Category Archives: Board Certified Orthodontics

When Is The Best Age For Your Child’s First Orthodontic Visit?

orthodontic visit

Dr. Bert Kelling

Dr. Bert Kelling of Raleigh Orthodontics believes there is much more to taking care of your children’s teeth than teaching them how to brush and taking them to the dentist. Most parents realize that getting their children to brush thoroughly and floss, as well as getting their teeth professionally cleaned, are key elements of modern preventive oral care, but beyond that, is there anything else you should be doing?

Many families may not fully appreciate the importance of getting their children examined by an orthodontic specialist at an early age, in addition to their regular dental check-ups. While many parents think that such an exam is only about getting braces for their children’s teeth, there is really much more to this type of dentistry than meets the eye.

Raleigh Orthodontics is a specialty practice that focuses on the physical alignment of the teeth and jaws and promotes this in harmony with a healthy bite, comfortable chewing muscles and smooth functioning jaw joints. While the main methods of an orthodontist are braces, retainers, and a variety of other appliances-the goal of this orthodontic specialist is much more than just creating a pretty smile.

Orthodontic techniques, such as braces and expanders, are principally designed to correct problems that prevent proper eating, sleeping, and speaking or may hold you back from a bright, beautiful smile. The fact is that when your teeth or jaws are not lined up correctly, it will impact how you chew, talk, sleep, -and yes-smile.

Orthodontic treatment most frequently corrects crowded or spaced teeth, overbites, and cross bites. Some are just tooth related and some have to do with jaw growth. Any one of these problems can lead to headaches, poor chewing, snoring, and even pronounced susceptibility to decay from teeth that are difficult to reach while brushing. Expert orthodontic care will help you have a beautiful, healthy smile for a lifetime. For this, the timing of the first orthodontic evaluation is important.

What’s the best age for an Orthodontic evaluation? Even for parents who are aware of the importance of braces and orthodontic care, the question of when their children should first begin such treatment can be confusing. Some parents may consider waiting until their children begin to exhibit crooked teeth, have lost all their baby teeth, or complain of tooth positioning problems, but should they act much sooner?

Dr. Bert Kelling and most orthodontists agree that a child’s first orthodontic exam should be provided by an orthodontic specialist sometime around their 7th birthday. This enables the orthodontist to spot issues requiring treatment early, and to set up effective treatment to address them, before more complicated problems arise.

Based on his exam and findings, Dr. Bert Kelling can recommend anything from no treatment at all, to the use of expanders, or various braces. The goal of each of these procedures is to get the teeth to line up correctly to create a healthy environment for the eruption of future teeth and to harmonize upper to lower jaw growth. This allows for effective, comfortable eating and healthy jaw alignment.

Proper orthodontic care for your children starts early, but pays dividends by catching potentially complicated and costly problems before they develop. And the fact that orthodontic treatment results in gorgeous smiles is an added—and very welcome bonus.

Raleigh Orthodontics

At Raleigh Orthodontics, we take great smiles personally. Dr. Bert and his Raleigh Orthodontics team are committed to providing you expert customized Orthodontic care personally designed by Dr. Bert and delivered at each visit by Dr. Bert and his highly experienced team.

Raleigh Orthodontics

Dr. Bert Kelling
Board Certified Orthodontist

For further information check out this website below:
http://www.mylifemysmile.org

If you want more information here is a link for your use:  http://www.americanboardortho. Orthodontic health

The Chewing Mechanism and Orthodontic Health

orthodontic health

Let’s narrow our focus now, leaving ideas pertaining to overall health, and visiting what we call the chewing mechanism or orthodontic health.  Of course, what we use to chew, the jaw joints, teeth, and chewing  muscles and nerves, are  used for a variety of other functions, chewing is the most active use of these parts of our body.  We also use the chewing mechanism when we speak, breath and make facial expressions. Let’s look at the characteristics of a healthy chewing mechanism. In the chewing action you need the jaw joint to be smooth, flexible, and comfortable. The second area involved is the bite, which should be solid, stable, and easy to use. The last area is the muscles and nerves need to be relaxed, comfortable and balanced. If all works well, then you won’t need Dr. Kellings’ help, but when they are not working right you are in pain then Dr. Kelling is the person you need. He can diagnose where the problem lies then provide you with a treatment plan.

