INVISALIGN: A (MOSTLY) LOVE STORY WEEKS 3-4 (TRAY 2) Mama has got a brand new bag

INVISALIGN: A (MOSTLY) LOVE STORY WEEKS 3-4 (TRAY 2) Mama has got a brand new bag

INVISALIGN: A (MOSTLY) LOVE STORY WEEKS 3-4 (TRAY 2) Mama has got a brand new bag

I got a new bag to carry around my cleaning instruments. It is girly and not plastic and closes with a zipper, not a Ziploc. It fits into my purse but looks enough like a wallet or wristlet to carry around on its own. You will want to find a bag that suits your lifestyle (and fits your toothbrush, some travel-size toothpaste, floss and your Invisalign case).

At the end of my second week, I switched to my second Invisalign tray (at night, as recommended by Dr. Jacquie and a slew of other Invisalign alumni online). My new trays snapped in and for 20 seconds, I felt them. It was a sharp but short-lived pain, which fortunately did not come back again. I went along with life as usual, averaging 20-22 hours a day with my trays in. Sometimes I went a few hours longer without them, sometimes for just enough time to eat and brush. I was not super strict with them, but I was not forgetting to wear them either.

When I talked a lot, or wore them to a concert (and sang a lot), I actually felt my jaw tire. Truth is: you are not going to forget you are wearing the aligners. You also would not feel them as much as you expected to.

I did in these two weeks develop the tendency to bite down (and up?) on my trays. And I found myself taking longer breaks without them in, the breaks always revolving around food. The biting brought the trays a little too close to my gums, and caused some irritation. The breaks were an indication of my laziness, or lack of discipline, or love of the two-hour lunch break. I decided these were the things that needed fixing, and vowed to work on them.

Next week: Some wear-and-care tips!

New York Orthodontic Practice Makes a Big Impression by Eliminating Physical Impressions

Dr. Jacqueline Fulop-Goodling, a leading New York City orthodontist and one of the world s top 10 Invisalign providers, recently integrated the iOC Scanner into her state-of-the-art, full-service orthodontic and dental practice. This groundbreaking system employs laser technology to capture images of the teeth and soft tissue structures of the mouth, creating digitally perfect orthodontic impressions for a significantly improved patient experience, more accurate impressions, and enhanced treatment efficiency.

“I am thrilled to add this exciting new technology to my practice because it was the missing piece of the puzzle for all orthodontic treatment, including Invisalign and Invisalign Teen patients. My dental team and I consistently hear from patients how they dread the process of taking impressions and it is much more than simple discomfort. Holding the impression material in their mouths comparable to stuffing a big wad of gum in their mouth is incredibly unpleasant and uncomfortable. It frequently encourages their gag reflex and it is not uncommon for patients to spit up or even vomit “, explains Dr. Jacquie. Now, the iOC Scanner dramatically streamlines the entire process of wearing braces or using Invisalign. Taking impressions is the most invasive part of the initial orthodontic records and their use is imperative at multiple points throughout treatment. In fact, all of the clear Invisalign trays are fabricated from the model made from the initial impression. There are a number of reasons why we would have to retake a traditional impression, whether the patient has wiggled slightly or otherwise moved, but with the iOC Scanner we no longer have to worry about taking multiple rounds of impressions that can be rejected, broken, or misplaced. It is perfect every time.

The iOC Scanner is the product of Cadent, now a part of Align Technology. It scans the mouth with a radiation-free laser and in six to eight minutes renders a digitally perfect, 3-D impression of the teeth and soft tissue structures. The iOC Scanner can be used for any orthodontic treatment including traditional metal braces and clear aligner-based orthodontic systems and it is the only product that can be used with Invisalign. Impressions taken with the iOC Scanner are perfect every time and last a lifetime so that patients who lose their retainers can seamlessly replace them no matter where they are or how long they were without the retainer.

Dr. Jacquie is a New York City-based orthodontist with three thriving practices and is renowned among patients and colleagues for her long-standing dedication to education and for adopting the latest technology to ensure her patients orthodontic experience is as successful and happy as possible. She was the youngest and the first female director of Boston University Dental School s Orthodontic Department for second, third and fourth year dental students, is distinguished as a Premier Provider Elite by Invisalign and is the highest ranking Invisalign orthodontist in the northeast. Dr. Jacquie also recently launched the first application for Invisalign, Align on Time, which is currently available on iTunes.

