8631 Arbor Creek Drive, Suite D-3       Charlotte, NC 28269
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Orthodontics


Children’s Braces

It’s best for the orthodontist to see children by age 7 to advise if orthodontic treatment for that patient to be treated. The first permanent molars and incisors have usually come in by that time and cross bites, crowding, and other problems can be evaluated.

When treatment is begun early, the orthodontist can guide the growth of the jaws and guide incoming permanent teeth. Early treatment can also regulate the width of the upper and lower dental arches, gain space for permanent teeth, avoid the need for permanent tooth extractions, reduce likelihood of impacted permanent teeth, and correct thumb-sucking or speech problems. In other words, early treatment can simplify of prevent later treatment.

Duration of Treatment
Treatment time typically ranges from one to three years, depending on the growth of the patient’s mouth and face and the severity of the problem. Patients grow at different rates and will respond variously to orthodontic treatment, so the time to case completion may differ from the original estimate.

The patient’s diligent use of any prescribed rubber bands or headgear is an important factor in achieving the most efficient treatment. Interceptive, or early treatment procedures, may take as few as six months.

How Orthodontic Treatment Works
Orthodontic appliances can be made of metal, ceramic, or plastic. They may be removable or they may be brackets bonded to the teeth. By placing a constant, gentle force in a carefully controlled direction, braces slowly move teeth to a corrected position.

This is a great time to wear braces!
Gone are the days when a metal band with a bracket was placed around each tooth. You can choose brackets that are clear or metallic color. You can choose the color of the ties that hold the wire in brackets. Wires are also less noticeable than they used to be and the latest materials move teeth faster with less discomfort to patients.
 

Adult Braces

Braces aren’t just for kids. Tooth alignment can be changed at any age if your gums and bone structure are healthy. We offer a variety of treatments that are designed for different age groups- including adults.
In fact, a large percentage of our patients are adults, and they agree that it’s never too late to improve their greatest asset- their smile.

Orthotic treatment at later stages in life can dramatically improve your personal appearance and self-esteem. Improving the health of your teeth and gums is equally important.

Crooked teeth and bad bite can contribute to hum and bone loss, tooth decay, abnormal wear of the tooth enamel and surfaces, headaches and jaw joint (TMD/TM3) pain.

The new techniques and appliances we use greatly reduce discomfort levels, decrease the frequency of visits and shorten treatment time.

You may also be able to choose from several options that could include: metal braces, translucent braces, or transparent aligners that can be worn at night to improve mild cases of misaligned teeth.
 

Damon Braces

WHY CHOOSE DAMON
The Damon System is not just about revolutionary braces and wires, it’s a whole new way of treating patients. Conventional treatment often requires removal of healthy teeth and/or the use of palatal expanders to make space.
This approach is often uncomfortable, takes longer, and can leave a narrower arch and a flat profile. Damon smiles are full, natural 10-tooth smiles achieved with light biologically-sensible forces, and are specifically designed to improve the overall facial result of each patient.

Braces are the beginning, but the system makes the smile.

Certified Damon System doctors 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 clinically proven treatment approach that aligns your teeth and enhances your facial aesthetics—usually without extractions or rapid palatal expanders.


Conventional braces on the left are tied in with elastics, which cause friction and pressure, making treatment slower and less comfortable. Damon braces use a slide mechanism to hold the wire, which allows teeth to move more 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.
 

About Invisalign

Dr. Hanachi is a Certified Invisalign Provider.

Consider Invisalign to get the beautiful straight teeth you’ve always wanted – without braces. A complimentary consultation with Dr. Hanachi can determine if Invisalign is right for you.

What Is It?
Invisalign uses a series of invisible, removable, and comfortable aligners that no one can tell you’re wearing. So you can smile more during treatment as well as after. Invisalign is made with 3-D computer imaging technology, and has been proven effective. More than 70% of orthodontists in the US and Canada are certified to treat with Invisalign.

