How to Clean Your Teeth With Braces: Expert Tips from an Orthodontist

If you're among the many people who've embarked on the journey of orthodontic treatment with braces, you're likely aware that maintaining oral hygiene becomes a bit more intricate with brackets and wires in the equation. Braces create numerous nooks and crannies where food particles can become trapped, making it crucial to adapt your oral care routine for optimal health. In this guide, I will share some essential tips and recommended products to help you maintain a clean and healthy smile during your braces journey.

1. Clearing Out Food After Every Meal

The first and most fundamental step in caring for your teeth with braces is clearing out food debris after every meal. Food particles tend to cling to brackets and wires, creating a haven for harmful bacteria. This bacterial activity increases acidity in your mouth, which can lead to tooth decay and other oral health issues.

To combat this, consider these strategies:

• Brush Your Teeth: After eating, brush your teeth thoroughly to get rid of food particles that got lodge during eating.

• Rinse with Water: If you’re in a situation (or place) where you’re unable to brush at the moment rinse your mouth thoroughly with water. This simple step can also help dislodge larger food particles from your braces.

• Stay Hydrated: Drinking water throughout the day can aid in keeping your mouth clean. It encourages saliva production, which naturally helps wash away food debris and balance oral pH levels.

• Swish and Rinse: Incorporate swishing and rinsing with an antimicrobial mouthwash after meals. This practice also helps to remove lingering food particles and reduces the build-up of bacteria.

• Avoid Sticky and Sugary Foods: Be cautious about the foods you consume. Sticky and sugary treats like starbursts or jelly beans are particularly problematic as they can easily get lodged in your teeth and braces. These remnants not only threaten to dislodge brackets but also provide a feast for harmful bacteria, leading to accelerated tooth decay.

2. Flossing Is Non-Negotiable

Flossing becomes even more critical when you have braces. While you might have been less diligent about flossing before, it's time to make it a regular part of your routine—ideally every day or at least every other day.

Here are some flossing options to consider:

• Interdental Picks: These are excellent tools for navigating the tight spaces between wires and brackets. Interdental picks make it easier to floss effectively with braces.

• Floss Threading: If you prefer traditional floss, invest in a floss threader. This tool allows you to thread floss behind the wires, enabling thorough cleaning between teeth.

• Water Flossers: Water flossers are a fantastic addition to your oral care routine. They use a stream of water to dislodge food particles and plaque. Look for one that comes with specialized orthodontic tips for the best results.

3. Brushing Techniques for Braces

Proper brushing is paramount when you have braces. The challenge lies in effectively removing biofilm from the tooth surfaces, which is more challenging with brackets and wires in the way. To tackle this, consider these tips:

• Opt for a Sonic Toothbrush: A sonic toothbrush with a small brush head is ideal for braces. The smaller head can reach around each bracket with ease. One excellent option is the ProClean brush head from Ollie, which is smaller and is designed to get into those hard-to-reach areas.

• Vibrational Cleaning: Sonic toothbrushes use vibrations to clean your teeth, eliminating the need for vigorous back-and-forth movements that can be problematic with braces.

• Decalcification and White Spots: With braces, there's an increased risk of decalcification, which can lead to white spots on your teeth. Using fluoride and/or hydroxyapatite toothpastes and a remineralizing mouthwash can help mitigate this risk.

Recommended Products

• Sonic Toothbrush: Sonic toothbrushes use vibrations to clean your teeth, eliminating the need for vigorous back-and-forth movements that can be problematic with braces. Ollie’s sonic toothbrush with the ProClean brush head is gentle and small with effective cleaning action that is perfect for maintaining oral hygiene with braces.

• Hydroxyapatite - Fluoride Toothpaste – Ollie has a specially formulated toothpaste that has both fluoride and hydroxyapatite that fights cavities in more ways than other toothpastes.

• Floss: Flossing is non-negotiable with braces and nothing replaces the effectiveness of traditional string floss. But, if you’re in braces you must invest in a floss threader. This tool allows you to thread floss behind the wires, enabling thorough cleaning between teeth. Ollie’s silk floss is a great option for use with your floss threader.

• Ollie Ortho Kit: The Ollie Ortho kit includes a sonic toothbrush with micro brush heads tailored for orthodontic care. Its gentle yet effective cleaning action is perfect for maintaining oral hygiene with braces.

Ollie’s products are great for overall oral care. Try Ollie products with discount code; UNORTHODOC10 for 10% off. 

