Drs. Erkis and Hickman, helping you deal with cold and flu season

Traditionally cold and flu season starts in Fall, but this year it seems to have started much earlier and with the number of patients canceling appointments because of flu symptoms our practice is taking additional precautions to help prevent the spread of germs.

To promote a healthy and clean environment, Drs. Erkis and Hickman give a great deal of attention to sanitation and sterilization in our office at all times, as well as following all requirements for sterilizing instruments and work surfaces.

For the protection of other patients and our staff, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others.

Maintaining and protecting oral hygiene equipment is also important this flu season. To protect your toothbrush from bacteria follow these steps:

• Wash your hands before and after brushing
• Allow the brush to air dry after each use, harmful bacteria dies after being exposed to oxygen
• Store the toothbrush in an upright position to allow water to drain and dry faster
• Replace toothbrush after every cold or flu or every 3-4 months when bristles appear worn

Hope this helps and give us a call if you have any questions! Stay healthy and Happy New Year!

Happy Holidays from Drs. Erkis and Hickman!

The holiday season is upon us, and as Drs. Erkis and Hickman reflect on the year that was, we’d like to ask you, our wonderful patients: What do you love about the holidays? Being with your loved ones? A clean slate for the new year? Opening presents by the fireplace? All the delicious food? Also, what gift are you most looking forward to getting this year?

We’d love if you shared with us all the things you love about the holidays. Stay warm, and don’t forget to stay away from those sweets!

--The team at Dr. Ron Erkis and Dr. Lynnsay Hickman

Who benefits from braces? Everybody, say Drs. Erkis and Hickman!

Braces aren’t just for pre-adolescents and teenagers anymore! Drs. Erkis and Hickman will tell you that anyone, at any age, can benefit from orthodontic care; whether it’s correcting a problem not treated in your younger years, or catching a problem early.

To ensure the best overall treatment, the American Association of Orthodontists, or AAO, recommends that children receive an orthodontic consultation as early as age seven. If a problem is evident, taking action early can spare a lot of treatment and expense down the road.

If you never received orthodontic treatment when you were young, don’t worry! You’re never too old for a beautiful smile. Set up an appointment for a consultation and find out how adult orthodontics will transform your smile, and your life!

Happy Tuesday!

Patient reviews for Drs. Erkis and Hickman

Drs. Erkis and Hickman love getting patient reviews. And lately, our office, serving Reynoldsburg and surrounding areas, has been getting some pretty great reviews! We thought we'd share some with you today! Happy Tuesday!

"Dr. Erkis was so in tune with Emily. I have never seen someone take so much time with kids. I am very impressed." ~ Christina R.

"He is friendly and funny. The staff is welcoming and patient with the kids." ~ Calana V.

"I love how quick they are to get patiences in and out. I enjoy how polite their staff are and how neat the office is." ~ Shanequa T.

"Our family was treated excellant. I was highly impressed with the staff. The atmosphere was above expectations." ~ Kevin M.

"I've known Dr. Erkis for 31 years and he has always had a smile on his face. He is a caring and special individual." ~ Suzanne R.

"Dr. Erkis has always been a very graciious and kind person. He has made the process of getting braces as an adult relatively pain free. I will always cherish him and his office staff." ~ Sharp M.

A great braces-friendly fall recipe! From Drs. Erkis and Hickman

Fall is here, and sometimes Drs. Erkis and Hickman just feel like a hot delicious meal is in order. Our friends at the American Association of Orthodontists (AAO) made an appetizing (and braces-friendly!) fall dish that is sure to delight. Our doctors and staff would like to remind you that a healthy diet provides essential nutrients and helps you achieve the best possible result from your orthodontic treatment.

