orthodontist Spring Hill FL

For decades, orthodontists had a simple rule: if you wanted to widen the upper jaw, you had to do it in childhood. Once a patient reached the teenage years, the options narrowed to extracting teeth, accepting a narrow smile, or undergoing jaw surgery. Today, a technique called MARPE has changed that, and Strouse Orthodontics is proud to offer it to patients in Spring Hill, Lecanto, and throughout Hernando and Citrus Counties.

What Is MARPE?

MARPE stands for Miniscrew-Assisted Rapid Palatal Expansion. It is a type of upper jaw expander that is anchored directly to the bone of the palate with small, temporary miniscrews, rather than relying only on the teeth. MARPE is a generic term and does not mean that the turns themselves will be fast or slow. In fact, today, a slow turning protocol is often the preferred method.

The upper jaw is actually made of two halves joined by a seam down the middle of the palate, called the midpalatal suture. In young children, this seam is flexible, so a traditional expander attached to the teeth can gently separate it. As we grow, that seam becomes more interlocked and resistant. A tooth-borne expander in an older teen or adult tends to tip the teeth outward instead of widening the bone underneath, which can lead to gum recession and results that don't hold.

MARPE solves this problem. Because the expander is anchored in bone, the expansion force goes where it belongs: into the skeleton of the upper jaw itself. The result is true skeletal widening in many patients who, just a few years ago, would have been told surgery was their only option.

Who Is a Candidate for MARPE?

MARPE is most often recommended for older teens and adults who have a narrow upper jaw. Common signs include:

• A crossbite, where upper back teeth sit inside the lower teeth when biting
• Significant crowding in the upper arch
• Dark spaces at the corners of the smile, sometimes called "buccal corridors"
• A high, narrow palate
• Mouth breathing or a feeling of nasal congestion that isn't explained by allergies alone

Not every patient is a candidate. Age, bone maturity, and the thickness of the palate all play a role. That is why Dr. Strouse uses 3D imaging and digital scanning during your consultation to evaluate your anatomy and determine whether MARPE is the right fit.

Why Jaw Width Matters Beyond Straight Teeth

At Strouse Orthodontics, treatment planning starts with the face, not just the teeth. A properly sized upper jaw does much more than create room for crowded teeth.

A Fuller, Broader Smile

Widening the upper jaw can fill out the smile from corner to corner, supporting the lips and cheeks. This matters not only today, but for how the face ages over time.

Room for Teeth Without Extractions

By creating space in the bone itself, MARPE can reduce the need to remove healthy teeth to relieve crowding in appropriate cases.

Potential Airway Benefits

The roof of the mouth is also the floor of the nose. When the upper jaw is widened, the nasal floor widens with it, and research has shown that many patients experience improved nasal airflow after skeletal expansion. Some patients notice they breathe more easily through their nose. While MARPE is not a stand-alone cure for sleep apnea, it can be a valuable part of a coordinated plan, and Dr. Strouse works with sleep physicians and ENT specialists when airway concerns are part of the picture.

An Alternative to Surgery for Many Adults

Before MARPE, adults needing skeletal expansion typically required surgically assisted expansion (SARPE) under general anesthesia. MARPE allows many of these patients to achieve skeletal widening in the orthodontic office, without a hospital procedure.

What to Expect During MARPE Treatment

1. Consultation and 3D planning. We take digital scans and 3D imaging to assess the palate and plan precise miniscrew placement.
2. Placement. The expander is placed in a single visit. After the expander is placed, an oral surgeon will place the minscrews.
3. Activation. Over the following weeks-months, the expander is activated on a set schedule. Many patients notice a small gap forming between the upper front teeth. This is a normal, expected sign that the jaw is widening, and it is closed later in treatment.
4. Stabilization. Once the desired width is achieved, the expander stays in place for several months while new bone fills in and matures.
5. Braces or aligners. After expansion, treatment continues with braces or clear aligners to close spaces, correct crowding, and finalize the bite.

Frequently Asked Questions About MARPE

Does MARPE hurt?

Most patients report pressure in the upper jaw, nose, and cheekbones during the activation phase, which typically eases within a few minutes after each activation. Over-the-counter pain relievers are usually enough to stay comfortable.

Will it affect my speech?

Speech may feel slightly different for the first several days as the tongue adjusts to the appliance. Most patients adapt quickly.

Am I too old for MARPE?

There is no single age cutoff. MARPE has been used successfully in adults, but success depends on individual bone maturity. A consultation with 3D imaging is the best way to know.

How long does the expander stay in?

Active expansion usually takes a few weeks. The appliance then remains in place for several months to allow the new bone to stabilize before it is removed.

MARPE in Spring Hill and Lecanto

MARPE requires careful diagnosis, precise planning, and specialized training. As an orthodontic specialist, Dr. Strouse combines 3D imaging, iTero digital scanning, and in-house 3D printing to plan and deliver expansion treatment tailored to each patient's face and airway. It is part of the same face-first philosophy that has earned Strouse Orthodontics six consecutive Hernando Sun Readers' Choice awards for Best Orthodontist.

If you or your teen have been told you have a narrow jaw, a crossbite, or that surgery might be necessary, MARPE may offer another path. Schedule a complimentary consultation at our Spring Hill or Lecanto office to find out whether MARPE is right for you.

Parents mention it almost in passing. A child who snores, breathes through their mouth, or wakes up tired despite a full night of sleep. It gets chalked up to a phase, a stuffed nose, or just the way the child sleeps. In most cases, nobody has told them that these things are worth taking seriously, and that there may be more that can be done than they realize. At our orthodontic offices in Spring Hill and Lecanto, we see this more often than most parents would expect

Not long ago, a mother brought her eight-year-old daughter in for a routine concern — the child's teeth were crowded, and mom wanted to know what to do about it. During the evaluation, she mentioned almost as an aside that her daughter had been snoring, sleeping poorly, and wetting the bed. She did not connect any of those things to her teeth. She was not sure they were connected to anything at all.

They were.

We began the first phase of orthodontic treatment, focused on the jaw and bite development. About six months in, they came in for an adjustment appointment. The snoring had stopped. Her daughter was sleeping through the night. The bedwetting had resolved. She was in tears, she had not expected any of this when she first walked through the door asking about crowding.

That kind of outcome is not guaranteed, and every child is different. But it is also not unusual. And it is exactly why airway should be part of every orthodontic conversation.

What the Jaw Has to Do With the Airway

The upper jaw forms the floor of the nasal cavity. When the jaw develops narrowly, which is common, and often shows up first as crowding of the front teeth, the space available for nasal breathing can be reduced as well. A child who cannot breathe efficiently through the nose will compensate by breathing through the mouth, and that compensation, when it becomes habitual, has consequences.

The tongue drops from the roof of the mouth where it should rest. The lips part at rest. Over time, this altered posture affects how the jaw continues to develop, how the teeth erupt, and how the face grows. Children who breathe through their mouths chronically can develop a longer, narrower facial pattern, changes that become significantly harder to address the longer they go undetected.

Orthodontic treatment during the years when bone is still responsive to guidance using tools such as expanders, braces, or Invisalign, to the individual patient and situation, can sometimes change that trajectory in ways that are not possible later. This is not a formula where one appliance equals one outcome. It is a case-by-case evaluation of what the airway needs, what the jaw is doing, and what the growth window still allows.

Mouth Breathing and Snoring Are Never Normal

This is perhaps the most important thing to understand. Mouth breathing and snoring in children are signs that something is affecting the airway. The causes are often multiple and overlapping, enlarged tonsils or adenoids, narrow jaw structure, tongue posture, allergies, nasal anatomy. Because the causes are rarely singular, the evaluation and treatment of pediatric airway problems is best approached as a team, often involving an ENT, a sleep physician, and an orthodontist working together toward a common goal.

What surprises most parents is that an orthodontist belongs in that conversation at all.

What to Watch for at Home

Most parents are not told what to look for, and most routine dental visits do not include airway screening. These are signs worth paying attention to:

• Snoring, mouth breathing, or noisy breathing during sleep
• Sleeping with the mouth open or the head tilted back
• Restless sleep, frequent waking, or difficulty staying asleep
• Daytime fatigue, difficulty concentrating, or behavioral changes that seem out of character
• Crowded or narrow teeth, particularly in the upper arch
• A long, narrow facial appearance or lips that do not close comfortably at rest
• Chronic congestion that does not fully resolve with treatment
• Dark circles under the eyes that persist regardless of sleep duration

Any one of these alone may have a simple explanation. Several together warrant a closer look.

Why Timing Matters

The jaw is most responsive to change during childhood, when the bones are still developing and growth can be guided rather than corrected after the fact. What can be addressed relatively simply in a young child may require far more complex intervention or surgery in an adult. The window to make a meaningful difference is real, and it does not stay open indefinitely.

No referral from a dentist is needed to be seen by an orthodontist. If any of the signs above sound familiar, or if a dentist has mentioned crowding or jaw development concerns, it is worth having a conversation sooner rather than later. The teeth may be what brings a family in the door. But what gets discovered and addressed can go well beyond the smile. Families in Spring Hill, Lecanto, and throughout Hernando and Citrus County are welcome to schedule a complimentary evaluation at Strouse Orthodontics no referral needed.

Here's a truth that surprises a lot of people: some of our most motivated, most committed patients are over 60.
They spent decades putting everyone else first — kids, careers, mortgages. Now it's their turn. And they want to do something they've thought about for years: finally fix their smile.
At Strouse Orthodontics, we treat patients of all ages at our Spring Hill and Lecanto offices. If you're a senior wondering whether orthodontic treatment is still possible for you, the answer is almost certainly yes — and you may have more options than you think.

Age Is Not a Disqualifier
The most common question we hear from older adults is some version of: "Am I too old for this?"
The short answer: no.
Teeth can be moved at any age. The biology of tooth movement doesn't stop working when you turn 60 or 70. As long as your teeth and gums are reasonably healthy, orthodontic treatment is on the table.
The American Association of Orthodontists reports that one in five orthodontic patients today is over the age of 21 years and that number continues to grow as more adults realize treatment isn't just for teenagers.

Why Seniors Are Choosing Orthodontic Treatment
People pursue orthodontic treatment later in life for a variety of reasons, and they're all valid:

Teeth that shifted over time. Even patients who had braces as teenagers sometimes see their teeth drift as they age, especially if they weren't consistent with retainer wear.

