Orthodontics is a specialized form of dentistry focusing on the diagnosis, prevention, and treatment of dental and facial abnormalities. The dentists at Forest View Dental of Appleton are trained in a variety of treatments.
The Invisalign® system aligners are transparent, making them less visible than traditional wire and bracket braces. This makes Invisalign® appealing to teens and adults who wish to straighten their teeth without the look of traditional metal braces. In addition, the aligners are more comfortable than metal braces and are removable when eating and drinking.
In many cases, Invisalign® treatments are faster than metal braces in getting results. In one study of 408 patients, traditional braces took an average of 35 months to achieve the desired effects. Invisalign® only took an average of 15 months.
If you are considering braces to improve your smile, talk to the dentists at Forest View Dental to learn more about Invisalign® and see if Invisalign® is the right option for you.
Frequently Asked Questions
What’s the best age to be evaluated for Orthodontics?
If you want to improve the look and feel of your smile, then any age can be a great age to be evaluated for orthodontics. The American Association of Orthodontists recommends that children first visit an orthodontist around the age of seven; however, orthodontic treatment is not exclusive to children and teens, with about one in every five orthodontic patients being over the age of 21. Whether you’re considering treatment for yourself or for a child, any time is a good time to be evaluated for orthodontics.
How can I take care of my teeth if I’m wearing braces or a retainer?
- ALWAYS remember to brush your teeth after every meal and floss at least once a day.
- Make sure to use toothpaste that contains fluoride, and ask us if you need a fluoride rinse. This will help prevent cavities!
- If you take out your retainer to eat, make sure you brush your teeth, floss, and remember to keep it safe in its container so that it does not get lost or broken.
- Keep your retainer clean, too, by brushing it gently with a toothbrush and toothpaste. You may also soak it in denture cleaner as instructed. Do not put your retainer in boiling water or in the dishwasher.
- During your treatment, try to avoid foods with a lot of sugar, which increases the amount of bacteria that grows in your mouth, causing more plaque and possibly cavities.
- Avoid sticky and chewy foods (caramel, chewing gum, gummy bears), hard foods (hard candy, nuts, ice cubes), or any foods that could possibly get stuck in your braces (corn on the cob, soft bagels, ribs, taffy, etc.).
- Be sure to schedule your routine checkups every six months for professional cleanings.
What are braces?
We use braces to help you improve the look and feel of your smile. There are several different types of braces to choose from, including straight wire orthodontics using braces.
If I get braces, how long do I have to wear them?
The amount of time spent in braces will vary depending on the individual patient, because every smile responds differently to treatment. Treatment times can take anywhere between six and 30 months, but most standard treatments take about 12-24 months.
Do braces hurt?
Braces do not often hurt though you may feel a small amount of discomfort for a couple days as your teeth, gums, cheeks, and mouth get used to your new braces.
Do I need to brush my teeth more often if I have braces?
With braces, you should brush your teeth at least three times a day to keep your teeth, gums, and mouth healthy and clean. Brushing regularly will help remove any food that may be caught between the braces. You should also floss daily to get in between your braces where your brush isn’t able to reach. We can show you how to properly brush and floss once your braces are placed.
If I have braces, do I still need dental checkups every six months?
Yes! In fact, it’s even more important that patients receiving orthodontic treatment get dental check-ups every 6 months. With braces, food may be caught in places that your toothbrush can’t reach. This causes bacteria to build up that can lead to cavities, gingivitis, and gum disease. We will help you make sure that your teeth stay clean and healthy while wearing braces.
Will my braces interfere with my school activities like sports, playing an instrument, or singing?
Playing an instrument or a contact sport may require some adjustment when you first get your braces, but wearing braces will not stop you from participating in any of your school activities. If you play a contact sport, it is recommended that you wear a mouthguard to protect your braces or appliance.
How do I schedule my next appointment?
Simply call our practice! Our front desk staff will be happy to help schedule your next appointment at your convenience. If you are a new patient or have been referred to our practice, please let us know and we will provide you with all of the information you need.
