Herbst Appliance

The Herbst Appliance is a functional appliance used to encourage growth of the lower jaw by holding it forward. It addresses the problem of the upper jaw being positioned properly while the lower jaw is positioned too far behind the upper jaw. Advances in design and clinical techniques have placed the Herbst in the forefront as the functional appliance of choice is the correction of skeletal and dental class II malocclusions. No more headgears!

Your Herbst Appliance

Your Herbst consists of crowns cemented over your back teeth like a thimble, your teeth are not reduced. The crowns have rods and tubes attached to them that hold your lower jaw forward moving teeth and stimulation growth. The rods and tubes can be adjusted throughout treatment to position your jaw and move your teeth as needed.

Adjusting to your Herbst

During your first week you will experience soreness as your jaw muscles, teeth and joints adjust to the new position. You may take over the counter pain medication as needed for the soreness. During this week, you will want to eat softer food as you adjust such as smoothies, yogurt, potatoes, ext. After about a week you will be back to eating like normal.

Cleaning

You need to continue to brush your teeth at least twice a day. Besides brushing your teeth you need to brush around the metal crowns, rods, and tubes. You need to continue to floss your teeth and in addition you need to floss between the metal structure of your Herbst and your teeth.

Problems

-If the hinges (the rod and the tube) come apart when you open wide or yawn, do not worry. Just go to a mirror, open wide and guide the rod back into the tube as you close down. Tell us if this happens frequently.

-If something breaks, comes unglued or bent, give our office a call as you will have to come in to have it repaired.

Laser Gingivectomy

Most dental professionals and people would agree that the optimal smile should reveal the least amount of gum tissue as possible. Gum tissue that is visible in the esthetic portion of your mouth (the teeth that show when you smile) should have balanced and even contours that are in harmony with the upper lip.

A Gingivectomy is recommended for patient who have what is commonly known as “gummy smile”, or excessive gum tissue that makes the teeth appear stubby. A cosmetic gum lift can reveal the beautiful teeth that you have under the overgrown soft tissue. This procedure is performed with a soft tissue laser, and can not only reinvent your smile but it is good for your oral health.

What to expect

The day of your procedure we will apply a topical anesthetic to numb the area, and then begin to re-contour the excess gum tissue that exists. Dr. Frost will safely and carefully use a soft tissue laser to trim away, reshape and seal the unneeded gym tissue.
This treatment typically only requires one visit to our office, and only takes about an hour. The pain associated after the procedure, if any, is minor and there is no bleeding and no itching are involved.

The laser used to perform the gum lift seals and sterilized the area so any chance of infection is significantly reduced. It also minimizes inflammation and promotes healing. We employ the use of lasers because not only are they safe, but they also protect the surrounding tissue from damage during procedure.

Post-Exposure Care

-Keep the area clean as directed by your clinical assistant.

Depending on the procedure, a medicated mouthwash or Vitamin E capsules may be prescribed for post care treatment.

-We will see you back in two weeks for a follow up appointment. Please let your clinical assistant know of any discomfort if you are still sore.

Laser Frenectomy

Surgically releasing the freum is called a frenectomy. Conventional treatment involved a procedure when the frenum was cut with a blade or scissor, with or without sutures to reposition its attachment. Today, and in our office, we employ a procedure called “laser frenctomy” in which a dental laser is used to zap the frenum with pulses without even touching it, gently severing it from its attachment.

What to Expect

A few drops of anesthetic makes the area numb enough to prevent any discomfort during the procedure. The actual procedure takes 3-5 minutes, and full healing with new skin is evident with 10 days.

The new frenum attachment is at least 5 mm higher up, clearing the gums and releasing the toque or the lip respectively. Post-operative discomfort is less than what one might think. The area feels sore for 2-3 days, but you will be able to eat and function normally.

Post-Exposure Care

-After the procedure, the area will look like a large raw sore, however there is no need for alarm. There may be slight oozing of blood, but generally this stops within an hour. During this time, fold a piece of gauze over the wound and replace it of it gets soaked with blood.

-It is important to keep the area clean. Soak a piece of gauze in 2% hydrogen peroxide and gently dab the area twice a day. Once the area is less sore to touch, you can apply gentle wiping motions to remove dead cells and bacteria from the wound.

