Braces By Bergh and Brian H. Bergh, DDS, MS, APC

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Dr. Brian Bergh

818-242-1173

1111 N. Brand Blvd, Ste 201
Glendale, CA 91202

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Archive for the ‘Orthodontic Appliances’ Category

“When Should I Start Wearing My Retainer?”

Thursday, November 8th, 2012

Braces are an investment in your smile. When your teeth reach a desired straightness, you’ll have a beautiful smile, but it’s important to keep it that way! You can accomplish this with a retainer.

A retainer is a small, custom-fit device that reinforces the new position of your teeth after your braces are removed. But for many patients, especially the youngest ones, wearing a retainer may seem like an annoyance. So exactly how long after your braces come off should you wear your retainer?

Graduation of Wear Time

When we remove your braces, we will evaluate the condition of the bone structure surrounding your teeth and determine how well it is adjusting to the new position of your teeth. For the first few months, we may require you to wear your retainer both day and night, except during meal times and for brushing and flossing.

As the bone and gum tissues adjust to your new smile, we may determine that you need to wear your retainer only at night. After about one year of wearing the retainer every night, you may be able to take a couple of nights off each week.

However, we do not recommend ever stopping permanently. To best secure the position of the teeth, especially through future extractions and oral health changes, wearing your retainer a few nights a week will be necessary for many years.

Considerations

If you are concerned about your appearance when you wear a retainer, there are many that can be worn discreetly. You could choose a clear plastic one that is less obvious during the months immediately following removal of your braces. When you change to night wear only, clear wire retainers are available for minimal visibility as well.

Another option is a lingual retainer. It is placed on the back sides of your teeth so no one will ever know it is there! Lingual retainers are also permanent, so there’s no risk of losing them.

Remember, wearing your retainer is an investment in your smile. If you fail to wear it consistently, the tissues that support your teeth will be unsupported, and you may begin to experience noticeable shifting. You’ve worked hard to get that beautiful smile — your retainer will let you keep it!

Emergency Orthodontic Care!

Monday, October 29th, 2012

Our team knows that orthodontic emergencies are never convenient nor timely. If you are a patient of record, our team is committed to your dental health and we are more than willing to see you after hours or over the weekend. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem. If you have an orthodontic emergency after regular office hours, please give us a call. If you are calling us after hours, please follow the emergency prompts to learn how you may be able to solve the problem yourself, or, if you cannot, how to get in contact with our team.

Common issues include:
*Broken Brace
*Broken Wires
*Tie has come off of a Brace
*Loose Expander
*Poking Wire Tie
*Sharpness Felt on the Tongue Side of a Brace
*Loss of a Separator
*Initial Soreness
*Wire Poking

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you visit our office, but please never hesitate to call!

Looking for a delicious braces-friendly fall dessert? We’ve got a great recipe!

Tuesday, September 25th, 2012

You have braces, and you’re probably wondering what to eat. You can’t have gum, popcorn or other delicious but braces-unfriendly foods. But fear not! Our friends at the American Association of Orthodontists have a delicious recipe that will satisfy both your sugar craving and hunger when the weather gets cold.

Apple Bombolini
Ingredients:

Rustic dough
• 9 ounces cake flour (about 3 cups)
• ½ cup all purpose flour
• ½ cup granulated sugar
• Pinch sea salt
• 1 cup (2 sticks) unsalted butter, chilled and cut into large pieces
• 1 tablespoon vanilla
• 2 tablespoon cold water

Apple sauce filling
• 4 Granny Smith apples
• 1 cup (2 sticks) unsalted butter
• 1 tablespoon lemon juice
• 1 vanilla bean, or 1 teaspoon vanilla extract
• 1/3 cup granulated sugar
• 1 tablespoon water

Diced apples:
• 4 Granny Smith apples
• ¼ cup sugar
• ½ teaspoon vanilla
• ½ lemon, juiced

Directions:

For the dough: In a mixing bowl with a paddle attachment, add the dry ingredients and mix for 5 seconds to blend. Add the butter and vanilla and mix until the butter is about the size of peas. Add the cold water and blend until the dough just comes together. Form the dough into a roughly shaped ball, wrap in plastic, and refrigerate for 1 to 2 hours.
Applesauce filling: Peel, core, and slice the apples. Put the apples with the rest of the ingredients into a saucepan. Bring to a boil, turn down the heat, and cook until the apples are very soft, about 20 minutes. Remove from the heat, cool, and refrigerate.

Diced apples: Peel, core, and cut the apples into large slices. Toss with the sugar, vanilla and lemon juice and set aside.

Assemble the bomboloni: Remove the dough from the refrigerator. Roll out to1/4-inch thick round. Cut into 6-inch rounds. Place about 1/4 cup of the Apple Sauce Filling onto the center of each round. Top with a few pieces of the Diced Apples. Pull the sides up towards the center to form a bundle, pinching the dough together towards top. Cover with plastic wrap and refrigerate for 1 hour before baking

Understanding Orthodontic Appliances for Jaw Growth Correction

Tuesday, July 31st, 2012

Children and adults who visit orthodontists often feel confused and a little frightened because of the various metal tools and appliances. Knowing the applications of such devices can help ease a patient’s mind when undergoing treatment. Dentofacial orthopedics is a specialty that uses appliances to adjust the jaws for ideal compatibility. The American Association of Orthodontics recommends these treatment options for children between the ages of eight and twelve to make adjustments during developmental stages. Adults also experience dental changes throughout their lives and can benefit from dentofacial orthopedic appliances. Some common problems with jaw alignment or development include:
  • Underdeveloped lower jaw
  • Protrusion of upper teeth
  • Malocclusions
  • Crossbite
  • Overbite
Orthodontic Appliances for Correcting Jaw Growth Problems

Jaw-correcting appliances are either fixed or removable. Fixed appliances are applied to the teeth with the use of cement. Removable appliances require dedication from the patient to wear the devices as instructed. You will receive better results by wearing your orthodontic gear and following the treatment plan designed for your specific needs. Understanding the potential results will help you stay motivated, and parents can help their children to follow recommendations. Some appliances can cause slight discomfort during adjustment periods, but wearing them regularly will help shorten the time frame for treatment. Here are some of the most common appliances for correcting jaw growth problems.
  • Headgear: This appliance is removable and consists of a stainless steel facebow and fabric safety strap. The orthodontist fixes metal bands to your upper-back teeth where you attach the facebow. The safety strap wraps around your head and secures the facebow. Headgear affects jaw growth and tooth movement by applying pressure to the upper teeth and maxilla.
  • Herbst® Appliance: Typically permanent, these appliances attach to the upper and lower molars to hold the mandible forward. The purpose of this type of treatment is to eliminate an overbite. With expansion screws, the Herbst can also widen the jaw.
  • Mara: This appliance pushes the mandible forward to reduce overbite. Crowns are placed on your top and bottom molars, and a metal elbow connects the crowns.
  • Bite Corrector: This appliance is combined with braces to correct different malocclusions. Metal bars with enclosed springs apply pressure to both the upper and lower jaws. The placement of such bars will depend on the bite type.
  • Bionator: This removable appliance guides the lower jaw so that it grows in proportion to the upper jaw. Children can develop aligned bites by wearing bionators.
  • Palatal Expansion: There are two options for placement, fixed, or removable palatal expansions, to fix crossbites. The appliance attaches to the upper-back teeth and widens the jaw.
You will get used to the feeling of most appliances within one month, and the adjustment period is easier if you follow the treatment plan designed by our staff. The average time it takes to correct jaw problems is 12 months, so you can expect to see a more beautiful smile in about one year.

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