While caring for your teeth with braces requires some adjustments to your daily routine, it's well worth the effort. Following these tips and using recommended products like those from Ollie can help ensure a clean and healthy smile during your orthodontic journey. Remember that maintaining good oral hygiene now will lead to a beautiful, confident smile once your braces come off.

4 Benefits of Taking a Data-Driven Approach to Run Your Dental Business

This is a guest post by Bash Sarmiento

With how hectic the everyday operations of a dental practice can be, sometimes big-picture strategies are left on the back burner. However, adopting a data-driven approach and analyzing your dental business’s data is one of the surefire ways to recognize opportunities that can improve your practice. 

Here are four reasons why you should run your dental business with a data-driven approach:

1. You figure out what works and what doesn’t

Managing your private dental practice means that you’re monitoring a lot of moving parts, from your patients to your staff to your inventory and everything in between. Being able to gather information about the different aspects of your business allows you to assess what’s working, what needs improvement, and what can be eliminated. 

You are also able to distinguish any blind spots or weaknesses in both your business and actual practice. While trusting your intuition is always a good approach, this may cause you to overlook crucial opportunities for improvement, SoftwarePundit points out. Not studying your data may lead you to overestimate certain features of your practice that can be detrimental to your performance. 

Being more mindful of your business’s data, staying on top of collecting, measuring, and analyzing them, helps you identify opportunities to improve. It can also maintain and enhance cost-benefit ratios for both the dental care providers and the patients. Gathering and analyzing data doesn’t have to be labor-intensive like you might think, you can easily create an automated Google sheet dashboard to better showcase your data.

Improvement does not always have to be grand either, as big-picture metrics may not properly encompass the day-to-day way things operate. Adopting changes according to your data analysis may not present an immediate impact, but over time and with the right approaches and techniques, you will find that you are getting your desired results in the most efficient way possible. 

2. Your patients will receive better care

Analyzing your data makes it easier to catch details regarding your patients’ oral health, like whether or not you are experiencing high patient attrition rates or you could possibly be underdiagnosing certain oral diseases compared to the national statistics. Of course, to realize the latter, you must first be able to gather the appropriate data in your own practice to refer it to the national averages.  

The best way to gather patient data efficiently is to consider switching to electronic dental health records (EDRs). This gold mine of data can greatly help you better organize your patients’ information and assess your delivery of quality care.

Your metrics coupled with discussions with your staff on how to better approach these oversights will greatly benefit your patients as you provide them with quality care and services. It also keeps your practice running efficiently to deal with different cases.

3. The numbers are great motivators

By having the hard data, not only are you able to see how your business is doing currently, but it also helps you set reasonable and attainable goals moving forward. Sharing your data with your staff can also help them understand any problems you, as a collective, might be facing or any points of improvement everyone can contribute to refining. 

Your data can support any areas you are excelling in, while also presenting any probable lapses in services or operations. Since each team member has their own role, they can focus on the data related to their responsibilities and possibly help their colleagues in their respective fields too. Your team may be able to effectively meet and even exceed their goals given the data available to them. 

As you continue to measure your data and see that the metrics are improving, presenting the positive changes to your staff can be a great motivational tool for them. Recognizing your staff’s hard work and being able to back their improvement with tangible data can make the praise all the more rewarding. This can also improve your employees’ satisfaction rate in the business which in turn creates a culture of growth and continued improvement in the team.

4. Improvements beyond your own practice

The data you gather will not only help improve your own business but can serve a greater purpose for the dental community as a whole. Newer technology makes it possible to provide and access a plethora of dental record data which makes it easier to study which dental therapies work and which need updating, according to Dental Economics. Problem-solving and advancements in the dental industry may now be easier to develop as the data required to promote these changes will be easier to gather, manage, analyze, and access.

Data in this day and age is a valuable commodity. While it may take some time getting used to staying on top of recording and analyzing your data will greatly impact your business. Adopting a data-driven approach to your practice will not only propel you to a more efficient and successful dental practice but will also aid in the movement towards an improved dental industry.

Meet bash Sarmiento

Bash Sarmiento is a writer and an educator from Manila. He writes laconic pieces in the education, lifestyle and health realms. His academic background and extensive experience in teaching, textbook evaluation, business management and traveling are translated in his works.