Teeth that shifted after tooth loss. When a tooth is lost and not replaced promptly, neighboring teeth can tip and shift into the space over time.

A bite that's causing problems. Uneven bites can contribute to jaw discomfort, excessive wear on certain teeth, and difficulty chewing.

A smile they never felt good about. Many seniors simply never had access to orthodontic care when they were young, and now they do.

Upcoming events. Retirement, a milestone birthday, a child's wedding — life gives people reasons to invest in themselves.

Whatever the motivation, it's worth exploring. The question isn't whether you "deserve" it at your age. The question is whether it's clinically appropriate, and that's what a consultation is for.

What's Different About Treating Adults and Seniors
Orthodontic treatment in older adults is absolutely possible, but there are some important differences compared to treating children or teenagers.
Bone density and tooth movement speed. In children, the jawbones are still growing and highly responsive. In adults and seniors, the bone is more mature and dense. This doesn't prevent tooth movement, it just means treatment may take somewhat longer and requires careful force application.
Gum and bone health matters more. Seniors are more likely to have a history of gum disease, bone loss, or recession. At Strouse Orthodontics, Dr. Strouse evaluates these factors carefully before recommending treatment. In many cases, we coordinate with your general dentist or periodontist to make sure your foundation is solid before moving teeth.
Existing dental work. Crowns, bridges, implants, and missing teeth can all affect treatment planning. Dr. Strouse accounts for all of this in designing a plan that works around your existing dental history, not against it.
Implants cannot be moved. This is an important one. Unlike natural teeth, dental implants fuse directly to the jawbone and cannot be repositioned with orthodontics. This needs to be factored into treatment planning from the start.
None of these factors are reasons to avoid treatment, they're simply things an experienced orthodontic specialist knows how to navigate.

Treatment Options for Seniors at Strouse Orthodontics
The good news is that the same treatment options available to younger patients are generally available to seniors as well.
Clear aligners (Invisalign) are often the most popular choice for older adults. They're discreet, removable, and don't interfere with existing dental work the way fixed braces can. Many of our senior patients appreciate being able to remove their aligners for meals, special occasions, and cleaning.
Metal braces remain the most efficient option for more complex cases involving significant bite correction or tooth movement. Modern metal braces are much smaller and more comfortable than what most seniors remember from decades ago.
Ceramic (clear) braces offer a middle ground — the effectiveness of fixed braces with a much less noticeable appearance. Tooth-colored brackets blend in well, making them a popular choice for patients who want something discreet but need fixed appliances.
Limited treatment is also an option for seniors who don't need or want full comprehensive orthodontics. If there's one area of concern — a few crowded front teeth, a single shifted tooth, limited treatment can address that specific issue in a shorter timeframe and at a lower cost.
Dr. Strouse will walk you through every option at your consultation and give you an honest recommendation based on your specific situation — not a one-size-fits-all protocol.

The Health Benefits Go Beyond Appearance
Straightening your teeth as a senior isn't just about aesthetics — though there's nothing wrong with wanting to look and feel your best. There are genuine health reasons to consider orthodontic treatment later in life.

Easier to clean. Crowded or overlapping teeth create hard-to-reach areas where plaque accumulates. Straighter teeth are easier to brush and floss effectively — which matters more, not less, as we age and the risk of gum disease increases.

Better bite function. A misaligned bite puts uneven stress on certain teeth over time, contributing to excessive wear, chipping, and jaw discomfort. Correcting the bite can relieve that stress and protect teeth that need to last a lifetime.

Improved confidence. This one shouldn't be underestimated. Studies consistently show that confidence in your smile affects social interaction, professional presence, and overall quality of life. It's never too late to feel good about your smile.

What About Cost and Insurance?
Orthodontic treatment is an investment at any age. At Strouse Orthodontics, we believe cost should never be the reason someone doesn't get care they want and need.
A few things worth knowing for senior patients specifically:
Most dental insurance plans with an orthodontic benefit apply it regardless of age, though some plans limit coverage to patients under 18 or 19. It's worth calling your insurance provider directly to ask about your specific benefit.
HSA and FSA funds can be used for orthodontic treatment and are an excellent way to pay with pre-tax dollars — reducing your effective out-of-pocket cost.
We offer no-interest financing that spreads payments over the course of treatment, making the monthly amount manageable for most budgets. We also offer discounts for payment in full.
At your consultation, our financial coordinator will go through every option in detail. You'll leave knowing exactly what treatment costs and what your payment options look like — no surprises.

A Note on Realistic Expectations
We believe in giving every patient an honest picture of what treatment can and can't do.
Orthodontics can align your teeth, correct your bite, and improve the health and appearance of your smile significantly. It works at 65 just as it works at 15 — the biology is the same.
What it can't do is reverse bone loss from gum disease, replace missing teeth, or restore worn enamel. That's why a comprehensive evaluation and, in some cases, coordination with your general dentist or periodontist is part of the process.
The goal is always a result that's healthy, stable, and something you'll be proud of for years to come.

Schedule a Consultation at Our Spring Hill or Lecanto Office
If you've been thinking about orthodontic treatment for years and keep telling yourself it's too late — it's not.
At Strouse Orthodontics, we serve patients of all ages across Spring Hill, Lecanto, and the surrounding communities in Hernando and Citrus Counties. Your consultation with Dr. Strouse is completely free, no-pressure, and no-obligation. He'll examine your teeth, review your health history, and give you a clear, honest picture of what's possible.
Contact Strouse Orthodontics today to schedule your evaluation. Because a smile worth having is worth having at any age.

If you're a parent in Spring Hill researching braces for your child — or an adult who's finally ready to do something about your own smile — the first question you probably have is: how much is this going to cost?

It's a fair question, and one that most orthodontist websites in Hernando County avoid answering directly. We're going to be different.

This guide covers what orthodontic treatment actually costs in the Spring Hill area, what factors affect your price, how insurance works, and what your payment options look like at Strouse Orthodontics. By the end, you'll have a clear picture of what to expect — before you ever set foot in our office.

Why Orthodontic Costs Vary So Much

What Does Orthodontic Treatment Cost in Spring Hill and Lecanto?

In our area — and nationally — total orthodontic treatment typically ranges from $4,500 to $8,500, depending on several factors. That range exists because no two cases are the same.

What moves your cost within that range:

Case complexity. A mild crowding case in an otherwise healthy bite is straightforward. A case involving impacted teeth, significant jaw discrepancies, airway concerns, or a combination of bite and alignment problems requires significantly more planning, more appointments, and more clinical expertise. Complexity is the single biggest driver of cost.

Your child's age and growth stage. Children who need early Phase 1 treatment — typically between ages 7 and 10 — have a separate, smaller investment than full comprehensive treatment in their teen years. Starting at the right time can actually reduce the overall cost by preventing more complex problems later.

The type of treatment. Metal braces, clear ceramic braces, and Invisalign® are priced differently. Clear aligners and ceramic brackets typically carry a modest premium over traditional metal braces, but the difference is often smaller than people expect.

Whether you need one or two phases. Some children need Phase 1 early treatment followed by comprehensive treatment as a teen. Others can wait and complete everything in one phase. Dr. Strouse will give you an honest recommendation based on what's actually necessary — not what generates more revenue.

Does Dental Insurance Cover Braces in Florida?

Yes — and this is one of the most important things to understand before you assume orthodontic treatment is out of reach.

Most PPO dental insurance plans include an orthodontic benefit, typically ranging from $1,000 to $2,000 per patient. Some plans cover a percentage of treatment up to a lifetime maximum. The exact amount depends on your specific plan.

At Strouse Orthodontics, we accept all PPO insurance plans. Before your consultation, our financial coordinator will verify your benefits so you know exactly what your insurance covers and what your out-of-pocket responsibility will be — before you make any decisions.

A few things to know about orthodontic insurance in Florida:

• Most plans have a lifetime orthodontic maximum, not an annual one — meaning it's a one-time benefit
• Benefits often apply to children up to age 18 or 19, with some plans covering adults as well
• Many plans require treatment to start while the patient is still a dependent on the plan
• Your benefit applies regardless of which in-network or out-of-network provider you choose with most PPO plans — always worth verifying

Can You Use an HSA or FSA for Braces?

Yes. Orthodontic treatment is an eligible expense under both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). If you or your spouse has one of these accounts through an employer, using pre-tax dollars to pay for braces is one of the smartest financial moves you can make — it effectively reduces your cost by your marginal tax rate.

If you're planning ahead, it's worth timing your FSA contributions to align with when treatment starts.

What Payment Options Are Available at Strouse Orthodontics?

We designed our financing options specifically so that cost is never a reason someone doesn't get the orthodontic care they need. Here's what we offer:

No-interest financing. Spread your payments over the course of treatment with zero interest added. Most patients pay a manageable monthly amount that fits comfortably into a household budget.

Full-payment discount. If you prefer to pay in full upfront — whether out of pocket or through your HSA/FSA — we offer a discount for doing so.

Multi-family member discount. When more than one family member is in treatment at the same time, we offer a discount on each case. This is especially valuable for families with multiple kids who need braces.

Service professional discount. We're proud to offer special discounts for military, law enforcement, firefighters, and teachers. It's a small way of saying thank you to the people who serve our community.

What's Actually Included in Your Treatment Fee?

At Strouse Orthodontics, your quoted fee is all-inclusive. There are no surprise charges mid-treatment, no separate fees for appointments, and no unexpected add-ons at the end.

Your treatment fee covers:

• All appliances — whether that's metal braces, ceramic braces, or your full set of Invisalign® aligners
• Every scheduled orthodontic visit for the duration of your treatment
• One set of clear Essix retainers at the end of treatment to protect your results

We go over every detail of your fee and financing options at your free consultation, so you leave that first appointment knowing exactly what your investment looks like.

How to Find Out Your Exact Cost

The only way to get an accurate number for your specific situation is a consultation with Dr. Strouse. He'll examine your teeth, take a digital iTero scan — no goopy impressions — and walk you through a custom treatment plan with complete cost transparency.

There's no pressure, no obligation, and no fee for the consultation. It's genuinely just a conversation about your options.

We serve patients from Spring Hill, Brooksville, Weeki Wachee, Hernando Beach, Shady Hills, Ridge Manor, and communities throughout Hernando County and Citrus County.

Ready to find out what treatment looks like for you or your child?

Call us at (352) 688-0331 or schedule your free consultation online.

