Welcome to the Salins Orthodontics Blog! We hope that you enjoy our posts and maybe even learn a little bit about...well...everything! We will explore the world of orthodontics, tell fun and interesting stories and share a bit of our fun personality. Please feel free to interact, ask questions, make comments and share your insight!

Monday, September 28, 2009

Sight restored by her TOOTH?!

That’s right! This is amazing and true. Talk about yet another reason you want to keep you teeth healthy. Check out this article and let me know what you think. Everyday I am amazed at the advances that science is making. What could possibly be next?

Blind Woman Sees With 'Tooth-in-Eye' Surgery
Doctors in Florida Restore Sharron Kay Thornton's Vision by Implanting a Tooth in Her Eye

Article from ABCnews.go.com

Forget about an eye for an eye -- doctors in Florida have taken a blind woman's tooth, and used it to help restore her vision.
A team of specialists at the University of Miami Miller School of Medicine announced Wednesday that they are the first surgeons in the United States to restore a person's sight by using a tooth. The procedure is formally called modified osteo-odonto-keratoprosthesis (or MOOKP).
Sharron "Kay" Thornton, 60, went blind nine years ago from a rare disorder called Stevens-Johnson syndrome. The disorder left the surface of her eyes so severely scarred she was legally blind. But doctors determined the inside of her eyes were still functional enough that she might one day see with the help of MOOKP.
"This is a patient where the surface of the eye is totally damaged -- no wetness, no tears," said Dr. Victor L. Perez, the ophthalmologist at the Bascom Palmer Eye Institute at the University of Miami who operated on Thornton. "So we kind of recreate the environment of the mouth in the eye."
The three-phase operation started with University of Miami dentist, Dr. Yoh Sawatari, who removed a tooth from Thornton's mouth and prepared an implant of her own dental tissue for her most severely damaged eye. The tissue would be used to make a new cornea to replace the damaged one.
Doctors then removed a section of Thornton's cheek that would become the soft, mucus tissue around her pupil. Finally, Perez and his team implanted the modified tooth -- which had a hole drilled through the center -- to support a prosthetic lens.
"We use that tooth as a platform to put the optical cylinder into the eye," explained Perez. Perez said doctors often use less risky and less invasive techniques to replace corneas, but the damage from Thornton's Stevens-Johnson syndrome ruled those out.
Using a tooth might sound strange, but it also offers an advantage. Because doctors used Thornton's own cheek and tooth tissue she faces less risk that her immune system will attack the tooth and reject the transplant. Patients getting a cornea transplant from a deceased donor, on the other hand, face chances that their immune system will reject the new tissue.
This Labor Day, Thornton was able to take off the bandages and she immediately saw the light.
"From the first day, she's been able to see 20/70," said Perez. "She cannot drive legally (yet), but she can see her hands, see TV, see the sky, see the clouds."
At the moment, Thornton has nothing covering the cheek tissue on her eye, an aesthetic drawback MOOKP patients must face.
"Her eye looks different but, the goal is once she heals more we can put on a cosmetic eye shield," said Perez.
The technique was developed in Italy in the early 1960s, but the original procedure has been modified over the years by doctors in Europe. Hundreds of people in Japan, England and Italy have regained vision through the technique, but most eye specialists in the U.S. don't foresee MOOKP catching on in America.
"It's a complicated and rare procedure that a few people use in desperate situations [and] some patients benefit when the alternative is blindness," said Dr. Stanley Chang, an ophthalmologist at the Columbia University Medical Center in New York City.
While OOKP is used more often in Europe, doctors U.S. typically choose a less tedious technique called the Boston Keratoprosthesis, which is similar to MOOKP but uses a prosthetic cornea instead of one grown from dental tissue and does not require cheek tissue to surround the implant.
The Boston technique, experts say, can save patients time and give them a more natural looking eye.
Doctors may use MOOKP for some uncommon situations -- including people with Stevens-Johnson syndrome, or who were chemical burn victims -- but not always.
"These conditions, although rare or uncommon, are still important because the patients may have little or no vision, and because there have not been very effective treatments to restore their vision," said Dr. James Chodosh, a cornea specialist at the Massachusetts Eye and Ear Infirmary.
However, Chodosh added, "The [MOOKP] procedure is unlikely to be very commonly used because of the difficulty, length, and invasiveness of the surgery and the cosmetic appearance after surgery."
Dr. Uyen Tran, associate professor of ophthalmology at the Vanderbilt Eye Institute, agrees that "these types of patients are not common" and says that "we probably see about 20 cases a year at our center."
Yet, while the number of patients for MOOKP may never reach the number of patients getting the Boston Keratoprosthesis, Perez said he hopes to perform more of these procedures for those in need.
"Absolutely there are a lot of patients like her (Thornton), and also patients with chemical burns… we also want to work with the Department of Defense to help with soldiers who are scarred," said Perez.