For more information about the iOC Scanner or to speak with Dr. Jacqueline Fulop-Goodling, please contact Christina Halper of Victory Public Relations at [email protected] or 732-496-1118.

Dr. Jacqueline Fulop Goodling has been ranked Super Elite Preferred Provider

We are excited to announce that Dr. Jacqueline Fulop-Goodling, a.k.a. Dr. Jacquie, is the ONLY female in the United States and Canada that has been ranked Invisalign Super Elite. This places Dr. Jacquie in the top 1% of all Invisalign providers in the world. Why is this information important to you? Well, when seeking Invisalign orthodontic treatment, the doctor you choose will be customizing a treatment plan for you using Invisalign. Five different orthodontists will give you 5 different smiles! The results you get will be affected by the knowledge and expertise your doctor has. Dr. Jacquie is a Faculty Member for Invisalign which means she gets all the latest updates first. As an expert on Invisalign, Dr. Jacquie has a thorough knowledge of the product and its applications, especially for more difficult smiles. She even developed an APP called Align-On-Time to help patients stay on top of their Invisalign treatment. She lectures nationally and internationally on Invisalign teaching other doctors its advanced applications and helped launch it in North & South America, Europe and Asia. Therefore, have you EVER been told that you DO NOT qualify or are NOT a candidate for Invisalign Orthodontic Treatment? You know what they say: Why go to the student, when you can go to the professor?

If you are interested in Invisalign and would like the real truth about it, come to the expert and call any of our office locations to schedule your complimentary consultation. We look forward to helping you achieve that healthy smile!
NYC 212.972.3522
Long Island 516.921.6010
Monroe 845.782.4288

INVISALIGN: A (MOSTLY) LOVE STORY WEEKS 1-2 (TRAY 1) AND THE REAL COUNTDOWN BEGINS

The day was here. My trays were in.

I felt ready, anxious but mostly curious. I was not scared, but a slight apprehension prevented me from being totally excited.

I began to think of all the questions I had ask Dr. Jacquie. As a 30-something with an active lifestyle, a boyfriend, and a penchant for cooking and eating and well, spontaneity, I began to wonder: Could I continue martial arts training as usual? Could I swim in the ocean? Would I drool? Would my teeth dry out? Will my face change shape as my teeth take shape?

After a quick briefing about care, and cocktails (tequila!), an assistant showed me my trays. They went on in a snap. Literally. I felt them, but they did not feel painful. They felt tight but I liked it. The initial discomfort reminded me that I was working on my smile, finally taking control of something that had bothered me for years.

Dr. Jacquie walked over to remind me of my new reality: You are wearing braces, she said. Yes, I was. And strangely, it felt really, really good. It reminded me of when I had to wear a retainer at night, after having my braces removed in junior high. I left with a goodie bag of floss, toothpaste, two toothbrushes and a container for my trays.

Day (evening) one went effortlessly. I went straight from Dr. Jacquie s office to the martial arts academy I train at, and put a solid 90 minutes of working out in. I felt fine. My boyfriend (who was intentionally not reminded of my appointment) did not even notice I had them on.

The trays barely hurt; I tried to look at any twinge of pain (which I felt mostly when removing and replacing the retainers) as a reminder that the braces were working. My bottom tray left my most misplaced tooth sore, as it should it had the furthest to move.

My teeth were also tender immediately after removing my trays, making the first few bites of each meal um, interesting. But as quickly as the pain came, it disappeared, and I was able to enjoy my food just as I had before braces.

I was incredibly busy the first few weeks after getting my trays. From coffee shops to concerts, festivals to family feasts, dinners out and meals cooked in, I came equipped with a toothbrush, toothpaste and floss all stuffed into, for the first two weeks, a little plastic Ziplok baggie decorated with yellow, pink and green duckies. I know, classy.

