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

more than smiles

patient & dcotor smilling
Sherman & Balhoff Orthodontics
August 23, 2021

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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patient testimonials

Every Smile Tells a Story

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.
Clair B.
The amount of questions I asked was unreal. The office manager sat and answered every single one with a smile on her face. I wouldn't go anywhere else. They were amazing
Response from the owner:We sincerely appreciate your kind review regarding our thorough and attentive staff. Delivering clear information in a comfortable environment is always our goal. Thank you for sharing your experience.
Nina S.
I had such a great experience with the team at SB Orthodontics in Addis! The staff is always friendly, welcoming, and greets you with a smile. The orthodontists are truly amazing, and every visit was thorough and comfortable. Dr. Stephen Jr. was incredibly kind and never forgot a face. Thank you, SB Orthodontics, for helping me smile with confidence!
Response from the owner:Thank you for your wonderful feedback! We’re delighted to hear about your positive experiences with our team and Dr. Stephen Jr. Your confidence is our priority, and we look forward to seeing you again!
jeannine R.
This is an awesome place to get braces!! They are very friendly and knowledgeable!! Love going to this place!!
Response from the owner:Thank you for your kind words! We're thrilled to hear you love our friendly and knowledgeable team. Your satisfaction is our priority, and we look forward to seeing you again soon!
Kayla C.
I am so grateful to the wonderful people working at Sherman & Balhoff. My journey to a new smile only lasted a little over a year and I am so happy with my smile today! 😊
Response from the owner:Thank you, Kayla, for your kind words! We're delighted that your journey to a beautiful smile was a positive experience. Your satisfaction is our priority, and we look forward to seeing you again!
Katarina S.
They take their time to explain every step of the process, answers all questions thoroughly, and makes both kids and parents feel completely comfortable. You can tell they truly care about their patients and take pride in their work. The results have been amazing, and we couldn’t be happier with the progress so far.
Response from the owner:Thank you for your wonderful feedback! It's rewarding to know that our commitment to thorough explanations and creating a comfortable atmosphere has made a positive impact on your experience. We're thrilled with your amazing results!
Emily G.
We are always well taken care of at Sherman and Balhoff! Friendly faces all around, and the sweetest Ms. Ashley at the front desk!
Response from the owner:Thank you, Emily! We're thrilled to hear you feel well taken care of at Sherman & Balhoff. Our team, especially Ms. Ashley, is dedicated to providing a friendly and welcoming experience. We appreciate your kind words!
Carly D.
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.
Response from the owner:Thank you for sharing your positive experience, Carly! We're thrilled to hear that switching to Sherman & Balhoff Orthodontics has made such a difference for you. Our team is dedicated to providing efficient and friendly service, and your recommendation means a lot to us. We look forward to continuing to support your orthodontic journey!
Allison K.
They are amazing with everyone. My daughter just had braces put on in May and they have been wonderful with questions, etc.
Response from the owner:Allison thank you for your kind words about us and our staff. We work diligently day in and day out to provide the best patient experience possible, so it’s wonderful to hear when we meet our goals!
Dana G.
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.
Response from the owner:Dana thank you for your kind words! Your vote of confidence in our practice is why we do what we do!
Spunky E.
I only been in for first appointment and so far it has been great. The facility is great and the staff is all fantastic!
Response from the owner:Thank you for taking the time to leave us a great 5-star review!
Katherine B.
This staff is simply amazing ! So polite and kind !!!! Thanks for being AWESOME and making this experience for my son so easy !
Response from the owner:Thank you for the positive feedback. We are honored to serve each and every one of our patients!
Katie R.
Highly recommend! Amazing service and even better staff! My daughter looks forward to her visits. The staff is always super friendly and helpful, they also help my nervous 8 yr old feel comfortable and welcomed!
Response from the owner:Thank you for your kind words! Your vote of confidence in our practice is why we do what we do!
Amanda H.
Wonderful staff!! Can not say enough about them. They are so fun, helpful, friendly, and polite. Love our S & B family!!!!
Response from the owner:We appreciate you taking the time to leave us feedback on your experience. We work very hard every day to exceed our patients’ expectations!
Jackie H.
Sherman and Balhoff are always so professional and personable. They go out of their way to make everyone comfortable and meet your needs. I always recommend this group.
jordan T.
I had always been self conscious about my teeth. For so many years i would always have to smile on my left side in pictures but ever since i had that first consult with Sherman and Balhoff Ortho, I knew that i wanted to start invisalign! 7 months in I am obsessed with my teeth and how much they have changed so quickly. Getting Invisalign will always be the best choice i could’ve ever made for myself! thanks to all the assistants and doctors for helping me fall back in love w my smile! Can’t wait to see the final result!!
Response from the owner:Thank you for your kind words about Sherman & Balhoff Orthodontics and our staff. We work diligently day in and day out to provide the best patient experience possible, so it’s wonderful to hear when we meet our goals!

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