Orthodontic Treatment for Invisalign

Invisalign Apex, NC

Many patients come to an orthodontist who are out of their teens and into their 20s, 30s, or 40s. They would like to realign their teeth, but don’t want to wear braces. What is explained is that social ideas or judgments should never impede your decision to want a better smile. However, we understand that there may be reservations in getting braces. In this case, we may recommend Invisalign or another form of clear retainer. These are similar to braces in that they can realign your teeth, but they are clear and not visible.

Invisalign is not suitable for everyone and has its limitations. If you would like to know more about Invisalign or whether or not you are a candidate for the treatment, please consult an orthodontist.

The Limitations of Invisalign

Invisalign is not the same as metal braces; nor does it have the same force. Therefore, if you require complex orthodontic treatment or a significant movement of teeth, metal braces will likely be recommended. If the following apply to you, Invisalign might not be a good idea.

The Shape of Your Tooth – Some people will have teeth that are in such a shape that they do not fit properly in the aligner. Short, rounded, pegged, or severely tipped teeth are generally not ideal because they won’t help the aligner to get a good grip on the teeth.

The Position of Your Tooth – An overcrowded mouth can lead to tooth rotation. If the rotation is more than 20 degrees in the molar area, the Invisalign aligner will be unable to move them into the right position. In incisors, canines, or premolars the degree amount can be more. Furthermore, if a tooth is tilted back or forward more than 45 degrees, metal braces will be better.

Gaps In the Teeth – If you have one or two gaps in the teeth, Invisalign may be able to close them; however, they cannot do so in teeth that are more than 2-6mm per arch.

Intrusion and Extrusion

Braces are able to move the teeth into a position so that all teeth are the same height. Invisalign can only do this in a limited way. Usually, this is around the front area of the teeth and not in the back.

Midline Movements

If the line down the middle of your face does not match, it could mean that your jaw is misaligned. It is possible for Invisalign to correct this discrepancy, but only by 2 mm to the left or the right. If you would like anything larger, braces will be required.

Previous Dental Treatment

It is possible that previous dental work could exclude you from being able to use Invisalign. For instance, if you have a dental bridge, veneers, or crowns, you may not be a candidate.

Do You Wish to Straighten Your Teeth with Invisalign?

As technology changes, so too do orthodontic treatment options. The limitations of using Invisalign are constantly changing. If you were previously told you are not a candidate, you might be now. Please call an orthodontist to learn more about Invisalign or alternative options.


Wikipedia, Dental Care

Alliance Dentistry, Invisalign Apex, NC

Dental Trauma/Accidents: Tips for Success

dental injuriesDental Trauma hits home, because I am an orthodontist that suffered a serious accident as a child during my routine bus ride to school.  It created a career passion and something that I am considered to be an expert in my profession, based on my specialized training to manage accidents.

Dental Injuries – Epidemiology

  • An average of 22,000 accidents occur annually among children, less than 18 years of age
  • Over 80% of all dental injuries involve the upper teeth
  • 30% of Pre-school age children have a dental injury of some kind
  • The most common sports injuries are in baseball, basketball,  fights, vehicular & women’s volleyball reporting high numbers
  • Children with primary teeth, less than 7 years of age, sustained over half of the injuries in activities associated with home furniture
  • Outdoor recreational products and activities with related dental injuries are among children ages 7-12 years of age (ie. trampolines)


Trauma (Tooth CPR) Immediate Response

A Quick 5 Step Guide to help you determine what to do:

  1. If there are any concerns for medical attention- Always seek first by calling 911 or visiting your closest trauma center/emergency facility. Never dismiss a head injury, even if there is blood involved.
  2. Partially Avulsed teeth/fractured teeth- call your orthodontist or dentist immediately.  If the trauma involves the loss of tooth -determine if it is a baby tooth or permanent. Baby teeth should never be reimplanted, but consult immediately with your general dentist or call your orthodontist that specializes in trauma.  If a tooth cannot be located, mandate a chest x-ray to rule out aspiration(inhaling tooth) at your local ER center.
  3. The key factor to dental trauma success is minimizing the amount of time that the permanent tooth is outside of the mouth(avulsion). Success rate is directly related to re-implantation within 5-30 minutes.  Rule of thumb- 1% of successful reimplantation lost for every 1 minute out of socket (dry). NEVER dry /clean tooth or clean(even if dirty). Immediately submerge tooth in any isotonic solution which could include: milk, contact solution,  or breast milk, or room temperature water(poorer result) to name a few. Storage of tooth in a liquid medium will buy you time. Regular milk has been seen in cases to be almost as good as an immediate re- implantation. Do not handle root surface- only touch clinical crown if possible.  If tooth is outside of mouth, call your oral surgeon or periodontist for reimplantation.
  4. If tooth is partially avulsed(not out of mouth) -Call your dental specialist and inquire if they technology to take a 3D radiographs orCBCT(Cone Beam) to determine if tooth is fractured and if splinting is necessary.  Splinting is stabilizing the tooth for 2-3 week period with a semi-rigid medium/wire. Orthodontic braces count as stabilization, if seen by a trained specialist in the recommended time above. There are a high number of false negatives reported with traditional dental x-rays
  5. Root resorption(deterioration) is directly associated with the amount of time the tooth is outside of the mouth or untreated(storage medium dependent) For example:  Shorter time = Better Prognosis. Root resorption should be monitored by your dental specialist. NO activities are suggested during splinting of teeth.

