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When most people think about orthodontics, they imagine teenagers getting their first set, or adults who want to correct their smiles later in life. Rarely does the thought take you to a child who still has some baby teeth in their mouths. With that in mind, it may surprise you to learn that some developmental problems are best treated at any early age, often in two separate phases.

What is Two-Phase orthodontic treatment?

Two phase orthodontic treatment refers to a specialized process combining tooth straightening along with physical and facial changes. The purpose of this approach is to take advantage of unique opportunities your child’s growing facial structure provides. Because they are growing rapidly, children benefit enormously from orthodontic appliances that modify the relationship between upper and lower jaws, balance the face and develop room for erupting teeth.

Phase One

The phrase “timing is everything” is relevant in a lot of situations, including planning orthodontic treatment for your children. When working towards a straighter, healthier smile, the first step should be an initial comprehensive evaluation with an experienced orthodontist like Dr. Stephen Godwin. The American Association of Orthodontists recommends that all children have their first orthodontic consultation by the age of seven to determine if there is a problem that would benefit from early treatment, and we agree. Early evaluation gives us the chance to find and diagnose many common dental issues before they have a chance to become more serious and require more intensive treatment.

This early intervention consists of a first phase of treatment when both permanent and baby teeth are present. Phase One treatment involves the patient's muscles and jaws more than the teeth, although some concerns regarding tooth positioning may be addressed. The goal of this first phase of treatment is to create the healthiest environment possible for the eruption of permanent teeth. It is not intended to eliminate all future orthodontic needs. Catching and treating conditions such as jaw discrepancies or overcrowding issues early-on is the most effective way to achieve lasting results.

First phase treatment is indicated in cases of:

• Severely protruding upper teeth
• Severe crowding
• Crossbites
• Lower teeth impinging on the roof of the mouth
• Openbites
• Jaw disharmony
• Teeth not erupting and/or erupting out of normal position

Phase Two

The second phase is where everything begins to come together. Phase-Two treatment, when warranted, will usually be initiated once your child’s permanent teeth have erupted, typically around age 11 or 12 . The second orthodontic phase involves correction of tooth position, space closure, and other refinements which are important to function and stability. This phase will incorporate treatments that will look more familiar, such as full upper and lower braces.

Some of the major advantages of two-phase treatment are:

• Reduces the need to remove permanent teeth
• Improved self-image during the formative years
• Lessens the risk of tooth fracture
• Improves ability to bite and chew
• Often decreases the time required in full braces
• Improves speech development

If you have concerns about your child's dental development, call Bel Air Orthodontics at 410-838-2244 to schedule a complimentary initial examination with Dr. Stephen Godwin or contact us through our website here. Together, we will help your child develop safely and properly, so they can have the most attractive and functional smile possible. For additional information on two-phase

April is National Facial Protection Month, and the team at Bel Air Orthodontics want to remind parents, coaches and athletes to play it safe as they prepare to suit up for both recreational and organized sports. Whether at practice, at a game, or simply enjoying some fun in the neighborhood, a sports-related injury can happen in an instant. That's why it's important to take precautions to protect your face and teeth from injury. Dr. Godwin suggests you take these simple steps to prevent injuries so you can stay in the game:

• Wear a mouth guard when playing contact sports; if you have braces, make sure you use a mouth guard designed specially for orthodontic patients;
• Wear a helmet. Helmets reduce of risk of head injury by absorbing the energy of an impact.
• Wear protective eye wear. According to the Coalition to Prevent Sports Eye Injuries, protective eye wear designed specifically for the sport can prevent more than 90 percent of all eye injuries;
• Wear a face shield to avoid scratched or bruised skin;
• Be alert - as a player or spectator!

Did You Know? . . .

• Athletes who don't wear mouth guards are 60 times more likely to damage their teeth. Mouth guards are particularly important if you are in orthodontic treatment.  A minor blow to the face can be uncomfortable if you don't have braces; but add metal to the mix and a minor blow to the face can leave you with abrasions and cuts inside your mouth from your soft tissue being pressed against the brackets and wires on your teeth;
• Sports-related injuries are the leading cause of emergency room visits in children ages 12 to 17 according to the Center for Disease Control;
• Whatever your sport, the right protective gear can save your teeth, your face, and even your life. If you or your child suffers dental trauma such as a knocked-out or broken tooth, Dr. Godwin suggests that you contact your dentist for immediate attention. For those in braces, it's also important to contact our office to schedule an appointment for repair since damage to braces can lengthen treatment time and affect treatment results.

About National Facial Protection Month: Every April, the American Association of Orthodontists, the American Dental Society, the Academy for Sports Dentistry, the American Association of Oral and Maxillofacial Surgeons, and the American Academy of Pediatric Dentistry team up to remind parents, coaches and athletes about the importance of taking precautions to preserve their teeth and protect them from facial injuries.

