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CHOICE

The Invisible Braces Race (THE CHOICES LIST)

The invisible braces race. The quest for the perfect set of teeth used to require a person to spend many weeks struggling with the appearance of a mouth full of metal. Now, however, that is no longer the case, and new methods to straighten teeth are constantly being created that have only minimal impacts upon your lifestyle and looks. While clear plastic aligner trays often take center stage, our patients are excited to discover that there are tons of other options out there. Ones that can be used to straighten and align teeth no matter how crooked they are at the beginning of the treatment.

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Justin Bieber and Celebs Use Invisalign (READ WHY)

When you look at a celebrity like Justin Bieber, it’s easy to think that they have always had a perfect smile. However, celebrities often struggle with the same types of oral health issues as everyone else. Even pop stars are not immune to problems such as crooked or misaligned teeth. In fact, many celebrities such as Bieber begin their career in childhood. Which means that they were performing in front of audiences during the prime time when people are more likely to wear orthodontic appliances.

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What are Lingual Braces? (FACTS)

What are Lingual braces? If you are considering different treatment options to help you achieve the smile you always wanted, then you must have heard about lingual-braces. But what are these lingual braces? What are their pros and cons? We are going to look at this treatment option and its facts to help you make a well-informed decision.

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White Spots on Teeth (THE ANSWERS)

A bright, white smile with straight teeth is the goal when patients choose to use orthodontic braces to correct the alignment of their smile. But sometimes parts of the surface of a patient’s tooth become too white. Showing small white spots or patches, you may be experiencing what is known as white spot lesions (WSL). And your orthodontist may want you to take additional steps to prevent the spread of further white spots to the surfaces of your exposed teeth.

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How to [Clean Invisalign]

invisalign

LAST UPDATED: JUNE 28, 2018

How 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.

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Three Reasons You Haven’t Gotten Your Braces Off

orthodontistThree Reasons You Haven’t Gotten Your Braces Off

After having worn braces for awhile or a time period that feels like awhile to you, you might start to wonder when you can have the structured removed. Similarly, your kids may regularly ask about the end date of the treatment if they are the ones wearing the braces. While you must speak with your orthodontist to find out why you still have to wear the braces, you can consider some of the following reasons before the appointment date.

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Why does the orthodontist recommend removing teeth?

orthodontistWhy does the orthodontist recommend removing teeth?

Most people associate the orthodontist with a professional who aligns and straightens teeth. The idea of removing teeth during orthodontia treatment doesn’t seem to match with the specialty. However, there are numerous instances when your Reston, VA, orthodontist might suggest a removal. Take a close look at the reasons that prompt a tooth-removal procedure. It’s entirely normal and common among most orthodontia patients.

Baby Teeth Hanging On

Parents are so thrilled to see their children’s baby teeth come in. They might also dread the day that they fall out. This sign of maturity usually occurs around age five or six. Baby teeth, however, don’t always fall out on a regular schedule. There are often times when a few teeth just hold on for many months.

If you know that orthodontia treatment will be necessary for the child, pulling the remaining baby teeth is an option. This choice is beneficial in a number ways, such as:

  • Soft baby-teeth roots
  • Only a handful of teeth to remove
  • Opens up space for permanent teeth to erupt

When baby teeth remain in place, they hinder normal growth and possibly derail future, orthodontia-treatment success.

Crowding Along the Jaw

As permanent teeth work their way into place, they might be incredibly large in comparison to a child’s jaw. The child simply needs to grow into his or her teeth. As an adult, the teeth will look normal with the mature face.


Orthodontists may opt to remove teeth when the child is about to receive braces, however. Although the brackets and wires are designed to align the teeth, too many teeth on a small jawbone will look crowded. The alignment may not ever be achieved.

Doctors will pick the best teeth to remove as they ease the crowding scenario. In the end, the procedure improves the smile.

Considering Expanders

Many orthodontia professionals turn to expanders as a way to reduce the number of teeth being pulled for crowding. Children are perfect candidates for expanders. Their jaws and mouth palates are still developing.

