clear aligners

If you’ve ever thought, “My teeth were straight… why are they shifting again?” you’re not alone.

One of the most common frustrations adults and parents share is seeing teeth move after orthodontic treatment. Whether someone had braces as a teen or completed clear aligner treatment as an adult, relapse (teeth shifting back) is real, and it happens more often than most people realize.

What Is Orthodontic Relapse?

Orthodontic relapse is when teeth shift after treatment. It may look like:

• One lower front tooth becoming crooked again
• A gap reopening between front teeth
• The bite feeling “off” after treatment
• Teeth slowly rotating or overlapping over time

Sometimes relapse is minor and cosmetic. Other times it affects bite function and can lead to uneven wear or jaw issues.

Why Teeth Move After Braces or Aligners

Many patients assume orthodontic treatment “finishes the job forever.” But the truth is, your mouth is a living system.

Even after your teeth have been moved into perfect alignment, your body continues to apply forces that try to change them over time.

Here are the main reasons relapse occurs:

1. The Bone and Ligaments Need Time to Stabilize

Teeth aren’t set in concrete. They’re held in place by ligament fibers and surrounded by bone. When teeth move during orthodontics, the ligaments stretch and remodel, and the bone must rebuild around the teeth in their new position.

That stabilization process takes time. Without retention, teeth often drift toward their old positions.

2. The Tongue, Lips, and Cheeks Push on Teeth Every Day

Your teeth are constantly affected by:

• Tongue pressure
• Lip pressure
• Cheek pressure
• Swallowing patterns
• Mouth breathing
• Clenching or grinding

Even small daily forces can shift teeth over months and years, especially the lower front teeth.

3. Growth and Aging Continue (Even in Adults)

Many adults are surprised to learn that teeth can crowd more as they age, even if they had braces years ago. Natural changes include:

• Subtle jaw changes
• Teeth wearing down
• Changes in bite forces
• Gum and bone changes with aging

This is why some adults notice shifting in their 20s, 30s, or 40s, even after successful past orthodontics.

Do Wisdom Teeth Cause Teeth Shifting?

This is one of the most common myths in dentistry and orthodontics.

Wisdom teeth do NOT cause your front teeth to become crowded or crooked.

For years, people believed wisdom teeth “push” the other teeth forward, causing relapse. But research and clinical evidence do not support that idea. Wisdom teeth don’t have the ability to push your teeth forward like a bulldozer.

So why do so many people think wisdom teeth cause shifting?

Because wisdom teeth often erupt around the same time that many adults start noticing natural crowding changes in the front teeth. The timing overlaps, so wisdom teeth get blamed, but they are not the cause.

Bottom line: even if you have your wisdom teeth removed, your teeth can still shift without proper retention. That’s why orthodontists focus on retention, not wisdom teeth, to prevent relapse.

4. Retainers Are Not Optional

This is the biggest reason teeth relapse.

A retainer is not an “extra.” It is the part of treatment that keeps the result.

If retainers aren’t worn consistently, teeth will move. Often quickly.

5. Incomplete Bite Correction Can Increase Relapse Risk

Sometimes teeth look straight but the bite isn’t fully stable. When the bite isn’t properly balanced, teeth can be pushed out of position over time.

This is why orthodontic specialists focus heavily on function, not just cosmetic alignment.

How to Prevent Teeth From Shifting After Treatment

Here’s what works.

1. Wear Your Retainers As Directed

Most relapse happens because patients stop wearing retainers—or don’t wear them enough.

A common plan includes:

• Full-time retainer wear for the first few months (varies by case)
• Then night-time wear long-term

The key is consistency. If you stop wearing retainers for a period of time, teeth can shift enough that the retainer won’t even fit.

2. Replace Retainers Before They Wear Out

Retainers don’t last forever. Clear retainers can warp, crack, or loosen.

Signs you may need a new retainer:

• it feels looser than before
• it has cracks or bends
• you have to “force” it on
• teeth start shifting despite wearing it

The Bottom Line

Teeth shifting after braces or aligners is common, but it isn’t inevitable.

Orthodontic treatment is a process that includes both:

1. Straightening and correcting the bite
2. Keeping the results stable long-term with proper retention

If you protect your result with a smart retention plan, you can enjoy your smile for life.

Losing baby teeth is one of the biggest milestones in a child’s early years, and it’s the first step toward a lifetime smile. Many parents wonder: When should my child’s baby teeth start falling out? and When will their permanent teeth come in?

While every child is different, there’s a general timeline most children follow. Knowing what to expect can help you spot potential problems early. The ideal time for an initial orthodontic exam is age 7, as recommended by the American Association of Orthodontists. This is when there is first a mixture of adult and baby teeth, and early issues can be spotted.

The Basics: Baby Teeth and Permanent Teeth
Children typically have 20 baby teeth (also called primary teeth) and will eventually have 32 permanent teeth (including wisdom teeth). The process of losing baby teeth and gaining adult teeth usually happens gradually between ages 6 and 12.

When Do Baby Teeth Fall Out?
Most kids start losing their baby teeth around age 6 or 7, although some begin earlier or later. The order usually follows the same pattern in which the teeth came in:

Lower front teeth (central incisors): ages 6–7

Upper front teeth (central incisors): ages 6–7

Upper and lower lateral incisors: ages 7–8

First molars: ages 9–11

Canines: ages 9–12

Second molars: ages 10–12

It’s common for the lower front teeth to be the first to go, often with a little wiggle time before they fall out naturally.

When Do Permanent Teeth Come In?
Permanent teeth usually erupt shortly after their baby tooth counterparts are lost. The typical timeline is:

First permanent molars (behind the baby molars): ages 6–7

Central incisors: ages 6–8

Lateral incisors: ages 7–9

Canines: ages 9–12

First and second premolars: ages 10–12

Second molars: ages 11–13

Third molars (wisdom teeth): ages 17–21

By around age 12–13, most children have a full set of permanent teeth—except for wisdom teeth.

When to See an Orthodontist
The American Association of Orthodontists recommends that every child have an orthodontic evaluation by age 7. This doesn’t mean your child will start treatment right away, but it’s the best time to check that permanent teeth are coming in properly and that there’s enough space for them.

An orthodontic specialist like Dr. Eric Strouse at Strouse Orthodontics in Spring Hill, FL and Lecanto, FL can detect:

Delayed tooth loss or eruption

Crowding or spacing issues

Bite problems (overbite, underbite, crossbite)

Impacted or missing teeth

Jaw growth concerns

Catching these issues early can make treatment simpler and help avoid more serious problems later.

Tips for Parents
Encourage your child to wiggle loose teeth gently—never force them out

Keep up with twice-yearly dental visits to monitor tooth health

Watch for adult teeth coming in behind baby teeth (shark teeth)

Contact an orthodontist if teeth seem significantly delayed or out of order

Bottom line: While every child’s timeline is unique, most will begin losing baby teeth around age 6 and have most permanent teeth by age 12–13. Keeping track of these milestones, and scheduling an early orthodontic checkup, helps ensure a healthy, confident smile for years to come.

Call Strouse Orthodontics at 352-688-0331 or schedule online at www.strouseorthodontics.com to book your child’s orthodontic evaluation. We serve families in Spring Hill, Lecanto, and surrounding communities.

If you’ve found yourself searching “Who does Invisalign near me?”, you’re not alone. Clear aligners have become one of the most popular orthodontic treatments for teens and adults alike. They’re discreet, removable, and when planned properly, highly effective.

But the provider you choose for Invisalign matters far more than most people realize. It’s not just about the trays, it’s about the expertise behind the plan.

Invisalign Is a Tool. The Provider Is the Difference.
Invisalign and other clear aligner systems are tools used to move teeth. Like any tool, the outcome depends on the skill and experience of the person using it.

While any licensed dentist can offer Invisalign after completing a short certification course, that does not mean they have formal training in how teeth, jaws, and facial structures move and develop. This is where many patients unknowingly make a mistake—assuming all Invisalign providers offer the same level of care.

Orthodontic specialists, like Dr. Eric Strouse at Strouse Orthodontics, complete an additional two to three years of full-time, residency-based training after dental school. Their education focuses exclusively on orthodontic diagnosis, tooth movement, bite correction, and facial growth. That additional training makes a significant difference in treatment planning, especially with aligners.

Common Problems When Aligners Aren’t Managed by a Specialist
Clear aligners can be incredibly effective, but poor planning or oversight can lead to:

Incomplete or unstable results

Jaw discomfort or bite imbalance

Teeth that look straight but function poorly

The need for retreatment after failed results

These problems aren’t necessarily the fault of the aligners—they’re often due to how the case was planned and managed. That’s why choosing an orthodontic specialist, such as Dr. Strouse, can lead to a healthier and more stable long-term result.