What is the advantage of two-phase orthodontic treatment?
Two-phase orthodontic treatment is a specialized process combining tooth straightening and physical, facial changes. The purpose of two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, and aesthetic result that will remain stable throughout your life.
What if I put off treatment?
Putting off treatment can result in a need for more invasive treatment later in life that may not completely fix your smile. Early treatment is most effective for achieving lasting results.
Your foundation for a lifetime of beautiful smiles
The goal of Phase One treatment is to help the jaw develop in a way that will accommodate all of the permanent teeth and improve the way the upper and lower jaws fit together. Children often exhibit early signs of jaw problems as they grow and develop. An upper jaw that is growing too much or is too narrow can be recognized at an early age. If children over the age of six are found to have this jaw discrepancy, they are candidates for early orthodontic treatment. Also, if children around the age of eight have crowded front teeth, early treatment can prevent the need to extract permanent teeth later.
Planning now can save your smile later
Children benefit tremendously from early-phase treatment. Receiving early treatment may prevent the removal of permanent teeth later in life, or the need for surgical procedures to realign the jaws.
Making records to determine your unique treatment
Orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of models of the teeth, X-rays, and photographs. During your child’s initial consultation, we will take records to determine if early treatment is necessary.
In this phase, the remaining permanent teeth are left alone as they erupt. Retaining devices may not be recommended if they would interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement. A successful first phase will have created room for permanent teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.
Monitoring your teeth’s progress
At the end of the first phase of treatment, teeth are not in their final positions. This will be determined and accomplished in the second phase of treatment. Selective removal of certain primary (baby) teeth may be in the best interest of enhancing eruption during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.
Stay healthy and look attractive
The goal of the second phase is to make sure each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, tongue, and other teeth. When this equilibrium is established, the teeth will function together properly. Phase Two usually involves full upper and lower braces.
At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan was established. Certain types of appliances were used in the first phase to correct and realign the teeth and jaw. The second phase begins when all permanent teeth have erupted, and usually requires braces on all the teeth for 12-24 months. Retainers are worn after this phase to ensure you retain your beautiful smile.
For All Ages
Orthodontics for Children
While there is no exact age for children to begin orthodontic treatment, the American Association of Orthodontists recommends visiting the orthodontist around age seven.
By this age, most children have a mix of baby teeth and adult teeth, making it easier for the orthodontist to diagnose and correct tooth and jaw problems sooner and without surgery. Early treatment allows us to:
- Correct and guide the growth of your child’s jaw to help the permanent teeth come in straight
- Regulate the width of the upper and lower arches
- Create more space for crowded teeth
- Avoid the need for permanent tooth extractions later in life
- Correct thumb sucking and help improve minor speech problems
For parents, it’s not always easy to know if your child may need orthodontic treatment. Here are a few things to look for that may mean your child needs to see an orthodontist:
- Early or late loss of baby teeth
- A hard time chewing or biting food
- Mouth breathing
- Finger or thumb sucking
- Crowded, misplaced, or blocked teeth
- Jaws that pop or make sounds when opening and closing
- Teeth that come together abnormally, or do not come together at all
- Jaws and teeth that are not proportionate to the rest of the face
- Crowded front teeth around age seven or eight
Please contact our practice to schedule an appointment for an orthodontic evaluation. Early treatment now will give your child a healthy, beautiful smile for the future.
Orthodontics for Teens
Braces, retainers, and everything else that you want to know about orthodontics!
You’ve just heard the three words that every teen dreads: “YOU NEED BRACES!” Braces! What now?
Don’t worry! Braces aren’t nearly as scary as you may think. In fact, braces today come in a variety of styles, materials, and colors, making life with braces much easier, more comfortable, and even more stylish than in the past.
How long will I have to wear braces?
The amount of time it takes to treat your smile with braces depends on three key factors:
- Early treatment — Early treatment allows orthodontists to monitor the growth of the jaw and recommend further orthodontic treatment if it becomes necessary. Not everybody receives early orthodontic treatment; in some cases it may be recommended that a patient wait to receive treatment.
