Face Value

In our society and culture, a full smile showing teeth is a sign of trust and friendliness, but many people feel self-conscious about showing off their full set of pearly whites. People value smiles, but how much do you value your own smile? How comfortable are you with your smile? Are you only smiling half way? Are you less confident talking with coworkers, friends, and strangers than you'd like to be? Do other people seem comfortable talking with you and looking you in the face? Do you feel like your teeth have changed over the years and are now less confident with the impression you feel you are making with your smile? All of these are valid questions in a society that values straight teeth and beautiful smiles.

If you are in the market for a job, perhaps you feel like you'd make a better impression in an interview with a healthier smile. If you are negotiating deals, perhaps you'd feel like you'd seem more credible with beautiful teeth.

A lot of people would like to change their smile but many never take action. Often it is because they are afraid of the costs of treatment and dental work or they don't like the idea of having to wear braces. But, they don't realize that there are many options and alternatives available. At Aesthetic Orthodontics, we work with you to come up with a customized treatment plan, and we do whatever we can to make it as affordable as possible.

If you are ready for a change and would like to find out how we can help you create that smile that you have been dreaming of, give us a call for a completely free consultation. Even if you have been told by another doctor that you need surgery or dental work, we may be able to come up with better, more affordable options for you. We provide exceptional care so that you will leave smiling with confidence.

Ice Ice Baby

I have to admit, I take pleasure in crunching ice between my teeth from time to time. As I was crunching on a piece this week at lunch, it spurred the idea for this post. Lots of people chew ice, so I scoured the internet for interesting ice-chewing stories. Turns out, there are forums and sites out there for people that are addicted to chewing ice. I don't mean that they make sure they finish all of the ice in their cups at meals or have ice for a snack. These are people who are full-on addicted to chewing ice. Here are some of their stories:

"For me it is icicles. I normally pass by a car lot where they sell cars. Ice forms on the cars and it then runs down on the side forming icicles. I go there deep in the snow so that I can break off the icicles to eat. Someone might think I am trying to break into the cars. I mean look at the icicles here and see how delicious they look, especially the ones on the roofs I have had to break those too often. Sometimes I cut off a huge chunk and then then it is freezing my hand. Now the winter is going and that makes me sad. Now is back tot the coffee house when the cravings get hold of me and I am outside the house:
http://en.wikipedia.org/wiki/Icicles" - murigo

"I have actually purchased a SCOTSMAN MDT2C12 TOUCHFREE CUBELET ICE MAKER/DISPENSER!! (Found on e-bay, paid $2250 for the thing) This is THEE machine that makes SONIC ice. I swear I have this down to a science . . . . If I take out about a pitcher's worth of ice ( and give it to my plants so I'm not "wasting water") then the machine kicks in and starts making that amazing ice that sticks to your teeth . . the really fresh cool stuff. I will literally chew ice until I am shivering, and sometimes I will go to bed with a front toothache that radiates up past my nose and into my forehead. I've actually wrapped in a heating blanket, chewing ice, as I'm watching tv, using the computer, etc. I chew ice when I'm folding laundry, cleaning the windows, polishing the floor, driving, taking a bath . . . it's out of control I know!!! I have 2 chipped molars due to chewing, but my dentist has never lectured me. I know for a fact that I chew over 10 lbs a day because of the amount the ice machine can produce." - chewininco

"Be it from the supermarket or my house I'll eat it anywhere. Once I actually got in trouble with my mum again cuz she caught scraping the excess ice off of the boxes in the ice cream section in the supermarket. The bus stop close to my house is actually right outside a shop that has the most crunchiest and thickest chunks of ice i have seen but it's so irritating i can only get a few pieces in my mouth before the boss sees me and kicks me out, so i make it worth while." - IcE BaBy

Yes, these stories may be funny, be it funny-strange or funny-ha-ha. But, if you take a look at icechewing.com, you'll find that many of these people have pretty significant dental problems, and in some cases, other serious health concerns.

Chewing ice puts an immense amount of pressure on the teeth. While the dentin in your teeth can be flexible, the enamel is hard. In fact, it's the hardest substance in the human body. Putting that much pressure on the enamel can cause fractures in the enamel. Even microscopic fractures created by chewing ice can develop into bigger fractures and cracks in the teeth. If the ice doesn't cause fractures or cracks, chronic ice chewing will still wear down the enamel faster than what is considered normal, and the potential for cavities will be much greater.

Some people chew ice until their gums bleed. This increases risk for infection, gingivitis, and gum recession. If your gums are bleeding due to your chewing, you need to break the habit and you should make an appointment for a dental exam.

