Monday, November 25, 2013

Braces-Friendly Holiday Recipes

Happy Holidays from Orthodontics on Silver Lake!

At Orthodontics on Silver Lake, our orthodontist Dr. Steckel, helps patients achieve their best smiles possible and supports them every step of the way. Certain times of the year are more difficult than others when it comes to eating braces-friendly food, and we know the holidays can be a challenge, so our team put together our favorite braces-friendly holiday recipes to share with you!

Foods to Avoid with Braces

Before we get to the delicious recipes, it’s important to remember what foods to avoid as these can damage your orthodontic appliances and result in unplanned appointments, additional costs and lengthier treatment times.

  • Cut chewy foods: Cut chewy foods into very small, swallow-size pieces
      
  • Eat thinly sliced vegetables and fruit
     
  • Avoid sticky foods: Bubble gum, jelly beans and sticky fruit snacks
     
  • Avoid hard, crunchy foods: Hard candy and peanut brittle
     
  • Limit sugary foods: Sweets and soft drinks that can cause tooth decay under the appliances, so please brush and rinse after eating.

Cream Corn
 
One of the things our patients miss the most around Thanksgiving is corn on the cob! You can always use a knife to cut off the kernels, but if you’re going to eat corn off the cob then you don’t want to miss this delicious cream corn recipe!


Ingredients
  • 2 (10 ounce) packages frozen corn kernels, thawed                                             
  • 1 cup heavy cream                                      
  • 1 teaspoon salt                                                       
  • 2 tablespoons granulated sugar                         
  • 1/4 teaspoon freshly ground black pepper
  • 2 tablespoons butter
  • 1 cup whole milk
  • 2 tablespoons all-purpose flour
  • 1/4 cup freshly grated Parmesan cheese
Directions

In a skillet over medium heat, combine the corn, cream, salt, sugar, pepper and butter. Whisk together the milk and flour, and stir into the corn mixture. Cook stirring over medium heat until the mixture is thickened, and corn is cooked through. Remove from heat, and stir in the Parmesan cheese until melted. Serve hot.

Creamy Garlic Mashed Potatoes

For patients who have recently had their braces put on or tightened, eating can be uncomfortable for the first few days, so try our creamy garlic mashed potatoes as a delicious side to enjoy at Thanksgiving dinner.


Ingredients
  • 3 1/2 pounds russet potatoes
  • 2 tablespoons kosher salt
  • 16 fluid ounces (2 cups) half-and-half
  • 6 cloves garlic, crushed
  • 6 ounces grated Parmesan
Directions

Peel and dice potatoes, making sure all are relatively the same size. Place in a large saucepan, add the salt, and cover with water. Bring to a boil over medium-high heat and then reduce heat to maintain a rolling boil. Cook until potatoes fall apart when poked with a fork.

Heat the half-and-half and the garlic in a medium saucepan over medium heat until simmering. Remove from heat and set aside.

Remove the potatoes from the heat and drain off the water. Mash and add the garlic-cream mixture and Parmesan; stir to combine. Let stand for 5 minutes so that mixture thickens and then serve.

Giving Thanks this Thanksgiving

Getting together with local friends and family over delicious meals in Dover is one of our favorite parts of the holidays. We also like to take the time to give thanks. Your orthodontist, Dr. Stephanie Steckel, wanted to share with all of her patients what she’s thankful for this season:

Our wonderful patients and families that trust us with their smiles, my talented OSL team members that inspire me everyday and my wonderful family and good health!


Our Orthodontics on Silver Lake team wishes all of our patients a happy and safe holiday!

Monday, October 21, 2013

"Thanks Dr. Steckel- we're glad we consulted with you at the right time!"

October is Orthodontic Health month. If your little Ironman, Princess or (fill in your 2013 costume selection here=__________________) is 7 years old, then it's time for an orthodontic consult. 

Why age 7 years? The teeth and jaws are developing and some emerging problems are easier to correct if found at this age. For these reasons, the American Association of Orthodontists recommends an orthodontic consult no later than age 7 years.

Your family dentist may refer you for this consult, and Dr. Steckel communicates her findings with you, your child and your dentist. Also, you and your child can consult with Dr. Steckel without a referral.

Some orthodontic problems are inherited, and some are caused by harmful habits. Some orthodontic problems are noticeable by the patient and parent, and some are not without an x-ray and clinical exam by Dr. Steckel. Proper timing of treatment is based on the type of problem present, esthetic concerns, and other concerns that are discussed. Examples of some younger patients and their concerns are shown below:

The 7 year old patient (below) and her mom saw she did not have room for her teeth coming in, and she had a cross-bite on her right side. Her jaw was shifting as well-this is a big concern. The after view shows the results after the upper jaw was expanded, and upper braces used.
See how her teeth now line up in the front?



