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What is a palatal expander?

January 12th, 2022

If Dr. Anthony Bisconti and our team at Bisconti Orthodontics have recommended a palatal expander, you might be wondering what it is and how it will help you. A palatal expander is a small appliance fitted in your mouth to create a wider space in the upper jaw. It is often used when there is a problem with overcrowding of the teeth or when the upper and lower molars don’t fit together correctly. While it is most commonly used in children, some teens and adults may also need a palatal expander.

Reasons to get a palatal expander

There are several reasons you might need to get a palatal expander:

  • Insufficient room for permanent teeth currently erupting
  • Insufficient space for permanent teeth still developing which might need extraction in the future
  • A back crossbite with a narrow upper arch
  • A front crossbite with a narrow upper arch

How long will you need the palatal expander?

On average, patients have the palatal expander for four to seven months, although this is based on the individual and the amount of correction needed. Several months are needed to allow the bone to form and move to the desired width. It is not removable and must remain in the mouth for the entire time.

Does it prevent the necessity for braces?

The palatal expander doesn’t necessarily remove the need for braces in the future, but it can in some cases. Some people only need braces because of a crossbite or overcrowding of the teeth, which a palatal expander can help correct during childhood, when teeth are just beginning to erupt. However, others may eventually need braces if, once all their permanent teeth come in, they have grown in crookedly or with additional spaces between.

If you think your child could benefit from a palatal expander, or want to learn about your own orthodontic treatment options, please feel free to contact our Youngstown, OH office!

New Year's (Orthodontic) Resolutions

December 29th, 2021

Why are New Year’s resolutions so often negative? A depressing reminder of things-you-should-be-doing-but aren’t. A new set of rules-that-must-be-obeyed. A nagging list of changes you should make right this very . . .  

No! That’s no way to start the year! Let’s make your resolutions for the New Year a positive, proactive guide to help you achieve your goals for the next 12 months. And high on that list? Creating a beautiful, healthy smile.

If you are working with Dr. Anthony Bisconti to improve the alignment of your teeth and bite, here are some easy, affirmative resolutions to make sure your treatment stays on track.

  • Be Healthy

Brushing is always important. That’s why we recommend brushing at least twice a day, at least two minutes each time. But when you wear braces or aligners, brushing regularly is even more important.

After every meal and every snack, food particles collect around brackets and wires. If you wear aligners, food particles on and between the teeth can end up trapped there.

No one wants more opportunities for cavities to develop, so follow our advice on brushing and flossing around your braces whenever you eat a meal or snack, and be sure to clean your teeth before replacing your aligners.

  • Be Thorough

Brushing carefully is important not just for preventing cavities, but for a brighter smile. And while you want a whiter smile, what you don’t want is white spots on your teeth. These discolored spots are caused by decalcification. What’s decalcification, you ask?

Bacteria and plaque stick to our teeth, and, when not brushed or flossed away, produce acids which eat away at minerals in our enamel. In places where minerals such as calcium and phosphorus leach out of the enamel, a white spot on the tooth appears. Left untreated, these weakened areas can develop into cavities.

Avoid having to deal with this discoloration when your braces or aligners are removed by careful brushing and regular professional cleaning.

  • Be Safe

If you play sports or live an active life, you might already be using a mouthguard. Good for you! Mouthguards have prevented countless injuries. Now that you have braces, talk to Dr. Anthony Bisconti about whether a custom mouthguard is a good idea.

  • Be Responsible

If you have braces, brackets and wires can come loose. You can reduce the chances of that happening by following our instructions on what and what not to eat, and by brushing thoroughly-but-gently with a soft-bristled toothbrush.

If you have aligners, follow the manufacturer’s instructions for caring for them. Exposing them to heat, or eating with your aligners in, or not keeping them in their case when you’re not wearing them, can cause warping or breakage.

If you have a retainer, always make sure it’s in its case when it’s not in your mouth.

  • Be Adaptable

When you visit our Youngstown, OH office, ask us about better brushing tools and techniques, so once your braces or aligners come off, you’ll have a bright, beautiful, healthy smile as the reward for all your hard work.

  • Be Finished!

Dr. Anthony Bisconti will give you precise instructions on when and how long to wear your bands or your aligners. Failing to put in the hours now means that you will have to spend more time in treatment later. And, of course, make sure you keep all your orthodontic appointments.

Resolving to follow our advice can bring you a healthier, happier smile before you know it. Positive goals lead to positive results, so let this be the year that your proactive resolutions lead to a lifetime of beautiful smiles.

Misconceptions About Orthodontics

December 22nd, 2021

While everyone understands that a dentist takes care of teeth, not everyone is aware of what an orthodontist does. This confusion sometimes leads to misunderstandings about what Bisconti Orthodontics does for our patients and how exactly Dr. Anthony Bisconti can help them. Let’s take a closer look at a couple of the myths and misconceptions about orthodontists.