Tips for success:

  • A mouthguard must be worn immediately following injury
  • Root Canal Therapy is a high possibility and your dental specialist should guide you when to seek a consult.  The endodontist will traditional follow guidelines/protocols associates with the AAE(American Association of Endodontists)
  • Remember that a hopeless tooth is not a Worthless tooth, because children typically cannot have dental implants placed until after the cessation of the individual’s craniofacial growth around the age of 19-22
  • Locate a Board Certified Specialist by researching online


Thanks to Dr. Joseph K. Vargo, a Board Certified Orthodontic Specialist from Vargo Orthodontics, for his insight into dental injuries.



Chiropractic Care for TMJ

Headache Doctor

Temporomandibular joints or TMJ disorder is a painful jaw condition that affects many people. Pain can affect talking, sleeping or eating and have serious repercussions. TMJ has a variety of causes, and treatment aimed at resolving pain and reducing recurrence is best. TMJ can exacerbate other medical ailments such as a headache and tooth and neck pain. TMJ is similar to another condition known as Upper Cervical Dysfunction, and the two share overlapping symptoms, causes, and treatments.  A chiropractic physician will perform a thorough physical exam and understand your history to diagnose and treat this painful condition accurately.

Jaw pain from TMJ occurs when the temporomandibular joint in the mouth is injured or damaged. Sufferers may experience pain in the head, face, ear, jaw, or mouth. This painful syndrome is caused by arthritis to the temporomandibular joint, tooth or jaw injury, misalignment to the teeth or jaw, tightness in the mouth musculature, and tooth grinding. Stress, poor posture, and gum chewing contribute to TMJ. Pain can be chronic.  Tell your chiropractic physician about any mouth and head pain you have as TMJ is a treatable syndrome that can have serious repercussions if left untreated. Your chiropractic physician will review your health history and palpate muscular areas related to your pain area. Tightness in facial muscles surrounding the mouth or around the neck and upper back are frequently found in both TMJ and Upper Cervical Dysfunction. Additionally, painful joints in the mouth, throat, and head may cause or be caused by the two conditions.

The tightness of the masseter muscle and tenderness of the TMJ joint can be relieved with hands-on techniques designed to mobilize irritated joints and relax and soothe tight muscles. Inflamed vertebral units in the neck and upper back contribute to jaw pain; this region can be adjusted with chiropractic techniques to take stress off these important supportive structures and help the nervous system fully function to heal the area. Stress reduction techniques may be helpful to reduce nighttime tooth grinding. Disposable or prescription mouth guards may assist in the healing process.

Chiropractic care aimed at relieving joint and muscle inflammation, posture and balance will help the dual syndromes of TMJ and Upper Cervical Dysfunction. Call a chiropractor and headache doctor Chapel Hill, NC relies on today to get the care you need.

Thank you to our friends and contributors at Acupractic Natural Healing Center for their insight into chiropractic care and TMJ.

How a chiropractor can help with your TMJ

Family Dentist

Of the many conditions that chiropractors can help with, the jaw does not typically come to mind. Chiropractors are usually associated with helping individuals relieve their back, neck, and even nerve pain. However, did you know that chiropractors could also help you find pain relief for temporomandibular joint and muscle disorders, also referred to as TMJ?

What is TMJ?

According to the National Institute of Health (https://medlineplus.gov/magazine/issues/winter10/articles/winter10pg15a.html), temporomandibular joint and muscle disorders are a group of conditions that affect the muscles controlling jaw movement. The temporomandibular joint connects your jawbone to your skull, acting like a sliding hinge. This allows you to talk, chew, and swallow. The exact cause of a TMJ disorder is difficult to pinpoint for any individual, as there are many factors that can contribute to this condition such as genetics, arthritis, and jaw injury.

The discomforts of TMJ can range from mildly annoying, to completely debilitating. Individuals who have jaw pain also tend to clench and grind their teeth. This may lead to additional dental issues over time. Besides the grinding of teeth, TMJ can cause pain and discomfort both temporarily and chronically. The following are signs and symptoms of TMJ:

  • Pain or tenderness of the jaw
  • Difficulty chewing or pain while chewing
  • Aching pain in the ear, face, jaw, or cheek
  • Clicking, grating, or popping sounds in the jaw when you open and close your mouth
  • Locking of the jaw joint
  • Headaches

Why a chiropractor for TMJ?

As mentioned, there are many factors that can cause TMJ. Meeting with a chiropractor can help explore the potential causes and treat the issue rather than just the symptoms. The most common causes of TMJ include injury, and rheumatoid arthritis. In the case of an injury, a chiropractor can help asses if your body is misaligned, which may be contributing to TMJ. Specialized exercises, as well heat and cold treatments may also be provided to help strengthen the necessary muscles and provide pain relief. For cases where rheumatoid arthritis is the culprit, a chiropractor can help relieve not only the pain associated with your TMJ, but also with your rheumatoid arthritis. This not only aids with your TMJ condition, but also improves overall body health.

If you are experiencing any pains or discomforts associated with TMJ, consider a consult with the chiropractic doctor Shawnee, KS offers. Treatments, advice, and exercises given are specifically designed to help eliminate the underlying cause of the problem and reestablish normal jaw function.

Thank you to our friends and contributors at LifeWorks Integrative Health for their insight into alternative medicine and how a chiropractor can help with TMJ.

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