Our Blog

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 orthodontic treatment visit our website.

Have you ever wondered where all those missing retainers go?

Well, our patients have some amazing stories to tell. Fact, fiction or just plain silly . . . only our patients know for sure. All we ask is that the stories entertain us, and many of our patients deliver just that. We thought we’d share a few of the stories we have received as a regular blog feature. Here's this month's story . . .

A Seemingly Perfect Pitch

I was standing on the pitcher’s mound, ready to deliver the perfect pitch to my younger  cousin, David. He lifted his bat with confidence, and with my eyes glued to the catcher’s glove, I threw the first pitch. WHAM, the ball soared high, stretching across the clear blue sky. It looked so gracious gliding into the horizon until we realized that the ball was heading straight for our neighbor’s yard. David and I exchanged  worried looks. “This is bad,” I said. The expression on David’s face said it all.

“What are we going to do?” David said abruptly. I looked around for a second, before making a brave decision.

“I guess I’ll have to climb the fence,” I croaked. I started for the fence, trying to conceal the fear within my body. When I finally reached the fence and started climbing, I remembered that our neighbor had huge dogs that he kept outdoors. It’s not that I have anything against large dogs, but these dogs have had a long history of abuse from what I’ve heard. As soon as I got to the top of the fence, my jeans  got caught on a strip of metal. I fell to the opposite side putting a minor tear in the left leg of my jeans. To my surprise, the dogs were nowhere in sight. I got up slowly and started creeping up to the baseball, only to trip on an old galvanized bucket that was lying in the yard. I held my breath, but there was still no sign of the dogs. “I was one lucky duck” I thought.

I shot right back up, brushed the dirt off my jeans, and trudged toward the ball. I picked it up and took a deep breath. I found it hard to suppress a triumphant smile.  I decided that it was time to leave, but as I took my first step toward the fence, a rubber ducky toy was waiting beneath my foot. QUACK! “You’ve got to be kidding me,” I mumbled.

The jingle of dog tags filled the air, followed by agile footsteps. That’s when David yelled, “RUN!” I launched myself toward the fence as the dogs followed a little bit too closely for comfort. I was just about to throw myself onto the fence when one of the dog’s teeth sank right into my behind. I yelped as a surge of pain swept through me. Not only did the dog bite my rump, but it tore the back of my jeans open causing my retainers to fall out of the pocket. The dogs were distracted by the strangle plastic objects so that was my cue to make a hasty escape. I hopped over to the other side of the fence where David welcomed me with open arms and a worried look.

“C’mon David,” I said, “I’ll tell you all about it when we get inside. I think my retainers just saved my life!”

We've all heard the old saying, "You are what you eat", but did you know that it's just as important for your teeth as it is your body? Your choice of drink has a big impact on your waistline as well as your dental health.  A study from the University of Maryland Dental School  found that soft drinks (diet or regular soda), fruit drinks, sports drinks and energy drinks weaken tooth enamel. They are even harder on your teeth if your are wearing orthodontic appliances such as braces, retainers or aligners.

According to the study, it's the acid in these drinks that dissolves tooth enamel. Once enamel dissolves, it does not come back. Having a sugary beverage every now and then isn't the problem. It's when you sip it continuously that you get the constant breakdown of enamel.  To keep your teeth healthy and strong, Dr. Godwin recommends that you avoid soda and sports drinks and reach for water to keep you hydrated.  If you do occasionally indulge in a soda or sports drinks, drink it quickly rather than taking a swig every few minutes. It's also a good idea to use a straw to reduce exposure to your teeth. Brushing your teeth afterwards, or at least swishing with water, can help remove the sugar from your teeth.

To learn more about the dangerous pH levels of soft drinks and what you can do to avoid damage to your teeth, download this flyer courtesy of the American Association of Orthodontists.

Soft Drinks + Orthodontic Treatment = A Recipe For Disaster

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.