My Blog

Posts for: June, 2013

By Thomas Kemlage DDS
June 28, 2013
Category: Dental Procedures
MatthewLewisAdultOrthodontics

If you haven't seen a recent picture of Matthew Lewis, the actor who played Neville Longbottom in all eight Harry Potter movies, you may be in for a surprise: It seems the plump, awkward teenager from Gryffindor has been magically transformed into a post-Hogwarts hunk. What kind of wizardry did it take to change his memorably snarled teeth into a leading man's sparkly smile? The kind skilled cosmetic dentists perform every day!

While special effects created some of the character's dental disarray, the actor's own teeth were far from perfect. And, as Lewis recently noted, the film studio urged him to postpone cosmetic dental work until the movies were all done. “It was something I'd always wanted to do, but it would have meant me wearing a brace for two years,” he told an interviewer with the Yorkshire Evening Post. “Warner Brothers said if I put it off until we'd finished filming they'd pay for it — and they did.”

There are plenty of people, like the twenty-something actor, who put off orthodontic treatment until after their teen years. If you're wondering whether there's still time to get orthodontic work done, then take heart — it's never too late to straighten your teeth!

Today, an estimated twenty percent of orthodontic patients are adults. Compliance with the orthodontic program (meaning thorough regular brushing and flossing, wearing elastics, etc.) is often less of an issue with adults than with teens. Plus, there are some options that can help ensure your orthodontic appliances will fit in with a more mature image.

One is colorless braces. In this system, the brackets (the parts that are bonded to the front teeth and hold the archwire) are made of a clear ceramic material that blends in with the tooth's natural color. This makes them hard to see unless you look closely. Inconspicuous yet effective, clear braces have been the first choice of many celebrities, such as Tom Cruise and Faith Hill... and lots of “regular” adults too.

Another option is lingual braces. These are truly invisible, because they attach behind the teeth (on the tongue side) instead of in front. They work just like the standard braces, and they're appropriate in many situations. However their cost is higher, and the space they occupy in the mouth may take the wearer a bit of time to get used to.

A third option is clear aligners. Unlike braces, which aren't normally removed until orthodontic treatment is nearly complete, clear aligners are easily removable. They consist of a series of transparent trays made of special plastic, which are worn over the teeth 22 hours per day. Each tray in the series is worn for a few weeks, and each moves the teeth a small amount; all together, they can accomplish a big change.

Aligners work well for correcting mild to moderate malocclusion (bite problems). Plus, you can temporarily remove them for important social occasions. But best of all, they're virtually undetectable — so whether or not you play the role of a wizard in the movies, you won't need a magic spell to make them invisible!

Which option is right for you? That's something we would be happy to discuss. If you would like more information about adult orthodontic treatment, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”


By Thomas Kemlage DDS
June 13, 2013
Category: Oral Health
Tags: oral health  
OralPiercingsFiveThingsYouShouldKnow

Whether you think they're the height of fashion or the depth of “ice,” oral piercings like tongue bolts are a sign of our times. But along with these bodily adornments come a host of questions about risks to the wearer's health, both immediate and long-term. To help sort out these concerns, here are five facts everyone ought to know about oral piercings.

Oral piercings can cause acute health problems.

Rarely, nerve problems may result from an oral piercing. In at least one case, a teenager who had just gotten a tongue bolt developed severe facial pain and the feeling of electrical shocks. A neurologist traced these symptoms to an irritated nerve in the tongue, and the bolt's removal made the pain go away. More commonly, however, the immediate problems are soreness in the area of the piercing, bleeding in the mouth, and the risk of infection.

Oral piercings can lead to gum disease.

Periodontal problems associated with oral piercings include gum recession, inflammation, and even infection. Long-term bone loss may also be an issue. Over time, all of these conditions may affect a person's general health.

Oral piercings can lead to tooth problems.

Tooth pain and sensitivity are sometimes reported after the installation of an oral piercing. Chipping of the teeth is also a possibility, due to repeated contact with the metal of the ornament. People who decide to wear oral piercings should consult with us about increasing the frequency of their dental checkups.

Closing the hole left by a tongue piercing may require minor surgery.

As is the case with an ear piercing, the hole made for a tongue bolt often closes on its own. If it doesn't, a little surgery may be required to help it. In some cases, the tissue around the piercing may need to be removed before the hole itself can be sewn closed. Carried out under local anesthesia (a numbing shot), however, the procedure is usually simple and quick to heal.

Removing an oral piercing improves your oral health.

Losing the piercing reduces your risk factors, and thus improves your oral health. It's as simple as that. But any decision about oral piercings is ultimately yours to make. You should have a frank conversation about its risks and benefits with a knowledgeable health professional.

If you would like more information about oral piercings, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “How Oral Piercings Affect Your Oral Health,” and “Body Piercings and Teeth.”