Underdeveloped growth or narrowing of the upper jaw is one of the major causes of crowding. If the upper jaw is too narrow, there is not enough room for all the permanent teeth to erupt, which results in crowding, crossbites, underbites, or an edge-to-edge bite. Different factors can lead to narrow upper jaw growth:
• Thumb sucking beyond the age of three or more
• Mouth breathing due to allergies or enlarged tonsils and adenoids
• Tongue thrusting
• Family history
Although these problems may look harmless, they may have serious long-term consequences on aesthetics and both dental and physical health.
• Chewing of food is difficult and may cause digestive problems
• Speech may be affected resulting in emotional trauma
• Premature wearing of enamel on teeth requiring extensive dental care over a lifetime

Palatal expanders are often placed while a child is still growing. They are used to widen the upper jaw so that the upper teeth fit properly together out and over the lower teeth. The appliance is cemented in place on the upper teeth (usually molars) and patients and/or parents are taught how to advance the screw of the expander on a daily basis. The screw is expanded slowly to minimize discomfort. Once the palate is expanded to the correct width determined by your orthodontist, the patient is instructed to stop turning the screw. The appliance remains in place until the soft cartilage in the palate fills in. This entire process normally takes only 4 – 6 months, start to finish.

The appliance is then removed and a removable retainer is placed to maintain the expansion until most of the permanent teeth erupt. Palatal expanders will not prevent the need for braces when all the permanent teeth erupt, but often times will eliminate the need for extraction of permanent teeth to create space or invasive jaw surgery to correct the growth discrepancy after the jaws fully develop.

Early interceptive orthodontics by Dr. Tito Norris using a palatal expander often makes the difference between a good orthodontic result and a great orthodontist when creating a beautiful smile that lasts a lifetime. Please contact our office with any questions or to schedule a complimentary first examination.

As unpleasant as it may be to think about, our mouths aren’t the cleanest places in the world. As food is eaten, the remnants left on teeth form a sticky substance known as plaque, which is full of bacteria. If you brush your teeth and flush regularly, most of this plaque is removed. (A quick word of caution about brushing: be gentle with your gums when you brush, because overly vigorous brushing can actually contribute to gum disease over time!) However, if you aren’t regular with your brushing and flossing, the plaque collects near the gum line and hardens into tartar, the next step on the road to gum disease. If your teeth are crooked or crowded, it may be too difficult to remove the plaque the way you should, and the tartar can develop in hard to reach places despite your best efforts. Regular dental cleanings are very important to remove any tartar that has built up for whatever reason, since brushing and flossing alone can’t take care of it.

If tartar is not dealt with, over a period of time the gums may actually pull away from the teeth. This movement creates a space called a periodontal pocket, which is seriously bad news. The extra room is a ready-made home for more plaque and tartar, which then becomes even more difficult to get rid of. At this point, if left untreated, your gums will become red and swollen, the telltale early signs of gum disease, also known as gingivitis. As gingivitis progresses, you can eventually suffer bone loss in your jaw. This, in turn, makes your teeth wobbly because they don’t have the support that they need to stay solidly in place. Eventually, they can even fall out, a fate no one wants.

Stone Oak Orthodontics plays a special role in the prevention of gingivitis. Remember how crooked or crowded teeth can make the plaque and tartar difficult to get rid of? Orthodontics, which is a special branch of dentistry, can fix this problem. By straightening the teeth out and ensuring that they are spaced properly, brushing and flossing become more effective at removing plaque. This can be achieved through braces, retainers, and other corrective appliances according to each person’s individual need. If you have hard time fitting floss in between your teeth, you are probably a good candidate for orthodontics. Fortunately, healthy teeth can be moved at any age, so there is no reason not to seek orthodontic treatment just because you’re an adult. In fact, about 1 in 4 orthodontic patients today are adults.

Dr. Tito Norris and the Team at Stone Oak Orthodontics are pleased to provide you with this helpful information and to offer you the finest state-of-the-art orthodontic care for you and your family. For more information, please visit our website or contact our office.

Why does this happen? If you want to find out, go to the nearest mirror. Grab your upper lip between your thumb and forefinger on both sides and pull it up (warning: you may feel a little silly doing this). If you look above your front teeth, exactly in the middle of your gums, you will see a small flap of tissue that connects your gums to the inside of your lip. Believe it or not, this little flap actually has a name—it has called a freneulum (or frenum for short), and it can be the reason you have a gap in your front teeth.

If your frenum is the right size and properly positioned on your gum line above your two front teeth, it serves the simple purpose of attaching your gums to your lip, and all is well. Your frenum is supposed to move upward when your baby teeth come in to make room. However, if the frenum is too large, attached in the wrong spot, or fails to move down like it should, it can cause problems. An incorrectly placed frenum can exert a pull or tension that prevents your front teeth from coming together the way they should. What makes this even more of an issue is the fact that braces can’t fix it! With the frenum in the way, your front teeth will never get to meet one another.

Fortunately, there is a way to solve the problem. There is a procedure known as a frenectomy, which is just a fancy word for reducing the size of your frenum. This limits the tension that keeps your teeth apart, and opens the door for braces to be placed to bring them back together in the right position. It is a very simple procedure performed by your orthodontist or dentist in the office. Your dentist just numbs your gums, removes a tiny bit of the frenum, and you are on your way. Now that lasers are often used for this surgery, it makes the whole thing even easier. There will be a few days of soreness afterwards while your tissue heals, but it is a small price to pay for bringing your front teeth together. After all, they make such a good pair, it’s a shame for them to be so far apart!

Sometimes however, front teeth are kept apart because of a jaw discrepancy where the lower jaw is bigger than the upper jaw causing the front teeth to spread apart. This is a problem of a completely different nature. If you or someone in your family has a space between their two front teeth that want to eliminate, Dr. Tito Norris at Stone Oak Orthodontics will be able to evaluate the problem and determine the best course of treatment to close the space. It may be much easier than you think.

Feel free to contact our office for a free new patient consultation and find out how we can create a beautiful new smile without an unsightly space between your teeth.

In severe situations, permanent tooth removals may be required to create the necessary space for others. However, no one enjoys having their teeth extracted and we try to avoid this option whenever possible. Fortunately, there is another way. By using a child’s natural growth spurts, a savvy orthodontist can avoid the need for tooth extractions if he evaluates a patient at an early age.

Children usually have a couple of predictable growth spurts. The first generally occurs around 8 or 9 years of age, right before puberty. Another one will typically follow during puberty itself, which falls between 11 or 12 years. During these growth spurts, the face and jaw will grow. The strategy is to harness this natural growth and combine it with braces and/or appliance to create more room for teeth if needed.

Since timing is everything, it is important to have your child evaluated by an orthodontist at a young age. It is generally difficult to know for sure if your child will need orthodontics until his or her permanent teeth begin to erupt. However, important forecasting clues can be understood by a trained orthodontist.

The American Association of Orthodontics recommends that your child be examined by an orthodontist at age 7 to determine if early orthodontic treatment is needed. Treatment is much easier if evaluated and started before problems worsen and vital growth spurts are lost.

It is not necessary to be referred by your general dentist for a complimentary orthodontic evaluation at Stone Oak Orthodontics. Be proactive and contact our office to schedule an appointment. If your child does not require early interceptive treatment, Dr. Tito Norris will continue to monitor your child’s dental and growth development in our complimentary supervisory program to determine the right time to begin treatment, based on your child’s needs.