Jaw Joint
Open your jaw all the way then shut it. You will see that the movement is done by TMJ which is the temporo-mandibular joint. The bone that forms the side of the skull is the temporal bone and the mandible (the lower jaw). It is a small disc of cartilage that separates the bone so that the mandible may slide easily whenever you talk, swallow, kiss, etc. Damage to this complex triangular structure, just in front of the ear, can cause a lot of discomfort. To locate this joint put your finger on the triangular structure in front of the ear. Move your finger just slightly forward then press firmly while you open your jaw all the way then close it. You can feel the joint motion in your ear canal.

What causes pain in this joint? It is because of displacement of the cartilage disc that caused pressure with stretching of the associate sensory nerves. The popping or clicking occurs when the disk snaps into place as the jaw moves. The chewing mechanism may spasm, not function efficiently, then cause pain and tenderness. Causes of these problems are trauma to the jaw, teeth grinding, excess gum chewing, stress and psychological factors, of course, improper bite with a malpositioned jaw, then last but not least arthritis.

In cases of injury, ice packs soon after the injury help to reduce swelling. Stress reduction, relaxation techniques, NSAID, muscle relaxants are used for relief. Treatment can involve a splint to align the upper and lower teeth, and last but not least surgery. After surgery the MD may send you to an orthodontist for further treatment, and management of the joint and pain.

The Bite
The bite should be solid, stable, and easy to do. Teeth, muscles, jaw joint and more, are all parts of the chewing system. All of these parts must work together for proper functioning to maintain orthodontic health . When one or more of the parts does not work right or malfunctions, problems develop.

Chewing Mechanism

A very common problem we see is a disharmony of the chewing system. In a healthy chewing system we find harmony and no pain. The muscles are relaxed. The joint is stable and the teeth work in a protected environment. When teeth bite together in the “normal” bite, all of the teeth work in a protected space, the teeth should contact all exactly at the same time along the axis of the tooth. Our goal at Raleigh Orthodontics is to promote orthodontic health as well as physical health, well-being, to prevent disease in all of our patients.

Muscles and Nerves
Some of the symptoms (problems people have happen) related to a Bad Bite are:

Tooth Problems:
• Tooth with a little pain
• Pain that is severe with a tooth, then death of the nerve that
will lead to a root canal
• Loss of a tooth
• A tooth that hurts with cold and air movement.
• (abfraction) or “melting” of a tooth surface.
• Tooth enamel that is worn down by contact with something.
• Chipped, tipping, with misalignment of teeth

Muscle Problems:
• Regular headache
• (headache pain) Migraine type
• Muscle spasm
• (Radiating pain to other muscles, teeth, eyes, ears, neck) are called trigger points. In severe cases, the
whole upper body will become involved.
• (jaw feels tired) Sore, easily fatigued muscles
Use caution—severe pain cases should be evaluated by a qualified team of Doctors, Specialist in Dental problems with the symptoms you are exhibiting.

Bone Problems:
• Recession of gum tissue around the teeth
• Loss of supporting bone around the teeth
• Horizontal bone loss around front and back teeth

Joint Problems:
• Jaw joint pain in front of the ears one or both sides (sometimes deep into the ear. (The pain feels like that of an earache.)
• Popping, clicking, grinding, and locking of the jaw joint.
• Joint surfaces melt down.
• Protective disc deterioration.

Nerve Problems:
• Precision dental sensory perception is lost.
• Throughout teeth, head, neck, and upper shoulders have radiating pain. ((WARNING: radiating pain to left jaw and left arm may be a sign
a heart related issue.)

Functional and Cosmetic Problems:
• (Teeth disappear behind lips) collapsed bite.
• (Deepening of wrinkles) collapsed lower face.
• (Sore, wet spots on corners of the mouth) drooping smile.
• (Lips become thin and lack fullness) loss of lip support.
• Cannot chew effectively.
• Swallowing problems

Orthodontic Treatment

What is done if you have any of these problems? Because a bad bite problem is quite complex, a diagnosis is necessary before or treatment is started. Diagnosis of the dental problem will uncover the cause of the problem so proper treatment can be planned out. It is necessary to understand the cause of the problems to be able to create a proper treatment plan. You are doing this to sort out the medical problems for referral to a physician, with dental problems being handled by a dentist in the specialty that is needed. So before good dental treatment can begin a proper diagnosis must be made.

