Bradley Nirenblatt, D.M.D., PA Specialist in Orthodontics

Orthodontics

Invisalign Teen and Extraction of Molar Steel Crown

April 29th, 2017

Invisalign Teen Extraction

Here is a teen that I treated with Invisalign by extracting his upper left first molar #14 which had a stainless steel crown which his dentist placed due to a very large filling and a deep cavity. Crowns on teeth are expensive and need to be replaced  a number of times over a lifetime and frequently need root canals. Rather than keep this tooth which was compromised, we decided to extract it and keep his wisdom tooth which had no cavities. We gave the teenager a handsome smile and a much better lifetime of dental health. We closed the extraction space with Invisalign trays and his wisdom tooth is erupting.

Invisalign Asymmetry

December 17th, 2016

Invisalign Asymmetry

This young lady was concerned about her crowded teeth and upper midline that shifted to the left  due to a missing upper left back tooth. We aligned her teeth and corrected her midline. We decided to maintain her rotated back teeth because aligning them would have opened a back space. With Invisalign, I am able to program the tooth movement or lack of tooth movement that I want.

Posterior Crossbite Treated Without An Expander

April 10th, 2016

"Posterior Crossbite Nirenblatt Orthodontics"

A posterior crossbite is a common malocclusion among patients. This means that the upper jaw is too narrow, lower jaw is too wide or both. An orthodontist is a specialist with 2 years of additional training over a general dentist and has the skills needed to determine the correct mechanics to correct this problem. Many orthodontists use a rapid palatal expander (RPE) to correct crossbites on many of their cases. These work well but are very bulky appliances which split the palatal bone and need to remain in place for six to twelve months. Although this appliance works, there are other ways to correct crossbites in many patients using braces alone with the knowledge of moments, forces and vectors. Remember physics? This is a patient that I treated back in 2010 without an expander. Notice how much wider his upper jaw is. Also his midlines are now perfect. If you have been told that you or your child  need an expander you may be able to be treated without one. Let us know if we can help.

Severe Crowding, Narrow Jaws and Protrusion

April 10th, 2016

"Protruded and CrowdedTeeth Aligned With Braces and Extractions"

Here is an older teen patient that I recently finished who presented with a very narrow jaw, severe crowding and a significant protrusion of teeth. I treated her with extraction of 4 teeth and tip-edge braces in 20 visits. Notice the improvement of her smile; it is wider than it was previously. Her midlines are perfectly aligned and her protrusion and overbite are ideal. For the last 25 years in Charleston, My staff and I have  treated patients of all ages not just kids and teens. Let us know if we can help you with your smile!

Invisalign and Propel in 9 Months

December 4th, 2014

drnirenblatt propel invisalign

Here is a patient that I just completed with Invisalign. Recently, I started offering patients the technology of Propel in addition to Invisalign. Using the Propel device, I make micro-perforations in the bone around the most crowded teeth. This will create increased bone cell activity to allow faster tooth movement. This is not a drug but a stimulation of the bone around your teeth. This offers not only a faster treatment time but also will allow very rotated or crowded teeth to move a lot easier.

I just finished another Invisalign Teen case

May 29th, 2013

Invisalign Teen

Years ago this would have been treated with a headgear or herbst appliance. I was able to distalize or move back all of his upper right teeth to make room for his right canine. I instructed the Invisalign techs how I wanted the teeth to move and at what rate. Needless to say, I wish I could have had this treatment when I had braces in high school!

Did you think Invisalign would work on this patient?

Need a New Year’s Resolution? How about a healthier, more beautiful smile?

December 14th, 2012


2013 is almost here, and it’s a great time of year to get started on achieving a straight, dazzling and confident smile that will last you a lifetime. We are proud to offer some of today’s most innovative orthodontic technologies that can straighten your smile in less time than you ever imagined. Not only do today’s braces and other orthodontic treatments straighten your teeth quicker, they also offer greater comfort for you, and require fewer visits to our office.

So if obtaining a healthy, beautiful smile is one of your New Year’s resolutions, we invite you to give us a call to schedule an initial orthodontic consultation. Happy holidays!