Can Aligners Treat Complex Cases?
Yes, when designed by someone who understands how to use them correctly.

Many people are told they’re “not a candidate for Invisalign” simply because their case is too complex for a general dentist’s skill level. However, in the hands of an orthodontic specialist like Dr. Eric Strouse, aligners can often treat crowding, spacing, open bites, crossbites, and even surgical-level corrections.

Strouse Orthodontics routinely treats cases with aligners that others turn away—not because the aligners are different, but because the expertise behind them is.

Questions to Ask Before Starting Invisalign
If you’re considering clear aligners, it’s important to ask the right questions before starting treatment:

Is the provider an orthodontic specialist or a general dentist?

How much experience do they have with complex aligner cases?

Will I be seen regularly by the provider throughout treatment?

What’s their plan if my bite isn’t tracking properly or needs mid-course correction?

Can they transition to braces if needed mid-treatment?

An orthodontic specialist like Dr. Strouse has the advanced training to answer these questions and guide you through a complete, safe, and predictable treatment process.

Summary
If you're searching “who does Invisalign near me”, keep in mind that clear aligners are only as effective as the person designing and overseeing your treatment.

While general dentists may offer Invisalign, orthodontic specialists—like Dr. Eric Strouse of Strouse Orthodontics—have advanced training specifically in tooth and jaw movement. That expertise is critical, especially if your case involves more than simple alignment.

Before starting treatment, take the time to understand who’s behind the plan. The right provider will make all the difference in your outcome.

When most people think of orthodontic treatment, they imagine perfectly aligned teeth and a beautiful smile. While aesthetics are a major benefit, orthodontics offer far more than meets the eye. In fact, orthodontic care can significantly enhance your overall health in ways you might not expect. Here are some surprising benefits beyond just straight teeth:

Long-term Dental Health

A properly aligned bite minimizes excessive wear and tear on your teeth. Dentists often do not know or will not tell you if you don't have an ideal occlusion(bite). An uncorrected bite can lead to uneven wear, increasing the likelihood of fillings, crowns, and other dental restorations over your lifetime. Orthodontic treatment helps ensure your teeth maintain optimal health and functionality for the long term.

Improved Periodontal (Gum) Health

Straight teeth are significantly easier to keep clean, reducing plaque accumulation and the risk of periodontal disease. By improving the alignment of your teeth, orthodontic care supports healthier gums, reducing inflammation and preventing future gum-related issues.

Improved Breathing and Better Sleep

Misaligned teeth or improper jaw alignment can contribute to obstructed airways, causing breathing difficulties, snoring, or sleep apnea. Orthodontic treatment can reposition the jaw and teeth, opening up the airway and significantly improving sleep quality, breathing, and overall energy levels. This is why it is so important to receive an initial orthodontic screening at age 7.

Clearer Speech

Misalignment or crowding of teeth can lead to speech difficulties, affecting pronunciation of certain sounds. Orthodontic correction not only improves the alignment of teeth but also helps enhance speech clarity and confidence, particularly in children and adolescents developing essential communication skills.

Reduced Risk of Oral Disease

Crowded, crooked teeth are difficult to clean effectively, increasing the risk of plaque buildup, cavities, gum disease, and even tooth loss. Orthodontics facilitate easier, more efficient cleaning, significantly lowering the likelihood of future oral health problems.

Prevention of Jaw Pain and TMJ Issues

Improper bite alignment can put undue stress on the jaw joint (temporomandibular joint or TMJ), leading to chronic jaw pain, headaches, and other uncomfortable symptoms. Orthodontic treatments align your bite correctly, relieving pressure on your jaw and reducing the risk of developing TMJ disorders.

Increased Confidence and Career Success

Numerous studies have shown that individuals with confident, attractive smiles tend to perform better professionally. Research indicates that people who smile confidently are often perceived as more trustworthy, successful, and approachable, potentially leading to better job opportunities and higher earnings.

Orthodontics: More than Just a Beautiful Smile

The value of orthodontic care extends far beyond cosmetic benefits. From enhancing breathing and sleep to preventing chronic pain and promoting long-term oral health, investing in orthodontic treatment is an investment in overall wellness.

At our practice, we specialize in personalized orthodontic care tailored specifically to your unique needs. Whether you're considering braces, clear aligners, or custom orthodontics, we’re here to ensure you achieve not just a beautiful smile, but better overall health and well-being.

Ready to explore the health benefits orthodontics can offer you or your child? Schedule a consultation today and let’s begin the journey to a healthier smile and a healthier you!

Getting braces is an exciting step toward a beautiful, healthy smile! But to get the best results (and avoid unnecessary trips to the orthodontist), it’s important to be mindful of what you eat and drink. Certain foods can damage your braces, slow down your progress, or make keeping your teeth clean more difficult.

At Strouse Orthodontics, we want to make your treatment as smooth as possible, so here’s what you need to know about eating and drinking with braces.

Foods to Avoid with Braces
Braces are strong, but they’re not indestructible. Hard, sticky, or chewy foods can break brackets, bend wires, or get stuck in places that are hard to clean. To keep your treatment on track, here are some foods you should avoid:

1. Hard Foods
   These can break brackets and wires, leading to unexpected trips to the orthodontist:

• Nuts
• Hard candies
• Ice cubes (chewing on them)
• Raw carrots (cut them into small pieces instead)
• Popcorn (kernels can get stuck and damage braces)

2. Sticky & Chewy Foods
   These foods can pull on your braces, get stuck, and make cleaning difficult:

• Gum (even "sugar-free" varieties)
• Gummy candies
• Chewy bagels and tough bread
• Caramel and taffy

3. Crunchy Snacks
   

• Chips (opt for softer alternatives like baked chips)
• Pretzels
• Granola bars(unless they’re soft and not too sticky)

3. Sugary Foods & Drinks
   While sugar doesn’t directly harm your braces, it increases the risk of cavities, especially since braces make cleaning your teeth a little trickier. Limit:

• Soda and sports drinks
• Candy
• Sugary juices
• Energy drinks

  If you do indulge in sweets, brush and rinse your mouth afterward to keep your teeth clean.

What Can I Eat with Braces?
Good news—there are still plenty of delicious foods you can enjoy while wearing braces! Here are some braces-friendly options:

✅ Soft Fruits & Vegetables – Bananas, berries, steamed veggies, avocados
✅ Dairy Products – Yogurt, cheese, soft cheeses, milk
✅ Soft Grains – Pasta, rice, soft bread, pancakes
✅ Protein Options – Eggs, fish, tender chicken, tofu
✅ Soft Snacks – Smoothies, applesauce, pudding

What About Drinking with Braces?
Drinks can affect your braces just as much as food! Here are some things to keep in mind:

Avoid sugary and acidic drinks like soda, sports drinks, and fruit juices. These can cause cavities and weaken your enamel.
Limit coffee and tea to prevent staining.
Stick to water as much as possible—it keeps your mouth hydrated and helps rinse away food particles.

Final Tips for Eating with Braces
Cut food into smaller pieces – This makes it easier to chew without putting too much pressure on your braces.
Chew with your back teeth – Avoid biting directly into hard foods.
Brush and floss after eating – Keeping your teeth clean is even more important with braces!
We’re Here to Help!

At Strouse Orthodontics, voted the Best Orthodontist in Hernando County for the last 4 years, we want your braces journey to be as smooth as possible. If you ever have questions about what you can or can’t eat, feel free to ask! And if something happens—like a loose bracket or wire—give us a call, and we’ll help you get back on track.

Ready for a straighter smile? Schedule an appointment with us today!

Gum disease, also known as periodontal disease, is a common oral health concern that affects millions of people. It can lead to gum inflammation, infection, and even tooth loss if left untreated. While many people associate orthodontic treatment with achieving a straighter smile, few realize its significant role in preventing gum disease. Properly aligned teeth are easier to clean, reducing the risk of plaque buildup and gum-related issues. In this blog, we will explore how orthodontic treatment can help protect your gums and improve your overall oral health.

Understanding Gum Disease

Gum disease develops when bacteria accumulate along the gumline, causing inflammation and infection. It typically progresses in two stages:

Gingivitis – The earliest stage of gum disease, characterized by red, swollen gums that may bleed when brushing or flossing. Gingivitis is reversible with proper oral care and professional cleanings.

Periodontitis – A more severe form of gum disease that affects the bone and tissues supporting the teeth. If left untreated, it can lead to tooth loss and systemic health issues.

Several factors contribute to gum disease, including poor oral hygiene, smoking, genetics, and underlying health conditions. However, misaligned teeth can also play a significant role in gum health problems.