-on the third day, apply pure Vitamin E oil on the sore before going to bed.

Lip Exercise

To gain most ground in reattachment, perform these stretching exercise 3 times per day over the next 10 day.

-Grab the lip or tongue where the frenectomy was performed and move it side by side and up and down.

-Pucker the lip and stick the tongue into the frenum area to stretch the severed attachment and move.

CS-2000 Springs

A CS-2000 Spring is an appliance used to correct class II (Overbite) or class III (under bite) dentition. The CS-2000 Spring is a lot like orthodontic elastics but you cannot take them out.

CS-2000 Springs are made of a special coil spring that helps to pull the mandible forward. (class II correction) or backward (class III correction). This coil spring is attached to the archwires so you do not have to worry about putting them in or raking them out like you do with elastics.

Adjusting to your Appliance

There is a short adjustment period when you get your new appliance. Mild discomfort such as mouth soreness is not uncommon. You may take over the counter pain medication as needed. You may also notice some minor difficulty in chewing with your new appliance. During this time you will want to want softer foods as you adjust such as smoothies, yogurt, potatoes, etc.

Cleaning

Special attention to brushing is require with this appliance and you have to make sure that you brush thoroughly after every meal. You need to continue to brush your teeth at least twice a day. Besides brushing your teeth you need to brush around the metal bands and springs. You need to floss berween the metal structure of your Quad Helix and your teeth.

Problems

-If the appliance becomes bent, distorted, or you are experiencing pain or discomfort beyond the normal tooth discomfort associated with tooth movement, call, our office for an appointment to have your appliance checked.

-If a spring breaks, keep the area clean and call our office for an appointment to have it repair.

Key Items to consider

When choosing an orthodontist

We appreciate your desire to seek the best possible orthodontic care for yourself, or for your child. Orthodontic treatment is a long-term relationship between you, the doctor, and the entire team. You want and deserve quality customer service and personal attention thought the orthodontic process. Below are several important questions to consider when you are seeking a second opinion. If you have any additional concerns or questions, please feel free to discuss them with us before making your final decision.

Talk to former patients

– ask for a list of contacts, preferably with patients who had similar treatment to yours. Your ability to contact people with similar cases, at your discretion, will ensure that you get an accurate picture of the orthodontic practice’s capabilities regarding your situation.

Can you ask any question of any team member and get a prompt, complete, and accurate answer?

Confidence and knowledge are a great part of the overall experience and you should be certain your doctor and every team member have both. Make sure your feel comfortable asking questions and sharing concerns.

Is the practice on the Customer Service aspect of orthodontics?

Will you and your child enjoy the orthodontic experience and treated in a special and caring environment.

Ensure that the orthodontic practice is up-to-date on the latest advances in the profession.

There have been significant advances in orthodontic treatment in recent years. Ask for an office tour and ask for a detailed explanation of what technology is utilized to deliver excellent results.

Review the qualification of the doctor.

Orthodontic treatment today requires a considerable amount of technical skill on the part of the doctor. Ask for a biographical summary of the doctor’s qualification and experience providing treatment.

Is the doctor an orthodontic specialist?

Some dentist does braces yet do not have orthodontic training degree. Specialty training requires an additional 2-3 years of post-graduate education after completing the regular dental program.

How long has the doctor been in practice?

Much of the orthodontic education takes place after graduate school when you begin working on a regular basis to increase knowledge and hands-on experience.

Does the doctor place the braces of the teeth themselves?

Dental assistants are trained and legally permitted to do many procedures in the mouth. It is recommended that you find out about their background training and experience.

Are brackets or any other appliances recycled or re-used in the office?

Be sure there are NO recycling procedures being used for braces themselves or any other appliance to be worn.

Does the doctors charge for routine visit to monitor dental growth and development prior to beginning and treatment? Will you be charged for routine visits to monitor dental growth and development?

Does the practice take additional X-Rays or models throughout the treatment without additional charges and without having to pay any outside fees for these services?

Some offices will send you to outside X-Ray lab to gather diagnostic.

Are finishing retainers included in the total treatment fee?

Find out if your retention phase of treatment following braces includes adjustments without any additional charges.