The final process is described above and it requires a significant commitment on your part to get the best results. Investing both your time and money allow you the best orthodontic treatment possible. There are many options to decrease the amount of time and cost of treatment, but may not provide you with the best results. Our goal is to work with you to find out what is your best option, so that you can reach the desired outcome. We want you to have that “Great Smile”.

Orthodontic Health

For information about Dr. Bert and his practice please contact him by email at this website: Raleigh Orthodontics

If you want more information here is an external link for your use:  http://www.americanboardortho.orthodontic health

www.mylifemysmile.org

Health Habits & Your Orthodontic Health

Health Habits

Great health habits help us enjoy a longer, happy live.  To promote this, we can consider the habits we have that support our health.  We can evaluate our health habits and see how well we’re promoting a long, health life for ourselves.  This gives us our health age. To arrive at our health age we first look at our health habits.  Which below apply to you?

Health Habits Checklist

1. Air __I do not smoke.
2. Water __I seldom or never have more than 4 alcoholic drinks per sitting.
3. Food __ I eat substantial breakfast every day or almost every day.
4. Exercise __ I take long walks or engage in sports, swimming, gardening or other physical activity at least 3 times per week.
5. Rest __ I regularly have 7 or 8 hours of sleep.
6. Regularity __ I seldom or never eat between meals.
7. Weight __ I weigh less than 20% above my desired weight.
To determine your health age, first look at the Health Habits Checklist printed above and count your total number of health habits. Use the Overweight Table printed below to determine if you are less than 20% overweight.

Overweight Table
Height (inches) Overweight Limit Men/Women
60                     130
61                      133
62                     136
63                     139
64                     154 /144
65                     160 /149
66                     164 /155
67                     169 /160
68                     174 /165
69                     180 /169
70                     185 /174
71                      190
72                      195
73                      200
74                      205
75                      212

From this point you need to look at the Health Age Chart. Find your age at the left and read across to the right until you are in the column under your number of habits. If this is a negative number congratulations!  Your good health habits are helping your health! Subtract this number from your actual age to get your health age. You’re younger than you thought!  If you find a positive number you have to add it to your age to determine your health age.  If you’re here you need to start some health habits!

Age    0-2Habit    3Habits    4Habits    5Habits    6Habits    7Habits
20-24    +14.3         +7.4          +0.5           -1.1           -4.2            -9.4
25-29    +15.6         +8.3          +1.8           -0.9          -4.5           -10.2
30-34    +16.9         +9.1          +3.0           -0.6          -4.7            -11.1
35-39    +18.2         +9.9          +4.2           -0.4          -5.0           -12.0
40-44    +19.4        +10.7         +5.4           -0.1           -5.2           -12.9

45-49    +20.7        +11.6         +6.7           +0.1          -5.5            -13.8
50-54    +22.0        +12.4        +7.9           +0.3          -5.7            -14.7
55-59    +23.3         +13.2        +9.1           +0.6          -6.0           -15.5
60-64   +24.5         +14.0       +10.4          +0.9         -6.2            -16.4
65-69    +25.8        +14.8       +11.6           +1.1          -6.5            -17.3
70-74    +27.1         +15.6       +12.8          +1.3          -6.8            -18.2

For example, if you are in the 35-39 age group and have only 0-2 health habits, your health habits age is actually 55.2 years. On the other hand, if you have 7 habits, your health age is 25. That is a 30 year difference for a 37 year old.*

*For information on health age research, ask us or contact Dr. Jack Zwemer at the School of Dentistry, Medical College of Georgia     Augusta, Georgia 30901.

What health habits can you start in order to have a longer, healthier, happier life?

If you’re more than 20% over your optimum weight dealing with this can be a big help.  You may need to work on weight control by increasing exercise or physical activity in addition to developing good eating habits. Healthy snacking, regular good physical exercise and controlling a healthy weight can really help your health age, for example.

Orthodontic Health Habits

Your health habits directly reflect on your  dental and orthodontic health. Fewer snack and ewer carbohydrates reduce plaque growth in the mouth. Smoking endangers oral health by promoting serious mouth cancers and undermines  health age as well.

