Dear MYORTHODONTIST Patient,
With the rapidly increasing number of people in the community testing positive for the COVID-19 virus, it makes more and more sense for us to bunker down at home as much as possible and avoid the chance of infection on public transport, in a lift, etc. Indeed, just like New Zealand and the UK, we might soon be in total lock down.
Before closing we believe we have contacted all patients who had an appointment in the next few weeks and sent out additional aligners, chewies and elastics where that was necessary. If you still have any issues please email us on: firstname.lastname@example.org and we will try to help you via a video consultation using Zoom, Facetime or Whatsapp.
To the new patients that we have postponed: fortunately, in orthodontics, we do not have tooth abscess kinds of problems and so we are not an essential service. Let me assure you that a few months delay in potentially starting treatment will not mean that you have missed the boat. Urgency in starting orthodontics is rare.
For those that are progressing through your clear aligner treatment: It is my intention to remotely progress your treatment as much as I possibly can. Keep wearing the aligners you have. Wear them for a few weeks each to spread them out until you get more or finish. Make sure they fit 100%. If it’s your last pair, after 3 weeks, you can reduce to wearing them to sleep plus 3 hours in the day. Soak them in 50/50 white vinegar and water when they are not in your mouth. Wearing the penultimate pair at the end is okay too. I’m afraid that for a few of you, there will be some marking time but be assured, it is highly unlikely that you will come to any harm. Feel free to email, not phone, if you have any concerns: email@example.com
It is in everyone’s interest for your treatment to proceed swiftly to completion of the active phase and into retention. Cooperation in wearing aligners 22 hours per day, CHECKING THAT THEY FIT PERFECTLY ON ALL TEETH before moving onto the next aligner and using chewies for 10 minutes four times a day if there is any gap between the aligner and the tooth, is essential. You need to make non-tracking teeth fit, and it is as important as ever, even if I am not overseeing progress. Parents please check that the above is being adhered to.
Wear elastics all the time if you have been asked to do so.
If you have braces do not eat lollies or foods that are as hard or harder than a raw carrot (which can be cut into thin sticks) because that is more likely to unstick the braces and bend wires. A wire poking in can usually be bent in towards a tooth or covered by a blob of sugarless chewing gum. So can a loose bracket.
Retainers are to be worn at night, or from after dinner, if they feel tight each time you put them back in. They also need to track. See picture above. If you have a bonded wire behind your teeth and it comes loose, wear the retainer full time.
Thank you in advance for your cooperation. The situation is changing rapidly so if necessary, another email update will be sent to you. Hoping that none of us get this awful virus.
Morris, Vivian & Bella
Dr Rapaport is a member of the Invisalign Asia Pacific Advisory Committee (APAC). This committee is comprised of prominent, experienced, orthodontists, 3 from Australia, 1 from Korea, 1 from Japan, 1 from Hong Kong and 2 from China, 1 from Taiwan, who are invited to conduct pilot studies of the latest innovation and their feedback is taken into account before the worldwide release of new aligner product features.
Members of APAC at the 2014 meeting in Beijing visiting a large University Dental Hospital
Members of APAC at the 2014 meeting in Beijing visiting a large University Dental Hospital
Dr Rapaport trains other orthodontists and dentists in the use of Invisalign.
He recently taught a two day course in Manilla, Philippines.
Prior to that he taught in most of the capital cities around Australia and New Zealand and in Singapore.
He is returning to Jakarta to teach an intermediate course and also to Perth.
Lecturing in India in 2013
Lecturing in Jerusalem
Earlier this year I was honoured to be invited to give a lecture at an Invisalign orthodontist only conference in Fiji. Delegates came from Australia, New Zealand and all over Asia. It is somewhat daunting to lecture to one’s peers so I admit to being a little nervous ahead of the meeting. My topic was, Strategies to Successfully Treat Invisalign Cases Requiring Extractions.