- What needs correction — The amount of treatment needed to correct a problem will determine how long the process takes. Different patients react to treatments differently. While it may take one patient only 12 months to complete treatment, it may take another patient 24 months. Treatment times can vary depending on how quickly your body responds and how much work is needed to give you the show-stopping smile you expect.
- YOU! — Your willingness to use the appliances we give you plays a major role in the length of time it takes to complete your treatment. Always remember to take care of your braces and appliances; this truly will help make your treatment shorter!
Orthodontic braces are a big part of life for many people your age. While braces may have had a bad reputation in the past, today’s braces make it easy to look good and feel good! Please contact our practice to schedule your next orthodontic checkup.
Orthodontics for Adults
Orthodontic treatment is no longer just for teens. In fact, the American Association of Orthodontists states that one in five orthodontic patients is over the age of 21. Many adults are choosing to receive treatment because they understand the importance of maintaining their health, and they want to feel better about their appearance. Adults everywhere are taking advantage of the opportunity to receive orthodontic care, and now you can too.
Common reasons why adults consider orthodontic treatment:
- A bad bite or malocclusion, causing teeth to fit together incorrectly
- Teeth are crowded or spaced apart, possibly causing tooth decay or gum disease
- Abnormal jaw pain, or pressure that is caused by crooked teeth
- Desire for a healthier mouth and a more confident smile
Treatment options for adults
For many adults, the thought of having metal braces is enough to discourage them from receiving treatment. However, today’s orthodontic treatment options offer a variety of braces and appliances that are comfortable, aesthetic, and customized to meet your needs.
The difference between adult orthodontics and orthodontics for children and teens:
The main difference to remember when treating adults or children and teens, is that in younger patients the jawbones are still developing. For adults, these bones have stopped growing, which may mean the possibility of orthognathic surgery to align the jawbones. Other differences include:
- Gum or bone loss (periodontal disease) — Adults are more likely than children to experience gum recession or even bone loss due to gingivitis or advanced periodontal disease. Patients with straighter teeth are less likely to get gum disease.
- Worn or missing teeth — Over time teeth can become worn down and shift into different positions that can only be corrected with orthodontic care. Missing teeth can cause other teeth to shift and tilt, creating a bad bite and increasing the possibility of gum disease.
- Incomplete orthodontic treatment as a teen — Many adults received some orthodontic treatment as a child or teen, but never completed their treatment. As an adult, they choose to complete their orthodontic treatment to achieve the healthy, beautiful smile they always wanted.
We also recognize that adults and children have different needs, and require a different level of attention and care. We will work with you to ensure that you receive the most appropriate treatments, and that your needs are met with understanding and respect from us.
Why should you consider orthodontic treatment?
- Straight teeth are healthy teeth — Teeth that are properly aligned are easier to keep clean with flossing and brushing, and may help prevent other health problems.
- A beautiful, straight smile builds confidence — Orthodontic treatment can help boost your self-confidence, giving you a better quality of life and the freedom to smile without holding back!
- Mouths left untreated can get worse — Not receiving orthodontic treatment when it’s needed can create long-term health issues costing you more in the end.
To learn more about the benefits of adult orthodontics please contact our practice to schedule an appointment. We understand that you have a busy schedule, and we will work with you to make sure each office visit is as convenient as possible.
True orthodontic emergencies are rare, but when they occur we are available to you. As a general rule, you should call our office when you experience severe pain or have a painful appliance problem you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem.
You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. If there is a loose piece that you can remove, put it in a plastic bag or envelope and bring it with you to your next appointment. If your braces are poking you, put soft wax on the piece that’s sticking out. If the wire has slid to one side, you can pull it back to the other side with needle-nosed pliers, replacing it in the tube on the back tooth.
After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.
When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt while chewing. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously. Placing Orajel on the affected area may also help relieve discomfort; Orajel can be found in a pharmacy. If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar pain. Aspirin, Ibuprofen (Motrin, Advil) and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.
