Treatment Information

ShastaOrthodonticsBondedLingual_400w

BONDED LINGUAL RETAINER

Description: A Bonded Lingual Retainer Appliance is usually comprised of a braided stainless steel wire that connects to the lingual (back) surfaces of the front teeth. Composite resin (dental restorative material) is used to adhere the appliance to the teeth.

Usage: The Bonded Lingual Retainer Appliance is used to maintain a previous orthodontic result or to simply prevent undesirable movement of the teeth. The Bonded Lingual Retainers are typically worn full-time for five years following orthodontic treatment to allow for remodeling of the bones and gums.

Cleaning: We encourage patients to clean the appliance with Soft-Pick by GUM and a toothbrush each and every time the teeth are brushed.

What to Expect: Upon initial placement, there may be some tongue obstruction, but your speech will be back to normal in just a few days.

Dr. McCarthy’s Tip: Read your favorite book, magazine, etc. to yourself in front of the mirror for five minutes a day – your speech will be perfect in no time.

Remember: Retention is as important as the treatment itself and is essential to the long-term maintenance of your new beautiful smile.


CeramicBraces_400w

CERAMIC/TOOTH-COLORED BRACES

Ceramic braces are made of clear/tooth-colored materials and are therefore less visible on your teeth than metal braces. For this reason, ceramic braces are used mainly on older teens and adult patients who have cosmetic concerns and would like the orthodontic experience to be less conspicuous.

Description: Clear (Ceramic or Composite) fixed appliances (braces) used in combination with stainless steel fixed appliances on the back teeth are comprised of small ceramic or stainless steel squares (“brackets”) that are bonded with composite resin (dental adhesive) directly to the enamel surfaces of the teeth. A protective layer of dental “sealant” is applied to ensure safe placement and removal of the appliances, thereby preserving the enamel. Bands (stainless steel rings with braces welded to the steel) are often used on the posterior teeth to ensure appliance retention. The braces alone do not move teeth; they are simply stable guidance mechanisms that allow wires and other accouterments to affect the actual tooth movement (wires, chains, elastics, coil springs, and other devices).

Cleaning: Careful brushing and flossing are advised daily. Brushing all around each and every brace is essential to the maintenance of dental health during the orthodontic process. Flossing – threading the floss under the wire at each point of contact – is advised at least once a day.

What to expect: Patients can expect to experience soreness of the teeth and irritation of the lips and cheeks for approximately 1-2 weeks. Thereafter, the appliances tend to become “invisible” to patients. Adjustment visits are scheduled at 4-8 week intervals as needed to affect the desired changes. A patient can expect 2-3 days of MINOR soreness in the teeth after an adjustment as the teeth respond to the changes implemented.

Remember: The patient and orthodontist are partners in this adventure and helpful participation by the patient can make the process proceed as planned. Careful oral hygiene and compliance with all prescribed appliances can help to make the process a success!


RubberBands_400w

ELASTICS (RUBBER BANDS)

Description: Wearing elastics (rubber bands) that connect from your upper jaw to your lower jaw can help improve the look, feel, and function of your bite. Wearing your elastics as instructed will help align your jaw and make sure your treatment progresses far more efficiently.

General Instructions: Elastics are to be worn full-time and may be worn while eating or removed for eating at the discretion of the patient. The elastics function optimally if changed every time they are removed, as they tend to lose force after a few hours of usage.

Cleaning: Elastics should be removed for cleaning to allow optimal access to all areas of the mouth.

What to expect: The teeth may feel sore at first but will adjust within a few days. Normal anti-inflammatory medication will be helpful through the adjustment period.

Remember: If you are traveling, take extra elastics with you. It is always a good idea to have a supply in your backpack, briefcase, and bathroom. Please notify us if you run out of elastics before your next appointment.


EssixRetainers_400w

ESSIX RETAINERS

Description: The Essix Retainers are a clear plastic shell that conforms exactly to the contours of the teeth to aid in the maintenance of tooth position (retention). The Retainer material does not typically cover the palatal tissues.

Usage: The Essix Retainers are used to maintain a previous orthodontic result or to simply prevent undesirable movement of the teeth. Retention appliances are typically worn full-time for six weeks following orthodontic treatment to allow for remodeling of the bones and gums and then nightly thereafter to maintain the orthodontic correction.

General Care:

  • Do not eat or drink anything except for water while wearing your retainers. After eating, brush your teeth or rinse your mouth before putting your retainers back in.
  • If you notice wear marks, cracks or holes on your retainers. You will need to invest in a night guard. We recommend DenTek custom comfort dental guard. This dental guard is an affordable, durable, over-the-counter solution for superior protection.
  • Do not smoke, chew gum, etc. While wearing your retainer.
  • When your not wearing your retainers always keep them in their proper case to avoid losing or breaking them.
  • If you have a dog keep your retainers where they can not get to them, they will find them and eat them.

