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!
Showing posts with label invisalign. Show all posts
Showing posts with label invisalign. Show all posts

Friday, July 24, 2015

Invisalign® vs. Traditional Braces

A great smile can go a long way. Scientific research suggests that people who smile are perceived as more attractive and confident than those who don’t flash their pearly whites. When it comes time to invest in orthodontics to improve your beautiful smile, choosing the best option can be daunting. Comparing Invisalign to traditional braces is a great way to determine what orthodontics make most sense for your unique smile.
How is Invisalign different?
Unlike traditional braces, in which brackets are affixed onto each tooth and connected by wires Invisalign corrects orthodontic problems using a set of clear trays. These trays are specially formed to fit your teeth, allowing you to wear them 24/7.
Aesthetics
One of the primary advantages of Invisalign is that the clear trays are nearly invisible. Particularly for adults self-conscious about appearing professional with traditional braces, Invisalign can correct orthodontic issues without capturing the notice of others. Their nearly invisible appearance is one of the topmost reasons that orthodontic patients choose Invisalign.
Complexity of the Orthodontic Problem
Invisalign works well for people who have relatively minor problems, such as crooked teeth or small gaps between teeth. For more complex problems, particularly issues with bite or vertical problems (i.e., one tooth being significantly higher than another), traditional braces may be better at pulling teeth into alignment.
Eating and Drinking
Invisalign trays are removable, meaning that you cannot eat or drink while wearing them. Unlike traditional braces, however, you are not limited in the foods you may eat. Chewy, sticky, or hard foods may be eaten, provided that you brush your teeth before reinserting the Invisalign trays.
In the end, only you can weigh the pros and cons of Invisalign versus traditional braces. Consult with Dr. Sheldon Salins to understand how these orthodontic interventions may work for your unique situation.

Friday, July 10, 2015

At what age should my child have an orthodontic evaluation?

You may have noticed that kids seem to be getting braces and other orthodontic care a lot earlier these days. There was a time, only a decade or two ago, when braces were mainly seen on teenagers, but that is beginning to change. If you’re wondering when to bring your child to our South San Francisco & Union City, CA office for an orthodontic evaluation, the answer actually has several parts.
The Telltale Signs
If your child has a very crowded set of adult teeth coming in, or if the permanent front teeth came in very early, these are signs that your child should see Dr. Sheldon Salins regardless of age.
The Dental Age
Barring signs of trouble or early adult teeth as mentioned above, the time that your child needs to be seen for initial orthodontic evaluation depends not so much upon your child’s actual age, but on what is known as a “dental age.”
The dental age of the patient might be entirely different from his or her actual chronological age; for example, an eight-year-old could have a dental age of 13. It is part of Dr. Sheldon Salins and our staff’s job to determine the dental age and then make appropriate recommendations for the resolution of orthodontic issues if they are emerging.
The Official Recommended Age
The American Association of Orthodontists officially recommends that kids should see an orthodontist for the first time between the ages of seven and nine. Even if the child does not have all his or her permanent teeth, the teeth growth pattern can usually be predicted quite effectively by an orthodontist.
This allows for a proactive response to emerging problems, and this is the reason that some younger children are now getting orthodontic devices earlier in life. If a young child has serious orthodontic issues emerging, Dr. Sheldon Salins can usually address the problems immediately and then follow up with another round of treatment when the child has all the adult teeth.