There was a slight change in my speaking voice, but only when I talked too loud or for too long. I could easily get by with a slower-than-usual, deliberate articulation, and go unnoticed. I did feel the trays, they are foreign to my mouth, of course, but this was a lot easier than I thought. So far, so good. Only 15 more trays to go

Next week: No pain, no gain

INVISALIGN: A (MOSTLY) LOVE STORY The true story of one woman s relationship with braces

This is the first article in a series about my experience with Invisalign, from the consultation to the fittings to the trays and more. Curious? Below you will find out what happens before getting your aligners. There will be a new article about life with Invisalign every week, leading up to a final reveal, including my thoughts about the process and a glimpse of my teeth!

PORTRAIT OF A YOUNG WOMAN BEFORE INVISALIGN
My teeth are not THAT bad. I had braces when I was younger and, for a long time, had a very nice smile. Then my teeth started to shift and suddenly I had an okay smile with a handful of crooked teeth threatening to get more crooked with time.

The shift in my teeth caused a shift in my personality. I began to pull back in photos, in person I was not being the bright and friendly person I was used to being, the girl who always had a smile to share.

I thought about getting Invisalign for years, but something always stopped me. How would I look with braces? How would I talk with braces? Could I even afford to get braces? This dentist is mean. This orthodontist does not care about me, or my teeth.

I needed guidance. I waited for a sign.

Then it happened. I met a friend who had just finished her Invisalign process. She had beautiful teeth and a great smile. She smiled in pictures and in person. She looked good in pictures and in person. One day over coffee (she sipped hers through a straw a sure sign of pride in her very straight, very pearly whites), we began to talk about our teeth. She recommended I see her orthodontist for a consultation.

Ok, I thought, a consultation is fairly non committal. I would not have to decide anything on the spot. The next day, I made an appointment to see Dr. Jacquie.

A SIDEBAR
Because it is important to know how Invisalign can fit into different lifestyles, I will let you know a little about mine. Here is a (very truncated) description of me, my life, and how I like to spend my time.

I am active. I like to smile, a lot. I had braces before, and straight teeth, once. I have a boyfriend. We kiss and stuff. I have a family and friends. I like to socialize and be spontaneous with all of them. I like to cook. And eat. I crave a few cocktails once a week ish, especially in the summer, and wine in the fall. I meet new people all the time. Sometimes, I am trying to get them to hire me. I am pretty frugal, at least when it comes to spending money on myself. (Unless, of course, I am buying shoes.) I work out often, try to be outdoors as much as possible and am fairly low maintenance. There are a handful of things I would not mind changing about my appearance but my smile is the most important thing to me. My pinky toes, slightly disfigured from years of martial arts, come in a close second.

THE CONSULTATION
Well, that did not take much convincing. Thanks, Dr. Jacquie. I am in.

(For those who might find comfort in something lengthier: Dr. Jacquie lived up to her reputation. She is personable, and very smiley, and extremely knowledgeable. She reassured me that I would be happy with Invisalign and shared with me her vision of my future smile: straighter and wider. I had not even thought of expanding my smile but it made sense. Her confidence in her abilities, in Invisalign, and in my smile potential was all I needed to take the leap. I was getting braces. After dreaming of Invisalign for years, and meeting with a few less than personable orthodontists, it felt good to connect with someone a very professional someone. My future smile is in your hands, Dr. Jacquie.)

Of course, I still had some initial trepidations. What if I developed a lisp? What if I experienced soreness, got cavities? What if I ran out of floss? What if I am not very good at this? What if my boyfriend and I stopped kissing ? That surely would not do well in our relationship. How much is this going to hurt? Will tequila taste the same? Would my appearance change along with my teeth? Would my jaw widen with my smile? Is that even possible? And my breath! Would I always be worried about my breath?

Whatever the concerns, my mind was made up, and I was energized. I was ready to get this going. I am going to get this going!

THE DOCUMENTING, EXAMINING, FITTING
Photos. X rays. Impressions. Done.

In less than an hour, I was photographed (I considered prettying up for my pictures but figured the worse I look in my before shots, the better I will look in my can not wait till the day comes after shots). The X rays were painless, although different; two cones strategically placed in your ears keep your head from moving while a machine photographs the inside of your mouth. And then the impressions; also painless, although momentarily uncomfortable (as biting into oversized trays of putty-like material could be).

