Safety of Dental X-Ray Radiation

November 7th, 2018

We all want to live our healthiest lives. We know that part of keeping ourselves healthy is regular visits to our Freehold, Manalapan or Hightstown, NJ office for checkups and necessary dental work. And that dental work might require an X-ray. Should the amount of radiation in an X-ray concern us?

First, it is helpful to know that the radiation you are exposed to from a dental X-ray is very small. A set of most bitewing X-rays, for example, produces an amount of exposure about equal to the amount of background radiation we get from our normal surroundings in a typical day. We also take care to minimize your exposure even further by using specially designed equipment and protective shielding, and taking only necessary X-rays. If your child is very young, if you are pregnant, or if you have other health concerns, talk to us about the advisability of X-rays and whether they are essential to treatment.

Second, much of our careful general examination will be done visually. Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Carly Kinzer can check for cavities and other problems and assess tooth and gum health. But sometimes, there are conditions which can’t be detected without an X-ray.

  • Decay that isn’t visible in an oral exam—if a small cavity develops between teeth, or is hidden underneath a filling, an X-ray will catch it before more damage can take place.
  • Infection—An X-ray will reveal infections such as abscesses that can damage both bone and tooth, and gum disease that has harmed bone and connective tissue.
  • Orthodontic and periodontal issues—We might need an X-ray to determine the spacing and development of your child’s incoming teeth and maturing jaw structure, to properly create braces for adults or children, or to place an implant within the jawbone.
  • If you are a new patient, it is helpful to have complete X-rays taken as a baseline of your current dental health and previous dental work. This baseline allows us to track tooth and jaw development, if necessary, and to evaluate any future changes that might be a concern. (If you have had X-rays taken in another office, we can help you have them transferred so we have a background of your dental history.)

Even though the radiation from a dental X-ray is minimal, be assured that we will never request any unnecessary procedure. When we recommend an X-ray, we do so to make sure there is no decay or infection threatening the health of your gums and teeth, and that we have the essential knowledge we need to treat any dental, periodontal, or orthodontic condition. Because we all want to live our healthiest lives—and part of that healthy life is both active and proactive dental care.

A Fun Halloween with Braces

October 31st, 2018

Having teeth encased in braces can be discouraging during Halloween. If you or your child has braces, there are certain candies to avoid this holiday season—and in general—while you have braces. Candy can be tempting, especially for children.

But don’t worry; other sweet treat options can readily take their place. Take a look at the American Association of Orthodontists’ tips on how to keep your braces safe.

Treats to avoid because they can cause damage to your braces include:

  • Hard candies
  • Chewy candies
  • Nuts
  • Caramel
  • Licorice
  • Jelly beans
  • Taffy
  • Bubblegum
  • Hard pretzels
  • Popcorn

These goodies should be avoided because they have the potential to bend or break your braces. Broken brackets and loose wires can waste time and money.

Switch out hard, chewy, and sticky candies for these options in the mean time:

  • Soft chocolate
  • Peanut butter cups
  • Gelatin treats
  • Ice cream
  • Smoothies
  • Root beer floats
  • Apple cider

Encouraging your child to stay with alternative, braces-friendly treats may prevent her from trying to eat candies that could break or damage braces. Halloween can still be fun, especially if your youngster (or you) don’t have to visit our Freehold, Manalapan or Hightstown, NJ office get braces fixed.

Make sure to remind your child to avoid harmful candies, and encourage him to exchange treats with friends to make it more fun. Only passing out candies that children can eat safely, such as soft chocolates, can make them feel included.

Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Carly Kinzer and our team hope you enjoy your Halloween season, regardless of whether you are wearing braces.

Early Orthodontics

October 24th, 2018

Perhaps you are already planning for the years when your teenager will need orthodontic work. But hearing that your seven-year-old would benefit from orthodontic treatment? That might come as a complete surprise! It’s a recommendation with real benefits, though—early intervention can save children from tooth and bite problems now, and even simplify their future orthodontic care.

Treating young children for orthodontic problems is called “interceptive orthodontics.” When the permanent teeth start arriving, there might be problems with spacing, bite or protruding teeth. Often, treatment while the bones are still growing is the best way to prevent more serious problems later.

We recommend that your child have an orthodontic consultation with Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Carly Kinzer around the age of seven. This exam is especially important for children who may have been thumb suckers or used a pacifier after the age of three, or if you notice obvious teeth, speech or bite issues.