Pasta Pomodorini
Ingredients:
•¾ pound spaghetti or spaghetti
•¼ cup extra-virgin olive oil, plus more for drizzling
•¼ cup sliced garlic
•½ teaspoon finely minced Calabrian chilies, or 1/4 teaspoon red pepper flakes
•1 pint small cherry tomatoes, stems removed, crushed between your thumb and forefinger
•Sea salt, preferably gray salt
•½ cup fresh basil leaves, each torn into 2 or 3 pieces
•Wedge of Parmesan cheese

Directions
Bring a large pot of salted water to a boil over high heat. Add the pasta. While the pasta cooks, heat the 1/4 cup olive oil in a large skillet over moderate heat. Add the garlic and cook until the slivers are golden brown and crisp, then add the chilies and cook for about 30 seconds. Raise the heat to high and add the tomatoes. Simmer briskly to soften the tomatoes and thicken the juices, about 3 minutes. Season with salt. When the pasta is al dente, scoop out about 1/2 cup of the pasta cooking water, then drain the pasta. Return the pasta to the warm pot off the heat. Add the sauce and the basil and mix well. Add some of the reserved cooking water if the pasta seems dry. Transfer to a warmed serving bowl and grate Parmesan over the top to taste. Drizzle with a little more olive oil. Serve immediately. Makes 4 servings.

Enjoy this great fall dish and have a great week!

Dispelling rumors about chewing gum, from Drs. Erkis & Hickman

Drs. Erkis and Hickman know the rumors going around – mostly among young people – that once you swallow a piece of chewing gum it will stake a claim and take up residency in your stomach for at least seven years! We really hate to take all the fun out of the mystery, but the truth is that chewing gum, when swallowed, will enter the stomach and move through the digestive system just like any other piece of food and leave the body long before seven years! So, if you ever have accidentally swallowed a piece of gum, there is no need to worry!

This being said, gum does not have any dietary benefits, so while it’s not harmful to swallow, you still want to avoid swallowing it. If you are a gum-chewer, make sure you chew sugarless gum, because gum with sugar can lead to cavities. Sugarless gum still has the same amount of flavor, but with less cavity causing ingredients. You see, when the bacterium in your mouth breaks down sugar, what’s left behind is acid. This acid eats away at the enamel coating of your teeth, causing holes that we call cavities. Cavities can lead to other long term mouth problems if they are not treated in time, so it is best to try and avoid overexposing your teeth to too many harmful substances!

Happy (sugar-free) gum chewing and give us a call if you have any questions!

--Drs. Erkis and Hickman

Even Hollywood Stars Struggle with Crooked Teeth

Everyone struggles with little imperfections. Making crooked teeth straight, stained teeth sparkling white and chipped teeth smooth is part of what we do as orthodontists. The sense of renewed self confidence that comes to our patients after having some sort of reconstructive work is what makes our job worthwhile.

Consider Katherine Heigl, award winning actress, and considered by many the Grace Kelly of our day. She describes struggling with crooked teeth her whole life until finally there came a point when she said "enough is enough!" She decided to do something to straighten her teeth.

We think you will enjoy this clip. Please feel free to leave comments, tell us what you think! Have you ever struggled with this same problem? Have you felt the relief of smiling to reveal a straight, bright smile after hiding crooked ones for so long? Contact us so we can hear your story, or help you create a new beautiful smile and a story of your own!

Braces 101, from Drs. Erkis and Hickman

Should you need to call our office in case you sustain any damage to your braces, we can help you more effectively if you can tell us exactly which piece is in trouble! Here’s a handy diagram and corresponding list of all the parts that make up your braces.



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

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

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

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

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

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

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

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

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

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

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

The Myths and Facts of Orthodontics, from Drs. Erkis and Hickman

Our doctors know there are quite a few myths about orthodontists circulating around these days. But before you buy into those myths, we think you should get the facts! We came across a great site that helps set the record straight. Our friends at the American Association of Orthodontists have some excellent information on the myths and facts of orthodontists, check them out today!

Here’s the link.

Hope this helps. Contact us if you have any questions!

