In 2023, no longer do you have to be relegated to fixing your smile and bite with braces alone. With the advent of clear aligners, such as Invisalign, Angel Aligners, Spark, uLab, 3M Clarity and others, you can now straighten your teeth more discreetly and with more flexibility with what you can eat. Heck, you can even decide to utilize braces but do so with them behind your teeth instead of on the front where they can obviously be more noticeable. Do you truly want to have a custom, tailor-made orthodontic plan for your smile? Well now we have the ability to utilize 3D printed brackets that truly are designed for YOUR specific teeth, eliminating the one-size-fits-all model with metal braces. And, the 3D custom brackets are translucent, allowing for an even more discreet and esthetic way of straightening your teeth. Last but not least, since the 3D brackets are custom to your teeth, the treatment time needed can be significantly decreased for many patients.   

Do you have awful memories of going to the dentist and having to take the dreaded gooey impressions? NOT IN OUR HOUSE! Again, with the advancement of technology, we utilize a 3D scanner that digitally maps your teeth in very little time, allowing for a much more comfortable option for getting impressions of your teeth for creating clear aligners to move your teeth, as well as retainers to maintain your new smile once your orthodontic treatment is complete. 

Adding to this, you’ve most likely heard of or seen 3D printing in action. At our office, we utilize 3D printing alongside our 3D scanner, for predictable and fast turn around times for delivery of aligners, mouth guards, braces, and retainers.

It is indeed a great time to start orthodontic treatment. With many options to choose from for how you transform your smile, you truly can customize not only the appliance you utilize, but also the flexibility with which the appliance is used. Don’t want metal braces? You can have 3D printed custom, esthetic tooth colored braces. Don’t want braces at all? You can have clear aligners from the variety of options we have to take care of your needs. It truly is a wonderful time to be alive.

Why Should You Choose Union Orthodontics + Pediatric Dentistry in Denver, Colorado?

We understand the importance of your child’s oral health and are committed to ensure their thriving smile is well cared for. Led by Dr. Gabe and Dr. Mike, our board certified orthodontist and pediatric dentist, our skilled and knowledgeable team is dedicated to safeguarding your child or teen’s dental well-being and guiding you through their significant milestones. We recognize that every child is special and deserves tailored dental care that meets their unique requirements. As parents, you can rely on us to be there for your and your family at every stage of your child’s growth and development, promoting a healthy and radiant smile for years to come!

The post We live in such a great time for technology! (…for orthodontics too!) appeared first on Union Orthodontics + Pediatric Dentistry.

Congrats on taking the first step towards improving you or your child’s smile! You’ll want to keep a few things in mind as you begin your search for an experienced provider, but you may not be sure where to start. Union Orthodontics is here to help! Let’s look at some specific questions you should ask to ensure your orthodontist has the education, skills, and experience to help you achieve a confident smile. 

“What is your orthodontic background?”

Your smile is your billboard to the world, so it’s important to find an orthodontist you can trust to meet your specific needs. It seems everywhere you turn, more and more dentists are offering to provide orthodontic services, even though many of these dental providers do not have extended orthodontic training or experience. An orthodontist not only completed dental school, but following graduation went on to complete a residency focusing solely on the specialty of orthodontic treatment. As a result, these additional years of training provide a vast amount of education revolving around growth and development of our bodies, diagnostic skills that are important for differentiating specific treatment options for patients, as well as learning the biomechanics to safely and effectively move teeth for your desired outcome.

Dr. Gabe completed his dental education from the University of Oklahoma College of Dentistry. He then went on to complete a residency in orthodontics and dentofacial orthopedics from Jacksonville University. In addition, Dr. Gabe completed additional education following graduation from his orthodontic residency and has been board certified by the American Board of Orthodontics. With roughly only 4 out of 10 orthodontists being board certified, you can be confident that your smile is in great hands with Dr. Gabe and our expert team at Union!

“What are the different treatment options for my smile?”

At Union, we believe in being at the forefront when it comes to providing the latest in orthodontic technology, ultimately allowing for different treatment options for our patients. Your smile is unique, and the treatment planning to provide the best results should be accompanied by technology that allows for predictable, confident results.