  • Crowding and Spacing Issues

Teeth are arranged in two crescent shapes called arches. When the arch of your child’s mouth is small, the permanent teeth can become very crowded as they erupt. Formerly, teeth were removed to make more room. Now, early use of a palatal expander can enlarge the upper dental arch in order to help the permanent teeth come in without crowding. The need for future tooth extraction is reduced, and there is a better chance for correct spacing and alignment with early treatment.

On the other hand, when a child loses a tooth too soon, too much space left between baby teeth can also be a problem. The remaining teeth can shift, leaving the wrong place open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth and there is room for the proper adult tooth to erupt in its proper spot.

  • Malocclusions (Bite Problems)

Some malocclusions, like a crossbite, can be caused by problems with jaw and facial structure. Again, we might recommend a palatal expander to help the upper arch of the teeth to fit properly with the lower jaw. Problems with overbite, open bite and other bite issues can also be addressed at this age if necessary. Early care can discourage TMJ (temporomandibular joint) disorders, reduce speech problems, and improve facial symmetry. 

  • Protruding Front Teeth

Teeth that protrude are much more likely to be damaged when playing or after a fall. Methods such as braces or appliances can reposition them and protect them from breaking or fracturing.

Many children will not need early intervention, and many can wait until they are older for orthodontic work. But if your young child has orthodontic problems that should be addressed, early intervention can do more than set the stage for successful orthodontics in the teen years. Talk to our Freehold, Manalapan or Hightstown, NJ team about what we can do for your child. Interceptive orthodontics can protect teeth, guide jaw and speech development, modify harmful oral habits and help to adjust bite problems before they become serious—when it comes to your child’s dental health, the best solutions are early ones!

Does my child need two-phase treatment?

October 17th, 2018

You might be surprised to see one of your second grader’s friends with a dental appliance. Isn’t orthodontic work just for teenagers? And, if not, should your seven-year-old be sporting braces right now? The answer to both of those questions is “Not necessarily.” Two-phase treatment is a process designed to correct issues that arise during different times in your child’s life.

First Phase Treatment

We recommend that every child have an orthodontic evaluation around the age of seven to determine if there is a problem that would benefit from early treatment. First phase orthodontics is not the same as orthodontics for older patients. The focus here is on the developing bone and muscle structures which form your child’s bite and provide space for the permanent teeth when they arrive.

There are some clear-cut orthodontic goals that are much easier to attain when children’s bones are still growing.

  • Reducing Crowding

If your child’s mouth is small, the permanent teeth will have little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time. Sometimes the extractions necessary to create more room for permanent teeth in later years can be avoided, as well as the possibility of an impacted tooth—one which doesn’t erupt because it is blocked by other teeth.

  • Dealing with Jaw and Bite Concerns

Bones and muscles do not always develop properly, leading to problems with jaw and facial structure. Your younger child still has growing bones, so this is a great time to gently re-form the jaw into a healthy shape. Problems caused by crossbites, underbites, open bites, and other malocclusions can be reduced with early treatment.  

  • Protecting Teeth

If your child has protruding front teeth, these teeth are more likely to be damaged in falls, at play, or while participating in sports. We can gently reposition them.

Second Phase Treatment

Second phase treatment is designed for your older child. After a resting period, when the permanent teeth finish erupting, we should see your child to evaluate any further orthodontic needs. This is the time to finish the process of straightening the teeth and making sure that each tooth fits together properly for a comfortable and healthy bite. This phase usually makes use of braces or aligners, and can take approximately 12-24 months.

Two-phase treatment is not necessary for every child. But there are some unique reasons that early orthodontics might be recommended for your child, even if it’s clear that more orthodontic work will be needed later. Make an appointment with Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Carly Kinzer at our Freehold, Manalapan or Hightstown, NJ office, and let’s evaluate your child’s orthodontic needs, whether now or in the future, for a lifetime of beautiful smiles.

Patient Testimonials

"I loved the people. The orthodontists, receptionists, and nurses all were very personable. They made the long wait easier and enjoyable. I always thought braces would be a pain, but Brace Place made it an experience I’ll never forget."

— S. Dabbara

"For two years, the experience at Brace Place for me has been a positive one. The doctors and staff have been very attentive and caring to my needs. I am pleased with the work so far and would definitely recommend Brace Place to others."

— J. Clark

"As a patient, I had an excellent experience at Brace Place. You worked until my adult teeth were perfect. I was always impressed by the staff and doctors' professionalism. Now that my children are patients, I have complete confidence that their orthodontics will be done correctly. Your office is comfortable, the staff is great and I’d recommend you to anybody."

— E. Callery-Colhoun (patient and mother of two patients)
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