Our Blog

What is early intervention?

June 16th, 2021

Many developing orthodontic problems can be intercepted and corrected if diagnosed and treated at an early age. Dr. Rubin and our team at Rubin Orthodontics recommend children have their first orthodontic evaluation no later than age seven, or younger if the front four permanent teeth have replaced the baby teeth. Early treatment, also known as interceptive treatment or Phase I treatment, provides both timely detection of problems and greater opportunity for more effective treatment. Early intervention guides growth and development, preventing serious problems later.

If your child is showing these signs, it may be time to think about early orthodontic treatment:

  • Early or late loss of baby teeth (your child should typically start losing teeth around age five or six, and will have all their permanent teeth in around age 12 to 13)
  • Difficulty chewing and/or biting
  • Mouth breathing
  • Sucking his or her thumb
  • Speech impediment
  • Protruding teeth (the top teeth and the bottom teeth extend away from each other)
  • Crowded front teeth
  • Teeth that don't come together in a normal manner or even at all

Early intervention will greatly reduce the severity of your child’s case, and therefore reduce the length of treatment time and cost for a second phase of treatment when all of his or her permanent teeth have erupted. An evaluation at our Far Rockaway office will determine if your child’s dental and skeletal growth is proceeding properly or if interceptive treatment is needed. Many times, a more severe problem can be corrected using sophisticated removable appliances instead of traditional orthodontic treatment.

To schedule a consultation for your child to visit with Dr. Rubin, please give us a call! We will provide your child with an initial exam, and discuss with you the best steps to take toward caring for your child's smile.

I Have Gum Disease. Can I Still Get Braces?

June 9th, 2021

Gum disease is one of our most common dental diseases, affecting both children and adults. If you are considering getting braces or aligners, make sure your gums are their healthiest before beginning orthodontic treatment.

  • Gingivitis

For both younger and older patients, gingivitis (mild gum disease) can be the result of poor brushing and flossing habits. When plaque builds up around the teeth and gums, it irritates delicate gum tissue. The gums become inflamed, and symptoms such as redness, swelling, tenderness, bleeding, and bad breath can result. Usually, your dentist can treat early stages of gingivitis with tips on more efficient brushing and flossing, a professional cleaning, and suggestions for mouth rinses if needed.

Because brushing and flossing with braces can be more difficult, you need to devote special attention to your cleaning routine to prevent gingivitis from developing after you start treatment. Talk to us any time about how to brush and floss most effectively when you wear braces. Dr. Rubin can also recommend tools designed especially for braces wearers to get your teeth and gums as clean and plaque-free as possible. If you are a candidate for clear aligners, this option can make it easier to keep your teeth their cleanest. We’ll work with you to keep your gums healthy as your orthodontic work takes place.

  • Periodontitis

For older patients, gingivitis, left untreated, can eventually lead to periodontitis (severe gum disease). This chronic infection can lead to the formation of pockets between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can lead to the destruction of gum, ligament, and bone tissue. Left untreated, it can lead to loose teeth and even bone and tooth loss.

Making sure you schedule regular dental exams will allow your dentist or periodontist to detect and treat any signs of periodontitis as early as possible. If you have any of the symptoms of gum disease, it’s important to treat the cause of these symptoms as soon as possible to protect your gums, bone, and teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis.

Because orthodontic treatment involves moving the teeth and re-forming the ligament and bone tissue, which hold them in place, you need healthy periodontal ligaments and bones to begin treatment. If you have suffered shifting teeth or bone loss due to periodontitis, talk to us. We will let you know at your visit to our Far Rockaway office if you are a good candidate for orthodontic work, and which type of appliance is best for your periodontal health.

We are happy to talk to you about the best way to achieve an attractive smile and a healthy bite if gum disease has been a problem in the past. Most important, we want to make sure that your teeth and gums are their healthiest even before you begin orthodontic treatment. Preventing and treating gum disease will provide the foundation you need for a lifetime of beautiful smiles.

What Did You Do on Your Summer Vacation?

June 2nd, 2021

The best part of summer vacation is time. Time to hang with friends, time to travel, time to get a summer job, time to catch your breath after a busy school year. And if Dr. Rubin and our team have recommended braces, summer is also a great time to start orthodontic treatment!

