Friday, June 30, 2017

Summer of 7 Series Part 1

Welcome to the magic age of 7, where a child starts to gain independence, form opinions, asks questions, master basic skills, looks, talks, and acts older, and all the while still sees their parent as the shining light in the universe. The growth and development of a child during this transitional age is crucial for both their future physical and mental health. We know the many stresses of “proper parenting” can be extremely overwhelming as you raise your growing child but, we are here to take some of this stress away and inform you on what to expect in the mouth of your 7-year-old and the proper measures that need to be taken to maintain a healthy and beautiful smile for your child. Dr. Legler from Legler Orthodontics and Dr. Reza from Ardalan Pediatric Dentistry in Port St. Lucie have teamed up in part 1 of this series to touch on the importance of Age 7.
What Happens at Age 7?
Dr. Reza:
“Hey everyone! Dr. Reza here from Ardalan Pediatric Dentistry. I wanted to take talk about one of my FAVORITE group of kids in the office… the 7-year old’s! There is a ton of action going on at this age and I wanted to go over a few things that you should expect to see and experience in the mouth of your 7- year old child.”
“To start, at Age 7, parents should expect their child’s mouth to be in the process of a transitional phase. This is the age where they start to lose their front teeth and new, rather large grownup teeth are coming in to replace them. Now, I know what you are thinking… there is NO WAY in the world that these big teeth are going to fit in the tiny mouth of my child, and you know something; sometimes and in many cases, you are absolutely correct. Although these very large teeth are coming into your child’s mouth, the width of these teeth never change and stay the same as they grow into adulthood. So, really big grown up teeth coming into a kid’s little mouth is not always the best combination. Age 7 is the perfect time to start evaluating your child’s dental growth and development.”
“In addition to the incisors (front teeth) coming in, patients are also typically getting their first permanent molars. I encourage parents to help with brushing to make sure that their child is able to get the toothbrush all the way in the back to take care of the permanent molars. I know, your child is this newly independent kid that can do everything on their own but, while we encourage kids to take an active role in their oral hygiene, they still need help from mom and dad. Let your kids brush their own teeth, just remember to go behind them and give it a little check to make sure they are doing a good job. As soon these molars are fully erupted, I also recommend placing dental sealants on their teeth. Dental sealants are a plastic coating that protects the chewing surfaces of the back teeth which are the most common areas for kids to get dental decay. Sealants are a great way to reduce the risk of getting cavities and help to give your child a healthy smile.”
“With the permanent incisors and molars growing to replace smaller baby teeth, Age 7 is a crucial time to visit a dentist that specializes in dealing with the irregularities and correction of teeth. Therefore, I encourage parents to take their child in for an orthodontic evaluation. Some children will benefit from early orthodontic intervention in order to help guide their teeth and maximize their growth.” Below, Dr. Legler explains the importance of bringing your child to Legler Orthodontics for a complimentary evaluation.
Dr. Legler:
Thank you Dr. Reza for being a part of our Summer of 7 Series. To recap what Dr. Reza mentioned, Age 7 is an important age in dental development because permanent incisors and molars are erupting. When your child is evaluated at their first orthodontic evaluation, we can measure space requirements for unerupted teeth and how the bite fits together with the width and length of the jaws. These are all important determinants of whether your child is going to grow normally and have a good bite and nice looking smile, or there are going to be problems that need to be addressed at some point between the ages of 7 to 13.
On a positive note, if your child does require braces at Age 7, they are usually excited to get them. At Legler Orthodontics, we have colors for braces and have different designs for retainers. This makes it fun for our younger patients and they also tend to feel older and special. Another important benefit that you might not realize of Age 7 treatment is that it greatly improves your child’s self-esteem. Often times, kids are upset by the way their teeth look or the way their teeth protrude and are more susceptible to bullying and being picked on by their classmates. By correcting these imperfections and improving their smile, they gain self-esteem which can have a lasting effect on their personality.
Not all patients we see require treatment at Age 7. For these patients, we place them on our recall schedule and see them periodically to determine the best time to start their treatment. While they’re on recall, we enlist them in our Surf Bucks Surf Club program so they can feel free to participate in our monthly contests and play the awesome games that we have online.
 Another important thing that I have grown to learn is that when patients start dental visits at a young age in a fun, comfortable environment, they make excellent Orthodontic patients and have less dental phobias or anxieties.


In conclusion, great teamwork is so important in the dental care of your child.  Dr. Legler, Dr. Ardalan in Port St. Lucie, and Dr. Garcia in Vero Beach who you will meet in Part 2, are committed to providing the best dental care for your child.  We all agree that a comfortable and even “fun” office, staff that are gentle and trustworthy, and knowledgeable and experienced doctors, leave your child with a perfect smile inside and out!  

