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What is malocclusion?

September 23rd, 2020

The term malocclusion refers to misalignment of teeth. You may have been born with malocclusion, so your teeth simply grew in crooked, or the misalignment and crowding of your teeth occurred over a period of time. Either way, not only can malocclusion pose cosmetic issues, but it can have a negative effect on your speaking and eating abilities as well.

Types of Malocclusion

Malocclusion encompasses multiple types and classifications of misalignment issues, including twisting or rotation of the teeth and molars that do not meet when you bite down. In some cases, the top front teeth are pushed outward in an upper protrusion.

In other cases, a misplaced midline results when the front top teeth don’t meet with the front bottom teeth. Transposition occurs when teeth protrude through the gums in a position where another tooth is supposed to be.

Practically any type of crowding or spacing issues, rotation or twisting of the teeth, or bite problem – including overbite, underbite, open bite, or crossbite – is included under the umbrella of malocclusion.

Malocclusion Classifications

There are three classifications of bite or misalignment problem.

  • Class 1 malocclusion: While the bite may be normal, the upper teeth overlap the lower teeth slightly. This is the most common type.
  • Class 2 malocclusion: Known as overbite or retrognathism, class 2 involves a severe overlap of the upper teeth and jaw over the bottom teeth and jaw.
  • Class 3 malocclusion: Known as underbite or prognathism, class 3 occurs when the lower teeth and jaw overlap the upper teeth and jaw. Thus, the lower jaw juts forward.

Causes of Malocclusion

The most common cause of malocclusion is genetics. However, there may be other causes, including the development of abnormally-shaped teeth, lost teeth, or impacted teeth; thumb sucking or overuse of a pacifier as a small child; having fillings or crowns that do not fit correctly; a serious injury that causes misalignment of the jaw; or developing a tumor of the mouth or jaw.

Treating Malocclusion

Orthodontic care at Chan & Chen Orthodontics with Dr. Kathleen Chan and Dr. Ivy Chen is the main treatment available for malocclusion, which includes getting braces, Invisalign, or other corrective treatments. Treatment is ideal not just to have your smile improved, but because it makes the teeth easier to clean and maintain, lowers the risk of gum disease and tooth decay, and can even take pressure off the jaw and teeth.

Think about orthodontic treatment if you (or your child) display any signs of malocclusion. Early treatment of malocclusion during childhood can lessen expensive treatment later on.

Your First Orthodontist Visit

September 16th, 2020

If you’ve never been to an orthodontist before, you might be wary of what to expect during your first visit. Your dentist may have recommended an orthodontic appliance if it could improve the state of your oral health. More often, you may suspect that you or your child should have orthodontic work done if the time is right financially.

Understanding the various options your orthodontist can perform will be helpful to know before your appointment.

Your initial appointment usually lasts at least an hour. It’s common that diagnostic work will need to be done. This might include getting X-rays so Dr. Kathleen Chan and Dr. Ivy Chen can better understand the overall structure of your mouth. A quick mold of the mouth may also be taken if braces are a possibility.

Your first appointment is intended to find out how we can efficiently give you a great smile! Here’s a list of common questions you might ask during your first visit:

  • Is now the right time for treatment, or should it wait?
  • What is the estimated length of time for the treatment?
  • How much should I expect to pay? What are the payment options?
  • What can I do to prevent or minimize pain?
  • Is it likely that I will wear extra appliances in addition to braces to correct my overbite, underbite, or other problems?
  • Are there specific foods I will need to avoid?
  • Will braces prevent me from playing my favorite sport or musical instrument?
  • How can I keep my teeth clean with braces?
  • How often will I be expected to come in for checkups and other appointments?

Don’t be afraid to ask these and other questions before you or your child commits to getting braces. Dr. Kathleen Chan and Dr. Ivy Chen and our team are happy to answer any of them before or after your visit.

Once you’ve had your initial consultation, our team will be here throughout the entire process if any problems arise. We look forward to seeing you at your first appointment in our Andover office!