--Drs. Erkis and Hickman

Write a Review of Drs. Erkis or Hickman

Whether you have visited our office for a week or for years, we'd love to hear your feedback about your experiences with the doctors! Now with the Internet, it’s even easier to write your thoughts and share them with the world. We'd want to encourage you to write a review of us. It only takes a moment!

You may write a review here.

Thank you and have a great week!

--Drs. Erkis and Hickman

When Are Two Phases of Treatment Necessary?

Usually patients in orthodontic treatment already have their permanent teeth – 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, or a mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in.

In these cases we will start early and do one round of treatment – phase one – while the patient still has “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, such as a retainer. We’ll follow up with phase two usually a few years later, when permanent the patient’s permanent teeth have come in. Phase two often does involve braces and sometimes headgear.

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 Orthodontics). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit an orthodontist even sooner. For more information about two-phase orthodontics, or to schedule a consultation with Drs. Erkis or Hickman please call (614) 452-7451 or visit our web site.

Answering all your burning questions about mouthwash

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:

• Fluoride - fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.

• Antiseptic - an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.

• Combination - a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.

• Prescription - for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.

There are also many different brands of mouthwash. Some common brands include:

• Scope
• Listerine
• Act
• Crest
• Tom’s of Maine (all-natural)
• Plax (anti-plaque rinse)
• Breath Rx
• Orajel
• Targon (special mouthwash made for smokers)
• Rembrandt (whitening mouthwash)


If you are curious about which kind of mouthwash would work best for you, be sure to ask Drs. Erkis & Hickman at your next appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!

National Dental Hygiene Month

Did you know that October is National Dental Hygiene Month? Fall is here, and Halloween is coming soon, but now it is more important than ever to maintain good oral hygiene.

All those sweet, sour and sticky candies may taste great, but these treats can damage your teeth and braces too! Did you know sour candies can be acidic to your teeth, and actually wear down the enamel that protects them? This can cause tooth decay and cavities! After eating these candies, be sure to wash your mouth out with water, drink milk or eat a few slices of cheese. These will help neutralize the acid in your mouth (wait at least one hour before brushing your teeth with toothpaste, as this can actually increase the effects of acid on your teeth)

Besides cavities and tooth decay, many people do not realize that good oral health and hygiene are important to your overall health too! Research is discovering the connection between periodontal disease and other major health concerns, such as heart disease! Therefore, it is important to maintain a good oral hygiene routine: see your dentist every six months, brush and floss daily and use an antibacterial mouthwash.

Make a resolution to improve your oral health for October, the National Dental Hygiene Month!

--Drs. Erkis & Hickman

Invisalign Tips

Many people know that Invisalign is a great solution to braces if you don't want to experience the look and feel of traditional metal braces. What few people know, though, is that just like traditional braces, Invisalign requires proper care to work effectively. Good oral hygiene is highly important, even when you are wearing something in your mouth that you can take out to eat with. It's still likely that your aligners can build up plaque if not treated properly. When wearing your Invialign aligners, ask yourself the following questions:

1.) Am I eating with my aligners on? - These aligners are removable and should be taken out when you eat.
2.) Am I drinking anything other than water with my aligners on? - Though it's not a necessity for you to take out your aligners while you drink, think about how sticky a soda is. If you take out your aligners when drinking a soda, you have a better chance of keeping your aligners clean.
3.) Am I brushing before putting the trays on? - The aligners have both an inside and outside. Keeping the outside clean is easy. Keeping the inside clean is also easy: just make sure you've brushed your teeth before putting the trays on.

These are all very simple steps, and ultimately, they help to keep you building good oral habits.

--Dr. Erkis & Dr. Hickman

More About Orthodontics From Drs. Erkis & Hickman

There are so many questions about orthodontics that we never ask, so we took some time to explain the most common concerns.

At what age should orthodontic treatment occur?

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age seven or earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander, Herbst, Facemask, headgear, or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients are adults.

How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?

Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment time on schedule.

Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires, you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers or wax can be provided to prevent discomfort.

Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give us a call at 614-452-7451. We'd love to hear from you.