Changes in your health habits now will impact you for the rest of your life. We want you to have that “Great Smile” you are working toward. Our team here at Raleigh Orthodontics will support you toward reaching your ultimate goal.

Exercise can be fun with a workout buddy so a gym might be your answer. They have a number of work-out machines that will give you a choice on exercise routines.  If joining a gym is not in your budget, there are other ways to increase your physical activity to help control your weight.

Consider side walks or walking tracks. Even in small towns, you can find a walking path or a place to walk. If walking or exercising is not your cup of tea, try playing sports. They have adult ball teams, tennis, and usually a small walking track or a list of areas that can be used by females that are secure.

Getting sufficient sleep and rest is a great health habits. Restorative sleep helps us do our best work, enjoy it more, and enjoy the people around us in a positive mood.  Excellent rest helps us manage lifestyle stresses.  Having many health habits and reduced stress will lead us to bright smiles as we enjoy our orthodontic health.

In our next blog we’ll deal with lifestyle stresses and how they build-up.

For information about Dr. Bert and his practice please contact him by email at this website: Raleigh Orthodontics

If you want more information here is an external link for your use:
Orthodontic Health.

WWW.uic.edu/dept/ortho/index.html

LET’S DEFINE WELLNESS AND LIFESTYLE

well-being

Wellness incorporates spirituality, psychology, and the physical wellness. All these influence our general well-being and can have effects on the health of our teeth, chewing muscles, and jaw joints- our chewing mechanism.

This article shows how the characteristics of our lifestyle and wellness are balanced and help to define what we mean by “wellness”.

Wellness Characteristics

There is no universally accepted definition of wellness, so here are some of the characteristics that help describe wellness:

State of well-being
State of acceptance or satisfaction with our present condition
Meeting high standards for quality of life and a sense of well-being.

Wellness is an active process of learning to make choices that lead toward a longer and more fulfilling life. Wellness is a process always needing attention and looking for opportunities for improvement. Maintaining awareness of our health keeps us continually improving and seeking more knowledge about how we can improve our health choices. We actively choose from among many options that could affect our health, but what we have to do is pick the “best” options.
The choices we make to support our wellness is our lifestyle- our style of life. Don’t you want to have a style of life that keeps you healthy and happy? Let’s look at some specifics of our lifestyle.

Lifestyle Issues

Wellness is the freedom from disease –not being sick—it means you are healthy and well. Every individual is responsible for themselves and making choices for maintenance of their level of well- being. Here are the main areas to pay attention to: proper weight, good nutrition, ample physical activity, and get proper exercise and rest.  Also and very importantly we need to take control of health risks factors like the use of tobacco, alcohol and drug use/abuse.  Eliminate tobacco and elicit drug use and limit or eliminate alcohol use in order for the healthy habits to be effective.

Research studies show that Americans who make smart lifestyle choices are healthier, happier, more productive, miss less work, have lower health care costs and even live longer.

Lifestyle choices are important in determining overall health, so it’s important for you to be educated about your health, “take charge” of your life, and have healthy lifestyle-related goals.

The focus is not in the healthcare, but the healthy self-care. While traditional western medicine is focused on alleviating disease, the wellness approach to health encourages you to be responsible for your own well-being. Wellness is a proactive and preventative approach that is designed to provide optimum level of health, with fulfilling emotional and social functioning.

Wellness involves recognition that we have psychological, physical, spiritual and social needs that are all necessary for us to enjoy life to the fullest. Wellness emphasizes the whole person. It brings together spirit, mind, and body; and the understanding that all we do can be impacted by the choices we make.

Dr. Bert and his staff want all their patients to pay attention to their wellness. Dr. Bert wants each of his patients to know that they have the ability to influence their wellness thru healthy lifestyle choices. The great smiles he and his patients create together are a revelation of a happy and well inner self. They let everyone know that you are good inside and out. You are able to have a healthy lifestyle and make good choices for your own well-being. Achieving your full wellness potential will give you the bright, happy smile you’ll love to show off.

We will share more about health and wellness and how your teeth, jaw joints and chewing muscles are important to wellness as we continue our blogs. We hope to see you soon in our office for a visit or follow-up.

For information about Dr. Bert and his practice please contact him by email at this website: Raleigh Orthodontics

If you want more information here is an external link for your use:

More websites to view information: www.snhu.edu/2354.asp

www.orthodontics.com