October 31st, 2017
One of the most frequent questions patients ask is, “Is there a way to accelerate orthodontic treatment?” Dr. King is happy to respond with a resounding, yes! As a Propel® provider, Dr. King can get you in and out of Invisalign in about a third of the time. Dr. King’s continuing education hours are ten times greater than the required amount so he has the skinny on safe and proven ways to help his patients achieve results quickly, comfortably and effectively. That’s something he’s happy to make available to you and why he recommends Propel technology.
WHAT IS PROPEL?
For a variety of reasons many patients don’t like the thought of spending years straightening their teeth and thanks to Propel Orthodontics it’s not necessary. Propel is a procedure that is used in conjunction with Invisalign. Dr. King is able to incorporate the procedure at your regular office visit and can complete a session which makes the teeth move faster. Often treatment time is cut by up to 66%.
HOW DOES PROPEL WORK?
Many things can influence the duration of your treatment time. The largest factor affecting how quickly your teeth move into their new position is the rate of bone remodeling. Okay, so this may be a little technical but you’ll be able to understand. The osteoclasts and osteoblast increase which is caused by the Rapid Acceleration Phenomenon (RAP). The bone is treabsorbed and rebuilt which is known as bone remodeling.
The Propel device is used to make micro-osteoperforations (MOPs), or tiny perforations that are the size of a pinhole in the bone around the teeth. The MOPs encourage a natural inflammatory response, which stimulates the release of the cells involved in the breakdown of the bone. This kicks off bone remodeling and accelerates tooth movement. MOPs increase the rate of tooth movement reducing treatment time by up to 66%.
Propel is gentle and very little discomfort is experienced during the procedure. Numbing is required and one should take Tylenol the next day. One or two Propel treatments are usually required but complicated tooth movement may require additional treatments. Patients go back to work that same day.
IS PROPEL SAFE?
Absolutely! The American Journal of Orthodontics and Dentofacial Orthopedics noted that Propel is an “effective, comfortable, and safe procedure that accelerates tooth movement significantly.”
PROPEL TREATMENT AFTERCARE
Remember, there’s zero recovery time after a Propel procedure but to get the most out of treatment there are a few recommended steps:
- You might experience minor sensitivity which will go away in a day or two. It’s extremely important that you don’t take anti-inflammatory pain medication like Aspirin or Ibuprofen. Inflammation is a good thing in this case because the inflammatory response is how Propel works its magic to speed up orthodontic treatment.
- Spicy food is not your friend for a few days. Stay away from anything with citric acid (e.g., orange juice, lemons or limes) for several days because the treatment area will be a bit sensitive.
- While the micro-perforations are healing, swish with undiluted hydrogen peroxide or rinse with chlorhexedine two or three times a day ensuring a clean and disinfected mouth. Brushing afterward will make the whole hydrogen peroxide rinse experience fade away quickly!
AM I A CANDIDATE?
Perhaps, but because every mouth and orthodontic needs are different the best thing to do is come in to the office so Dr. King can determine that for you. Diagnostic records will be taken to see exactly what the needs are in your specific case. We’ll have the coffee ready and are looking forward to meeting you.
August 30th, 2017
5 Tips to a Better Invisalign Experience
Orthodontic treatment has options! Everyone loves options, especially when it is something that is really important. An impressive and hugely successful orthodontic option is Invisalign or Clear Aligner therapy. You will love that when wearing Invisalign aligners at a conversational distance friends and colleagues will have no idea that they are there. Aligners being removable make treatment results depend to a great degree on your compliance. That’s right, Dr. King is masterful at his art but if you aren’t wearing the trays as instructed then the fantastic results you want will not occur and teeth will not align properly. Under Dr. K’s supervision and with your compliance you can expect and will have EXCELLENT Invisalign results. Take it from someone who has undergone aligner therapy and has shared some Invisalign success tips.
- (True story) Remember to use your Invisalign case to store your aligners. I occasionally would place my Invisalign in my pockets. Much to my chagrin a shopping receipt embedded into the groves of my aligners leading to a nasty surprise. It wasn't fun to imagine how long the Target receipt took to turn into pocket lint but it certainly tasted like a finely aged cheese.
