Our Blog

A lot of our patients are curious about the difference between an orthodontist and a dentist. In fact, one of the most common questions we hear at Carr Orthodontics is, “Dentists and orthodontists are all the same, right?”

A general dentist is your primary dental care provider. Dentists diagnose, treat, and manage your overall oral healthcare needs, including gum care, root canals, fillings, crowns, veneers, and bridges.

Orthodontists, such as Dr. Carr, are more concerned with diagnosis, prevention, interception, and treatment of malocclusion, or what we call “bad bite,” of the teeth. Orthodontists focus on tooth and jaw alignment and bite problems such as overbites and underbites, and are responsible for straightening teeth via bands, wires, braces, and other fixed or removable corrective treatment options, like braces and clear aligners. Orthodontists treat children as well as adults who wish to improve the function of their bite and appearance of their smile.

Before becoming an orthodontist, doctors such as Dr. Carr start out in dental school and earn a dental degree, just like your general dentist. After dental school, those doctors who decide they are interested in the orthodontic field, stay in school for a few more years and become experts in orthodontia, which is one of nine specialties within the dental field.

Isn’t it nice to know we have orthodontic experts here at Carr Orthodontics to help you through any type of treatment your teeth and jaw might need? To schedule your initial appointment at our Lewis Center office, please give us a call today!

We often think of braces as a rite of passage for kids in middle and high school. So you might be surprised when your child’s dentist recommends a visit to see Dr. Carr years earlier than you anticipated. In fact, dentists and orthodontists generally suggest a visit to the orthodontist by age seven at the latest.

Why see an orthodontist so early?

After all, your child is still growing, and many adult teeth haven’t come in at that age. And that’s the whole point.

Around this age, your child will probably have a mix of both baby and adult teeth, so your orthodontist will be able to assess whether there’s enough room for the permanent teeth to erupt without crowding or spacing problems. And malocclusions, or bad bites, caused by problems with jaw size or symmetry can be addressed while young bones are still forming and developing.

If your child has a first appointment coming up on the calendar, here’s a heads up on what often happens during a first visit, and potential problems your orthodontist will be on the lookout for.

What can you expect at a first visit?

The first visit is designed to evaluate how your child’s teeth and jaws work together now, and to look for potential future problems with tooth alignment and jaw structure and development.

First, Dr. Carr will carefully examine your child’s teeth, jaws, and mouth. Your child will be asked to bite down several times to see how the teeth and jaws fit together, and if there’s any discomfort. Other helpful diagnostic tools could include:

• Scans or X-rays to evaluate jaw structure and the position of teeth which haven’t erupted yet
• Photos of your child’s teeth and face
• An impression of your child’s teeth

If there’s no immediate need for treatment, we might recommend periodic checkups at our Lewis Center orthodontic office to follow the growth and development of your child’s teeth and jaws. If interceptive (early) treatment is your child’s best option for a healthy smile, your orthodontist will explain any immediate orthodontic issues and design a treatment plan tailored to your child’s specific needs.

What are the benefits of early treatment?

Interceptive treatment not only helps correct current orthodontic problems, it can help reduce the need for more complicated treatment in the future, when all of the adult teeth have arrived and bones are fully formed. Among its many benefits, early treatment can:

• Prevent crowding

If your child has a small upper palate, it can be gently enlarged while the palate is still growing with the help of a palatal expander. This will give the upper teeth the space they need to come in without crowding.

• Provide space

If primary teeth are lost too early, other teeth can shift out of alignment to fill the empty space. A space maintainer can be custom-made to keep the spot open until the right tooth is ready to erupt. If primary teeth are overstaying their welcome, Dr. Carr might recommend extraction to allow the adult teeth to erupt in the proper place.

• Create jaw symmetry

Malocclusions can develop because the upper or lower jaw is too narrow, too far forward, too far back, or the jawbones don’t fit together properly. Dr. Carr might suggest the use of a functional appliance such as the Herbst® appliance or headgear to help guide symmetrical bone development while your child’s young bones are still growing and forming.

• Protect teeth

Children with overjets, or protruding upper teeth, are more likely to suffer chips, cracks, and other trauma to those vulnerable front teeth. Functional appliances can help bring the upper and lower jaws into alignment as needed, and braces can move the teeth into alignment.

Every journey to a healthy smile begins with a first visit. And you don’t need to wait until your child is seven. Any time you’re concerned about an orthodontic issue is a good time for a consultation. Talk to Dr. Carr about what to expect at your first visit to help create a comfortable experience for your child as you begin this journey together.               