For more information check out our video below:


Wednesday, June 21, 2017

A Quick Fix For An Orthodontic Emergency

     Patients and parents often worry about what to do when running into an orthodontic problem and can’t immediately visit Dr. Legler. If it’s the weekend, your vacay, or you just can’t fit the time in to see him, don’t stress! We have a solution! Contact sports, outdoor play, hard or sticky food are just a few examples that can cause an orthodontic emergency. These emergencies often include broken brackets and wires poking, all of which can be easily taken care of.

     First you will need these common household items, tweezers, toenail or fingernail clippers, and if you choose to be fancy, our deluxe item, mini pliers. If you don’t have these laying around the house, you can find them at either your local pharmacy or grocery store, all for under $6! You will also need dental wax which you received in your braces start kit but is also available for purchase at your local pharmacy.

1st Scenario
A loose band/ring around the molar is flopping around your mouth.
This is mainly caused by chewing something hard or sticky.
  1. Go to the wire where it attaches to the last bracket
  2.  Take your toenail/fingernail clipper or mini pliers and snip it as close to the bracket as possible
  3. Make sure you remove the band and snipped wire from the mouth
  4. Place a small glob of wax over any areas that are sharp


2nd Scenario
A dislodged bracket.
This can occur when you bite something hard or get hit in the mouth with a ball or elbow from playing sports. Let’s say you have 2 brackets that have become loose or dislodged and the wire is connected to the tooth in front, you can use either the toenail/fingernail clipper or the mini pliers to snip the wire.
  1. Go to the point right where it’s attached to the next bracket
  2.  Keep a steady hand and snip it
  3.  Remove the piece that is loose
  4.  Remember to gather any little pieces that may have fallen in the mouth
  5.  Cover the area that you snipped with wax


3rd Scenario
If you have either a few braces on the front or bottom teeth and a bracket comes loose with the wire poking out.
You can just slide the wire right through the tubes in the braces.
  1. Take your tweezers
  2.  Grab the wire where it is accessible and begin to pull the wire through the brackets
  3.  Slowing keep pulling the wire until it slides all the way through
  4. If any brackets come off, we will replace them once you are back in the office





Watch this video below for a step by step visual:

 Comment below for any additional questions or concerns!

Friday, June 2, 2017

iTero Element Digital Scanner Versus Impressions For Invisalign



     Invisalign is a huge hit with patients at Legler Orthodontics. Patients of all ages are requesting Invisalign at record numbers. Whether you’re an adult seeking a smile transformation, a teen concerned about wearing brackets and wires, or a parent researching treatment options for your child, Invisalign clear aligners use the most advanced technology to uniquely design a treatment plan for each patient to reveal their best smile. If you are considering Invisalign, and want to know more about the treatment process, you are in the right place! Just when you think Invisalign’s benefits couldn’t sound any more convenient and comfortable, the iTero Element Digital Scanner was introduced and has taken Invisalign treatment to the next level.
     Before a patient receives their clear aligners, Dr. Legler must make a replica of your mouth to create the digital model. Dr. Legler can then move your teeth to the correct smile and bite relationship. Here at Legler Orthodontics, we use the iTero Element Digital Scanner. However, other Invisalign provider offices remain stuck in the stone age and take goopy impressions. Wondering what the process for both is like? Dr. Legler has provided an example of each to show you the significant difference between the two.
     The impression technique is bulky, awkward, messy, time consuming (about 30 minutes), inaccurate and retakes are often necessary. After the impression is taken, it is mailed to Invisalign and takes about a week or two to receive the digital model. Here is an example of the process:


Look at the goop! Ew!

     With the iTero Scanner, an orthodontic assistant uses a wand that is moved around your mouth recording the teeth and bite. This feels like a video camera and does not use x-rays. No bad taste, offensive goops, glues, powder, or any other foreign materials invading your mouth. Just 6 short minutes and you are done!

     To analyze the two options, we made a video showing you a side by side comparison with an Invisalign patient’s thoughts on both.


     The iTero Element Digital Scanner enables Dr. Legler to take a 3D digital scan of your teeth and bite and transmit the file wirelessly for processing within 15 minutes, not 2 weeks. Invisalign cases that start with an iTero scan have 7 times fewer aligner fit issues and 10 times fewer rejections than those started with traditional impressions.



     The iTero Element Digital scanner is extremely accurate so your aligners fit more comfortably and move your teeth and bite to the precise location as determined by Dr. Legler. He feels that his ability to successfully treat so many patients with Invisalign who previously were told by other providers that they were not candidates, is due in part to this exciting technology. Thank you iTero!

For more information, check out these sites below: