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--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