orthodontic treatment

We’re lucky to have great patients who know how to take care of their braces. They practice good hygiene, stay away from hard, sticky and gooey foods and come in regularly for adjustments.

However, even with the best of intentions sometimes things don’t go as planned. While there are very few true ‘emergencies’ in orthodontics, there are some times when a wire will bend or poke, a bracket will come loose, or an elastic tie can pop off. Your first course of action should always be to call our office. However, if you aren’t able to come in right away, there are easy ways to make your braces more comfortable while you wait for your appointment.

This video shows some common issues with braces, and how to fix them.

Broken brackets: Brackets sometimes beak, bend, or pop off completely. If the bracket comes off and is still attached to the wire, you can use wax to hold it in place and keep your mouth comfortable. Call our office and make an appointment to have it reattached.
Loose bands: Hard and sticky foods are the biggest culprits in bands coming loose. If that happens, call our office right away to schedule an appointment to re-cement the band. In the mean time, try not to play with it, and don’t attach headgear or rubber bands to loose bands.

Poking wires: As your teeth move in your mouth, sometimes the archwire will extend out the back of the bracket and irritate the cheek. If this happens, you can cover the end with wax until you come into the office. Another option is to use the eraser end of a pencil to gently bend the wire in towards the tooth, and away from the cheek.

Sore teeth: It’s not unusual for teeth to be sore after an adjustment or when new appliances are installed. Usually, this only lasts for 24-72 hours. We recommend cold fluids and soft foods. You can also treat it the same way you treat a headache, with the pain reliever of your choice.

Lost ties: Occasionally, the elastic ties that hold the archwire onto the bracket can come off. Call our office if that happens. Often, it can wait until your next appointment. Other times, we can schedule a quick visit to have it replaced.
When in doubt, don’t hesitate to call the office at 845-621-1222. We’re always happy to answer your questions!

With spring here, many children, teens and adults will once again pick up the ball, bring the bat out of seasonal retirement, and lace up their cleats to hit the fields for the return of spring sports! April is National Facial Protection Month, and during this time, Dr. Sean Rooney and our dedicated team urge our young athletes to play it safe when out on the field. If you play sports and are undergoing orthodontic treatment with Dr. Sean M. Rooney Orthodontics, it's important that you consult Dr. Rooney for special precautions, such as wearing a mouth guard. A protective mouth guard is advised for playing spring sports such as baseball, soccer, lacrosse and others. Be sure, however, to avoid mouth guards that custom form to your teeth as these will resist any tooth movements we are trying to achieve.

In case of any accident involving the face, check your mouth and the appliances immediately. If teeth are loosened or the appliances damaged, please schedule an appointment with our office. And don’t forget to ask us—Dr. Rooney offers mouth guards to patients in and out of treatment.

Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Please give us a call if you have any questions about mouth guards or your treatment.

Usually patients in orthodontic treatment at Dr. Sean M. Rooney Orthodontics already have their permanent teeth – they are pre-teens, teens and adults. But in some cases we have to start treatment earlier, even before the patient’s permanent teeth come in. We call this “two-phase treatment.”

When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat.

Examples include:

-An upper or lower jaw that is not growing correctly
-A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in
-A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly

In these cases we will start early and do one round of treatment – phase one – while the patient still has their baby teeth. Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves standard braces.

In order to catch early problems, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontists). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner.

If you have more questions about two-phase orthodontic treatment with Dr. Sean Rooney, please give our office a call.

There are a variety of foods Dr. Sean Rooney wants you to avoid while you're wearing braces some foods can occasionally damage braces, but certain foods can bend the wires or even break your brackets. If you’re wearing braces, you should avoid starch, sugar and gummy foods, as these foods can be difficult to remove during brushing. Foods that are high in sugar and starch tend to cause plaque, cavities and even tooth decay.

Avoid tough meats, hard breads and raw vegetables such as carrots and celery. Before long, you'll be able to bite a cucumber again. But you'll need to protect your orthodontic appliances when you eat for as long as you're wearing braces.

Foods you should avoid include:

• Chewy foods: bagels, hard rolls, licorice
• Crunchy foods: popcorn, ice, chips
• Sticky foods: caramels, gum
• Hard foods: nuts, candy
• Foods you have to bite into: corn on the cob, apples, carrots

Also, chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.

If you have any questions on which foods you should be avoiding and why, we invite you to give Dr. Sean M. Rooney Orthodontics a call or ask our staff during your next visit.

If you ever sustain damage to your braces and need to call Dr. Sean M. Rooney Orthodontics, we can help you more effectively if you can tell us exactly which piece is in trouble! Here’s a handy diagram and corresponding list of all the parts that make up your braces.

Elastic Tie: Tiny rubber band that fits around the bracket to hold the archwire in place.

Archwire: The main wire that acts as a track to guide the teeth along. It's changed periodically throughout treatment, as teeth move to their new positions.

Loop in Archwire: Frequently used for closing space left by an extraction. Many archwires don't have a loop.

Bracket: Small attachment that holds the archwire in place. Most often, a bracket is cemented directly onto the tooth's surface, eliminating the need for a band.

Headgear Tube: Round, hollow attachment on the back bands. The inner bow of the headgear fits into it.

Coil Spring: Fits between brackets and over archwire to open space between teeth.

Tie Wire: Fine wire that is twisted around the bracket to hold the archwire in place.

Band: A thin ring of metal fitted around a tooth and cemented in place. The band provides a way to attach the brackets to the tooth.

Hook: Welded or removable arm to which elastics (rubber bands) are attached.

Elastic (Rubber Band): Small rubber band that is hooked between different points on the appliance to provide pressure to move the teeth.

Hope this helps! Give us a call if you have any questions!

Dr. Sean Rooney is pleased to offer our patients Lingual Braces. We wanted to discuss today a few of the unique benefits of this new orthodontic treatment. To begin, Lingual Braces are placed behind your teeth, rather than in a visible area. Because of this, no one will ever know that you are wearing braces! These unique type of braces are created using state-of-the-art technology and are entirely customized to the shape of your teeth. Hence, you can improve your smile efficiently and effectively in a discreet new way.

Who especially benefits from Lingual Braces?

• Athletes
• Models
• Actors
• Musicians, especially those who play wind instruments
• Adult professionals

For more information on Lingual Braces and treatment options at Dr. Sean M. Rooney Orthodontics, please give us a call today to schedule your consultation!