How Misaligned Teeth Contribute to Gum Disease

Crooked, crowded, or improperly spaced teeth create hard-to-reach areas where plaque and bacteria can accumulate. These areas are difficult to clean effectively, increasing the risk of gum inflammation and infection. Common alignment issues that may contribute to gum disease include:

Crowded teeth – Overlapping or tightly spaced teeth create narrow spaces that are difficult to floss and brush properly.

Gaps between teeth – Large gaps can allow food and bacteria to settle along the gumline, leading to plaque buildup and gum irritation.

Bite misalignment – An improper bite can cause uneven pressure on the gums and teeth, increasing the risk of gum recession and periodontal problems.

How Orthodontic Treatment Helps Prevent Gum Disease

Orthodontic treatment, such as braces or clear aligners, can help correct these alignment issues, reducing the risk of gum disease. Here’s how:

Improved Oral Hygiene – Straightening your teeth eliminates hard-to-reach areas, making it easier to brush and floss effectively. When teeth are properly aligned, plaque and bacteria have fewer places to hide.

Even Pressure Distribution – A well-aligned bite prevents excessive pressure on certain teeth and gums, reducing the likelihood of gum recession and bone loss.

Reduced Risk of Plaque Buildup – With fewer tight spaces and overlapping areas, food particles and bacteria are less likely to get trapped, decreasing the risk of gingivitis and periodontitis.

Healthier Gum Tissue – Properly aligned teeth allow the gums to fit more securely around each tooth, reducing the risk of gum pockets where bacteria can accumulate.

Maintaining Gum Health During Orthodontic Treatment

While orthodontic treatment helps prevent gum disease in the long run, it’s essential to maintain good oral hygiene throughout the process. Here are some tips:

Brush and floss regularly – Use a soft-bristled toothbrush and floss daily to remove plaque and food debris.

Use an interdental brush or water flosser – These tools can help clean around brackets, wires, and aligners.

Attend regular dental cleanings – Professional cleanings and check-ups ensure that any early signs of gum disease are caught and treated promptly.

Follow your orthodontist’s care instructions – Whether you have braces or clear aligners, proper care is crucial to keeping your teeth and gums healthy.

Final Thoughts

Orthodontic treatment isn’t just about achieving a beautiful smile—it plays a crucial role in maintaining healthy gums and preventing periodontal disease. By correcting misalignments and making oral hygiene easier, braces or clear aligners can significantly reduce the risk of gum issues. If you’re concerned about gum disease or struggling with misaligned teeth, schedule a consultation with Strouse Orthodontics today for the best orthodontist in Hernando County FL and Citrus County FL. Let’s work together to create a healthier, straighter smile that lasts a lifetime!

As an orthodontic patient, maintaining excellent oral hygiene is crucial. One question that sometimes arises is whether orthodontic wires need to be removed during routine dental cleanings. While some dental offices may recommend this, the truth is that in most cases, it is not necessary. Let’s explore why orthodontic wires can stay in place for cleanings and why it’s perfectly possible to achieve a thorough cleaning without removing them.

Why Some Offices Recommend Wire Removal

Orthodontic wires may occasionally be removed to make cleaning easier for the hygienist. Without wires, accessing areas around the brackets and between the teeth is simpler. This can save time and effort for the dental professional. However, this practice is not a requirement for effective cleaning, especially with modern techniques and tools available to dental hygienists. In some cases, a dentist or hygienist may believe that removing wires ensures a more comprehensive cleaning, but this belief often stems from outdated practices or a lack of familiarity with cleaning around orthodontic appliances.

The Truth: Wires Are Rarely an Obstacle

Specialized Tools Are Designed for Cleaning Around Braces: Dental hygienists are trained to use tools specifically designed to clean around brackets and wires. Ultrasonic scalers, small hand instruments, and polishing devices can effectively remove plaque and tartar without interfering with the orthodontic appliance.

Research Supports Cleaning With Wires in Place: Studies have shown that dental cleanings can be just as effective with wires in place, provided the hygienist is skilled and uses the proper tools. There is no significant evidence suggesting that wire removal improves cleaning outcomes or oral health during orthodontic treatment.

It Saves Time and Reduces Hassle for Patients: Removing and replacing wires involves an additional orthodontic visit, which can be inconvenient for patients. Leaving wires in place streamlines the process and ensures you don’t miss out on valuable time wearing your braces.

Modern Orthodontics Promotes Better Hygiene: Today’s orthodontic wires and brackets are designed with patient hygiene in mind. Many brackets are smaller and less intrusive than older models, allowing for easier cleaning. Additionally, orthodontists often recommend tools like water flossers and special orthodontic brushes to help patients maintain excellent oral health throughout their treatment.

When Might Wire Removal Be Necessary?

There are a few rare situations where removing wires might be recommended, such as:

Severe Tartar Buildup: If tartar has accumulated significantly in hard-to-reach areas, a temporary wire removal may be helpful to access and clean these spots.

Extensive Dental Work: For specific procedures, like deep periodontal treatments, removing wires might be required to ensure thorough care.

Certain Dental X-Rays: Certain dental x-rays, such as bitewings may indicate orthodontic wires to be removed to better visualize potential cavities in between the teeth.

However, these cases are exceptions, not the norm. For routine cleanings, leaving wires in place is sufficient and preferred.

Best Practices for Cleaning With Braces

Patients can play a vital role in keeping their teeth clean during orthodontic treatment. Here are a few tips to ensure your dental cleanings are as effective as possible:

Use Orthodontic-Friendly Tools: Water flossers, interdental brushes, and floss threaders can help remove debris and plaque from hard-to-reach areas.

Follow Your Hygienist’s Advice: Skilled hygienists know how to clean around braces effectively, so trust their expertise during your appointment.

Maintain Good Daily Hygiene: Brushing thoroughly with a fluoride toothpaste and using mouthwash can reduce the amount of buildup that needs to be addressed during professional cleanings.

The Bottom Line

In most cases, removing orthodontic wires for routine dental cleanings is unnecessary. Skilled dental hygienists can perform a thorough cleaning without removing your wires, and modern tools make this process both effective and efficient. If you’re ever in doubt, consult with your orthodontist to ensure you’re receiving the best care possible while maintaining the integrity of your orthodontic treatment.

By keeping your wires in place, you save time, reduce inconvenience, and still achieve excellent oral hygiene. Trust the process and your dental professionals to help you maintain a healthy, beautiful smile throughout your orthodontic journey.

When it comes to bite misalignments, terms like “overbite” and “underbite” are often used. However, another common condition is an overjet, which is different from an overbite and can cause unique dental and health challenges. The terms "overbite" and "underbite" often get confused and used interchangeably. Understanding overjet is essential to knowing when and why you might need orthodontic treatment.

What is an Overjet?
An overjet occurs when the upper front teeth project forward, beyond the lower front teeth, at a significant horizontal distance. In simple terms, it means that the top teeth stick out too far over the bottom teeth. This condition is sometimes referred to as “buck teeth” and can make it difficult to close the lips completely over the teeth.

Unlike an overbite, which refers to how much the upper teeth vertically overlap the lower teeth, an overjet focuses on the horizontal distance between the upper and lower front teeth. In a normal bite, the upper front teeth should slightly overlap the lower front teeth, but with an overjet, the gap is exaggerated, which can lead to a range of issues.

What Causes an Overjet?
Several factors can contribute to the development of an overjet, including:

Genetics: Just like the shape of your eyes or the color of your hair, dental structure can be inherited. If your parents had an overjet, there’s a higher chance you might too.

Thumb Sucking or Prolonged Pacifier Use: Habits such as thumb sucking or using a pacifier beyond the recommended age can push the upper teeth forward, leading to an overjet.

Mouth Breathing: Chronic mouth breathing, often due to allergies or nasal obstructions, can alter the development of the jaw and teeth, contributing to an overjet.

Jaw Growth Discrepancies: Sometimes, the upper jaw grows faster than the lower jaw or vice versa, causing an imbalance that results in an overjet.

Missing or Misaligned Teeth: Teeth that are missing, crowded, or misaligned can disrupt the natural alignment of the bite, leading to an overjet.

Effects of an Overjet on Oral Health
While an overjet might seem like just a cosmetic concern, it can actually impact both oral health and overall quality of life. Here are some potential issues caused by an untreated overjet:

Difficulty Chewing and Biting: When the front teeth don’t align properly, it can make it challenging to bite into food, especially hard or crunchy items like apples or carrots.

Speech Impediments: An overjet can cause speech difficulties, such as lisping or trouble pronouncing certain sounds, which can affect communication and self-esteem.

Increased Risk of Dental Trauma: Because the upper front teeth stick out more than usual, they are more vulnerable to damage from falls or impacts, such as chipping or breaking.