The 8 year old patient (below) had a cross-bite in the front and blocked out teeth. She had braces for less than a year to correct the damaging cross-bite-see her results to the right. This correction also reduces the risk of losing the lower permanent tooth.



The 6 year old patient below had a cross-bite due to her jaws not growing properly. See how flat her face is from the side? She was treated to correct her jaw position- see how her profile is much improved on the second image?

 
 

As you can see, there are malocclusions that are best treated early with the goal to reduce the future need for extractions and or jaw surgery; and address esthetic concerns. That being said, there are malocclusions that can wait for the proper time to take advantage of greater growth potential and to streamline the orthodontic experience.

In summary- the best time for an evaluation is 7 years of age. The best time for treatment is best decided with an orthodontic consult. Call Orthodontics on Silver Lake (302) 672-7776, to schedule your child's consult-it's fun, informative, and not scary!

Monday, September 23, 2013

Good, Better, "Best"? Braces

When a patient is referred for orthodontic treatment these days, many times he/she will learn or ask questions about braces before arriving at Orthodontics on Silver Lake (OSL). 
 
The internet can provide brand names of braces (brackets) and it is sometimes confusing. Some marketers claim superiority for things like treatment results or saving time.  There has been significant research done - nine randomized clinical trials, and two systematic reviews (1). The research found there is no enhanced efficiency in using self-ligating brackets.
 
So, there is no "Best".

Traditional metal brackets with colors

Self-ligating metal brackets

 
Self-ligating ceramic brackets

                                                                
Good vs Better?
 
By definition, self-ligating brackets or braces hold the wire without an extra tie or color. The wire is positioned into the bracket and the door is closed to securely hold the wire.  Non self-ligating brackets usually have colors applied to the bracket to hold the wire - there is no door. The colors can loosen and not hold the wire as securely, but this problem is not common.
 
Some of the key benefits of using self-ligating brackets seen @ OSL:
  • The patient's teeth will more likely move along the wire as prescribed. 
  • These brackets are also easier to adjust chairside, and therefore the patient's time in the chair has been shown to be slightly less. This is great for our busy families and patients!
  • There is less surface area to clean than with non-self-ligating  brackets-easier homecare.
 
Benefits of Non-Self-Ligating brackets:
  • Colors! 
  • Consistent improvements in design have made these brackets a reliable option as well for our patients.
 
Ultimately, the orthodontist's experience with a variety of brackets can optimize the outcome, regardless of the type of bracket/braces. Braces are only a tool we use for achieving excellent results and addressing the patient's concerns. See you next month!

Reference
1. Fleming, P.S. and O'Brien K., "Self-ligating do not increase treatment efficiency" Am. J. Orthod.,143:11-19,2013. 

Thursday, August 22, 2013

Are Straight teeth Healthier Teeth?


 
Patients who consult with me at Orthodontics on Silverlake (OSL) about their smile are motivated to make changes so that their teeth are straighter and their smile is more esthetic and appealing. They can point to the pictures we take at the consult and tell me what they want to change about their smile. It's an exciting time because orthodontic treatment is in most cases a very predictable process that yields excellent esthetic results for our OSL patients. 
Malocclusion also known as a "Bad Bite" affects about 75% of American adults. Malocclusion can include an excessive overbite, protruded front teeth, crowded teeth, and other conditions. When your teeth are not well-aligned they are harder to clean and this can increase your risk for periodontal or gum disease.
There is strong epidemiological evidence that periodontal disease provides an increased future risk for cardiovascular disease, and there is also a moderate link associating periodontal disease with diabetes. (1,2)
One study (3) found orthodontic treatment normalized the
bite forces on the newly-straightened teeth and resulting recovery of the gum tissues, even a year after orthodontic treatment was completed.  Another study (4) found that  overlapping of  incisor teeth is directly related to gingivitis (which can lead to periodontal disease) and this relationship cannot be explained simply by an effect on oral hygiene.  
So, straight teeth are healthier teeth. 
Invisalign® Treatment can be used to address most patients’ malocclusions and esthetic concerns.  The patient pictured below finished her orthodontic treatment in 18 months:

 
 

 

 
 
                            




Call us at Orthodontics on Silverlake  (302-672-7776) to discuss your healthier smile!


References:
1.   Periodontitis : A future risk of acute coronary syndrome? A follow-up study over 3 years. Rehnvert S. Ohlsson O., et al., J. of Periodontology (7/2010)
2.   Perio.org: New Reports confirm perio-systemic connection and outline clinical recommendations (AAP)
3.   Eismann, D., Prusas R. Eur J Orthod. 1990 Aug;12(3):281-3. Periodontal findings before and after orthodontic therapy in cases of incisor cross-bite.
4.   Eur J Orthod. 1998 Feb;20(1):65-72.
The relationship between irregularity of the incisor teeth, plaque, and gingivitis: a study in a group of schoolchildren aged 11-14 years.