Eating with Braces: Braces-friendly snack recipe

September 9th, 2020

At Chan & Chen Orthodontics, Dr. Kathleen Chan and Dr. Ivy Chen and our staff know that eating with braces can be tricky. You want to avoid damaging the bands, brackets, and wires, since any damage can delay the progress of your treatment. After adjustments, your mouth may also feel sore, which will make eating more of a chore than a pleasure.

The good news is you do not have to avoid all of your favorite foods; there are ways you can still enjoy them. Try some of these ideas and recipes for great snacks that are friendly to your braces.

Fruits and Vegetables

You still need to eat fruits and vegetable for the healthy nutrients. The trick is to cut harder items into small pieces that you can chew easily with your back teeth. Canned fruits are also a great choice, but select fruits packed in water to avoid the heavy, sugary syrups. It’s a good idea to avoid excess sugar with braces, since sugar build-up around your braces can lead to plaque formation.

Single-serving packages are available to make your snack portable and convenient. Enjoy vegetables with a small amount of a healthy dip. Hummus or yogurt can be used for flavor without adding unnecessary fat or calories.

Banana and Honey Smoothie

Smoothies are a healthy treat, and you can create these drinks with your favorite ingredients. You can use a variety of yogurt types for your smoothie: regular, low or non-fat, and Greek are all great choices.  Here’s one of our favorite smoothie recipes:

  • 6 ounces of your choice of yogurt
  • 1 or 2 teaspoons of honey
  • 1 ripe banana
  • 6 ounces milk

Chop the banana into smaller pieces and put all your ingredients into a blender. Blend on low until everything is mixed and then blend on high for about 20 seconds to make your smoothie fluffy.

The great thing about this recipe is that you can substitute just about any small or cut-up fruit for the banana. Try blackberries, raspberries, or peaches for variety. Try to avoid fruits with small seeds; strawberries can leave bits stuck in your braces. You can even make a smoothie with peanut butter and jelly!

Please ask our team if you have any concerns regarding the foods you can safely eat while wearing braces.

Happy National Dog Day!

August 26th, 2020

Happy National Dog Day from Chan & Chen Orthodontics. Dogs are a special part of a person’s life, offering unconditional love and constant companionship through all the highs and lows. That’s why today we celebrate Dr. Chen’s cute dog, Shiro. 

Shiro has been a part of Dr. Chen’s family for almost 3 years. Dr. Chen’s family wanted a dog for the longest time so Shiro was a welcomed new addition. His name means “white” in Japanese, although he is not white (as you can tell). It’s become a tradition for Dr. Chen’s husband to name dogs “Shiro” as his childhood dog had the same name and his father’s childhood dog before him. 

Dogs make such good companions because they are very good at non-verbal communication. They know what you are thinking and feeling, which is very true for Shiro. Life with Shiro is full of love and joy. He loves to be by the side of his family and Dr. Chen’s children have become incredibly attached to him! They love to take walks around the neighborhood together. 

Sometimes Shiro gets up to the silliest antics. Shiro loves to lick dirty dishes in the dishwasher. Once, his paw got stuck in the rack and he needed help getting untangled. For a few days after that, every time he came by the dishwasher he would loudly remark his displeasure at it. Soon enough, though, he was back to licking the dishes.

To celebrate Shiro on National Dog Day, Dr. Chen and her family plan on spoiling him with affection and treats! Shiro loves treats and they enjoy getting special treats for him! 

If you are considering adding a dog into your family, Dr. Chen has some friendly advice for you. First, be prepared to spend a lot of time and effort integrating the dog into your daily life, especially if you get a puppy. It takes a lot of dedication but taking the time to properly train your furry companion when they are young will pay off later! You won’t regret getting a dog as they truly become a member of the family. 

 

We hope that all you dog lovers out there have a wonderful National Dog Day! 

Tooth Extraction and Braces

August 26th, 2020

Perhaps you’ve heard from parents or older relatives what braces used to be like years ago—obvious, uncomfortable, hard to clean, and with inevitable tooth extractions to start off the whole lengthy process.

Today, brackets are much smaller and wires are more pliable. You can even choose ceramic brackets or clear aligners for an almost invisible effect. New tools make cleaning your braces easier than ever. And new braces technology means that treatment is often shorter. But what about extractions? Are they still inevitable?