Find him on Instagram and LinkedIn

How To Keep Your Teeth Clean With Braces

Congrats! You’re embarking on a journey of having a beautiful and healthy smile. Braces aren’t dreaded like in the past; now they cool and fun and every teenager (even adults too) want in. Now that you have braces, your teeth are a bit more tricky to keep clean. Brushing and flossing should be done at least twice per day, but with braces you should brush your teeth and/or rinse properly after every meal and snack. Always keep your toothbrush handy! Food particles and plaque can become stuck to the brackets which leaves you more at risk of tooth decay.

Here are six ways to keep your teeth clean when wearing braces, along with some recommended products:

1. Brushing, of course!
Rinsing your mouth with water or mouth rinse before brushing can help to break up loose food particles and make brushing much easier. Brush with a toothpaste that contains fluoride or nano-hydroxyapatite. Begin at the gum line and brush your teeth at about a 45-degree angle. Then brush the top of the brackets, followed by the bottom of the bracket. The goal is to brush every tooth at the gum line and along the brackets so that as much tooth surface as possible is cleaned.
Replace your toothbrush or brush head (if your toothbrush is electric) more frequently due to the wear and tear from the braces, ideally every 3 months. A good choice is Boka Brush, an electric toothbrush that uses sonic power to deliver a gentle yet effective clean. It is also recommended that you carry a travel toothbrush in your book bag or purse.

2. Flossing
Flossing is just as important as brushing! and it remains equally important when you have braces. Using a floss threader can make flossing a lot easier. Let’s admit, although very necessary flossing isn’t always fun, that’s why fruit or minty flavored floss like Ela Mint from Boka encourages flossing.

3. Water Flosser
A water flosser can also be used before/after brushing to remove any stubborn food particles that are stuck around the braces or between the teeth. I usually recommend a water flosser especially to my younger patients, but note that it is not a substitute for string floss.

4. Mouth Rinse
After brushing, use a mouth rinse to get rid of any remaining bacteria that can cause inflammation of the gums and cause decay. Not to mention, rinsing also helps your breath to remain fresh! Remember that rinsing is not a substitute for brushing and flossing.

5. Don’t Forget Your Tongue

Did you know 80-90% of the bacteria that causes bad breath reside on the tongue? In addition to brushing, flossing and rinsing, try using a tongue scraper to keep your breath smelling fresh and clean.

6. Braces-Friendly Diet
There are certain foods you will want to avoid when wearing braces. Foods and drinks with a higher acidic content are not as friendly to your teeth as those with a lower acidic content. For example, bananas are better for your teeth than oranges, water and milk are better than soft drinks, and so on. Ask your Orthodontist for a full run down of the foods you can and cannot eat with braces.

If you’re looking for an all-natural oral care product, try boka. Their toothpaste uses n-hydroxyapatite instead of fluoride, is SLS an parade free and their floss is made of vegetable wax. Use this link or enter code: theunorthodoc to get 20% off your purchase.

Brush, Floss, Rinse - Repeat!

This is a sponsored post and may contain affiliate links.

Are Virtual Dental Visits Here To Stay?

In light of the COVID-19 pandemic many industries and organizations have been forced to adapt and fast track digital transformation to continue providing services. Schools have adopted remote learning, many employees are working from home and dentists are using teledentistry services to consult patients. Although some businesses may revert to their former practices after the pandemic, many others will leverage new technology to provide additional benefits and attract new customers and patients.

What is teledentistry?

During the height of the pandemic, many dentists had to postpone elective and non-urgent dental procedures. In an effort to continue offering services, albeit limited, dentists had to adopt teledentistry (virtual dental visits) to reach patients. It was used typically for patients with dental problems in order to decide whether a face-to-face dental appointment was needed and in some cases keep in touch and follow up with patients after appointments. Now, it has evolved to where this is now how some dentists conduct initial consultations for patients before being seen in person.

Teledentistry has allowed patients and doctors to speak with each without risking exposure to the virus.

Benefits of Teledentistry

Teledentistry was already in place but many dentist were very slow to adopt it. However, the pandemic brought to light the many benefits of it. It is not hard to see how its adoption could continue to rise and be a mainstay in practices. Teledentistry:

1. Improves access to care: Patients in rural areas, who are home-bound and the elderly may have trouble finding and getting to a dentist. Tele dentistry helps to break down those barriers and gives these patients a chance to see and talk to a dentist about their dental problems.

2. Is Convenient: In essence, it cuts down time away from work and thus helps patients to stay employed and avoid loss of income.

3. Reduces cost: In may practices, virtual consultations are free of charge and subsequent appointments are of a lower cost to the patient. Seeing a patient remotely also means the dentist does not have to use up valuable resources like gloves, masks, gowns, other supplies and chair time.