Traditional metal braces

Traditional braces are a great option for orthodontic issues and work faster than other treatment options in some cases. That means shorter treatment times to perfect your smile! Made of high-grade stainless steel, metal braces straighten your teeth using brackets and arch wires. With metal braces, you have the option of adding colorful elastics for a more unique and vibrant smile. Metal braces are cost-effective because they don’t require some of the more complex technology or expensive equipment that newer treatments do. That means a lot when you’re sticking to a budget!

LightForce tooth-colored custom braces

Also known as tooth-colored braces or esthetic braces, clear braces are made of ceramic rather than metal to match the color of your teeth and blend in with your smile. This innovative bracket system uses 3D technology to customize every tooth-colored bracket for the perfect fit. The braces are designed around each patient’s teeth, making treatment custom, and more efficient and comfortable with fewer appointments and faster treatment times!

InvisalignⓇ clear aligners

The Invisalign system uses a series of clear aligners to move your teeth into the desired positions. These aligners are made from a unique SmartTrack material that is strong and durable but still made to fit comfortably over your own teeth. Since the aligners are invisible and removable, there’s an extra measure of freedom during treatment that our patients love! There are no food restrictions, and taking care of your teeth and oral hygiene is a lot easier, too, since there are no brackets and wires to navigate around. 

“How much will my treatment cost?”

The total cost of treatment is based on each individual’s needs, the severity of the malocclusion we are correcting, the expected time in either braces or clear aligners, and the appliances required which may or may not involve possible lab fees. When you schedule your FREE consultation with Dr. Gabe, we’ll review your treatment plan and ensure you know exactly what to expect during your experience with our team.

We believe everyone should have options to help with creating a confident smile. We have many financing options to work along side your budget, including flexible down payment and monthly payment options. We offer discounts to veterans, active military personnel, first responders, teachers, families, and those who choose to pay in full before beginning treatment. If you have dental insurance that will be covering any portion of your orthodontic treatment, we will happily help with your insurance claims, questions, and paperwork, ensuring a smooth process.

We can’t wait to help with your new smile

Choosing your orthodontist does not have to be a challenge. Asking these questions will help you in making a confident decision! If you’re ready to get the smile you’ve always wanted, reach out TODAY to schedule your FREE consultation at our convenient Denver location! 

The post How to Choose the Right Orthodontist appeared first on Union Orthodontics + Pediatric Dentistry.

The Study: The pilot study titled “Forces Generated During Plush Animal Pacifier Use” aimed to measure the forces exerted on infants’ mouths when using plush animal pacifiers. Five of the most popular brands of plush animal pacifiers were weighted with a digital laboratory balance. The pacifiers were then placed on an Instron mechanical testing machine that measured the force they generated in Newtons (N). 

Findings of the Study: The study revealed several important results regarding the forces generated during the use of plush animal pacifiers:

• The force measurements from the five plush animal pacifiers ranged between 0.47N (47.9g) and 0.70N (71.4g), which exceeded the forces used in orthodontics to move teeth. 
• The force generated by plush animal pacifiers has the potential to contribute to malocclusions and change normal craniofacial development. 
• Product recommendations for plush animal pacifiers should be reviewed 

Limitations of the Study: 

• While we have extensive research on orthodontic forces and permanent teeth, there is limited information on the force necessary to move primary dentition. 
• There is a great deal of variability in the design of the pacifiers and how plush animals are attached to them. The further away the plush toy is from the fulcrum, the greater force it can generate. 
• The study was performed in controlled laboratory setting and has limited generalizability with regards to its clinical translation. 

General Safety Considerations for Plush Animal Pacifiers: While the pilot study provides valuable insights, it is essential for parents to consider a few safety factors when using plush animal pacifiers:

• Age Appropriateness: Plush animal pacifiers are generally designed for infants up to a certain age. It is crucial to follow the manufacturers’ guidelines and choose a pacifier that is suitable for your child’s age and developmental stage.
• Regular Inspections: Regularly inspect the plush animal pacifier for any signs of wear and tear, loose parts, or damage. Replace the pacifier if it shows any signs of deterioration to ensure the safety of your child.
• Hygiene and Cleaning: Maintaining proper hygiene is crucial when using any pacifier. Clean the plush animal pacifier regularly according to the manufacturers’ instructions to prevent the buildup of harmful bacteria.

Frequently Asked Questions: 

1. When can I introduce a plush animal pacifier to my baby? 

Plush animal pacifiers are generally suitable for infants aged three months and older. However, consult with your pediatric dentist for personalized advice based on your child’s development.