- Remove trays before strenuous cardio such as running. Strenuous activity while wearing Invisalign trays can prove to be a bit difficult because of dryness and excessive saliva. Not a pretty sight.
- Definitely brush after meals and snacks. Not only should you NOT eat and drink in your trays it is imperative that you brush after consuming snacks and meals. If you don’t do this religiously you’ll find that the trays hold the taste of coffee or whatever you’ve eaten. Trust me; this is not a rewarding experience as you move through the rest of the day.
- Use chewies* (soft spongy plastic-like material) to seat clear aligners. Exercising into the trays 5-10 mins a couple of times a day, by chewing on soft plastic chewies not only helped the Invisalign trays hug the teeth, it also helps keeps you from snacking throughout the day. Bonus!!!
- Delay the aligner change before a big or important event. It takes a day to get used to the new tray and it’s preferable for that day to be on a weekend so that the rest of the week is comfortable at work or school.
Jupiter Orthodontics is a family oriented and adult friendly practice. We’ll be there for you as you navigate through your adult orthodontic journey as well as assist young ones with their challenges. Call us to find out which appliances best fits your lifestyle to achieve that fantastic smile you so richly deserve. Your consultation is always complimentary and for young ones observation is always without charge until the time is perfect to begin treatment.
July 17th, 2017
I FIRST LEARNED the MEAW method in its earliest stages from Dr. Kim. Having an insatiable appetite for cutting edge orthodontic knowledge this method was inspirational since I was determined to offer patients a non surgical option.
Early in the 1970s, Dr. Kim developed the Multi-Loop Edgewise Archwire (MEAW) appliance in his Weston, Mass, practice. This appliance allowed him to treat open bites and other severe malocclusions with excellent clinical results.
The Multi-loop Edgewise Archwire (MEAW) technique is a very intricate, complex and non-surgical method for treating patients that would normally require surgical realignment of the jaws. This technique utilizes braces, custom-formed loop archwires, and elastics to guide the teeth into the correct positions. In all of South Florida very few orthodontist are trained in the MEAW technique and is offering it as a treatment option to their patients. I am proud to have become proficient with the intricacies of custom-fitted loop archwires since 2005 and provide this cutting-edge technology to my patients with a comfortable, non-invasive alternative to painful jaw surgery.
April 3rd, 2017
Every once in a while there is a request in Dr. King’s office for a little post treatment help after non-compliance. It happens, a retainer gets lost, a permanent retainer gets broken, things happen and Dr. King understands that. Dr. King has developed a very successful procedure used when the space between the front teeth slowly returns and is not welcome.
Neal Kravitz, Editor for the Journal of Clinical Orthodontics requested Dr. King to contribute an article which describes a simple and esthetic solution he created for consolidating anterior spaces with light force and minimal effort. The technique evolved from a method of minor space closure in which a 1/8”, 2 oz elastic was placed around the central incisors and below the contact point in the gingival one-third of the tooth. This procedure is more comfortable, esthetic and predictable, requiring no special patient cooperation.
The included photos are of a 20 year old who lost his retainer a year previously. First, the anterior teeth to be bonded are isolated and etched and a bonding agent is applies. Next, a clear elastic thread* is cut to a length of 6” and positioned on the middle third of the crowns. A small teardrop of composite** is added over the thread on each tooth surface and cured one at a time. Maintaining tension as the elastic thread is lightly stretched across the teeth. This patient was bonded canine to canine and the space was closed in 10 days.
A space of 1mm or less can close in 24 hours if the thread is bonded fro lateral incisor to lateral incisor. If the patient has an overjet, space will rarely open distal to the lateral incisors. To avoid rotation of the upper lateral incisors, the patient should be scheduled to return to the office in 24 – 48 hours, since the teeth are being moved by uncontrolled tipping with no moment of a couple. If the lateral incisors begin to rotate, either excessive tension has been placed on the thread of the force has been exerted for too long.
If the patient is unable to return within two days, or if the rotation of the lateral incisors is a concern, the elastic thread can be bonded from canine to canine as shown here. Space closure will then take seven to ten days, but there is less risk of rotation due to the added anchorage of the canines. A bonded retainer should be placed once space closure is complete.