We realized that for many people finding an orthodontist is a new experience. We also realize that the commitment to excellence in our office is often not fully appreciated until the patient has learned more about orthodontic treatment in general. Hopefully, we are of help to you in the process of selecting the best choice for your treatment or family members. We look forward to hearing from you and having you join our family of satisfied patients and parents.

EXPOSING IMPACTED TEETH

When a tooth or teeth is/are impacted, this means that the tooth is “stuck” and will not be able to erupt into its deal position on its own. Sometimes an oral surgeon will have to surgically bond a button and chain to the impacted tooth to successfully bring the tooth into its optimal position.

Depending on the positioning of the impacted tooth, Dr. Calkins can do an in-office laser appointment to expose the tooth and place a bracket on it at the same time.

Steps to Exposing an Impacted Tooth

-Usually a tooth will be exposed after orthodontic treatment has started and enough space for the impacted tooth has been made for it to easily erupt into position following the exposure. Dr. Calkins will notify you when you are ready for laser exposure appointment.

-Your appointment will last approximately 1 hour. To prevent discomfort during your appointment it is normal for Dr. Calkins to administer a local anesthetic. Please let us know if you have any reaction to any types of anesthesia/anesthetic prior to your appointment.

-You should not feel anything after the anesthetic starts to work and Dr. Calkins begins the laser treatment. The laser treatment last between 5-10 minutes.

–If the exposed tooth cannot be easily placed into your orthodontic wire, it will be secured to the wire with a piece of elastic thread to help the tooth move into ideal position.

Post-Exposure Care

-Keep the area clean as directed by using the special mouthwash given to you by your clinical assistant -soreness around the exposed area is expected. Take over the counter pain medication as needed and keep the area as clean as possible

-you will be seen approximately 2 weeks after your appointment for a follow-up appointment. Please let your clinical assistant know of any continued discomfort at this time.

Treatment Technology

“Braces are the beginning, but the system makes the smile”

At Sunrise Orthodontic we employ the latest technology available to itemize your treatment

At Sunrise Orthodontics, we are proud users of The Damon System. We combine three key components, which when used together, deliver faster treatment, fewer appointments, greater comfort, and consistent high-quality results.

1) Damon passive self-ligating braces that eliminate the need for elastic or metal “ties”. With Damon tie-less braces you can experience treatment without tightening.

2) Light high-technology shape memory wires that move teeth faster and require fewer adjustments.

3) A new clinical proven treatment approaches that aligns your teeth and enhance facial aesthetics-usually without extraction or rapid palatal expanders.

Traditional braces are tie with elastics, which causes friction and pressure, making treatment slower and less comfortable. Damon braces use a slide mechanism to hold the wire, which allows teeth to move freely, quickly and comfortably.

Damon braces are designed to be discreet, comfortable and easy to keep clean. Without the elastic ties which attract and collect plaque. Damon braces make dental hygiene easy during treatment. Plus, the Damon System is available in clear brackets for those image conscious patients.

The i-CAT 3D imaging system allows Dr. Calkins to dramatically advance patients care by uncovering anatomically true information on both orthodontics and TMJ patients while greatly minimizing radiation exposure

Areas such as sinuses airway passages, the relationship between the teeth and jaw structure along with the temporomandibular can all be visualized and measure accurately which would be impossible to do with traditional panoramic or cephalometric radiographs that most orthodontists use today.

QUAD HELIX APPLIANCE

The Quad Helix is an appliance designed to widen your jaws to create room for alignment of your crowded teeth. It is attached to your molars by two bands and has four active helix springs that widen the arch of your mouth.

Your Quad Helix appliance

Your Quad Helix consists of bands cemented over your back teeth, your teeth are not reduced. The Quad Helix is activated prior to cementation and will be adjusted as necessary throughout your treatment.

Adjusting to your Quad Helix

There is a short adjustment period and speech may be temporarily affected. You may take over the counter pain medication as need for the soreness. During this time, you will want to eat softer food as you adjust such as smoothies, yogurt, potatoes, etc. After about a week you will be back to eating solid foods.

Cleaning

Special attention to brushing is required with this appliance and you must make sure that you brush thoroughly after every meal. You need to continue to brush your teeth at least twice a day. Besides brushing your teeth, you need to brush around the metal bands and springs. Yu need to continue to floss your teeth and in addition you need to floss between the metal structure of your Quad Helix and your teeth.

Problems

-If the appliance becomes bent, distorted, or you are experiencing pain or discomfort beynd the normal tooth discomfort associated with tooth movement, call our office for an appointment to have yor appliance checked.

-If a band becomes loose keep the area clean and call our office for an appointment to have the band re-cemented.

PHASE I EARLY ORTHODONTIC TREATMENT

Children sometimes exhibit early subtle of orthodontics problem as they grow and develop. An upper or lower jaw that is growing too much or too little, or too wide, narrow, or crooked can be recognized at an early age. Phase I early orthodontic treatment is sometimes recommended to help or prevent larger dental or orthodontic problems from occurring.

Typically, Phase I Orthodontics Treatment is the first of two phases of treatment, and it occurs when a young patient needs intervention before starting regular orthodontic treatment, resulting in two separate treatment phases or treatment plans.

Phase I Treatment with Braces


Phase I Treatment may require a limited number of braces and or appliances that are actively moving the teeth and can be the foundation for a more stable and ideal facial result prior to a full phase 2 orthodontic treatment. The benefits a patient may receive from phase I treatment may include but not limited to

  1. Taking advantage of growth
  2. Minimizing the need to extract permanent teeth
  3. Avoid or reduce the need for facial surgery
  4. Correct harmful habits
  5. Decrease the risk to tooth trauma
  6. Improve psychological factors
  7. Increase compliance
  8. Maximize the benefits of orthodontics

Phase II Treatment

There are several problems concerning tooth alignment, crowding and spacing gum or periodontal health jaw and facial development that can be corrected with Phase I treatment. It is common, that a second phase of treatment will be needed after this first phase. Typically, the second phase of treatment is of shorter duration and easier on the patient, reflecting the benefit of early intervention of the first phase of treatment

TEMPROARY ANCHORAGE DEVICE

A TAD is a device fixed to bone specifically for providing orthodontic anchorage and is removed at the completion of treatment

Orthotics with TADs can:

-Reduce orthodontics treatment time be one third

-Eliminate the need for a headgear

-Provide a more ideal finish

-Allow limited tooth movement in preparation for a bridge, crown or implant without braces

-Close most open bite without surgery

-Eliminate the need for rubber bands

TADs are made of sterile medical- grade titanium alloy.

After numbing the area where the TAD is to be placed, we use gentle pressure to insert it through the gums and into the bond between your teeth.

Some patients say the feel a little pressure for a short period of time afterward. Only a few patients have reported needing to use an over the counter medication such as ibuprophen.

Minor aching associated with the new tooth movement is normal, however, if you have concerns you may call our office during office hours and one of our knowledgeable team members can answer any questions or concerns you may have.

To keep the TAD clean, brush twice a day and use the medicated rinse that was given to you when the TADs were placed

If the TAD causes an irritation inside your cheek or lip you may use wax over the top to protect the irritated area. A TAD can sometimes become loose. In most cases this minor mobility is nothing to cause concern. However, if you feel the TAD becomes excessively loose and causing discomfort please call our office and we will schedule an appointment to repair the loose TAD.

The anchorage device is temporary and is typically removed after a few months when it is no longer needed to assist in tooth movement.

Before we remove the TAD, topical numbing gel is placed around the area and it is gently removed. The entire process of removing the TAD takes only a few seconds!</>

If you have any questions regarding your treatment plan please feel free to call our office during office hours.

Your questions, concerns or comments are always appreciated

TONGUE TAMERS

Tongue thrusting is the reason for misalignment and bite problems for nearly half orthodontic patients. Tongue Tamers are sometimes used during orthodontic treatment to correct a tongue thrust.

What is Tongue Thrusting?

Tongue thrusting simply defined, is the habit of placing the tongue in the wrong position during swallowing either too far forward or to the sides. It is estimated that every 24 hours you swallow a total of 1,200 to 2,000 times, with about four pounds of pressure per swallow. This constant pressure of the tongue will force the teeth and arches out of alignment. Besides the pressure exerted while swallowing, nervous thrusting also pushes the tongue against the teeth while it is at rest. This is an involuntary, subconscious habit that is difficult to correct.

What are the Consequences to Tongue Thrusting?