Why Would I Want It?
Not only are the aligners invisible, they are removable, so you can eat and drink what you want while in treatment, plus brushing and flossing are no problem. They are also comfortable, with no metal to cause mouth abrasions during treatment. And no metal and wires usually means you spend less time in your doctor’s office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start, so you can see how your straight teeth will look when your treatment is complete.

How Does It Work?
You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move – little by little, week by week – until they have straightened to the final position Dr. Hanachi has prescribed. You’ll visit Dr. Hanachi about once every 6 weeks to ensure that your treatment is progressing as planned. Total treatment time averages 9-15 months and the average number of aligners worn during treatment is between 18 and 30, but both will vary from case to case.
 

Benefits of Braces

Why Braces?
Your dentist may have discussed with you the benefits of having healthy teeth and proper jaw alignment. Crooked and crowded teeth are hard to clean and maintain. This can result in tooth decay, worsen gum disease and lead to tooth loss.
Other orthodontic problems can contribute to abnormal wear of tooth surfaces, inefficient chewing function, excessive stress on gum tissue and the bone that supports the teeth, or misalignment of the jaw joints. These can lead to chronic headaches and face or neck pain.

Treatment by an orthodontist can be less costly than the additional care required to treat dental problems arising as a result of orthodontic problems. For most people, a beautiful smile is the most obvious benefit of orthodontics. After your braces come off, you’ll feel more self-confident.

Braces for All Ages

Adults
Orthodontic treatment can be successful at any age, and adults especially appreciate the benefits of a beautiful smile. One of every five patients in orthodontic treatment is over 21. Jaw surgery is more often required for adult orthodontic patients because their jaws are not growing.

Adults also may have experienced some breakdown or loss of their teeth and bone that supports the teeth and may require periodontal treatment before, during and/or after orthodontic treatment. Bone loss can also limit the amount and direction of tooth movement that is advisable.

Kids
It’s best for the orthodontist to see children by age 7 to advise if orthodontic treatment is required and the best time for that patient to be treated. The first permanent molars and incisors have usually come in by that time and crossbites, crowding and other problems can be evaluated.

When treatment is begun early, the orthodontist can guide the growth of the jaw and guide incoming permanent teeth. Early treatment can also regulate the width of the upper and lower dental arches, gain space for permanent teeth, avoid the need for permanent tooth extractions, reduce likelihood of impacted permanent teeth, correct thumb-sucking, and eliminate abnormal swallowing or speech problems. In other words, early treatment can simplify later treatment.

How Orthodontic Treatment Works
Orthodontic appliances can be made of metal, ceramic or plastic. They may be removable or they may be brackets bonded to the teeth. By placing a constant, gentle force in a carefully controlled direction, braces slowly move teeth to a corrected position. This is a great time to wear braces! Gone are the days when a metal band with a bracket was placed around each tooth.

You can choose brackets that are clear or metallic color. You can choose the color of the ties that hold the wire in brackets. Wires are also less noticeable than they used to be and the latest materials move teeth faster with less discomfort to patients.

Duration of Treatment
Treatment time typically ranges from one to three years, depending on the growth of the patient’s mouth and face and the severity of the problem. Patients grow at different rates and will respond variously to orthodontic treatment, so the time to case completion may differ from the original estimate.

The patient’s diligent use of any prescribed rubber bands or headgear is an important factor in achieving the most efficient treatment. Interceptive, or early treatment procedureLife With Braces
 

Eating with Braces

What can you eat? Let’s talk about what you shouldn’t eat! If you’ve been wanting to drop a few pounds, the first week wearing braces is just your chance! For the first day or so, stick to soft foods. Avoid tough meats, hard breads, and raw vegetables.
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 to Avoid

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

 

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. The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We’ll show you how!
 

Loosening of Teeth

This is to be expected throughout treatment. Don’t worry! It’s normal. Teeth must loosen first so they can be moved. The teeth will again become rigidly fixed in their new – corrected – positions.
 

