Friday, July 7, 2017

We're here every day.  Our practice model has been to stay at one location.  I'm here four days per week and keep support staff there the fifth day in order to answer phone calls and take care of minor emergencies.  I'm the only orthodontist at the office and they see me each appointment.  Patients seem to like the continuity of care and the fact that the office is always fully staffed if they need us.  All of our orthodontic records and bracket placement appointments are accomplished in the office location they have chosen without them wondering where we are practicing today.  We are able to have a full service in-house lab daily for immediate repairs and excellent Doctor/Lab communication.  Come by anytime for a tour of our facility at 12800 Metcalf Avenue!

Thursday, December 15, 2016

What is the reason and timing of deciduous tooth extractions?  An early panoramic radiograph is important to uncover developmental dental problems.  Determining if there are missing teeth allows us to direct them down the proper path for either future restoration or complete space closure.  This gives the child's parent relief that the prognosis for an excellent dental environment is great.  Parents never like to be surprised by the report of missing permanent teeth when their child is expecting eruption of those teeth.  Finding deviant eruption of permanent teeth early allows us to guide these tooth into the proper position thus lessening the amount of future orthodontic movement.  Impacting canines is what we probably see the most. 
Missing Permanent Teeth (Hypodontia/Oligodontia).  Third molars are the teeth found to be most commonly missing (about 23% of the population).  Second premolars are next followed by maxillary lateral incisors.  Keeping mandibular second deciduous molars presents an interesting situation since they tend to be much wider mesio-distally than the underlying premolars (average 1.7mm wider).

Tuesday, November 1, 2016

Orthodontic intrusion of worn anterior teeth.  I recently had a study club discussion regarding proper positioning of worn anterior teeth in preparation for restorations (crowns, veneers or composite build ups).  Orthodontics is many times necessary for these patients due to the supereruption that occurs as attrition takes place.  We can orthodontically intrude either the upper, lower or all anterior teeth.  I base a lot of this decision on the upper lip to incisor relationship both during rest and smiling.  We also need to take into account the clinical crown length of the worn teeth.  If I can place the teeth in the correct position with proper overjet, a fantastic functional and esthetic result can be had.  These patients refer others to your office since they are walking billboards for your practice.  By the way, we always get before and after photos that you are welcome to use.


Tuesday, October 11, 2016

Quicker turnaround with Invisalign cases.  Now that we utilize digital imaging models for Invisalign cases the time it takes from imaging and records to insertion of the first trays is shortened. Federal Express is quick but the internet transfer is even quicker! The patients appreciate getting started on their treatment sooner since they are excited to see change in their malpositioned teeth. Two weeks from imaging to insertion is very possible!

Friday, September 30, 2016

We all hate impressions!  Our adult and young patients would all tell you that impressions might be what they fear the most at the orthodontist.  We have utilized an I-Cat cone beam scan to gain not only our radiographs but digital models for quite some time.  Recently we have added the new iTero Element visual scanner. We can utilize this for study models, Invisalign treatment, and appliance construction without the need for impressions.  It is much faster than previous models and the images are more universally accepted.  Now we see smiles not only after orthodontics but before as well when they can use the iTero without impressions!

Thursday, April 14, 2016

Fluoride Treatment Prior to Orthodontic Bracket Placement.  If you are providing a prophylaxis immediately prior to placement of orthodontic brackets, we suggest not utilizing fluoride at that appointment.  It can weaken the bond strength of the composite leading to brackets dislodging easier.  We always supply the patient with their first bottle of acidulated fluoride rinse at their bonding and ask them to use it nightly throughout treatment.

Welcome To Hechler Orthodontics!