Click here to see the original article on the ABC News Webpage
ABC's Courtney Hutchison contributed to this report.

Saturday, September 19, 2009

Day In The Park Photos 2009

Thanks for everyone who came out and joined us at Day In The Park in Orange Park. Please click on the link to see some of the photos taken with our patients, families, friends and of course ELMO!!
Day In The Park

Do not hesitate to contact us if you or anyone you know want to be on your way to a Beautiful Healthy Smile! We are Specialists in Braces & Invisalign

Enjoy a few pictures of these beautiful Smiles Around The Bay!

Day In the Park 2009

Day In The Park Photos 2009

Friday, September 18, 2009

More About Orthodontics From Dr. Salins

There are so many questions about orthodontics that we never ask, so Dr. Salins took some time to explain the most common concerns.

At what age should orthodontic treatment occur?

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age seven or earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander, Facemask, headgear, or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients are adults.

How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?

Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment time on schedule.

Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires, you may feel some soreness of your teeth for one to four days, but it is similiar to the soreness you feel after going to the gym - when your muscles have been working out. Just think of it as the muscles around your teeth are working out. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers or wax can be provided to prevent discomfort.

Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give us a call at Salins Orthodontics. We'd love to hear from you.

Friday, September 11, 2009

We are iTouched when you Love and Share your Smile

That's right, at Salins Orthodontics, we are touched when you love your smile that we gave away some iTouches! We like to keep things fun and exciting for your orthodontic treatment, so not only do we offer the latest in technological advancements and a personable staff, but we have frequent contests and cool prizes! This Share-A-Smile brought iTouch's all around. Stay tuned for our next contest. When you refer a friend, make sure they bring their Share-A-Smile Card. When they come in, we put the card in a drawing and you could be the proud owner of a iTOuch or Mini Digital Camcorder! Check out our happy winners so far!

Sunday, September 6, 2009

Softly Brushing Your Way to Clean Teeth, From Salins Orthodontics

Just as there are so many different types of toothbrushes to choose from, each brush also has a different type of bristle! There are generally three different types of bristles; hard, medium, and soft. We always recommend that our patients, especially children and seniors, use a soft bristled toothbrush.

Using a hard and medium bristled brush can actually harm your teeth and gums by stripping the enamel from the teeth and irritating the gums so that they become red and sore, and can even cause gum recession. If you do use a hard or medium bristled brush as a personal preference, we recommend using an electric toothbrush.

Soft bristles are much gentler on your teeth and gums, and while patients of all ages are recommended to use soft bristled brushes, they are particularly great for children, seniors, patients recovering from a dental procedure, and patients wearing braces.

Soft bristles, and even extra-soft bristles are every bit as effective when it comes to cleaning your teeth; in fact, if you currently use a hard or medium bristled brush, try a soft bristled brush next time you buy a toothbrush and we bet you won’t even notice a difference!

Friday, September 4, 2009

Salins Orthodontics is answering all your burning questions about mouthwash

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:

• Fluoride - fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.

• Antiseptic - an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.

• Combination - a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.

• Prescription - for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.

There are also many different brands of mouthwash. Some common brands include:

• Scope
• Listerine
• Act
• Crest
• Tom’s of Maine (all-natural)
• Plax (anti-plaque rinse)
• Breath Rx
• Orajel
• Targon (special mouthwash made for smokers)
• Rembrandt (whitening mouthwash)

If you are curious about which kind of mouthwash would work best for you, be sure to ask Dr. Salins at your next dental appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!