Friday, May 22, 2015

Memorial Day

Memorial Day is not only a federal holiday in the United States, but it is a day of observance and remembrance of those who died in service. Originally known as Decoration Day, this solemn day has been marked on calendars since the end of the American Civil War as a day to commemorate both the Confederate and Union soldiers who fought and died in the war.
Marking the graves of fallen soldiers with flowers, wreaths, or other tokens has been practiced throughout history, but it wasn’t until the mark of the end of the Civil War that a special day was decided upon as the one to spend in remembrance. By 1890, every state in the country was observing Decoration Day. It wasn’t until 1967 when the name formally changed from Decoration Day to Memorial Day, in order to encompass all fallen American soldiers in all wars and conflicts. In June of 1968, Congress moved the official date of Memorial Day to the last Monday in May in order to create a three day weekend.
Today, while there is certainly an air of remembrance on Memorial Day, it has become more a day of spending time with family, friends, and other loved ones. This day is also heralded as the start of summer, with many schools finishing for the year around this time. Our team at the office of Dr. Sheldon Salins remembers it as a day to take solace and remembered those lost.
Traditional observances of Memorial Day are still held, and they often involve raising the American Flag then lowering it to a half-staff position until noon, and then raising it once again to its full height afterwards. The flag is lowered to remember those who’ve lost their lives while in service to their country, and then it is raised to signify our willingness to not let their sacrifice be in vain.
From community parades in the Union City & South San Francoisco, CA area, backyard cook-outs, and fireworks to formal ceremonies, Memorial Day is commemorated in many different ways. No matter how you choose to spend this day, take a moment to remember those who’ve lost their lives in an effort to preserve our freedom.

Friday, May 1, 2015

May is National Teen Self-Esteem Month!

The month of May has the unique distinction of being National Teen Self-Esteem Month. What does that mean?
National Teen Self-Esteem Month was created to raise public awareness about how low self-esteem can negatively affect teens. Especially during May, parents and guardians of teens are asked to be positive role models. If teens can receive positive re-enforcement and their negative images of themselves are improved, then their self-esteem has a better chance of developing in a positive direction.
Dr. Sheldon Salins and our team at the office of Salins Orthodontics know there are a lot of young adults living in America are struggling with depressed self-images. These can affect all aspects of their everyday lives. Some evidence shows learning abilities and increased risk of eating disorders can originate in a teen’s low self-esteem. It can also lead to abuse of drugs and thoughts of suicide. Dating violence among high school teens is now more common than previously thought.
What can be done to help?
So what can adults do specifically to help their teens? The National Teen Self-Esteem Facebook page offers a variety of suggestions and positive messages for teens and parents alike. Of all the pages your teen “likes” on social media, perhaps he or she should include this page. Some of the tips offered include:
  1. When you stumble, get right back up.
  2. Don’t compare yourself to anyone else.
  3. Do things that make you feel good about yourself.
  4. Open yourself up to compliments.
Another great way to build self-esteem is to have a beautiful, health smile, and that’s where our team at the office at Salins Orthodontics come in! Whether your teen is due for a simple cleaning, could benefit from cosmetic treatments, or needs orthodontic care, we can help bestow a confident smile he or she will be proud to show off.
Overall, a more positive approach to life will help us all. It is a very important trait to instill in our teens. As parents, a big part of our responsibility is to show our children there is always another day and bumps in the road are just that. We need to help guide their self-esteem and reinforce their positive traits. We can help them recognize the value of who they are.
We should make our children’s self esteem a priority — not just in May, but throughout the year. Let National Teen Self-Esteem Month serve as the impetus for new levels of self-esteem.
For more information on this topic, or to schedule an appointment with Dr. Sheldon Salins, please give us a call at our convenient South San Francisco & Union City, CA office!

Friday, March 13, 2015

Go Green for St. Patrick’s Day

Millions of people, around Union City & South San Francisco, CA and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Dr. Sheldon Salins thought of a few ideas that will help you take your holiday spirit to the next level:
Visit Chicago’s Green River
If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.
Don Green Face Paint
Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.
Eat Green All Day
Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.
If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from the office of Dr. Sheldon Salins!!

