"I notice that people seem intrigued by adult braces," she says. "Especially men. They'll say how young I look, and part of me feels like a teenager again."

Now look at this. I hope the notion spreads!

Bangkok's Independent Newspaper - Thursday 8. May 2008

FDA warns of cheap and fashionable teeth braces

The Food and Drug Administration has warned that some cheap but fashionable teeth braces popular among youngsters are contaminated with lead, selenium, chromium and arsenic.

If the dangerous substances accumulate in the body, they can cause kidney failure and even death, says Deputy Public Health Minister Chaovarat Chanweerakul. He warns that some braces available outside dental clinics and hospitals are made with substandard materials and can cause an accumulation of toxins.


Source: https://dereferer.me/?https://dereferer.me/?http://www.nationmultimedia.com/2008/05/08/national/national_30072593.php

Mirror.co.uk - Tuesday 20. May 2008 - by Kate Jackson

A fortune for your kids to have perfect teeth

It's the hot topic for parents at the playground gates... braces, and how to afford them.

And where a mouthful of metal used to spell misery for teenagers - today it's more likely to bring tears to the eyes of their mums and dads.

Never mind that half of Hollywood is never out of the orthodontist's chair, in Britain you'll need a movie star's salary to pay for them.

Hit American series Ugly Betty, starring America Ferrera, has worked wonders in transforming the image of braces by having a lead character wear them.


The result is that half of children now want teeth-straightening braces - but how many of their parents will be lucky enough to get them for free?

The answer is precious few thanks to guidelines which mean only the most severe cases qualify for NHS treatment and a scandalous shortage of orthodontists in this country.

And with the average 18-month treatment costing anywhere from £1,800 to £4,500, it's a difficult dilemma for cash-strapped parents.

Here, orthodontist Dai Roberts-Harry, who runs a practice in Harrogate, North Yorks gives some straight answers to your questions...


Q My 11-year-old daughter has crooked teeth - should she have braces?

A braces are used to correct irregularities, over-crowding or protruding teeth. Your first port of call is to see your regular dentist and they will make a referral to the orthodontist.


Q What are the changes concerning who gets orthodontist treatment?

A New NHS contracts for dentists in England and Wales were introduced in April 2006 which handed over the funding and organisation to the local Primary Care Trusts.


Each contract stipulates a set number of NHS treatments available from that practice for that year, based on the orthodontist's previous performance. With more people wanting to have their teeth corrected, combined with a limited number of NHS treatments per practice, there is now less availability and longer waiting lists. So even if you do qualify, it will be an age before you find a orthodontist to do the work.


Q My dentist has advised that my 13-year-old son's teeth are overcrowded and he will need braces. Will they be paid for on the NHS?

A Previously pretty much anyone wanting braces could get them on the NHS. Since 2006, however, each case is assessed using the Index Of Orthodontic Treatment Need, which uses a five-point system.


Grade 1 means the teeth are almost perfect and there is no need for orthodontic treatment.

Grade 2 and 3 show irregularities which do not require treatment for health reasons.

Grade 4 is for severe irregularities and 5 is for severe dental problems.

NHS treatment is provided for grades 4 and 5 and some borderline grade 3 cases may qualify for free braces after a separate assessment


Q The dentist says my 12-year-old daughter will not qualify for NHS treatment but I would still like to go ahead with braces. How much will it cost?

A this varies from practice to practice but you're looking at between £1,800 and £4,500 for the average set of braces spread over 18 months.


Most practices have an in-house payment scheme where patients can spread the cost over the course of their treatment.


Q My 13-year-old son has been accepted for NHS treatment but he has to go on a waiting list. Why?

A Prior to 2006, you might expect to wait six months - now it's more likely to be 12 to 18 months.


When the system changed, funding was capped at the 2004 level with only small increases, despite a rising number of children needing orthodontic treatment. This means practices can no longer take on extra patients or extra staff to treat more patients.

In my practice, I have 500 patients waiting for treatment. By Christmas, I will have fulfilled my quota according to the new contract and won't be able to take on any new patients until the beginning of the next financial year in April.

The situation varies from place to place as it's up to the Primary Care Trust how much money is allocated to orthodontic care.


Q Is the British system any worse than that in other countries?

A Yes. There's a shocking lack of specially trained orthodontists.


Here, we have one orthodontist for every 73,000 people but at the top of the table, in Germany and Austria, there is one per 30,000.

The UK is rated 15th out of 17 European countries for orthodontic provision.

Only Spain and Turkey are worse than the UK.


Q I'm 25 and have always had crooked teeth. I'd love to get them fixed - do I have to pay?

A NHS treatment for adults is not usually available.


Most practices have a contract with an age limit of either 16 or 18. Our practice is 18.

It may be that if the person was in the top two grades on the Index Of Orthodontic Treatment Need scale, they may be able to get NHS treatment from the hospital service.

But this is also very rare and would only be for extreme cases, for example where jaw surgery was required.


Facts to get your teeth into

ONE PER 73,000 PEOPLE

The number of orthodontists in Britain, compared to one per 30,000 people in Germany and Austria - the best in Europe

15th where Britain is rated in Europe for the provision of orthodontic treatment. Only Spain and Turkey are worse

£1,800 - £4,500 what you can expect to pay in Britain for the average set of braces over 18 months

16-18 the usual age limit for treatment on the NHS



Source: https://dereferer.me/?https://dereferer.me/?http://www.mirror.co.uk/news/topstories/2008/05/20/a-fortune-for-your-kids-to-have-perfect-teeth-89520-20423253/

9News.com - Colorado's News Leader, Thursday 12 June 2008

written by: TaRhonda Thomas


80-year-old woman finally has straight teeth


DENVER – Lying in the dental chair, with her hands folded, Cherie Colburn squirms a bit; partly because of slight discomfort but mostly because she can't wait to see her new teeth.

"I'm feeling real well," she said after walking into the office of Levin Orthodontics, Wednesday morning.

At a party in 2006, the now 80-year-old Colburn revealed a secret to friends: "I said, 'I sure would like to have my teeth fixed,' and they said, 'Why don't you?'"

That's when the great-grandmother decided to get braces. After all, all nine of her grandchildren had them.

"They didn't think I was nuts for doing it either," Colburn said laughing.

She's one of the oldest patients Dr. Joanna Levin has ever had.

"Patients who have had the same teeth for all these years think they should just keep what they had," said Levin.

Levin adds that, with proper professional monitoring, a person of any age could get braces.

Colburn wore the braces for one-and-a-half years, diligently coming into the orthodontist office for all of her scheduled appointments.

"She was always on time," Levin said, "and she never complained."

As a reward for her good work, Colburn got a bottle of champagne.

The moment her braces were removed, she began chopping her teeth together, marveling at how smooth and straight they were.

"Oh wow," she exclaimed while looking in the mirror. "Now my son won't have to say, 'You don't ever smile, mom,' because I'll always be smiling!"


----------------
Source: https://dereferer.me/?https://dereferer.me/?http://www.9news.com/rss/article.aspx?storyid=93547

Slideshow: https://dereferer.me/?https://dereferer.me/?http://www.9news.com/9slideshows/Older%20woman%20gets%20braces%20off%20-%20June%2011%2C%202008/

PhysOrg - Wednesday 09. July 2008

Ohio State University

Survey: Most effective dental braces are least attractive

When it comes to the attractiveness of orthodontic braces, less metal is better, according to a recent survey.

The study of the public's attitude about the attractiveness of various styles of braces indicates that the types of dental appliances with no visible metal were considered the most attractive. Braces that combine clear ceramic brackets with thin metal or clear wires were a less desirable option, and braces with metal brackets and metal wires were rated as the least aesthetic combination.

"The paradox is that the more aesthetic these dental appliances are, the more difficult they are to manage for the orthodontist," said senior study author Henry Fields, professor and division chair of orthodontics at Ohio State University. "But those are what people like the most."

The survey did not ask respondents about the attractiveness of decorative and colorful elastic modules that attach the wires to the braces, which have become popular among some teen-agers in the past few years.

The study findings were published in a recent issue of the American Journal of Orthodontics and Dentofacial Orthopedics.

Fields and colleagues questioned 200 adults using a computer-based survey that presented standardized images of teeth with a variety of orthodontic appliances. The images did not show the patients' faces, so the attractiveness of the person wearing the appliances was not a factor.

Respondents were asked to rate the appliances using a range from "extremely unattractive" to "extremely attractive" on a scale of 1 to 100.

The responses fell into three clear categories, Fields said. The stainless steel appliances were considered the least attractive, with average ratings hovering between about 25 and 40 on the 100-point scale. Ceramic appliances, which are often clear or tooth-colored and less visible than metal, received average ratings of between about 55 and 70 on the scale. Ceramic brackets with clear or white wires were considered more attractive than ceramic brackets with metal wires. Clear tooth trays and teeth with no visible appliances ranked as the most attractive, with the average of most scores exceeding 90. Appliances called lingual braces are invisible because they are applied behind the teeth, creating the appearance of appliance-free teeth.

The researchers collected demographic information on the adult respondents, but any differences in demographic influences were insignificant in the overall analysis.

"The general trends of appliance attractiveness are universal," Fields said. "The stainless steel that we like to use, which is the most durable and efficient, is often ranked the lowest in attractiveness. These braces don't wear out and you can get total control with them.

"The most aesthetic ones, the trays, have limitations on the types of movements you can make and forces you can deliver, and the efficiency. And the ceramics sometimes have breakage problems, and they tend to just be a little bit more delicate."

Standard braces consist of metal or ceramic brackets that are cemented to each tooth. A metal wire is laced through each bracket to exert force on the teeth to correct their placement. Braces are used to tip teeth in one direction or another, to rotate one or several teeth, or to shift the location of a tooth forward, backward, sideways, up or down in the mouth. Each kind of correction requires specific manipulation of the wires in the brackets, and some require specially shaped wires to perform the task. Fields said the ideal is to move teeth about 1 millimeter, a little less than the thickness of a dime, every four weeks.