Professionals place expander or metal appliances in the mouth. Over time, the appliance enlarges the palate and jaw so that they can accompany more teeth. Parents who opt for this treatment will be active participants with these required tasks at home, such as:

  • Turning the expander screw to a certain position each day or week
  • Helping the child with oral hygiene so that the expander can do its work

Expanders may help with spacing, but some tooth-removal processes might still be required. Every case will be unique to the person’s physiology.

The Protrusion Factor

There are many other factors that orthodontists must consider before they apply traditional appliances or opt for Invisalign. The angle that the teeth protrude from the jawline is a consideration. With teeth that stick out, the lips follow suit. The entire face has an unusual shape.

Doctors suggest teeth removal in this instance because the extra space gives the protruding teeth a place to retreat. Through orthodontia treatment, the teeth can now hang in a vertical position that’s more attractive. The lips respond in kind, which improves the patient’s overall appearance.

Tooth Impactions

Your child’s baby teeth may be falling out at a regular pace, but one or more permanent teeth aren’t dropping down. In fact, the child might have an impacted tooth. Unless the tooth can be surgically pulled down by the proper experts, most professionals will suggest removal.

The impacted tooth might be at an usual angle, causing pain and impeding other teeth from moving downward. Parents should approach this removal option as a good idea for the long term. The child will have fewer teeth along the jawline to straighten. Crowding won’t be an issue. If there’s any pain, the child will feel much more comfortable with the tooth removed.

Bite Corrections

The majority of patients have some sort of misaligned bite. These issues include:

  • Underbites
  • Crossbites
  • Overbites

Brackets, wires and rubber bands might fit a few bite issues, but others persist. In the past, orthodontists had no choice but to recommend outright surgery. There’s a better choice today, however.

By removing strategic teeth, the professionals can create the appearance of a normal bite. There’s no need to put the patient through a surgery when extractions make a big difference. After the procedure, everyday treatments can proceed. Patients might choose Invisalign over other options in order to further improve the smile.

Wisdom Teeth Frustrations

As your child grows into a teenager, the orthodontia treatment may be nearing an end. However, the wisdom teeth tend to grow in at this age. These molars aren’t always welcome because they further crowd the teeth that may be relatively straight at this point.

Allowing the wisdom teeth to erupt in the mouth can lead to these issues, such as:

  • Straightened teeth twisting in place
  • Headaches
  • Painful chewing

Most orthodontists will suggest wisdom-teeth removal as soon as they erupt into the gums. The procedure is commonplace and requires a short recovery. Because teenagers are still young by physiological standards, they should heal with no residual side effects.

 

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

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What Are the Discomforts Associated with Invisalign?

invisalign

LAST UPDATED: MAY 29, 2018

What Are the Discomforts Associated with Invisalign?

In the past, orthodontic patients were limited to metal braces that required mounting and constant adjustments throughout their use. The metal often rubbed against checks and lips, which caused frustrating issues among teenage and adult patients. Today’s orthodontic world consists of another tooth-alignment choice called Invisalign. This teeth-straightening tool is basically a customized, plastic insert that performs the same work as traditional, metal braces. With its invisible appearance, the Invisalign products are quickly becoming favorites among patients of every age. However, it’s still important to understand the details surrounding the use of these orthodontic tools, including the inherent discomforts.

FAQ

What are Temporary Speech Issues?

When your orthodontist orders these devices for your mouth, they’ll cover both the upper and lower teeth. Depending on the treatment type, the devices will normally extend onto the palate as well. When you first wear these straightening tools, your mouth naturally feels like it’s full. At first, speaking will sound and feel different. You may even notice slurred speech or a lisp. Patients may be concerned about this issue, but it will pass. You simply need to practice speaking at home so that you can have experience with the device in your mouth. Over time, the speech issue will smooth out so that you sound normal once again.

Is There Pain When I First Start Wearing Aligners?