Picture this: your child snores every night, wakes up tired, and struggles to focus at school. You assume it's just a phase — but what if their jaw development is part of the problem?

At Strouse Orthodontics, we see this more often than you might expect. Many families in Spring Hill and Lecanto come to us thinking orthodontic treatment is purely about aesthetics. But the way the jaws and teeth develop can have a meaningful impact on how someone breathes, sleeps, and functions every day.

This is the foundation of airway orthodontics — and it's an important part of how we approach care at our practice.

What Is Airway Orthodontics?

Airway orthodontics is an approach that considers the relationship between jaw development, facial growth, nasal breathing, and the airway — not just the alignment of teeth.

The upper jaw (maxilla) forms the floor of the nasal cavity. When it develops too narrow, it can reduce nasal airspace and contribute to breathing difficulties, mouth breathing, snoring, poor sleep quality, and in some cases, obstructive sleep apnea.

At Strouse Orthodontics, an airway-conscious evaluation goes beyond crowding and bite. We look at:

• Jaw width and development patterns
• Tongue posture and oral habits
• Nasal breathing vs. mouth breathing
• Airway space on imaging
• Facial growth patterns
• Sleep and breathing symptoms

Our goal is to evaluate the whole patient — not just the teeth.

Signs That May Suggest an Airway Concern

Many parents in Spring Hill and Lecanto are surprised to learn that certain common behaviors in their children can sometimes be linked to breathing or airway concerns. Signs worth discussing at an orthodontic evaluation include:

• Chronic mouth breathing
• Snoring or restless sleep
• Daytime fatigue or difficulty focusing
• Dark circles under the eyes
• Frequent night waking
• Narrow dental arches or crowded teeth
• Long, narrow facial growth patterns
• Thumb sucking or prolonged pacifier use
• Forward head posture

Having one or more of these signs doesn't automatically mean there's a serious problem. But these findings can indicate that a more thorough evaluation may be worthwhile — and catching concerns early is always better than waiting.

Why Early Evaluation Matters for Kids

The American Association of Orthodontists recommends an orthodontic evaluation by age 7. At Strouse Orthodontics, we take this recommendation seriously — not to start treatment early unnecessarily, but because this window is often the best time to identify developing jaw and airway-related issues while a child is still growing.

One example: when the upper jaw is too narrow, palatal expansion can create more room for the teeth while also increasing the width of the nasal cavity. For some children, this can meaningfully improve nasal breathing.

Not every child needs treatment at age 7. Many simply need monitoring. But identifying potential concerns early gives families in Spring Hill and Lecanto more options — and can sometimes prevent more complex treatment down the road.

The Connection Between Mouth Breathing and Facial Development

Breathing patterns can influence facial growth over time — particularly in children. Kids who primarily breathe through their mouths tend to hold their tongue lower in the mouth, rather than resting it against the roof. Over years, this altered muscle posture can contribute to:

• Narrowing of the upper jaw
• Crowded teeth
• Increased overjet
• Longer, narrower facial growth
• Poor lip seal

The relationship between breathing and facial development is complex and influenced by genetics, habits, and environmental factors. But modern orthodontists are paying much closer attention to these patterns than previous generations — and for good reason.

Airway Orthodontics for Adults in Spring Hill & Lecanto

Airway concerns don't stop in childhood. Many adults struggle with snoring, poor sleep quality, daytime fatigue, and obstructive sleep apnea — and in some cases, jaw structure and dental anatomy play a contributing role.

At Strouse Orthodontics, we offer adult treatment options that address both smile esthetics and airway-related concerns, including:

• Clear aligner therapy
• Custom braces
• MARPE (Miniscrew-Assisted Palatal Expansion) for select adult patients
• Coordinated care with ENTs, sleep specialists, and oral surgeons

Adult jaw expansion has become an area of growing interest. While surgery remains necessary in some cases, newer techniques like MARPE have created additional options for carefully selected adult patients who were previously told expansion wasn't possible.

Orthodontics Is One Part of the Picture

We want to be clear: orthodontic treatment alone does not cure sleep apnea or all breathing disorders. Airway health is influenced by many factors, including:

• Allergies and nasal obstruction
• Enlarged tonsils or adenoids
• Weight and body composition
• Sleep habits and positioning
• Tongue function and posture
• Genetics and medical history

That's why airway-focused orthodontics works best as part of a collaborative team. At Strouse Orthodontics, we regularly coordinate care with pediatricians, ENTs, sleep physicians, oral surgeons, and myofunctional therapists when needed. The goal is always a complete picture — not a shortcut.

Any responsible airway evaluation should be grounded in proper records, CBCT imaging, clinical examination, and evidence-based treatment planning. Social media trends are not a substitute for diagnosis.

A Comprehensive Approach at Strouse Orthodontics

Today's orthodontics is about much more than straight teeth. At Strouse Orthodontics, our evaluations consider:

• Facial balance and smile esthetics
• Bite function and jaw relationships
• Long-term dental health
• Airway and breathing patterns
• Overall quality of life

Using digital treatment planning, CBCT imaging, and custom orthodontic systems, we take an individualized approach designed to create healthy, functional, and beautiful smiles — built to last.

Schedule a Consultation at Our Spring Hill or Lecanto Office

If your child snores, mouth breathes, or seems chronically tired — or if you're an adult dealing with poor sleep and wondering whether your jaw structure could be a factor — Strouse Orthodontics is here to help.

We serve families throughout Spring Hill, Lecanto, and the surrounding communities in Hernando and Citrus Counties. A consultation is the best first step toward understanding what's really going on.

Contact Strouse Orthodontics today to schedule your evaluation — because sometimes, a healthier smile can improve much more than just your appearance.

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.

For many years, adults with narrow upper jaws were told the same thing: jaw expansion isn’t possible without surgery. Traditional palate expanders worked well in children, but once growth was complete, options were limited.

Today, that has changed.

Advances in orthodontics now allow many adults to expand their upper jaw without surgery using a technique called MARPE, short for Miniscrew-Assisted Rapid Palatal Expansion. At Strouse Orthodontics, this is one of the ways we help adult patients who were previously told “nothing could be done.”

What Is MARPE?

MARPE is a type of orthodontic expander designed specifically for adults and older teens. Unlike traditional expanders that rely on teeth alone, MARPE uses small, temporary anchor screws placed in the bone of the palate. These anchors allow the appliance to apply force directly to the upper jaw, making true skeletal expansion possible even after growth has finished.

In simple terms, MARPE helps widen the upper jaw by working with the bone, not just tipping the teeth outward.

Why Traditional Expanders Don’t Work in Adults

In children, the two halves of the upper jaw are still connected by a flexible growth seam called the midpalatal suture. This allows traditional expanders to work easily.

In adults, that suture becomes more rigid over time. Traditional expanders in adults often result in:

• Tooth tipping instead of jaw expansion
• Gum recession or discomfort
• Unstable or short-term results

MARPE was developed to overcome these limitations by providing support directly from the bone.

Who May Be a Candidate for MARPE?

Not every adult needs jaw expansion, but MARPE can be helpful for patients with:

• A narrow upper jaw
• Crossbites (upper teeth biting inside the lower teeth)
• Severe crowding
• Airway or breathing concerns
• A history of being told surgery was the only option

A proper evaluation by an orthodontic specialist is essential. Success with MARPE depends on factors like age, bone density, and jaw anatomy—not just symptoms.

MARPE vs Jaw Surgery

For some adults, jaw surgery is still the best option. However, MARPE can sometimes reduce or eliminate the need for surgery, depending on the case.

The difference comes down to:

• How fused the jaw is
• How much expansion is needed
• Overall facial and bite goals

An orthodontic specialist can determine which approach is safest and most effective for long-term stability.

Why MARPE Requires a Specialist

MARPE is not a routine orthodontic procedure. It requires:

• Advanced diagnosis
• Understanding of skeletal vs dental expansion
• Interpretation of 3D imaging
• Careful appliance design and activation

General dentists typically do not diagnose transverse skeletal deficiencies or perform MARPE. This type of treatment falls squarely within the scope of orthodontic specialty care.

What Does MARPE Feel Like?

Most patients describe a feeling of pressure during activation, similar to traditional expanders. Some experience temporary soreness or nasal pressure early on, which usually resolves quickly. Because the appliance is anchored to bone, many patients find it more controlled and predictable than tooth-borne expanders.

The Bottom Line

Adult jaw expansion is no longer off the table. MARPE has opened the door for many adults who were once told their only option was surgery—or no treatment at all.

If you’ve been told you’re not a candidate for expansion, or if you’re struggling with crowding, bite issues, or breathing concerns, a specialist evaluation may reveal options you didn’t know existed.

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.

Summer is a time for sunshine, fun, and plenty of snacks. But if you or your child wears braces, not every summer treat is safe for orthodontic appliances.

At Strouse Orthodontics, we want to make sure your treatment stays on track while you enjoy your vacation. Damaged brackets or bent wires can delay your progress, so knowing which foods are safe (and which ones are not) is key to avoiding unwanted setbacks.

Here’s your go-to guide on what to enjoy and what to avoid when it comes to summer snacking with braces.

Do: Choose Cool, Soft Treats

Some of the best summer snacks are perfect for braces. Look for cool, soothing options that are easy to chew and won’t put stress on brackets or wires.

Braces-friendly summer snacks include:

• Soft-serve ice cream or frozen yogurt without hard toppings
• Fruit smoothies made with banana, berries, or yogurt
• Popsicles or ice bars that are not too hard or sticky
• Applesauce, pudding, or dairy-free yogurt
• Watermelon (seedless and cut into small bites)

These options are not only safe but can also help soothe the mouth after an adjustment.

Don’t: Eat Hard or Sticky Foods

Certain summer favorites may seem tempting, but they can easily damage your braces. Avoid anything that is chewy, crunchy, or sticky.

Snacks to avoid while wearing braces:

• Corn on the cob (cut the kernels off before eating)
• Hard chips, pretzels, or popcorn
• Chewy candy like taffy, caramels, or fruit chews
• Ice cubes or frozen fruit that hasn’t thawed
• Lollipops or jawbreakers
• Nuts and seeds

Even a single bite of the wrong snack can pop off a bracket or bend a wire, which could delay your treatment and require an emergency visit.

Do: Get Creative with Healthy, Braces-Safe Foods

With a little creativity, you can still enjoy delicious and fun summer snacks that won’t interfere with your orthodontic care.

