problems, questions or concerns about your corrective devices. Communication is the key to making sure that your treatment goes smoothly.

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

 

 

Is It the Best Option for me to Replace Current Braces with [Invisalign]?

Is It the Best Option for me to Replace Current Braces with Invisalign?

Even if you are currently in the process of straightening your teeth with traditional metal braces, you may find yourself wondering if Invisalign is right for you. The opportunity to wear removable clear aligners instead of having metal orthodontic equipment glued to your teeth is definitely appealing, but there are a few things you and your orthodontist will need to consider first.

What Are Your Orthodontic Needs?

Each person’s mouth is different, so each orthodontic patient needs their own unique treatment plan. In some cases, this can require a combination of metal brackets and aligners. If you had a condition that could not be fixed with aligners, you may need to start with metal brackets and then change to aligners later in your treatment plan. Switching to Invisalign aligners is a good idea if your metal orthodontic equipment has fixed severely rotated or angled teeth. Once major problems are solved, you can switch to more appealing and convenient aligners for the rest of your treatment.

Are You Tired of Having to Alter Your Eating Habits?

Traditional brackets and archwires can make it difficult to eat normally. Instead of just biting down on objects, people have to cut them into tiny bites first. Certain objects may need to be completely avoided because they can break wiring. Patients who are desperate to get back to biting down on hamburgers, caramel apples, popcorn, gum, and raw veggies should consider aligners. The ability to remove aligners and eat normally is often a huge timesaver for patients.

How Old Are You?

Keep in mind that your orthodontist may have suggested traditional orthodontic equipment instead of aligners because of your age. Aligners are not a good choice for younger teens who do not have all of their adult teeth yet. They can also be a bad choice for senior patients who have less dense jaw bones. Replacing your current teeth straightening methods with aligners may not be a good idea if your age makes you a poor candidate for aligners. However, some patients find that changing to aligners is a good idea once their jaw and teeth mature enough to make them a good candidate for using aligners.

Do You Care About Your Appearance?

Many people choose to change to aligners because they feel like their self-esteem is suffering. If you feel like you no longer want to smile or laugh because of your metal brackets, switching to aligners is a great idea. The temporary inconvenience of switching is often better than dealing with self-confidence problems for months. Keep in mind that your orthodontic office may be able to temporarily take off your brace for a few days if you have a big event like a wedding coming up. This can be a good alternative to getting aligners if you just wanted aligners for a temporary aesthetic change.

Do Your Braces Keep Breaking?

Due to a combination of unique mouth shape and eating habits, some patients find themselves constantly dealing with broken archwires, loose brackets, or wires that poke the back of their mouth. If you are tired of scheduling emergency orthodontic appointments to deal with these problems, you should consider aligners. Aligners are often far more convenient to deal with because they do not break as easily as traditional orthodontic equipment.

How Far Along Is Your Treatment?

Switching your orthodontic treatment plan during the middle of it can cause some slight delays. Changing to aligners could potentially end up adding weeks or even months to your treatment. Many find that it is not worth their time to switch to aligners with just a month or two left to go on their treatment plan. Therefore, changing to aligners is typically only recommended for patients who still have a while to go. If you hate the thought of having metal equipment in your mouth for months, you might want to consider changing to aligners.

Are You Having Trouble Maintaining Oral Hygiene

Having a lot of metal equipment in your mouth tends to make it trickier to keep up with flossing and brushing your teeth. Flossing between archwires and brushing around brackets may be almost impossible for some people. If you find that your oral hygiene is suffering due to this, it may be a good idea to switch to aligners. With aligners, all you have to do is remove the tray and clean your teeth normally.

Can Your Current Orthodontist Apply Aligners?

Though aligners are becoming more and more common, keep in mind that not all orthodontic offices feel comfortable working with aligners. You will need to talk to your current doctor and see if they fit patients for aligners. If your doctor does not work with aligners, you might need to consider other options.

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