Sometimes there is just too much overlap and crowding of teeth to be able to squeeze them all into line without creating space first. There is a limit to expansion as teeth roots have to stay within bone. Also, teeth are sometimes so proclined that it is difficult for the person to keep their lips together and so extractions and taking the front teeth back, can greatly improve facial balance and lip competence while still maintaining a full smile. This can be the case for anyone but is especially true in some Asian faces so my lecture was particularly relevant at an Asia Pacific meeting.
Traditionally, if bicuspid teeth extractions are required, it precluded that person from having Invisalign treatment so my lecture discussed ways of making that possible. When Invisalign first started in Australia in 2001, which is when I became accredited, it was regarded as an appliance to treat minor crowding. Since then, the appliance has evolved constantly so that now, with experience and orthodontic training, we can push the boundaries. I now offer Invisalign to most of my patients as an alternative to braces. It is rare for me to say, “No, you have to have braces to treat that”. Sometimes it’s a combination with a few brackets and wires at the back and Invisalign clear plastic aligners at the front.
We work very much as a team and so it was good training for us all to attend the lectures together and of course, I could show off to them in my own lecture. My wife Pauline and our three children, Emma, Hannah and Mark also came. Now that they are in late teens/early twenties, we rarely go on holidays together but they probably figured, Dad was paying so why not? It all resulted in an excellent professional meeting and a very good time too, as the accompanying photos will attest.
I must have impressed the powers that be in Invisalign because not long after, I was invited to become a member of The Asia Pacific Advisory Committee (APAC) as one of three Australian orthodontists together with one from Taiwan, Japan, Korea, Thailand and two from China to trial innovations that the company is considering in their constant drive for better efficacy and predictability. We had our first meeting later that year in Singapore but more on that in another blog.
With school, sports and hanging out with friends, getting metal braces is not at the top of your list of favorite things to do. Guess what? With Invisalign Teen®, you can straighten your teeth
without having to deal with metal wires and brackets.
Invisalign Teen aligners are made of a smooth, clear plastic that is virtually invisible!
Your friends probably won’t even know you’re wearing them. In fact, they’re so
comfortable, you may not even notice you’re wearing them either. Whether you’re
taking pictures or just hanging out with friends, you’ll enjoy a better smile every day.
You probably have friends with braces who aren’t allowed to eat certain things
like popcorn and chewing gum. With Invisalign Teen, you’re free to eat all of your
favorite foods whenever you want because the aligners are completely removable. This
also means you can easily keep brushing and flossing as you normally would.
At MYORTHODONTIST we understand the time spent in a waiting room could be put to better use, especially if you have young, impatient children!
Do you feel like you have to pass the time in other waiting rooms like those in the video below? At MYORTHODONTIST we have built our practice to focus on your needs before, during and after your treatment. We believe your orthodontic experience begins in the waiting room, and is why we have designed ours to be more fitting as a ‘fun room’ than a waiting room!
With arcade games, foosball tables, magazines, TVs and console games, we are sure you and your children will be kept very busy, right up until your appointment!
It is a phenomenon that has been studied for decades, and now there are answers…
Chronic mouth breathing affects many Australian children, due to allergies, constant colds, asthma or other conditions that inhibit proper nose-breathing. At MYORTHODONTIST we are always staying up-to-date with changes and advancements in orthodontics, and are not too surprised by these findings!
How mouth breathing can affect your child’s jaws…
Due to their mouth hanging open constantly for years in order to breathe, (and during their most important jaw development process) the jaw does not receive the support it normally would if the mouth was closed. This means the jaw becomes very narrow, and creates less space for adult teeth to emerge. This then results in severe overcrowding and bite issues that can be difficult to treat.
At MYORTHODONTIST we can help diagnose and treat jaw issues with orthognathic surgery…
If your child has suffered mouth breathing and as a result experiences narrow dental arches, we can help relieve this issue with orthognathic surgery: a treatment that allows us to surgically resolve issues with the jaw and correct overbites or underbites.
If you feel your child is suffering from a narrow jaw or you have noticed they favour breathing through their mouth rather than their nose, we recommend you first take them to your GP to rule out any health issues that may be causing this shift from nose-breathing to mouth-breathing.