2. Can plush animal pacifiers cause dental problems? 

Plush animal pacifiers have added weight to them, which may contribute to adverse movement of teeth. Further studies are needed to determine their effect on teeth and palate development. Generally speaking, prolonged or incorrect pacifier use can contribute to dental issues. 

3. How often should I clean the plush animal pacifier? 

It is important to clean the plush animal pacifier regularly, following the manufacturers’ instructions. As a general rule, wash it with warm water and mild soap and rinse thoroughly after each use.

Conclusion

The pilot study on forces generated during plush animal pacifier use sheds light on the potential pressures exerted on infants’ mouths while using these pacifiers. While the study suggests that plush animal pacifiers can generate enough force to move teeth in a lab setting, further studies are needed to determine their effect on palate growth and teeth alignment. It is important for parents to prioritize safety, follow age-appropriate usage guidelines, regularly inspect and clean the pacifiers, and consult with healthcare professionals when in doubt. By making informed decisions, parents can provide their infants with comfort while ensuring their oral health and overall well-being.

Reference 

Tesini DA, Berk DA, Harshini R. Parakh HR. Forces generated during plush animal pacifier use: A pilot study. Pediatr Dent 2023;45(3):177-80. 

Why Should You Choose Union Pediatric Dentistry in Denver, Colorado?

We understand the importance of your child’s oral health and are committed to ensure their thriving smile is well cared for. Led by Dr. Mike, our board-certified pediatric dentist, our skilled and knowledgeable team is dedicated to safeguarding your child’s dental well-being and guiding you through their significant milestones. We recognize that every child is special and deserves tailored dental care that meets their unique requirements. As parents, you can rely on us to be there for you and your family at every stage of your child’s growth and development, promoting a healthy and radiant smile for years to come!

The post Plush Animal Pacifiers Can Shift Teeth appeared first on Union Orthodontics + Pediatric Dentistry.

Understanding the Causes of White Spots on Teeth 

White spots on teeth can occur due to various reasons. The most common causes include:

• Poor Oral Hygiene: Inadequate oral hygiene habits, such as irregular brushing or using improper technique, can contribute to the formation of white spots. Plaque buildup, acidic foods, and sugary beverages can erode the enamel, leading to demineralization and the development of white spots. This is the most common cause of white spots during orthodontic treatment. 
• Early Childhood Caries: Prolonged exposure to sugary foods, sweet drinks, and milk in bottles, particularly during sleep, can cause white spots and decay on the upper front teeth. 
• Dental Fluorosis: Excessive fluoride intake during tooth development can lead to dental fluorosis, which results in the appearance of white spots. 

Preventive Measures for White Spots on Teeth

Now that we understand the causes, let’s explore effective preventive measures to keep your child’s teeth healthy and free from white spots:

• Establish a Good Oral Hygiene Routine: Teach your child the importance of brushing their teeth at least twice a day with a fluoride toothpaste. Fluoride toothpaste will help remineralize white spots. Ensure they use proper technique. Encourage them to floss daily to remove plaque and food particles from between their teeth. While in braces, proxabrushes are highly effective tools specifically designed to reach between brackets and wires, ensuring comprehensive cleaning of every tooth surface. 
• Control Fluoride Intake: While fluoride is essential for dental health, excessive intake can lead to white spots. Be cautious of other potential sources of fluoride, such as mouth rinses and water supplies. 
• Balanced Diet: Provide a balanced diet rich in essential nutrients, including calcium and phosphorus, which contribute to healthy tooth development. Limit the intake of sugary snacks and beverages, especially between meals. Encourage your child to drink water instead of sugary drinks.
• Regular Dental Check-ups: Schedule regular dental check-ups for your child, starting from an early age. Dentists can identify potential dental issues and provide preventive treatments, such as sealants, to protect the teeth from decay.

How to Get Rid of White Spots After Braces? 

