Category Archives: Dental health

Part 2: Hybrid Orthodontic Treatment – When Aligners Alone Are Not Enough

When Aligners Alone Are Not Enough
In part 1 of this 2 part series on Hybrid Orthodontic treatment, I discussed some of the failings of aligner therapy. As in all medical/dental related areas the most critical step in care begins with an accurate diagnosis. Namely, what is the nature of the clinical problem. Once that is determined, a plan to address the problem can be created. The key is to create an excellent plan. Not all plans are created equal, therefore creating the appropriate treatment care plan is the key to delivering the desired outcome and achieving an excellent result.

This is where the skill sets and experience of the doctor(an orthodontic specialist) are so important(stay tuned, I will explore this in more detail in a future blog post).

Hybrid Therapy and You
Today our focus will be specifically on the tooth aligning limitation of aligners and how we have developed a unique protocol called Hybrid Therapy(attribution to Dr. Peter Kierl in Oklahoma)that has been designed to overcome those limitations.

Let’s look at a couple of clinical examples that demonstrate the limitations of aligners and how we solve them to ensure a great result; smile and bite perfection. Continue reading Part 2: Hybrid Orthodontic Treatment – When Aligners Alone Are Not Enough

Part 2: The Robots On Our Team Will Make You Smile

Feinsmile's RobotsThe next stage of the Suresmile process is to capture a three-dimensional scan of the patient’s teeth. This can be done with either a very accurate 3D x-ray machine or an optical scanner called the Orascanner. This digital “impression” is then electronically forwarded to the technicians at Suresmile.

Once the digital lab at Suresmile determines that the scan information is accurate, they pass it along to the modeling team (step two). These technicians convert the scan data into a digital model that has separate, movable teeth.

In the third step, the orthodontist prescribes the final position of each tooth either by moving the teeth himself with a mouse or through very detailed instructions to the digital lab. Dr. Feinberg as the orthodontist alone determines the diagnosis, treatment plan, and biomechanics and physics necessary to move the teeth to their optimum positions. A 3-D model of your teeth allows us to analyze your bite from every possible angle. Continue reading Part 2: The Robots On Our Team Will Make You Smile

Part 1: The Robots On Our Team Will Make You Smile

SuresmileWhat if I told you there is really an orthodontic technology that could straighten your teeth and align your bite both faster and with greater accuracy than traditional braces, and oh yes more comfortably as well… wouldn’t you want to have your smile treated with this technology.

And by the way, wouldn’t you want your orthodontist to be skilled and have access to this technology as well. Predictably, most of you would say of course… sign me up for the high tech braces approach.  Well, as most members of our Shelton/Trumbull/Stratford community know, Feinberg Orthodontics is the only practice in Southwestern Connecticut that provides this powerful orthodontic technology. Since 2004, we are proud that 1000’s of our patients have benefited from this technology known as Suresmile. In fact, we are the 37th practice in the world to have mastered and implemented SureSmile in our practice. Today there are more than 450 extremely progressive  practices around the world that utilize this approach to care. Rather than using a pair of pliers to perform wire bending we use a computer mouse.

So, what exactly is Suresmile and how does it work?

Similar to Lasik eye surgery, Suresmile uses computer aided design and manufacturing (CAD/CAM) to accomplish the wire bending phase of orthodontic treatment allowing results to be delivered more accurately, more comfortably, and 33% faster. That’s correct, at least 1/3rd less treatment time than conventional braces with better quality outcomes as published in numerous orthodontic scientific journals. (Please feel free to request your copy of one of these articles or go to the links on our website www.feinsmiles.com/journalpublications/) Continue reading Part 1: The Robots On Our Team Will Make You Smile

4 Common Myth conceptions about Orthodontics

Orthodontics

Are you interested in fixing your smile? But you’re concerned that braces may not look particularly appealing, are too expensive, too painful and will be on for what seems like an eternity. Let me put your mind at rest. Our team at Mark Feinberg Orthodontics offers advanced orthodontic care technology that will make your experience easier, faster, and more comfortable than ever before. During a consultation appointment, the orthodontic specialist,who is uniquely educated in all forms of tooth and jaw movements can help provide patients an accurate analysis of their best treatment options. The patients needs and concerns are of primary importance in the decision making process. The optimal treatment plan may involve various alternatives. Either Invisalign/clear aligner therapy or different types of fixed appliances/braces are possibilities. Feel free to inquire or request a copy of Dr. Mark Feinberg’s special booklets on orthodontic care.

Continue reading 4 Common Myth conceptions about Orthodontics

Holy Guacamole, Something’s Missing!

Permanent Tooth MissingIn previous blog posts we have discussed various reasons for visiting an orthodontist as recommended by the American Association of Orthodontists (AAO) no later than the age of 7. Which brings us to today’s blog topic…all you wanted to know about missing teeth and more but didn’t know what to ask. Our discussion will be limited to teeth that are missing not as a result of them being removed or lost due to disease or from an accident but rather as a result of never having developed. This condition know as Hypodontia (missing one to six teeth) is characterized by a primary tooth having no replacement by a permanent tooth. There is a genetic tendency for this condition to occur and the technical description is congenital absence of permanent teeth.

A bit of background, excluding wisdom teeth(3rd molars), Hypodontia occurs in 3-8% of the population. The most common missing tooth is the wisdom tooth followed by congenital absence of the lower 2nd premolars. The upper lateral incisors, which are the teeth on either side of the two centered upper front teeth, are the third most commonly missing tooth and occurs in approximately 2% of the population. This may affect one or both upper lateral incisor teeth.