Saturday, March 7, 2015

The Invisalign® Treatment Process

Invisalign is gaining traction as a sought-after solution for orthodontic problems. Unlike traditional braces, which require the placement of brackets on teeth and the connection of unsightly wires, Invisalign works nearly invisibly (as its name suggests). Particularly for those who do not wish to draw attention to their orthodontic work, Invisalign provides an attractive solution.
Consultation with a Treatment Provider
Our practice has received specialized training to work with Invisalign. During your consultation appointment, Dr. Sheldon Salins will assess your smile needs. In some cases, the type of problem may not lend itself to correction through Invisalign, and we may offer an alternative solution.
Creation of a Custom Treatment Plan
Invisalign works using a series of customized clear trays that fit almost perfectly over the teeth. To create these trays, Dr. Sheldon Salins will take X-rays and impressions of your teeth. These are submitted to a specialized laboratory that makes a 3D image of your smile. This is used to create a specialized treatment plan that provides an estimate of how long treatment will take.
Arrival of Custom Trays
Once your customized trays have arrived, the treatment begins. For Invisalign to work properly, you must wear the aligners 20 to 22 hours per day, removing them only to eat, drink, and brush your teeth. The trays gently draw your teeth into proper alignment, correcting your orthodontic problems as you go about your everyday life.
In general, you will replace your aligners with a new set every two weeks. This is to encourage your teeth to continue moving throughout the treatment process. You’ll need to check in with our South San Francisco & Union City, CA office every six weeks or so to ensure treatment progresses smoothly.
Beautiful Smile: Complete!
Once you complete your individualized treatment plan, you’ll have the smile you’ve always dreamed of. Like with traditional braces, Dr. Sheldon Salins may recommend that you wear a retainer to ensure that your teeth remain in their new positions.

Friday, January 2, 2015

Top Things to do BEFORE You Get Braces

So you’re about to get braces. Congratulations! You are taking a very smart step to improve the health of your teeth as well as get that killer smile in shape. But, as with anything that is good for you, there are a few things you will have to avoid while you “do your time.”
Some foods don’t do so great with braces. The foods listed below should be avoided while you are wearing your braces because they can pop the brackets and bend the wires. In other words, these foods can really ruin your day, and send you back to the office of Dr. Sheldon Salins to get your braces repaired.
So before you hit the chair, hit the grocery and candy store – one last time – for:
  • Beef jerky
  • Raw carrots
  • Taffy
  • Pizza crust
  • Bagels and other crusty bread
  • Popcorn
  • Hard candy
  • Nuts and seeds
Dr. Sheldon Salins and our team will give you more information about eating with braces. Some foods, such as apples, are okay as long as you cut them in pieces first. Others, like pudding and pasta, are fine just as they are. But then there is “the list”: the foods that are a big no-no and should be avoided. It won’t be forever, so hang in there.
Your braces time will pass before you know it and you can resume more normal eating. But before the braces go on, enjoy these tasty treats. Go ahead and indulge!

Monday, June 2, 2014

What is expected of me during my orthodontic treatment?


We hear this question a lot at the office of Dr. Sheldon Salins and we don’t mind when patients who are eager to complete their orthodontic treatment ask us. After all, we know there is no better feeling than getting your braces off!
During your initial consultation with Dr. Sheldon Salins, we will map out a specific treatment for you and will try our hardest to give you a timeline of when we expect you to wrap up treatment.
Having said that, we know every patient is different. People have different biological responses to orthodontic treatment and some people’s teeth may move faster than others.
Luckily, there are things you can do to ensure your treatment wraps up in a timely manner. By following these suggestions, you can avoid any setbacks during your treatment.
  • Make sure to keep your adjustment appointments. Postponing or cancelling will delay treatment!
  • Be sure to show up on time to your appointments. This will give Dr. Sheldon Salins and our team time to do everything we planned during your adjustment visit.
  • When prescribed, make sure you are diligent about wearing rubber bands or other appliances.
  • Avoid damage to your braces and teeth by wearing a mouth guard during sports activities.
  • Make sure to brush and floss regularly! Gum disease or other dental work can delay orthodontic treatment.
If you remember to follow these guidelines, you’ll be on your way to having the dazzling, healthy smile you’ve always wanted. As for us, our team at the office of Dr. Sheldon Salins will do our part to move your orthodontic treatment along efficiently. If you have any questions about your treatment time, please give us a call at our Union City & South San Francisc, CA office or ask us during your next visit!

Friday, May 23, 2014

Memorial Day: Parades, remembrance, and the unofficial start of summer!