However, the benefits of straight teeth do not end with just your appearance.
• Crooked teeth can interfere with proper chewing, a problem which is with you at every meal if not confronted.
• Good oral hygiene (such as regular brushing and flossing) can be much more difficult and ineffective with crooked teeth. When your teeth are not straight and evenly spaced, there is a much higher likelihood that there will be hard-to-reach spaces that do not receive the proper treatment from your daily cleaning routine. As a result, unwanted plaque and tartar can build up unnoticed. Over time, this can lead to such serious consequences as tooth decay, gum disease, or even tooth loss. Since no one enjoys spending time in the dentist’s chair having root canals, fillings, and oral surgery, it is important to stay on top of your oral hygiene.

The good news is that at Stone Oak Orthodontics we specialize in creating beautiful smiles and fixing crooked teeth. Orthodontics (which comes from the Greek words orthos “straight or proper” and odons “tooth”) is a special field of dentistry that concerns itself with the study and treatment of irregular bites.

An abnormal bite can be the result of uneven teeth, a jaw that is out of proportion or misaligned, or both. Crooked teeth can be brought into alignment using traditional metal braces; although they are not used as much today as they have been in the past. More popular currently are the alternatives available which are less noticeable, so that orthodontic patients do not have to sacrifice their looks in the short term to have a beautiful smile forever. These less conspicuous treatment options include clear ceramic braces, Damon Braces and Invisalign™. Invisalign is a type of removable and virtually invisible aligner that fits over the teeth instead of wire being held in place by brackets.

There are a variety of orthodontic options out there today, many of which are less intrusive and visually obvious than they used to be in days past. Whether you are a parent of an adolescent with crooked teeth that need to be straightened or if you yourself are seeking improvement in your smile, we encourage contacting our office today. The benefits are many; you will be glad you did!

Attached are some fun activities you can use to engage kids of all ages regarding dental health. Download Here

February is also National Pet Dental Health Month.

Did you know that human toothpaste can irritate your animal’s stomach? Watch this video on proper oral hygiene for your pet's teeth.

Some orthodontic patients need more time than others to adapt. At Stone Oak Orthodontics, we understand each patient is different. If your child goes with the flow under most circumstances, than wearing braces will be a piece of cake. But if you have a drama king or queen when it comes to everyday trials and tribulations in life, “brace” yourself for a few rough days ahead.

Here are few tips to smooth out the wrinkles or unruffled the feathers of patients finding it more difficult to adjust:

Be sympathetic the first few days. Even though the actual placement of the braces is not uncomfortable, once the teeth start moving initially, teeth do become tender. The discomfort will stop in a few days, but fear of the unknown can make it worse. Every patient’s tolerance level is different… keep that in mind.

Take Advil or Tylenol with you to the setup appointment and dispense immediately before leaving the office. These analgesics work better if administered before the discomfort sets in for best results, rather than late.

Plan a brace friendly meal for lunch or dinner ahead of time. Not only does the patient need to adjust to a new diet, you will have to adjust when planning meals. There are many nutritious foods available that don’t require a lot of chewing or won’t damage the braces. Stay away from salads the first few days. Not only do they collect in the braces, lettuce is difficult to chew once the teeth start moving. Macaroni and Cheese, homemade soups, protein shakes with lots of fruit, and yogurt will provide the calories needed for good nutrition. Who says you can’t have scrambled eggs and pancakes for dinner?

Ask the doctor or one of the staff about prescribing Tylenol or Advil in school during the first week, if needed. Better safe than sorry is a good motto to follow. Dispensing any type of medication requires parents and patients to jump through hoops in the nurses office. Having Tylenol available anytime during the day will help take off the edge of discomfort if needed.

And last but not least. Shore up their insecurities with positive feedback. Watch this video to see how it’s done. Feel free to share your own tips on how to best handle the first few days wearing braces. Write a comment below to share with others. Feel free to contact our office with any questions.

In a bi-lateral crossbite, (meaning one side only), the top teeth on one side close either outside or across the bottom teeth. This happens because the lower jaw shifts from side to side when the mouth is closing in an attempt to correct for the mismatch of the upper jaw and the lower jaw. This shift creates a misalignment of the teeth.