Where’s your bite? The differences between crossbites, overbites, and underbites

December 7th, 2012

Did you know there is a direct correlation between your bite and your overall health? When your teeth and jaws are not properly-aligned, it may affect your breathing, speech, and, in extreme cases, even affect the appearance of your face. As a result of malocclusion, also commonly referred to as “bad bite,” your teeth may become crooked, worn or protruded over time. Most people experience some degree of malocclusion, but it is generally not severe enough to require corrective measures. If your malocclusion is serious enough, however, orthodontic treatment may be necessary to correct the issue.

Malocclusion may also be referred to as an underbite, crossbite or overbite. So, what, exactly, is the difference between the three?

• Crossbites, which can involve a single tooth or a group of teeth, occur when your upper and lower jaws are both misaligned, and usually causes one or more upper teeth to bite on the inside of the lower teeth. Crossbites can happen on both the front and/or the sides of the mouth, and are known to cause wear of the teeth, gum disease and bone loss.
• Overbites, also known as “overjet,” occurs when your upper teeth overlap considerably with the lower teeth. Overbites can lead to gum issues or irritation and even wear on the lower teeth, and are known to cause painful jaw and joint problems. Overbites can usually be traced to genetics, bad oral habits, or overdevelopment of the bone that supports the teeth.
• Underbites, which occur when the lower teeth protrude past the front teeth, are caused by undergrowth of the upper jaw, overgrowth of the lower jaw, or both. Underbites can also be caused by missing upper teeth, which can prevent the normal function of front teeth ( molars). This in turn leads to tooth wear and pain in your joints and jaw.

Fortunately, we are able to treat bite problems. If you suspect you or your child has a bite misalignment, we encourage you to be examined at our office as early as possible. By starting early, you can make sure you or your child avoid years of pain and self-consciousness.

Permanent or Removable Retainers: Which is Right for You?

October 11th, 2012


When the time to remove your braces finally arrives, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow your dentist’s recommendations, but knowing more about the two types of retainer beforehand can be helpful.

Removable Retainers

Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.

Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.

Permanent Retainers

Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.

Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.

One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.

Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.

Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type.

October is National Orthodontic Health Month!

October 5th, 2012


Can you believe it's already October? For those who don't know, it’s National Orthodontic Health Month. This month-long event is organized by our pals at the American Association of Orthodontists, or AAO.

Our team realizes that this is a great opportunity for us to raise awareness about the importance of oral hygiene. National Orthodontic Health Month also aims to recognize the dedicated work of orthodontists and other dental professionals.

The AAO recommends patients avoid the following Halloween treats, or recipes with these ingredients:
• Caramel
• Nuts
• Popcorn (including un-popped kernels)
• Taffy
• Jelly beans
• Hard pretzels
• Licorice
• Bubblegum
• Ice

Trick-or-treating safety guidelines:

• Young children should always be accompanied by an adult
• Carry a flashlight
• Wear a light-colored or reflective costume
• Choose face paint over masks for young ghosts and goblins
• Have an adult inspect all treats before the children dig in

If you have any questions, please feel free to give us a call or ask us on Facebook. Have a fun and safe Halloween!

Treat yourself to a new smile, no matter what your age!

September 21st, 2012

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, we’re seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. It’s never too late to look and feel your best!

Can Braces Work for Adults?

People of all ages can benefit from orthodontic treatment. The physical process for moving teeth is the same, young or old, which means it’s never too late to address issues such as an overbite or underbite, crooked or crowded teeth, or jaw disorders.

How Do I Get Started?

If you’re considering orthodontic treatment, we’ll make a consultation appointment with you. During this meeting we will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan.

What Are the Benefits?

Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever.

If you think you might benefit from orthodontic treatment, give our team a call, so we may set up a consultation to determine what type of treatment best meets your needs.

When Are Two Phases of Treatment Necessary?

September 7th, 2012

Usually patients in orthodontic treatment 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 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.

What questions should I ask during my orthodontic consultation?

