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4 Orthodontic Terms to know: Elastics, Invisalign, TMJ, Phase 1 & 2

more than smiles

FOUR IMPORTANT ORTHODONTIC TOPICS THAT ALL PATIENTS SHOULD KNOW

If you have any questions about treatment or you would like to explore some of these treatment options more in-depth, contact us today!

1. ELASTICS

Elastics are an adjunctive part of orthodontic treatment. They are small rubber bands in varying amounts of force that can be used with Invisalign or braces. We utilize elastics with orthodontics in order to correct any misaligned teeth. A good way to understand the importance of elastics is that while braces and/or Invisalign aligners can straighten your teeth, it is actually the elastics that will fix your bite.

This is true whether your have an underbite, “overbite” (what orthodontist typically describe as an overjet), or an open bite. Without dedicated elastic wear you will have nice straight teeth, but they likely won’t fit or function well for you. If you have been told that you need to wear elastics, it is important that you follow through with treatment.

2. INVISALIGN

Patients who seek out orthodontic treatment are often happy to learn that there is a clear solution to braces. They feel an instant relief of stress and embarrassment when they know they can straighten their teeth invisibly. In the last few years, there have been many advancements in the Invisalign aligners that allow you to get a straight and beautiful smile.

Many patients wonder if Invisalign actually works. If used correctly, the treatment works well. It is an easy to use solution, but it is important that you work with a trained orthodontist because there is a specific skill set needed to move the teeth properly in the mouth.

Invisalign works great for many patients and is ideal for those patients who have a mild to moderate spacing in their mouth. The jaw of the patient should be considered aligned or very close to perfectly aligned and the aligners can help with crowding issues in the mouth too.

If a patient has an overbite or large jaw discrepancies, they may not be able to use this treatment modality. These types of situations typically require traditional braces, but sometimes we can do a hybrid treatment so you may not have to wear braces the entire treatment time and can change to Invisalign once the more difficult corrections have been made in braces. Every person’s mouth and bite are individual to them so if you have questions on whether Invisalign or hybrid Invisalign/braces would be a good option for you please call us!

3. TMJ PROBLEMS

The temporomandibular joint or your TMJ is one of the most complex and unique in the body. This is because it is responsible for multiple movements and functions. This joint is required for eating and speech. TMJ problems are important to our doctors, because they understand the pain that it causes.

The term TMJ is a broad term to encompass many different problems. Often times, the issues are related to stress, the bite of your teeth, and your hormone levels. There is a strong correlation between the teeth and the jaw joints, so it is important to know that orthodontic treatment can help in many cases. Our team understands the role and anatomy of the jaw joint, so we can provide you with effective treatment.

When exploring TMJ, you must know that there are two different bites that the jaw is able to close into, which includes the best fit for the jaw joint or the best fit for the teeth. The two do not often go hand in hand. When there is an issue with the two, the body’s tolerance to overcome it may be weakened and this can lead to TMJ pain and/or lock jaw.

The goal of orthodontic treatment is to make sure that the bite and jaw joints are in their ideal position when the mouth is open or closed. This way, the discrepancy between the two bites is eliminated.

For a doctor to determine whether or not you have TMJ, you will need to use a bite splint. This is an appliance that works to simulate orthodontic treatment of the teeth. It specifically works to remove the teeth from the equation and allows the jaw joint to relax into its ideal position.

Some patients benefit from a bite splint while others may need additional treatment options.

4. PHASE 1 & 2

We are often asked what Phase I and Phase II are. It is a popular choice for orthodontic treatment in our younger growing population.

Phase 1 typically addresses disharmonies in jaw/skeleton growth in children aged 7-10. Many of the treatments prescribed in this phase of treatment are aimed at bringing better harmony in growth patterns between the upper and lower jaw and may consist of a palatal expander, headgear, retainers and/or braces.

Generally once these skeletal disharmonies are corrected there is a resting period of a few years before all the adult permanent teeth grow in. Our team of doctors monitor all her phase 1 patients during this growth and tooth eruption phase to make sure that the skeletal disharmonies treated in the first phase don’t return. Once most if not all the permanent teeth have erupted typically around ages 11-13 we evaluate to see whether a second phase of treatment is needed. At this time if any skeletal imbalance has returned, and/or if the permanent teeth have spacing or crowding issues we would address them with either braces or Invisalign.