Another problem with a crossbite has to do with the damage it does to the teeth themselves. Since the teeth are coming into contact with one another at an unnatural angle, the enamel on the teeth is gradually worn off. Enamel is the outer layer of the teeth and serves as the protection against tooth decay. As enamel is scraped away by a crossbite, permanent damage to the teeth becomes more and more likely. This situation gets even worse when combined with regular sugar intake, which also destroys tooth enamel. The end result can be a need for massive dental reconstructive surgery, which is both costly and unpleasant.

Luckily, a crossbite can be fixed with orthodontic treatment. Braces and special appliances can gradually bring the teeth back into alignment. However, the enamel on your teeth cannot be replaced. If the mouth is restored to its naturally intended symmetry, all of the problems just described can be avoided if treated in time.

If you think your teeth or your child’s are out of alignment in any way, it pays to talk to an orthodontist about solutions. Contact our office to schedule a complimentary consultation with Dr. Tito Norris. Take a lesson from nature—there is beauty in symmetry!

In order to fight the common sugar addiction, keeping track of the foods you eat every day would be enlightening. You may be surprised at how many foods commonly considered “healthy” are dangerously loaded with sugar. Here are examples of 7 foods to avoid, as well as some suggestions to keep your sweet tooth happy and all your teeth well to preserve your beautiful smile.

*Smoothies

The idea of blended fruit and ice is considered a healthy drink, but in many situations may not be the case. Menus at popular national smoothie bar chains often contain over double the recommended daily sugar intake. As you watch them make the drinks, notice few only use fresh or frozen fruit. Most use sugar flavored fruit syrups from a bottle that contain high amounts of sugar.

Tip: Request nutrition information about menu items at your local smoothie bar and opt for the lower carb selections. Making a fresh fruit smoothie at home is usually the better choice.

*Fancy Coffee Drinks

When visiting your barista, don’t order the more decadent selections. Many contain high amounts of sugar and cream.

Tip: Stick to basic coffee or green tea and limit your sweeteners. Both of these options have health benefits in addition to being lower in sugar.

*Beverages masquerading as juice

Just because a drink on your grocer’s shelf has the name of a fruit in its title does not necessarily make it a healthy choice. All too often processed “juices” contain small quantities of actual juice and large amounts of processed sugar.

Tip: Only purchase products containing 100% juice, and definitely stay away from anything containing high fructose corn syrup that causes tooth decay. “Mother Nature” knows best.

*Pre-packaged children’s lunches

Products such as “Lunchables” certainly have much to offer as far as convenience is concerned, but they can be a real dietary nightmare. The varieties that include both a dessert and a drink are double trouble.

Tip: Pack your child’s lunch yourself; the extra time will be worth the peace of mind knowing their sugar consumption is within reasonable limits to promote long term physical and dental health.

*Sugary glazes or sauces

Chinese restaurants often offer healthy foods that become not so healthy when the meat is coated in glaze or sauce made almost entirely of sugar.

Tip: Avoid dishes drenched in sugary sauces, and consider choosing mixed vegetables instead of rice when eating Chinese as a means of further cutting calories.

*Granola and granola cereals

Granola is another prime example of a food that is usually thought of as a healthy choice, when in fact the very opposite is closer to the truth. Although granola does offer useful fiber, any benefit is offset by the overwhelming amount of sugar coating the granola.

Tip: Limit your granola to a small amount mixed with yogurt and choose wheat-based cereals over their granola-sugar laden brother. Read the labels to determine sugar content before you buy.

*Fruit packaged in syrup

Eating plenty of fruit is certainly a desirable method to get your daily allowance of carbohydrates, but take care not to defeat the purpose by choosing canned fruit saturated in sugary syrup.

Tip: Choose fresh or frozen fruits instead, which are healthy choices without all that unwanted syrup.

What do you think about all the sugar in our diets today? Leave a comment below to share with others.