As I left Dr. Jacquie s, unknowingly accompanied by a piece of blue putty (I found a dime size ball under my chin three hours after my appointment; you may want to look there before you leave the office), I was told I had get a phone call when my trays came in (approximately 6-7 weeks later). Let the countdown begin.

I spent the next month and a half wondering if I made the right decision. I could not pass my bathroom mirror without pausing to smile my widest smile, and examine my teeth. I rolled my tongue over my crowded bottom row, my lower left lateral incisor (yes, I had to look that up) awkwardly situated behind the rest of my teeth, like the last kid left standing and waiting to be picked in gym class. And right above it, my upper incisor was pushed so far back from the rest of my teeth that from certain viewpoints, it looked like I had no tooth there at all.

I looked from every angle and had every possible reaction. The constant My teeth are not that bad, was a given. But I hate the way I look in photos. I can not wait to smile with confidence. I hope this works. Imagine what they will look when they are straight and whitened! I have to get them whitened.
I crossed my fingers and let the time pass.

A SNEAK PEEK
My trays were not in but I was asked to come to the office, to see Dr. Jacquie and approve (3D!) images of what my future teeth would look like.

Like those magical time lapse videos that show a city day turn to dusk or a caterpillar morph into a butterfly (I like that analogy!) I was shown my teeth transformed, in slow motion, from their current crookedness to a straightened, widened, wow of a smile. The makeover was amazing, with every tray slowly but surely pushing my teeth into position. While skeptical (did my virtual teeth look too good to be true?), I was excited. Very excited.

Dr. Jacquie had me down for 16 trays, the last two designed to refine my teeth if, at that point, I felt my teeth needed refining. So, I estimated approximately 30 weeks of wear (15 trays, two weeks each, if I was good). Seven months? I could do this. I am so ready to do this.

(I hope my face does not change.)

Next week: The trays arrive!

Practical Solutions for Orthodontist

Jacqueline Fulop-Goodling, DMD, uses social media to connect with and keep new patients

She has 3,000 Likes on Facebook. She has a huge teenage fan base. She is constantly on tour, and when she is home, celebrities flock to her. She is a master of invention and reinvention, always staying a few steps ahead of the times. She is not Lady Gaga. She is Jacqueline Fulop-Goodling, DMD, aka Dr Jacquie Smiles.

After receiving her DMD degree and completing her orthodontic residency at Boston University School of Dental Medicine, Fulop-Goodling stayed on as a professor. She became the first female Director of BU Dental School s Orthodontic Department. She also recently became the first woman ever to receive the Super Elite Provider award from Invisalign, a company she s been affiliated with since its inception. In 1999, Fulop-Goodling participated in the pilot program, which at the time was exclusively for orthodontists. She was impressed by the technology and enthusiastically became part of the first group certified in the Northeast.

Since then, her practice has grown to include four locations in Manhattan and Long Island. The past few years economy hasn t been easy on most. When people are worrying about their mortgages and putting food on the table, orthodontics especially for adults can be a tough sell, she explains. She has, however, found a way to use the challenging financial climate to her advantage. Thanks to an understanding of social marketing, some outside the box thinking, and patience, she has managed what many have not: converting casual Web browsers into orthodontic patients.

Reverse Referrals
Last year, Fulop-Goodling recounts, a patient walked in and asked me if I d ever heard of Groupon. Another patient, who is in PR, started describing what the discount Web sites are, and I thought, Wow, it s like a Sam s Club or Costco for the Internet. As an orthodontist, how would I be able to recruit these patients How do I know they need ortho? How do they know they need ortho? How would they know if they qualify for Invisalign? So I decided that what we needed to do was to become the 1-800-DENTIST of the discount Web sites. She started by discounting whitening, bleaching, and a dental exam through a promotion on GiltCity, a popular discount Web site.

It s not that I wanted to do the whitening, she clarifies. The point was the consultation. We got 280 patients in
3 days, and started 20 of them on Invisalign. Some patients qualified for Invisalign but were not in a position to start treatment. We referred them to a general dentist for a cleaning and encouraged them to return when they were ready. It s all about planting the seed in people s minds. They will return when they can.

