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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 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.

orthodontics in Reston, Va

Does Wearing Braces Affect Lactating [Mothers]?

mothers

Does Wearing Braces Affect Lactating Mothers?

If you’re a lactating mother and would like to have your teeth straightened in the near future, you may be wondering about whether or not there are any adverse affects associated with wearing braces when breastfeeding your child. As you know, you need to be extra careful with every food and chemical you put into your body when breastfeeding, as the overall health of the baby is largely dependent on how good or otherwise your health is. Although the optimal way to learn about the effects of wearing teeth straightening appliances is to discuss this issue with your orthodontist, the following should clear up some of the worries you might have regarding your decision.

Why Breastfeeding is Important

In the months after giving birth, breastfeeding is essential to the overall health of the baby, as the milk contains all of the nutrients that a baby will need during their first six months as well as substances that assist in fighting the development of diseases. When a baby is breastfed, they are able to learn how to eat properly by eating until they are completely full, which helps to ensure that the child does not develop eating disorders later on.

When you nurse your baby, they will be less likely to develop a range of complications throughout their lives, from meningitis to standard infections. Babies who are breastfed are also believed to have a range of advantages when it comes to their intellectual levels, as I.Q. scores are typically higher among babies who are breastfed in comparison to ones who are fed by the bottle. While there are many other factors that play into the health of your child, breastfeeding can only help. When you want your child to be as healthy as they can be, breastfeeding is a wonderful option that will promote both the physical and mental health of the baby in question.

Benefits of Breastfeeding for the Mother

Although the primary benefits of breastfeeding apply to the baby, the mother also receives a variety of benefits, the primary of which is that mothers who go the route of breastfeeding are much less likely to experience postpartum depression. You should also be aware of the fact that breastfeeding is known to release a hormone that’s referred to as oxytocin, which helps with relaxation, something that every mother needs when dealing with the stress that comes with caring for a baby. Although there have yet to be any conclusive studies, breastfeeding is believed by scientists to reduce the risk of cancer in the mother. These are just a few of the many health benefits provided to you in the event that you decide to breastfeed your baby.

Does Wearing Braces Affect Lactating Mothers?

As a new mother, you’ve likely heard that you will need to avoid any food, drinks, or even medical produces that could adversely affect the baby when they are being breastfed. The belief that braces or Invisalign could negatively affect the baby is a commonly held one, but there’s no merit to it, as teeth straightening appliances such as Invisalign and other options are 100 percent safe to wear when lactating, as they don’t contain any substances or chemicals that could be harmful to the quality of the milk.


Some lactating mothers worry about the possibility of needing to take medications or anesthesia when having their teeth straightened, but it’s important to understand that the small amount of pain that you will go through when straightening your teeth is natural and does not require the usage of any additional medications. Once the wires and brackets have been placed around your teeth, you will likely experience some discomfort, but this lingering pain will dissipate over time. Depending on the type of teeth straightening appliance that you’re wearing, it’s possible that they will need to be tightened on occasion, which is another instance in which pain will occur. However, this pain is minimal and will usually go away within 24 hours.

If you’re experiencing more pain than you are comfortable with, visit your orthodontist immediately and they will be able to provide you with a soothing ointment that’s entirely safe and does not include any chemicals that would affect the milk. In order to avoid the pain that can come with metal brackets, you may want to consider the usage of Invisalign, as the plastic aligners will fit easily around your teeth and are simple to manage. Although there’s absolutely no reason to be worried about the health of your child when you’re wearing some type of teeth straightening application, the best way to ensure that you’re completely confident before having the procedure done is by asking these questions to a professional orthodontist, as they will be able to look at your entire medical history and answer any questions that you may have.

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.

 

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