Smart snack ideas for summer with braces:

• Smoothie bowls with soft toppings like sliced bananas or nut-free granola
• Pasta salad with soft-cooked vegetables
• Soft tortilla wraps filled with turkey, avocado, or hummus
• Seedless melon kabobs
• Cooked vegetables or soft fruit slices kept chilled for a refreshing bite

You can even freeze grapes or banana slices, just make sure they thaw slightly before eating to avoid biting into anything too hard.

Don’t: Forget to Brush After Snacking

Summer usually comes with more snacking, sweets, and drinks. If you’re not keeping up with your oral hygiene, that can quickly lead to plaque buildup and tooth staining around brackets.

Summer hygiene tips for braces:

• Carry a travel toothbrush, toothpaste, and floss picks with you
• Brush after meals and snacks whenever possible
• If you can’t brush, rinse thoroughly with water
• Limit sugary drinks like soda or sports drinks that can weaken enamel

Staying consistent with brushing and flossing is one of the best ways to protect your smile during treatment.

Stay on Track and Enjoy Your Summer

A few smart choices can help you avoid broken brackets, unnecessary appointments, and delays in your treatment. Our team at Strouse Orthodontics is here to help you make this your healthiest and happiest summer yet.

If you have questions about what you can eat or need help with your appliances, don’t hesitate to reach out.

Schedule Your Summer Appointment Today

Summer is a great time to get started with orthodontic treatment or schedule a checkup before the back-to-school rush. We offer personalized care for patients of all ages in a fun, family-friendly environment.

Call us at 352-688-0331 or schedule online at www.strouseorthodontics.com

We proudly serve Spring Hill, Lecanto, and surrounding Florida communities.

If you're considering straightening your teeth, you’re probably weighing two of the most popular options: braces and clear aligners. Both are powerful tools in the hands of a skilled orthodontist, and the right choice depends on your goals, lifestyle, and the complexity of your bite.

At Strouse Orthodontics, we treat patients of all ages using the most advanced techniques available. I have even lectured to orthodontic residents on complex clear aligner treatment and has successfully treated even the most complex cases without the use of braces. Whether you’re an adult seeking a discreet option or a parent researching the best treatment for your child, this article will help you understand the key differences between braces and clear aligners.

What Are Clear Aligners?

Clear aligners—such as Invisalign—are custom-made, removable trays that gradually shift your teeth into alignment. They are made from transparent plastic and designed using advanced 3D scanning technology for a precise, comfortable fit.

Pros of Clear Aligners

• Virtually invisible in your mouth, making them ideal for adults and image-conscious teens
• Removable, so you can eat, drink, brush, and floss with ease
• Comfortable, with no metal brackets or wires to irritate your cheeks
• Custom-designed to treat complex bite issues when planned by an experienced orthodontist
• Convenient for patients with busy lifestyles or frequent social interaction

Things to Consider

• Must be worn 20 to 22 hours per day for optimal results
• Require discipline and responsibility, especially for younger patients
• Easy to misplace or damage if not stored properly
• Results can vary significantly if not properly planned and supervised by a specialist

What Are Braces?

Braces use small brackets bonded to your teeth, connected by wires that gradually move the teeth into alignment. They are a time-tested solution and still one of the most effective tools in orthodontics today.

Pros of Braces

• Always working, since they are fixed in place
• Highly effective for all types of malocclusions, including severe bite issues
• Ideal for younger patients, who may have trouble remembering to wear aligners
• Available in metal or clear ceramic options to match your aesthetic preferences
• Can be customized using advanced systems for improved precision and comfort

Things to Consider

• More visible than clear aligners
• Require extra care with brushing and flossing
• Food restrictions apply to avoid damage to brackets and wires

So Which One Is Better?

The best treatment option depends on your specific case as well as you and your lifestyle and preferences. That’s why every treatment at Strouse Orthodontics begins with a detailed consultation and exam. We will evaluate your bite, facial structure, and treatment goals to recommend the most effective and efficient option.

Some general dentists offer clear aligners, but many are not trained to diagnose and treat bite discrepancies or complex cases. At Strouse Orthodontics, we routinely treat patients who were told clear aligners were not an option—yet with proper planning and expertise, they achieved excellent outcomes without braces.

Dr. Strouse is not only an orthodontic specialist, but also a speaker on clear aligner therapy, giving you the confidence that your care is in the hands of an expert.

Why Choose Strouse Orthodontics?

• Specialist-led care by Dr. Eric Strouse at every visit
• Advanced digital treatment planning for accuracy and comfort
• Comprehensive expertise in both clear aligners and braces
• Warm, welcoming environment in both Spring Hill and Lecanto locations

Schedule Your Free Consultation

Choosing between clear aligners and braces is an important decision, and we’re here to guide you every step of the way. Schedule a complimentary consultation to find out which treatment is best for your smile.

Call us: 352-688-0331
Visit us: Spring Hill or Lecanto
Book online: https://edgebooking.ortho2.com/search?catalog=5be7c57e-a809-479a-bf8e-01b39d4e76ab&code=qsbsjz

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!

Orthodontic treatment has evolved significantly over the years, offering patients a variety of options to achieve a healthier, more aligned smile. Whether you're dealing with crowded teeth, gaps, or a misaligned bite, there's a treatment that can work for you. Two of the most common treatments today are traditional braces and clear aligners—are both designed to gradually move teeth into their ideal positions.

Traditional braces have been around for decades and remain a popular option for many patients. Braces consist of metal brackets attached to the teeth and connected by a wire that is periodically adjusted to apply pressure and guide the teeth into alignment. Within traditional braces, there are self-ligating brackets, which use a door to hold the wire, reducing friction and potentially shortening treatment time. Another common type is twin brackets, which use small rubber bands that patients love to change the colors, to hold the wire in place.

In recent years, clear aligners like Invisalign have gained popularity, especially among adults and teens looking for a more esthetic solution. These custom-made, removable trays are nearly invisible and work by gradually shifting teeth without the need for brackets or wires. Aligners are convenient, allowing for easy brushing and eating, making them an attractive alternative to traditional braces when planned by a specialist in orthodontics.

Beyond braces and aligners, there are other treatments available, such as palatal expanders, retainers, space maintainers, and various other appliances to address specific dental issues. The key to successful orthodontic treatment is finding the right solution tailored to your unique needs. This means having an appropriate diagnosis and treatment plan from a specialist in Orthodontics. At Strouse Orthodontics, we provide personalized care and guidance to help you choose the best option for achieving a confident, healthy smile.

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.

Brooksville, often hailed as the "Nature Coast," offers a delightful blend of old-world charm and modern amenities with a wonderful community of families we are privileged to serve at Strouse Orthodontics. Steeped in history, this picturesque city invites you to explore its quaint downtown adorned with historic architecture, charming boutiques, and cozy cafes. Take a stroll down its tree-lined streets, and you'll find yourself immersed in the beauty of Southern hospitality and small-town allure.

But Brooksville isn't just about its nostalgic charm – it's also a haven for outdoor enthusiasts and nature lovers. From the breathtaking landscapes of the Withlacoochee State Forest to the crystal-clear waters of Weeki Wachee Springs State Park, there's no shortage of natural wonders to behold. Whether you're kayaking along scenic rivers, hiking through lush forests, enjoying a Historic Walking Tour or simply enjoying a picnic in the park, Brooksville offers endless opportunities for adventure and relaxation.

At Strouse Orthodontics we understand the importance of a healthy, beautiful smile. Led by experienced orthodontist Dr. Eric Strouse, our practice is committed to providing personalized care and innovative treatments that achieve exceptional results. From traditional braces to Invisalign® clear aligners, we offer a comprehensive range of orthodontic services tailored to meet the unique needs of each patient, for both children and adults.

What sets us apart is our dedication to excellence and our genuine passion for enhancing smiles. We combine state-of-the-art technology with a compassionate approach to ensure that every patient receives the highest standard of care in a comfortable and welcoming environment. Whether you're seeking orthodontic treatment for yourself or your family members, you can trust that you're in good hands at Strouse Orthodontics.

Join Our Orthodontic Family in Brooksville

Conveniently located in the heart of Brooksville, our practice is proud to serve patients from Brooksville and the surrounding communities. Whether you're a longtime resident or just passing through, we invite you to experience the difference at Strouse Orthodontics. Our office has convenient locations in Citrus and Hernando County, in Lecanto and Spring Hill. We provide the highest quality orthodontic care, with custom orthodontic braces and Invisalign in a friendly and welcoming environment. Schedule your consultation today and take the first step towards achieving the smile of your dreams in the charming backdrop of Brooksville, Florida.

At Strouse Orthodontics, we're more than just orthodontists – we're your partners in oral health and happiness. Come and discover the beauty of Brooksville, and let us help you achieve a smile to be proud of! Your journey to a confident, radiant smile begins here!

Some very common statements I hear as an orthodontist from patients are "my wisdom teeth got removed and cause my teeth to shift" or "When my wisdom teeth came in my teeth started to shift". While it is a commonly held belief that the wisdom teeth are related to crowding, they are not related. The thought that wisdom teeth cause crowding or make your teeth crooked is somewhat of an old wives tale and is not true. So why do teeth because crowded after braces or Invisalign?

Teeth become crooked after orthodontic treatment for a few reasons. The main reason is lack of retainer wear. Research has shown that orthodontic retainers are the only way to keep the teeth in their new position after treatment and keep tooth movement to a minimum. Without retainers, the teeth will begin to shift and become crooked. Just like anything else in the body, teeth change over time, and maintenance is necessary. Keeping the teeth straight after braces requires wearing retainers for as long as you want them to stay straight.

Another factor that over time can lead to shifting of teeth is what is known as late mandibular growth. Put simply, there is a very small amount of lower jaw growth that happens in the late teens and twenties that puts a slight force on the lower teeth pushing them forward and upward very slightly into the back of the top teeth. Over time, this extra force or pressure can cause crowding of previously straight teeth.

Research at the University of Iowa showed that wisdom teeth can not exert pressure on the front teeth to cause them to become crooked. The way this was discovered was by using sensors that compared the pressure with wisdom teeth and without wisdom teeth. What they found was that there was no difference. Research also compared the amounts of crowding in children after braces with and without their wisdom teeth. There was no difference in the amounts of crowding, suggesting that wisdom teeth do not play any factor in crowding, or shifting of the teeth after orthodontics.