Ice chewing is big no-no for braces patients. Aside from potentially damaging teeth, chewing ice can cause brackets to break or come loose, wires to bend inappropriately or come loose and poke patients.

Not only can chewing ice have an impact on your dental health, but it may also be a sign of other health conditions including iron-deficiency anemia, nutritional problems, stress, obsessive-compulsive disorder, and in some younger patients, developmental disorders. Doctors use the term "pica" to describe craving and chewing substances with no nutritional value. If you do experience a need to chew ice or other substances, it might be worth a visit to a doctor just to make sure you are mentally and physically healthy.

If you chew ice chronically, it's in your best interest to break the habit. You might try ordering your drinks with no ice, or drinking only from a straw. If it's the crunch you like, try carrots or celery sticks. The cold rush of that icy crunch isn't worth the cold panic you'll feel when you crack a tooth.

Is there something in my teeth?

Tooth decay is the one of the most common diseases in children and adults. Maintaining good oral hygiene during orthodontic treatment is of the utmost importance. It is more difficult to brush and floss around braces, but patients without good oral hygiene during orthodontic treatment put themselves at greater risk of plaque developing around the braces, potentially causing cavities and permanent staining of the teeth.

I recommend brushing after every meal, and if that can't always be accomplished, at least brushing twice a day - after breakfast and before bed. I always tell my patients to see a dentist every 4-6 months. It is especially important to keep up with dental cleanings and exams during orthodontic treatment to keep the hard-to-reach areas clean and maintain healthy teeth and gums. Some people use a small interproximal brush to clean areas that are too small for a regular toothbrush and too large for dental floss.

Flossing can definitely be tricky during orthodontic treatment, but making it a part of a daily routine is essential because flossing will remove plaque between the teeth. Using waxed floss is better than using unwaxed floss because unwaxed floss can fray on the edges of braces bands or brackets. Oral B makes a great product called Superfloss that has a stiff end making it easy to get the floss behind the archwire, a regular section for between the teeth, and a spongy section for wider spaces. My favorite product, however, is the Waterpik Flosser. This is a battery-powered device with a replaceable rubber tip that vibrates to cleanse away plaque, and massages gums to prevent gingivitis. Follow up brushing and flossing with the Waterpik Oral Irrigator, a device that bursts jets of water between teeth and gums to remove food particles and wash away plaque already dislodged by brushing and flossing. You can purchase the Waterpik Flosser and the Oral Irrigator at Aesthetic Orthodontics.

Remember that bacteria feed on sugar, so keeping a well-balanced, healthy diet will also decrease the risk of developing tooth decay. Patients with healthy teeth and gums will have an easier time with braces, making their treatment more enjoyable. At AO, we are always happy to give instruction on how to brush and floss effectively.

Embracing Your Braces

Crest and Oral B have created a contest called “Life Opens Up” where people submit videos about how their mouth has helped them open up to the world, and how the world has opened up to them in return. Crest and Oral B created several videos to show people the types stories they are looking for, and our patient, Ruby, was selected to shoot one of these videos because of her story about having braces as an adult. I wasn't able to embed her video in this blog, but check it out here.

Ruby has really conquered the fears and apprehensions about having braces as an adult and exudes the kind of contagious self-confidence that draws people in. We joke about braces being magnetic, but in Ruby’s case, hers really are. Ruby not only found her boyfriend during treatment, she embraced her social life and increased her self-confidence. Since the video was made, Ruby has gotten her braces off and loves her new smile. She is a great example of how patients can make the most of their orthodontic treatment.

If you are worried about having braces, try to take Ruby’s advice: Put yourself out there! Post a couple of pictures of you with your braces. Remember that you are only temporarily in treatment. Thousands of people have braces, and the people who truly care about you will be supportive of your treatment. Braces are becoming trendy as more and more adults are choosing to start orthodontic treatment. Focus on the changes that you see as your treatment progresses, and look forward to the end result. Enjoy your braces while they last and always embrace your smile.

Making Smiles Affordable

Waiting for Guffman has been showing on cable lately, and when I saw this clip, it really got me wondering what goes through my patients' heads when we discuss treatment plans. Choosing to have orthodontic treatment yourself or to provide it for a child is a financial commitment, and in this economy, people are being more selective with expenditures. I truly believe that everyone deserves to have the smile of their dreams, and because of that, we offer fair prices and a number of different payment options to make it easier on my patients and their families.