• Remineralization: White spots are the result of demineralization of enamel. Using products like fluoride, MI paste, or hydroxyapatite along with diligent a oral hygiene routine will help restore enamel and lessen the appearance of white spots. 
• Resin Infiltration: At Union Orthodontics + Pediatric Dentistry, we utilized resin infiltration with ICON, a minimally invasive dental treatment, to address white spots or early-stage cavities on teeth. It involves the application of a special resin material to infiltrate and blend with the porous enamel, effectively reducing the appearance of white spots and preventing further decay. This technique offers a conservative and esthetic solution without the need for drilling the tooth. By using ICON resin infiltration, we can restore the natural appearance and strength of teeth while preserving healthy tooth structure.

Frequently Asked Questions (FAQs) About White Spots:

1. Are white spots on teeth permanent? It depends on the severity and extent of the white spot lesion. Less severe (shallow) white spots can be reduced with appropriate preventive measures. However, most white spots will require treatment in order to improve your teeth’s health and appearance.  

2. Can white spots on teeth be treated? Depending on the severity of the white spots, treatment options may include remineralization treatments, or cosmetic procedures like resin infiltration, microabrasion, or dental bonding. Consulting with a dentist will help determine the best course of action.

3. Can I remove white spots at home? It is not recommended to attempt removing white spots at home without professional guidance. Some home remedies, like oil pulling or DIY whitening treatments, can potentially worsen the condition. Consult with a dentist for appropriate treatment options.

Conclusion

White spots on teeth can be a cause for concern, but with proper understanding and preventive measures, they can be avoided. By being mindful of fluoride intake, establishing good oral hygiene habits, promoting a balanced diet, and seeking regular dental care, you can ensure your child’s teeth remain healthy and free from white spots especially during orthodontic treatment. Remember, early intervention and professional guidance are crucial in maintaining your child’s dental health. Stay proactive and prioritize your child’s oral hygiene to give them the best chance at a bright and healthy smile.

Why Should You Choose Union Orthodontics + Pediatric Dentistry in Denver, Colorado?

We understand the importance of your child’s oral health and are committed to ensure their thriving smile is well cared for. Led by Dr. Gabe and Dr. Mike, our board-certified orthodontist and pediatric dentist, our skilled and knowledgeable team is dedicated to safeguarding your child’s dental well-being and guiding you through their significant milestones. We recognize that every child is special and deserves tailored dental care that meets their unique requirements. As parents, you can rely on us to be there for you and your family at every stage of your child’s growth and development, promoting a healthy and radiant smile for years to come!

The post White Spots After Braces appeared first on Union Orthodontics + Pediatric Dentistry.

What is a Lip Tie? 

The superior labial frenum is a fold of connective tissue that attaches the upper lip to the front surface of the upper gum. When the frenum is overly tight or thick, this can potentially hinder the mobility of the upper lip. 

Commonly Mentioned Signs and Symptoms of Lip Tie 

1. Difficulty latching onto the breast or bottle nipple.
2. Poor weight gain or slow growth.
3. Irritability or fussiness during feeding.
4. Clicking sounds while feeding.
5. Excessive gas or colic-like symptoms.
6. Increased cavity risk due to poor oral hygiene around upper front teeth.
7. Maxillary diastema (gap between upper central incisors). 

Frenotomy/Frenectomy: Is Lip Tie Release the Solution? 

Surgical or laser removal of the frenum is the standard procedure performed to release tongue and lip ties. This procedure’s prevalence has seen a tenfold increase from 1997 to 2012 and gained even more popularity since. This surgery is primarily justified as a means to enhance and facilitate breastfeeding; however, there is little evidence linking specific appearances of the labial frenum to successful latching or feeding. Additionally, our understanding of what is considered “normal” or “abnormal” regarding upper lip tie is limited.

Lip Tie: What is Considered Normal? 

In 2017, researchers from Stanford University concluded that all newborns have some degree of maxillary frenum attachment. In fact, the study found that a majority (83%) of infants exhibited significant upper lip ties without any signs and symptoms. On the other hand, newborns with a short and thin frenum above the mucogingival junction (indicating no upper lip tie) accounted for only 6% of infants. ¹ Furthermore, another study published in the International Journal of Pediatric Dentistry revealed that upper lip ties naturally become less prominent with age (with or without lip tie releases). Younger children naturally have more pronounced lip ties (attaching to the gingival margin or worse) compared to older children (attaching to or above the mucogingival junction). ² This idea is further supported by Townsend et al.’s finding that as baby teeth erupt, the height of the maxillary alveolar structure increases and the upper lip tie attachment naturally moves higher up on the alveolar crest.³  

Below are pictures of my own son taken at 8 months and 20 months, respectively. Notice that at 8 months, the frenum was attached all the way down to the gingival margin (even extending through the papilla to the palate). By 20 months, the attachment had risen halfway up the gingival ridge without any intervention.