For orthodontists like Dr. Kathleen Chan and Dr. Ivy Chen, the objective is saving teeth. And modern practices and technology have made this goal more attainable than ever before. There are several ways that modern treatment procedures can help avoid extractions.

  • Early Intervention

We recommend that children visit our Andover office for an orthodontic evaluation by age seven. Because a child’s jaw is still forming at this age, early intervention can lead to orthodontic treatment that expands the jaw in order to make room for permanent teeth, or starts correcting bite problems before they become more serious.

  • High-Tech Planning

Today’s technology allows us to map out the progression of your treatment before we begin. Scanners, X-rays, and computer programs help us to design a treatment plan which will accurately predict how best to move your teeth and correct your bite, taking into account the size and development of your teeth and jaw.

  • Surgical Options

By the time you reach your late teen years, the jaw bones have stopped growing and it’s no longer possible to expand them without surgery. Oral surgery can treat serious jaw problems that impact your teeth and bite, usually as part of a combined treatment plan designed by your orthodontist and your oral surgeon.

Because we always work to keep teeth intact—using these methods and others—you can be sure that, if we recommend extraction, it is absolutely necessary. What could make an extraction necessary?

  • Severe overcrowding. Sometimes, there’s just not enough room in the jaw for all of your teeth.
  • A tooth or teeth that prevent us from correcting a problem with your bite.
  • Wisdom teeth. Usually, orthodontic work takes place before a patient’s wisdom teeth start to erupt. If yours do make an appearance before or during treatment, we can adapt our treatment plan accordingly.
  • An extra tooth. It’s rare, but an extra, or supernumerary, tooth sometimes develops, and your jaw is not designed to accommodate extras!

It’s important that you talk to Dr. Kathleen Chan and Dr. Ivy Chen about every step of your treatment, including extractions. We want you to understand the treatment plan which will give you your best outcome. If we recommend extraction, it is because this decision is the best way to achieve a healthy bite and alignment, creating your beautiful smile—and protecting it—for a lifetime.

Why is orthodontic treatment important?

August 19th, 2020

The goal of orthodontic treatment at Chan & Chen Orthodontics, which may include the use of braces, retainers, and aligners, is to straighten your teeth. Treatment often starts in the pre-teen or teenage years, but adults may also need orthodontic treatment. The treatment can feel like a chore that lasts for several months or a couple of years, but it can fix important problems. These include:

  • Crowded teeth spaced too close together
  • Gaps between your teeth
  • Crooked teeth
  • Overbite or underbite
  • Upper and lower teeth that do not meet

Straight Teeth are More Attractive

You are more likely to be proud of your smile when your teeth are straight and evenly spaced. Pride in your appearance can give you more confidence and encourage you to try new things. This can be particularly important for adolescents. In addition, people often judge others based on first impressions. A smile that shows straight teeth is more attractive.

Better Oral Health is Easier

Brushing and flossing your teeth are two basic components of an oral health routine to protect your teeth from conditions such as tooth decay, gingivitis, and plaque build-up. As Dr. Kathleen Chan and Dr. Ivy Chen and our staff know, caring for your mouth is easier when your teeth are straight. The American Dental Association says the following conditions are less likely to occur if you have the proper orthodontic treatment.

  • Dental caries
  • Gum disease or gingivitis
  • Tooth loss
  • Impaired speech
  • Worn tooth enamel

Orthodontic Treatment Improves Nutrition

Poorly aligned teeth can reduce your ability to chew properly or make certain foods more difficult to eat. Many of these more challenging foods are healthy, and avoiding them can cause you to limit your diet to softer, often less-nutritious foods, such as ice cream and canned soup. Straighter teeth and a better ability to chew let you eat crunchy foods, such as apples and carrots; stringy foods, such as asparagus and chicken; and chewy foods, such as raisins.

Ugh, Not Braces!

August 12th, 2020

Getting your child excited about braces is a lot like: A) convincing a grumpy toddler that it’s time to take a nap? B) convincing a teenager to stop texting during dinner? C) convincing your husband to eat his peas? The answer, obviously, is all of the above.

And that’s why you may need a few thoughtful ways to get your child on board with braces.

