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If you have been thinking about undergoing orthodontic treatment to straighten teeth or correct jaw alignment, the first step is scheduling an orthodontic consultation at Skyland Smiles. During the consultation we will actively listen to your concerns and address all of your questions, as well as discuss a treatment options that would best suit you or your child's situation.

Here are the top five questions that most patients want answered during their initial orthodontic consultation:

• Can I benefit from orthodontic treatment, and if so, how long will it take?
• How frequently will my appointments be scheduled?
• Can I expect any pain when getting braces? (Ask Dr. Joseph Lohner about the ways we address pain management).
• Will I need to have teeth extracted, headgear, expansion appliance, etc.?
• How much will it cost and what payment options do you offer?

Visit our website for more answers to your questions prior to your initial consultation. Dr. Joseph Lohner and our team at Skyland Smiles are happy to answer all your questions and concerns, and excited to explain all aspects of your treatment plan, as well as the expected outcome. We believe your orthodontic experience should be comfortable, hassle-free, and most importantly, leave you with the smile you've always wanted.

Thanks for asking! It really depends on the dental age of the patient rather than their chronological age. Usually a good time to have your child evaluated by an orthodontist is after the front permanent teeth have erupted into the mouth or if there appears to be extreme crowding of the teeth.

The American Association of Orthodontists recommends that children between the ages of seven and nine should be evaluated by an orthodontist. There are times when an early developmental treatment is indicated to correct situations before they become major problems. In these circumstances the patient will most likely benefit from a second phase of orthodontics when all of their permanent teeth have erupted.

Most full orthodontic treatment begins between ages nine and 14, and lasts from one to three years, with two years being the average. It’s important, however, that children be screened at an early age for Dr. Joseph Lohner and our staff to assess if your child can benefit from orthodontic treatment and when treatment should begin.

We hope this helps, and invite you to give us a call if you have any questions about your child’s treatment at Skyland Smiles.

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Skyland Smiles call this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient Vernon or Sparta, NJ office to be evaluated.

As we start our summer, our team at Skyland Smiles want to remind our patients who have completed treatment that it is very important to wear your retainer as prescribed even while away for vacations and summer camps.

If you are away from home and only wearing your retainer at night, here is a helpful tip: after removing and brushing your retainer in the morning, place it back in the case and then put it with your PJ’s or on your pillow. That way you have a reminder to put your retainer back in at night.

Remember, retainers should be worn every night, not just some nights.

We wish you safe travels and adventures this summer!