Jaw Pain and Discomfort: Misaligned teeth can put extra strain on the jaw muscles, leading to pain, discomfort, and in some cases, temporomandibular joint (TMJ) disorders.

Gum Issues: Overjets can cause the upper teeth to sit further forward on the gums, leading to potential gum recession or irritation.

How is an Overjet Treated?
The good news is that overjets are treatable with a variety of orthodontic solutions. The best treatment option depends on the severity of the overjet and the patient’s age. Here are some common methods:

Braces: Traditional braces are a highly effective option for correcting overjets. By using brackets and wires, braces can gradually shift the teeth back into their proper alignment.

Clear Aligners: For those seeking a more discreet option, clear aligners can be used to correct mild to moderate overjets. These custom-made trays gently move the teeth into place over time.

Rubber Bands(Elastics): Rubber bands in combination with braces or clear aligners can be used to correct overjets.

Jaw Growth Modifiers: For younger patients, appliances such as functional appliances can help guide the growth of the jaws to correct the overjet before the jawbones fully develop.

Tooth Extraction: In some cases, removing one or more teeth can create space and allow for proper alignment of the remaining teeth, reducing the overjet.

Surgical Options: In severe cases, where the overjet is caused by a significant jaw discrepancy, orthognathic surgery may be necessary to reposition the jaw and correct the bite.

Why See an Orthodontist for Overjet Treatment?
While general dentists can provide some orthodontic care, an orthodontist has specialized training to diagnose and treat bite misalignments like overjets. At Strouse Orthodontics, we use the latest technology and techniques to ensure the best possible outcomes for our patients. We offer personalized treatment plans designed to address your unique needs and provide you with a healthy, beautiful smile.

Conclusion
An overjet is more than just a cosmetic issue—it can affect your ability to chew, speak, and smile confidently. Whether you’re dealing with mild or severe overjet, early intervention is key to preventing long-term problems. If you or your child has an overjet, don’t wait to seek treatment. Contact Strouse Orthodontics, the best orthodontic practice in Citrus and Hernando County today to schedule a consultation and take the first step towards a healthier, more aligned smile.

When it comes to orthodontic treatment, traditional braces aren’t the only option. A more modern and efficient alternative known as self-ligating braces has become increasingly popular for patients seeking a faster, more comfortable experience. But what exactly are self-ligating braces, and how do they differ from the traditional ones you may see with colors?

Self-ligating braces are similar to traditional braces in that they use brackets and wires to move the teeth into their correct positions. However, unlike traditional braces, which use elastic ties or metal ties to hold the archwire in place, self-ligating braces have a built-in mechanism such as a door in each bracket that secures the wire. This system reduces friction and allows the wire to slide more freely, making adjustments smoother and often more comfortable for the patient.

One of the main benefits of self-ligating braces is that they tend to require fewer office visits. Since there are no elastics to change or adjust, patients typically spend less time in the orthodontist’s chair. The reduced friction also means that tooth movement may be more efficient, which can shorten the overall treatment time and reduce the need for extractions in some cases. Another benefit is that without the colored elastics, oral hygiene is improved, as the color ties can be a trap for food and plaque. Additionally, patients may experience less discomfort compared to traditional braces, as there is less pressure on the teeth during adjustments.

Whether you’re considering self-ligating braces for their efficiency, comfort, or aesthetics, they can be a great option for achieving a beautiful, healthy smile. At Strouse Orthodontics, we’ll help you determine whether self-ligating braces are the right fit for your orthodontic needs. Schedule your Free Consultation with the Best Orthodontist in Hernando and Citrus County Today!

What is a Crossbite? Causes, Effects, and Treatment
When it comes to bite misalignment, crossbites are one of the most common, yet often overlooked, orthodontic issues. A crossbite occurs when the upper teeth bite inside the lower teeth instead of outside, as they should. This can happen with a single tooth or a group of teeth, and it can affect the front (anterior crossbite) or the back (posterior crossbite) of the mouth.

While it may not seem like a big deal at first, untreated crossbites can lead to serious oral health problems, including jaw pain, tooth wear, and even gum disease. Thankfully, crossbites are treatable with the right orthodontic care. In this post, we’ll explore what causes a crossbite, its effects on your health, and the best treatments available.

What Causes a Crossbite?
Several factors can contribute to the development of a crossbite. These include:

Genetics: Much like other dental issues, crossbites can run in families. If parents or siblings have a crossbite, there's a higher likelihood that children will develop one too.

Delayed or Abnormal Tooth Eruption: Sometimes, baby teeth fall out too early, or adult teeth take longer than expected to emerge. This can lead to misalignment in the bite.

Thumb Sucking or Prolonged Use of Pacifiers: Habits such as thumb sucking or extended use of pacifiers beyond infancy can alter the natural position of teeth and lead to crossbites.

Mouth Breathing: Chronic mouth breathing due to allergies or other nasal obstructions can affect jaw development, leading to bite misalignment.

Misaligned Jaw Growth: Uneven or improper jaw growth can result in an upper or lower jaw that is larger or smaller than the other, contributing to a crossbite.

Effects of a Crossbite on Oral Health
While a crossbite may not cause immediate discomfort, it can lead to several long-term issues that affect both dental and overall health:

Jaw Pain and TMJ Disorders: When the teeth do not align properly, it places extra stress on the jaw muscles, leading to jaw pain and, in severe cases, temporomandibular joint (TMJ) disorders.

Tooth Wear and Damage: Crossbites cause abnormal pressure on certain teeth, leading to uneven wear and, eventually, tooth damage. Over time, this can result in broken or chipped teeth.

Gum Recession: Crossbites can push certain teeth outward or inward in unnatural ways, which can lead to gum recession and even gum disease over time. This increases the risk of tooth loss.

Difficulty Chewing and Speaking: Misaligned teeth can make it harder to chew food properly or speak clearly, affecting daily life and self-confidence.

Facial Asymmetry: In severe cases, an untreated crossbite can cause the facial muscles to develop unevenly, leading to noticeable facial asymmetry.

How is a Crossbite Treated?
The good news is that crossbites are highly treatable with the right orthodontic care. Depending on the severity and the patient’s age, there are several options available:

Braces: Traditional braces are often the most effective treatment for correcting a crossbite, especially in younger patients. Braces apply pressure to gradually shift the teeth into the correct position.

Clear Aligners (Invisalign): For adults or older teens seeking a more discreet option, clear aligners like Invisalign can be used to treat mild to moderate crossbites. These custom-made trays gradually move the teeth into place.

Palatal Expanders: If a child’s upper jaw is too narrow, a palatal expander can be used to widen the upper arch and correct the bite. This treatment is typically recommended for younger patients since the bones are still growing and more flexible.

Surgical Options: In severe cases where the crossbite is due to jaw misalignment, orthognathic surgery may be needed to reposition the jaw and correct the bite. This is typically only required in extreme cases.

Elastics or Rubber Bands: Sometimes, rubber bands are used alongside braces or clear aligners to improve bite alignment and ensure the upper and lower teeth fit together properly.

Why See an Orthodontist for Crossbite Treatment?
While general dentists can offer some orthodontic treatments, seeing a specialist like an orthodontist ensures that your crossbite will be addressed with the highest level of care and expertise. Orthodontists have additional years of specialized training that equip them to diagnose and treat bite issues like crossbites.

At Strouse Orthodontics, we have extensive experience in treating crossbites in both children and adults. Early treatment can help prevent more severe problems down the road, so don’t hesitate to schedule a consultation. We’ll develop a customized treatment plan to give you a healthy, well-aligned smile.

Conclusion
A crossbite is more than just a cosmetic concern—it can impact your dental health and overall quality of life. If you or your child has a crossbite, it’s important to seek treatment early to avoid complications. Whether you need braces, clear aligners, or another orthodontic solution, Strouse Orthodontics is here to help. Contact us today to learn more about your options and start your journey toward a healthy, beautiful smile.

Retention is the most important part of the orthodontic journey. Once treatment is complete, retainers help maintain the position of your teeth after braces or clear aligners. They help make sure your smile stays straight forever! However, the retainers themselves do not last forever and occasionally need to be replaced.

What Are Essix Retainers?
Essix retainers are clear, plastic retainers that fit snugly over your teeth. They are custom-made to ensure a perfect fit and are designed to maintain your teeth's position after braces or other orthodontic treatments.

Lifespan of Essix Retainers
The lifespan of retainers depends on several factors, most importantly how well they are taken care of. For most patients, retainers last somewhere between 2-8 years, however can range based on your individual habits. It is somewhat similar to tires on a car; they do need to be replaced occasionally, and how quickly they wear depends on several factors including how they are handled, road conditions, aggressive driving, hard braking, etc.