The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We’ll show you how!
If your appliance is poking you, place wax on the offending part.
If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, place it in an envelope and save it to bring to your next appointment.
Using a pair of tweezers or needle-nosed pliers, try to put your wire back into place. It is okay to use a piece of floss to tie the wire into place: tie the floss around the bracket in place of the missing colored o-ring. If you cannot put the wire into a comfortable position, and covering the end with wax doesn’t help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp place wax on it.
Using a pencil eraser, push the poking wire down or place wax on it so that it is no longer poking.
Life with Braces
Now that you have your braces, how do you take care of them? It’s important for you to know how to properly take care of your braces throughout your entire orthodontic treatment.
Eating with Braces
Don’t worry, you’ll be eating popcorn and snacking on potato chips again in no time! However, before you can start enjoying some of the treats you love, you will need to take special care to avoid any foods that could damage your new appliances.
Foods to avoid with braces:
- Chewy foods — bagels, licorice
- Crunchy foods — popcorn, chips, ice
- Sticky foods — caramel candies, chewing gum
- Hard foods — nuts, hard candies
- Foods that require biting into — corn on the cob, apples, carrots
Foods you CAN eat with braces:
- Dairy — soft cheese, pudding, milk-based drinks
- Breads — soft tortillas, pancakes, muffins without nuts
- Grains — pasta, soft cooked rice
- Meats/poultry — soft cooked chicken, meatballs, lunch meats
- Seafood — tuna, salmon, crab cakes
- Vegetables — mashed potatoes, steamed spinach, beans
- Fruits — applesauce, bananas, fruit juice
- Treats — ice cream without nuts, milkshakes, Jell-O, soft cake
Soreness Caused from Braces and Appliances
When you first get your braces, you may notice that your teeth and mouth feel a little tender or sore. This is perfectly normal and we promise your mouth will not be sore forever! To relieve the pain, we recommend dissolving one teaspoon of salt in eight ounces of lukewarm water. Swish and gargle this solution in your mouth for just a couple of minutes (do not swallow the saltwater).
If the pain is more severe and does not go away after rinsing, you can also try taking a pain reliever. It is also not uncommon for your lips, cheeks, and tongue to become irritated for one to two weeks as they toughen and become used to the braces. We would be happy to give you some wax that you can put over the braces to lessen the tenderness. If you need some wax, please let us know.
If your teeth begin feeling a little loose, don’t worry; this is normal! Your braces must first loosen your teeth to move them into the right position. Once your teeth have been repositioned, they will no longer be loose.
Loose Wires and Bands
The wires and bands on your braces may come loose. If this happens, please contact us as soon as possible so that we can check and repair your appliance. If any piece of your appliance comes off, be sure to save it and bring it to the office with you.
You can temporarily fix the loose wire by using the back of a spoon or the eraser end of a pencil to carefully and gently push the wire back into place. If the loose wire is causing irritation to your lips or cheeks, put wax or a wet cotton ball over the broken wire to relieve the pain.
Take Care of Your Appliances
Damaged appliances can increase the length of your treatment process, so be sure to take care of all your appliances. Your teeth and jaw can only move into their correct positions if you consistently wear the rubber bands, headgear, retainer, or other appliances we prescribe.
Playing Sports with Braces
Game, Set, Match — we have great news for athletes! You can still play sports even while undergoing orthodontic treatment! If you do play sports, it’s recommended that you wear a mouthguard to protect your teeth and your appliance. Let us know if you need help finding the right mouthguard for the best protection.
In case of a sports emergency, be sure to immediately check your mouth and appliance for damage. If you notice any loose teeth or appliance damage, please contact our office right away. You can temporarily relieve the discomfort by applying wax or rinsing your mouth with warm saltwater.
Brushing & Flossing
Brushing and Flossing
Brushing Your Teeth with Braces
When you have braces, it’s very important to brush and floss after every meal in order to keep your teeth and gums healthy throughout your treatment. If you need help choosing the right toothbrush, toothpaste, and dental floss, please ask us and we can help you choose the right products for your teeth and your appliance.