The clear tray appliances reposition multiple teeth in tiny increments of about a quarter of a millimeter every two weeks, he said. Patients receive an assortment of trays that they change every two weeks. They wear the trays all day and night, removing them to eat and brush their teeth.

Adults make up about one in four patients being fitted with braces, Fields said. And adults may be more concerned about aesthetics of braces than are adolescents, who, if they require braces, typically get them between the ages of 10 and 13.

Fields said some kids tend to go a different route, thinking of their braces as accessories that should be enhanced rather than hidden.

"Some of the kids are going for braces made in the shape of a star, or have colors put on the ties that hold the wires to their brackets," he said. "Some people are decorating their braces."

He and colleagues are also exploring attitudes about how much patients are willing to pay for more expensive dental appliances. The more aesthetically pleasing options often are more costly, as well. The group's data suggest that adults are willing to pay several hundred dollars extra for more attractive appliances for themselves or their children.

---------

Source: https://dereferer.me/?https://dereferer.me/?http://www.physorg.com/news134844609.html

Centre Daily Times - Wednesday 23. July 2008 - by Kari Lidgett (WildSmiles)

WildSmiles Braces Add Style to Your Smile

Variety of shapes give kids options for braces experience

OMAHA, Neb. — Braces have come a long way since the phrase "metal mouth" first entered our vocabulary. From an increase in comfort and reduction in size to brightly colored ties and "invisible" options, many of the negative perceptions associated with wearing braces have diminished. WildSmiles Braces, braces designed in the shapes of stars, hearts, diamonds, soccer balls, flowers and footballs, take the braces experience to the next level and further aid in taking the stigma out of wearing braces. With WildSmiles, kids can express their individuality and personalize their smile while getting more involved in their orthodontic care.

 "I was super excited to get WildSmiles Braces in the shape of footballs because I play football and it's my favorite sport," said WildSmiles user Cole Sahner. "They make me want to smile more and show off my braces to my friends."

Designed and patented by orthodontist Dr. Clarke Stevens, WildSmiles Braces are placed on the upper six front teeth (the primary teeth shown when one smiles) and blend seamlessly and function exactly the same as conventional orthodontic braces.

"I developed WildSmiles braces because patients love to have a selection," said Dr. Stevens. "It's wonderful to see patients of all ages get excited about having braces. The different shapes allow patients to be engaged in their braces experience and create a smile that is unique to their own individuality."

Throughout the summer, WildSmiles is featuring an online YouTube video contest that encourages kids to upload their personalized videos detailing their braces experience or their need for braces. Two grand prize winners will receive a Nintendo Wii and a set of WildSmiles Braces in their choice of shapes. Winners are to be selected on or around September 1, 2008.

WildSmiles Braces are currently distributed to more than 450 doctors worldwide. The braces are available to anyone and can be ordered by orthodontists via phone or online. To learn more about WildSmiles Braces and for information on how to order, please visit www.WildSmiles4You.com. For more information about the WildSmiles YouTube video contest or to enter the contest, visit www.YouTube.com/group/WildSmiles.


-----------------------------

source: https://dereferer.me/?https://dereferer.me/?http://www.centredaily.com/business/story/730560.html

King5 News, Monday 18. August 2008 - by Jean Enersen

'Space age' braces a better way to straighten teeth

SEATTLE - About five million Americans currently have braces to fix, straighten and perfect those pearly whites, but some people put off getting their teeth straightened because of the time and pain involved. Now, there's an easier option.

When Austin got his braces, he had one goal.

"Having my teeth straight," said Austin.

Austin has a new type of braces that orthodontist Dr. Frederick Gunter says is changing the field.

"Far out and beyond what I've used in my practice as far as efficiency, comfort, results," said Gunter.

The Damon system uses alloy wires that have a built-in memory.

"The wire is actually like a space-age wire. It can be crumbled up in your hand. Let it go, and it returns back to the arch," said Gunter.

 That allows teeth to be straightened with gentle force. The system also uses an innovative bracket system.

"It has a mechanism that slides to hold the wiring in, rather than tightening the wiring in," said Gunter.

The brackets work like a garage door. When a wire adjustment is needed, the doors slide open and the wire pops out.

"The wire is engaged in the slot by this sliding door," said Gunter.

Since the wires are not tied in, they can float freely. Haley Hester says that means less pain. She had conventional braces first and now has the new braces.

"I just like these braces better than the older," said Hester.

When Joanne Suzara heard about it, she was sold.

"They said they would not have to take any teeth away. I thought that was a perfect plan for me," she said.

And Gunter believes in the near future, all braces will be done this way.

These braces straighten teeth about six months faster.

-----------------------------------

source: https://dereferer.me/?https://dereferer.me/?http://www.king5.com/health/stories/NW_081808HEB_space_age_braces_LJ.dddfe68.html

Ohio.com - Tuesday, 02. Sept 2008 - by Aisha Sultan

Not so INVISIBLE

To some who sign up for Invisalign braces, there's more than what meets the eye, er, teeth

ST. LOUIS: It's a seductive message for adults seeking a perfect smile: an easy, painless and invisible way to straighter teeth.

Christine Raye, 38, of Glendale, Mo., knew she wanted it the moment she saw the TV commercial four years ago. She's not alone. Demand for Invisalign, a system of clear, changeable retainers, has boomed since it was introduced about nine years ago. In 2006, Align Technology, the California-based maker of Invisalign, shipped to 26,000 doctors worldwide, nearly 17 percent more than the previous year.

More than half a million people have used the product, and about 46,000 doctors have taken the half-day training to become providers.

Dr. Jackie Demko of Chesterfield, Mo., says she had three to five Invisalign patients a year when she began offering the product eight years ago. Now, she is up to 100 cases a year.

But despite the widespread use and slick marketing, the way to flawless pearly whites can be filled with surprises.

Hundreds have shared their real-life experiences on a popular Invisalign forum at https://dereferer.me/?https://dereferer.me/?http://bracesreview.com. Many don't learn about the details and common procedures involved with the computer-generated treatment until they've committed thousands of dollars to it.

While the company says its surveys show that 87 percent of respondents are extremely or very satisfied with their treatment, it also does not collect information about bad outcomes or failed cases.

After experiencing the process firsthand and hearing from other Invisalign users, here's the straight talk on getting straight teeth.

Most patients require little button-like attachments bonded to their teeth to hold the aligners in place or pull down or turn a tooth. The number of buttons may vary, and they may be added at various points of the treatment.

Matt Schilling, 25, of Baltimore, learned about the attachments only by visiting the online forums. His trays have the bumps to connect to the buttons, but his orthodontist did not add the composite attachments to his teeth. Still, when he saw the bumps on his new set of trays, also called aligners, he thought, ''Wow. You can really see them. So much for the invisible part.''

Teeth might get shaved

Many adults suffer from crowding in their teeth. The aligners, which are switched out every two weeks, are created


after taking a full mold of the patient's teeth and sending the impression to the company's lab. A computer-generated series of steps predicts how the teeth will move into place with each set of new aligners, which are all created at one time. Often times, the treatment calls for creating space by ''slenderizing'' or making ''interproximal reductions,'' as the company calls it.

Orthodontist Robert Waxler of St. Louis County says studies have shown that removing small parts of the enamel are not damaging to the tooth. But it depends on the skill of the practitioners. One woman posted an entry online in which she describes the ''horse tooth'' she is left with after the provider made gaps she considered too big.

Schilling said the slenderizing was not only surprising, but also painful.

''Some blood comes out,'' he recalled. ''That wasn't expected at all.''

Demko and Waxler say their offices explain these procedures to new patients before taking on cases and that practitioners should include the information in their initial consultations.

First weeks the hardest

After the first set of aligners are inserted, some patients are taken aback by the pain and pressure on their teeth.

''Everybody has some degree of discomfort,'' Waxler said. ''You cannot move a tooth without getting sore.''

Those who have had braces say the discomfort pales in comparison, but newbies might not be prepared. Some take a pain reliever before putting in a new pair of aligners.

Having a hunk of plastic in one's mouth can be a difficult adjustment. Hard plastic edges might dig into gums or the tongue, causing sore spots. Raye cut a jagged piece off with cuticle scissors, and others report using nail files to smooth rough edges. (The company recommends neither technique.)

A few report feeling like their teeth are confined by the plastic trays.

For the first few days, patients speak with a noticeable lisp, which might recur with every new set of trays. Snugly fitting trays can also be challenging to remove until users perfect their technique. The trays must be worn constantly and are only removed for eating, drinking and brushing. One office staffer said a woman returned to the office shortly after getting her first set. She had been unable to take the aligners out and had not eaten for two days. Tray removal can also get messy, with a trail of drool clinging to each aligner.

Those prone to headaches might have worse headache pain after getting new aligners.

Constant wear

Wearing the aligners requires a serious commitment. They won't work and might end up worsening a situation unless they are worn constantly. If a tray gets lost or broken, doctors recommend wearing the previous set until a replacement is sent.

''If you don't wear anything, the teeth will drift,'' Waxler explained. ''If you don't deal with it, and the teeth wander around, then nothing fits, then you're screwed.''

The average length of treatment is about a year, but the doctor might order refinements, which can prolong the process. About half of Demko's cases take a bit longer than originally predicted.

''The computer image is a prediction, and the human body is not 100 percent predictable,'' Demko said.

Most patients don't shop around when starting treatment. Align Technology charges each provider the same lab fee — about $1,500 for full treatment and $750 for shortened, express treatment for minor changes. Doctors' fees typically range from $3,000 to $5,000.

More than half of Invisalign providers are dentists, rather than orthodontists, who have specialized training.

''The price difference can come with different clinical skills,'' Demko explained, noting that a higher cost does not necessarily mean better treatment.

Schilling chose his provider based on recommendations from friends and family and is generally happy with the results, so far. He said he did not shop around, because the orthodontist offered $500 off the price if he signed up the same day as the initial consultation.

Practice good hygiene

Keeping a piece of plastic in your mouth for more than 20 hours a day means odor is inevitable. Most users double the normal daily maintenance, soaking and brushing the plastic retainers, as well as their teeth. Some carry floss to prevent pieces of food from getting trapped in the plastic after eating.

Oh yeah, it doesn't end when the treatment ends. To prevent teeth from moving back, doctors say patients must wear retainers at night for life and that some of them need to be replaced annually.

ST. LOUIS: It's a seductive message for adults seeking a perfect smile: an easy, painless and invisible way to straighter teeth.

Christine Raye, 38, of Glendale, Mo., knew she wanted it the moment she saw the TV commercial four years ago. She's not alone. Demand for Invisalign, a system of clear, changeable retainers, has boomed since it was introduced about nine years ago. In 2006, Align Technology, the California-based maker of Invisalign, shipped to 26,000 doctors worldwide, nearly 17 percent more than the previous year.

More than half a million people have used the product, and about 46,000 doctors have taken the half-day training to become providers.

Dr. Jackie Demko of Chesterfield, Mo., says she had three to five Invisalign patients a year when she began offering the product eight years ago. Now, she is up to 100 cases a year.

But despite the widespread use and slick marketing, the way to flawless pearly whites can be filled with surprises.

Hundreds have shared their real-life experiences on a popular Invisalign forum at https://dereferer.me/?https://dereferer.me/?http://bracesreview.com. Many don't learn about the details and common procedures involved with the computer-generated treatment until they've committed thousands of dollars to it.

While the company says its surveys show that 87 percent of respondents are extremely or very satisfied with their treatment, it also does not collect information about bad outcomes or failed cases.

After experiencing the process firsthand and hearing from other Invisalign users, here's the straight talk on getting straight teeth.

Most patients require little button-like attachments bonded to their teeth to hold the aligners in place or pull down or turn a tooth. The number of buttons may vary, and they may be added at various points of the treatment.

Matt Schilling, 25, of Baltimore, learned about the attachments only by visiting the online forums. His trays have the bumps to connect to the buttons, but his orthodontist did not add the composite attachments to his teeth. Still, when he saw the bumps on his new set of trays, also called aligners, he thought, ''Wow. You can really see them. So much for the invisible part.''

Teeth might get shaved

Many adults suffer from crowding in their teeth. The aligners, which are switched out every two weeks, are created


after taking a full mold of the patient's teeth and sending the impression to the company's lab. A computer-generated series of steps predicts how the teeth will move into place with each set of new aligners, which are all created at one time. Often times, the treatment calls for creating space by ''slenderizing'' or making ''interproximal reductions,'' as the company calls it.

Orthodontist Robert Waxler of St. Louis County says studies have shown that removing small parts of the enamel are not damaging to the tooth. But it depends on the skill of the practitioners. One woman posted an entry online in which she describes the ''horse tooth'' she is left with after the provider made gaps she considered too big.

Schilling said the slenderizing was not only surprising, but also painful.

''Some blood comes out,'' he recalled. ''That wasn't expected at all.''

Demko and Waxler say their offices explain these procedures to new patients before taking on cases and that practitioners should include the information in their initial consultations.

First weeks the hardest

After the first set of aligners are inserted, some patients are taken aback by the pain and pressure on their teeth.

''Everybody has some degree of discomfort,'' Waxler said. ''You cannot move a tooth without getting sore.''

Those who have had braces say the discomfort pales in comparison, but newbies might not be prepared. Some take a pain reliever before putting in a new pair of aligners.

Having a hunk of plastic in one's mouth can be a difficult adjustment. Hard plastic edges might dig into gums or the tongue, causing sore spots. Raye cut a jagged piece off with cuticle scissors, and others report using nail files to smooth rough edges. (The company recommends neither technique.)

A few report feeling like their teeth are confined by the plastic trays.

For the first few days, patients speak with a noticeable lisp, which might recur with every new set of trays. Snugly fitting trays can also be challenging to remove until users perfect their technique. The trays must be worn constantly and are only removed for eating, drinking and brushing. One office staffer said a woman returned to the office shortly after getting her first set. She had been unable to take the aligners out and had not eaten for two days. Tray removal can also get messy, with a trail of drool clinging to each aligner.

Those prone to headaches might have worse headache pain after getting new aligners.

Constant wear

Wearing the aligners requires a serious commitment. They won't work and might end up worsening a situation unless they are worn constantly. If a tray gets lost or broken, doctors recommend wearing the previous set until a replacement is sent.

''If you don't wear anything, the teeth will drift,'' Waxler explained. ''If you don't deal with it, and the teeth wander around, then nothing fits, then you're screwed.''

The average length of treatment is about a year, but the doctor might order refinements, which can prolong the process. About half of Demko's cases take a bit longer than originally predicted.

''The computer image is a prediction, and the human body is not 100 percent predictable,'' Demko said.

Most patients don't shop around when starting treatment. Align Technology charges each provider the same lab fee — about $1,500 for full treatment and $750 for shortened, express treatment for minor changes. Doctors' fees typically range from $3,000 to $5,000.

More than half of Invisalign providers are dentists, rather than orthodontists, who have specialized training.

''The price difference can come with different clinical skills,'' Demko explained, noting that a higher cost does not necessarily mean better treatment.

Schilling chose his provider based on recommendations from friends and family and is generally happy with the results, so far. He said he did not shop around, because the orthodontist offered $500 off the price if he signed up the same day as the initial consultation.

Practice good hygiene

Keeping a piece of plastic in your mouth for more than 20 hours a day means odor is inevitable. Most users double the normal daily maintenance, soaking and brushing the plastic retainers, as well as their teeth. Some carry floss to prevent pieces of food from getting trapped in the plastic after eating.

Oh yeah, it doesn't end when the treatment ends. To prevent teeth from moving back, doctors say patients must wear retainers at night for life and that some of them need to be replaced annually.

-----------------------------------------------
Source: https://dereferer.me/?https://dereferer.me/?http://www.ohio.com/lifestyle/27754769.html

The Niagara Falls Review - 04. october 2008 - by Corey Laroocque

Fixing smiles easier than ever
City's first orthodontist marks 35 years in practice

Any kid who wore braces in the 1970s probably remembers the schoolyard taunts of “tin man” or “railroad tracks.” But that’s all changed now that more kids are wearing them, says Dr. John Doucet, a veteran orthodontist in Niagara Falls.

Braces are now popular among the eight-to-18 crowd, especially because changes over the years mean they’re not as noticeable, the wires are more comfortable and more families are covered by private insurance to defray the cost.

“Kids today want braces. They’re so comfortable to wear. It’s almost a fashion statement,” said Doucet, who was the first full-time orthodontist in Niagara Falls when he opened his practice 35 years ago. “Today, if they don’t have them, they’re left out.”

When he reached that career milestone in August, it gave him the chance the reflect on how much things have changed.

Orthodontics is the “plastic surgery of dentistry,” said Doucet. It’s an area of dentistry that corrects crooked teeth and overbites.

“I liked that part of dentistry – to straighten people’s teeth and improve people’s self-esteem.”

Having teeth straightened is usually done for cosmetic reasons, but people are more aware of the appeal of straight teeth than they were a generation or two ago.

“In the workforce today, it’s nice to have a nice smile. People didn’t place as much emphasis on that in the 1950s,” Doucet said.

The way braces work hasn’t changed. Braces are bonded to the teeth. Wires slide into the grooves. Over time, the wires shift the teeth into a straightened position.

But newer ceramic braces are white, making them less noticeable. Traditional silvery metal braces are still available, but even they are smaller than they used to be.

Recently, the addition of colour to the elastics that hold the wires in place allow patients to make a personal statement.

“They’ll select a colour according to the season. Right now, they’re all asking for orange and black because it’s Halloween.”

At Christmas, they’ll be going for red and green elastics. School colours are always popular colour schemes, Doucet said.

The change to softer nickel-titanium wires from stainless steel has made braces more comfortable. Newer wires are heat sensitive so they stiffen and move as they warm to the patient’s body temperature.

It removes the pain that used to come with the adjustments of the old stainless steel wires.

“There’s hardly any pain compared to 35 years ago,” Doucet said.

Doucet, who grew up on McCrae Street, came back to Niagara Falls in 1973 to open his practice because a survey by a company that makes braces suggested Niagara was an area that needed an orthodontist.

He graduated from the the University of Toronto in 1970 as a dentist, but went back to specialize in orthodontics. In 1973, he thought about opening a practice in the Burlington or Oakville area.

But the NFCVI graduate opted for his hometown instead and Doucet and his wife Marilee returned to Niagara Falls.

He opened on Aug. 28, 1973. The first day he opened shop, he saw 15 new patients, then went across the street to GNGH where his daughter Rebecca was born. She followed her father into dentistry and now works as an orthodontist in San Francisco.

Doucet still works in the professional building on Portage Road, where he started out in the southwest corner of the building’s second floor with an assistant and a receptionist. Over the years, as demand increased, the office expanded. Now, Doucet owns the entire floor.

“We just got busier and busier. We run 10 chairs. Right now we have 18 staff.”

At 64 years old, he said he’s not ready for retirement. Dr. Mike Kamatovic bought into the practice four years ago and will eventually take over the practice. Doucet’s own daughter, a California girl now, has her own practice and isn’t interested in taking over her father’s, he said.

In his 35 years, Doucet estimated he has treated between 15,000 and 20,000 patients. His practice has about 900 patients a year now, compared to about 250 a year when he started out.

“Treatment time is shorter now. It can be 12 to 24 months depending on the problem.”

When Doucet started, his patients used to have to wear braces for as long as three years.

Braces are still a considerable expense for families. The cost of a full treatment is about $5,000 or $6,000. But some private insurance plans cover as much as $2,500 of that.