4. Less intimidating: Many individuals experience dental anxiety when going to the dentist. Being able to speak with or see a dentist in the comfort of your own home is a far more comfortable experience.

5. Frees up dentists’ time for clinical work: Many patients have minor dental problems that do not need face-to-face time with the dentist. If using teledentistry can address those problems, dentists would have far more time to treat patients whose needs they can treat only in a face-too-face visit. 

6. Improves oral hygiene education: One of the key advantages of teledentistry is the chance to educate patients on good oral hygiene practices. Teaching patients to brush and floss, providing education and giving advice about health concerns can all be done using teledentistry.

How Teledentistry Works

It’s never been easier to be able to communicate with a dentist and there are several methods of delivering dental care via teledentistry. A dentist and patient can use their computer with video that allows them to speak directly to each other or they can do so via an app with can be downloaded to their smartphone. With each option, the patient can take pictures of their teeth and smile so that the dentist can make treatment recommendations in real time. Doctors can also use it to communicate with each other (sending X-rays, photographs, etc) about mutual patients as most of these programs are HIPAA compliant.

Here To Stay

Because of the it’s advantages (listed above) and the effects of the pandemic of the field of dentistry, delivery of dental care via teledentistry has enormous potential, and thus I believe it is here to stay. Widespread internet access and the proliferation of smart phones also make it very easy to implement and adopt.

What are your thoughts?

4 Simple Ways To Keep Your Clear Aligners Clean

If you’re going through the process of aligning/straightening your teeth with clear aligners, like Invisalign or Clear Correct, you know first hand that it can get pretty dirty. As an Orthodontist I’ve seen my share of gunky aligners. If you’re having trouble keeping them clean, here are some tips to keep them fresh and free of gunk:

1. Soap and Water

The simplest way to clean your aligners is to use gentle liquid soap with lukewarm water. Brush them gently with a soft bristled toothbrush or mix the solution in a cup to form suds. Soak your aligners in the soapy water for 20–30 minutes, then rinse with plain water.

2. Vinegar and Water

In a cup, mix one part white vinegar to three parts luke-warm water. Soak your aligners in the liquid for 15 minutes, then rinse in cool plain water.

3. Peroxide and Water

Soak aligners in a solution of equal parts hydrogen peroxide and luke-warm water for 30 minutes, then rinse thoroughly in plain water.

4. Retainer or Aligner Cleaner

Cleaners like Ever Smile White Foam or Retainer Brite are very good at keeping aligners clean. Ever Smile is a minty foam made with hydrogen peroxide that is spread on your aligners and put directly back in the mouth. The hydrogen peroxide destroys bacteria that causes bad breathand tooth decay and you get the added benefit of some whitening over time. Retainer Brite is great as well, they are dissolvable tablets that you place in a cup of water , leave the aligners there for about 30 minutes. 

How *not* to clean aligners:

1. Hot Water

Never use hot water to clean your aligners. Hot water will warp and change the shape of the plastic making it unable to fit.

2. Mouthwash

Mouthwash is great to rinse your mouth with but never for your aligners. The coloring used in most mouthwashes can permanently stain your clear aligners.

3. Toothpaste

Contrary to popular belief, toothpaste must never be used to clean your aligners. Toothpaste has abrasive properties that will create scratches in the plastic. Scratched plastic will not look as clear and will be noticeable.

4. Other Solutions

Solutions like bleach, alcohol and other harsh chemicals can permanently warp your aligners.

Bonus tip:

Always brush and floss your teeth before putting your aligners in, and always give them a rinse when you remove them.

My Interview on Oral Health Disparities & Orthodontic Basics with Dialosophy

I had the wonderful opportunity to meet with Adia Louden of Dialosophy and answer some questions on oral health, oral health disparities , and to go over some Orthodontic basic. Enjoy our Q & A session below:

Q: Dr. Smith, thank you for agreeing to talk with me on Dialosophy. I think before we get started…I’d be especially interested in hearing a bit of your story. How’d you get into orthodontics? And please don’t hold back. Educate us on the difference between dentists and orthodontists. What do kmorthodontists do?
A: I developed a liking for dentistry at around the age of 16. At that time, I was headed to college and I had to choose a major (I am Jamaican, at that time it was customary to finish high school at age 16). I had a family friend who was a dentist who encouraged me to pursue a career in dentistry, so I enrolled in the dental hygiene program at Northern Caribbean University - the only dental related program in the country at the time. Towards the end of my program I realized I wanted to do more than just clean teeth. That's when I decided to become a dentist, so I moved to the US, got a bachelors degree in Biology and applied to dental school. I was accepted into Howard University in 2010. After my first year I really started thinking about specializing. At first, I thought I wanted to be an Oral Surgeon (dead wrong, I don't have the personality for it). I started frequenting the Orthodontics department and quickly fell in love with it, so I did everything to align myself with getting accepted into Orthodontics residency. Quite a number of people don’t know the difference between an Orthodontist and a dentist. Orthodontics is a specialty of dentistry that focuses on aligning the jaws and teeth. We focus on how teeth meet and function, how they are aligned, how they are set in the jaws, and the positioning and sizes of the upper and lower jaws. Orthodontists go through two to three years of additional training after the initial four years of dental school. 

Q: Thank you for sharing. So, let’s get right to it. Oral hygiene. Something that’s clearly important, but I know I’m not alone when say I often neglect it. I recently read about the oral health disparities that exist in our country, especially among people of color. So, I want to take a moment to ask you to expand on just how important is our oral care really? What do you recommend as “proper” oral care habits?
A: Oral healthcare is more important than a lot of people might realize. Your oral health can clue you in as to your overall health and conversely, your overall health can affect your oral health. Brushing, flossing and using a mouth rinse at least twice per day to remove the bacteria from the mouth are steps to make in forming proper oral care habits. 

Q: What is being done to address the aforementioned oral health disparities in our nation? Especially among women and communities of color. 
A:  Despite major improvements in oral health for the population as a whole, oral health disparities exist for many racial and ethnic groups, by socioeconomic status, gender, age and geographic location. The economic factors that often relate to poor oral health include access to health services and an individual’s ability to get and keep dental insurance. This is an issue that different dental organizations have been trying to address. Interventions such as community water fluoridation, school-based dental sealant programs, incentive programs for dentists to live and work in deep rural areas and the implementation of dental auxiliaries are ways in which these issues are being combatted.

Q: I believe I saw on Instagram that you have your own organization where you venture and do mission trips to aid in disparity efforts globally. Please tell us about what you have done personally to address oral health disparities. 
A: Correct. I am the co-founder of a dental non-profit organization “Dental Helping Hands” 
along with two of my classmates/colleagues from dental school. It was founded to provide dental health services to underserved communities in developing countries. Our aim is to empower and support the communities we serve by partnering with local dental professionals to share knowledge. By providing communities with education on preventative measures to improve dental health, we honor, support and empower those with less and assist them in becoming self-sufficient. Our goal is to focus on preventative education while providing patients with a safe environment for necessary care. 

I do at least one mission trip to my home country, Jamaica, per year and provide dental services to people of a deep rural  area with no access to dental care. I partner with Dr. Mark Edwards, my mentor and the dentist who encouraged me to get into dentistry. He’s also the Dean of the College is Dentistry at the University of Technology and so we get student volunteers from the two dental schools on the island and dental hygiene students from my alma mater - Northern Caribbean University to help carry out our mission. 


Q: Is there a connection between oral health and other health conditions? Which oral health symptoms should NOT be ignored?
A: Oral healthcare is more important than a lot of people might realize. Your oral health can clue you in as to your overall health. The oral cavity has a lot of bacteria (mostly harmless) but the mouth is the gateway to the digestive and respiratory tract. Blood vessels in the mouth also have a direct connection to the heart. Normally, the body’s natural defenses and good oral hygiene habits like daily brushing and flossing (at least twice per day) keep bacteria under control. However, without proper oral hygiene bacteria can reach levels that might lead to oral infections, such as tooth decay and gum disease. It can also lead to endocarditis, cardiovascular disease, pregnancy and birth complications and pneumonia. Other health conditions like diabetes and osteoporosis can drastically affect oral health.


Q: I think with so many trends going around now like charcoal toothpaste, which I’m currently trying ,….and at-home whitening systems…and home remedies such as oil pulling and baking soda…it can be confusing AND EXPENSIVE finding ways to whiten your teeth. How can we improve the whiteness of our teeth?  Do you have any favorite products that you’d recommend?
A: Don’t underestimate the power of brushing and flossing, that’s key. Teeth inevitable begin to yellow with age, but a range of strategies can slow the progress or reverse it. Ways to whiten teeth are brushing with baking soda, using hydrogen peroxide, drinking coffee or tea through a straw, getting regular cleanings at the dentist’s office, over the counter whitening products like whitening strips and gels, and in office professional whitening at the dentist’s office. One of my fave whitening toothpastes is Crest 3D White/Brilliance.