“The purpose of all war is peace.” – Saint Augustine
Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.
Our team at the office of Dr. Sheldon Salins wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.
On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.
While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.
It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.
So whether you’re in the Union City, Fremont, Hayward, Daly City, & South San Francisco area or beyond, Happy Memorial Day to you and yours from Dr. Sheldon Salins

Friday, April 25, 2014

The Clear Benefits of Invisalign®

Straighter teeth is something many people desire. A nice smile is one of the most attractive things about a person. However, wearing a mouth full of braces for two, three, or more years can be a major pain, both literally and figuratively.

Luckily, there is another option. Invisalign is an alternative to traditional braces. Learn more about the benefits Invisalign offers and why you should consider this exciting method of straightening teeth.
  • When you have straight teeth, your mouth is healthier in general and there is less chance of tooth decay and gum disease. Invisalign makes it possible for more people to straighten their teeth.
  • Invisalign is essentially invisible. You can straighten your teeth without unsightly metal in your mouth.
  • The average cost is similar to that of traditional braces, which makes it affordable for many families.
  • With Invisalign, the aligner trays are smooth and comfortable to wear. Traditional metal braces can be uncomfortable and cause irritation to the mouth.
  • Invisalign is removable, so you do not have to wear the system during special occasions, or when you’re eating. With normal metal braces, you are stuck with them for the entire straightening process.
  • Brushing and flossing are simple. Since the system is removable, you can brush and floss just like normal.
As you can see, Invisalign is an exciting option we provide at the office of Dr. Sheldon Salins for those who want straighter teeth. If this is something that sounds interesting to you, talk to Dr. Sheldon Salins and find out if it would work for your particular situation. Get started today, and before you know it you will be enjoying your straighter teeth.
For more information about Invisalign, or to schedule an initial consultation with Dr. Sheldon Salins, please give us a call at our convenient Union City & South San Francisco, CA offices today!

Friday, March 28, 2014

Does my child need two-phase treatment?

Two-phase orthodontic treatment involves two separate and distinct periods that your child receives orthodontic treatment. It allows your son or daughter to begin early treatment of bite and jaw problems, in order to reduce the dental issues he or she experiences later on.
Two-phase orthodontic treatment with Dr. Sheldon Salins can improve how well the second phase of the treatment works and helps to make room for permanent teeth. Overall, two-phase treatment helps to position the teeth and the jaw for an attractive profile. Our team at the office of Dr. Sheldon Salins recommends that you bring your child to our Union City & South San Francisco, CA office at the age of seven or eight, so that Dr. Sheldon Salins can determine if early (Phase-One) treatment is necessary.
Phase-One
Phase-One orthodontic treatment is known as early treatment. It begins shortly after your child’s first orthodontic examination, usually around age eight or nine. The main goal of Phase-One orthodontic treatment is to help make room for permanent teeth, which reduces crooked teeth as a result of overcrowding. It treats the jaw and bite growth, and issues like crossbite or underbite. This can reduce the need for your child to undergo extractions.
Phase-Two
Phase-Two orthodontic treatment is when braces are placed on the upper and/or lower teeth. The purpose is not just to correct spaces or misaligned teeth, but also to correct overbite or underbite concerns. Phase-Two usually begins around age 11 or 12, and the braces are worn for an average of two to three years, depending on your child’s unique needs. Some children have fewer issues and wear braces for little more than a year, while others need them for up to four years.
Signs your child needs two-phase orthodontic treatment
If your child exhibits the following signs, he or she may be a good candidate for two-phase orthodontic treatment:
  • Losing baby teeth early, before five years of age
  • Problems with biting or chewing
  • Sucking the thumb after age five
  • Evidence of a crossbite, where the teeth don’t come together when opening or closing of the mouth
  • Teeth are crowded at age seven or eight
  • Protruding teeth on the top or bottom
Not all children need to have early treatment, but if your child shows any of these signs, you should bring him or her to us for an evaluation at the office of Salins Orthodontics