A Sour Smile is not a Happy Smile

It’s no secret that sweet, sugary candies and drinks have an adverse effect of the health of your smile, but what about sour or tart candies? Drs. Erkis & Hickman thought you might want to know what kind of an effect does eating or drinking something sour have on my smile?

Recent research from the Minnesota Dental Association suggests that the amount of acid in sour candies is enough to eat away at tooth enamel and cause cavities. Here are a few souring facts about sour candies, and some helpful tips on how to protect your teeth from Drs. Erkis & Hickman(even if you cannot give up sour candies all together).

Facts

-Sour candies can be very acidic, and may actually burn the gums and cheeks, while weakening and wearing down the enamel on your teeth. (Check the acid levels in some of your favorite candies)

-It can take almost 20 minutes for the acid in sour candies to become neutral. Holding the acid in your mouth by sucking on sour hard candies or chewing sour gummies can keep the acid active for more than 20 minutes.

-The acid in sour candies can cause cavities and severe tooth decay.

Protect your teeth

-Limit the amount of sour candies that you eat on a daily basis, and if you do indulge, remember not to suck or chew on sour candies for long periods of time.

-After eating sour candies, rinse your mouth out with water, drink milk, or eat a couple slices of cheese. This will help neutralize the acid in your mouth (wait at least one hour before brushing your teeth with toothpaste, as this can actually increase the effects of acid on your teeth)

-If tooth erosion has already begun, ask your dentist about ways you can help reduce sensitivity and continue to protect your teeth.

Hope this helps! From Drs. Erkis & Hickman.

Cardiodontics: The Heart Mouth Connection

If you have been told you have periodontal disease (also known as gum disease or periodontitis), you're not alone. An estimated 80 percent of American adults currently have some form of the disease! Periodontal diseases range from simple gum inflammation to serious disease that result in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.

Gum disease is a threat to your oral health. Research is also pointing to health effects of periodontal diseases that go well beyond your mouth. So Drs. Erkis & Hickman want to let you know some interesting facts and ways to treat the disease.

What is Periodontal Disease?

"Perio" means around, and "dontal" refers to teeth. Periodontal disease is an infection of the structures around the teeth, including the gums and the bones that hold the teeth. The earliest stage of periodontal disease is gingivitis – an infection of the gums. In more severe forms of the disease, all of the tissues are involved, including the bone. Bacteria that live and reproduce on the teeth and gums cause periodontal disease.

Symptoms of Periodontal Disease

Symptoms may include the following:
--redness or bleeding of gums while brushing teeth or using dental floss
--halitosis, or bad breath
--gum recession, resulting in apparent lengthening of teeth
--"pockets" between the teeth and gums indicating that the bone which holds the teeth in the mouth is dissolving
--loose teeth
Gum inflammation and bone destruction are largely painless. Hence, people may wrongly assume that painless bleeding after teeth cleaning is insignificant, although this may be a symptom of progressing periodontitis. If your hands bled when you washed them, you would be concerned. Yet, many people think it's normal if their gums bleed when they brush or floss.

Periodontal Disease Affects Your Health

Periodontal disease is a putrid, festering infection of the mouth. Bacteria and inflammatory particles can enter the bloodstream through ulcerated and bleeding gums and travel to the heart and other organs. In recent years, gum disease has been linked to a number of health problems. Researchers are studying possible connections between gum disease and:
--Heart disease: Gum disease may increase the risk of heart disease. Gum disease also is believed to worsen existing heart disease.
--Stroke: Gum disease may increase the risk of the type of stroke caused by blocked arteries
--Diabetes: People with diabetes and periodontal disease may be more likely to have trouble controlling their blood sugar than diabetics with healthy gums.
--Premature births: A woman who has gum diseases during pregnancy may be more likely deliver her baby too early and the infant may be more likely to be of low birth weight.