Q: Merging into some orthodontic basics, what are some of the most common orthodontic problems?
A:  The most common orthodontic problems are crowding, excessive spacing, abnormal eruption of teeth, a cross bite, underbite, overbite and excessive over jet. 


Q: I imagine it’s common for children to get braces more than adults. And from talking to a few older women, braces doesn’t seem like a move older women try to make because of a variety of reasons (“beauty standards” probably being one of them). I have also noticed a few parents that will wait for their children to get braces. So, is there an “ideal age” for orthodontic treatment?
A: Most people think that the best time to have their child see an Orthodontist is during the pre-teen and teenage years. However, there are good reasons to have your child get an orthodontic evaluation a lot sooner. The American Association of Orthodontists (AAO) recommends a check up with an orthodontic specialist no later than age 7. 


Q: Does dental hygiene and orthodontic treatment differ during pregnancy? If so, what does that look like?
A: Pregnancy may make women more prone to cavities and periodontal disease. This is partly due to hormonal changes, dietary changes and even morning sickness (stomach acids which can erode the teeth).  Oral health is an important part of prenatal care, given that poor oral health during pregnancy can lead to poor oral health outcome for the mother and the baby. 


Q: The last question for you, Dr. Smith, is all about you…and your favorites…and what you (as the expert) think we should be using (feel free to hyperlink). Before we get your favorites, thank you so much for taking the time to share a bit of your story and the importance of oral hygiene. I can speak for myself and say I definitely plan to use the information you shared because I don’t have time for anymore cavities. I got my first one this past summer, and ONE is enough for me. The whole procedure was traumatizing (LOL seriously). Thanks again, Dr. Smith, for sharing of piece of you…with Dialosophy. 

Fav Toothpaste: Crest and Colgate are popular options. However, at the moment I’m really in love with Risewell. It’s a company that is all-natural and uses nano-hydroxyapatite instead of fluoride. Hydroxyapatite is a naturally occurring mineral that’s found in teeth and that helps in the remineralization of enamel. Studies have shown where it is more effective and safer than fluoride. 

Fav Toothbrushe(s): An electric toothbrush is very helpful in removing plaque and debris from teeth. Popular options are ones from Oral B or Phillips Sonicare. However, a smaller, more light weight and inexpensive option is Quip. I really like quip because they are on a mission to really help individuals keep up with good oral hygiene habits. They send you a new brush head and toothpaste every 3 months with a subscription. I consider them the dentist's allying the fight for good oral hygiene.

Fav Mouthwash: I really like ACT because it doesn't contain alcohol and has fluoride that helps in preventing cavities. Recently I've been using and liking the mouthwash from Risewell. It uses nano-hydroxyapatite instead of fluoride and also does not contain fluoride.

Retainer Care: Retainers can be kept clean with brushing it with mild soap and a soft toothbrush. A product that I really love is Ever smile White Foam.

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Steps To Opening Your New Dental Practice

Ever since the thought of becoming a dentist crossed my mind back when I was a teenager, the goal of opening my own practice was right behind it. From my parents who were exemplary business owners to my dentist and mentor who had his own practice, the thought of working for someone else was never an attractive option for me. Fast forward a few years post-residency with a lot of experience in the field of dentistry under my belt, owning my dental practice has become a dream realized.

There are many factors involved in opening your own dental office which can be both confusing and overwhelming. Knowing the correct steps to take can help you save a lot of time and money and keep you on track to starting your dream dental practice.

1.Knowing Your Budget

The average cost to open a start-up dental practice is more than most people think. Depending on your location, most start up practices range from $350k - $450k in total costs. Before looking at spaces, or meeting with equipment companies and other specialists, the focus should be on talking to banks and getting approval for a loan.

2. Finding The Best Location

The location of your practice is first and foremost the best method of exposure for your future office. You want patients and lead sources to find you easily and quickly. An experienced realtor in the dental industry is your best resource when locating a space. They will help you find a location in good proximity of your targeted patient demographic and within your budget.

3.Selecting an Architect and Contractor

Once a potential space is located, it is time to begin dialogue with an architect or contractor who are experts in the dental industry. An experienced architect or contractor will be able to point out any red flags or potential hazards within a space that can affect costs significantly. They can also help provide a preliminary construction proposal to ensure the project stays within your budget.