PRACTICE PROFILE
JACQUELINE FULOP-GOODLING, DMD
Locations: Manhattan, NY; Long Island, NY; Monroe, NY

Specialty: Orthodontics

Years in practice: 15

Office square footage: 3,400, 1,500, 2,500

Patients per day: 65 average among all locations

Starts per year: 600 among all locations

Days worked per week: 3 in office, 2 academic

Education: Boston University School of Dental Medicine

Web Sites: drjacquiesmiles.com; drjackiesmiles.com

Fulop Goodling s office became a sort of recruiting firm, connecting patients with dentists. A patient came in and said they love theatre, so we sent them to Dr. A, on Fifth Avenue who loves the arts. A designer came in from Barney s on Madison Avenue. We referred her to Dr. L who loves fashion. Within a week, my phone was ringing off the hook with all of these general dentists calling us. I told them I would refer patients to general dentists who were willing to have an interchange with me.

Like all orthodontists, Fulop-Goodling faces competition from general dentists who treat patients with Invisalign. Her take on it is this: It s like an OB GYN doing Botox. They are doing extensive and difficult implants, restorations, cosmetics, Invisalign. How can one person perfect all that? The patients are the ones who don t benefit. I frequently have patients come into my practice who have found me on the Internet, explaining that they are unhappy with their smile or bite but to please not tell their general dentist they came by. We will strictly work with general dentists who perfect their field, which is diagnostics and aesthetics.

Last December, during the holidays, Fulop-Goodling s practice was inundated with gifts from general dentists, among them many turquoise Tiffany boxes. Normally,she says,it s the specialist who is giving the gifts. That s what we were taught in school. You bring a box of donuts to every general dentist in town and hope they remember to send patients your way. We reversed the whole referral process.

While Fulop Goodling has cultivated Invisalign patients through discount Web sites, she had done it without ever providing a discount on Invisalign. When Groupon contacted her to see if she d like to run an Invisalign special for $2,999, she declined. Her current fee is around $6,000 for a 1 year adult Invisalign case (on par with the national average). On top of the already significantly reduced rate for services, Groupon takes a huge cut of the proceeds. She knows of an orthodontist who did participate in the Groupon deal. He started 100 cases and was excited to be getting a check for about $180,000. He was no doubt less excited when the lab bill came to more than $150,000. Even with Invisalign s highest rebate program, this deal didn t makes sense when you factored in the overhead.

Fulop Goodling believes that dental providers damage their own practice, undermine the practices of others, put new patients at risk, and alienate full price clients by discounting the actual treatment.

Social Marketing

An active Facebook page, maintained in-house, creates a community of current and former patients.
Saving patients money is not her only marketing strategy. Fulop Goodling and her associates have built a strong Facebook following as well. The Facebook page is maintained by people in the practice, never outsourced. She doesn t see why people spend so much money on outside marketing when no one knows a company better than the people who own and operate it every day. Beyond providing a forum for information and deals, the Facebook page has further strengthened the community of current and former patients. By creating a familial environment, Fulop Goodling hopes to ensure that patients will eagerly refer their own friends and family to the practice.

The greatest referral source of all are the teens on Long Island. One teen will be in Invisalign and he ll pop his trays out at lunchtime, and another kid will see that and remember the horror of having visible and unremovable metal braces. Sometimes, they weren t lucky enough to have had braces at an earlier age, and now they are teens and the vanity has kicked in. They ask where their friend got their Invisalign done. The kids say, Dr. Jacquie in Woodbury, and the friends then want to come see me, too. We treated one kid who got nicest smile for his superlative in high school. He s an athlete, and everyone looks up to him. We get his friends, the cheerleading squad, and all of the younger kids who admire him. Looking cool is the number one pressure. Of course, teens will convince their parents to do anything. In my New York and Long Island offices at least, teenagers are the decision-makers in their households.

Fulop-Goodling is a Twitter aficionado as well. She typically tweets to educate people about Invisalign. For example, patients frequently post that they are experiencing discomfort from the attachments, the small hooks that are affixed to the teeth to keep the trays in place. Since the attachments are covered when a patient has his aligners in, Fulop Goodling makes sure to remind these complainers, in no uncertain terms, that their trays should be worn 24 hours a day, 7 days a week, except during eating and brushing! When misguided orthodontic tweets become too infuriating, she takes a break to see what her favorite tweeters are up to, namely late-night television host Craig Ferguson and the cast of the HBO comedy Entourage.

Fulop Goodling also connects with patients face to face.
With a full schedule of speaking engagements that take her all over the globe, Fulop Goodling is constantly waiting around at the airport. She takes this as an opportunity to venture into Invisalign chat rooms, where she again corrects people s usage of the product, often posing as a star patient.

In her spare time, Fulop Goodling has also developed a smartphone application called Align on Time. Most Invisalign patients receive a paper calendar to remind them when to change their trays. Who uses paper anymore? With her app, patients simply type in the number of trays they will use, the time frame over which they will use them, and hit Send. The app syncs with smartphone calendars, and an alert sounds when it s time for a new set of trays.

Even Fulop Goodling s business cards have a social media element. She worked with a designer to develop a QR code, which is a bar code that can be read by smartphones. When patients get her business card, they simply scan it with their smartphones and all of the information they need about the practice is automatically stored in their device.

Building an Experience
What sets Fulop Goodling apart isnt just her skill and marketing prowess, but also the experience she provides for her patients. Her husband, Anthony Goodling, is an architect who helped design her offices. Her Long Island office sees mainly children and teens, so for inspiration she took Anthony to a local amusement park and asked him to recreate that feeling of fun. The 3,400 square feet of space is light and whimsical, and filled with every type of game: Xbox and Wii for the patients, Color Me Elmo for the little ones and
siblings, and Texas Hold Em video poker for the parents. She tells the kids that orthodontics should be the last thing on their minds while they visit. She d rather they think about what game to play and leave the teeth business up to her.

The look of Fulop Goodling s Long Island office was inspired by an amusement park.
The Manhattan office caters more to adults. Her approach there was based on the idea that, in the hustle and bustle of the city, people are looking for a tranquil retreat. She and Anthony went to the Frederic Fekkai salon for a massage, and left with a vision. The result is a spa-like office made entirely of glass. The light streams in, but when a patient touches the walls in his or her room, they immediately frost over for privacy. The practice serves a different spa-inspired infused beverage every day.

All this style is backed up by substance. Fulop Goodling works with three associates, all of whom are former students, from Harvard, Columbia, and NYU. They have been with her for 7, 4, and 3 years, respectively. While Fulop Goodling makes sure to handle all consultations and treatment plans, she must divide her time between three offices and a hectic lecture schedule. The associates handle the delivery of the aligners, strip teeth when necessary, and enforce the individualized treatment plan that Fulop Goodling has recommended. The associates keep each practice running at least 5 days per week, and are frequently rewarded for all they do. She has taken her entire office staff to Las Vegas, the Bahamas, and the Hamptons. This past Memorial Day, the whole crew went to the Dominican Republic for 5 days, with nary a dental conference on the agenda just fun and relaxation.

Fulop Goodling and her team have built a bit of a celebrity following. Her patients include singer John Legend, Annalynne McCord from Nip Tuck, Maksim Chmerkovskiy from Dancing With the Stars, and Roy Williams of the Dallas Cowboys, who Fulop Goodling claims takes up her whole room but is exceedingly polite. Despite having strong ties to Boston, she happily treats several of the New York Yankees star players as well.

Community and Family

Fulop Goodling is involved in her many communities as well, particularly with the Long Island kids. She finds it s a great way to build business and give back at the same time. She frequently comes out to support the local high school sports teams, and recently she rented out an entire amusement park and invited 1,500 patients, along with their parents and friends.

She is heavily involved with the annual Tunnel to Towers Run, an event in honor of Stephen Siller, a firefighter who had just gotten off the night shift in Brooklyn on the morning of September 11, 2001. When he heard that the first of the Twin Towers had been hit, he ran 5 kilometers through the already closed Brooklyn Battery Tunnel. He perished alongside two of Fulop-Goodling s high school classmates. The 5K run traces his heroic journey and raises money for burn centers and injured servicemen and women. She has worked hard to get the word out about the charity, and now many of Fulop Goodling s patients are regular participants in the event.