Perhaps the biggest misconception about the orthodontist is that they’re just like your family dentist. The truth is, they’re actually very different. While it’s true that both orthodontists and dentists care about helping you enjoy a lifetime of good dental and oral health, orthodontists go about achieving this goal in different ways. For instance, if you need to have a cavity filled, you probably won’t make an appointment to see an orthodontist. Dentists are the health professionals to see if you’re concerned about a cavity or need a filling. A dentist can also treat gum disease, tooth decay, toothaches, and other common oral health problems.

People see an orthodontist for very particular services. Most of the patients we see on a daily basis are here because they have braces, or they need to be fitted with braces or another form of tooth-straightening device. In other words, they consult an orthodontist when they are concerned about the alignment of their teeth. As a child grows up, his or her teeth may come in crooked. This can happen for a number of reasons, so it’s important for an orthodontist to take a look at a child’s teeth at about seven years of age. At that age, it’s possible to detect any problems that have not become too advanced to treat easily. Your family dentist may also refer your child to an orthodontist once the adult teeth have fully grown in.

Another common misconception about orthodontists is that they only treat children. It’s true that when you visit an orthodontic clinic you’re apt to see a lot of young kids, but you’ll also see teenagers, college students, and adults. Because crooked teeth can be caused by a number of different factors, it’s entirely possible for someone to require orthodontic treatment at any age.

If you want to know more about the practice of orthodontics or what your orthodontist can do for you, then simply ask Dr. Anthony Bisconti. It’s best to get answers to your specific questions directly from the person who will be treating you. While you’re sure to find Internet resources helpful, there really is no substitute for the personal attention you’ll get during your appointment at our Youngstown, OH office.

Power Chains

December 15th, 2021

By now, you’re very familiar with the basic building blocks of your braces. Brackets, wires, and ligatures are no mystery to you. But suddenly, you’re hearing a brand new term—“power chains.” What exactly are these power chains, and why does your orthodontist think you need them? Let’s see how power chains are *linked* to your orthodontic treatment.

  • First, why power chains?

They’re not really chains in the necklace or bike chain sense—in fact, they’re only very rarely made with metal. These chains are most often a string of O ring loops just like your elastic ligatures, attached in a row to resemble a chain.

Chain lengths are tailored to your specific needs. Dr. Anthony Bisconti will attach each individual loop in the chain around a single bracket, linking selected teeth together. Chains might stretch across a few teeth, several teeth, or your entire upper or lower arch.

  • Second, why power chains?

Because these chains are usually made of the same elastics that your ligatures, or bands, are made from, they want to hold their original shape. They will try to return to that original shape even as they are stretched between your brackets. As they contract, they help move your teeth together. 

Over time, just like an over-stretched rubber band, they lose their elasticity, and won’t work as effectively. That’s why you’ll probably get a new power chain whenever you come in to our Youngstown, OH office for an adjustment.

  • Third, why power chains?

This is the most important question. How can a power chain improve your smile?

Usually, power chains become part of your treatment after the first phase of alignment. They can be used to help align your teeth or correct your bite, but are most often used to close gaps between the teeth.

You might have a gap after a tooth has been extracted. Or, as your teeth move into their new positions, you might suddenly see noticeable spaces between them. Power chains move the teeth closer together to eliminate these gaps, and do it more quickly than brackets and wires alone can do.

  • How long will you need them?

This is something Dr. Anthony Bisconti will discuss with you. Whether it’s a matter of weeks or months, your treatment plan is designed to move your teeth into their best positions, and to do it carefully for a lasting, healthy alignment.

  • Power chain options

Depending on the size and spacing of your teeth and your treatment plan, these chains usually take one of three forms: closed/continuous, short, and long. The only difference is the distance between the rings.

We will choose the type of chain that’s best for your treatment. Your contribution is to personalize your power chain. Power chains come in a rainbow of colors, allowing you to mix and match. You can even coordinate with your ligatures if you have ties as well as chains. If your goal is to have your braces blend in, various shades of white, silver, or clear colors are available. Want to mix things up? Choose a different color with every adjustment.

  • Anything else?

You might experience some discomfort for the first few days with a new power chain, just as you might with any adjustment. Dr. Anthony Bisconti will have suggestions for making those first days as comfortable as possible.

Also, like brackets and ligatures, power chains can trap food particles, so be sure to follow our instructions for keeping your teeth and your braces their cleanest.

Now that you’re all caught up on what power chains are and what they can do for you, let’s mention one more benefit. This is a process where you can actually see the gaps between your teeth closing over the weeks you wear your power chains. Keep a selfie record of your progress as you create your beautiful, healthy smile. That’s an em*power*ing experience!

American Association Of OrthodontistsAmerican Board Of Orthodontics 2015American Dental AssociationInvisalign

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