4. Receiving Equipment, Cabinetry, IT and Computers

Architectural plans take approximately 8- 12 weeks to be completed and approved from the local governing body. Within this time frame is when equipment, cabinetry and IT/computer bids should be selected and received.

5. Planning for Staff

The construction period takes anywhere from 60 to 100 business days depending on the locations and size of the project. During this time you should be finding the right employees for your practice size and making sure you have everyone you need to run your office come opening.

6. Double Checking All Licensing & Legal Needs

It is very important to not push this step back. It can take months before you can accept insurances and in addition, you will need to be licensed in your state, have a national provider identifier number, and register with the DEA. All this needs to be done before construction is finished so you can start practicing right away.

7. Marketing

Planning is key, get the word out any and all ways you can from Social media (Instagram, Facebook, Tik Tok, Snapchat), TV ads, prints ads, online ads, promotional events, etc. Develop your website so that it stands out but also simple enough for patients to schedule.

When planned carefully and properly managed, the process towards opening your new dental practice can be exciting and fulfilling.

In part, a Guest Post by Sasha Hewadpal & Araik Safarian at: Arminocoinc

The Right Time For Your Child To See An Orthodontist

Dr. Patrice Smith performing an Orthodontic evaluation.

Most people think that the best time to have their child see an Orthodontist is during the pre-teen and teenage years. However, there are good reasons to have your child get an orthodontic evaluation a lot sooner. The American Association of Orthodontists (AAO) recommends a check-up with an orthodontic specialist no later than age 7.


Why Should Your Child Get An Orthodontic Check-Up No Later Than Age 7?

• Orthodontists can spot subtle problems with jaw growth and emerging teeth while some baby teeth are still present.

• While your child’s teeth may appear to be straight, there could be a problem that only an orthodontist can detect.

• The check-up may reveal that your child’s bite is ne. Or, the orthodontist may identify a developing problem but recommend monitoring the child’s growth and development, and then if indicated, begin treatment at the appropriate time for the child. In other cases, the orthodontist might find a problem that can benefit from early treatment.

• Early treatment may prevent more serious problems from developing and may make treatment at a later age shorter and less complicated.

• In some cases, the orthodontist will be able to achieve results that may not be possible once the face and jaws have finished growing.

• Early treatment may give your orthodontist the chance to:

  • guide jaw growth

  • lower the risk of trauma to protruded front teeth

  • correct harmful oral habits

  • improve appearance

  • guide permanent teeth into a more favorable position

  • improve the way lips meet

• Through an early orthodontic evaluation, you’ll be giving your child the best opportunity for a healthy, beautiful smile.

  Because patients differ in both physiological development and treatment needs, the ortho- dontist’s goal is to provide each patient with the most appropriate treatment at the most appropriate time.

The original article can be found on the AAO website here

Harmful Effects of DIY Braces

*WARNING: THIS POST CONTAINS GRAPHIC IMAGES *

Do-It-Yourself (DIY) braces and at-home teeth straightening kits have become a trend popping up all over the internet, promising dentist-quality results at a fraction of the price. While I understand how attractive these may look and sound, unfortunately, things that sound too good to be true often are. As an orthodontist I have seen some pretty damaging effects of DIY braces and wanted to share a few facts about this dangerous trend.

What Are DIY Braces

We consider DIY braces anything that you do yourself to facilitate the movement of teeth. There are videos posted online where teens and young adults use items like rubber bands, dental floss, fishing lines, earring backs, paper clips, and more to move their teeth. These items are often found embedded or covered by gum tissue. Mail order aligners are becoming very popular but many of their disadvantages are not being addressed. Here we will discuss some reasons why seeing an orthodontic professional is best.

Harmful Effects of DIY Braces

Orthodontic treatment is about more than just straightening teeth. It involves moving of teeth and bone to restore proper form and function. It must be managed properly to yield the best results. Attempting to close a gap or straighten your teeth yourself significantly increases the risk of serious damage to your teeth and gums, resulting in tooth loss, changes in speech and possible infection. It is also worth considering that repairing the damage from DIY procedures could be far more expensive than the investment in an orthodontic specialist.

• Tooth Loss

Using tight rubber bands or other materials to adjust your smile quickly is detrimental to tooth health. Rather than create the straight smile you crave, makeshift braces could destroy your teeth at their roots.

Unrestricted blood flow is necessary to maintain healthy teeth and gums. Makeshift braces and ill fitting DIY clear aligners can impinge on the tissues and cause unwanted movement of teeth. That subsequent movement can result in conditions such as the one seen below and cause a host of other issues that will require an immediate visit to your dentist.