Continue reading Holy Guacamole, Something’s Missing!

The Times, They Are a-Changin’

Orthodontic Practice USAs a pioneer in digital orthodontics, I was honored to be asked to write the introduction ​​to the April-May edition of the journal, Orthodontic Practice US​. Here is my perspective on the necessity of orthodontists embracing the latest technology if they are truly committed to elevating the standard of care for their patients.

As specialists, we lead. We lead in innovative diagnosis and therapeutics, implementation of state-of-the-art technology and, most importantly, quality of patient care. I say that as much as a reminder to myself as I do to my specialist colleagues. Because to paraphrase Bob Dylan’s song, “The times they are a-changing.”

So, what’s happening? In the most general sense, much of what we do clinically today involves digital technology, one way or another. From archwires to aligners, from lingual treatment to IDB, there is almost always a digital option for us to choose at every stage of treatment.

There is no question that these new technologies afford us expanding opportunities to deliver predictable and optimal outcomes through enhanced diagnostic and therapeutic capabilities, achieving new levels of efficiency, predictability and precision.

As orthodontists, we tend to be creative and independent-minded as we seek better ways to care for our patients. Direct bonding was a major innovation not so long ago. Now virtually all of us do it. Esthetic brackets formed in plastic or ceramics have become standard, something that would have been hard to imagine in 1970. Wire formulations have become much more sophisticated–and continue to do so–giving us all a broader armamentarium in tooth movement. Even digitally-produced aligners, something many if not most of us resisted back in the day, have become a standard treatment option. Continue reading The Times, They Are a-Changin’

Part 2: When Tooth Removal Is The Healthy Choice

Tooth RemovalIn the 2nd series on tooth removal, let’s take a look at the main reasons when tooth removal is the best and wisest option to achieve an optimal treatment outcome.

Reason #1 Crowding.

Imagine a situation where teeth are crowded and poorly aligned. In this situation, the amount of space required is not sufficient to accommodate the teeth. Either the size of the arches must be increased or the number (or size) of teeth reduced.  Or perhaps space preservation with a space maintainer could be utilized.

Up until the age of about 15, if there is mild to moderate crowding, it can be addressed with expanders and braces alone. After the age of 15, the bone structure is well formed and less plastic and expansion may not be possible or healthy to the surrounding supportive tissues.

When there is moderate to severe crowding and limited gum or bone support, permanent teeth will need to be removed to provide the space required. Failure to maintain the teeth with healthy surrounding bone will lead to periodontal problems down the road.

Continue reading Part 2: When Tooth Removal Is The Healthy Choice

Part 1: When Tooth Removal Is The Healthy Choice

Tooth removal is beneficialAlthough I prefer not to remove adult teeth, there are exceptions and situations where tooth removal is beneficial. The pendulum has swung from one extreme to another in regards to removal of teeth. In the very early days of orthodontics the approach was never to extract a tooth, later the pendulum swung in the other direction and tooth removal was the norm not the exception. Over the past 25 years the pendulum has headed back in the other direction. So permit me to take a clear eyed and reasoned scientific approach to the subject.

One of the more common concerns I hear during consultation appointments is the following…you don’t have to remove any permanent teeth do you? We strive for perfection in the smile, a healthy bite and teeth that will last for a lifetime. What if, removal of teeth can help achieve these lofty goals and failure to  remove teeth may cause harm. Continue reading Part 1: When Tooth Removal Is The Healthy Choice

Part 2: Baby Teeth and Braces-What Every Parent Needs To Know

Baby teeth and bracesWhat factors are important to consider when determining whether to remove the remaining primary teeth? If a patient’s overall development is delayed, the decision to remove the remaining baby teeth is determined by several factors.

1. I consider the patient’s age. If they are 14 or 15 years of age, I have no hesitation in recommending the remaining baby teeth be removed so that their orthodontic treatment is completed before they graduate from high school.

2. I examine the development of the roots of the unerupted adult teeth. If the root formation of these unerupted teeth is nearing completion but the associated baby teeth are not loose, extractions are advisable.

3. If the 12-year molars are partially or fully erupted but the baby teeth remain, I will usually recommend having the remaining primary teeth removed so that treatment can begin. Continue reading Part 2: Baby Teeth and Braces-What Every Parent Needs To Know

Part 1: Baby Teeth and Braces-What Every Parent Needs To Know

Dental BracesDon’t we have to wait for all the baby teeth to come out? When is the best time for my child to get braces?

These are very common questions ‘that parents ask me. The short answer is no, one does not have to wait for all the baby teeth to come out.

While it is true that a full set of braces is only complete when all the permanent teeth(including 2nd molars) erupt into the mouth (not including 3rd molars/wisdom teeth) that is not necessarily a reason to delay beginning orthodontic treatment. There are certain types of orthodontic problems when early intervention is beneficial; this is referred to as Two Phase treatment.

Two-Phase treatment is recommended in young patients typically between the ages of 7-10 years. When this particular set of problems are not addressed at an early age than the resolution of these problems becomes more challenging and may necessitate more aggressive treatment. At times, a child’s sense of self-esteem is adversely affected by the appearance of their teeth and so they would benefit from early care. Certain bite problems may cause the child’s teeth to be more susceptible to injury, so early treatment is advisable. Continue reading Part 1: Baby Teeth and Braces-What Every Parent Needs To Know