The increase in the number of people covered by private insurance is another of the reasons Doucet said more people – including adults, who represent about one-quarter of his patients – are choosing to have their teeth fixed.

“The cost is relatively inexpensive today compared to when we started out. There wasn’t the insurance there is today,” Doucet said.

The year he went into business, unionized autoworkers at General Motors had one of the best dental plans in the region – it covered about $500 toward braces, Doucet recalled.

Over the years, more workplaces began adding dental coverage to their employees’ benefits packages.

When he’s not fixing smiles, Doucet is an avid sailboat racer. Over the years he has owned four boats ranging between 36 and 48 feet.

“I like the competition. I’ve raced all over the Great Lakes. I’ve raced in the Atlantic Ocean, in the Gulf of Mexico.”

He competes in about 50 races a year and was ranked first in division on Lake Ontario for the last five years.


----------------------------------------------------
source: https://dereferer.me/?https://dereferer.me/?http://www.niagarafallsreview.ca/ArticleDisplay.aspx?e=1232067

Orange County's News Source, 22. october 2008, by Carine Nadel

Braces make eating Halloween goodies tricky

Treats that can damage wires are to be avoided. So what's left?

If your child wears braces, goose bumps might be raising along the back of your neck right now.

Your child likely knows that the Halloween goodies he craves are a big no-no for kids with braces. Are you dreading the arguments and the broken wires and the brackets that will need to be repaired?

The American Association of Orthodontists urges patients to steer clear of the following Halloween treats or recipes with these ingredients: all hard candies and chewy candies, caramel, nuts, licorice, taffy, jelly beans, hard pretzels, bubblegum, popcorn, taco chips, and ice.

Gee, what does that leave for kids on Halloween?

Irvine orthodontist Dr. John Moutsatson and his dental assistant Candy (yes, this is really her name, but she wishes to otherwise remain anonymous) offered some suggestions on how to deal with this dilemma.


Q. Let's say we've decided to throw a costume party for Halloween this year, what kind of snacks do you suggest be served?

A. Here's our rule of thumb – if it's too hard, too sticky or too sugary, don't eat it! All of these items stick to the teeth, which can cause the wires to bend and break or loosen the bonding that holds the brackets in place.

Some of the worst foods are caramels, Milk Duds, Mike and Ike's, ice cubes, soda and even Gatorade. Although Propel is OK, its sugar content is much less than most athletic drinks.

When the worst happens and a wire or bracket gets damaged, you need to call your orthodontist as soon as possible. If it happens on a weekend, for the broken/bent wires, use your wax. If the brackets come loose, brush extra carefully to keep the area clean.


Q. When damage does happen, what is the result?

A. Believe it or not, even if it's just for a day or two, treatment takes longer, the repairs have to be made and you wind up increasing the time the braces must be worn. Kind of the "two steps forward, one step back" situation.


Q. So what snacks would be great to serve at this year's Halloween bash for those wearing braces?

A. We know that saying serve nutritious things is enough to have most kids start shrieking worse than a werewolf, but it's true.

Outside of the obvious though, try serving fresh sliced fruit, marshmallows, pound cake cubes, pretzel sticks, frozen yogurt or ice cream with granola. Soft pretzels, soft cookies, and sugarless gum are also good choices.

While nuts are usually thought of as a healthy snack, stay away from almonds, hazelnuts and other more dense varieties. Cashews and peanuts are OK. Cereal mixes are also popular and safe party foods.

Have some specialty sandwiches on hand or creatively shaped Jell-O molds. Our favorites are ones in the shapes of human hearts or brains!

----------------------

Braces-friendly recipes
Halloween treat recipes by celebrity chef Michael Chiarello.

Here are some braces-friendly recipes created by celebrity chef Michael Chiarello for the American Association of Orthodontists:

You can tame the sweet tooth monster with these goodies:


Frightfully Fabulous Cupcake Sandwiches

Ingredients:

1/3 cup cocoa powder

1 cup warm water

3/4 cup mayonnaise

1 1/2 teaspoons vanilla extract

1 cup superfine sugar

2 cups cake flour, sifted

2 teaspoons baking soda

1/8 teaspoon salt

1 can of chocolate frosting or store-bought chocolate mousse

1 container of whipped topping

Assorted braces-friendly candy pieces, such as chopped peanut butter cups, chocolate bars and melt-in-your-mouth candies.

Directions:

Preheat oven to 350 degrees Fahrenheit.

Fill a muffin tin with 12 cupcake liners and set aside.

Combine cocoa powder, water, and mix until smooth. Fold in mayonnaise. (Make sure cocoa mixture is not to hot to prevent breaking of mayonnaise). Add vanilla and whisk until smooth.

In mixer, combine sugar, cake flour, baking soda and salt and mix slowly until well incorporated. Add wet cocoa mixture, mix on medium-high until well blended. Scrape down the sides and blend for 30 seconds.

Fill the cupcake liners 3/4 way full of batter. Bake for 30 minutes or until toothpick comes out clean. Remove from oven and allow to cool on rack.

Slice each cupcake in half, horizontally, and serve the halves with chocolate mousse or frosting, whipped topping, and assorted candy pieces. Kids build the sandwiches by spreading one-half of a cupcake with mousse/frosting or whipped topping, sprinkling on candy pieces and placing the other half of cupcake on top.

Makes 12 sandwiches.


Pumpkin Cookie Pops

Ingredients:

3/4 cup unsalted butter, softened

1/2 cup brown sugar, firmly packed

1/2 cup canned or fresh cooked pumpkin

1 tablespoon orange zest

1 egg yolk

1 teaspoon pure vanilla

2 1/4 cups all-purpose flour

1/4 teaspoon ground cinnamon

1/4 teaspoon ground ginger

¼ teaspoon ground nutmeg

Pinch salt

20 wooden sticks (tongue depressors or Popsicle sticks work best)

Directions:

Preheat oven to 350 degrees F.

In a large mixing bowl, combine with electric mixer the butter, brown sugar and orange zest. Add the pumpkin, egg yolk, and vanilla. Mix.

Gradually add the flour and spices. Mix with your hands to create a soft dough. Wrap in plastic and refrigerate for 30 minutes.

Divide dough into two pieces. Roll out each piece to 1/4-inch thickness on a floured surface. Cut into pumpkin shapes with cookie cutters.

Place on ungreased baking sheet and securely insert a wooden stick into the bottom half of each pumpkin cookie.

Bake for 12-15 minutes.

Decorate with favorite frosting.

Adapted from www.pumpkinnook.com


Green Goo Slimedoo (essentially white chocolate fondue)

Ingredients:

2 cups heavy cream

2 ounces sugar

2 ounces butter

2 pounds white chocolate

6 to 12 drops green food coloring

2 bags of thin pretzel sticks, pound cake cubes, orange sections

Strawberries, bananas and thinly sliced apples for dipping

Candy sprinkles

Directions:

In a non-reactive double boiler set over medium-low heat, bring the cream, sugar, and butter to a boil. Meanwhile, chop the chocolate into small chunks - a serrated knife works best for this.

Add the chocolate chunks to the cream mixture in the double boiler, whisking, until it is melted and incorporated into the cream. Finally, add the food coloring until it is the desired shade of green.

Keep mixture warm in a fondue pot. Set out the fruit and the pretzels for dipping with long wooden skewers next to the fondue pot. Guests can dip their pretzels or fruit into the fondue and then roll them in the candy sprinkles, if desired.

Makes 8 servings.

If serving sandwiches aren't what your ghosts and goblins have in mind, try this main dish:


Pasta Pomodorini

Ingredients:

3/4 pound spaghetti or spaghetti

1/4 cup extra-virgin olive oil, plus more for drizzling

1/4 cup sliced garlic

1/2 teaspoon finely minced Calabrian chilies, or 1/4 teaspoon red pepper flakes

1 pint small cherry tomatoes, stems removed, crushed between your thumb and forefinger

Sea salt, preferably gray salt

1/2 cup fresh basil leaves, each torn into 2 or 3 pieces

Wedge of Parmesan cheese

Directions:

Bring a large pot of salted water to a boil over high heat. Add the pasta.

While the pasta cooks, heat the 1/4 cup olive oil in a large skillet over moderate heat. Add the garlic and cook until the slivers are golden brown and crisp, then add the chilies and cook for about 30 seconds. Raise the heat to high and add the tomatoes. Simmer briskly to soften the tomatoes and thicken the juices, about 3 minutes. Season with salt.

When the pasta is al dente, scoop out about 1/2 cup of the pasta cooking water, then drain the pasta. Return the pasta to the warm pot off the heat. Add the sauce and the basil and mix well. Add some of the reserved cooking water if the pasta seems dry. Transfer to a warmed serving bowl and grate Parmesan over the top to taste. Drizzle with a little more olive oil. Serve immediately.

Makes 4 servings.

And last, you'll be needing something ghoulishly good to help wash all this food down with, why not give this one a try?


Slimy Lime Fruit Punch (adapted from Parents Magazine)

Ingredients:

Powdered sugar-free lemonade mix to make 2 quarts

1 peeled and sliced orange

1 sliced lime (approx. 1/8" slices)

1 pint raspberries

2 tubes red decorating gel

1/4 cup sugar

1 teaspoon meringue powder

2 liters seltzer

10 drops green food coloring

4 drops yellow food coloring

Directions:

Squeeze red gel down the inside of 12 small, clear glasses. Let dry about 10 minutes.

In an extra-large bowl, combine lemonade mix, sugar and meringue powder. Slowly pour in seltzer, whisking continually until combined. Stir in green and yellow food coloring. Add sliced fruit and berries for color.

Pour punch into glasses and serve.

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source: https://dereferer.me/?https://dereferer.me/?http://www.ocregister.com/articles/halloween-braces-wires-2202128-kids-hard

readingeagle.com - 18 november 2008 - by Bruce R. Posten

Caernarvon orthodontist offers new system of braces, attached to back of the teeth

pic:  https://dereferer.me/?https://dereferer.me/?http://readingeagle.com/REnetImages/2008/11/11/3549062/Article_3524531.jpg
and: https://dereferer.me/?https://dereferer.me/?http://readingeagle.com/REnetImages/2008/11/11/3549062/Article_3524511.jpg

Orthodontist Dr. Bernice Parisi, 48, of Robeson Township wore traditional labial braces on the front of her teeth as a teenager growing up in the 1970s while attending Holy Name High School.

Her dad, Vincent, was a practicing orthodontist then, now retired, and knew as a father and as a professional what was good for her.

In the early 1990s, Parisi wore lingual braces behind her teeth, too.

They were invisible, hidden really, but aesthetically pleasing.

"I had a difficult time with them, though," she admitted in her Caernarvon Township office along Route 23 near Morgantown at 201 Darby Square. "They weren't that comfortable; they could make your tongue really sore. After my experience, I just had a difficult time recommending them to my patients."

But when it comes to so-called invisible braces these days, Parisi, an orthodontist in practice for 19 years, is in the forefront of local advocacy.

She is now offering iBraces, relatively new, 100 percent customized invisible braces designed for teens and adults as an aesthetic alternative to standard stainless steel or clear, ceramic braces.

Parisi is among the first orthodontists nationwide certified to offer this new system for straightening teeth, one of five orthodontists certified in the iBraces technique in eastern Pennsylvania. The braces are attached to the back of the teeth rather than the front, thus are hidden or invisible.

With such companies as Invisalign marketing teeth aligners directly to consumers, the demand has grown for so-called lingual or invisible braces (brackets, wires and o-rings) placed behind the teeth, she said.

LingualCare, a 3M Unitek company, is the maker of the iBraces Appliance System, originally developed in Europe and widely used in Germany and France and introduced to the United States this year. The company reports more than 20,000 patients worldwide have been treated with the iBraces system.

Bonding appointment

Parisi said her first iBraces patient is scheduled for a bonding appointment in January.

"Many patients, particularly adult professionals and older teens, want to have their teeth straightened, but are not comfortable wearing traditional braces," Parisi said. "iBraces is an option ... particularly good for patients who ask for clear aligners but have more moderate or severe teeth crowding or spacing problems. This (invisible braces) can be a much better alternative."

But these invisible braces are not cheap - $8,000 to $10,000 - compared to other braces that can be obtained for roughly half the price, according to Parisi.

"The treatment period is usually shorter and because the braces are small and so customized with state-of-the-art technology for individual tooth brackets and wires, they are much more comfortable," she said.

Another plus of the new invisible braces, Parisi said, is that they are made of a malleable gold alloy and do not have any nickel content that can sometimes prompt allergic reactions.

"The typical patient is a teenager or adult who does not want to wear braces but needs orthodontic treatment," said Lea Nesbit, chief executive officer of LingualCare. "Patients range from boys and girls who play football and other high-impact sports to corporate executives."

"I'd estimate there are 8,500 orthodontists in the nation and 600 or 700 of them are trained in doing our procedure," she said. "For the past five years, we have been slowly and surely making inroads into the marketplace."

Different instruments

Parisi said the iBraces system requires the orthodontist to have different instruments. She also said the clinical technique of bonding braces behind the teeth can be a little more difficult than frontal teeth procedures.

In the last 50 to 60 years, the quest for improved appearance and healthy function of teeth have been driving forces sending patients to orthodontists. Such trends as having colorful elastic ties on braces, often preferred by children, also have kept the wearing of braces in the spotlight.

"For certain, people have become more aware of their smiles and self-image," Parisi said. "But along with that is the increase in knowledge about the importance in keeping one's teeth healthy and straight, so they are easier to clean to avoid bacteria and periodontal disease. People want to ensure that their teeth keep functioning well into old age.

"Studies have shown that not having good dental health may lead to serious physical problems from hardening of the arteries to strokes to pancreatic cancer."

One of nine siblings, Parisi said she got into the orthodontics field because of her father. She has a sister who also is an orthodontist.

" I saw that my father enjoyed what he did and that's really what drew me to this field," she said.

Parisi said she has about 250 patients and 75 percent are school-aged and 25 percent are adults.

"Ideally, braces are placed on young people when the jaw and teeth are growing, so getting the right alignment is important," she said. "But I also see adults who have had dental issues or never could afford orthodontic work, but now find they want their teeth straightened."




About Dr. Bernice Parisi
Education

•Graduate of Holy Name High School.

•Bachelor of arts degree from Villanova University.

•Graduate of University of Pennsylvania Dental School.

•She completed her dental training at Eastman Dental Center, Rochester , N.Y. in 1989, and also wrote a senior research paper on lingual orthodontics (behind-the-teeth braces).

•She specializes in pediatric, adolescent and adult orthodontics.

•She has been in private practice for 19 years.

Family: Husband, Dean Exas, 51, sales manager of orthodontics products. Three stepchildren.

Hobbies: Playing piano and amateur photography.
 
 
What are invisible braces?
•They are lingual braces bonded behind - and therefore hidden - rather than in front of the teeth.

•Low-profile brackets are 100 percent customized to an individual's teeth.

•The braces are made from a gold alloy with no nickel content.

•LingualCare, a 3M Unitek Company, is the maker of the iBraces Appliance System (so-called invisible or hidden braces). It bills itself as the only company offering the "customized invisible fixed appliance system on the U.S. market today."
 
 
Benefits of invisible braces
•100 percent customized, adapted to a patient's tooth anatomy.

•Aesthetics, braces hidden from view

•Minimal speech interference.

•Minimal tongue irritation.

•Customized wires that do not require adjustments meaning fewer appointments and less discomfort throughout treatment.

•Quicker treatments compared to conventional braces.

•Prevention of white spots caused by decalcification on the front of teeth.

•Touted as an excellent option for adults and teens who are involved in activities where labial (front of the teeth) braces would be problematic such as in band, sports, drama or modeling.
 
 
How are invisible braces made?
•Doctor takes precise impression of patient's teeth and sends the impression to LigualCare., maker of the iBraces Appliance System.

•Models are scanned into a computer where brackets are designed by lab technicians.

CAD/CAM technology is used to design and fabricate customized braces with each bracket and wire to fit each tooth.

•In some cases, the invisible iBraces are 70 percent smaller than regular lingual braces, which promoters say translates to less of a physical impact on tongue and speech.

•Customized braces delivered to the doctor's office for a patient's bonding appointment.

Source: LingualCare, makers of iBraces
 
 
Factors to consider about invisible braces
Costs, comfort and time are all factors to consider when patients opt for teeth-straightening braces, according to Berks County orthodontist Dr. Bernice Parisi.

She is one of hundreds of orthodontists nationwide certified to provide iBraces, so-called hidden or invisible braces bonded at the back of the teeth.

Parisi said regular braces can cost patients anywhere from $4,500 to $5,500 and average treatment time (wearing of braces) can run from two to three years.

The hidden iBraces, with their aesthetic benefit, are more expensive, ranging in price from $8,000 to $10,000, but also are said to cut treatment time down to 15 months to two years.
 
 
Braces can't promise no discomfort
While hidden braces behind the teeth promise patients less discomfort because of their smallness and customization, they don't promise no discomfort.

Those wearing braces are always urged to avoid certain foods - ice, corn chips, hard edges of pizza crust, popcorn kernels caramels, sticky or soft foods, bubble gum, taffy and hard candy.

If a patient's tongue, lips or teeth become sore in the first few weeks of wearing braces, a warm water and salt mixture to rinse the mouth can be used five or six times a day.

If something feels loose or broken in your braces (brackets, wires or o-rings), call your orthodontist immediately.

----------------
Source: https://dereferer.me/?https://dereferer.me/?http://readingeagle.com/article.aspx?id=113355

Columbia Star - 09 January 2009 - by Mike Maddock

Thirty-something speaks
Putting my money where her mouth is

I wore braces for three- and- a- half long years until finally, halfway through my junior year of high school, I begged my orthodontist and my mom to take them off. I had come to the conclusion that if my teeth weren't straight after nearly four years of tightening and re- tightening, then they were simply meant to be crooked. I could live with that, but I couldn't live with all that metal one more second.

My orthodontist had other ideas. He thought one more year would be ideal. Well, his food didn't taste like aluminum foil. Loose wires didn't constantly stab the inside of his mouth, and he didn't have to compete with pearly- mouthed pretty boys for the attention of high school coeds. All my orthodontist had to do was collect a check each week, tighten my wires like he was tightening the lugnuts on his Mercedes, and tell me my teeth were still crooked. Three- and- a- half years of that was enough.

Twenty- two years later my teeth are in fact crooked, and there is very little evidence I ever wore braces, but I can say with no hesitation my final days of high school were eminently better without a mouth full of metal. I don't have the slightest amount of regret for setting my crooked teeth free, even if my mom and her checkbook probably didn't see it that way.

Now I'm on the other side of the equation. My oldest daughter recently got braces. If I'd known then how much braces cost now, I may have kept mine and seen if I could hand them down like some sort of family heirloom. Of course that makes about as much sense as passing down dentures or a pair of socks, but the sticker shock is enough to make one think of such things.

Do they make braces out of platinum now? Why are they so expensive? As far as I can tell, there's more metal in a Coke can. I guess it's like everything else…the materials don't cost much, but the labor will kill you.

Despite my whining, the cost isn't the worst part of this latest entrance into the world of braces, and it's certainly not my daughter's fault she inherited my goofy mouth. The problem is my daughter entered the orthodontist's office as my little girl and came out looking like Miley Cirus. My eleven- year- old suddenly looks like she should be driving…not playing with Barbie Dolls.

