Roeder Orthodontics
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22 Medical Park Drive, Suite C
Asheville, North Carolina 28803
828-274-2500

Orthodontic Health and Safety

Orthodontic Health and Safety

At Roeder Orthodontics, we understand that orthodontic health is holistically related to overall health and wellbeing.  Using a combination of methods and apparatus from the hard sciences, and the insights and understandings gleaned from the social sciences, we have elevated orthodontic care to an art form.

The health of our patients and team is paramount in everything we do at Roeder Orthodontics, and we employ state-of-the-art scientific techniques and procedures, while taking patient comfort into consideration.

The Hard Science

  • Hospital Standards
  • Low Dose X-Rays
  • Less invasive techniques and treatments

Hospital Standards

Universal precautions are taken at Roeder Orthodontics, and our sterilization and infection control precautions exceed hospital standards. In providing the highest standard of care and an enjoyable environment (that feels as “at home” as possible), all team members are kept up to date with regular training, and proper attire, glasses, masks and gloves are worn during treatment and while sterilizing of instruments. Additionally, barrier wraps are used on all surfaces, and are changed with each patient (you’re worth it!)

Low Dose X-Rays

Dental Radiographs (the fancy name for mouth x-rays) allow Dr. Roeder to look beneath the surface (and in the case of developing smiles, to also look into the future.) In modern orthodontics, x-rays provide a preventative diagnostic tool that has become essential in detecting hidden abnormalities and potential future developmental issues. With the health and safety our utmost priority, we use state-of-the-art technologies and techniques including:

  • Digital capturing of x-ray images
  • Directional cameras and lead body shields
  • Low-dose, low-level radiation, at levels considered safe

While some people may be concerned with the levels of radiation involved in having x-rays taken, the amount of accumulated exposure to radiation from a full series of dental radiographs is roughly equal to what a person may expect to receive from natural background sources over the course of a single day. Our environments are full of background radiation that we are exposed to constantly, and advances in technology allow us to minimize exposure and exposure time. An Orthopantomogram (OPG) is a complete x-ray imaging of the mouth, usually only takes around 15-20 minutes in total, and involves the camera moving completely around the face to take the image. While not recommended (or necessary) for everyone, the entire procedure is considered safe and uses only low-level radiation on par with levels from natural daily exposure.

Less Invasive Techniques and Treatments

Through the advances of technology and medicine, Dr. Roeder provides less invasive options as alternatives to drastic procedures.  For example, one such option is Palatal Expansion, intervening early to avoid more invasive procedures or surgery later in life. These same advances in technology can also be used in tandem, as in the case with Bite Turbos, to minimize the invasiveness of other treatments, while maximizing their effectiveness.

Palatal Expanders

Particularly with developing smiles, crowded teeth in the upper jaw may not have enough room, and sometimes jaw expansion may be recommended.

The developing jaw of a growing child can sometimes be too small to accommodate a full set of adult teeth, which can lead to teeth overlapping or sitting crooked with one another, and in extreme cases can lead to teeth growing sideways. In the past, orthodontists were left with little alternative to extracting perfectly good teeth just to make room in the developing mouth. Today, however, Dr. Roeder offers the far less invasive treatment of palatal expansion (or Rapid Palatal Expansion – RPE), which uses a device (a palatal expander) to gradually widen the roof of the mouth over the course of a few weeks or months, and is sometimes the only treatment required.

As the roof of the mouth is composed of two separate plates that do not completely join together until adulthood, fitting of a palatal expander allows for the two plates to be gradually eased apart, creating more room for the eruption and development of adult teeth. Because of this, the treatment is far more effective with younger patients, and in many cases is alone sufficient for creating enough room for teeth, avoiding surgery altogether and can make future treatment with braces unnecessary. The palatal expander is fitted to the inside of both upper molars, and consists of two separate pieces that move apart with the turn of an expansion screw. While it may sound intimidating, the appliance is simple enough for parents to be able to make small daily adjustments, and as with any orthodontic appliance or apparatus, oral hygiene is extremely important.

Bite Turbos

It can sometimes be a problem for patients with an overbite that is in the process of being corrected with braces that the upper teeth may cause damage to the braces on the front of the lower teeth. When this may be a problem, Bite Turbos can be used in conjunction with braces. Placed normally on the back of the upper front teeth, Bite Turbos limit the vertical contact in the bite, which might otherwise cause damage to the lower front braces, even breaking them off. This has the additional benefit of maintaining the space between molars in the back of the mouth, allowing room for the lower molars to erupt to the point of contact, eventually correcting the overbite when the molars keep the front teeth from closing too far.