Cleaning: We encourage patients to clean their retainers with a soft bristled toothbrush and warm water after each use. You may also use products like ‘Efferdent’ or ‘Retainer Bright’ to clean your retainers. Some other products may be too harsh on the material and may damage your retainers.

Remember: Retention is as important as the treatment itself and is essential to the long-term maintenance of your new beautiful smile.


ShastaOrthodonticsFaceMask_400w

FACEMASK

Often referred to as reverse-pull headgear, the Facemask is a removable appliance for patients where the upper jaw is not growing fast enough, resulting in a crossbite or underbite. The device consists of a metal bar attached to pads on the forehead and chin with rubber bands hooked to the face mask and the upper braces to gradually move the upper jaw forward. Patient compliance is extremely important as the face mask must be worn a set number of hours per day or more to obtain the desired results. Description: The Facemask Appliance is a one-piece unit comprised of a stainless steel framework (central core) with adjustable forehead and chin pads as well as a “cross piece” that attaches directly to an intra-oral (in the mouth) appliance to bring the upper jaw forward and downward.

What to Expect: As with any appliance, there is a short adjustment period as the teeth may experience some minor soreness as the body acclimates to the appliance. We suggest increasing time with the appliance gradually starting with 1 hour and adding an hour per day until the patient is comfortable with wearing the appliance for the desired interval. Any standard pain medication can help during the adjustment period but is not necessary thereafter.

Remember: If the appliance is placed immediately before bed, it can often create more soreness than is necessary, prompting “unconscious” removal by the patient. Placement of the appliance as early in the evening as possible is key to success!!!


HabitAppliance_400w

HABIT APPLIANCE

Description: A habit appliance is used to control habits such as tongue thrust or thumb sucking. The habit appliance is banded to the upper first molars and a “cage” prevents the patient’s habit from continuing.

Cleaning: We encourage patients to rinse with water after eating to help clean the appliance. Brush and floss as usual, taking special care to clean around the bands.

What to Expect: Upon initial placement, there may be some tongue obstruction, but your speech will be back to normal in just a few days.

Dr. McCarthy’s Tip: Read your favorite book, magazine, etc. to yourself in front of the mirror for five minutes a day – your speech will be perfect in no time.

Remember: The patient may experience some minor soreness for a day or two. Advil® or Tylenol® may be helpful if necessary.


HyraxAppliance_400w

HYRAX EXPANDER

Description: The Hyrax expander is an orthodontic appliance that increases the width of the upper jaw. This widening is required for patients whose lower back teeth are wider than their upper back teeth creating a problem called a posterior crossbite. A posterior crossbite can occur on one side of the mouth called a unilateral posterior crossbite or on both sides, which is called a bilateral posterior crossbite. The Hyrax Expander can also be used to widen the upper jaw to create more room for crowded or blocked out teeth.

The Hyarx expander has a screw-type mechanism that is suspended 1/4 of an inch from the roof of the mouth and wires that attach it to the upper 1st molars. The Hyrax appliance has a small hole in the screw, which is turned with a special key we provide. It can be done by either the patient or parent. The Hyrax opens 1/4 millimeter per turn. Dr. McCarthy will specify how often and how many times you will turn your Hyrax expander. The specified amount of time is different for each patient. General Instructions: Please avoid sticky/chewy candies and gum. Cleaning: We encourage patients to rinse with water after eating to help clean the appliance. Brush and floss as usual, taking special care to clean around the bands, the expansion mechanism, and the palatal bars.

What to Expect: Upon initial placement, there may be some tongue obstruction, but your speech will be back to normal in just a few days.

Dr. McCarthy’s Tip: Read your favorite book, magazine, etc. to yourself in front of the mirror for five minutes a day – your speech will be perfect in no time.

Remember: Teeth in direct contact with the appliance may be sore for a day or two following an adjustment. Advil® or Tylenol® may be helpful if necessary. Patients may feel pressure on the bridge of the nose during an adjustment as the maxilla widens.


ShastaOrthodonticsLLHA_400w

LOWER LINGUAL HOLDING ARCH (LLHA)

The lower lingual holding arch (LLHA) is a space maintaining appliance.

Description: A Lower Lingual Holding Arch Appliance is comprised of stainless steel rings (bands) around posterior teeth (usually molars) and a stainless steel wire that passively contacts the inside (lingual) surfaces of the teeth.

Usage: The Lower Lingual Holding Arch Appliance (LLHA) is used to preserve and create space in the mandibular (lower) arch and to aid in up-righting of the molars. The appliance is placed on the lingual (tongue) side of the mandibular (lower) teeth. As the lower baby molars are generally larger than the permanent teeth that will succeed them, the LLHA helps to utilize this space to the patient’s best advantage.

General Instructions: Please avoid sticky/chewy candies and gum.

Cleaning: We suggest patients rinse with water after eating to help clean the appliance. Brush and floss as usual, taking special care to clean around the bands and the palatal arch. What to Expect: Upon initial placement, there may be some tongue obstruction, but your speech will be back to normal in just a few days.