- Brushing: Step 1
- Place your toothbrush at a 45 degree angle to your gum.
- Brushing: Step 2
- Brush gently in a circular motion.
- Brushing: Step 3
- Brush the outer, inner, and chewing surfaces of each tooth.
- Brushing: Step 4
- Use the tip of your brush for the inner surface of your front teeth.
- Flossing: Step 1
- Using a piece of floss about 18 inches long, carefully thread the end between braces and wire. You may find a floss threader helpful.
- Flossing: Step 2
- Carefully floss around the braces.
- Flossing: Step 3
- Carefully floss around the gum areas.
- Flossing: Step 4
- Carefully floss around each tooth.
Types of Appliances
- Elastics (Rubber Bands)
- Wearing elastics (or rubber bands) improves the fit of your upper and lower teeth. Wear rubber bands as instructed, and remember that the rubber bands work far more efficiently if they’re worn as prescribed.
- Repositioning Appliance
- The repositioning appliance reduces overbite by encouraging the lower jaw forward. This appliance is removable and needs to be worn all the time with the exception of cleaning your teeth and the appliance. Yes, you eat with it in place!
- Palatal Expander
- The palatal expander "expands" (or widens) your upper jaw by putting gentle pressure on your upper molars each time an adjustment is made. We will instruct you about when and how to adjust your expander. When you achieve the desired expansion, you will wear the appliance for several months to solidify the expansion and to prevent regression.
- Retainers may be removable or fixed. They hold your teeth in their new, correct positions after your teeth have been straightened. We will instruct you on how to care for your retainer and about the duration of the wear. Wearing your retainer as directed is crucial to prevent regression of your treatment.
- Separators or Spacers
- Separators are little rubber doughnuts that may be placed between your teeth to push them apart so that orthodontic bands may be placed during your next appointment. The separators will be removed before we place the bands. Separators do not mix well with sticky foods, toothpicks, or floss.
- Wear your retainer at all times, until the doctor instructs otherwise.
- Take your retainer out when eating, and always put it back in its case! (Most appliances are lost in school lunchrooms or restaurants.)
- Clean the retainer thoroughly once a day with a toothbrush and toothpaste. Use warm but not hot water. Brushing retainers removes the plaque, and eliminates odors. Efferdent® or other orthodontic appliance cleaners can be used but do not take the place of brushing.
- When your retainer is not in your mouth, it should ALWAYS be in its case. Pets love to chew on them!
- Initially, you may find it difficult to speak. Practice speaking, reading, or singing out loud to get used to it faster.
- Retainers are breakable, so treat yours with care. If your retainer gets lost or broken, call us immediately.
- If you have any questions or concerns about your retainer, or you believe it needs adjusting, call us. Do not try to adjust it yourself.
- Always bring your retainer to your appointments.
- Retainer replacements are expensive, but with proper care they will last for years!
- Remove your retainer when you go swimming.
- Keep retainers away from hot water, hot car dashboards, pockets, the washing machine, and napkins.
Dr. Stacey is wonderful. The entire staff has always been kind, thoughtful and caring! - Pat O from Menasha
Dr. Grotenhuis is very thorough and answers all my questions. He is wonderful, and I would recommend him to anyone! - Colleen C from Appleton
My family loves you guys! You make the kids so happy! - Bonnie P from Appleton
Dr. Tom LaSelle’s bedside manner is amazing! I’ve gone from panic attacks in the dentist chair to smiles & joking. Tara and Laurie are amazing too! Thank you so much!! - Joy A from Neenah
Great customer service, no pain dentistry at its best! You actually care about your patients and it shows from the moment I walk in the door, till the minute I leave. - Stacy R from Appleton
I think you all are amazing! You really make it easy to come to the dentist. Everyone is so friendly and gentle. Thank you. - Angie L from Appleton
The patient is #1 at Forest View Dental. Dr. LaSelle and his staff always do their best to take care of my needs. They are professionals in every sense of the word. - Mike O