August 30th, 2012

Are you thinking about orthodontic treatment to straighten teeth or correct jaw alignment? Consider making your first step an orthodontic consultation. During the consultation we will address your questions, concerns, and talk about a treatment plan that would best suit your situation.

We want you to feel prepared and in charge of your orthodontic treatment decisions, so keep these questions in mind when you come in for your appointment.

• If I do need some adjustments to my teeth, what options will I have besides braces?
(This will help you determine what approaches we use to straighten your teeth.)

• What kind of preparation is needed to get braces? How many visits will it take?
(It’s important to know how many appointments may be needed and what you will need to do between appointments to be ready for braces.)

• Can I expect any pain when getting braces?
(Ask about the ways we address pain management.)

• What determines how long I have to wear braces?
(The length of treatment will vary from patient to patient. During your consultation we can evaluate your teeth and jaw alignment to determine the correct course and length of treatment.)

• How will braces affect my lifestyle? Foods I can eat? Activities I can do?
(You may find that little needs to change in your daily routine to have a successful orthodontic outcome. We can discuss and address any changes so you can be prepared before you get your braces.)

• Who will be involved in the orthodontic work? Whom can I expect to see during my adjustment visits?

• What will my orthodontic work cost? What is the ”average” cost and what could be the maximum?
(Make sure you are clear about what your insurance covers, who contacts the insurance company for pre-authorization, who files the insurance forms, and what flexibility there is to pay the remaining amount not covered.)

Your initial orthodontic consultation may just be the first step in relieving a lot of pain and discomfort in your life. Going in with the right questions will help you to understand the entire process and prepare you to do your part for your own dental health. Be sure to bring a list of your questions!

What are the Early Signs of Orthodontic Problems?

August 23rd, 2012

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development.

Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.

If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

• Difficulty when chewing or biting
• Chronic mouth-breathing
• Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
• Overbite - when the upper teeth overlap the lower teeth by more than 5mm
• Top front teeth that cover more than 25% of the bottom teeth while biting
• Underbite - when the top front teeth go behind the bottom row of teeth when biting
• Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
• Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
• The center of the top and bottom teeth don't line up
• Uneven teeth-wearing
• Baby teeth coming out too early for the child's age
• Pain in jaws
• Clicking in the jaw joints
• The jaw shifts off-center while chewing or biting
• A jaw that protrudes, or recedes, too much
• Difficulty speaking or enunciating clearly
• Chronic biting of the inner cheek or roof of the mouth
• Asymmetrical facial structure
• Grinding or clenching of the teeth

If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

How long does orthodontic treatment take?

July 30th, 2012


Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.

What is a "bad bite"?

A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced - either too far apart or too close together - can also cause bite problems.

Frequent causes of bite problems:

• Heredity
• Thumb-sucking
• Premature tooth loss
• Accidents

Benefits of orthodontic treatment:

Appearance -
Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.

Preventing Decay -
It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues -
An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:

Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.

Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.

Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.

Length of orthodontic treatment:

Treatment typically ranges from 12 - 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time.

Top ten tips for keeping your BRACES sparklin’ clean!

July 13th, 2012




Keeping your teeth clean is more important than ever when you have braces! Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:
1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.
3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.
4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.
6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.
7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.
9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.
10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

We hope this helps, and remember to give our team a call if you ever have any questions!

Orthodontic Emergency? We can help!

June 20th, 2012

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can't take care of yourself. We’ll be able to schedule an appointment with our office.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you get in to see us…

The following solutions may help you relieve your discomfort:

Poking Wire: Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.

Loose Bracket or Band: If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.

Loose Wire: Using a tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.

Loose Appliance: If your appliance is poking you, place wax on the offending part of your appliance.

Headgear Does Not Fit: Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, headgear becomes more comfortable the more it's worn, so be sure you’re getting in the prescribed hours.

General Soreness: When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.

Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

Making Your Life Better with Orthodontics

June 11th, 2012


The number one goal of orthodontic treatment is to give you or your child a good bite, meaning straight teeth that work well with the teeth in the opposite jaw. A good bite makes it easier for you to eat, chew and speak. It can enhance your dental health and your overall health, and may well improve your self-esteem. As a part of your comprehensive dental health care plan, orthodontic treatment can help you retain your teeth—and your smile—for a lifetime.

Let your smile express yourself! Nothing can show the world how happy you are quite like a beautiful smile. In fact, it’s one of the first things others notice about you, too. With orthodontics, you can be proud to flash your smile, because you’ll know that your smile truly represents your positive attitude.

Make your mouth healthy! Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are easier to clean, reducing the amount of plaque buildup and risk for gingivitis. The cleaner you keep your teeth, the longer they’ll last!

Feel free to live your life! Orthodontics is easier today than ever before, with treatment options that fit your lifestyle and schedule. We can personalize your treatment to suit all of your needs!

The benefits of a beautiful smile

May 30th, 2012


We know that having an attractive smile puts a spring in your step—or two—as well as increases your self-confidence, no matter if you’re 14 or in your late forties. Smiling not only makes people happy and puts them in a good mood, doing it often can even help you live longer, according to previous studies!

If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment at our practice. You’ll be pleasantly surprised to learn how quickly and efficiently today’s most advanced correction techniques can straighten your smile!

Don’t hide your smile any longer — give us a call today to schedule yours or your child’s orthodontic consultation.

May is National Teen Self-Esteem Month!

May 4th, 2012


At our office, we know image can be everything. At an age when image is so important, the thought of having braces may intensify the already-delicate confidence of today's teens. Well, May is National Teen Self-Esteem Month, and during this time, parents are encouraged to act as positive role models, help stop negative self-images, and improve confidence and security among teenagers.

One of the great ways to improve your confidence is to improve your smile. And that begins with a consultation at our office. After all, what better time to avoid having crooked teeth in your adulthood than coming in for a consultation?

We invite you to give us a call to schedule a consultation or ask us on Facebook!

Making Your Life Better with Orthodontics

April 20th, 2012

The number one goal of orthodontic treatment is to give you or your child a good bite, meaning straight teeth that work well with the teeth in the opposite jaw. A good bite makes it easier for you to eat, chew and speak. It can enhance your dental health and your overall health, and may well improve your self-esteem. As a part of your comprehensive dental health care plan, orthodontic treatment can help you retain you teeth—and your smile—for a lifetime.

Let your smile express yourself! Nothing can show the world how happy you are quite like a beautiful smile. In fact, it’s one of the first things others notice about you, too. With orthodontics, you can be proud to flash your smile, because you’ll know that your smile truly represents your positive attitude.

Make your mouth healthy! Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are easier to clean, reducing the amount of plaque buildup and risk for gingivitis. The cleaner you keep your teeth, the longer they’ll last!

Feel free to live your life! Orthodontics is easier today than ever before, with treatment options that fit your lifestyle and schedule. From clear braces to removable aligners and totally invisible lingual (behind the teeth) braces, we can personalize your treatment to suit all your needs.

Celebrities get braces, too!

March 29th, 2012

Did you know that back in 2002, Tom Cruise had braces? During this time, he was 40 years old and filmed Minority Report, Austin Powers in Goldmember and the Last Samurai. Check out his smile in Jerry Maguire, Rain Man or The Firm and compare to the post-braces Tom Cruise in Valkyrie or Tropic Thunder. The fact is, movie stars need to look their best for the silver screen, and it wouldn't be possible without orthodontists like Dr. Nirenblatt.

In fact, lots of Hollywood stars have had orthodontic treatment. Check out this slideshow of famous faces with braces. If you’ve thought about getting the perfect smile you’ve always wanted, please give Nirenblatt Orthodontics a call.

What do rubber bands do?

March 22nd, 2012


Rubber bands, or elastics, can be an integral aspect of orthodontic care, so if Dr. Nirenblatt has prescribed elastics as a part of your treatment, it’s important to follow the directions fully. Elastics help to align your bite or cause teeth to move in different directions and straighten more quickly. We will instruct you how to hook one end to an upper bracket and the other end to a lower bracket so the rubber band goes vertically or diagonally from one bracket to another. The tension of the rubber band produces pressure on the bracket, which causes the teeth to move and straighten. This tension is also sufficient to correct an overbite or an under bite in the jaw.

If rubber bands are a part of your treatment plan, there are a few things to keep in mind. With rubber bands, you won’t be able to open your mouth fully, so they will have to be removed when you eat and reapplied after meal time. Many times, rubber bands are only needed at night, so you won’t need to worry about eating with them. Also, if you try to open your mouth too wide, your rubber bands might snap – so be careful!

Failure to wear your elastics full time or as instructed can lengthen your treatment time and may make it more difficult to achieve an optimal result. But don’t worry; your time in elastics will be well worth it when you see your beautiful, new smile.

The benefits of a beautiful smile, at Nirenblatt Orthodontics

February 1st, 2012

Dr. Bradley Nirenblatt and our team know having an attractive smile puts a spring in your step—or two—as well as increases your self-confidence, no matter if you’re 14 or in your late forties. Smiling not only makes people happy and puts them in a good mood, doing it often can even help you live longer, according to previous studies!

If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment at Nirenblatt Orthodontics. You’ll be pleasantly surprised to learn how quickly and efficiently today’s most advanced correction techniques can straighten your smile! Dr. Nirenblatt offers a variety of orthodontic treatments, all customized to create the best results possible. As an Invisalign® Preferred Provider, he has worked with hundreds of patients to help them achieve a straight smile without sacrificing aesthetics and convenience. In addition to Invisalign and Invisalign Teen™, Dr. Nirenblatt also offers traditional clear braces, In-Ovation® Lingual Braces, temporary anchorage devices, and Tip-Edge Plus System of braces.

Don’t hide your smile any longer—give us a call today to schedule yours or your child’s orthodontic consultation.

Have a question? Just ask!

January 11th, 2012

Dr. Bradley Nirenblatt and his team are always available to answer your questions about your teeth and orthodontic treatment. We strive to provide our patients with quality care in a warm, family-friendly environment.

We also recognize that the most important questions are our responsibility to answer. Some of the questions that we hear in the office include:

-- Is it going to hurt?
-- Am I getting a shot?
-- How long will this take?
-- How much longer will I be in treatment?
-- Do I have to wear retainers?
-- How long do I wear retainers?

We also encourage you to ask us:

-- How is my oral hygiene?
-- Am I wearing my rubber bands enough?
-- If I wear retainers all the time, will it help my teeth from shifting in the future?
-- After treatment is over, will my teeth ever shift again?
-- Will I have to wear my retainers forever?

The next time to you have an appointment with us at Nirenblatt Orthodontics, please let us know if you have any questions. We want your orthodontic experience to be informative and comfortable.

Foods to avoid during orthodontic treatment

November 9th, 2011

There are a variety of foods Dr. Bradley Nirenblatt 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 the brackets on your braces. 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 Nirenblatt Orthodontics a call or ask our staff during your next visit.

Ask Dr. Nirenblatt: Why are straight teeth so important?

October 25th, 2011

Some people ask why Dr. Bradley Nirenblatt and our team work so hard to give our patients straight teeth. Of course it’s nice to have a smile full of evenly-aligned teeth, but did you know that having straight teeth can also keep them healthier? In fact, straight teeth collect less plaque which make them less prone to decay and easier to keep clean! Flossing and other good dental health habits are also much easier when teeth are straight. With straight teeth leading to better oral hygiene, you are increasing your odds of keeping your own natural teeth for a lifetime!

If you’re wondering whether your teeth might cause problems because they are out of alignment, please give Nirenblatt Orthodontics a call to set up a consultation. Dr. Nirenblatt can help you decide whether or not you will benefit from orthodontic treatment.