Friday, January 10, 2014

Your Five-Step Guide to Preventing Tooth Decay While Wearing Braces

If you’re wearing braces, then you know they are working hard to straighten your teeth. However, those hard-working braces are also preventing you from easily cleaning your teeth. It is essential that you put some extra attention into preventing tooth decay while wearing your braces. When your braces are finally removed by Dr. Sheldon Salins, you want a beautiful, white smile, not decayed or stained teeth. Here, we've listed the five best ways to ensure you have the smile you've always dreamed of once your braces are gone.
Use a Special Toothbrush
A regular toothbrush just doesn't cut it when you are wearing braces. You also need to use an interdental toothbrush so that you can effectively clean behind the braces. This type of brush has bristles that are shaped like a Christmas tree that can remove food residue in the braces and on the teeth. We also recommend using a WaterPik, with its highly pressurized pulsating water, to help get all of those hard-to-reach places.
Brush after Every Meal
Since braces block food from naturally escaping your teeth after eating, it’s important that you take the time to brush and floss after every meal. The less time food has to sit on your teeth, the less likely it is to cause decay. This may seem like an inconvenience, but trust us, when you get your braces off, you will be very glad you brushed after every meal.
Don’t Forget the Mouth Rinse
Even after properly brushing and flossing, there are probably some food particles in your braces. A fluoride mouth rinse is the best way to ensure that every bit of food is removed after meals. If you do not have a mouth rinse available, we suggest using water — it’s better than nothing.
Avoid Sweets
Prevention is definitely the best medicine when it comes to avoiding tooth decay. If you can nix decay-causing sugary foods from the outset, we promise you’ll spend less time trying to treat problems in the future.
Get Regular Checkups
Visit your dentist regularly while you are wearing braces. Our office recommends a thorough cleaning every three to six months. Let our Union City or South San Francisco, CA office know if you have questions about your oral health while in braces – our entire team at the office of Dr. Sheldon Salins is here to make sure your teeth are as beautifully straight as they are healthy!

Tuesday, December 31, 2013

New Year’s Eve



Watching the clock tick down the final seconds until midnight, many of us- the office of Dr. Sheldon Salins included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:
  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.
Whether you plan to stay in South San Francisco or Union City, CA, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

Friday, April 15, 2011

Flossing with Braces 101

Our team at Salins Orthodontics will tell you that keeping your teeth clean is more important than ever when you have braces. Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you’ll experience better results and could possibly reduce your treatment time.
Here is a very concise video explaining the proper way to floss your teeth with braces. Give us a call if you have more questions about flossing. Enjoy!

Thursday, March 4, 2010

Ask Salins Orthodontics: Who benefits from braces?

Braces aren’t just for pre-adolescents and teenagers anymore! Dr. Salins will tell you that anyone, at any age, can benefit from orthodontic treatment; whether it’s correcting a problem not treated in your younger years, or catching a problem early.

To ensure the best overall treatment, the American Association of Orthodontists, or AAO, recommends that children receive an orthodontic consultation as early as age seven. If a problem is evident, taking action early can spare a lot of treatment and expense down the road.

If you never received orthodontic treatment when you were young, don’t worry! You’re never too old for a beautiful smile. Set up an appointment for a consultation and find out how adult orthodontics will transform your smile, and your life!

Sunday, July 12, 2009

What’s so special about an Orthodontist?

"Dentists, Orthodontists, they're all the same right?"

At Salins Orthodontics, we hear our patients asking this question as they wonder about the difference between an orthodontist and a dentist. Before becoming an orthodontist Dr. Salins started out in dental school and earned a DMD (dental degree), just like your dentist. After dental school however, Dr. Salins decided he wanted to learn more about orthodontics, which is one of nine specialties within the dental field. So he stayed in school for a three more years and became an expert in orthodontics; which focuses on tooth and jaw alignment and bite problems like overbites and under bites, crowding and spaces

Other dental specialties you may have heard of include endodontic (focusing on the soft tissue inside your teeth), periodontic (focusing on the gums and other tissues surrounding your teeth) and prosthodontic (focusing on restoring and replacing damaged teeth).

Isn't it nice to know there's a dental expert here to help you through any type of treatment your teeth, jaw and gums might need?