With Easter just around the corner, you  may be daydreaming about all those delicious treats hidden in baskets and colorful plastic eggs. Unfortunately some of the most popular Easter candies are ooey, gooey, caramel-filled, and sticky sweet. They can get trapped in braces and possibly lead to tooth decay.

If you're worried that you won't be able to enjoy your favorite candies and treats this Easter, fear not! There are several traditional holiday options that are safe as long as you do some major brushing and flossing afterwards. Here are some helpful tips for a fun, braces-friendly Easter holiday.

What You Should Avoid

Anything that is hard, chewy and/or sticky may cause damage to orthodontic brackets and wires. Here are some specific examples of Easter candy that should steer clear of if you have braces:

• Sticky Candy: Jellybeans, Starbursts, Tootsie Rolls, Taffy, Nerds
• Caramels: Milky Ways, Snickers, Pay Day, Twix, caramel eggs
• Gummy candy: Gummy Bears, chewing gum
• Hard candy: Hard-shelled Easter eggs, Jolly Ranchers
• Chocolate with nuts: Almond Joy Bars, Jordan Almonds

By keeping these candies away from kids, parents can avoid bent wires, broken brackets and extra trips to see Dr. Stephen Godwin and the team at Bel Air Orthodontics for repair. Damaged braces can increase treatment time, and no one wants that! Make sure to always keep your braces and your smile in tip-top shape.

Sweet Alternatives You Can Eat In Moderation

Kids (with or without braces) don’t have to avoid candy or sweets altogether! There are some better options that, with proper brushing, can make for a more braces-friendly basket. With a little creativity, you can still splurge during Easter without eating anything that's damaging to your braces. Here are a few examples of what you can eat this Easter:

• Marshmallows: Peeps are an Easter classic! They're on our "Safe" list because they're a soft melt-in-your- mouth treat; however, the gooey marshmallow can get stuck in your braces. If you indulge, make sure you brush thoroughly immediately afterwards.
• Soft chocolates: Just make sure they don't have any caramels, nuts or a hard shells. Look for melt-in-your-mouth options like peanut butter eggs, M&M's and chocolate bunnies or foil eggs.
• Ice cream: Enjoy them in classic Easter colors like pink or blue.
• Baked Goods: Cupcakes, cookies and brownies are the perfect canvas for Easter-themed indulgences.
• Hard-boiled Eggs: Decorate the outside, then enjoy the soft center!

Healthier Options For Easter Fun

Instead of candy, there are lots of other things to place in Easter baskets that can make Easter morning just as special and fun for kids of all ages. Try creating a themed basket based on a favorite hobby, like art or craft supplies, books, or gardening tools.  You can also balance the yummy sweets with non-edible treats like games, toys or gift cards.

Coming up with ideas for Easter basket treats while wearing braces can be half the fun, so use your imagination and have a great time.  Dr. Stephen Godwin and the Bel Air Orthodontics team wish you all a Happy Easter!

There are so many ways you can protect your teeth throughout your orthodontic treatment.   We recommend you brush your teeth at least two times per day, floss regularly and protect your mouth and appliances from damage by making smart food choices. But did you know there is another, often forgotten, way to keep your teeth clean and healthy during your treatment? Fluoride, a mineral found in your water and many dental products can keep your teeth strong.

What is Fluoride And How is It Used?

Fluoride is a mineral that helps prevent cavities and tooth decay. It comes in two varieties: topical and systemic. Topical fluorides are applied directly to the tooth enamel. Some examples include fluoride toothpastes and mouth rinses, as well as fluoride treatments at your dentist's office. Systemic fluoride is swallowed and benefits the teeth before and after they erupt in the mouth. Examples include fluoridated water and dietary fluoride supplements.

The topical fluoride preparation used in the dental office is a much stronger concentration than that in toothpastes or mouth rinses that are available at your local pharmacy. A fluoride treatment typically takes just a few minutes. After the treatment, patients are asked not to rinse, eat or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Your dentist may also prescribe a fluoride product such as fluoride gels or antibacterial mouth rinses. Dentists have used in-office fluoride treatments for decades to help protect their patients' oral health; so if you have questions about fluoride treatments and their benefits, don't hesitate to ask the team at Bel Air Orthodontics or your general dentist.

Look For The American Dental Association's Seal of Acceptance.

When choosing your own over-the-counter fluoride products, be sure to check for the American Dental Association's (ADA) seal of acceptance. Products marked with the ADA seal of approval have been examined carefully by the ADA's Council on Scientific Affairs and have met it's criteria for safety and effectiveness. Take care of your teeth and share your beautiful smile!