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.

We know that orthodontic emergencies are never convenient or timely. The good news is that true orthodontic emergencies are rare, and we're always available whenever you need us. As a general rule, you should call our office if you have a broken appliance or are experiencing an abnormal amount of discomfort. We'll evaluate the urgency of the problem and schedule an appointment to take care of any problems you may be experiencing.

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. Here are some guidelines to help you understand the difference between a major orthodontic emergency and a minor issue:

Acute, Direct Injury To Mouth, Jaw or Teeth

Whether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should seek immediate care with your orthodontist and/or dentist. If the injury affects your orthodontic appliances, they may need adjustment or possible replacement, depending on the extent of the injury.

Broken or Distorted Removable Orthodontic Appliances

A distorted or broken removable appliance should be adjusted or replaced as soon as possible and should not be worn until the adjustment or repair is made. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.

The following solutions may help you relieve discomfort for minor orthodontic issues:

Irritation of Lips or Cheeks 

Sometimes new braces can be irritating to the mouth, especially when eating. A small amount of non-medicinal relief wax makes an excellent buffer between the braces and your mouth. Simply pinch off a small piece and roll it into a ball the size of a small pea. Flatten the ball and place it completely over the area of the braces causing irritation.

Loose Bracket or Band

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, please don't discard it! Place it in an envelope and bring it to your emergency appointment for repair.

Loose or Protruding Wire

Occasionally, the end of a wire will work itself out of place and cause irritation of the gum. A broken archwire, or one that is irritating the gum or cheek, needs to be seen as soon as possible for replacement or adjustment.  To temporarily relieve discomfort, use a Q-tip or pencil eraser to push the wire so that it is flat against the tooth. If the wire cannot be moved into a comfortable position, cover it with relief wax. If the wax doesn't help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp place wax on it.

General Soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chewing. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously.  If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar discomfort. Aspirin, Ibuprofen (Motrin, Advil) and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. Prompt relief may be achieved by applying a small amount of topical anesthetic (such as Orabase or Ora-Gel) directly to the sore area. You can also put wax on the braces to lessen the temporary discomfort.

If you still have questions, give us a call or visit our Caring For Your Appliances page on our website. Remember . . . The team at Bel Air Orthodontics is here to help!

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.

Congratulations—you’re out of your braces! Now, all you need to do to protect that beautiful smile is to wear your retainer as recommended and keep up with your regular dental routine. And, please, don’t forget to make taking care of your retainer a daily part of that regular dental routine.

Why? Because retainers need love, too! If you don’t look after your retainer, you can experience some less-than-agreeable consequences. Here are a few clues that you might be failing to give yours the care it needs:

It Smells

Just as a buildup of bacteria and food particles in your mouth can lead to bad breath, a buildup of bacteria and food particles on your retainer can lead to unpleasant odors and taste. A clean, fresh retainer is not only more appealing, it’s healthier as well! We will be happy to give you instructions on the best ways to keep your type of retainer clean. Whether you use a daily brushing, a water rinse, or a special cleaning solution, it’s important to follow our recommendations to extend the life of your retainer.

It’s Discolored

Plaque and tartar aren’t just problems for your teeth! If your retainer is cloudy or has white spots on the surface, it’s probably accumulating the same plaque and tartar that stick to your enamel. Again, we’ll let you know the best and safest way to keep your retainer plaque-free.

It’s Looking A Little Worse for Wear

Retainers are strong, but they’re not indestructible! Washing machines, hot dashboards, creative dogs looking for new chew toys—the world is full of retainer dangers. If your retainer does suffer misfortune, give our office a call right way. Sometimes minor damage can be repaired, but if it can’t, you might need a new one. How to avoid this trouble and expense? Prevention. Always use your protective case whenever you remove your retainer and keep it in a safe place.

It’s . . . Wait, Where Is It?

If you’ve lost your retainer for even a short period of time, you might notice it doesn’t fit comfortably anymore once you’ve found it. The ligaments and bone tissue that hold your teeth remodel as your braces move the teeth into their new positions. The retainer helps keep your teeth in place while these ligaments and bone strengthen around them. If you haven’t been wearing your retainer, there is a chance that your teeth will start shifting back to their original positions. And if they get too far out of alignment, more time in braces might be needed.

Don’t worry—the team at Bel Air Orthodontics is happy to help you avoid all of these unpleasant scenarios. We’ll give you easy instructions for cleaning and taking care of your retainer. If you ever damage it or lose it, be sure to give us a call right away, so we can get you back on track as quickly as possible. You’ve worked hard for your beautiful smile—now you just need to help your retainer work to keep it that way!