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Permanent or Removable Retainers: Which is right for you?

December 6th, 2018

When the time comes for Dr. Bruno to remove your braces, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow Bruno Orthodontics recommendations, but knowing more about the two types of retainer beforehand can be helpful.

Removable Retainers

Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.

Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.

Permanent Retainers

Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.

Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.

One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.

Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.

Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type. If you’re still not sure whether the choice you’ve made is truly right for you, get in touch with us at our Clawson location right away!

How to Avoid Delays During Your Orthodontic Treatment

November 29th, 2018

Our patients at Bruno Orthodontics hate the thought of delaying their treatments and often ask us what they can do in between their adjustment visits to help. Today, Dr. Bruno and our team thought we would provide some tips on how you can stay on track in regards to your treatment plan time.

The first thing we want you to do is keep your adjustment appointments. Each visit with Dr. Bruno is carefully planned to move your teeth a specific way in a certain time frame. It’s important to note that missing an appointment can add weeks or months to your treatment time.

Next, we want you to let Dr. Bruno and our team know right away if your experience any problems with your braces or appliances. A missing wire, rubber band, or broken bracket can delay treatment time, so we ask that you please give us a call right away to report any issues rather than waiting until your next visit.

Make sure you wear your rubber bands as prescribed by Dr. Bruno. Most, if not all, of our patients will need to wear elastics or rubber bands at some point during their treatment. Not wearing the bands or elastics, or not wearing them enough, can slow down your treatment time. Rubber bands are critical in aligning your bite and are important for the bite-fixing phase of your treatment.

Finally, we want you to maintain good oral hygiene, just as you did before your treatment began. In addition to flossing regularly, we encourage you to brush your teeth several times a day. Not brushing will allow sugar to wear away the cement on the braces, making them less effective in moving your teeth, as well as elevate your risk of developing cavities or tooth decay, which will inevitably delay treatment time.

If you have any questions about any of these tips, or if you have any general questions about your treatment, please give us a call at our convenient Clawson office, or ask Dr. Bruno during your next adjustment visit!

Thanksgiving

November 22nd, 2018

At Bruno Orthodontics, we love to celebrate the holidays with vigor! Dr. Bruno would love to share some unique ways of celebrating Thanksgiving from beyond the Clawson area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

When Clear Aligners aren’t the Answer

November 15th, 2018

Clear aligners like Invisalign® have become increasingly popular over the past several years and rightly so. They’re removable, easier to clean than braces, and hardly anyone knows you're wearing them. They are great in treating many cases, but they aren't for everyone.

Below, Dr. Bruno and our team cover some of the instances where clear aligners just aren't the answer:

  • If drastic tooth movement is required – Fixed appliances deliver much more significant tooth movement. So if your case is a drastic one, clear aligners may not be the best choice.
  • If you need to move molars – Molars have much stronger roots than your other teeth and would require significantly longer to move with clear aligners. A fixed appliance is the best choice in this instance, especially if you have a substantial overbite or underbite that needs to be dealt with.
  • If you're the type who often forgets or loses things –If you would forget to wear your aligners for the prescribed amount of time (usually at least 22 hours per day), clear aligners are probably not the best choice for you. Forgetting to wear them can delay treatment and even make it so you need to regress to the previous set of aligners to be able to move forward with treatment. And let's face it, if you're not careful, removable aligners are easy to lose. Losing aligners delays treatment and is expensive since you need to buy replacements to stay on course. Replacing a lost set of aligners usually takes between seven and ten days—a definite setback in treatment.
  • If you're looking for the fastest treatment possible – Clear aligners usually can't move teeth as quickly as fixed appliances. So if you're looking for the fastest way to achieve your desired result, clear aligners may not be the best bet.

Feel free to talk with Dr. Bruno about your options regarding braces and clear aligners. We know there are pros and cons to both, so let’s find the option that works best in your life and for your specific needs in terms of treatment. Schedule an appointment at our Clawson office today!

  • "We visited three other offices before we met Dr. Bruno. His ability to make our very anxious son feel comfortable was so refreshing. He took the time to interact with Joey and make him feel involved in the treatment. Joey's smile looks absolutely fantastic, thanks to Dr. Bruno and his wonderful team."~ Diane
  • "Our family feels Dr. Bruno is absolutely the very best orthodontist!! With early intervention, he was able to completely reverse our son Trevor's bite. Our daughter, Elesse, repeatedly says, 'I can't believe how perfect my teeth look.' Our office visits are always on time, we are never kept waiting"~ Patty
  • "Dr. Bruno is detail-oriented, listens to his patients, and is creative with his orthodontics. His innovative approach and willingness to 'think outside of the box' made my daughter's treatment a success! The staff is friendly and courteous and the office is beautiful!"~ Julie

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