Factors

Habits: Patients that clench and grind their teeth, find that retainers will wear down faster than patients that do not.
Care and Maintenance: Proper cleaning, storage and handling significantly impact how long your Essix retainer will last.
Dental Changes: Changes in your dental structure(Fillings, crowns etc) may necessitate a new retainer.

How to Care for Your Essix Retainer
Proper care is essential to maximize the lifespan of your Essix retainer. Here are some tips to keep it in optimal condition:

1. Cleaning
   Daily Cleaning: Clean your retainer daily using a soft toothbrush and mild, non-abrasive soap. Avoid toothpaste, as it can be abrasive and cause scratches.
   Deep Cleaning: Periodically, soak your retainer in a retainer cleaning solution or a mixture of water and a bit of baking soda to keep it fresh and free of bacteria.
2. Handling
   Avoid Heat: Do not expose your retainer to hot water, direct sunlight, or heat sources, as it can warp the plastic.
   Storage: Always store your retainer in its protective case when not in use to prevent damage and loss. Avoid napkins for storage as they will end up in the trash!
3. Usage
   Gentle Removal: Remove your retainer gently to avoid cracking or bending it. Use both hands to pull it out evenly. Avoid pulling the retainer out from the front.
   Avoid Certain Foods: Refrain from eating or drinking anything other than water while wearing your retainer to prevent staining and damage.

   Signs It’s Time to Replace Your Essix Retainer
   Despite your best efforts, Essix retainers will eventually need to be replaced. Here are some signs that it’s time for a new one:

Cracks or Breaks: Any visible damage means the retainer is no longer effective.
Loss of Fit: If your retainer feels loose or doesn’t fit as snugly as it used to, it’s time for a replacement.
Discoloration or Odor: Persistent discoloration or an unpleasant odor, even after cleaning, indicates it’s time for a new retainer.
Wear and Tear: General wear over time will reduce the retainer’s effectiveness in maintaining your teeth’s position.

Conclusion
Essix retainers are a fantastic option for maintaining your smile post-treatment, but they do require care and eventual replacement. By following the care tips outlined above, you can maximize the lifespan of your retainer and keep your smile looking its best.

Age: 15.6
Treatment Duration: 24 months

Before Treatment:

This patient came to our office looking to improve her crowding and give a more esthetic smile.

On exam, the findings were
Mandibular skeletal asymmetry
Right side class 3 malocclusion
Left side class 2 malocclusion
Upper crowding
Lower Crowding
Full posterior crossbite on left side
Anterior crossbite of Upper left canine
Mild mandibular(lower crowding)
Narrow smile

Treatment Journey:

Our patients treatment plan involved upper and lower metal braces with the use of rubber bands. A decision needed to be made of whether or not to use a palate expander to address the posterior crossbite. At 16 years old, females are typically done growing and palate expanders without surgery are much less predictable so a decision was made to use rubber bands to address the crossbite.

After Treatment:

In this amazing transformation we were able to correct all of the pre-existing orthodontic issues, improving the asymmetry, eliminating the crowding, and correcting all of the bite issues with rubber bands to achieve an ideal bite in all dimensions, all while widening and broadening the smile.

A challenging case like this is not possible without the cooperation of the patient, which we certainly had in this case. Amazing compliance with rubber bands, as well as keeping the teeth clean allowed us to obtain a truly incredible result in this case.

Orthodontics can not only play a pivotal role in optimizing both oral health and functional well-being, but more importantly can elevate one's self-confidence. Our practice is committed to serving patients of all ages and embraces the belief that it's never too late to embark on the journey to your dream smile.

I invite you and your family to reach out to our office to schedule a complimentary consultation. Allow me the privilege of discussing the orthodontic solutions tailored to your unique needs. Your journey to your dream smile begins with an orthodontic specialist!

Dr. Strouse

A patient recently presented to my office for a consultation who informed me their dentist advised them to use a special mouthpiece in order to avoid the need for braces(orthodontics) with the premise of guiding jaw growth and alignment of the jaw.

As a practitioner that is very current with the current orthodontic literature and trends in the industry and a member of numerous research study groups, it struck my attention when there was an orthodontic therapy I was not familiar with.

Upon looking in to this further, consulting the literature along with various orthodontic colleagues, it appears that the Healthy Start and various similar appliances are making the rounds for pediatric dentists and general dentists. This is true not just in our communities in Hernando and Citrus County Florida, but throughout the country. Could there be special mouthpieces that Orthodontic Specialists who do orthodontics exclusively, have been to ADA Certified Residency programs, and countless hours of Continuing Education are not familiar with that general dentists have solved?

On the Healthy Start website for instance, there is no literature or research to support the claims made of the system and the before and after photos on the website are from different patients. There is no explanation on the website or anywhere for that matter how the appliance works. Sensationalist marketing is used with claims that Math, Science and Spelling will approve with this mouthpiece, while Reading and Writing are not affected. They also claim that ADHD will be eliminated, the need for braces will be eliminated and the Temporomandibular Joint function will not only be improved, it will eliminate any disfunction 80% of the time. Additionally, the appliance can even cure Sleep Disordered Breathing(SDB), bedwetting, irritability and fatigue all while improving school performance!!

These types of treatment are advertised as a way to "prevent" children from ever needing orthodontics. While these appliances are unlikely to do any harm, and may even provide some mild benefit to early tooth alignment, they are mostly sold to general dentists and pediatric dentists who do not have training or knowledge in orthodontics. As the prevalence of cavities decreases, offices are often looking for additional revenue sources. Prefabricated mouthpieces are an easy way for dental and pediatric offices to present something to parents of young children with claims that they need that will eliminate the need for braces or any orthodontic treatment. In reality, it is likely that a child will still need orthodontics in the future and any type of orthodontic treatment that is completed by a practitioner without a firm understanding of tooth movement, growth and development can potentially do more harm than good, all while using the families insurance benefits. Additionally, while it is possible these types of appliances can provide some additional space for adult teeth, they do not perform bite correction. Given that these kids are unlikely to see an orthodontist, bite issues will likely go undiagnosed, and the patient will have more wear and tear to their teeth, and issues such as gum recession throughout life.

In short, when it comes to Orthodontics, tooth movement, growth and development, it is important to seek the advice of an expert. At Strouse Orthodontics, in Spring Hill and Lecanto, Florida as well as most orthodontic offices, Orthodontic Specialists perform complimentary initial exams and an Orthodontist can complete a proper comprehensive evaluation and determine a treatment plan best for your child in the long term. When you hear a marketing pitch of a new magic appliance that will cure Sleep Apnea, eliminate ADHD and improve Math scores(but won't be able to improve Reading scores), it is probably best to consult with an expert and avoid potential damage to the teeth and surrounding structures, not to mention the additional time and money involved.

At Strouse Orthodontics, we believe that everyone deserves a beautiful, confident smile, regardless of age. While many people associate braces with teenagers, orthodontic treatment can be highly effective for adults as well. Whether you're looking to correct a lifelong issue or simply want to enhance your smile, it's never too late to consider orthodontics. With offices in Spring Hill, FL and Lecanto, FL we have treated patients well into their 80s to improve their smiles and confidence! If you or a friend or family member may benefit from orthodontic treatment in Hernando County and Citrus County, contact our office for a free consultation.

Why Consider Orthodontic Treatment as an Adult?

Improved Oral Health

Straight teeth are easier to clean and maintain. Misaligned teeth can create hard-to-reach areas where plaque and bacteria build up, leading to gum disease and tooth decay. Orthodontic treatment helps align your teeth properly, making oral hygiene more effective and reducing the risk of dental issues.

Enhanced Esthetics and Confidence

A beautiful smile can significantly boost your self-esteem and confidence. Many adults seek orthodontic treatment to improve their appearance, which can positively impact both personal and professional interactions. With advancements in orthodontic technology, there are now discreet options available that make the treatment process more appealing.

Correcting Long Standing Issues

Adults may choose orthodontic treatment to address issues that have been present since childhood, such as crowding, spacing, or bite problems. Correcting these issues can improve not only the appearance of your smile but also the function of your bite, leading to better overall dental health.

Orthodontic Options for Adults

Clear Aligners

Clear aligners offer a discreet alternative to traditional braces. These clear, removable aligners are custom-made to fit snugly over your teeth, gradually moving them into the desired position. Invisalign is particularly appealing to adults who want a nearly invisible treatment option

Braces

Traditional braces are a reliable and effective option for correcting various orthodontic issues. Modern braces are more comfortable and less noticeable than ever before, making them a popular choice for adults.

The Treatment Process

Initial Consultation

Your journey begins with a comprehensive consultation at Strouse Orthodontics. During this visit, Dr. Strouse will evaluate your dental health, discuss your goals, and recommend the best treatment options for your needs.