While everything in the body changes over the course of time, when it comes to maintaining the position of the teeth, the most important thing is to continue wearing your retainers for as long as you want the teeth to remain straight. The wisdom teeth do not play a role in cause the teeth to shift.

Our office and the American Association of Orthodontists (AAO) recommends children get their first check-up with an orthodontist either at the first recognition of an orthodontic problem or at age 7. It is important not to rely on your general dentist(the dentist that does your checkups and cleanings) to properly evaluate for orthodontic concerns.

Around that age, children have a mix of baby (primary) and permanent teeth. An examination at this age gives the child orthodontist a wealth of information. If a problem exists, or if one is developing, your orthodontist is able to advise you on which treatment is recommended, when it should begin, and estimate its length. "Waiting for the baby teeth to fall out" without being evaluated and monitored by an orthodontist is a mistake that can lead to serious issues down the road.

If your child is younger than 7, and you notice something that appears “off,” it’s not necessary to wait until your child turns 7 or until you get a recommendation from your dentist. You should take your child to an orthodontist the moment you notice an issue, regardless of age. No referral needed to set up an appointment for an orthodontic evaluation. At Strouse Orthodontics, as well as most orthodontic offices, initial consultations are complimentary. Orthodontists care about the well being and orthodontic health of your family and will be able to advise if any treatment is needed.

What Happens at the First Exam? Generally five questions will be answered

1. Is there an orthodontic problem, and if so, what is it?
2. What are the options to correct the problem?
3. Is there a possibility any teeth need to be removed?
4. How long is the recommended treatment expected to take?
5. How much will the recommended treatment cost?

Frequently Asked Questions

Won't my child's teeth become straighter as they grow?

Unfortunately, a common misconception is that a child's teeth will naturally align as they age. However, the reality is quite different. The space available for permanent front teeth does not expand with growth. In fact, after the eruption of the permanent molars around age 12, there's often less room for the front teeth, potentially resulting in orthodontic issues like protrusion or misalignment. Furthermore, untreated orthodontic problems tend to exacerbate over time and can pose greater challenges as a child matures.

Should I wait for our Dentist to refer my child to an orthodontist?

No. Parents are usually the first to realize something is off about their child's teeth or jaws. If you have any concerns please contact our office to schedule an initial consultation.

Where did my child's orthodontic problems come from?

Most orthodontic problems are genetic. Some are “acquired,” developing over time by sucking the thumb or fingers, mouth breathing, dental disease, abnormal swallowing, poor dental hygiene, or early or late loss of baby teeth, accidents and poor nutrition. Regardless of the cause, an orthodontist will likely be able to treat the condition.

Embarking on the journey towards a straighter, more aligned smile through orthodontics with braces or Invisalign is an exciting and transformative experience. As you enter the world of braces or Invisalign, it is crucial to remember that your orthodontist is just one part of your oral health care team. In this post I will explore why regular dental checkups are essential even when you're undergoing orthodontic treatment.

Oral Health Assessment

While the orthodontist is focusing on straightening teeth and correcting bite issues, your dentist plays a crucial role in ensuring your overall oral health. Regular dental checkups provide a comprehensive assessment of your gums, tongue, cheeks, and the overall health of your mouth. This helps in identifying and addressing any potential issues before they escalate.

Monitoring Oral Hygiene

Maintaining good oral hygiene can be challenging with braces or aligners. The presence of orthodontic appliances creates additional nooks and crannies where food particles and plaque can accumulate. Your dentist will monitor your oral hygiene practices and provide guidance on effective cleaning techniques to prevent cavities and gum problems. It is especially crucial to maintain professional cleanings during orthodontic treatment.

Early Detection of Dental Issues

Dental problems don't take a break during orthodontic treatment. In fact, the presence of braces or aligners can sometimes make it more challenging to detect certain issues. Regular dental checkups enable early detection of problems such as cavities, gum disease, or signs of teeth grinding. Timely intervention can prevent these issues from interfering with your orthodontic progress.

Coordination between Orthodontist and Dentist

Collaboration between your orthodontist and dentist is key to achieving optimal oral health. Your dentist and orthodontist work together to address specific issues, such as restorations after orthodontics, tooth extraction, impacted teeth, or any concerns related to your overall oral health. This coordinated effort ensures that your orthodontic treatment aligns seamlessly with your broader dental care plan.

Conclusion: In conclusion, seeing your dentist regularly during orthodontic treatment is not only advisable but crucial for maintaining overall oral health. The collaboration between your orthodontist and dentist ensures that you receive comprehensive care, addressing both the specific goals of your orthodontic treatment and the broader aspects of oral health. Remember, a beautiful smile is not just about straight teeth – it's also about a healthy and well-maintained mouth.

Over the last decade clear aligners such as Invisalign have gained immense popularity as a discreet and effective orthodontic appliances. Many individuals contemplating improving their smile and bite with orthodontics wonder “Can my regular dentist do Invisalign?”(or any Orthodontic treatment for that matter) While it is true that legally dentists can offer clear aligners, the stark reality is that not all providers are created equal when it comes to understanding orthodontics. 

Clear aligners are an appliance that can be used for orthodontic treatment(to straighten teeth and correct a patient's bite). The success of Invisalign treatment hinges on the proficiency and experience of the practitioner. Here is the candid truth: your dentist may legally offer clear aligners, but without extensive expertise, they may be charting uncharted territory. 

Whether braces or clear aligners are used, orthodontic treatment requires a nuanced understanding of tooth movement, biomechanics, occlusion, growth and development, tooth eruption and comprehensive treatment planning. One red flag to here from a provider is that a dentist states they are “certified in Invisalign” or that they now have new technology to do Invisalign. Clear aligners are not new technology, and Invisalign has been available since the late 1990’s. This is a common phrase used by general dentists to lead unknowing patients to believe they are on the leading edge and experts on orthodontics. The truth is dental school has very limited to no orthodontic training with most programs have nothing more than a few lectures on Invisalign and no hands on training, let alone starting and finishing a case or any fundamental knowledge in orthodontics.

Orthodontic specialists go on to a 2-3 year ADA approved residency program. All Orthodontists are dentists first, and out of 100 dental school graduates only 6 go on to become orthodontics because of the competitive nature. In these residency programs, orthodontists become experts on the skills required to manage tooth movement and guide growth and development while treating hundreds of cases. In practice, orthodontists focus on straightening teeth and correcting bite issues all day, every day.

Opting for clear aligners or braces from an under qualified dentist could lead to suboptimal results, prolonged treatment times, and extensive complications down the road. Most times, dentists will focus on straightening the front teeth that a patient sees and will not address and bite issues. They may not tell you, or even be aware of bite or occlusion issues you may have. A bad bite can lead to many dental problems down the road such as tooth wear over the entire life, TMJ discomfort, and a smile that does not last a lifetime. 

Orthodontists are experts at using both clear aligners(Invisalign) as well as braces, expanders, jaw surgery, and various appliances and are specialists in straightening the teeth and correcting bite issues.

So what should you consider when contemplating orthodontics?

1. Inquire on their specific training and experience in orthodontics and if they are actually an orthodontist. Have they gone to an ADA and CODA approved residency program?
2. Ask if they are confident they can provide the same level of orthodontic care of a licensed orthodontist.
3. Ask to see some cases they have treated that are similar to yours to see before and after photos. Make sure that you are shown the issues, if any, with your bite and how they plan to be addressed. An orthodontic specialist will be better equipped to handle the complexities of treatment.

Having a general dentist perform orthodontics is similar to a general physical doing plastic surgery. While maybe it can legally be done, do you want to risk it? If you needed a knee or hip replacement and your general physician told you they recently got certified in the procedure, you would be skeptical and would would to see an orthopedic surgeon with the expertise and experience to complete the procedure. Just as a cardiologist will have a lot more specialization when it comes to heart conditions than a general physician, the same holds true with teeth and orthodontics.

Remember, while your dentist can legally offer and deliver clear aligners, seeing a provider that completed an orthodontic residency and is best way to ensure your orthodontic care is completed by a real orthodontist. Why risk the health and esthetics of your teeth as well as your money by seeking treatment from a provider with less education, knowledge and training?

Nestled along the serene Nature Coast of Florida, Crystal River isn't just a scenic gem—it's home to a vibrant community we are privileged to serve at Strouse Orthodontics. At our orthodontic practice, we're more than just dental professionals; we're your neighbors, friends, and partners in achieving the smiles you've always dreamed of. Join us as we explore the unique charm of Crystal River and how our local orthodontic practice is making a positive impact on the community.

Crystal River takes pride in being the home of the stunning Three Sisters Springs and Crystal River Preserve State Park, where manatees seek refuge in the warm waters. Known as the "Manatee Capital of the World," Crystal River offers a unique opportunity for residents and visitors to witness these gentle giants in their natural habitat. Crystal River is celebrated for its scalloping season, where locals and tourists alike embark on exciting underwater adventures to harvest the delectable bay scallops. This annual tradition adds a culinary delight to the city's vibrant tapestry, bringing people together to savor the treasures of the Gulf. Beyond its aquatic treasures, Crystal River captivates with its historic charm, vibrant community spirit, and a plethora of recreational activities, making it a sought-after destination for those seeking a perfect blend of nature, history, and local warmth. As your trusted orthodontic provider, we are committed to helping you achieve a smile that matches the radiance of Crystal River's landscapes.

Our commitment to Crystal River goes beyond just the confines of our practice. We actively participate in local events, sponsor community initiatives, and collaborate with schools to promote oral health awareness. By being an active part of the community, we strengthen our bonds and create a positive impact on the lives of Crystal River residents.

While we celebrate the uniqueness of Crystal River, our orthodontic practice brings world-class expertise to your doorstep. Dr. Strouse and our team of skilled professionals combines local warmth with global knowledge, ensuring that you receive the best possible orthodontic care without having to travel far. Our office utilizes both braces and Invisalign, for you to achieve a smile to be proud of, in a way that best fits your lifestyle! Your smile journey is our priority, and we are dedicated to providing top-notch treatment right here in Crystal River.

We understand the diverse needs of Crystal River families, and we are committed to making orthodontic care accessible to all. Our practice offers flexible payment options, family-friendly scheduling, and affordable treatment plans, ensuring that every member of the Crystal River community can achieve a healthy and beautiful smile.

