Today, more and more adults are refusing to continue to live with a crooked smile and a poorly-functioning bite. In fact, orthodontics can be a key factor in improving oral health! Crowded teeth can impede cleaning efforts, which may lead to gingivitis and periodontal (gum) disease. During a personalized treatment conference with Dr. Pincofski, she will review the pertinent findings and all treatment options available. You will be involved in every aspect of your care, with an understanding of what the treatment entails, the time involved, and the cost. It is never too late to enjoy the benefits of a confident, healthy smile!
If you are concerned about wearing braces as an adult, you will appreciate the many options available. Porcelain, ceramic braces are tooth-colored, making them appear transparent and more cosmetically-appealing. Gold and silver braces are available for people who prefer the more traditional look. Clear aligner therapy (Invisalign™ and ClearCorrect™ , for example) may be an option, depending on your orthodontic needs. This technique utilizes 3D imaging software to create a series of clear trays designed to move the teeth incrementally. The aligners must be worn full-time (except during meals) and are usually changed every two to three weeks.
Do you ever wake up feeling as though you never even got a good night’s sleep? You may suffer from “sleep apnea”, a condition in which breathing periodically stops during sleep; sometimes as often as every few minutes! If left untreated, the quality of sleep tremendously decreases, which may increase the risk of medical issues, including: high blood pressure, stroke and heart attack! Loud snoring/snorting, insomnia, and/ or gasping for breath during the night may indicate the presence of apnea. In addition, sleep apnea may also cause you to wake up with a headache or feel drowsy during the daytime.
“Obstructive” sleep apnea is the most common type and often involves the lower jaw falling backwards while sleeping, thereby reducing the airway. An appliance can be worn at night in order to position the lower jaw forward, thereby increasing the air flow during sleep.Visit Dr. Paul Pincofski
Orthognathic (jaw) surgery becomes necessary when orthodontics alone will neither achieve the correct bite relationship nor address the esthetic concerns, such as a poor profile, “gummy” smile, or asymmetry of the mouth/face. It is also indicated in cases of sleep apnea (airway obstruction), skeletal (jaw) discrepancies, TMJ (jaw joint) issues, or impaired function.
The orthodontist and oral surgeon, working together as a team, analyze the pertinent findings to diagnose and develop a coordinated, comprehensive treatment plan. Surgery may involve one or both of the jaws. The initial phase of orthodontics (braces) accomplishes straightening of the teeth and usually requires 12-18 months. Once the teeth are aligned, the surgery is performed, requiring a short hospital stay (usually overnight for monitoring). A shorter phase of orthodontics, including rubber bands, is then completed in order to “fine tune” the bite. Patients are often AMAZED at what can be accomplished through the combined efforts of the orthodontist and the oral surgeon.
Retainers are typically worn full time for 6 months following orthodontic treatment in order to stabilize the teeth in their new positions. Subsequently they are worn nightly, as teeth tend to shift with aging. There are several different retention options available – including clear retainers. (Check-out some of the coolest retainers ever on our Facebook page!)
The technology utilized in the diagnosis and treatment of orthodontic issues/concerns has changed dramatically over the years. Now, more than ever, “state-of-the-art” technology assures that you will receive high quality care that is both comfortable and effective. Dr. Pincofski has invested in this technology for the benefit of her patients. She and her team regularly attend continuing education courses to keep abreast of current techniques and technology.
i-Cat® 3D Imaging
Patients today are better-informed than ever and take a more active role in their health care. This breakthrough technology enables patients to better understand their treatment options.
What is it?
3-D Imaging is the new frontier for digital x-ray: designed specifically to visualize the head and jaws. It’s the difference between viewing a photo of a patients head and going inside and taking a virtual tour! THIS IS NOT THE SAME TECHNOLOGY AS A MEDICAL (HOSPITAL) CAT SCAN
Why is it better?
Conventional orthodontic x-rays have varying degrees of distortion and magnification error. The 3-D imaging system is 100% accurate with less radiation exposure! Compared to medical scanners, the iCAT imaging system is 10 times more accurate with 95% less radiation. Dental and medical professionals can easily share 3-D data using iCAT software.
What is it used for?
- Airway/sleep apnea assessments
- TMJ evaluations
- Precise location of impacted/extra teeth
- Evaluation for implant placement
- Treatment planning of surgical cases
While seated in an open, non-invasive environment, an 8-second scan (of which the x-ray is on for only 3.5 seconds) produces multi-dimensional images in one minute.
The type of radiation produced by the iCat is no different than that produced by any other x-ray machine. The real issue is the AMOUNT of radiation utilized for orthodontic diagnostic purposes. A 3D scan is recommended to provide the best in orthodontic care. A single scan provides more information than numerous digital x-rays. This helps with a precise individualized diagnosis so an effective treatment plan with optimal results can be designed for each patient. Before the iCat was introduced, the typical orthodontic diagnostic workup consisted of a Panorex, a Lateral Cephalogram (head film) and various periapical x-rays. One iCat scan replaces all of these x-rays with LESS radiation. Dr. Pincofski will NOT retake the 3D scan after the initial diagnosis has been made! Any follow-up x-ray is a digital Panorex (which the machine is also capable of producing).
There have been many patients who have been made aware of medical issues (not just dental issues) as a result of their children having received a 3D scan: issues that would not have been discovered with tradional x-rays! A few have even required surgical intervention. As you would expect in these cases, the parents are very grateful for this technology. We welcome the opportunity to dialogue with you about any concerns or questions you may have regarding how this technology used.
Clear aligner therapy (Invisalign™ and ClearCorrect™ , for example) may be an option, depending on your orthodontic needs. This technique utilizes 3D imaging software to create a series of clear trays designed to move the teeth incrementally. The aligners must be worn full-time (except during meals) and are usually changed every two to three weeks.