• Infection

Since DIY braces involve nonsterile, nonmedical-grade supplies, it’s easy to develop an infection. Rubber bands, paper clips, and similar items can cut into the gums and injure the tissue, causing open sores that aren’t able to heal while you continue to wear the makeshift braces. A gum infection may not sound serious, but it can cause damage to the surrounding tissues, severe bone loss, and spread through your circulatory system.

• Speech Problems

The position of teeth also has an effect on the way we speak and pronounce words. DIY Braces often do not account for movement outside of the desired areas. This movement must be controlled properly to prevent conditions evidenced in the pic below. As a result, your upper and lower jaw may not fit together as they once did, ultimately affecting your phonetic ability.

• Relapse

DIY braces offer no guarantees, so even if you try to make your own and successfully manage to move your teeth, the results most likely won’t last. Professional braces are designed to move teeth in slight increments over a period of time. There’s a reason for this: Quick adjustments have a greater chance of shifting back.

Since DIY braces tout quick results in less time, your teeth are more likely to move back to their original positions after discontinued use.

• Pay More Than You Saved

Most people turn to DIY methods to save money, but when it comes to important dental procedures, you could end up paying much more to repair the damages. Surgery to address infections, correcting bone loss or extracting non restorable teeth can be traumatizing and expensive. When you consider the costs associated with correcting damages from DIY braces and at-home straightening kits, you’re better off saving the money for professional braces and having the treatment done right by a professional.

Please do not fall victim to these DIY trends and fast braces schemes. Do your research and ensure you are choosing the right professional for your smile and overall health.

An Orthodontist Can Boost Your Self Esteem!

People who are happy with the the way they look are typically more confident and have higher self esteem than those who are not. The way our teeth look and the appearance of our smile can have a pretty significant impact on the way we view ourselves.

It’s true that individuals with misaligned (crooked) teeth usually are more reserved, shy or self conscious. They in turn cover their mouths when they smile or laugh, smile with their lips closed, or avoid speaking when around strangers or peers.

This is where an Orthodontist comes in. Orthodontics is a specialized branch of dentistry that has a focus on the alignment of teeth. Orthodontists diagnose, prevent, intercept, and treat dental and facial irregularities. According to the American Association of Orthodontists (AAO), the goal of orthodontic treatment is a beautiful smile and a good bite—meaning straight teeth that mesh well with the teeth in the opposite jaw and look great.

Having healthy self-esteem and self-confidence is especially important for children, as it can impact their mental and emotional well-being during their early years of development and can shape the person they grow up to be. In today’s competitive world, you want to empower your child with everything you can to feel confident about themselves.

But, braces is not just for kids. Nowadays, adults are getting braces to get the smile they always wanted and deserved. There are several different types of braces to choose from; traditional metal braces, ceramic braces that match the color of your teeth and even clear aligners, like invisalign. More and more adults are getting braces and totally embracing the journey, like Mollie (pictured below) that’s owning her braces journey.

Mollie expresses that “I was a cheerleader but I never smiled big. Group photos and everyone is smiling but then there’s me looking all angry with the soft smile. The school picture photographers always used to tell me to smile with my teeth but I always refused.” Now she is on her way to a straighter, more beautiful smile and embracing every step of it.

Mollie with the soft smile, before she was comfortable to smile showing teeth.

A more confident Mollie, with braces showing off her beautiful smile.

Smile/non-smile :)

The changes that occurred in only 3 months of having braces on. Bottom: month 1; Top: Month 3

Her smile is getting straighter and more beautiful.

Follow along with Mollie’s braces journey by visiting her instagram page (molliewearsbraces).

In my practice, I have seen how life altering getting a straighter, more beautiful smile can be. Orthodontists can help boost one’s self-esteem by:

• Improving one’s appearance - Straighter teeth means a much more beautiful smile, which in turn means a more attractive appearance.

• Improving Health - straighter teeth are easier to clean than misaligned (crooked) ones, which means healthier gums, fewer cavities and fewer staining.

• Correcting Speech Impediments - While not all speech patterns can be corrected without the help of a Speech & Language Pathologist, the straightening of teeth can help to improve some speech patterns.

If you’ve been thinking about a more desirable smile or have been considering Orthodontic treatment, visit the AAO website here to find an Orthodontist in your area.

Disclaimer: I am not Mollie’s Orthodontist