Bite Turbos are temporary, and may be expected to be removed after only a few months, once they have done their job. Initially, it may be expected that contact between the molars will be less, and patients are encouraged to start with softer foods, working up to harder foods as the bite comes together over time. Separating teeth in this manner releases the constriction caused by the pressure from opposing teeth, allowing for the teeth to move more comfortably. As with any orthodontic procedure or appliance, good oral hygiene is critical and our team can show you the techniques and habits for brushing and maintaining excellent oral hygiene.

The Social Science and the Art

At Roeder Orthodontics, we recognize that people are not machines, and doctors are not mechanics. Having the orthodontic training and expertise to diagnose and correct orthodontic problems is only half of what Dr. Roeder and his team excel in. In addition to their technical training in orthodontics, they are also trained in the psychology of patient relationships, helping to better understand and relate to patient concerns and questions which enable you to be your own best advocate for your goals. Our entire team is hand chosen by Dr. Jeffery Roeder to best serve our family of patients compassionately, according to individual needs. You’ll see how most of our team members have been with RO for many years – there’s a good reason for that.  We have synergy, and compassion – an essential mix in the composition of science and art.

We understand that orthodontic treatment can sometimes seem overwhelming or uncomfortable, and we know from years of experience that positive relationships are pivotal to positive health-related outcomes. All of our staff equally prioritize empathy and medical training, and we consider all of our patients to be part of our large and diverse family.

Dr. Roeder and his orthodontic team assist you in achieving your goals by first listening to you; your expectations of treatment and results for your own smile and oral health. Contact us today for your initial no-cost, no-pressure consultation.  Our office is located in Asheville, NC and we serve the surrounding communities, including Black Mountain, Canton, Weaverville and Hendersonville. You can call or just stop in any time we are open.

Overjet Protruding and Orthodontic Correction

Overjet Protruding, an oral condition

What is overjet protruding?

Overjet protruding image: speareducation.com

As with any health professional, the role of the orthodontist is about effective communication and delivering quality healthcare to individuals, families and communities. Since terms and language reflect actual history, we look back on the past, and are taken aback by the bluntness of terms spoken in “less sensitive” days.  For most terms in medicine, there are three categories of nomenclature (names or words for something) that things fall into:

  •  Old Form
  • Common Parlance
  • Worker’s Slang

In this case, the Old Form would make reference to the extent of the vertical (superior-inferior) overlap of the maxillary central incisors over the mandibular central incisors, measured relative to the incisal ridges. Common Parlance would reference the condition as “overjet” or “overjet protruding” or just “protrusion.” But in the Worker’s Slang of less socially sensitive times, we would just call the oral condition “buck teeth.”

It is a misconception that overjet is a form of malocclusion (that is, a misalignment between the two dental arches), but refers instead to the relation between the two parts of the jaw, and how that relationship can be affected, leading to protruding upper front teeth.

Overjet has many possible causes, and often results from a number of these causes:

  • The lower jaw being shorter or less developed than the upper jaw
  • Childhood habits such as thumb and finger sucking which continue after permanent teeth come in
  • Tongue thrusting caused from a muscular imbalance which causes the tongue to protrude through the teeth during swallowing, speech, or while at rest

When and Why should overjet be corrected?

As with all things, it is important to make whatever decision is right for you. At Roeder Orthodontics, we encourage early assessment of conditions such as overjet to prevent the need for more invasive corrections later in life.

Overjet correction can yield many benefits including:

  • Correction of protruding front teeth will improve their function
  • Aesthetically improve the look of the smile, helping boost self-confidence
  • Correction may prevent and reduce permanent wear on other teeth
  • Improves bite function, molar connection as well as incisor connection and dention. (Better connections for a better bites)
  • Can help improve speech impediments caused by tongue thrusting

Even in cases of marginal overjet (with protrusion ranging between 3mm and 6 mm), there is an increased vulnerability of the front teeth to incidental damage or injury from falls, sporting collisions, and other accidents. Overjet correction can reduce this vulnerability, protecting the teeth with proper alignment of the entire jaw.

What are the orthodontic options to correct overjet protrusion?

Traditionally, “headgear” or “functional jaw appliances”  had to be employed for such corrections. Today, in most cases, overjet can be treated simply with braces, with many options available.

Roeder Orthodontics offers traditional metal braces, clear braces for those who want to minimize the appearance of brackets, and ceramic braces with a range of color customization for people who like their smile to colorfully shine. Orthodontics have come a very long way since the days of Edward Angle and thankfully, we don’t use terms like “buck teeth” any longer.

For any questions about overjet protruding or orthodontic treatment, it is important your decisions informed with all the options available. Call us on 828-274-2500 or send us a message to schedule a complimentary consultation at our office in Asheville, NC.

Dr. Jeffrey Roeder will perform an initial examination and present you all possible options, including costs and estimated treatment times based on a cooperative model of communication and following recommendations as advised.