Braces did nothing but turn me into the poster child for the awkward teenager. They've had a completely different effect on my oldest daughter. One day she's planning tea parties and the next day after a trip to the orthodontist, she looks like she should be planning her wedding. Braces made me goofy. They're making her old. That's worse than any pain I ever felt in that orthodontist's chair or in my wallet.

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Source: https://dereferer.me/?https://dereferer.me/?http://www.thecolumbiastar.com/news/2009/0109/opinion/014.html

Hmm... Might it be the case that American orthodontists are starting to feel the pinch from the economic downturn and that they are starting to advertise like crazy to set it off? Anyway, thanks, yoghurt, for all your diligent searching!

Indiana's NewsCenter - January 16, 2009 - by Laura Donaldson

Cutting Edge Smile

There's a good chance either you or a family member has corrected your smile with braces. But, who wants to wait the years it takes to get those pearly whites?

In Laura Donaldson’s special report, Cutting Edge Smile, we'll follow one teen through out her braces experience to see if technology can cut the time she wears braces in half.

“I’m getting braces. A full mouth set,” fourteen year old Megan Shultz nervously awaits braces un-like any other.

Megan lies back as hi-tech braces, that are supposed to take roughly half the time as traditional braces, are fitted to her teeth. It’s called Sure Smile. Dr. Ron Cohen is one of a handful of orthodontists in the Fort Wayne area who use the robot technology.

“It’s more predictable I know it’s going to go in where I want it,” said Dr. Cohen.

A tooth scanner creates a three dimensional computerized model of the patient’s teeth. Then the doctor straightens them on a computer and ships them off to Texas where a robot actually shapes the wires. The braces are then mailed back and fitted to the patient.

Megan’s mom loves them.

“She needed braces and I thought man this would be great,” said Kathryn Moriman. “The length of time is short, you know, so it’s perfect.”

But how much do they cost?

On average Sure Smile braces cost $200 more than traditional braces. But Dr. Cohen says convenience is a huge reason people go hi-tech.

“If you add up how much time you don’t have to miss at work, how many tests you don’t have to miss at school, the trips there and back. I would say it’s pretty much of a wash,” said Dr. Cohen.

Cohen says in his 2 years of using the technology he hasn’t seen anything negative. But what does Megan think when she sees herself for the first time?

“They look awesome,” said Megan as she picks at the new bumps on her teeth.

And with a quick visit from the doctor Megan learns the rules of wearing braces and leaves the office with a smile on her face.

“My teeth are going to be a lot prettier and straight,” said Megan. “”So I’m excited.”

A smile we’ll follow throughout her entire experience with braces. We’ll see how long she has to wear them and how much it truly costs to have a cutting edge smile.

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Source: https://dereferer.me/?https://dereferer.me/?http://www.indianasnewscenter.com/news/local/37507984.html

Asbury Park Press - February 17, 2009

More adults are getting cosmetic dental treatment

Linda Noone had awaited this day for a long time. Though excited, the 50-year-old
Indianapolis woman calmly laid back in the dentist's chair at Pritchett Orthodontics and opened her mouth.

One by one, the dental assistant attached a tiny metal bracket to the front of each tooth. An ultraviolet light activated an adhesive to make the brackets stick. Thin wires linked them.

No shots, blood or pain. Yes, her mouth was sore for a few days and likely would be again over the next 18 months or so. But that doesn't matter to Noone.

"I've waited so long, it will be well worth it," she said before her braces were put on. "I've been looking forward to this and saving for years. My two youngest sons had to have braces."

The days when braces were only for affluent kids are gone, says Dr. John Pritchett. More and more adults are deciding it's not too late to transform their smiles for cosmetic reasons or to fix long-standing dental problems.

Adults, in fact, make up 25 percent to 30 percent of the Eastside practice Pritchett shares with his father, Charles.

When some adults come in, they'll say, "I've always hated my teeth, and my parents couldn't afford braces, so I want to do this for myself," according to the younger Pritchett.

A set of braces can cost $5,000 to $6,000. Dental insurance will sometimes, but not always, cover some adult orthodontia costs.

"The baby boomers are just very concerned about how they look," says Bob Bray,
president-elect of the American Association of Orthodontists, who practices near Atlantic City, N.J. "They want to fix or improve whatever they can."

Some believe their teeth's appearance hurts them professionally. "In the job market, you have to use everything, and your smile is one of the first things people notice," Pritchett says.

For others, the motivation is correcting a problem such as a bad bite, which can cause abnormal tooth wear, difficult chewing and damage to bone and gum tissue.

Nationally, one in five orthodontic patients is an adult 18 and older, estimates the
American Association of Orthodontists. More than 1 million adults are getting orthodontic treatment now, up almost 60 percent from 10 years ago. Nearly two-thirds are women.

Among them is Charlotte Lucas, 59, executive vice president of Lucas Oil Products Inc., and wife of Forrest Lucas, the Hoosier motor oil magnate who paid for naming rights to Lucas Oil Stadium, home of the Indianapolis Colts. For her, the decision was a practical one.

"The only reason I got braces was the fact I was losing my bite on the left side. I would always chew on the right."

Lucas, who lives in Marengo in Southern Indiana, said her teeth were misaligned and two front teeth were behind two on either side of them because she had fallen when she was young.

Last November at Pritchett Orthodontics, she had ceramic braces put on her top teeth, with brackets matching the teeth color and small elastic bands holding a thin wire in place.

Metal braces were put on the bottom teeth in March because ceramic braces wouldn't attach to four veneers she has.

Lucas liked that the ceramic braces wouldn't be as visible, as she admits to being a little self-conscious about them.

That's part of what appeals to adults -- more comfort, less visibility.

"That improvement has been huge," says Bray. The wires used are very flexible, the braces are smaller, and they don't wrap around the tooth like they did before, he added.

Another type used for minor alignment problems are invisible plastic braces molded to fit over the teeth.

Called Invisalign, they are replaced every two weeks and removed only for eating and brushing.

About halfway through her treatment, Lucas is pleased with the results so far, even though the braces bother her some days.

"I can tell a major difference," she says. "I can chew on both sides now, and my teeth meet up better."

Adults, like Lucas, looking for better function, or those just seeking prettier smiles can usually get braces without problems. Healthy teeth can be moved at any age.

Adults, however, are more likely to have periodontal (gum) disease or worn, damaged or missing teeth that can make treatment more difficult, a lengthier process or involve jaw surgery. Women, in particular, who suffer from osteoporosis may need a bone mass density test to check bone loss because of the danger of moving bone too quickly.

But Dr. Katherine Kula, chairwoman of the Indiana University School of Dentistry's
orthodontics department, noted that generally, people take better care of their teeth now than 20 to 30 years ago -- aided by the benefits of water fluoridation.

So, that's leading more older adults, even some in their 60s to 80s, to get braces.

"Folks are living so much longer and keeping their teeth longer," says Kula.

-------------------------------------------------------
Source: https://dereferer.me/?https://dereferer.me/?http://www.app.com/article/20090217/LIFE/90216049/1006/rss10

The New York Times, 15 April 2009, by Cathrine Saint Louis

Many Cutbacks but Not for Straight Teeth

WITH her husband newly unemployed, Kim Moldofsky isn’t about to drop thousands of dollars guilt-free.

Except to straighten out her firstborn’s teeth.

The way she sees it, dipping into their rainy-day savings to correct her son Isaac’s overbite is a sound investment when few exist. “If you look at what would be happening to our money sitting in banks, we are not getting much return on it,” said Ms. Moldofsky, a new-media consultant who lives in Morton Grove, Ill. “This is something we will get a return on.”

Even in the best of times, paying $4,500 to $7,000 for braces (depending on the severity of alignment issues) is a stretch for many — not to mention the thousands that some spend on preparatory work. Dental insurance pays roughly $750 to $2,000; often, the whole tab is paid out of pocket.

As job losses and salary reductions wreak havoc on family budgets, financing the perfect smile is a big-ticket purchase that many middle-class parents find is worth scrimping for. For Ms. Moldofsky, family dinners at restaurants and tennis lessons are out, and her boys no longer attend private school, partly because of the expense. But 11-year-old Isaac’s orthodontics remain a priority.

“Could we have avoided doing this? Probably,” she said. Still, she added, “I think having well-aligned teeth — this is going to sound shallow — but it sends a message to people.”

Paul Zuelke, whose health care firm gives advice on practice management to 800 orthodontists who together see 25,000 new patients a month, said “a large number” of those families are struggling financially. But they would “rather buy mac and cheese for dinner than not pay their bills,” he said.

Even those who are insolvent place a high priority on their children having straight and healthy teeth. A few times recently, patients have called clients of Mr. Zuelke’s to say they are filing for bankruptcy but don’t plan to list the orthodontist as a creditor. They still intend to pay for straight teeth.

In a society that places extraordinary value on appearance, orthodontics is increasingly seen as a necessity, not a luxury, and even though the number of patients appears to have declined since the start of the recession, many families are going to great lengths to keep tooth-straightening in their budgets. Some orthodontists, with business slowing, are dropping fees or letting families stretch out payments.

The latest figures from the American Association of Orthodontists, compiled before the recession began, counted about 4 million patients younger than 18 in North America in treatment in 2006, up from 2.6 million in 1989. Experts say the number has dropped recently.

Mr. Zuelke estimated that orthodontists saw an 8 percent decline in new patients in 2008 from the previous year, coming on top of a 12 percent falloff in 2007 over 2006. This year, however, there’s been a slight uptick in patients in the first quarter, he said.

Dr. Roger Levin, the founder of Levin Group, which advises 500 orthodontists nationwide on how to manage their practices’ finances, said that since August, revenue for orthodontists has decreased 10 to 12 percent. “Fewer patients are coming in,” Dr. Levin said.

Why are cash-strapped families still considering braces at all? The answer seems to be that giving the next generation a leg up is a priority. “If you go into a job with teeth out of a novelty store, people aren’t supposed to discriminate,” said Dr. Benjamin Burris, an orthodontist with several offices in Arkansas. “But people do.”