Combating Periodontal Disease

--See your dentist! See your dentist every six months for a checkup! Regular professional cleanings and checkups make you feel good, look good, and could be a lifesaver!
--Brush and floss daily. Take your time and do it right!
--Use an anti-bacterial mouthwash. Daily use of an anti-bacterial mouthwash helps to disinfect the teeth and gums, and reduces the number of bacteria.
--Straighten your teeth. Crowded teeth are nearly impossible to keep clean. Orthodontic treatment can greatly reduce inflammation and periodontal disease.

--Drs. Erkis & Hickman

Why Is It So Important To Have Straight Teeth? From Drs. Erkis & Hickman

Some people wonder why we 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 straightening your teeth can keep them healthier? Straight teeth lead to better oral hygiene, increasing your chances of keeping your own natural teeth for a lifetime.

Straight teeth are less prone to decay, because they collect less plaque – the sticky colorless substance that forms on our teeth and leads to tooth decay; and they are easier to keep clean!

If you’re wondering whether your teeth might cause problems because they are out of alignment, give us a call at 614-452-7451 to set up a consultation. Drs. Erkis & Hickman can help you decide whether or not you will benefit from orthodontic treatment.

What’s so special about an Orthodontist?

"Dentists, Orthodontists, they're all the same right?" We hear our patients asking this question as they wonder about the difference between an orthodontist and a dentist. Before becoming orthodontists, Drs. Erkis & Hickman started out in dental school and each earned a DDS (dental degree), just like your dentist. After dental school however, the doctors decided they wanted to learn more about orthodontics, which is one of nine specialties within the dental field. So they stayed in school for a few more years to become experts in orthodontics; which focuses on tooth and jaw alignment and bite problems like overbites and under bites.

Other dental specialties you may have heard of include endodontic (focusing on the soft tissue inside your teeth), periodontic (focusing on the gums and other tissues surrounding your teeth) and prosthodontic (focusing on restoring and replacing damaged teeth).

Isn't it nice to know there's a dental expert here to help you through any type of treatment your teeth, jaw and gums might need?

--Drs. Erkis & Hickman

Dr. Erkis & Dr. Hickman Around the Web

If you've ever visited our office, you already know that we love connecting with our patients. We love the ability to communicate with all of you online too! Besides our web site and our blog, Dr. Erkis & Dr. Hickman are now on several other social networks!

* Become a "fan" of Dr. Erkis & Dr. Hickman on Facebook

* View and comment on our photos on MySpace

See you around the web!

--Dr. Erkis & Dr. Hickman

Meet Our Doctors

Dr. Ron Erkis was born and raised in the Columbus area and is a graduate of Ohio State University and the Case Western Reserve University School of Dental Medicine. While he completed his orthodontic residency at the University of Pittsburgh, Dr. Erkis remains loyal to the Buckeyes when it comes to college sports. In his free time, he enjoys a round of golf and spending quality time with his family.

Dr. Erkis has been practicing orthodontics for more than three decades in the Columbus area and serves on the orthodontic and pediatric dental faculty at the Ohio State University College of Dentistry. He has also been teaching interceptive orthodontics at Nationwide Children's Hospital for over 25 years.

Dr. Lynnsay Hickman is originally from Wheelersburg, Ohio. A true Buckeye, she obtained her Bachelor of Science in Education from Ohio State University in 2000, graduated from the OSU College of Dentistry in 2004, and then went on to receive her Master of Science and Specialty Certificate of Orthodontics from Ohio State! She has completed her written examination for the American Board of Orthodontics, making her eligible for certification.

Dr. Hickman and her husband, Kyle, reside in Columbus. Her hobbies include reading, yoga, tennis, jogging, movies, fashion, shopping, and spending time with friends and family.

To stay current on the latest developments in orthodontics, both Dr. Erkis and Dr. Hickman are members of numerous professional organizations, including the American Association of Orthodontists, the American Dental Association, the Ohio Dental Association, and the Great Lakes Association of Orthodontists. They also enjoy staying involved in the community, contributing their free time and support to local schools and other organizations.