What Can Experts Agree on About Lip Tie? 

In 2020, medical experts appointed by the American Society of Pediatric Otolaryngology worked to establish Clinical Consensus Statements (CCS) on tongue and lip ties, a first of its kind. The following statements reached a consensus regarding lip ties: ⁴

• It is normal for an infant to have an upper lip frenum. 
• Upper lip tie is an inconsistently defined condition. 
• The relationship between upper lip tie and breastfeeding difficulties is unclear. 
• In some communities, upper lip tie is being over-diagnosed. 
• Upper lip tie release in children with baby teeth will not prevent a diastema (gap between upper central incisors). 

Factors Contributing to Overdiagnosis of Lip Tie

In recent years, there has been a rising concern about the overdiagnosis of lip tie. It is essential to explore the factors contributing to this phenomenon.

• Parental Pressure and Online Information
  • One significant factor behind the overdiagnosis of lip tie is the influence of parental pressure and readily available online information. Parents often turn to the internet to seek answers when faced with feeding and speech difficulties. However, the abundance of misinformation available can be overwhelming and may lead to incorrect self-diagnosis, potentially exaggerating the prevalence of lip tie.
• Lack of Standardized Diagnostic Criteria
  • Another challenge is the lack of standardized criteria for diagnosing lip ties. Different healthcare professionals may have varying opinions on the severity of the condition and when intervention is necessary. This subjectivity can contribute to discrepancies in diagnosis and potential overdiagnosis.
• Profit Motives in the Healthcare System
  • In some cases, profit motives within the healthcare system can influence the overdiagnosis of lip tie. Laser companies often market frenotomy (the procedure to release lip ties) to dentists as a lucrative and straightforward procedure to increase revenue. This financial incentive can lead to unnecessary procedures being performed. Additionally, many self-proclaimed experts advocating for tongue and lip tie releases are also Key Opinion Leaders (KOL) who often receive financial benefits from laser companies and own tongue and lip tie release centers, creating a financial conflict of interest.

Exploring Alternatives 

While some infants genuinely benefit from intervention for lip tie, it is crucial to explore alternative approaches before opting for surgical procedures. Here are a few alternatives to consider:

• Lactation Support and Techniques
  • Working with a certified lactation consultant can be highly beneficial for resolving breastfeeding challenges. They can provide guidance on latching techniques, positioning, and overall breastfeeding support. By addressing these factors, the need for surgical intervention may be reduced.
• Tongue Tie Evaluation
  • When diagnosing lip tie, it is also essential to assess the presence of a tongue tie. In some cases, a tongue tie may contribute to feeding difficulties. By considering both lip and tongue ties together, healthcare providers can make more accurate assessments and provide appropriate interventions.
• Speech Therapy and Oro-myofunctional Exercises
  • For older children with lip tie, speech therapy and oro-myofunctional exercises may help improve muscle coordination and function. These interventions focus on the proper movement of the lips, tongue, and facial muscles, which can mitigate the impact of lip tie on speech and oral functions.

Conclusion

The overdiagnosis of lip tie is a complex issue with significant implications. While lip tie can genuinely affect some infants and children, it is important to consider alternative explanations and approaches before opting for surgical intervention. Collaboration between healthcare professionals, standardized diagnostic criteria, and increased awareness among parents can help provide clarity to the issue of lip tie. 

References 

1. Santa Maria C, Aby J, Truong MT, Thakur Y, Rea S, Messner A. The Superior Labial Frenulum in Newborns: What Is Normal? Glob Pediatr Health. 2017 Jul 12;4:2333794X17718896. doi: 10.1177/2333794X17718896. PMID: 28812052; PMCID: PMC5528911.
2. Boutsi EA, Tatakis DN. Maxillary labial frenum attachment in children. Int J Pediatr Dent. 2011;21:284-288.
3. Townsend JA, Brannon RB, Cheramie T, Hagan J. Prevalence and variations of the median maxillary labial frenum in children, adolescents, and adults in a diverse population. Gen Dent. 2013 Mar-Apr;61(2):57-60
4. Messner AH, Walsh J, Rosenfeld RM, Schwartz SR, Ishman SL, Baldassari C, Brietzke SE, Darrow DH, Goldstein N, Levi J, Meyer AK, Parikh S, Simons JP, Wohl DL, Lambie E, Satterfield L. Clinical Consensus Statement: Ankyloglossia in Children. Otolaryngol Head Neck Surg. 2020 May;162(5):597-611.