Deep Overbite Malocclusion

A deep overbite is different from other types of malocclusion.  When a person is diagnosed with a deep overbite, there are several parameters measured.  In most cases, it means teeth are lined up improperly, and lapping excessively in the front.  Upper teeth will overlap lower teeth and lower teeth can make contact with gum tissue inside the upper arch of teeth.  An overbite is a common oral condition treated with orthodontics.

In order to prevent gum recession or damage due to deep overbite, metal or clear braces are usually the best choice to realign the teeth and correct the position of the jaw using elastic orthodontic bands and gentle pressure.  In some cases, Invisalign may be a treatment option to correct an overbite. In severe cases, surgical intervention may be recommended.   If that is the case, Dr. Roeder will work closely with your dentist or surgical specialist to ensure the best outcome for your individual needs.

At Roeder Orthodontics, we encourage early assessment of children to help anticipate and prevent the need for more comprehensive or invasive correction later on.  Children can receive complimentary screenings from Roeder Orthodontics and join our Roeder Rookies club.  As a member of the Roeder Rookies, pre-orthodontic patients get periodic checkups and monitoring of their oral condition, along with prizes and rewards to make it fun!

Correcting deep bite through orthodontic treatment starts with a comprehensive orthodontic evaluation, including panoramic digital x-rays and digital photographs.  We offer low-dose radiographs at Roeder Orthodontics, and our initial consultation is always free.  After an evaluation, we Dr. Roeder and his team will discuss your treatment options, cost, payment plans if desired, and the expected treatment time based on cooperative treatment between patient and team.

Call us today at 828-274-2500 to schedule a consultation with Dr. Roeder.  Roeder Orthodontics is located in Asheville, NC and we serve patients throughout Buncombe county, including Black Mountain, Fletcher, Canton, Weaverville and beyond.

Open Bite Malocclusion

An open bite is an oral condition wherein the upper front teeth do not make contact with the lower teeth when the jaw is closed.  As a result, it creates a visual illusion that the mouth is never closed, showcasing the openness in-between the teeth.  Open bites are typically not a common condition, but they do exist.  For some, the concern is purely aesthetic, but others may experience trouble biting, chewing, or eating certain foods, as well as problems with speech or other functions of the teeth and mouth.

Dr. Jeffrey Roeder encourages assessment of open bites because the severity of the condition can have additional impacts on the function and pressure of the joints of the jaw.  If there is too much pressure, or tension on neuromuscular structure, strain, headaches, or pain in the region can result.

What are the causes of an open bite?

 There are several factors which can continue to an open bite:

  • Thumb sucking – the force of suction and pressure causes front tooth movement
  • Tongue thrusting – the repeated force of the tongue applying pressure to the back of the front teeth creates open bite
  • Speech conditions – like lisping can contribute to open bite
  • Jaw alignment – if the top and bottom jaw aren’t aligned, the bite can be misaligned
  • Genetics – lineage plays a large role in the development of physical characteristics

In most cases, Dr. Roeder treats open bites with traditional orthodontic options.  In moderate to severe cases, there may be additional steps to treatment, including jaw surgery.  If surgery is needed to correct the condition, Dr. Roeder and his team will work closely with an oral surgery specialist to coordinate and ensure comprehensive care.  Read more about how Roeder Orthodontics works closely with other dental and medical specialists for a multi-disciplinarily approach.

For questions about orthodontic treatment options, call us at 828-274-2500 or send us a message to schedule a complimentary consultation.  We’ll perform an examination, and look at all the options, including cost and treatment time estimates for orthodontic treatment at our office in Asheville.

Tooth Crowding – It’s crammed in here!

Similar to the capacity signs in elevators and public spaces, your jaw also has a limit for tooth spacing and overlap.  Once beyond capacity, your oral health can reach a point where balance and proportion become an issue.

Tooth crowding happens when there isn’t enough room in the jaw for all the teeth.  As a result, teeth become malaligned and overlap, due to various factors such as tooth and jaw size, or late or early loss of primary teeth.

Reasons to consider Dr. Roeder to remedy crowded teeth:

  • Lessen the chance for dental decay
  • Decrease opportunity for gum disease
  • Create balance and harmony of the bite
  • Make oral maintenance easier for you

With tooth crowding, there are going to be several assessments that Dr. Roeder will make in order to determine the best course of action for you.  In some cases, expanding the arch to make more room for the teeth is the best course of action.  In rare cases, Dr. Roeder may recommend tooth extraction, or jaw surgery.

Here’s an actual patient who came to Roeder Orthodontics for treatment of crowding.
(mouse over, or tap on mobile to see change)

Matthew Before Matthew Before

If you are considering orthodontics for your child, teen, or for yourself, we encourage you to visit Roeder Orthodontics for a free initial consultation.  In assessing your personal circumstances and learning about your lifestyle choices, we’ll be able to find an orthodontic system, like Damon, Clarity, or Invisalign to best suit your needs.