There will be times when you pull the device in and out of your mouth. Traditional braces don’t offer this luxury, and many patients appreciate the short break from the aligners in the first place. However, there may be some discomfort when the aligners are being pulled or positioned in the mouth. This discomfort will also pass because the mouth and teeth are being moved into position as the aligner is added to the oral cavity. The teeth and gums are relatively malleable so the discomfort is only a notification that the aligner is performing its job.

Will I Feel Any Pressure With Braces?

After inserting the aligner into your mouth, you might have noticeable pressure across the entire oral cavity. Patients should still view this discomfort as a sign that teeth are moving properly into position. Orthodontic treatments depend on controlled pressure to move everything into alignment over time. Ideally, schedule an initial appointment late in the day to have the aligner installed. With bedtime soon afterward, you won’t notice the pressure as you sleep. In the morning, many hours will have passed so that your mouth feels less irritated compared to its initial encounter with the device.

Will the Aligners Irritate My Gums?

Your gums, cheeks and palate may be irritated by the device’s edges. In many cases, this irritation will pass as the teeth are moved into the proper positions. If the pain persists, however, you can work with your orthodontic professional in order to fix the issue. The device’s edges may need to be trimmed or altered. It’s important for the professional to look at the aligner so that its function isn’t compromised by improper trimming or cuts to the edges. With careful adjustments and consultations with your doctor, the aligner should feel comfortable for most of the time.

Will I Have Eating and Drinking Problems With Invisalign?

Patients may try to eat or drink with their aligners installed, but most professionals will suggest removal instead. Hard, food items can easily crack or warp the devices so it’s a smart idea to simply remove them during meals. If your doctor insists on keeping the aligners in, focus on soft foods for the majority of the day. Yogurt, soup and other foods will simply slide past the aligners. Keep the devices in their respective containers so that they aren’t misplaced otherwise.

Will Invisalign Irritate My Tongue?

You never realize how much your tongue moves until it becomes irritated. It’s possible for the base or tip of the tongue to feel a burning sensation. This discomfort is normally isolated to the first few days of wearing the device. Tell your doctor about the discomfort so that he or she can verify the location of any device malfunctions. In most cases, the tongue simply needs to acclimate to the new item in the mouth. The discomfort will slowly fade away.

What Are The Keys to Reducing Discomforts?

There is a secret weapon to fighting off aligner discomfort. The answer is simply to wear the aligner as often as possible. When you wear it, the teeth move into position and remain fixed in place. Removing the device outright will only prolong the treatment and make it more painful as a result. If you plan on playing sports, protect your mouth and aligner from any impacts. Warping the device will also increase discomfort over time.

When Should I Communicate With My Orthodontist?

Every patient will have a slightly different appointment schedule. In many cases, a monthly visit will be suggested so that the aligner and straightening process can be watched at close range. Use these appointments to speak to your doctor about any concerns. Discomfort should be temporary in most cases. Medical professionals might suggest over-the-counter pain medications to manage those temporary bouts with pain. Your doctor will keep you updated about time frames and when the aligners are finished with their work. When you wear them as instructed, the treatment program can be as short as possible.

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

I Want a Perfect Smile When My Braces Come Off!

beautiful smileI Want a Perfect Smile When My Braces Come Off!

Not everyone is born with perfect teeth. While some issues are apparent from an early age in life, others may not discover significant dental problems until they approach adolescence. A growing number of middle-aged and older people have been aware of dental deficiencies for decades, but only in their senior years had the inclination and could afford to pay for corrective procedures. When opportunity knocks, many people are rushing to take advantage of the newest orthodontic technology that can be transformational to a person’s life. Here is an overview of the services a skilled orthodontist can provide.

Straighten crooked teeth.

Adult teeth can become tipped or crooked for a number of reasons. Sports participation, a vehicular accident, or an injury such as a fall can chip, tip, or twist teeth out of their normal position so that they are uncomfortable and sometimes unsightly. Not only do these teeth have difficulty performing their intended speaking and chewing functions, but they also tend to weaken over time and may fall out sooner than later. In turn, this puts pressure on remaining teeth, causing a chain reaction or domino effect that can be extensive and costly. Consulting with an orthodontic specialist to develop a treatment plan and being fitted with braces can dramatically improve the position of teeth that are not where they should be.

Fill dental gaps.

In addition to realigning teeth that have gotten out of place, orthodontic work can shift remaining teeth to fill any dental gaps in a person’s mouth. For example, someone who has had a couple of teeth pulled may be able to get treatment that will move the other teeth into positive that fills the empty place left by the missing teeth. This is not only beneficial to oral health, but also a boost to self-confidence. Someone who has smiled hesitantly due to preexisting gaps between teeth can now relax following effective treatment and smile fully without becoming self-conscious at the thought of others noticing missing teeth.

Adjust upper or lower bite.

People who still have all their adult teeth may experience a different condition in need of correction. An overbite or an underbite is often considered to be unsightly as well as impacting the way a person eats, and sometimes the way he or she speaks. It depends on the severity of the condition and the person’s ability to adjust to it. A palatal expander may be used, which is also known as a rapid maxillary expansion device or a Hyrax, among other terms, to expand the upper palate inside the mouth. The device is custom designed for an individual based on molds developed for this purpose. The lower jaw can be wired to help correct an Underbite issue. Other jaw-related conditions, such as TMJ, may also be eligible for correction using wires and brackets.

Move crowded or unneeded teeth.

Teeth that have crowded together may need to be separated. In some cases, a basic extraction can be performed by an oral surgeon to remove unwanted or unneeded teeth, especially wisdom teeth. However, if the teeth are needed, they can often be separated by braces to enhance a uniform appearance. Fortunately, metal brackets and wires come in a variety of colors, including neon shades, that appeal to youth. However, those who prefer to hide their treatment in progress can ask about using Invisalign, which makes braces difficult to notice, as an option. The orthodontist can discuss this option and others when various treatment plans are explained.

Flexible payments.

While some insurance plans do not cover the full cost of orthodontic treatment, many pay at least part of the expenses associated with evaluation, x-rays, and the entire scope of treatment, which can last a year or two. The portion of the fee to be paid by the patient can be charged to a credit card or set up in monthly payments, sometimes without interest. Payments can be deducted by automatic withdrawal each month, for added convenience. Some patients view orthodontic treatment as a gift to themselves and apply cash gifts from holidays and birthdays toward the treatment fee. Many, if not most, claim that the cost is well worth the successful outcome of a beautiful new smile and perfectly functional teeth.

It’s hard to put a price tag on a lovely smile, since it is one of the first things we notice about others, and it creates a beautiful memory in photos and videos. Smiles make both giver and receiver feel better, and smiling – even when alone – has been shown to improve a person’s health and elevate their mood.

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

When Do I Get My Braces Off?

braces wiresWhen Do I Get My Braces Off?

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

The complexity of the Original Issue

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

Additional Issues That Arise

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

Make Sure to Follow Instructions

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

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

Your Teeth and Treatment

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

Here are a few considerations before treatment can end:

Are your teeth straight enough?

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

Are the gaps closed well enough?

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

Is the bite aligned as it should be?

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

Preparing for Special Events

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

Schedule an Appointment with Tisseront Orthodontics

At Tisseront Orthodontics in Reston, Va., you can receive a free consultation with Dr. Stephan Tisseront to learn more about your orthodontic options. Our orthodontist takes care of children, teenagers and adults at our top-of-the-line office, and he offers these treatments:

• Lingual braces – worn on the backs of teeth
• Invisalign – aligners for teenagers or adults
• Ceramic orthodontia – made with clear wires and color-matching brackets

It is also possible to reduce your orthodontic treatment time by using a small device from AcceleDent Aura that helps to accelerate the movement of your teeth into the correct positions.

Call us today at 703-773-1200 to schedule an examination with Dr. Tisseront in our state-of-the-art orthodontic facility.

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

Phone: (703)773-1200