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What is an Invisalign Refinement? - Scottsdale Phoenix AZ | Budd Orthodontics

September 9th, 2022

At Budd Orthodontics, Invisalign treatment with clear aligners has become a popular orthodontic treatment in today’s digital world. The treatment is based off of the information taken from a 3D scan of your teeth with an iTero digital scanner and the corresponding computer simulation of the movements of your teeth.

Although the software used to create this digital simulation is very accurate, it cannot account for all of the variables that make each of us unique – tongue pressure, lip pressure, swallowing patterns, and differences in how well patients wear the aligners. Sometimes when we arrive at the end of the simulated orthodontic treatment, what you see in the mouth does not match exactly what you originally saw on the computer screen. We correct this by completing what we refer to as an Invisalign “Refinement”.

An Invisalign Refinement is completed by essentially repeating the process that was used the first time to create the Invisalign aligners. A new 3D scan is taken of the updated position of the teeth, and any movements that were not achieved with the first simulation are completed in the refinement aligners.  It is a little fine-tuning of your smile to make sure that we get the best possible result. This allows us to overcome the limitations of the software simulation and create a smile you will love.  A significant number of Invisalign treatments don’t require any refinement, but we always have that as an available option to make sure we deliver the best possible smile. Give us a call today, and let us help you smile with confidence.

What does it mean to be a board-certified orthodontist? - Scottsdale Phoenix AZ | Budd Orthodontics

March 28th, 2022

Among the 330 million people in the United States, there are a little over 200,000 practicing dentists according to the American Dental Association’s 2021 data. However, only 6% of those dentists are orthodontists. Orthodontists are dentists who have completed a 2-3 year residency training at an accredited program in addition to the 3-4 years of normal dental training.  Of the 6% who complete their orthodontic residency training, only 54% of them are board-certified orthodontists according to 2022 data from the American Board of Orthodontics. Based on these numbers, being a board-certified orthodontist in the United States is not very common.

American Board of Orthodontics board-certification is a voluntary credential.  In other words, it is not required to practice orthodontics or to advertise orthodontic services like braces or Invisalign. It represents a commitment by an orthodontic specialist to the highest standards of excellence in the specialty and to life-long learning.

Dr. Budd is a board-certified orthodontist with the American Board of Orthodontics. He strongly believes in the value of the additional education and certification he has received to provide his patients with the best possible treatment outcomes in a friendly, welcoming environment. Orthodontics involves much more than just making teeth straight. It includes the complexity of facial growth, alignment of the jaws, correction of the bite, and the overall health of the teeth and supporting structures. A general dentist is ideal for providing regular oral health check-ups, comparable to your family doctor. Many dentists offer orthodontic treatment, but they do not have the same extensive education required of a board-certified orthodontist. This is an important distinction to understand when you are selecting someone to help you or your family with their orthodontic care.

What are my options if I was born missing a tooth? - Scottsdale Phoenix AZ | Budd Orthodontics

August 27th, 2021

The majority of people in the world develop and grow one complete set of baby teeth and one complete set of adult teeth.  However, you might be surprised to learn that studies show up to 11% of people are born missing at least one adult tooth. This is called a congenitally missing tooth. The percentage of people with a missing tooth varies among different groups of people, but it is safe to say that you probably know someone that was born missing a tooth.

The missing tooth is often discovered in the first few visits to your dentist. If it is a wisdom tooth, it may not be discovered until later as these teeth start forming well into childhood. When you discover that one of your teeth never formed, there are few options to address it that you might consider.

First, when no adult tooth forms, the baby tooth will often remain well into adulthood because there is no adult tooth growing in to push it out. I have seen many adults well into their 40’s and even 50’s with baby teeth still present because the adult tooth never formed. You may be able to use this tooth for many years, although very few baby teeth will last a lifetime. When the baby tooth eventually fails, the missing adult tooth can be replaced with either a dental implant or a dental bridge.

Another option is to remove the baby tooth prior to orthodontic treatment and close the space for the missing tooth. This is called a substitution treatment and can be a great option for someone who is a good candidate.  Being a good candidate is determined by many factors including the location of the missing tooth, the bone health, a patient’s age, and the health of the surrounding teeth. The main advantage of this option is that you don’t have to worry about replacing the missing tooth with some form of a fake tooth in the future. If you were born missing a tooth, we can help you decide what option is the best option in your specific case.

Will I have stains on my teeth when I get my braces off? - Scottsdale Phoenix AZ | Budd Orthodontics

June 29th, 2021

The foods we eat and the beverages we drink can slowly cause staining to the surfaces of our teeth. This type of staining is generally very superficial and can be easily removed by polishing the enamel surface of the tooth.  This is one reason why it is important to see your dentist at least every six months for a cleaning.

However, there is another type of staining that is not just on the surface and cannot be removed. This type of stain is caused by poor oral hygiene and is completely avoidable with good brushing and flossing. Having braces on your teeth will not doom you to have stains on your teeth.  In fact, the opposite is true.  Braces or Invisalign can give you a beautiful smile that you can achieve in no other way. That being said, proper care of your teeth is essential during orthodontic treatment. Teeth that are not cleaned regularly will be begin to accumulate plaque bacteria. Plaque bacteria can slowly leach minerals out of teeth causing light to reflect differently off of the surface of your teeth. This change can give the appearance of a white stain on the surface of the tooth – a portion of the tooth that appears whiter with an irregular border around it. This type of staining is often referred to as a “white spot lesion”. Over time, white spot lesions can progress into cavities if enough mineral is lost from the tooth. The area that loses too much mineral will cave in and create a hole in the tooth, thus the name “cavity”.

If white spot lesions occur, there are products designed to try to restore the lost minerals to the tooth to mask the appearance of the white staining.  While these products can help to some degree, they generally cannot restore the tooth to its original condition and some of the stain will remain. When this happens, the only way to eliminate the stain is to cover it up with some type of filling or veneer to mask its appearance.  While this is always an option, it is obviously much better to avoid the stain to begin with.

In our office, we use a sealant around the braces to help avoid any staining in patients who struggle with their brushing and flossing.  Fluoride rinses have also been shown to be effective in studies to help avoid white spot staining on the teeth.  However, nothing can take the place of good oral hygiene with regular brushing and flossing. Maintaining clean teeth during orthodontic treatment will pay dividends for the rest of your life. It is definitely worth the effort.

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