Age: 15.5

Treatment Duration: 20 months 

Before Treatment:

This patient came to our office looking to improve the crowding of her teeth. Before treatment she had a narrow smile, severe overbite, severe crowding, class 2 bite (when the upper jaw and/or teeth are ahead of the bottom jaw and/or teeth), narrow arches, retroclined (leaning back) incisors and a posterior crossbite on the right side.

Treatment Journey:

Our patients treatment plan involved upper and lower braces,the use of rubber bands, and anterior bite turbos. Anterior bite turbos are small ramps bonded to the inside of the upper front teeth(seen in blue here). They prevent the top teeth from excessively overlapping the bottom teeth. They are used to prevent breakage of the lower braces as well to allow the teeth to move more freely and for bit correction. Treatment for this case took just over a year and a half.

After Treatment:

In this amazing transformation we were able to correct all of the pre-existing orthodontic concerns, improving the overbite, correcting the class 2 to a class 1 proper bite, eliminating the crowding, aligning the midlines, and widening and broadening the smile. Our awesome patient was extremely diligent using the prescribed rubber bands. Treatment was completed in just 20 months.

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.

We 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! We see patients from Hernando and Citrus County in areas such as Spring Hill, Brooksville, Crystal River, Lecanto, Beverly Hills, Inverness, and all surrounding areas.

Dr. Strouse

Orthodontic treatment is a transformative journey that can lead to a stunning and confident smile. For those seeking to correct misaligned teeth or bite issues, orthodontics offers a promising solution. However, many people wonder about the duration of the process before they embark on this life-changing path. In this blog post, I will delve into the factors that influence the length of orthodontic treatment and provide a comprehensive overview of what to expect on this exciting journey to a perfect smile.

Factors Influencing Treatment Duration

1. Complexity of the Issue: The severity of the orthodontic problem plays a significant role in determining how long the treatment will take. Minor alignment issues might only require a few months of treatment, while more complex cases may extend the duration to several years.

2. Patient's Age: Age can also impact the length of treatment. Younger patients with developing jaws and teeth might see faster results as their bones are more responsive to movement. However, advancements in orthodontic technology have also made it possible for adults to achieve excellent results with proper treatment.

3. Type of Orthodontic Appliance: There are various orthodontic appliances available today, including traditional metal braces, clear braces, and clear aligners like Invisalign. The type of appliance chosen can influence the treatment timeline for the given case.

4. Patient's Cooperation: The success of orthodontic treatment is greatly dependent on the patient's cooperation. Adhering to the orthodontist's instructions, attending regular check-ups, and maintaining good oral hygiene all contribute to achieving optimal results in a timely manner.

Estimated Treatment Durations for Different Appliances

On average orthodontic treatment can be anywhere from only a few months to as long as 1-3 years, it depends on your specific case. An average orthodontic case lasts somewhere between one(1) and two(2) years. 

Embarking on orthodontic treatment is an investment in both time and effort, but the results are undoubtedly worth it. The duration of orthodontic treatment depends on various factors, including the complexity of the issue, the chosen appliance, the patient's age, and their cooperation during the process. Remember, each individual's case is unique, and I will provide a personalized treatment plan based on your needs.

Before beginning any orthodontic journey, schedule a consultation with our office. It is important to see an orthodontic specialist for orthodontic needs.  I will thoroughly assess your case and provide an estimated treatment duration. Keep in mind that the length of treatment is only a small part of the bigger picture - the lifelong benefits of a beautiful and healthy smile are what truly matter. So, embrace the process, follow your orthodontist's guidance, and soon enough, you'll be flashing that stunning smile you've always dreamed of!

In short, treatment time depends on the severity of the issue. Most comprehensive orthodontic cases take 1-2 years, while minor or limited cases can be as short as a few months. We see patients from Hernando and Citrus County in areas such as Spring Hill, Brooksville, Crystal River, Lecanto, Beverly Hills, Inverness, and all surrounding areas. Schedule your consultation today!

One common question I receive as an orthodontist is about overbites. I will answer some of the most common questions and review some terminology.

What is an Overbite?

An overbite is the vertical overlap of the top front teeth over the bottom front teeth. The truth is that it is completely normal to have somewhat of an overbite. We need to have an overbite in order to properly chew our food. If there was no overlap of the teeth, they would hit each other when you bite down which can lead to chipping of the teeth and premature wear of the enamel. Typically somewhere between 20-40% overlap is a relatively "normal" overbite. This can vary based on the patient. The overbite is generally considered excessive when it is more than 50% which is when it may cause issues.

What Can an Overbite Lead to?

• Excessive tooth wear
• Headaches
• Speech issues
• Tooth chipping
• Gum disease due to difficulty cleaning between the teeth
• Temporomandibular Joint Disorder (TMD)

Overbite vs. Overjet

These two terms are often used interchangeably, however they are two separate conditions. An overbite refers to the vertical overlap of the front teeth, while overjet refers to the horizontal distance between the top and bottom front teeth. Patients that have excessive overjet, have top front teeth that protrude or flare out. These is often referred to as "buck teeth". You can have both excessive overjet and excessive overbite, however they are two separate conditions. Many patients that are concerned that their front teeth stick out refer to their concern as an "overbite".

What Causes an Overbite

An excessive overbite can be caused by many different factors such as

• Genetics
• Smaller lower jaw
• Habits such as Thumb sucking, lip sucking, tongue thrusting
• Abnormal tooth eruption

How Can an Overbite be Treated?

The treatment for an overbite depends on many factors depending on the original presentation. Please call our office for a free consultation to make the first steps to determining what is the best option for you!

• Braces
• Invisalign
• Appliances: Some appliances can be used either alone or in combination with braces or Invisalign to correct an overbite
• Surgery: if the jaw misalignment is very severe, surgery may be necessary and an oral surgeon will reposition the jaws in order to achieve a proper bite position. This is done in combination with orthodontic treatment.

FAQ's

Is having somewhat of an overbite normal?
Yes, there should be some overlap of the upper front teeth compared to the lower front teeth

What amount of an overbite is normal?
Generally 20-40% of overbite as a general rule can be considered normal

NOTE: 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 the Sri Lankan Journal of Orthodontics and has written several articles for Dental Economics. 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.

Gone are the days of messy and uncomfortable orthodontic impressions, thanks to the advent of digital orthodontics. Our office does not use any traditional dental impressions and all models of the teeth are taken digitally in a quick and comfortable fashion.

The Downside of Traditional Impressions

Traditional orthodontic impressions involve using a putty-like material placed in a tray that is then pressed into your mouth to capture the shape and size of your teeth and gums. While this technique has been effective for many years, it comes with several downsides:

1. Discomfort: Orthodontic impressions can be uncomfortable, causing gagging sensations and discomfort in some patients.

2. Messy: The putty used in impressions can be messy, leading to some patients feeling anxious or uneasy during the procedure.

3. Time-Consuming: Traditional impressions may require multiple attempts to achieve accurate results, which can be time-consuming for both the patient and the dentist.

4. Material Storage: Orthodontic offices need to store physical impression molds, which can take up valuable space and require maintenance over time.

Our Digital Approach: Say Goodbye to Impressions

At our cutting-edge orthodontic office, we have fully embraced the power of digital orthodontics. Instead of relying on traditional impressions, we use state-of-the-art intraoral scanners to capture highly detailed 3D images of your teeth and gums. These scans provide us with precise digital replicas of your mouth, enabling custom treatment plans with unmatched accuracy. We also use these digital impression to 3-D print models to fabricate retainers. 

Advantages of Digital Orthodontics

1. Comfortable Experience: With our intraoral scanners, you can bid farewell to the discomfort and gagging associated with traditional impressions. The scanning process is non-invasive and allows for a more comfortable experience during your orthodontic visits.

2. Time-Efficient: Digital scans significantly reduce chair time, as there is no need for multiple attempts to get an accurate impression. This means fewer visits to the orthodontic office and quicker treatment planning.

3. Enhanced Precision: The digital scans provide detailed and precise images, allowing our dentists to create custom restorations that fit perfectly and deliver optimal results.

4. Environmentally Friendly: By eliminating the need for physical impression materials, our fully digital approach contributes to a more eco-friendly orthodontic practice.

5. Improved Communication: Digital scans can be instantly shared and stored in our computer systems, facilitating seamless communication with our orthodontic laboratory partners if needed.

At our digital orthodontic office, patient comfort and satisfaction are our top priorities. By embracing cutting-edge technology, we have eliminated the need for traditional impressions and the associated discomfort, mess, and inconvenience. Our intraoral scanners allow for a faster, more precise, and environmentally friendly orthodontic experience, leading to superior outcomes for our patients.

So, if you've been dreading the thought of orthodontic impressions, fear not! We see patients from Hernando and Citrus Counties in areas such as Spring Hill, Brooksville, Lecanto, Crystal River, Inverness, Beverly Hills and all surrounding areas. Schedule your appointment with us and experience the benefits of digital dentistry firsthand. Embrace the future of orthodontic care and let us take care of your oral health with our state-of-the-art, impression-free approach. Your smile deserves the best, and at our digital office, we're committed to providing you with exceptional orthodontic care, minus the impressions!

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!

The dreaded cold and flu season is here again! After recovering from your cold, one of the most important steps you can take to avoid becoming reinfected is replacing your toothbrush!

Germs can linger on the bristles, and you risk prolonging your sickness by continuing to use the same toothbrush. Be smart - keep a spare, just in case! To protect your toothbrush from bacteria all year long, consider the following tips:

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace your toothbrush every 3-4 months. Worn bristles are less effective in properly cleaning your teeth, and can actually be damaging to teeth if used too long!

Hope this tip helps! Feel free to give us a call or ask us on Facebook if you have any questions!

The year is almost over, and as we reflect on the year that was, we’d like to ask all our patients: what was memorable about 2012 for you, and what are you looking forward to in 2013? Do you have a New Year’s resolution, or any exciting plans for the coming year?

We know that we are looking forward to serving our amazing patients with even more great care in 2013!

Have a safe and happy New Year from our family to yours!

Did you know that even in ancient times, people wanted to improve the look and function of their smiles? We think of modern orthodontic appliances as sleek, efficient technology, but this was not always so! Take a look at the highlights in the evolution of braces.