Customized Treatment Plan

Once you decide on a treatment option, we'll create a personalized plan tailored to your specific needs. This plan outlines the expected duration of treatment and provides an overview of the process.

Active Treatment Phase

The active phase of treatment involves wearing braces or aligners as directed. Regular appointments are scheduled to monitor your progress and make necessary adjustments. Our team is committed to ensuring your comfort and success throughout this phase.

Retention Phase

After achieving your desired results, the retention phase begins. This involves wearing a retainer to maintain your new smile and prevent teeth from shifting back to their original positions. Dr. Strouse will provide guidance on how to care for and use your retainer effectively.

Success Stories: Real Patients, Real Results

Many adults have transformed their smiles and lives with orthodontic treatment. Here are a few testimonials from our adult patients:

Shane, 28: "Was really nice to be able to straighten my teeth and still be able to eat all the foods I love and being able to take them out to eat. Followed the routine and was even able to take them out earlier than expected."

• Andrea, 24: "I just had my last appointment with this group, and I could only ever say good things about them! They made a very long process go as easy and smoothly as possible. they have an amazing staff that I’ve enjoyed working with. I would definitely recommend anyone that’s having any sort of orthodontic work done to go here!

• Michael, 47: "A great experience. Easy to use if you follow the directions. Dr. Strouse and his team are top notch and worked around my busy schedule. I would highly recommend this office for any orthodontic needs you may have. "I just had my last appointment with this group, and I could only ever say good things about them! They made a very long process go as easy and smoothly as possible. they have an amazing staff that I’ve enjoyed working with. I would definitely recommend anyone that’s having any sort of orthodontic work done to go here!

• Danielle, 39: "Dr Strouse and team are very professional, polite and have a fine attention to detail. They made sure my teeth were perfect and I even got them off a month early."

• Carolyn, 67: "This was so quick and easy. The people here are amazing, and so is my new smile."

• Thomasine, 55: I have been very pleased with my experience at Strouse Orthodontics. The treatment plan Dr. Strouse recommended to me is working great! He and all of his staff have been wonderful to work with. They are always friendly. I really appreciate how the front desk always find appointment times that work with my schedule. I have to give a shout out to Tiffany who is a patient, kind, friendly, and calming presence whether you are her first or last patient of the day. I would like to add since my review above posted two years ago that I am thrilled with the results now that my braces are off. Over the past two years of being a patient I have seen the office consistently taking proactive steps to make their customers feel valued. They maintain a very beautiful office and every single staff member is absolutely wonderful to interact with. I also want to give a shout out to Amber who worked with me during the last part of my treatment. She was always kind, friendly, and helpful.

Kelli, 63:My teeth were a mess. Now I can smile with confidence!!!! YAY!!!

Conclusion

Orthodontic treatment is not just for kids and teens. Adults can also benefit greatly from improving their smile and oral health. At Strouse Orthodontics, we offer a range of treatment options tailored to meet the unique needs of adults. If you're in Brooksville, Crystal River, or anywhere in Hernando or Citrus County and considering orthodontic treatment, contact us today to schedule your consultation. It's never too late to achieve the beautiful, confident smile you deserve.

Strouse Orthodontics - A Smile to Be Proud Of.

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We are thrilled to announce that Strouse Orthodontics has been honored with the Hernando Sun Readers Choice Award for Best Orthodontist in Hernando County for 2024! This incredible recognition is a testament to the trust and support of our amazing patients and the dedication of our entire team.

First and foremost, we want to extend our deepest gratitude to our wonderful patients. Your confidence in our office made this award possible. At Strouse Orthodontics, we believe in providing the highest quality orthodontic care with a personal touch, and this award reaffirms that our commitment to excellence is making a positive impact in our community.

Winning the Readers Choice Award is a reflection of our ongoing dedication to providing the highest quality orthodontic care in Hernando County, FL and Citrus County, FL. Our team, led by Dr. Eric Strouse, DMD MDS, is passionate about creating beautiful, healthy smiles for patients of all ages. From traditional braces to clear aligner treatments, we tailor our approach to meet each patient's unique needs and goals, focusing on both beautiful esthetics and function.

Why Choose Strouse Orthodontics?

At Strouse Orthodontics, we combine state-of-the-art technology with compassionate care in a warm and welcoming environment to ensure every patient has a comfortable and effective treatment experience. Here are a few reasons why our patients have chosen us as their preferred orthodontic provider in Hernando County and Citrus County.

Personalized care

Every patient receives a customized treatment plan designed to achieve optimal results. We take the time to understand your concerns and work closely with you throughout your orthodontic journey. Dr. Strouse and our team specialize in orthodontics and are not a general dentist that does orthodontics on the side. We truly care about providing the best orthodontic care to our patients.

Advanced Technology

We invest in the latest orthodontic technologies to enhance treatment accuracy and comfort. Our digital imaging systems, 3D scanners, 3D Printing and cutting-edge appliances help us deliver exceptional outcomes.

Friendly and Supportive Team

Our staff is dedicated to creating a welcoming environment where patients feel valued and cared for. We are always here to answer questions, provide guidance, and celebrate your progress.

Community Involvement

We believe in giving back to the community that has supported us. Strouse Orthodontics is actively involved in local events, schools, sports teams sponsorships, and charitable activities, making Hernando and Citrus County a better place to live and smile.

As we celebrate this achievement, we are more motivated than ever to continue raising the bar in orthodontic care. We will keep striving to exceed your expectations and help you achieve the smile you've always dreamed of.

Thank you once again to all who voted for us and supported us throughout the years. Winning the Hernando Sun Readers Choice Award for Best Orthodontist in 2024 is a true honor, and we look forward to serving you with the same level of excellence and care in the years to come.

If you or someone you know is considering orthodontic treatment, we invite you to visit us at Strouse Orthodontics. Let's work together to create a Smile To Be Proud Of!

Connect with Us

Stay up-to-date with the latest news, tips, and updates from Strouse Orthodontics by following us on social media and visiting our website. We love sharing our patients' success stories and helpful information to keep your smile shining bright.

Thank you, Hernando and Citrus County, for making us your choice for the best orthodontic care. Here's to many more years of creating beautiful smiles together!

A common statement I hear in my office is that "our dentist told us to wait until all the baby teeth fall out before getting braces." Another is "I didn't want to bring my child in for an appointment yet because I know they still have baby teeth". I have blogged before about phase 1 orthodontics and my, along with the American Association of Orthodontists recommendation that all children receive an orthodontic evaluation by age 7. Sometimes there are problems that can only be corrected at an early age, or that if left unaddressed early, would make treatment later on much more difficult, lengthy or leave a child with a psychosocial concern with their teeth through the adolescent and teenage years. What about when teens still have baby teeth? Here, I will answer some common questions about teens and baby teeth.

When performing an orthodontic exam, one of the first things I do is count the teeth. Are all of the teeth that should be present actually there and are there any teeth that should not be present that are present. Typically the baby teeth are all gone by age 12. If a patient is past the age of 12 and still have baby teeth, this is a signal that either something is wrong or there is a delay in tooth development. As their name suggests, the 12 year molars should be in by age 12. Additionally, if there is a baby tooth on one side but all of the other three baby teeth are gone, this is a signal that something may be wrong and further evaluation needed. These things are all a part of my diagnosis. I have seen countless patients the age of 13-18 and even older with baby teeth present that the dentist never told them should not be there or that they were "waiting for the last baby tooth out to do Invisalign" only to find out that they have several impacted teeth and their orthodontic issues are more involved than they had thought.

While for phase 2, or single phase treatment I typically like to begin when all of the baby teeth are gone, there are some times that may indicate beginning early. A main indication for this is if there is a tooth that is stuck, or impacted. In these cases sometimes I prefer to begin create space for a tooth that is crowded out in hopes of avoiding the need for a future surgery to bring this tooth in. Another reason is that sometimes, patients are congenitally missing(born without) certain adult teeth and the orthodontic plan is to keep the baby teeth as long as possible. In these situations, we will start treatment with baby teeth still present.

Sometimes, when a patient comes to my office, there are baby teeth still present that should have come out already. In these situation, sometimes the baby teeth need to be removed. This depends on the patients age, the position of the baby teeth and their replacements as well as the mobility of the baby teeth. If a tooth that should have fallen out at age 11 is still present at age 15 and is not loose, I will often advise removing the baby tooth before beginning treatment.

In summary, when to begin treatment depends on several factors determined by a specialist in orthodontics. While a dentist can be great at cleaning the teeth and filling cavities, they lack the background training and knowledge in tooth eruption, growth and development, and orthodontics to make orthodontic advisement, let alone treatment. While I typically like to begin comprehensive treatment when all of the baby teeth have been lost, there are several situations in which it may be best to start treatment earlier. The best way to find out what is best for your and your family is to contact your orthodontist for a complimentary consultation.