Dr. McCarthy’s Tip: Read your favorite book, magazine, etc. to yourself in front of the mirror for five minutes a day – your speech will be perfect in no time.

Remember: This appliance may be small but it is essential to the success of treatment!


MARAAppliance_400w

MARA

Description: The MARA (Mandibular Anterior Repositioning Appliance) is a powerful and effective bite corrector and is used to reduce/correct the excessive horizontal overlap between upper and lower front teeth commonly referred to as “overbite”. This appliance causes the lower jaw and lower teeth to move forward and the upper molars/teeth to move backward thus correcting the “overbite”. In a growing individual the MARA helps to encourage a more favorable and balanced position of the lower jaw in relationship to the upper jaw improving the overall jaw balance and facial appearance, in addition to “overbite” correction. The MARA is typically worn for 12 months, with the braces, after that time the MARA is removed and braces continue to stay on the teeth until full treatment is completed.

Elastic Wear with MARA: Please wear your elastics for two weeks all the time (24/7) followed by each advancement. After two weeks please continue to wear your elastics every night until your MARA is removed.Cleaning: We encourage patients to rinse with water after eating to help clean the appliance. Brush and floss as usual, taking special care to clean around the bands. What to Expect: Upon initial placement, there may be some tongue obstruction, but your speech will be back to normal in just a few days.

Dr. McCarthy’s Tip: Read your favorite book, magazine, etc. to yourself in front of the mirror for five minutes a day – your speech will be perfect in no time. Remember: The patient may experience some minor soreness for a day or two. Advil® or Tylenol® may be helpful if necessary.


MetalBraces_400w

METAL BRACES

The most common and recognizable braces are the silver metal braces. These braces are very durable. Patients can choose from a variety of different color ties for decorative purposes to enhance the orthodontic experience.

Description: Stainless steel fixed appliances (braces) are comprised of small stainless steel squares (“brackets”) that are bonded with composite resin (dental adhesive) directly to the enamel surfaces of the teeth. A protective layer of dental “sealant” is carefully applied to ensure safe placement and removal of the appliances, thereby preserving the enamel. Bands (stainless steel rings with braces welded to the steel) are often used on the posterior teeth to ensure appliance retention. The braces alone do not move teeth; they are simply stable guidance mechanisms that allow wires and other accouterments to affect the actual tooth movement (wires, elastics, coil springs, and other devices).

Cleaning: Careful brushing and flossing are advised daily. Brushing all around each and every brace is essential to the maintenance of dental health during the orthodontic process. Flossing – threading the floss under the wire at each point of contact – is advised at least once a day.

What to expect: Patients can expect to experience soreness of the teeth and irritation of the lips and cheeks for approximately 1-2 weeks. Thereafter, the appliances tend to become “invisible” to patients. Adjustment visits are scheduled at 4-8 week intervals as needed to affect the desired changes. A patient can expect 2-3 days of MINOR soreness in the teeth after an adjustment as the teeth respond to the changes implemented.

Remember: The patient and orthodontist are partners in this adventure and helpful participation by the patient can make the process proceed as planned. Careful oral hygiene and compliance with all prescribed appliances can help to make the process a success!


Separators_400w

SEPARATORS (SPACERS)

Description: Separators or spacers are small elastic rubber bands that slide between the teeth. They gently push the teeth apart and create space so that we can comfortably fit bands around your teeth at your next appointment.

General Instructions: Separators are to be maintained in the mouth until bands are fitted and cemented in the mouth. Sticky, chewy foods such as gum and caramels are to be avoided to prevent spontaneous removal of the separators.

Cleaning: Normal brushing and flossing should be practiced, though flossing in the actual contacts where the separators are placed should be avoided.

What to Expect: Following placement of the separators, the involved teeth may exhibit some degree of soreness that can be eradicated utilizing anti-inflammatory medication for a day or two. Remember: Please keep us informed of any changes with your separators if you are not able to re-insert them after they have come out.


TPAAppliance_400w

TRANS PALATAL ARCH (TPA)

A TPA is a fixed appliance used to keep the upper molars from moving forward. This simple appliance is typically used to hold the arch after use of an expander.

Description: The Trans-Palatal Arch (TPA) is comprised of stainless steel rings (bands) around the posterior teeth (usually molars) and a looped wire that spans the palate (roof of the mouth) without touching it.

Usage: The Trans-Palatal Arch (TPA) is used to hold upper molars in place, stabilizing the position of these teeth after, or during, the movement of other teeth. General Instructions: Please avoid sticky/chewy candies and gum.

Cleaning: We suggest that patients rinse with water after eating to help clean the appliance. Brush and floss as usual, taking special care to clean around the bands and the palatal arch. What to Expect: Upon initial placement, there may be some tongue obstruction, but your speech will be back to normal in just a few days.

Dr. McCarthy’s Tip: Read your favorite book, magazine, etc. to yourself in front of the mirror for five minutes a day – your speech will be perfect in no time.

Remember: This appliance may be small, but it is essential to the success of treatment.