Ancient Times: From Greece to Rome

• According to The Angle Orthodontist, Aristotle and Hippocrates first thought about methods for straightening teeth between 400 and 300 BC.
• The Etruscans, in what we now know as Italy, buried their dead with appliances that maintained spaces and prevented collapse of their teeth and jaws during life. Archaeologists have discovered mummified remains in various locations that have metal bands wrapped around the teeth.
• A Roman tomb has also been discovered in which the teeth were bound with gold wire, including documentation on the wire’s use as a dental device.

18th Century: A French Development

• The French dentist Pierre Fauchard is acknowledged as the father of modern dentistry. In 1728 he published a book that described various methods for straightening teeth. Fauchard also used a device known as a “blandeau” to widen the upper palate.
• Louis Bourdet was another French dentist who published a book in 1754 that discussed tooth alignment. Bourdet further refined the blandeau and was the first dentist to extract bicuspids, or the premolar teeth between canines and molars, for the purpose of reducing tooth crowding.

19th Century: Orthodontics Defined
• Orthodontics started to become a separate dental specialty during the early 19th century. The first wire crib was used in 1819, marking the beginning of modern orthodontics.
• During this period, gold, platinum, silver, steel, gum rubber, vulcanite, and occasionally wood, ivory, zinc, and copper were used — as was brass in the form of loops, hooks, spurs, and ligatures.
• Edward Maynard first used gum elastics in 1843 and E. J. Tucker began making rubber bands for braces in 1850.
• Norman W. Kingsley published the first paper on modern orthodontics in 1858 and J. N. Farrar was the first dentist to recommend the use of force over timed intervals to straighten teeth.

20th Century: New Materials Abound
• Edward Angle developed the first classification systems for malocclusions (misaligned teeth) during the early 20th century in the United States, and it is still in use today. Angle founded the American Society of Orthodontia in 1901, which was renamed the American Association of Orthodontists in the 1930s.
• By the 1960s, gold was universally abandoned in favor of stainless steel.
• Lingual braces were the “invisible” braces of choice until the early 1980s, when tooth-colored aesthetic brackets made from single-crystal sapphire and ceramics became popular.

Today
As we arrive in the present, you need only look at your own braces to see how far we’ve come. Your treatment plan was probably created with a 3D digital model, and we’ve likely used a computerized process to customize your archwires. Perhaps you have clear aligners, self-ligating brackets, or highly resilient ceramic brackets with heat-activated wires.

Orthodontics has come a long way from the days of Aristotle, and even the bulky wrap-around braces of just 60 years ago. Regardless of your specific treatment plan, the development of high-tech materials and methods has made it possible for your orthodontic experience to be as effective, efficient, and comfortable as possible.

Sources: Angle.org, ArchWired

With Thanksgiving almost upon us, it’s a great time to ask ourselves what we’re thankful for. With our friends and family around us, we celebrate the blessings given to us in the past year. Our staff thought we’d ask: What are you thankful for this holiday season? Do you have any Thanksgiving wishes or recipes you would like to share?

Our entire team would like to wish you a safe and happy Thanksgiving. It’s a big food holiday, so be careful what you eat with those braces! If you have any stories or photos to share with us, we’d encourage you to send them along or post them below or on our Facebook page!

Gobble Gobble!

Proper mouth protection is recommended when you participate in any sports activities. If you wear braces, this protection becomes essential. Injuries to your mouth can not only damage your teeth, but your braces could break and cut open your lip.

Full Facial Guards

Full facial guards are often used in football and offer protection to your mouth from most injuries. Even with full facial protection, you may benefit from additional mouth protection. While your face is protected from outside impact, you could still suffer from cuts or damage to your braces from internal impact.

Mouth Guards
Mouthguards referred to as boil-and-bites can be purchased at many retail stores. As the name implies, these guards are boiled in water to heat and soften the material. While the guard is still warm, you place it in your mouth and bite down gently. This causes the guard to form to the shape of your mouth. Unfortunately, these guards do not necessarily offer the best protection or fit.

The custom fitting of a mouthguard ensures you of better protection and a comfortable fit. Custom guards are also built in layers for durability. The American Dental Association recommends custom guards for orthodontic patients. Your mouthguard will be designed to provide proper protection for both your teeth and your braces.

No matter what type of sport you participate in, a mouthguard can protect your braces. Even an activity as seemingly harmless as table tennis can result in a contact injury. The Academy for Sports Dentistry states that a properly fitted mouthguard should not interfere with any athletic activity.

Our office will be glad to answer any questions you have so you can continue the activities you enjoy with little concern. If you do suffer any injuries to your mouth or braces during sporting activities, please contact us immediately. The sooner we can care for your mouth, the better the results will be.

While braces play an important part in helping to create a healthy mouth and teeth, you might experience a few side effects while wearing them that are common and can be easily treated.

Even with the best of care, braces can cause soreness to your mouth. As your teeth begin to move, it is natural for your teeth to feel aches and your jaw to develop soreness.

If there are broken wires or loose bands on your braces, a sore tongue, mouth, or canker sore will occur. Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. If you experience a sore mouth or any of the following problems, call our office to schedule an appointment.

· Loose brackets: Apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth.

· Loose bands: These must be secured in place by our dentist. Try to save the band for repair.

· Protruding or broken wires: The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse.

· Loose spacers: These will need to be repositioned and sometimes replaced.

Please join us this SATURDAY, November 3rd from 10 am until 1 pm for our Halloween Candy Buy Back event! We will pay you $1.00 per pound (up to 5 pounds) for your UNOPENED Halloween candy. So, as you're Trick-or-Treating this evening, remember that you can bring it to us this Saturday!

All of the candy that we collect will then be shipped to our troops overseas through Operation Gratitude!

We hope you all have a fun and safe Halloween!

Everyone wants a naturally aligned and beautiful smile, and it is no secret that orthodontic braces can help deliver one. However, there are greater benefits to wearing braces than just having straight teeth. You’ll gain many oral health benefits in addition to the cosmetic ones.

Tooth Decay and Gum Disease

Crooked or crowded teeth may overlap each other and create tight spaces in between. These can make it very difficult to brush and floss effectively, allowing bacteria and plaque to build up, and eventually leading to tooth decay and gum disease. With orthodontic treatment, your teeth will become properly aligned and spaced, which allows for more effective brushing.

Difficulties with Speech

Your teeth play an essential role in speech. When they are out of line or lean too far forward or backward, this can affect your speaking patterns, and possibly cause embarrassment and frustration. Braces can readjust the positioning of the teeth to allow for clearer, more professional speech.

Bone Erosion

Bone and gum tissues begin to erode when there are no teeth to support. This is also true for poorly aligned teeth that leave gaps and spaces or place too much pressure on the jawbone due to a bad bite. With braces, the bones and tissues are less likely to erode and can continue to support the teeth in their new alignment.

Digestion

Your teeth play an important role in digestion. Before food ever enters your stomach, it has been partially digested by the teeth. If teeth are severely out of line, however, they may not play their role in breaking down food as effectively as they should. With braces, your teeth will be straightened into optimal alignment for eating and chewing.

One exciting part about wearing braces is getting to choose the colors of your rubber bands. Orthodontists place elastic bands, or ligatures, over each bracket to secure the archwire in place. These rubber bands may be individual or connected, depending on your mouth’s needs. You have the option of choosing the color of your elastics, which are changed about once every month at every visit. Our offices keep a color wheel handy to help you choose which ones suit you best!

Children and teens often enjoy picking different colors each month to express their creativity and coordinate their braces with outfits. Decorating your mouth with your favorite colors is fun for kids and takes some of the stress out of wearing braces. Adults who wish for subtlety have color options that blend in with the metal brackets and archwire. Common choices for adults include silver, clear, and gray tones.

Common Color Combinations for Rubber Bands

With individual ligatures for each bracket, you may choose different color combinations for special events. You can have alternating colors or place an entire rainbow over your teeth. Here are a few options to consider:

• School spirit colors
• Favorite sports team colors
• Patriotic colors
• Holiday themes

Some patients choose only one color to match their mood, personality, or favorite outfits. The palette of choices allows you to make bold statements with your braces or go for subtler tones that blend in with the metal structures. Keep in mind that bright colors make your teeth look whiter, while lighter shades, such as yellow and white, may cause your teeth to appear less bright.

What Your Rubber Band Color Says About You

• Red tones indicate that you are ready for action and take charge of your life with aggressive, forward-thinking steps.
• Blue tones are calm and relaxing. You are conservative and exhibit integrity when dealing with situations.
• Green tones represent growth and balance. You are level-headed and look for opportunities to grow emotionally and spiritually.
• Purple tones attract creative energies. You like to have fun and use your imagination in every aspect of your life.
• Orange tones indicate that you are optimistic and thrive in social situations where communication is open.
• Pink is a romantic color that represents a caring personality. You also enjoy having fun with silly games and endless laughter.

When the time to remove your braces finally arrives, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow your dentist’s recommendations, but knowing more about the two types of retainer beforehand can be helpful.

Removable Retainers

Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.

Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.

Permanent Retainers

Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.

Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.

One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.

Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.

Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type.

Can you believe it's already October? For those who don't know, it’s National Orthodontic Health Month. This month-long event is organized by our pals at the American Association of Orthodontists, or AAO.

Our team realizes that this is a great opportunity for us to raise awareness about the importance of oral hygiene. National Orthodontic Health Month also aims to recognize the dedicated work of orthodontists and other dental professionals.

The AAO recommends patients avoid the following Halloween treats, or recipes with these ingredients:
• Caramel
• Nuts
• Popcorn (including un-popped kernels)
• Taffy
• Jelly beans
• Hard pretzels
• Licorice
• Bubblegum
• Ice

Trick-or-treating safety guidelines:

• Young children should always be accompanied by an adult
• Carry a flashlight
• Wear a light-colored or reflective costume
• Choose face paint over masks for young ghosts and goblins
• Have an adult inspect all treats before the children dig in

If you have any questions, please feel free to give us a call or ask us on Facebook. Have a fun and safe Halloween!

It’s that time of year to start thinking about protecting yourself and your family from the flu. Here are some simple steps you can take to help yourself avoid colds and the flu this season.

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace toothbrush after every cold or flu or every 3-4 months when bristles appear worn

To promote a healthy and clean environment, our team gives a great deal of attention to sanitation and sterilization in our office at all times, as well as following all requirements for sterilizing instruments and work surfaces.

For the protection of other patients and our staff, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others. We hope this helps and give us a call if you have any questions!

Stay healthy this beautiful autumn!

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, we’re seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. It’s never too late to look and feel your best!

Can Braces Work for Adults?