Why Should You Choose Union Pediatric Dentistry in Denver, Colorado?We understand the importance of your child’s oral health and are committed to ensure their thriving smile is well cared for. Led by Dr. Mike, our board-certified pediatric dentist, our skilled and knowledgeable team is dedicated to safeguarding your child’s dental well-being and guiding you through their significant milestones. We recognize that every child is special and deserves tailored dental care that meets their unique requirements. As parents, you can rely on us to be there for you and your family at every stage of your child’s growth and development, promoting a healthy and radiant smile for years to come!

The post Lip Ties appeared first on Union Orthodontics + Pediatric Dentistry.

When does teething happen? 

Teething varies from child to child. Typically, the first tooth (lower central incisor) erupts anywhere from 5-10 months of age. However, a delayed eruption can be a variation of normal. Teeth can come in late simply due to genetics. Other potential causes of delayed eruption include babies born prematurely or with low birth weight, genetic developmental abnormalities, nutritional deficiencies, and dental anomalies such as lack of spacing and malformed teeth. If the first tooth has not erupted by 18 months, please have it be checked out by a pediatric dentist.

What are common signs of teething? 

While every baby is different, some common signs of teething include: 

• Excessive drooling
• Irritability
• Increased chewing on objects
• Sore or tender gums
• Slight elevation of temperature (not fever)

* Current evidence does not support the connection between teething and fever/diarrhea.

What are not signs of teething? 

Teething symptoms are generally mild and usually subside after a few days. Sometimes, your baby may experience discomfort that resembles teething but may point to other medical issues. If your baby has any of the signs below, please contact your pediatrician: 

• Any symptoms that last for weeks and do not subside 
• Inconsolable crying 
• Diarrhea or liquid stool 
• Persistent fever 

How do you relieve your baby’s teething discomfort? 

Allowing your baby to chew on a chilled washcloth or solid silicone (BPA-free) teether can provide great relief to a teething baby. Massaging (mechanically stimulating) the gum where the tooth is erupting can also be soothing while assisting with the eruption process. As needed, over-the-counter Tylenol can ease teething discomfort. 

What should you avoid for teething? 

Teething gels: Avoid using topical anesthetics such as teething gels that have benzocaine. In rare cases, benzocaine may cause methemoglobinemia, a serious condition where blood’s ability to carry oxygen is significantly decreased. Since 2018, the FDA has recommended against the use of any oral product containing benzocaine in infants and children under 2 years of age. 

Teething jewelry: While it has become quite popular in recent years, teething jewelry poses the potential risk of choking, strangulation, and injury to the mouth. There is also a lack of evidence that it actually provides teething relief. 

Frozen items: Do not use anything that is frozen to relieve teething discomfort as it can lead to ice burn. 

Homeopathic teething tablets: FDA has issued a warning against homeopathic teething tablets with belladonna or coffea cruda. Not only are teething tablets not being evaluated for their effectiveness and safety, they also may contain ingredients in amounts that exceed the products’ labels. 

What should you do when your baby starts teething? 

When that first tooth erupts, it’s time to schedule your baby’s first dental appointment! We call it establishing a dental home, which is not only essential for their oral health but overall health. At this first visit, a pediatric dentist will examine your baby’s mouth to ensure everything is developing normally. In addition, they will provide anticipatory guidance on growth and development, oral hygiene, nutrition education, non-nutritive habits, injury prevention, and fluoride use. 

Why Choose Union Pediatric Dentistry of Denver, Colorado? 

Along with Dr. Mike, our board-certified pediatric dentist, our talented and experienced team is committed to protecting your baby’s healthy smile and preparing you for their exciting milestones. We believe our patients are unique and deserve specialized dental care that reflects their individual needs. We are here for you and your family each step of the way as your baby grows and thrives! 

The post Teething: Everything You Need to Know! appeared first on Union Orthodontics + Pediatric Dentistry.