In addition to honoring several insurance policies and working with our Medi-Cal patients, at Aesthetic Orthodontics, we provide different financing opportunities including a no-interest in-house program. My team and I do everything we can to create a comfortable financial situation for our patients so that we can then do what we do best – give them a perfect smile!

Every once in awhile, I get into a situation where I feel like Corky. Someone comes in desiring orthodontic treatment. An evaluation is made, a number is thrown out, and the patient is unprepared for the overall cost of treatment. Of course, Corky was being completely unreasonable, whereas I propose a price that fits under the bell curve. It isn’t typical when a patient looks at me like I’m an alien, but it can happen because of a few reasons. Either the patient didn’t do any research and imagined that orthodontic treatment would be priced differently, the number was expected but isn’t one that the patient feels financially secure enough to pay, or the patient had self-assessed the issue to be one that is more easily resolved than the exam would then reveal to me. By the end of the conversation, we’ve both explained our positions and come to an agreement on the most comfortable treatment program.

Discussing money and payment is not easy for anyone, but even in an economic downturn, we strive to make orthodontic treatment attainable by creating a financial plan within your means and by offering a large selection of braces products and appliances. If you are considering treatment for yourself or your family, give us a call, schedule a consultation, and at least find out what your options are. I think you’ll be pleasantly surprised at the opportunities available to you.

Hermione's Magical Teeth

This week will mark the beginning of the end of an era as the world sits in anticipation for the release of Harry Potter and the Deathly Hallows Part 2. I must warn you that I have never read the Harry Potter books, but my patients, especially my younger ones, have been counting down the days until July 15th - the movie's scheduled release - for months.

To pay homage to the successful series and world trend, the topic of this post will be one of everyone's favorite characters, Hermione Granger. Actually, Hermione Granger's teeth. For those of you who haven't read the Harry Potter series, Hermione Granger is the daughter of two muggles (people who are not witches), who were very accepting of their daughter's identity as a witch. Mr. and Mrs. Granger were both dentists who worked along side each other at their Australian practice. Hermione was extremely clever, always at the top of the class; she was that girl in school that always raised her hand for everything and read the entire book before the class got through the first chapter.

Hermione was also given the gift of unusually large front teeth and a crooked smile.

So, just how did Hermione manage to straighten her teeth? Fortunately for Hermione, she lives in a magical world. In Harry Potter and the Goblet of Fire, Hermione's classmate Malfoy put a spell on her, giving her large fangs.

"Hermione" Ron said, looking sideways at her, suddenly frowning, "Your teeth..."
"What about them?" she said.
"Well, they're different... I've just noticed...."
"Of course they are-- did you expect me to keep those fangs Malfoy gave me?"
"No, I mean, they're different to how they were before he put that hex on you.... They're all... straight and-- and normal-sized."
Hermione suddenly smiled very mischievously, and Harry noticed it too: It was a very different smile from the one he remembered.
"Well... when I went up to Madam Pomfrey to get them shrunk, she held up a mirror and told me to stop her when they were back to how they normally were," she said. "And I just... let her carry on a bit," she smiled even more widely. Mum and Dad won't be too pleased. I've been trying to persuade them to let me shrink them for ages, but they wanted me to carry on with my braces. You know, they're dentists, they just don't think teeth and magic should-- look! Pigwidgeon's back!"

In the real world, Hermione's parents would have been right. Teeth and magic just don't mix for the majority of us muggles. Actress Emma Watson, who plays Hermione, ended up having conventional orthodontic treatment to straighten her pearly whites. Emma Watson is all grown up now, and with or without sorcery, it seems her braces have magically disappeared.

To all you Harry Potter fans, all of us at Aesthetic Orthodontics hope you enjoy the bittersweet ending to magical world of Harry Potter. Wear your Gryffindor scarves proudly and immerse yourself in the final battle where Harry, Ron, Hermione, and their allies defend Hogwarts and the magical world civilization against the Dark Lord.

And, if, perchance, your enemy happens to cast a spell on you and you grow fangs or your teeth suddenly get crooked, give us a call. We may not have magical powers, but we surely can help.

Orthodontic Art Gallery

Have you had a chance to visit Aesthetic Orthodontics' Los Angeles office? If you have not, then you are missing out on one of the largest collections of orthodontic art in the country. I know that the idea of having a dental and orthodontic art collection may sound a little loony, but the greatest thing is...it is! Most of the pieces are Looney Tunes
themed and they keep our office fun and lively. Your favorite characters are on display acting as orthodontists, adorning braces, wearing head gear, and even experimenting with rubberbands. When you are in for your next appointment or just driving by the office, come on in and view our impressive art gallery. We'd love to show you around!