Care of Appliances

To successfully complete the treatment plan, the patient must work together with the orthodontist. The teeth and jaws can only move toward their corrected positions if the patient consistently wears the rubber bands, headgear or other appliances as prescribed. Damaged appliances lengthen the treatment time.

Brushing
It’s more important than ever to brush and floss regularly when you have braces, so the teeth and gums are healthy after orthodontic treatment. Patients who do not keep their teeth clean may require more frequent visits to the dentist for a professional cleaning. Adults who have a history of gum disease should also see a periodontist during orthodontic treatment.

Retainer Instructions

  • Wear your retainers full time, until the doctor instructs otherwise.
  • Take your retainers out when eating… and always put retainers in their case! (Most appliances are lost in school lunch rooms or restaurants.)
  • Clean retainers thoroughly once a day with a toothbrush and toothpaste. Use warm but not hot water. Brushing retainers removes the plaque, and eliminates odors. Efferdent or other orthodontic appliance cleaners can be used, but do not take the place of brushing.
  • When retainers are not in your mouth they should ALWAYS be in a retainer case. Pets love to chew on them!
  • Initially, you may find it difficult to speak. Practice speaking, reading, or singing out loud to get used to them faster.
  • Retainers are breakable, so treat them with care. If retainers are lost or broken call us immediately.
  • If you have any questions or concerns about your retainers, or your retainers need adjusting, call us. Do not try to adjust them yourself.
  • Always bring your retainers to your appointments.
  • Retainer replacement is expensive… with proper care they will last for years!
  • Remove retainers when swimming.
  • Keep retainers away from hot water, hot car dashboards, pockets, the washing machine, and napkins.


Removable Expander Instructions

  • Wear your expander all the time. That means all day, during meals, and while sleeping.
  • Remove your expander only to brush your teeth. Brush your expander at least twice a day with a toothbrush and toothpaste.

Fixed Expander Instructions

  • Turn your expansion screws as instructed. Insert the key into the hole and turn toward the arrow.
  • If you are unable to keep your scheduled appointment, stop turning the expander.

Athletics
If you play sports, it’s important that you consult us for special precautions. A protective mouthguard is advised for playing contact sports. In case of any accident involving the face, check your mouth and the appliances immediately.

If teeth are loosened or the appliances damaged, phone at once for an appointment. In the meantime, treat your discomfort as you would treat any general soreness.

Loose Wire or Band
Don’t be alarmed if a wire or band comes loose. This happens occasionally. If wire protrudes and is irritating, use a blunt instrument (back of spoon or the eraser end of a pencil) and carefully, gently push the irritating wire under the archwire. Simply get it out of the way.

If irritation to the lips or mouth continues, place wax or wet cotton on the wire to reduce the annoyance. Call our office as soon as possible for an appointment to check and repair the appliances. If any piece comes off, save it and bring it with you to the office.
 

In Case of Emergency

What To Do
We feel it is very important for you to get in touch with someone in case of an emergency when the office is closed. Please call our office and you will be instructed on how to reach Dr. Hanachi or a staff member.

Most emergencies can wait until your next appointment or until the office reopens. In the meantime, here are some tips to relieve any discomfort.

Sore spot on cheek: When you first get braces or an appliance, you may have sore spots develop. You can put wax on the bracket or wire that is rubbing your cheek until it heals. Your mouth will toughen up after a short while.

Soreness: Try a pain reliever that you would use for a headache or similar discomfort. Soreness can be expected for 3-5 days after an adjustment.

Loose bracket: Please call us if you have a loose bracket so we can determine if you need to come right in.

Poking wire: If your wire is poking, you may cover it with wax or clip it with a nail clipper. Please call the office to schedule an appointment to have this repaired.

Please call your general dentist or Dr. Hanachi immediately if you have an accident involving your teeth.
 

Member of the American Academy
of Pediatric Dentistry and Certified,
American Board of Pediatric Dentistry
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