Timing of phase 1 and phase 2 is not set in stone. Every child grows slightly differently and a child’s numerical age doesn’t necessarily correlate with their dental age so it’s important that a qualified orthodontists tailors a treatment plan to each individual child.


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We love it when our patients smile, and we love it even more when want they want to tell the world! Check out what our patients have to say about their 5-star experience with us.
The absolute best! We were recommended by my children’s dentist and the office was directly next door (Prairieville location). The entire office staff is amazing and very personable which... had me sold from the consultation. My son started treatment in Aug 2024 and so did I Dec 2024. The reviews definitely match the experience and I’d recommend over and over again!!read more
Davia W.
We just started, but so far I have been satisfied every step of the way.
Tasha L.
Love these guys. Professional, kind, and efficient.
Julie D.
Everyone was so nice. I would recommend Sherman and Balhoff to anyone!!!!
Mary J.
I am so excited to have started my treatment plan with Sherman & Balhoff! Very responsive, helpful. The office staff is great. Don’t put it off…call them today.
Lynn H.
After having my braces off for only 7 months from a previous orthodontist, I switched to S&B after not being happy with my results and incomplete treatment. One of the best decisions I've... made. Great with time management, quick and easy appointments, friendly staff. Definitely recommend.read more
Carly D.
Best office in town! Sherman and Balhoff always put the patient first from small wait times to patient care. I wouldn't take my kids (or myself!) anywhere else!
Lauren O.
Dr. Stephen Sherman is still incredible! I saw him for my braces in 2007 and he just put on my daughter’s this past December! He does great work and his staff is phenomenal! I would... recommend anyone to see this office for your orthodontic needs!read more
Sydney G.
Dr. David Baloff is my sons orthodontist. My son is deaf/hard of hearing. Dr. Balhoff always takes extra time to communicate with him and visit, above and beyond just his dental appt. Today... I called to reschedule my son’s appt. I had an ER visit and will be out of commission to bring him. The staff sent me a beautiful flower arrangement with a heartfelt, Get Well soon. I was blown away by the thoughtfulness. The doctors and staff are simply amazing and really do care about their patients and their patients family’s. You don’t find this type of care often. I am truly thankful and blessed.read more
Terri B.
The owners go above and beyond for the care of their patients.
Todd B.
Awesome service
Courtney H.
I recently completed my second go-round with braces (my first was many years ago as a teenager), as a 60 year old patient of S&B.I want to express my most sincere appreciation for the... results I see when I look in the mirror...the results have exceeded my expectations.Additionally, I was very impressed with the way I was treated (as a patient) each and every time I had an appointment.Yet, I believe one of the most impactful (and unexpected) memories of this journey was the way I felt each time I left the building (at the end of each appointment.) With no exception, each time I was there, I felt a genuine teamwork atmosphere. To the person, they not only expressed care for me (the patient) but they expressed care for each other (the employee.)Thank you, S&B, for not only leaving me with a visual example of success but, moreover, an emotional example of success.read more
Scott D.
Very friendly & caring. Would recommended to anyone
Janell H.
Everyone was super friendly and well informed. So glad we picked them!
Lindsay H.
From ole college roommate to prestigious orthodontist 🦷. Glad to have a friend and Dr in David Balhoff. Great person and the 🌎 World is a better place with him.
Charles J.
They are amazing with everyone. My daughter just had braces put on in May and they have been wonderful with questions, etc.
Allison K.
I used Sherman and Balhoff myself as an adult and now my daughter is a patient there. They are the best and go above and beyond for their patients. Dr. Sherman even came back after closing... because my daughter was having an issue with her bite after getting her braces put on. He was so very nice and professional. I would recommend them to anyone.read more
Dana G.
Loved every moment of my visit. They're all so nice & sweet. Dr Balhoff made sure I was good as he was doing my braces
Lacasey
Staff was very helpful and friendly.
Angela C.
Amazing staff and doctors!
Patty C.
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You don’t need an excuse to smile more, but we would like to give you a few extra reasons! We have four locations for your convenience, and each of them have friendly doctors and teams ready to serve you. We can’t wait to meet you!

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Locations

  • BATON ROUGE8311 Bluebonnet Blvd. Baton Rouge, LA 70810
  • ADDIS6715 LA Highway 1 S.Addis, LA 70710
  • PRAIRIEVILLE14154 LA Hwy. 73Prairieville, LA 70769
  • CENTRAL14465 Wax Rd.Central, LA 70818

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Monday 7:30am – 4:30pm
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Thursday 7:30am – 3:30pm
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