Tuesday, September 18, 2018

Orthodontics and airway

It's hard to imagine that something simple such as straightening teeth can affect the entire body. This 45 year old patient has had two upper premolar teeth removed in preparation for braces in her teens. The removal of the teeth created space and then the orthodontist pulled back her upper teeth to bite with her lower teeth. This "trapped" the jaw into a retruded position and decreased her airway. The decreased airway has led to obstructive sleep apnea and TMD symptoms which have gotten progressively worse. The proper treatment should have been not to extract any teeth and instead allow the jaw to come forward to meet the upper teeth. Braces would then be applied to make sure the bite is correct once the jaw is comfortable at this position.



Saturday, September 8, 2018

Fixing an underbite without surgery

An under bite is difficult to treat with braces or even surgery. However, Dr. Do can correct this problem without the need for invasive treatment. This is usually viewed as a cosmetic problem, and most cosmetic dentists are not trained for this protocol. Dentists that can use braces are usually trained to remove teeth from the lower jaw to fix this problem, but that can lead to another set of complications with your TMJ. We are fortunate at Manoa Dental that Dr. Do is trained in all three disciplines of orthodontic, TMJ, and cosmetic dentistry at one location.

Tuesday, August 28, 2018

Braces for all ages

The common misconception is that braces are only for kids. The reality couldn't be farther from the truth. Braces can solve many bite and cosmetic problems that numerous adults have developed as they got older. Sometimes a second treatment of braces are needed to correct problems, such as TMJ disorder or a bad bite, from the initial treatment. Invisalign is a frequently requested treatment and can fix many of these problems as well. Dr. Do has trained extensively to diagnose and treat many of the disorders.

Friday, August 3, 2018

Correcting Invisalign treatment

Invisalign treatment is a great cosmetic procedure that can correct many types of problems such as crowding of teeth. The procedure also requires some enamel removal on the sides of teeth called inter-proximal reduction (IPR) to gain space in order to alleviate crowding. It's critical when the dentist that performs this procedure is able to maintain the shape of the teeth to achieve a great result. In this case, the dentist performed IPR for Invisalign but removed too much tooth structure during the treatment. The conclusion of the case resulted in straight teeth, but with abnormal shapes, especially between the two front incisors which created a gap. This gap can be corrected with cosmetic dentistry such as bonding or veneers. 

 

Tuesday, July 17, 2018

Clear braces

Orthodontics used to be known for their metal braces that anyone could see when you smiled. Technology and materials have improved to the point where we can say goodbye to the metal and welcome to tooth-colored braces. They are made of ceramic which is similar to tooth-colored crowns. Ceramic braces can be used in nearly all the same cases as metal braces and are much less likely to draw any attention.


Friday, July 13, 2018

Tori

Do you have hard bumps on the tongue side of your teeth? They may be behind the teeth on your lower jaw, or in the center of the roof of your mouth. These are called Tori are are a sign of trauma due to a bad bite. Tori are made of bone and are enlarged growths that help to brace the teeth during traumatic forces. These forces are usually grinding or clenching due to the lower and upper jaws not properly aligned and in harmony with facial muscles.




Thursday, July 5, 2018

Life changing moments

We hope everyone had a wonderful Fourth of July holiday! Holidays and moments in your life when your meet someone for the first time or the one-hundredth time can leave a lasting impact on your life and their memory of you. That's why it's always great to show your best smile. A terrific smile will leave an enduring impression on whoever it may be, whenever it may be. Cosmetic dentistry can create that photogenic smile that you always wanted. It's painless compared to plastic surgery and improves your health as well!