Navigating the World of Custom Clear Aligners with Dr. Gilbert

7 October, 2021


Custom Clear aligners

Orthodontics has progressed leaps and bounds from traditional braces to sophisticated clear aligners. Dr. Gilbert, the mind behind Gilbert Orthodontics, is at the forefront of these advancements. With state-of-the-art technologies and innovative products, Dr. Gilbert ensures that each patient receives a tailored experience in their quest for the perfect smile.

Intraoral Scanners: Mapping the Path to Perfection

An accurate impression is paramount in orthodontic treatment. With intraoral scanners, Dr. Gilbert captures intricate details of the oral landscape. Say goodbye to messy molds and embrace swift, precise scans that lay the foundation for customized treatments.

intraoral scanner for custom clear aligners
3d printer for custom clear aligners

3D Printing: Bringing Aligner Designs to Life

After obtaining a precise scan, the magic of 3D printing comes into play. At Gilbert Orthodontics, we harness this technology to craft clear aligners that snugly fit each patient’s unique dental structure, ensuring both comfort and efficacy.
Discover the 3D printing marvels with Dr. Gilbert today.

Invisalign: The Pinnacle of Discreet Orthodontic treatment

Invisalign has become synonymous with clear aligners, and Dr. Gilbert, with his expertise, has helped countless patients transform their smiles without the noticeable presence of traditional braces.
Thinking about Invisalign? Dive into our comprehensive Invisalign guide with Dr. Gilbert.

Navigating the World of Custom Clear Aligners with Dr. Gilbert2023-09-19T07:00:27+00:00

Why Did My Braces Fall Off?

7 October, 2021


Why Did My Braces Fall Off?

Did you or your child recently get braces? Advances in technology have made it possible to use state of the art adhesives to put braces on teeth, have them stay on for years in a harsh environment, and then come off easily at the end of treatment. To achieve this, orthodontic brackets are placed on teeth in a complex and technique sensitive process. Additionally, there are different steps involved in preparing baby teeth, natural teeth, and teeth with crowns/fillings. I will not get into what the exact steps are because you instead want to know why the bracket came off at all!

We can divide the reasons why a bracket came off into two general categories. The first is a bracket coming off within the first couple weeks after brackets are placed and the other is any time after that.

My orthodontic bracket fell off right after they were placed!?

This category is braces that come off within the first month after they are placed.

Putting braces on teeth is technique sensitive and for various reasons a step may not be completed properly. The most common reason for inadequate bond strength is moisture exposure. When we place braces we prepare teeth by placing cheek retractors and use suction to remove saliva/moisture. If for whatever reason the area is contaminated with saliva/moisture the bond strength is severely compromised. The result will be braces that fall off relatively soon after they are placed with low force levels. When we look at the tooth and there is no adhesive on it we see that there was a problem the glue to tooth adhesion. In this case we can conclude there was a problem somewhere in the bonding process. This is not to say your orthodontist did something improper – some patients (and some teeth) are much harder to work on than others!

Other potential causes in this area are improper bonding protocol by your orthodontist, expired adhesive, patients biting on brackets, or inadequate light cure time. All of these fit into this category because the bond strength is low and the bracket comes off easily. This is different from our other category.

My braces are always coming off during treatment?!

Our 2nd category is braces falling off after the first month and sometimes these patients seem to have it happen many times.

This category is more focused on patient abuse of their appliances. The reason is that if your bracket survived the first month the bond strength is adequate and the braces are falling off due to other factors. A clue we look for is where the glue is. If there is some on the tooth and some on the bracket, we can conclude the bond strength was adequate and there is another problem involved. Your orthodontist goes through a list of foods to avoid while in braces for a reason! Some food is much harder than others and that can cause excessive force and resulting broken brackets. Additionally, we always stress to avoid chewing on things that are not food: Ice, pen caps and clothing are frequent culprits of broken brackets. Everyone can have a bracket come off when eating something improper from time to time. However, I have found that I have ‘those’ patients who are always coming in with broken brackets. In this case I have a high degree of confidence there is some patient abuse factors involved. Parents please don’t get mad at your orthodontist in these cases!

Big picture and no matter why the bracket came off it can be fixed. The biggest downside of frequent broken brackets is extended time in braces. Another side effect is an aggravated parent and orthodontist! If you have further questions about why brackets break off, please let me know. Also, if there are any orthodontic topics you have questions on do not hesitate to reach out. I am always happy to address them in future blog posts!

Why Did My Braces Fall Off?2023-06-30T11:30:17+00:00

How long do braces take?

7 October, 2021


How long do braces take?

Orthodontic treatment can transform your life by giving you a newfound confidence. A great smile is extremely important to many peoples self-esteem. One of the challenges, however, is the patience required to get there. In this blog post I will review some general comments on how long it will take to get your teeth and bite aligned properly with braces or Invisalign (clear aligners).

The first question after it is determined that a patient will benefit from braces or clear aligner treatment is ‘How long will this take’?

This question is not easy to answer because everyone is unique. Each person has a different estimated treatment time based on the distance certain teeth have to move, amount of bite discrepancy present, the appliance being used, and patient compliance factors. Additionally, we must have goals that are clearly established before treatment begins. Teeth and jaws cannot move unlimited amounts and goals are set up within the framework of keeping teeth in a healthy position within the jaws, bones, and gums.

With that being said, we can certainly look at the averages for standard comprehensive orthodontic treatment. If no phase I is needed standard adolescent orthodontic treatment takes typically 18-24 months. Some patients with limited treatment may take a year or less while some may need additional appliances causing total treatment time to be closer to 30 months.

Factors to Consider

In both braces and clear aligners that means following proper oral hygiene instruction, wearing rubber bands as requested, and coming in for routine appointments. In braces that also means avoiding certain foods that may cause broken brackets while in Invisalign it requires you to wear your aligners 22hrs/day.
Braces vs Invisalign treatment time is a hot button issue (future blog post?). In certain cases I favor clear aligners while in other cases I favor braces. These recommendations are always discussed at your initial consult. There are a lot of nuances involved so it is difficult to give a blanket statement on speed of clear aligners vs braces. Some of the factors include case type, patient compliance and provider skill.
Some companies tout that their braces move teeth faster than other company’s braces. This has never been proven and it is widely accepted in the orthodontic literature that all braces move teeth at the same general speed. Unfortunately, there are no magic braces!
Making sure that you are seeing a properly trained orthodontist who has experience treating similar cases. Do not trust your orthodontic treatment to a DIY company or a non-orthodontist. This can result in negative oral health results and extended treatment time.
Adult orthodontic treatment is often more goal-specific, which can shorten overall treatment time. For example, if the goal is ideal teeth alignment while recognizing the ‘bite’ correction will not be attempted the treatment time can be reduced. Also if there is orthodontic treatment occurring in preparation for a dental implant or crown there is usually very specific goals and treatment is significantly shorter.

As you can see there is a lot to consider when giving an estimated treatment time. Just know that at Gilbert Orthodontics everyone is on the same team and the goal is to get you that beautiful smile you are dreaming of in the quickest, safest, and most predictable way possible!

Please call or email with any questions and I look forward to talking again soon.

How long do braces take?2023-06-30T11:34:06+00:00