To pay for braces, families typically face three choices: either upfront payment in full for a modest discount; third-party financing, often with interest; or in-office financing, which entails a hefty down payment, then interest-free monthly fees over two years or so.

But in this economy, “a lot of practices are more flexible with their payment options,” Dr. Levin said. Since last fall, Dr. Hyue Young C. Park, of Markin & Park Orthodontics in Maryland, has allowed her patients to make the down payment over a few visits, so that a large upfront sum is not a barrier to treatment. Her office also waives a $380 fee for X-rays and dental records for all patients.

Recently Dr. Park and her financial coordinator decided to let one family pay “$300 for the first six months, then $100 for the remaining months,” she said. The understanding was that if they had extra money — say, a tax refund — they would put it toward treatment.

In her 25 years advising orthodontic practices, Jackie Shoemaker, the president of J. M. Shoemaker Consulting, has advocated flexibility, especially if a credit check is run first.

“Some orthodontists are hard and fast,” demanding money before the braces come off, Ms. Shoemaker said. But referrals on soccer fields and in ballet classes are what grow a practice, so it’s invaluable to let the word travel that if a family is having difficulties, this orthodontist is flexible.

Once a mortifying rite of adolescence, braces carry less of a stigma now that many tweens and teenagers have them. Braces are as innocuous as glasses these days, said Steven Kelly, 13, of Newton, Mass., who has worn his braces for two years. “They just blend in,” he said. “You don’t notice them.” In fact, try breaking it to a seventh grader that she’ll have to survive junior high school with a jumbled “social six” — the catchphrase for the half dozen teeth that are front and center. “There are more kids coming in, wanting them, expecting them,” said Dr. David Cordes, an orthodontist with offices in Westfield, Mass., and Enfield, Conn.

“I feel sorry for a lot of parents,” said Dr. Burris, who takes pro bono cases through a foundation he recently created, Smile for a Lifetime. “That’s why we work with them.”

When a parent decides to postpone treatment, their child can be peeved. Dr. Cordes said: “I see the kid glaring at the parent, and the parent is like, ‘No, we are holding off.’ ”

In October, Martin Bowser, a printer from Laurel, Md., lost his job and the dental plan that had helped pay for two of his four children’s pre-braces orthodontics with Dr. Park. The two, Megan and Martin Jr., lost baby teeth prematurely, so they had appliances installed to make space for permanent teeth.

Mr. Bowser was able to renegotiate his monthly fee for Megan to $150, down from $185. “When you have good insurance, you give them the best,” said Mr. Bowser, who recently paid off Martin’s bill. “But when you don’t, you think maybe we need to be economical here.”

Alice Lesch Kelly, a freelance writer in Newton, Mass., got a few opinions when her son Steven needed braces. But she and her husband, who is also self-employed, chose the most expensive orthodontist because he didn’t propose to extract any teeth. “He was $2,000 more than anyone else: that was a hard decision to make,” Ms. Kelly said. “I heard he was a perfectionist. With teeth, that’s kind of what you want.”

That said, lately the family income has taken a hit, and their college savings have lost value. If their 11-year-old, Scott, needed braces now, Ms. Kelly said, they couldn’t afford another $6,600. That makes dentist visits stressful. “Every time I go in for a cleaning with my youngest one, I ask whether he needs braces,” she said. So far the answer has been no. “I’m so relieved to hear that,” Ms. Kelly said.


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Toledo News, 13ABC.COM, 19 may 2009

Troubleshooter: Braces flap

HOPE MILLS -- Sara Oswald was stuck with thousands of dollars in dental bills for something she never expected or requested.

It involves braces on her 14-year-old son that she didn't even know about until after they were in his mouth. This happened while her son was in a behavioral treatment center, Old Vineyard Behavioral Health Services, in Winston Salem.

Sara tells Troubleshooter Diane Wilson, "He called me one day and said mom I have braces and I'm like what when did this happen? I expected him to get treatment for mind and behavior. It caught me off guard why would he have braces on him; he's there to do something else."

But the facility, admits taking her 14-year-old son to an orthodontist who put braces on his teeth and then to a dentist who pulled two of his teeth. All without her permission, even though she's the legal guardian. Sara adds, "They can't give him any meds without my permission they can't change meds without permission and through this whole procedure they've always called me with that."

The NC Department of Health and Human Services investigated and cited Old Vineyard Behavioral Health Services for not getting Sara's consent.

But she's got more questions like why did Old Vineyard take her son to an orthodontist in the first place? Why would he need a cosmetic procedure, when he's ordered by the state to be in a behavioral facility? She adds, "He's in a locked facility, doesn't know how long he's going to be there and he has braces on that aren't worth anything."

Sara says she later took her son to her own orthodontist who told her that just to continue and finish the orthodontic and dental treatment it would cost her more than $13,000. Sara says, "I don't have the money to pay for it. So I'm stuck with him having braces on." Braces she never agreed to.

Another question, since her son is a Medicaid recipient, why did Medicaid approve and pay for braces on a teen getting treated in a psychiatric facility? She says, "It's an elective procedure. It's cosmetic; it's not something they need."

Sara says she complained loud and long, and in a letter, and Old Vineyard finally agreed to pay for half the future costs --meaning half of the $13,180. They asked the orthodontist to pay the rest but he refused. Fed up after months of fighting over this, Sara e-mailed Troubleshooter Diane Wilson. Sara says, "I just want my son's mouth fixed, because I don't have the money to pay for it."

After Troubleshooter Diane Wilson got in touch with the corporate office of Old Vineyard Behavioral Health Services, they called Sara. She says they offered to pay her all the $13,180 which is what it will costs to complete her son's orthodontic treatments. While she's relieved, she wants to make sure this doesn't happen to any other families. She adds, "A dentist is fine, but why would they ever send him to an orthodontist? I think tax payers would be very interested to know that braces are going on these kids that have no business having them."

It's important to note that Sara's son could have his continued dental and orthodontic treatment paid by tax payers as Medicaid would have paid for everything if she'd stay with a Medicaid excepting dentist/orthodontist. But she says she's not comfortable having taxpayers pay for something she says he doesn't need at this time and she didn't okay. As for Old Vineyard Behavioral Health Services, they released this statement.

"Due to confidentiality and privacy requirements, we are prohibited from discussing certain specifics of this particular situation. Old Vineyard takes the safety and well being of our patients seriously and ensures that all patients receive necessary and appropriate medical and dental care while in our care and custody. Old Vineyard receives no financial benefit from the services performed by any outside physicians, dentists or orthodontists. This was an isolated incident which has never occurred in the past. Old Vineyard has resolved the situation to the satisfaction of all parties."

As for Medicaid, if you're wondering if they pay for procedures like braces for people in a behavioral facility? A Medicaid representative told Troubleshooter Diane Wilson they do pay for dental care and braces when there's a demonstrated dental need. But the orthodontist must get prior approval.

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Student Life - The independent newspaper of Washington university in St. Louis

be Greg Allen
Published: Friday, October 6, 2006
Updated: Tuesday, July 1, 2008

By the time you read this, I've already swallowed my retainer

No, that's not a misprint. I swallowed my retainer, the stupid little wire they attach to the back of your bottom teeth after you're done with braces. It's supposed to last forever. Mine lasted six months. Personally, I blame the orthodontist. How great could he be if a granola bar was enough to nix his glue job? My grandmother's dentures go through granola like a wood chipper; apparently my mouth isn't as resilient as hers.

Anyway, the story goes like this. 9:40 a.m., Greg gets out of shower excited about starting his day smart, with a SmartStart brand cereal bar. 9:41 a.m., Greg eagerly devours his first bite of bar and then notices the back of his teeth feel rough. 9:42 a.m., Greg wonders why he can feel the back of his teeth. 9:43 a.m., Greg freaks out.

I charge to the bathroom and shove my fist down my throat. Discovering I am one of the 3 percent of people who don't have a gag reflex, I wig out even more. I rush to the health center only to find that Student Health Services have decided it's prudent to open late… ONLY ON WEDNSDAYS. Since on this particular Wednesday I have a psychology test in less than 20 minutes, this is less than convenient. I call EST. Apparently, their training really only covers CPR and alcohol poisoning - not so helpful. I get my blood pressure taken for about the first of 20 times and am advised to find somebody who can give me advice. By 10:40 a.m., I'm in line at the emergency room. The guy behind me quite obviously has the bubonic plague. I'm thinking: why is there a line at the emergency room? Isn't everyone here in need of urgent care? Isn't that why the first part of the name is "emergency?" I count the plague guy's coughs to pass time.

11:30 a.m., and I still haven't been seen by a doctor. At least five different nurses have taken my blood pressure. I debate strangling myself with the mercury tubing in order to get attention.

Noon and a doctor finally shows up. He recommends an X-ray. What a concept.

At 12:45 p.m. I'm looking at my X-rays with a nurse at what is quite obviously my retainer. She sends it to a radiologist for analysis. I offer my analysis, pointing at the small bent wire inside my stomach. She's less than impressed.

It's 3 p.m. and I'm finally in the gastrointestinal section of the hospital. I'm a bit confused why I wasn't sent here four hours ago, but hey, I'm the guy who doesn't even understand how blood pressure measurements cure just about everything. They've decided they're going to operate to pull the retainer out, since the radiology guy has determined it's still in my stomach. He's a smart one. I wonder if he eats SmartStart.

Here's the gist of the operation. They take a camcorder with a condom over it and jam it down your throat. If you've ever seen The Matrix when Neo first wakes up with all the tubes in him, you know what I mean. Multiply that by 10. Normally, this procedure elicits dangerous convulsions and gags so patients are supposed to be knocked out. I have an econ test at 6 p.m. Knockout gas will adversely affect my performance on said test. I decide to be Billy Badass and do the procedure without sedation. In the future I will refer to this as the worst decision of my life.