The alarm sounds in the morning, you wake up and realize "I forgot to wear my retainer!"

If this only happened once, don't panic. Missing one night with a retainer is unlikely to cause significant teeth movement. However, if it has happened often, give our Lewis Center office a call to make sure your teeth haven’t shifted position.

Here are some tips from Dr. Carr to help you remember your retainer:

1. Write down the instructions we give you for wearing the retainer, whether you should wear it all day or at night, or just a few times a week. Writing things out like this helps set the schedule in your memory.

2. Clean the retainer when you take it out each time. If you don’t you may not have time when you’re rushing to get to work or school to clean it properly and may be tempted not to wear it.

3. Put a note on your mirror or in your purse or wallet reminding you to wear your retainer.

4. Set an alarm on your mobile phone to remind you when it’s time to put the retainer in. If you have email with a calendar you can set up daily reminders, too.

5. Always put the retainer in its case when you take it out to eat or sleep. You’ll reduce your risk for losing it or accidentally throwing it away.

6. If you don’t have to wear the retainer every day, you can use some recurring events to help you remember. With this system for example, watching your favorite weekly TV show, laundry day, or family pizza night can all serve as reminders that you should put in your retainer.

7. Don’t be shy about asking for help if you’re forgetful. Assure your spouse, parents, siblings, or roommates that you won’t consider if nagging if they remind you to wear your retainer.

8. Surf online for examples of how teeth can shift when retainers are not properly used. Those stories can serve as timely warning not to let the same thing happen to you!

Remember, you can always call our Lewis Center office if you feel your retainer is uncomfortable or painful. We'll work with you to protect your smile!

Traditionally, January is a great time to choose some bad habits you’d like to lose, and some good habits you’d like to develop. If one of your goals this year is to help make your orthodontic treatment as efficient and successful as possible, we have the perfect resolutions for your New Year.

• Brush after every meal

If you’ve grown up brushing for two minutes twice each day and flossing regularly, you have been doing everything right! But now that you have braces or aligners, you should plan on brushing after every meal and each snack.

Food particles can stick to wires and brackets, which is nothing to smile about. Worse, plaque can be easy to miss around your braces, which can lead to enamel erosion and possible cavities. Brushing after eating is the best way to eliminate food particles and plaque from braces and enamel, but if you can’t brush, be sure to rinse well with water.

Patients with aligners benefit from brushing, too, to keep food particles and sugary or acidic beverages from remaining trapped around the teeth after the aligners are replaced. If you absolutely can’t brush, remember to rinse carefully with water after eating and drinking and before replacing your aligners.

• Watch your diet

Changes to our diets are probably one of the most common resolutions, so it’s no surprise we have recommendations for your dental diet. Dr. Carr and our team are happy to provide you with a comprehensive list of the foods that can harm your wires and brackets, or which are especially difficult to keep from sticking to your appliance and enamel. No tempting caramels or buttery ears of corn are worth damage to your braces! Follow the guidelines for braces-friendly foods, and you’ll help keep your treatment problem-free and on track.

• Do your part

Wearing braces or aligners can require some interactive work on your part. If you are supposed to wear your aligners for 22 hours a day, be sure to follow those instructions to keep your treatment plan on schedule. If you have bands that you need to wear with your traditional braces to help correct your bite, wear them as directed. And never try to make up for lost time by doubling your bands—this can actually be harmful to your teeth.

If we can help demonstrate or explain anything you need to do at home, don’t be afraid to ask!

• Keep your retainer case handy

When you finish orthodontic treatment, you will probably have a retainer to help your teeth maintain their new, healthy alignment. Keep your retainer healthy by making sure to use your case whenever you’re not wearing it. Bent, broken, or lost retainers should be repaired or replaced as soon as possible to avoid changes in that smile you’ve worked so hard for.

• Keep your appointments

The more you stay on schedule, the faster you will achieve your ideal smile. And if you have a problem between appointments, call our Lewis Center office! Broken braces and aligners aren’t effective and can delay your progress, so let us know if you think you might need to see us earlier than scheduled. Finally, don’t forget your regular exams and cleanings at your dentist’s office.

Traditionally, the beginning of the year is a great time to choose some bad habits you’d like to lose, and some good habits you’d like to develop. But you needn’t wait for that New Year’s Eve countdown clock.  Adopting these orthodontic resolutions at any time of year will keep you on track for a lifetime of beautiful, healthy smiles.