A common question I receive from patients, especially those who are active in sports, is whether they can continue playing while undergoing orthodontic treatment with braces or Clear Aligners. It's a valid concern, as both braces and Clear represent significant investments in time and money, and nobody wants their active lifestyle to be hindered by their orthodontic appliances. In this blog post, we'll explore the compatibility of braces and Invisalign with various sports and offer tips for maintaining both your smile and your game.

Braces and Sports:
Let's start with traditional braces. Many patients worry that the brackets and wires will interfere with their ability to play sports comfortably or safely. While there may be an adjustment period as you get used to your braces, most sports can still be played with proper precautions.

Contact sports like football, basketball, and soccer pose a higher risk of injury, so it's essential to wear a mouthguard that will fit over your braces.

For non-contact sports like running, swimming, or cycling, braces typically don't pose as much of a concern. However, it's still crucial to be mindful of any discomfort or irritation caused by the braces, especially during vigorous physical activity.

Clear Aligners and Sports:
Clear aligners offer a more flexible option for athletes, as the aligners can be removed during sports activities. This means you can continue to play without worrying about the brackets and wires of traditional braces and offer a much more comfortable and convienient option for aligning the teeth and bite. However, there are a few things to keep in mind.

Firstly, always remember to wear your aligners for the recommended 22 hours per day, even on game days. Consistency is key to achieving the desired results within the estimated treatment time.

Secondly, be sure to store your aligners safely during sports activities. Invest in a sturdy case to protect them from damage or loss while you're on the field or court.

Lastly, maintain good oral hygiene practices, especially after removing your aligners. Brushing and flossing after meals or snacks before reinserting your aligners will help prevent cavities and keep your smile healthy throughout treatment.

General Tips for Athletes with Braces or Clear Aligners:
Regardless of whether you have braces or clear aligners, there are some universal tips to help you stay on top of your game while maintaining your orthodontic treatment:

Stay hydrated: Drink plenty of water, especially if you're wearing braces, as it can help alleviate any discomfort caused by the appliances.
Choose braces-friendly foods: Patients with braces should avoid hard, sticky, or crunchy foods that can damage your braces or get stuck in your aligners.
Keep up with your appointments: Regular check-ups with your orthodontist are essential for monitoring your progress and making any necessary adjustments to your treatment plan.
Communicate with your orthodontist: If you have any concerns or experience any issues related to your treatment and sports activities, don't hesitate to reach out to your orthodontic team for guidance and support.

Having braces or clear aligners doesn't mean you have to sit on the sidelines when it comes to sports. With proper precautions and a proactive approach to your orthodontic treatment, you can continue to pursue your athletic passions while achieving the smile of your dreams. Remember to prioritize both your oral health and your athletic performance, and don't hesitate to consult with your orthodontist if you have any questions or concerns along the way.

In the pursuit of a straighter, more confident smile, individuals today are presented with many different treatment options. From traditional metal braces to innovative aligner treatments, the landscape of orthodontic care has evolved significantly. Among these choices, two prominent paths emerge: seeking treatment from an orthodontic specialist, seeking treatment from a general dentist performing orthodontic specialty work, or opting for direct-to-consumer aligner products when patients are. While both avenues promise results, the distinction between them is substantial and warrants careful consideration. In this blog post I will go into some of the critical differences between these two approaches.

or the purposes of this blog, a Direct-to Consumer aligner company is one where you taking impressions of your own teeth and send it in to get aligners for your teeth without the intervention of a dental professional or you visit a "Scan Shop" where a representative will take some type of model of your teeth and you will be sent aligners to straighten your teeth.

At Strouse Orthodontics, I design every aligner treatment plan that we provide our patients. First comes a complete diagnosis of your face, your jaws, and your teeth, the presentation of treatment options, and a final custom treatment plan to address your specific situation.

Aligner design requires an understanding of 1) the patient’s final goals, 2) the sequence and speed of tooth movements, 3) the biomechanics(how the teeth move) that must be built in the prescription to achieve the desired results, and 4) the additional features that are required for difficult tooth movements. Most direct-to-consumer aligners as designed by computer algorithms and then approved by “dental professionals.” Although there may be a dentist’s name on the aligner packaging, he or she had nothing to do with designing your aligners. General dentists(non orthodontic specialists) often do the same, doing little to no analysis or modifications to a patients treatment plan. There are several issues that can occur with a Direct-to Consumer Orthodontic plan.

No Visits

A huge selling point for DTC aligners is that no orthodontic visits are necessary. However, this is also the biggest red flag. You won’t see a orthodontist or even a dental professional at any point in the process. It may not seem like it, but moving your teeth into more optimal positions will impact your entire mouth. Even in simple cases, straightening the teeth will affect the health of your teeth as well as the gums, bones and roots. An orthodontist is trained to ensure all of these are healthy before and during the treatment process to produce safe movement of the teeth.

No Attachments

With Direct To Consumer "Orthodontics" no attachments are placed on the teeth. This is because there is no involvement of a dental professional. Due to the shapes of teeth, as well as the tooth movement being completed, there may be a need for tooth-colored attachments made of dental composite be attached to your teeth. Patients are not able to bond attachments to their own teeth. While there are some tooth movements can be occur without them, there are many tooth movements that may not be able to be predictably achieved without attachments.

Your Teeth Might Not Move the Way They Should
It is important that the teeth move the way the the orthodontist is intending over the course of treatment. If there are problems with how the teeth are movement for any reason(lack of attachments, wrong staging of tooth movements, wrong speed of tooth movement, poor compliance with aligner wear), with a Direct To Consumer Company, there is no way to have your progress evaluated. With an orthodontic specialist, you will be able to have your progress evaluated and be given instructions for how to handle a problem that arises during treatment.

No Rubber Bands

Both braces and aligners can both be straighten the top and bottom teeth individually. When modifications with the bite are needed in the bite however, orthodontists typically prescribe rubber bands connected between the top and bottom teeth to make these changes. Direct-to-consumer companies do not utilize rubber bands with their treatment. Furthermore, they typically have consumers sign a waiver that they understand that the aligners from their company will not improve their bite. This is similar with orthodontic treatment with a general dentist. While they are able to prescribe rubber band wear, they often lack the orthodontic knowledge to correct more advanced malocclusions, sometimes without informing the patient there are any bite issues present at all.

By seeing a specialist in orthodontics for orthodontic care(braces, Invisalign), you can feel confident that an expert is prescribing, planning and monitoring your care. An orthodontist will be able to monitor your teeth, discuss treatment goals, review various options for treatment and be able to provide the necessary in office adjustments that are not possible with a Direct-to-Consumer aligner company. You only get one set of teeth. Trust your smile to an orthodontic specialist.

As you delve into the world of orthodontic treatment, understanding the financial aspects is just as crucial as understanding the clinical ones. While the cost of treatment can vary significantly based on the complexity of your case and other factors, it’s essential to consider additional factors that may affect your out-of-pocket expenses.

Insurance Coverage and Financing: Navigating Your Benefits and Making Treatment Affordable

For many patients, insurance coverage and financing options play a significant role in making orthodontic treatment more accessible.

Insurance Coverage: Some dental insurance plans offer orthodontic coverage, which can help offset a portion of the expenses. However, it’s important to note that coverage levels and limitations vary widely among insurance providers and individual plans.

Before beginning treatment, it’s advisable to review your insurance policy to understand the extent of your orthodontic coverage. Your orthodontist’s office can also assist you in navigating your benefits and determining how they apply to your treatment plan. While insurance coverage can help reduce costs, it’s essential to be aware of any deductibles, copayments, or exclusions that may apply.

Financing Options: For patients concerned about the financial aspect of orthodontic treatment, many orthodontic practices offer flexible financing options to make treatment more accessible. Interest-free financing plans allow you to spread the cost of treatment over manageable monthly payments, making it easier to fit orthodontic care into your budget.

Orthodontic financing plans typically offer competitive terms and can be customized to suit your individual needs. By taking advantage of these financing options, you can focus on achieving your dream smile without worrying about the upfront financial burden.

Consultation: Your First Step

Before diving into the specifics of cost, the first step in your orthodontic journey is a consultation with a qualified orthodontist. During this initial appointment, the orthodontist will conduct a thorough examination of your teeth, jaws, and overall oral health to assess your individual needs.

The consultation allows the orthodontist to develop a personalized treatment plan tailored to address your specific concerns. It also provides an opportunity to discuss your treatment goals, ask any questions you may have, and address any financial considerations.