The force of the tongue against the teeth is an important factor in contributing to malformation (“bad bites”). Many orthodontists have had the discouraging experience of completing dental treatment, with great results, only to discover that the patients had a tongue thrust swallowing pattern. This continual habit will push the teeth out of alignment and revers the orthodontic work.

Tongue Tamers

Tongue Tamers or Tongue Reminders are used most times behind your front 4 teeth. They look like mini spikes that help to train and remind your tongue to use the roof of your mouth to swallow instead of pushing against your teeth.

Common Problems

-Because they are there to help remind your tongue to stay away from your front teeth, your tongue may feel sore or “raw” when you first get your tongue tamers. This is common in the first few weeks. A warm salt water rinse using 1 tablespoon to 1 cup of warm water and rinsing for 1-2 minutes will help alleviate initial discomfort.</>

-Tongue Tamers are smaller than your orthodontic brackets and just like brackets you must be careful with what you eat. Because Tongue Tamers are not attached to a wire, if the come re-bonded, it is not uncommon for the to be accidentally swallowed, this is OK and will not hurt you Let our office know before your next appointment that it will need to be re-bonded at your next visit.

BITE TURBOS

Bite Turbos, or Bite bumps are little bonding “blocks” on the inside or on the biting surface of some teeth. These blocks of glue help to unlock your bite and allow your teeth to move more effectively. Bite Turbos can be bonded on the chewing surface of your teeth or behind your front teeth.

Things to know about Bite Turbos

-Separating your teeth unlocks your bite from the pressure of the opposing teeth and allows your teeth to move easier, faster and more comfortably.

-Bite Turbos are temporary. They are usually removed after 6-12 months.

-some teeth may not touch together after your turbos are placed. This is normal and expected. Eating softer foods and learning to chew and bite different will help you get used to your tubos faster.

-placement of the Bite Turbos allows us to place upper and lower braces at the same time and prevent your teeth from biting down on your lower braces. THIS ALLOWS TREATMENT TO PROCEED AT LEAST 6 MONTHS FASTER.

-Bite Turbos may be slightly annoying at first, but the treatment time it saves is well worth it in the end

Problems

-If a Bite Turbo comes off, it is okay to leave it off until your next appointment. If having the Turbos off causes discomfort, please call our office to schedule a comfort visit to have t=your turbo re-bonded

-chewing and eating may be difficult at first. This usually takes a few days to get used to and is normal

-Because you are biting differently, discomfort is normal, especially if you are prone to clenching your teeth. Taking over the counter pain medication can help with adding your discomfort until you are used them.

Our Office

Our state of the art facility is designed for ultimate patient comfort. You will enjoy our spacious reception and waiting room equipped with Wii Game center, refreshment area, photo booth, Wi-Fi connection and flat screen televisions. We welcome you and your family to relax. While you wait and partake in our engaging atmosphere
Our clinic chairs are fitted with memory foam for a relaxing appointment and floor to ceiling windows for an open atmosphere.
You may be interested in the interior design concept of our beautiful office. it was imagined and created with our patients and their needs in mind, If you have any questions about our office do not hesitate to ask.

Why Choose Our Office

All Orthodontists Are Not Created Equal

  • We feel you should know what makes our practice standout!
  • The latest technology and appliances are used
  • We utilize state of the art sterilization for your safety
  • We pride our selves with on time scheduling
  • Computerized patient education
  • Excellent communication with our parents and patients
  • Outstanding doctor credentials
  • Highly trained and certified team members
  • Continual education for the entire team
  • Individualized treatment planning
  • In house state of the are x-rays and digital diagnostic records
  • In house lab for retainer and appliance fabrication
  • We are fun and caring individuals
  • We make sure the entire experience is special
  • And… we make the very best smiles anywhere and still have fun

Our Patient Philosophy

Our mission is based on dedication to our patients

Our primary goal is to provide the highest quality orthodontic care in a pleasing and friendly environment.

We strive to do this by showing concern for each and every patient, while respecting their individuals needs and concerns

Excellence, Ability, and Education are fundamental to all members of our team. By holding these values, we strive to create winning smiles that last a lifetime.

SO WHAT MAKES US DIFFERENT?

Admit it. You think all orthodontic offices are the same. Most are. We aren’t. We believe your experience should be something special.

Contact Us Today