Tip-Edge Brackets with Dr. Nirenblatt

October 20th, 2011

At Nirenblatt Orthodontics, we strive to offer only the best orthodontic care. That means staying up to date on the latest technologies and orthodontic treatments. That's why Dr. Bradley Nirenblatt uses Tip-Edge PLUS brackets. Dr. Nirenblatt says that, "because of its small, single-wing design the PLUS Bracket System has plenty of inter-bracket width, allowing engagement of crowded teeth early on and easily in treatment. The vertical slot makes it easy to engage, upright and rotate teeth with spring auxiliaries if needed. Borderline extraction cases can be easily treated as non-extraction cases."

In Fact, Dr. Nirenblatt's orthodontic cases have been chosen to represent TP Orthodontic's Tip-Edge Plus Brackets. There is even a link on their website for orthodontists to e-mail Dr. Nirenblatt with questions about Tip-Edge brackets.

Dr. Nirenblatt has achieved successful treatment results for more than 10 years with Tip-Edge PLUS. If you have any questions about the Tip-Edge PLUS Bracket System, or to schedule a consultation with Dr. Nirenblatt, give our office a call!

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October is National Orthodontic Health Month!

October 13th, 2011

Happy October! For those who don't know, it’s National Orthodontic Health Month. This month-long event is organized by our pals at the American Association of Orthodontists, or AAO.

Dr. Bradley Nirenblatt and our team realize that this is a great opportunity for us to raise awareness about the importance of oral hygiene. National Orthodontic Health Month also aims to recognize the dedicated work of orthodontists like Dr. Nirenblatt and other dental professionals in South Carolina.

The AAO recommends patients avoid the following Halloween treats, or recipes with these ingredients:

• Caramel
• Nuts
• Popcorn (including un-popped kernels)
• Taffy
• Jelly beans
• Hard pretzels
• Licorice
• Bubblegum
• Ice

If you have any questions, please feel free to give us a call, ask us on Facebook, or ask us at Nirenblatt Orthodontics during your visit this month!

Why I continue to use Tip-Edge Brackets, by Dr. Bradley Nirenblatt

September 28th, 2011

"Today’s orthodontists have numerous types of brackets and prescriptions from which to choose. Our choice depends on what product we feel works best in our hands and will give us the best results for our patients. On the business side of our practices, we want a bracket that is reasonably priced, made of high quality materials, efficient in that it requires fewer appointments and is easy to finish cases with.

I was first exposed to Tip Edge brackets during my residency at Columbia University in 1990 and for more than 10 years, I have chosen the Tip Edge Plus bracket to meet these stringent requirements. Because of its small, single-wing design the Plus Bracket System has plenty of inter-bracket width, allowing engagement of crowded teeth early on and easily in treatment.

Because of its unique propeller design, the Plus Brackets allow me to begin correction of my patients’ malocclusion using light, two-ounce elastics from the day my patients get banded. Whether patients present with a Class II, Class III, deep bite, or open bite I begin correcting from day one when they are in the most motivated to see change happen. Rapid and early correction occurs because the Plus Bracket allows the tooth to tip in the direction I want, giving me greater control over the final outcome.

One of the nicest things about using the Plus Bracket is the elimination of most bite jumpers, use of strong Class II elastics and headgear to correct Class II malocclusions. From a patient’s standpoint, this is one less bulky and awkward device they need to keep in their mouths or keep up with. Proper dental hygiene is also much easier to achieve without bulky appliances and hygienists from referring offices are much happier when they see my patients maintaining proper oral hygiene. The elimination of these appliances reduces overhead, is more comfortable for the patient and simplifies day-to-day practice operations allowing us to see more patients with fewer appointments. Also, emergency visits are reduced when fewer appliances are used. It’s a win-win situation for both patient and doctor as we see lower overhead and they spend less time in the chair."

To learn more about Tip-Edge Brackets, contact us at Nirenblatt Orthodontics, or ask Dr. Nirenblatt during your next appointment! Take a look at the Tip-Edge Brackets before and after photos from our office below:

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Orthodontic Fun Facts, from Nirenblatt Orthodontics

September 14th, 2011

Everyone loves fun facts. Fun, fun, fun! The American Association of Orthodontists, or AAO, has come up with some fun facts about orthodontics that our team at Nirenblatt Orthodontics thought you might enjoy.