  1. Throw a pre-braces party. It can’t be just any party, however, but a Willy Wonka celebration of candy, chips, gum, and all the sticky and sweet foods your child won’t be able to indulge in during the time he or she is wearing braces. Promise a post-braces celebration, too, and watch as your child’s eyes widen at the thought of an all-you-can-eat junk food buffet.
  2. Encouraging phrases like “braces aren’t eternal, but your straight smile will be” can go a long way.
  3. If your daughter is worried about getting picked on because of braces, then name-drop some A-list celebrities who have worn them. The list includes Cameron Diaz, Kelly Clarkson, Dakota Fanning, and Gwen Stefani.
  4. Emphasize that braces today aren’t the same as they were in the Stone Age. From clear ceramic braces to different-colored braces, more options are available. Braces can be cool accessories to express a personal style.
  5. To get your child to embrace braces, you need to sing the praises of beautiful teeth, even if that means pointing out how crooked your teeth are because you never got braces.

Questions, questions…

July 29th, 2020

When beginning orthodontic treatment, most patients ask Dr. Kathleen Chan and Dr. Ivy Chen and our team a lot of questions about what to expect, while others choose to just "go with the flow" and leave it to us to build for them a beautiful smile. And for our team at Chan & Chen Orthodontics, that's understandable.

But for those who do ask questions, two of the ones we frequently hear are "Will my braces hurt?" and "How long will these be on?"

We explain to our patients that despite what they've heard, braces do not hurt when they're initially put on. Yes, you will experience soreness after your braces are placed and when your teeth start to move. Too often, our patients hear horror stories about how much it hurts to get the braces on, so they tend to over-worry. The truth is, after their braces are on, almost all patients say "that's it?" because it's actually easy and painless!

At Chan & Chen Orthodontics, we answer most of your other questions during your initial exam. When a patient visits our office for the first time, we give him or her a time estimate of how long it will take to achieve their ideal smile. All other questions are answered at the bonding appointment when the braces are placed. We cover all the topics, everything from eating to brushing with braces, but we also know that after your initial appointment, it's natural for you to have questions about your or your child's treatment. And we are always here for you; we are thorough and always try to answer any questions or concerns you may have. As a patient, that's one thing you never have to worry about. You will always know what's going on throughout your orthodontic experience.

What's the best dental floss?

July 22nd, 2020

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Dr. Kathleen Chan and Dr. Ivy Chen and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Andover office.

Summer Fun

July 14th, 2020

Happy summer from Chan & Chen Orthodontics! We know summer might look a little different this year with social distancing measures still in place, but there are so many safe outdoor activities to enjoy with your loved ones.

When the sun is shining, the team of Chan & Chen Orthodontics loves to get outside. Some of our favorite places and activities are nature walks in the local forest, bike riding, or walks around town. It’s important to note that, when we are out in our community we stay safe by wearing masks and practice physical distancing. Make sure to support some of our favorite local shops by getting take out or doing curbside pick-up!

Warm summer days are for indulging in cold treats to help cool off. We encourage all our patients to avoid sodas or foods high in sugar. Try switching out your regular treats for something more healthy, but still sweet and tasty, like fresh fruit or fruit smoothies. Remember to brush and floss your teeth every day, at least twice a day.

We hope everyone continues to stay healthy. We will all get through this pandemic together. Have a safe summer!

Latest Office Updates

July 13th, 2020

Hello from Chan & Chen Orthodontics. We hope your July is getting off to a great start. As of May 25, 2020, our office is re-open and we are ready to see you!

Before your next appointment, there are a few new implementations to be aware of. We will have a pre-appointment questionnaire to be filled out before you arrive at our office. Please use the restroom and brush your teeth at home before coming to your appointment (our restrooms and toothbrushing station are temporarily closed). All forms, paperwork, and payments can be completed online, please let us know if you need any help. Remember to wear your mask!

Once you arrive, please call or text us when you arrive in the parking lot, and we will let you know when we are ready to have you come upstairs. Enter through the main entrance facing North Main St. We ask that patients come up to the appointment unaccompanied whenever possible. Upon entering our office, your temperature will be taken and then we will take you directly to the treatment area for your procedure. After your appointment is finished, please go down the side stairwell that exits the side door of the building facing Pearson St. For follow-up after your appointment, we will call or text you to provide updates and schedule your next appointment. We thank you for helping us make this process as smooth and comfortable as possible.