  • Time for Office Visits

It can be easier to get an appointment in the summer because many patients and their families are on vacation. And, because your earliest visits are generally the longest, you won’t have to disrupt your school schedule as much or work around after-school activities.

  • Time to Get Used to Your Appliance

There can be some discomfort in the first few days after you get your braces, so you might find it’s more convenient and comfortable to be at home. You’ll have time to get used to choosing and eating braces-friendly foods, to practice speaking clearly with new braces or aligners, to appreciate your new look. And your friends will have time to get used to your braces, too!

  • Time to Establish New Dental Routines

Over the years, you’ve gotten used to brushing at least twice a day for two minutes and flossing at least one a day. Now it’s time to add some new moves. Brackets and wires can trap food particles and lead to a greater risk of cavities, so you’ll need some new tools to keep your braces their cleanest.

There are toothbrushes that have heads designed especially for cleaning around brackets. Floss threaders get floss in between wire and brackets, or use a floss specifically designed for braces. Little cone-shaped brushes called interproximal brushes fit around your braces and under your wires to remove hard-to-reach food particles and plaque.

Getting your cleaning routine down during the summer will help you take care of any clinging food particles quickly during your lunch hour or before after-school activities. And, you’ll know exactly what dental supplies you’ll need in your locker.

  • Time to Make Adjustments to Your Extra-Curricular Activities

Braces or aligners will provide you with a future filled with beautiful smiles, but they might require some present-day adjustments in your normal activities.

If you play a sport, especially where contact is possible, a custom mouthguard is the best way to protect your teeth, your jaw, and your braces in case of collision or a fall. Let us know what sports you play as soon as you get your braces.

If you play a reed or wind instrument, you might have to adjust the way you use your lips and teeth to produce your sound. Learning to use dental wax to cover brackets and protect your lips and mouth is well worth it. If you take lessons, talk to your instructor about the best way to adapt to your braces if you think your tone has been affected.

If you are in speech or drama, it could take a while to be comfortable with your articulation. Talk to us if you find you are having problems with your regular pronunciation for some great suggestions on getting back to normal as quickly as possible.

Summer certainly offers some advantages in giving you the time you need to get comfortable with your braces or aligners. But, there’s really no bad time to begin your orthodontic treatment. Spring, summer, fall, or winter, we’re here to help make sure your treatment experience at our Far Rockaway office is a positive one. After all, working toward a lifetime of beautiful smiles is always in season.

Orthodontic Treatment through the Internet

May 26th, 2021

You can learn just about anything on the Internet these days. You can also order just about anything on the Internet these days.

But would you order your braces on the Internet? There’s a new trend involving websites that claim to offer a solution for straightening teeth, without your ever seeing a dentist or orthodontist in person.

These companies usually have patients take an impression of their teeth using putty and a tray. Then you mail the impressions back to the company where a dentist reportedly examines them and suggests a course of treatment using 3D modeling software.

A series of clear aligners are made, to be worn by the patient in order to attain the desired result. Although this form of orthodontic treatment may cost less than seeing an orthodontist in person, there are several reasons why you should avoid it:

  • Potential health hazards are missed: If your oral health is not up to par (e.g., you have cavities, gingivitis, chipped teeth, etc.), an orthodontist would not suggest orthodontic treatment. Only after these issues are addressed would treatment be considered as an option. Whether this is the case with a person can’t be known when all the doctor sees is a set of impressions.
  • Lack of information about the patient: Before you receive any orthodontic treatment, an orthodontist will have X-rays taken to make sure you are a good candidate. If the bones or teeth do not look like they would align properly with treatment, another course of care may be suggested, even necessary. None of this background is available to over-the-net orthodontic providers.
  • No regular checkups: The purpose of regular checkups with Dr. Rubin is to ensure that everything is moving properly, on schedule, and most important, safely. This lack of hands-on care with Internet orthodontics could be a hazard for you as a patient and has the potential to do more harm than good.

It’s not worth the risk of getting orthodontic treatment over the net just to save some money. Our Far Rockaway office is committed to working with you, whatever your financial situation may be.

Let’s work together to give you the smile you deserve!

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