Patient Info

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Before and After

Before and After

Treatment from your Orthodontist can truly transform smiles and people’s lives. Dr Kershman and our staff treat mild to severe case on a daily basis.

These are some examples of orthodontic problems we can correct:

Crowding
In this patient's case, the "eye" teeth are up higher than normal and the upper jaw has crowding.

Overlap
This patient's upper jaw has spacing and front teeth overlap severely.

Openbite
This patient's front teeth do not touch normally, forming an openbite.

Spacing
In this case, there is a spacing problem in the upper jaw.

Overbite
The patient's upper front teeth extend out over the lower front teeth, forming an overbite.

Underbite
In this case, the upper teeth are inside the lower teeth, which is also known as an underbite.

Foods to Avoid

Foods to Avoid

For most situations, common sense will tell you what to avoid. Hard foods, sticky foods and foods high in sugar must be avoided. Hard foods can break or damage wires and brackets. Sticky foods can get caught between brackets and wires. Minimize sugary foods; they cause tooth decay and related problems. Nail biting, pencil and pen chewing and chewing on foreign objects should be avoided.

Examples of Sticky Foods to Avoid:

  • Gum (sugar-free or regular)
  • Licorice
  • Sugar Daddies
  • Toffee
  • Tootsie Rolls
  • Caramels
  • Starburst

Examples of Hard Foods to Avoid:

  • Ice
  • Nuts
  • Hard taco shells
  • French bread crust/rolls
  • Corn on the cob
  • Apples and carrots (unless cut into small pieces)
  • Bagels
  • Chips
  • Jolly Ranchers
  • Pizza crust
  • Uncooked carrots (unless cut)

Minimize Sugary Foods like:

  • Cake
  • Ice Cream
  • Cookies
  • Pie
  • Candy

Only Once a Day:

  • Soda
  • Sweetened tea
  • Gatorade
  • Kool-Aid
  • Drinks with sugar

It's important to regularly check your braces for bent or loose wires and brackets. In the event of a loose/broken wire or bracket, call our office immediately to arrange an appointment for repair.

Your First Orthodontist Visit

Your First Orthodontist Visit

Everyone deserves a beautiful and confident smile!

During your first visit to your Orthodontist (which is your evaluation appointment), Dr. Kershman will establish a tentative diagnosis and treatment plan, including a discussion of treatment time and cost. If treatment is ready to be started, records, consisting of impressions, X-rays and pictures, will be required to confirm the orthodontic diagnosis. This can often all be done at the first visit. At this time we will also discuss your responsibilities as a patient and your financial arrangements.

As more people discover the benefits of a healthy attractive smile, any hesitancy about social acceptance decreases. Braces do change your appearance somewhat, and they feel a little strange at first. After a few days, the strangeness disappears, and you may find friends, classmates or even co-workers admiring you for choosing to improve your appearance and self-image. After all, you are making a difference in your future and you should be proud!

Your involvement in your treatment is so important, we consider you our partner in helping to achieve the smile which you may have only dreamed of. Because of our total commitment to excellence, service and care, we are confident you will find orthodontics will help you achieve more of your goals and give you a positive, self-confident outlook on life.

Orthodontic First Aid

Orthodontic First Aid

Orthodontic Appliances

Just like any other device, there is a possibility of something happening to your orthodontic appliance. Here is a list of possible things that could occur, as well as some instructions on what to do in case they do happen.

Wires may cause irritation – If possible, simply push the wire away from the irritated area using a pencil's eraser or a cotton swab. Use a small piece of wax, if the wire cannot be pushed away.

Main wire may come out of the brace – If the wire has come out of the brace on the back molar, try to reinsert the wire with needle-nosed pliers or tweezers. Place some wax over the wire if it is sticking you. If the wax does not help, using nail clippers, carefully clip the wire close to the back of the last brace. This is only to be done as a last resort if this occurs after hours.

Teeth may become sore – If this happens, we usually recommend taking an analgesic such as acetaminophen (Tylenol) or Ibuprofen (Advil, Motrin). These medications should not be taken if the patient has any allergies to these medications. Another remedy would be to rinse your mouth with Peroxyl or a cup of warm water and a teaspoon of salt to help alleviate discomfort.

Food may become stuck between teeth – To help dislodge the food, use dental floss or a proxy brush.
The brace may come loose from a tooth – Since the brace usually stays connected to the main wire, it is not a cause for an emergency visit. Use a pair of tweezers to reposition the brace if it flips around and irritates the gums. Contact our office at your earliest convenience so we can determine if a separate visit is necessary to repair the loose brace(s).

An expander may come looseContact our office and we will let you know what to do.
Trauma to the mouth – Contact our office we will let you know what to do.

Oral Hygiene

Oral Hygiene

Interdental Toothbrush
A Proxabrush is an interdental (between the teeth) toothbrush that you may use to clean underneath and around your wires and braces. Use the Proxabrush gently to avoid damaging your wires. The Proxabrush will help you to clean your braces while maintaining healthy teeth and gums.

Antibacterial Mouthwash
Peroxyl, a hydrogen peroxide antiseptic mouth rinse, will reduce inflammation to your gums and cheeks. Peroxyl helps to prevent infection and decrease irritation that may develop from your braces. Rinse your mouth with two teaspoons of Peroxyl (half a capful) for one minute and then spit it out. You may use Peroxyl up to four times daily following your schedule for brushing: after meals (or after school) and before bed. Just like using peroxide for a scrape on your skin, Peroxyl helps the inside of your mouth heal. Peroxyl can be used for general irritation caused by your braces or for canker sores, cheek bites and other minor temporary injuries to the gums.

Topical Fluoride
Phos-Flur is a sodium fluoride gel that helps prevent tooth decay while you are wearing braces by killing bacteria and replacing minerals in tooth enamel that have been exposed to harmful acids. The use of Phos-Flur does not replace daily brushing and flossing but should be done following your daily schedule at bedtime. Place a small strip of Phos-Flur on a toothbrush and apply it to your teeth for one minute and spit it out. You may not eat or drink for 30 minutes after you use Phos-Flur. It is important for the active ingredient to stay on your teeth for 30 minutes, so do not wash it away by eating or drinking.

Cleaning Your Removable Appliance
Brush your removable appliance every day as a part of your regular brushing and flossing schedule. Because food particles and plaque can accumulate on your appliance just as they do on your teeth, soak the appliance daily. Dissolve a Polident, Efferdent or other denture-cleaning tablet in a glass of tap water at room temperature and soak your appliance once every day. Your appliance will taste better, and you will prevent plaque and bacterial accumulation.

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