There's a nurse behind me reminding me to breathe, and two men in front of me telling me to swallow their camcorder-hose-condom contraption. I do. It feels an awful lot like death. Once it's in there it gets worse. They continuously pump my stomach full of air to get a better look. I'm forced to breath my own acidic burps or suffocate. It's… unpleasant.

They've been poking around for five minutes now and still can't find the retainer.

Finally they give up. Apparently, in the two hours between the procedure and the X-ray, the retainer passed into the small intestine. Go figure.

So here I sit, with a small chunk of sharp metal floating downstream in my insides. The doctor euphemistically talks about me "passing" the retainer by which he means I have to crap it out. I again debate strangling myself with the blood pressure cord.

I ask what I should eat to make "passing" easier.

His reply, "Oh anything high in fiber - wheat, oats… granola."

My blood pressure skyrockets.

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Telegraph.co.uk - 13 july 2009

Dentists attack Ugly Betty's braces

Dentists have described the makers of Ugly Betty, the Channel 4 show, as irresponsible because its lead character has worn braces on her teeth for too long.

Specialists at the British Orthodontic Society said the US comedy gave a "detrimental" portrayal of wire braces.

The series follows the exploits of Betty Suarez, as she battles to make a career in the beauty-obsessed fashion magazine industry.

Now in its third season on Channel 4, Betty - played by actress America Ferrera - is still wearing heavy "train track" braces.

But according to dentists train track braces are very seldom prescribed to adults and even then are not worn for more than two years.

British orthodontists said they were worried the programme could discourage young viewers from seeking corrective dental treatment.

Tracey Posner, of the British Orthodontic society, said: "It is irresponsible of the programme makers to portray Betty as 'ugly' because she wears prominent braces.

"Ugly Betty is in its third year on our TV screens and Betty remains in over-exaggerated, heavy 'train-track' braces.

"This is not a true reflection of orthodontic practice. It is highly unlikely an adult would wear braces beyond two years.

"Betty's braces are certainly intended to be seen by viewers as damaging to her appearance.

"People who wear braces are not ugly. People considering treatment should not be put off by such a stereotype.

"Many young people and adults see wearing braces as a right of passage, and enjoy the transformation."

Dr Colin Wallis, a specialist orthodontist, said: "Braces for adults and children are considerably more discreet than what is being depicted in Ugly Betty.

"There are many adults in the UK now wearing braces that are either completely clear, or are placed behind the teeth, so you may not even know that your best friend is wearing them.

"It is completely inappropriate to associate braces with being 'ugly', just as glasses have previously been an object of ridicule."

Tim Newton, professor of psychology at King's College London's Dental Institute, said: "A student of mine, Huw Jeremiah, has done some work looking at public perceptions of adults wearing orthodontic devices.

"Essentially he found that adults wearing stainless steel brackets were considered less intelligent than adults with no visible brace, so there are social impacts of wearing braces.

"There is a long body of psychological research that has found that we tend to think that 'beautiful is good' - that is that attractive people are more popular, socially skilled and intelligent than less attractive people."

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KENS 5 - Friday, September 4, 2009 - by Wendy Rigby

New device designed to put braces on the fast track

Vibrating plate stimulate bone remodeling

What if there were a way for braces to straighten teeth faster? That’s the idea behind a new product, a device to rev up orthodontic treatment.

14-year-old Alyssa Uecker of San Antonio is six months into her braces. She’s excited to be on her way to a better smile. “My teeth were overcrowded and I didn’t like my smile,” Uecker said. “I want them to be straight.”

As part of her treatment at the University of Texas Health Science Center Dental School, Alyssa is part of a study of a product called Acceledent, a handheld device she places in her mouth for a few minutes each night. It delivers a subtle, pulsing vibration. It’s a therapy first conceived to help orthopedic patients with osteoporosis.

“Bone becomes better if it is exposed, for a short period of time, maybe ten or 20 minutes per day, to vibration,” explained UTHSC orthodontist and device co-inventor Dr. Dubravko Pavlin.

The average time spent in braces is about two years (24-26 months). The inventors of Acceledent predict daily use of the vibrating plate may decrease treatment time by 30% to 50%. That would be a major saving in time, discomfort, and possible side effects like decay around the braces themselves.

Uecker says it’s easy to use and not uncomfortable. “It’s not like moving to the point where it’s annoying,” she explained, “or like it hurts. You can just tell it’s there.”

34 San Antonio patients are helping test the device, which may ultimately make the effects of orthodontic treatment more permanent, by stimulating bone remodeling.

“It would be a great thing,” said Pavlin. “Anything that can provide the same results, same quality of results, with the treatment in shorter time would always be welcomed, by the orthodontic community and by patients.”

The Acceledent device will be on the market in Europe this fall. It could be available here in the United States by the fall of 2010.

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The Nation - September 18, 2009 - by Duangkamon Sajirawattanakul

Ministry targets 'harmful' trendy coloured teeth braces

In a crackdown on illegal coloured teeth braces, the Public Health Ministry yesterday raided a shop providing the trendy but unauthorised orthodontic procedures in the J Venue Nawanakhon Shopping Mall in Pathum Thani.

At the same time it has asked Education Ministry teachers nationwide to check for schoolchildren wearing the braces to find out if they had been fitted illegally. If so, they should be removed within 30 days.

Deputy Public Health Minister Manit Nopamornbodee yesterday led police and officials  to the Oi Fashion Orthodonic shop to seize 10 orthodontic items and arrest unauthorised practitioner Weerasak Thiengtae, 24, and shop cashier Namoi Thongpron, 34.

Manit said providing unauthorised orthodontic procedures like the trendy braces violated acts that prohibit - giving treatment  without a proper degree, which can carry a threeyear jail term or Bt30,000 fine; opening unauthorised medical facilities, a threeyear jail term or Bt60,000 fine; and the unauthorised sale of dental braces, a possible sixmonth jail term and/or Bt50,000 fine.

Weerasak said he had not opened the shop after news broke of the crackdown on trendy orthodontic procedures until yesterday, when a customer made an appointment to have the braces removed. He said he had prepared to pack up and change the premises into a flower shop. He said that he bought the dental supplies from a shop in the Yaowarat area.

Manit said the trend for coloured braces, popular among teenagers due to their cheap price and easy access to unauthorised shops, was useless and harmful to health.

He said he would ask the Education Ministry to notify teachers nationwide to check on students. If found wearing coloured braces, they must provide a certificate issued by their orthodontists, he said.

Manit said he would also ask the Dental Council to have dentists issue certificates to student patients. If students wearing braces could not provide a certificate, parents would be asked to have the braces removed within 30 days for the students' safety.

Provincial public health offices were instructed to check for practitioners providing unauthorised trendy orthodontic procedures in their jurisdiction and file charges against the shops and their suppliers - if they also operated illegally, Manit said.

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The Advocate, 20 november 2009, by Jerry Zezima

This old mouth undergoes major reconstruction

When I think of history's classic constructions -- the Great Pyramid of Giza, the Hanging Gardens of Babylon, the Green Monster at Fenway Park -- I naturally think of the Seven Wonders of the World. But there is another one that is so impressive, so outstanding, so absolutely fantastic that it should be added to the list.

I refer to the braces on my teeth, which ought to be called the Great Project of Geezer.

This architectural marvel has been engineered and constructed by Dr. Ben Murray, an orthodontic resident at the Stony Brook University Dental Care Center on Long Island, N.Y.

I have braces because a couple of my teeth have shifted, which is pretty remarkable considering I can't shift for myself. According to Murray, this isn't uncommon among baby boomers, especially those who, like me, didn't have braces as a kid.

I got mine about a year ago in the right upper side of my mouth. Every month since then, Murray has worked on this construction project. He hasn't worn a hard hat or used a jackhammer. And he hasn't, thank God, needed dynamite. But he has employed tools such as a screwdriver and, during one memorable appointment, a blowtorch, which fortunately wasn't applied directly to my mouth. None of it has hurt a bit.

In a recent office visit, Murray drew up a blueprint of his work and explained it in layman's terms so even I could understand it.

"We're working on the right buccal segment of the maxillary arch to distalize that area and correct the Class 2 malocclusion," he said.

"Ong, ong, ong," I replied, because Murray was still working on my teeth. When he was done, he explained further.

"The lateral incisor is severely rotated," he said. It sounded like one of the tires on my car. At least he didn't call it a snaggletooth. Then I would have been like Snaggletooth, also known as Snagglepuss, the cartoon mountain lion ("Heavens to Murgatroyd!") on the old Yogi Bear TV show.

"The whole right side has moved forward," Murray continued. "This mesial shift is common in adults." To straighten out this mess, Murray has embarked on an engineering job involving screws, springs, wires, brackets and anchor pins. It's like a suspension bridge. The only thing missing is an E-ZPass lane.

When Murray showed me his drawing, which resembled either a football play or plans for a housing development, he said, "I have put braces on the upper right teeth from the second molar to the canine. Then I put a TAD, also called a temporary anchorage device, between the premolars and I distalized the second molar. The pin stabilizes the second molar and the first premolar. I retracted the first molar off the second molar and pushed the second molar back off the first premolar." It all made perfect sense. The only glitch came when the pin, which was inserted in the outside of my gums, loosened due to hard brushing and wasn't strong enough to anchor the wire pulling my teeth backward. So Murray ingeniously put another TAD in my palatal mucosa on the inside. It has worked like a charm.

Even though they are mostly hidden by my cheek, these aren't your ordinary braces. Murray must keep adjusting them to move my teeth backward so there will be room to rotate the incisor to its original position. This should take a few more months, at which point I will be fitted with "invisible braces," which will cover all my teeth and straighten not only the incisor but the other crooked tooth, which is on the bottom in front. Or Row A, Seat 2 in your theater program.

In the meantime, I am going to start a campaign to nominate Murray for an International Architecture Award. The best way, of course, is by word of mouth.

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