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Posts for: January, 2014

CaughtEarlyCross-BitescanbeCorrectedWithPalatalExpanders

There’s more to orthodontics than simply moving teeth. Especially with children and adolescents, we also want to guide the development of the entire facial structure to solve certain types of malocclusions (poor bites).

One such concern involves the upper jaw and palate (roof of the mouth), known collectively as the maxilla. In some individuals, the maxilla is narrower than normal. This causes the upper teeth to fit abnormally inside the lower teeth when occluding or “biting down” and is known as a cross-bite. A cross-bite may restrict the amount of space for your teeth to erupt (appear in the mouth) in proper alignment. It can be so severe the individual may have to shift the jaw to one side to completely bite down.

If a cross-bite is caught early, there’s a non-surgical treatment to widen the maxilla and help prevent upper teeth misalignment. But there’s a limited time window of opportunity: this is because the maxilla is actually formed by two bones with a seam that runs down the middle of the palate. The two bones will eventually fuse, usually at the beginning of puberty; until then there’s a slight separation.

Before the bones fuse, we can use a palatal expander to widen this seam and encourage permanent bone growth in the resulting gap. The expander is made of two metal halves joined in the middle by a small screw device that fits between the teeth. You or your child turns the screw a very small amount once or twice a day with a special key and the action pushes the maxilla outward on either side: the slight tension created stimulates bone growth. Over time, the new bone will have added width to the maxilla and eliminated the cross-bite.

While it’s possible to correct this after the maxilla fuses, it will require surgery to separate the bones. The palatal expander helps us correct the problem in the most non-invasive way possible, but it must be done before puberty. Discovering this type of malocclusion early is one of many reasons why regular dental visits should be an important part of your child’s healthcare.

If you would like more information on palatal extenders, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Palatal Expanders.”


By Nashua Smile Makers
January 15, 2014
Category: Oral Health
Tags: celebrity smiles  
HowiTheBiggestLoseriStarJillianMichaelsKeepsHerWinningSmile

Anyone who has seen fitness and life coach Jillian Michaels on The Biggest Loser and Losing It with Jillian knows she has the expertise and determination to help overweight people reach new levels of fitness and health. Using her own difficult life experiences, Jillian is able to help others look below the surface to the roots of their own unhealthy lifestyles. As a child, she suffered from night terrors, then her parents divorced when she was 12. She reacted to her anger and unhappiness by comforting herself with food. By age 17 she weighed 175 pounds — too much weight for her small 5'2" frame. To get Jillian involved in physical activity, her mother signed her up for a martial arts class. It was the right choice. Jillian loved the physical and spiritual aspects of martial arts practice, and this training pointed the way to what ultimately became her career.

It's no wonder Jillian is concerned about America's obesity problem — especially in children. To counter it, she and a business partner put together a Wii game, “Jillian Michaels' Fitness Ultimatum.” “If you turn exercise into a game, it's much easier to get kids to join in,” she says.

For adults, Jillian is concerned with unhealthy body images put forward by the fashion industry and media. She says, “Educating women on the importance of a healthy diet and exercise program is essential, but getting them to realize that women are supposed to have curves is equally important.” She is working on a new book, which is designed to help people live a healthy lifestyle, realize their true potential, and find happiness in just being themselves.

Since good health also includes good oral health, here's a sampling of what Jillian discussed about healthy habits in her interview with Dear Doctor magazine.

How can parents encourage their children to have healthy habits? Jillian says it starts with parents setting a good example. Parents can persuade children to get exercise by going outside to play with them. Gardening together and serving kids home-grown vegetables is a good way to encourage healthy eating.

What is her dental care routine? Jillian brushes her teeth two or three times a day with an electric toothbrush and she flosses daily. She never leaves home without toothpaste, an electric travel toothbrush, and floss as well as some sort of lip gloss. She sees her dentist, whom she calls “amazing,” at least twice a year for cleanings.

How does she guard against damage from martial arts? Jillian broke her two front teeth as a child and had them repaired with crowns. Now she wears a mouthguard when doing vigorous exercise.

What other cosmetic dental procedures has she had? She also had braces and has had her teeth whitened.

Jillian knows that it takes hard work and commitment to health and exercise, along with good oral health habits, to look and feel your best. You can learn more about Jillian by reading the entire interview in the article “Jillian Michaels: The Biggest Loser's health and wellness expert talks about her oral health, keeping fit and plans for the future.” Contact us today to discuss your questions about tooth whitening, crowns, or mouthguards or to schedule an appointment.