• There are nearly 4 million people in orthodontic treatment throughout the United States. Three out of four are younger than 18.
• The first mechanical treatment for correcting irregular teeth was suggested by Gaius Plinius Secundus (A.D 23-79).
• The American Association of Orthodontists is comprised of more than 12,000 members in the United States, Canada and abroad.
• The time required to complete orthodontic treatment ranges from 12 to 36 months depending on the nature and severity of the problem.
• Of the 160,000 dentists in the United States and Canada, 8,000 are practicing orthodontists.
• The cement that attaches the braces to the teeth is now made with a special fluoride-releasing substance.
• Wires activated by body heat used in today's braces originally were developed by NASA for use in the space program.
• In addition to alleviating or preventing physical health problems, orthodontics can boost self-esteem as treatment aligns teeth, jaws and lips.
• Famous orthodontic patients include: Dr. Joyce Brothers, Hale Irwin, Cher, Diana Ross, Phyllis Diller, Chelsea Clinton, Whoopi Goldberg, Daisy Fuentes and Brandi.

Tackling kids' sports safety, with Nirenblatt Orthodontics

August 10th, 2011

Let’s face it: sports-related injuries are common among children, let alone teens with braces. In a recent survey, the American Association of Orthodontists, or AAO, discovered that 70 percent of parents said their biggest worry is that their child will get hurt while playing sports. But 67 percent admitted that their child doesn’t wear a mouth guard when participating in organized sports such as football, basketball, baseball and soccer. That’s why Nirenblatt Orthodontics is helping spread the word that many facial sports injuries can be prevented simply by reminding your kids to wear mouth guards. Ask us—Dr. Bradley Nirenblatt will provide a mouth guard for any patient in active treatment. In addition, the AAO has provided the following tips for keeping your kids safe on the field this spring. Please remind them to:

• Wear mouth guards during contact sports
• Wear a helmet
• Stretch before and after a game or practice
• Wear protective eye wear
• Wear a face shield to avoid scratched or bruised skin
• Be observant—even as a spectator

All of these can reduce injuries. Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Be sure to avoid mouth guards that custom form to your teeth as these will resist any tooth movements Dr. Nirenblatt is trying to achieve.

Give us a call if you have any questions about mouth guards or your treatment at Nirenblatt Orthodontics.

Age 7 is the magic number for an orthodontic checkup

August 3rd, 2011

Many parents assume they must wait until their child has all of his or her permanent teeth to see Dr. Bradley Nirenblatt for a consultation, only to discover treatment would have been much easier if started earlier. Did you know the American Association of Orthodontists recommends that every child have an orthodontic check-up no later than age seven?

That’s right—seven.

Ok, so what’s so great about age seven, you ask? Enough permanent teeth have arrived for Dr. Nirenblatt to make a determination about whether any problems are present. The first molars have come in, providing an opportunity to check for malocclusion, or “bad bite.” Also, the incisors have begun to come in, and problems such as crowding, deep bites and open bites can be detected.

Orthodontic evaluation at an early age provides one of two positive outcomes: For some, early identification or problems will lead to easier or shorter orthodontic treatment in the future. For others, a healthy prognosis will provide immediate peace of mind.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring on years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene. So, if your child is nearing his or her seventh birthday, give us a call at Nirenblatt Orthodontics to schedule an appointment.

Orthodontic Emergency Care, with Dr. Nirenblatt

July 26th, 2011

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can't take care of yourself. We’ll be able to schedule an appointment with Dr. Bradley Nirenblatt.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you schedule an appointment with Nirenblatt Orthodontics.

The following solutions may help you relieve your discomfort:

Poking Wire: Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.

Loose Bracket or Band: If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.

Loose Wire: Using a tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.

Loose Appliance: If your appliance is poking you, place wax on the offending part of your appliance.

Headgear Does Not Fit: Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, headgear becomes more comfortable the more it's worn, so be sure you’re getting in the prescribed hours.

General Soreness: When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.

Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

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