Understanding Phase One Orthodontics

Phase one orthodontics, also known as early or interceptive orthodontic treatment, is aimed at addressing orthodontic issues in children at a younger age, typically between the ages of 7 and 10. This early intervention helps guide the growth and development of the jaws, creating a more favorable environment for the eruption of permanent teeth and correcting certain bite problems.

The cost of phase one orthodontics can vary depending on the complexity of the treatment and the specific needs of the child. While it typically ranges between $2000 and $4500, it’s essential to consult with your orthodontist to get an accurate estimate based on your child’s individual case.

Comprehensive Orthodontic Treatment

Comprehensive orthodontic treatment, often referred to as full treatment, is typically initiated when all permanent teeth have erupted, usually around the ages of 11 to 13. This phase of treatment focuses on achieving optimal alignment of the teeth and bite, resulting in a straighter, healthier smile.

The cost of comprehensive orthodontic treatment also varies depending on factors such as the complexity of the case, the type of braces or aligners used, and the duration of treatment. On average, comprehensive treatment ranges between $5000 and $7000. However, it’s important to remember that this is just a general estimate, and the actual cost may differ based on individual circumstances.

Conclusion

Orthodontic treatment is a valuable investment in your oral health and overall well-being. While cost is undoubtedly a consideration, it’s essential to prioritize quality care and the expertise of a qualified orthodontist. Your orthodontist will work with you to develop a personalized treatment plan that meets your needs and fits your budget, ensuring you achieve the smile you’ve always wanted. Don’t hesitate to discuss any questions or concerns you may have about the financial aspects of treatment. With the right guidance and support, you can achieve the smile you’ve always wanted while staying within your budget. Remember, the first step is scheduling a consultation to discuss your options and get started on your journey to a confident, beautiful smile.

In orthodontics, the quest for a beautiful harmonic smile often involves various intricate techniques and methods. While braces or Invisalign can make the teeth straighter, in most cases, an orthodontic specialist has many variables to consider and a complex diagnosis and treatment planning is done behind the scenes. Some of these considerations involve a patients skeletal pattern, analysis of several radiographs, the patients facial profile and balance, symmetry, as well as the macro and micro esthetics of the teeth.

This post will focus on the last point. The macro esthetics encompass the relationships of the teeth to the face, lips and gums and the micro esthetics involve the individual tooth size, shapes and shades. There are many misconceptions about interproximal reduction, many of which come from General Dentists who have the best intentions, but are ill-informed, as well as social media. It is important to remember that Orthodontists are specialists in tooth movement and what is needed to obtain the best smile and proper bite relationship.

The size and shape of the teeth play as large role in the appearance of the smile as anything that an orthodontist does with braces or Invisalign. If the teeth have irregular size or shape sometimes the teeth themselves need to be altered in order to obtain an ideal bite as well as an optimal esthetic result. Interproximal reduction, or IPR, is a technique that can be utilized in order to obtain the best orthodontic outcome.

Interproximal reduction is a simple procedure in which the size and shape of the teeth are adjusted using precise diamond embedded instruments in which minute amounts of enamel are removed. This is typically done in between the teeth where they touch one another, known as the contact point. There are several reasons why this is done:

• Tooth Size Discrepancy: The set of upper and lower teeth are like a puzzle and the individual teeth have ideal sizes in order to fit together properly. If the upper teeth are too big or the bottom teeth are too narrow in comparison, a patient will present with upper crowding, an excess overbite or spacing of the lower teeth. On the other hand, if the top teeth are too small or the lower teeth are too wide, there will be spaces on the top or crowding on the bottom. Through extensive orthodontic research, it was discovered that there are ideal proportions of the upper and lower teeth. If the upper and lower teeth do not match due to the tooth size, it is known as a "Tooth Size Discrepancy". On occasion, reduction of the upper or lower teeth is a solution.
• This is a quick, safe and pain free procedure. Tooth enamel can be as much as 2.5 millimeters thick and Interproximal reduction typically involves no more than 0.2-0.4 millimeters. After IPR, there is plenty of excess enamel to keep the teeth healthy and strong, which has be shown in countless orthodontic research. IPR does not increase the risk of cavities. Research has shown that dentists are less comfortable performing IPR routinely and orthodontists who are more likely to have researched the long term effects of IPR on the teeth are more comfortable performing the procedure. Because of this, dentists will often inform patients and their families that IPR is unsafe, will damage the teeth or other statements that are incorrect, and not backed by scientific research.

• Anatomy: Sometimes the shape of the teeth is such that an esthetic improve can be made by removing some excess enamel in order to improve the shape of the teeth or how to teeth connect to each other in order to obtain a more esthetic final result.

• Black Triangles: Sometimes due to the shape of the teeth, how they connect to each other or due to gum recession, the appearance of what are known as black triangles occur. It is noticed as triangluar "spaces" close to the gum-line. While there are not actually spaces between the teeth, if the teeth are only touching at the tips and not up to the gums, a dark triangle will apear. On occasion, IPR can reshape these teeth and reduce the size and appearance of the black triangle once the space is closed.

• Crowding: Another reason for using IPR is due to crowding of the teeth. Significant amounts of space can be created by removing very small amounts of enamel in between some of the teeth. If there is crowding between the teeth, but not enough crowding for the removal of permanent teeth, IPR can be used to create enough space for all of the teeth. In addition to create space, IPR also creates flat surfaces between the teeth which helps improve the stability of teeth to keep them straight after orthodontic treatment is completed.
• Conclusion and Considerations: IPR is a safe procedure and extensive research shows that there is no increased decay after IPR, there is improved stability of the orthodontic results after IPR due to the improved contacts, and there is no increase in sensitivity when the amount of enamel removed is within proper limits.

The author, Dr. Eric Strouse DMD MDS is a specialist in orthodontics in the practice of orthodontics in Spring Hill and Lecanto, Florida. He was trained at Muhlenberg College for his Bachelors Degree where he competed on the track and field team. He completed his dental training at the University of Connecticut School of Dental Medicine, earning a Doctorate of Medicine in Dentistry(DMD). He completed a one year General Practice Residency at St. Luke's Hospital in Allentown, PA and his specialty training in Orthodontics and Dentofacial Orthopedics at Rutgers University where he also completed a Masters in Dental Science. Dr. Strouse has been published in several Dental and Orthodontic Journals. Dr. Strouse is an expert in two-phase orthodontic treatment, phase 1 interceptive treatment, extraction and non-extraction treatment, Invisalign clear aligners, and multiple bracket systems(custom braces, self ligating braces, conventional braces). This blog is for informational purposes only.

Braces have come a long way in the world of orthodontics. Gone are the days when braces were considered purely functional; today, they are a fashion statement! If you or your loved ones are about to embark on an orthodontic journey, you may be wondering if you can add a personal touch to your braces. The answer is a resounding YES! In this blog post, we'll explore the exciting world of colorful braces and how you can express your unique style while on the path to a beautiful smile. Check out some Examples Below!

Traditional metal braces have been the staple of orthodontic treatment for decades, and they continue to be an excellent option for achieving optimal teeth alignment.

Choosing Your Brace Colors

At our orthodontic office, we believe that each patient's smile is as unique as their personality. We offer a wide array of color choices for braces, allowing you to have some fun with your treatment while expressing your individual style. Here's how you can choose the color for your braces:

Explore a Rainbow of Colors: Today's braces come in various shades, ranging from classic colors like blue, red, and green to vibrant hues like neon pink, electric blue, and lime green. You can even choose seasonal colors to match your favorite holidays or events.

Mix and Match: Some patients get creative and mix different colors for a unique look. For example, alternating colors on each bracket can create a playful effect.

Consider Your Personal Style: Your braces can be an extension of your personality and interests. If you have a favorite sports team, you can opt for their team colors. Or, choose a color that complements your eye or hair color for a coordinated and flattering look.

Benefits of Colorful Braces

1. Personal Expression: Colorful braces offer a chance to showcase your personality and add a touch of fun to your orthodontic treatment.

2. Boost in Confidence: Embracing colorful braces can make the journey to a beautiful smile feel more exciting and enjoyable, increasing your confidence throughout the process.

3. Motivation for Oral Hygiene: Some patients find that having braces in their favorite colors motivates them to be extra diligent with their oral hygiene routine, as they want their vibrant braces to shine beautifully.

At Strouse Orthodontics, we believe that orthodontic treatment doesn't have to be boring. With a wide range of colorful braces to choose from, you can make your smile journey uniquely yours. Express your individuality, showcase your style, and let your personality shine through your braces!

Ready to add some flair to your smile? Schedule a consultation with us, and together, we'll create a personalized treatment plan, complete with the colorful braces that best reflect your style. Get ready to embark on an orthodontic journey that not only transforms your teeth but also showcases the real you!