More About Orthodontics From Kirkpatrick & Lai Orthodontics

There are so many questions about orthodontics that we never ask, so we 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, Herbst, 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. 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 Kirkpatrick & Lai Orthodontics. We'd love to hear from you.

Our New Website!

If you haven't yet, check out our beautiful new web site at http://www.klortho.com. There are many new photos on our site, so be sure to explore! Also take a virtual tour of our Tulsa office with our 360 degree office tours!

--Kirkpatrick & Lai Orthodontics

Braces 101 With Kirkpatrick & Lai Orthodontics

Should you need to call Kirkpatrick & Lai Orthodontics in case you sustain any damage to your braces, we can help you more effectively if you can tell us exactly which piece is in trouble! Here’s a handy diagram and corresponding list of all the parts that make up your braces.



Elastic Tie: Tiny rubber band that fits around the bracket to hold the archwire in place.

Archwire: The main wire that acts as a track to guide the teeth along. It's changed periodically throughout treatment, as teeth move to their new positions.

Loop in Archwire: Frequently used for closing space left by an extraction. Many archwires don't have a loop.

Bracket: Small attachment that holds the archwire in place. Most often, a bracket is cemented directly onto the tooth's surface, eliminating the need for a band.

Headgear Tube: Round, hollow attachment on the back bands. The inner bow of the headgear fits into it.

Coil Spring: Fits between brackets and over archwire to open space between teeth.

Tie Wire: Fine wire that is twisted around the bracket to hold the archwire in place.

Band: A thin ring of metal fitted around a tooth and cemented in place. The band provides a way to attach the brackets to the tooth.

Hook: Welded or removable arm to which elastics (rubber bands) are attached.

Elastic (Rubber Band): Small rubber band that is hooked between different points on the appliance to provide pressure to move the teeth.

Softly Brushing Your Way to Clean Teeth, From Kirkpatrick & Lai 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!

--Kirkpatrick & Lai Orthodontics

Bottled Water May Be Behind Tooth Troubles

We at Kirkpatrick & Lai Orthodontics want you to know that as more families turn to bottled water and away from the tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride!

As of 2005, bottled water is second only to soft drinks as the most popular drink in the United States, beating out milk, juice, and – more significantly – tap water. Between 2001 and 2006, the amount of bottled water sold in the U.S. rose an average of 10% per year. And many dental health specialists point to bottled water’s increased popularity as the culprit behind rising rates of cavities.

Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. The benefits of fluoride were noticed in the early part of the twentieth century, when researchers found communities with low levels of tooth decay. It turned out that these towns had measurable levels (around 1 part per million) of fluoride in their drinking water.

Beginning in the 1940s, communities have fluoridated their water supplies, and dentists have seen a significant decline in cavities ever since. The American Dental Association endorses both community water fluoridation and the use of fluoride-containing products as a safe means of preventing tooth decay. Between tap water and toothpaste, most of us get sufficient amounts of fluoride.

But if your family avoids fluoridated tap water in favor of ever-more-popular bottled water, you could be missing out on the levels of fluoride necessary to make a difference in your oral health.

If bottled water is your water of choice, check the label to make sure that your brand contains fluoride. As of a 2006 decision, the FDA allows bottled water containing .6 to 1.0 milligrams per liter of fluoride to carry a label stating that fluoridated water may reduce the risk of dental cavities or tooth decay. The ADA has backed this decision.

Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your choppers in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake and visiting us at Kirkpatrick & Lai Orthodontics regularly.

Summer Fun with Kirkpatrick & Lai Orthodontics!

Its summer here at Kirkpatrick & Lai Orthodontics, a season full of vacations, adventures and great memories. Whether you are headed to a barbeque, a camping trip, or just having fun in the sun, we want to hear about it! Leave a comment on our blog and tell us about your summer!

Happy Travels,

-From Kirkpatrick & Lai Orthodontics

Keeping Up With Technology at Kirkpatrick & Lai Orthodontics

Here at Kirkpatrick & Lai Orthodontics, we strive to keep up with the latest technologies, especially to connect better with you, our patients!

Have you ever noticed our patient login feature on our web site? Did you know that we can send you appointment reminders through email, or even a text message to your phone? We chose our friends at Sesame Communications to provide all of these features to our practice to help make your experience a great one!

The folks at Sesame Communications have even helped us connect online with our patients and the community with this blog and our other networks. Online communications have become so crucial for our practice, and Sesame Communications was a great resource to help us offer state-of-the-art online communications!

If you haven't already, be sure to check out our Facebook page and YouTube channel, and stay tuned for our new web site that should be launching next month!

-Kirkpatrick & Lai Orthodontics