Also, please be aware that we have restructured our schedule in order to adjust our capacity. First morning appointments will be prioritized for patients with higher risks. We will continue to offer virtual appointments, especially for appliance, aligner, retainer checkups, dental development checkups, and consultations.

Need some advice on how to keep your smile healthy and happy? We recommend brushing after each meal and flossing before bed. You should brush your teeth for approximately 2 minutes, 2-3 times a day, and floss at least once a day (preferably at night to get any remaining food particles out of your teeth!). Your diet can affect your smile just as much as oral care! Make sure to eat foods that are low in sugar and acid.

Stay safe and healthy everyone! We look forward to seeing you soon!

Gums and Braces

July 8th, 2020

“Yes,” you’re thinking, “I shouldn’t be chewing sugary, sticky gum while I’m wearing my braces.” Or perhaps, “I should check with my orthodontist to see if this sugar-free gum is safe for my braces.” And these are both great thoughts—but today, we’re thinking about gums of a different sort!

While you’ve been taking care of your teeth with regular brushing and flossing, you’ve also been taking care of your gums. And now that you’re wearing braces, your gums need a bit of special attention to keep them their healthiest.

We tend to think of gum disease as an adult problem. In fact, periodontitis, or serious gum disease, is one of the most common chronic infections in the adult population. But young gums need care, too! Gingivitis, a milder form of gum disease, is unfortunately a common problem for both children and adults.

Gingivitis is an inflammation of the gums caused by the build-up of plaque and tartar. When plaque builds up, it irritates delicate gum tissue. And while gingivitis is not as serious as periodontitis, the symptoms caused by this disease are nothing to smile about:

  • Redness
  • Tenderness and soreness
  • Swelling
  • Bleeding
  • Bad Breath

If you’re already feeling a little tender or swollen after an adjustment, the added discomfort caused by gingivitis is the last thing you want. But even worse, neglected gingivitis can lead to more serious infections of gum and even bone tissue. Luckily, gingivitis is both preventable and treatable with proper dental care.

So, how to protect your gums? We have some suggestions.

  • Brushing Better with Braces

It can be hard to brush around your brackets and wires, but keeping these areas free of food particles and plaque makes for healthy gums—and fewer cavities! There are specially designed manual toothbrushes made for braces wearers, and tiny interproximal brushes that can reach tight spaces. Or, perhaps an electric toothbrush will do a better job for you. Just be sure to brush after each meal for the most complete removal of bacteria and plaque.

  • Learn New Flossing Techniques

You might wonder how on earth you’ll get in between your teeth with your wires and brackets in the way. We have the answers! We know the best techniques for flossing your specific braces, and we’ll recommend specially designed flossing tools to make the job easier. Water flossers can also be a great help for cleaning in tight spots. Be sure to make flossing part of your daily routine—you’ll be able to remove plaque from places brushing just can’t reach.

  • Rinsing? Recommended.

Talk to Dr. Kathleen Chan and Dr. Ivy Chen about the best dental rinses for reducing plaque and tartar, or how gargling can help prevent irritation. And drink water! Water helps wash away plaque and bacteria, and is a great way to rinse teeth and braces if you absolutely can’t brush after eating.

  • Keep up with Professional Cleanings

Be sure to keep up with your regular dental exams and cleanings. Your dentist or hygienist will be able to remove any plaque or tartar build up that home brushing can’t handle.

We want your time in braces to be as healthy—and comfortable—as possible. If you have any gum discomfort, swelling, or sensitivity, give our Andover office a call. With prompt action, gingivitis can be treated, and with careful attention to your cleaning routine, gingivitis can be prevented altogether. Something to think about!

Happy Fourth of July!

July 1st, 2020

Happy Independence Day from Dr. Kathleen Chan and Dr. Ivy Chen and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Chan & Chen Orthodontics blog to some fun facts about the Fourth!

  • My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
  • Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
  • The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
  • Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
  • The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

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