Fulop Goodling likes to spend her rare moments of downtime with her husband and family. The last date they had was a night at the theater, seeing The Fantasticks. It was, she says, a great show at a great price. Her dental team bought her the tickets on the discount site Living Social.

When and should Your Child Have an Orthodontic Examination?

The American Association of Orthodontists recommends that all children receive an orthodontic screening by age 7, especially if they exhibit the following signs or habits:

-Early or late loss of baby teeth
-Mouth breathing
-Difficulty in chewing or biting
-Thumb or finger sucking
-Crowding, misplaced or blocked out teeth
-Jaws that shift or make sounds
-Biting the cheek or roof of the mouth
-Teeth that meet abnormally or not all
-Jaws and teeth that are out of proportion to the rest of the face

Your Child and Braces | What You Need to Know

The American Association of Orthodontists recommends that everyone by 7 years of age should get evaluated by an orthodontist. This includes if your child is being followed by a pediatric dentist because orthodontists specialize in dentofacial orthopedics or growth and development of the face, in addition to the malposition or crowding and spacing issues of the teeth.

Why so young? âThere are many reasons and a lot of research which reveals that early orthodontic intervention aids in dental and skeletal prevention, said Dr. Jacqueline Fulop-Goodling (a.k.a. Dr. Jacquie), an orthodontist with offices in Woodbury and Manhattan. “Many orthodontic problems can be corrected prior to the eruption of all of the adult teeth. Most children complete their dental growth by age 12 and many children even earlier because kids today are developing quicker because of the hormones in the foods that they eat, ” said Dr. Jacquie. At age 7, most children’s first molars have erupted, in addition to some front teeth. At this stage, a panoramic x-ray is taken to reveal the size of the other permanent teeth, which have not yet erupted. If crowding issues exist, appliances like a palatal expander can be prescribed to make the mouth bigger for the unerupted crowded teeth seen on the x-ray. Most importantly,Dr Jacquie said, The increase in frequency of palatal expanders today and early orthodontic intervention have decreased the need for extraction of permanent teeth. That’s amazing!

Studies have shown that younger children are more comfortable during the expansion phase of the expander, as once puberty is near by, the discomfort level increases because the palate has a growth plate like suture fusing into one piece. (Post pubertal children and adults requiring a palatal expander must have surgery first since their palate has already fused into one piece.) Also, the more permanent teeth a child has can cause more discomfort due to the overall greater orthodontic forces necessary to be exerted because a child has more teeth in their mouth.

According to www.dentistry.com An orthodontist can generally determine whether there will be adequate room for the remaining permanent teeth at this time. This determination is often aided by a panoramic X-ray. If there will not be adequate room for the permanent teeth, early treatment can be initiated and may consist of appliances to expand the jaws or the early removal of deciduous teeth. This approach greatly increases the chance that the remaining permanent teeth will erupt ideally aligned, thereby reducing the need for future orthodontic treatment. A commonly treated orthodontic problem is an overbite (more correctly termed overjet), or “buck teeth.” An overbite may result when the upper jaw grows more rapidly than the lower jaw, or may simply result from protrusive front teeth. If the jaw is involved, treatment will usually consist of an orthopedic appliance to help stimulate lower jaw growth. In addition, limited upper braces are often placed on the front teeth. The advantages of treating the overbite early include improved chewing, speech and facial aesthetics, increased self-esteem and reduced risk of dental injuries. Finally, orthodontists generally recommend treating harmful habits such as thumb sucking, tongue thrusting, and mouth breathing at a young age. There is strong evidence that these habits can lead to significant orthodontic problems.

Dr. Jacquie said, Early intervention is a key factor in determining what your childs future smile will look like. It is wonderful to create wide smiles and can avoid pulling adult teeth because we are ableto evaluate children younger today.

Temporary Office Closing In Response To COVID-19

To our Family of Patients,

Dr. Jacquie Smiles’ team continues to operate during the COVID-19 pandemic.

STAY TUNED for upcoming video consultations!!

To our Family of Patients & Future Ones, as well,

Here at Dr. Jacquie Smiles, there is nothing more important to us than the safety & well-being of our patients and team. With that in mind, we are here for you to answer any questions you may have with... Read Full Letter