People of all ages can benefit from orthodontic treatment. The physical process for moving teeth is the same, young or old, which means it’s never too late to address issues such as an overbite or underbite, crooked or crowded teeth, or jaw disorders.

How Do I Get Started?

If you’re considering orthodontic treatment, we’ll make a consultation appointment with you. During this meeting we will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan.

What Are the Benefits?

Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever.

If you think you might benefit from orthodontic treatment, give our team a call, so we may set up a consultation to determine what type of treatment best meets your needs.

Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So what types of foods should you or your kids eat to protect dental appliances?

The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.

A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!

Post-Tightening Foods

As braces begin to adjust the alignment of the teeth, our office will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:

• pudding
• mashed potatoes
• soup
• ice cream
• cottage cheese
• peas
• pancakes
• pasta

Foods to Avoid

According to the American Dental Association, anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:

• hard candies
• gum
• nuts
• popcorn
• certain raw vegetables (for example, carrots)

Considerations

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

Usually patients in orthodontic treatment already have their permanent teeth – they are pre-teens, teens and adults. But in some cases we have to start treatment earlier, even before the patient’s permanent teeth come in. We call this “two-phase treatment.”

When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat.

Examples include:
• An upper or lower jaw that is not growing correctly
• A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in
• A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly

In these cases we will start early and do one round of treatment – phase one – while the patient still has their baby teeth. Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves braces.

In order to catch early problems, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontists). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner.

Are you thinking about orthodontic treatment to straighten teeth or correct jaw alignment? Consider making your first step an orthodontic consultation. During the consultation we will address your questions, concerns, and talk about a treatment plan that would best suit your situation.

We want you to feel prepared and in charge of your orthodontic treatment decisions, so keep these questions in mind when you come in for your appointment.

• If I do need some adjustments to my teeth, what options will I have besides braces?
(This will help you determine what approaches we use to straighten your teeth.)

• What kind of preparation is needed to get braces? How many visits will it take?
(It’s important to know how many appointments may be needed and what you will need to do between appointments to be ready for braces.)

• Can I expect any pain when getting braces?
(Ask about the ways we address pain management.)

• What determines how long I have to wear braces?
(The length of treatment will vary from patient to patient. During your consultation we can evaluate your teeth and jaw alignment to determine the correct course and length of treatment.)

• How will braces affect my lifestyle? Foods I can eat? Activities I can do?
(You may find that little needs to change in your daily routine to have a successful orthodontic outcome. We can discuss and address any changes so you can be prepared before you get your braces.)

• Who will be involved in the orthodontic work? Whom can I expect to see during my adjustment visits?

• What will my orthodontic work cost? What is the ”average” cost and what could be the maximum?
(Make sure you are clear about what your insurance covers, who contacts the insurance company for pre-authorization, who files the insurance forms, and what flexibility there is to pay the remaining amount not covered.)

Your initial orthodontic consultation may just be the first step in relieving a lot of pain and discomfort in your life. Going in with the right questions will help you to understand the entire process and prepare you to do your part for your own dental health. Be sure to bring a list of your questions!

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development.

Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.

If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

• Difficulty when chewing or biting
• Chronic mouth-breathing
• Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
• Overbite - when the upper teeth overlap the lower teeth by more than 5mm
• Top front teeth that cover more than 25% of the bottom teeth while biting
• Underbite - when the top front teeth go behind the bottom row of teeth when biting
• Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
• Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
• The center of the top and bottom teeth don't line up
• Uneven teeth-wearing
• Baby teeth coming out too early for the child's age
• Pain in jaws
• Clicking in the jaw joints
• The jaw shifts off-center while chewing or biting
• A jaw that protrudes, or recedes, too much
• Difficulty speaking or enunciating clearly
• Chronic biting of the inner cheek or roof of the mouth
• Asymmetrical facial structure
• Grinding or clenching of the teeth

If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

Orthodontic treatments vary from dental treatment, in that they primarily address malocclusions, jaw spacing and tooth alignment, rather than the actual health of the teeth. That is why it is often more difficult for parents to determine when a child needs orthodontic treatment than dental treatment. So how can you know it is time to take your child to the orthodontist?

• Bad Bite - As the adult teeth begin to replace primary teeth, bite occlusions can develop. These often become visible to parents between middle childhood and the pre-teen years, although an orthodontist can identify a bad bite with early evaluation.
• Visible Tooth Crowding - If your child's newly emerging teeth are already crowded, you should make an appointment with our office to discuss braces.
• Tooth Grinding (Bruxism) - Children who grind their teeth at night may do so unconsciously, but the condition requires treatment to prevent the development of headaches, TMJ, and tooth damage. Oral appliances are available to correct nighttime tooth grinding.
• Difficulty Chewing, Biting, or Speaking - If your child is displaying difficulty speaking or eating, or if he or she often experiences cheek biting, schedule an orthodontic consultation.
• Asymmetry - If your child's face is asymmetrical, or if his or her teeth do not meet together in a natural way, orthodontic treatment may be necessary.

Evaluation and Preventive Care

Even if your child has no visible tooth or jaw alignment problems, the American Association of Orthodontics recommends that every child visit the orthodontist for an initial examination no later than age seven. The reason for early evaluation is because orthodontists are capable of finding subtle problems with the jaw and teeth growth and spacing before they become more pronounced and also more difficult to treat. By bringing your child in for an evaluation, you may be able to treat orthodontic conditions with shorter and more simplified treatments that are also more affordable than treatment during the teenage and adult years.

Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces:

1.Eat Braces-Safe Foods
Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque, which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, and popcorn can also bend or break your braces. On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids.

2. Proper Brushing
You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can't always reach.

3. Ask About Special Cleaning Tools
There are also special brushes, or other tools, to get under and clean your braces. You can find many of these items at your local pharmacy.

4. Regular Teeth Cleaning
It's important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others.
As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.

What is a "bad bite"?

A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced - either too far apart or too close together - can also cause bite problems.

Frequent causes of bite problems:

• Heredity
• Thumb-sucking
• Premature tooth loss
• Accidents

Benefits of orthodontic treatment:

Appearance -
Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.

Preventing Decay -
It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues -
An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:

Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.

Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.

Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.

Length of orthodontic treatment:

Treatment typically ranges from 12 - 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time.

When coming to our office to have braces put on, you may find yourself feeling a bit intimated and nervous about the experience. We hope to help you feel more at ease by explaining exactly what the different parts of braces are, and what they do.

Parts of Braces

• Elastic Tie — This is a very small rubber band, and it holds the archwire in place.
• Archwire — This is the main part of the braces. It is a wire guide that tracks the teeth. The wire may be moved from time to time during treatment to continue straightening a patient's teeth.
• Loop in Archwire — This is not in all braces. If it is used, it is to close a gap left from a tooth extraction.
• Bracket — This piece of equipment holds the archwire in place. Formerly, many patients used colored rubber bands to keep the brackets in place, but now since most brackets are cemented on, this is no longer necessary.
• Headgear Tube — This is a hollow area near the back bands, which allows the headgear to fit into the braces. This is only used on patients who require headgear.
• Coil Spring — If needed, this would fit between a bracket and the main archwire. Its purpose is to open up the space between the teeth. This is not necessarily used on all patients.
• Tie Wire — This is another piece of equipment that is used to keep the archwire in place. It is a thin wire that wraps around the bracket.
• Band — This is a metal band that fits completely around a tooth. It is used to help adhere brackets to the tooth.
• Hook — This is the piece of equipment that is used to attach the elastics, also known as rubber bands, around the bracket.
• Elastic — These elastics are used to connect one point of the appliance to another. The purpose is to apply pressure, and encourage the teeth to move into the proper positioning.

By defining each appliance we hope you or your child will be less apprehensive about getting braces put on. At the end of your treatment, you will have a bright, straight smile to show off to all of your friends.

We’re halfway through the summer, and the summer months bring an increase in outdoor activities and a greater chance of kids damaging their precious mouths and pearly whites. If you play sports, it's important that you consult our office for special precautions, such as wearing a mouth guard. A protective mouth guard is advised for playing spring sports such as baseball, soccer, lacrosse and others. Be sure, however, to avoid mouth guards that custom form to your teeth as these will resist any tooth movements we are trying to achieve.

In case of any accident involving the face, check your mouth and the appliances immediately. If teeth are loosened or the appliances damaged, please schedule an appointment with the office. And don’t forget to ask us about how you can get a mouth guard for yourself.

Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Please give us a call if you have any questions about mouth guards or your treatment at our office.

Keeping your teeth clean is more important than ever when you have braces! Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:

1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.
2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.
3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.
4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.
5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.
6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.
7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.
8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.
9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.
10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

We hope this helps, and remember to give our team a call if you ever have any questions!

It’s hard to believe, but July is already here and half of 2012 has already passed! As July 4th approaches, our team thought it would be fun to share some facts and safety tips for celebrating our country’s independence day.

Fun Facts:
• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.
• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.
• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’
• The first public Fourth of July event at the White House occurred in 1804.
• And what could be more fitting than spending the day in a place called “America”? There are five such places in the country, with the most populous being American Fork, Utah, with 21,941 residents. Check out American Fact Finder.

Safety Tips:
• Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.
• Keep a bucket of water or a garden hose handy in case of fire or other mishap.
• Never carry fireworks in a pocket or shoot them off in metal or glass containers.
• To prevent a trash fire, be sure to douse the spent fireworks with plenty of water from a bucket or hose after fireworks complete their burning and before discarding them.
• Make sure fireworks are legal before buying or using them.

What are your plans this 4th of July? Share them with us! We’d love to hear what you and the rest of the community will be doing to celebrate! (Don’t forget to make sure there are no restrictions on fireworks! Check out this link to see if fireworks might be an issue for you this year.)

Also, check out these 4th of July party invitations, eGreeting cards, and delicious recipes!

July 4th eCard invitations!

Happy Independence Day eCards

Independence Day Recipes


Photo by shawnajean

We know that having an attractive smile puts a spring in your step—or two—as well as increases your self-confidence, no matter if you’re 14 or in your late forties. Smiling not only makes people happy and puts them in a good mood, doing it often can even help you live longer, according to previous studies!

If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment at our practice. You’ll be pleasantly surprised to learn how quickly and efficiently today’s most advanced correction techniques can straighten your smile!

Don’t hide your smile any longer — give us a call today to schedule yours or your child’s orthodontic consultation.