Serenity Orthodontics Blog
March 27, 2019
Questions and Answers with Dr. Susan Podray
Why did my teeth space apart after my braces came off?
Well, teeth tend to space apart after braces, and other orthodontic treatments like Inbrace and clear aligner treatments for 3 main reasons: first, freshly moved teeth are loose and they can shift if you don’t wear your retainers properly. In general, my patients are asked to wear removable Essix retainers for 3 month’s full time then night time for a lifetime unless they also have fixed or permanent retainers. If they have fixed retainers, then they may wear them just at night for life.
The second reason you can get space again between your teeth after Braces is due to the swelling of gum tissues or gingivitis. This could be mitigated by brushing and flossing your teeth well and keeping the swelling down. If you have excessive swelling, then you can have gum tissues trimmed after treatment at the dentist, periodontist or oral surgeon. This procedure is called a gingivectomy, and it’s sometimes paired with a frenectomy. It is akin to tissues being trimmed; consider it just like a haircut for the gums.
Another reason that the teeth want to separate after braces come off is because there could be a cleft in the bone and the cleft holds collagen tissues tight to the bone and gums making the teeth spread apart. This is something that’s a little harder to manage but can be managed with fixed retainers, gingivitis, and frenectomies.
The best ways to keep this from happening is to be sure that you went to see an orthodontist. Orthodontists can advise you on the proper retainers and to make sure that your bite is proper.
The third and most common and dangerous reason that causes spaces to open after treatment is that there is a bite discrepancy remaining. It could be that some teeth on the top or bottom aren’t connecting correctly causing traumatic occlusion, open bites or deep bites. This bad bite can cause damage to the teeth and gums. Traumatic occlusion can cause the teeth to space apart or move all the time which is called fremitus. Fremitus that is not addressed overtime can eventually cause the gum tissue used to strip, which weakens the teeth, and may cause early tooth loss.
So it’s very important that when you finish orthodontic treatment, you wear your retainers correctly and ensure that your retainers are fitted correctly to suit your needs. The best way to verify that this is being done correctly is to first and foremost visit a specialized orthodontist. Orthodontists are trained to make a smile beautiful with a correct bite. Some treatments that are offered online without direct supervision can cause traumatic occlusion. Some dentists offer fast or limited treatments that can also cause a bad bite. The results of subpar orthodontic treatment may require a patient to be re-corrected at the orthodontist to have a good bite and a lasting smile. If you feel like something with regards to your braces or clear aligner treatment may need to be addressed, visit your local friendly orthodontist for a complimentary exam or call your current treating orthodontist and express your concerns. You may need something as simple as simple as a fixed retainer or as complicated as needing retreatment. Trust treatment prescribed by an orthodontist and don’t forget that your lips are just the frame for your teeth, so smile your best smile and trust the best doctors with your health and an orthodontist with your braces and clear aligner treatments.
Feel free to follow and contact me on Instagram @serenityortho
Listen to Dr Podray and Dr Prince discuss the importance of dental health and orthodontics as it relates to total body health on The Nations Bedside Doctors radio talk show.
February 1, 2019
December 10, 2018
This week, local charity Smile for a Lifetime and Serenity Orthodontics in Cumming bestowed two scholarships on local teens as part of their continuing outreach effort to improve the lives of students in need.
But the selected students weren’t presented with a monetary scholarship, even though there was an oversized check at the giveaway; instead, they were given a scholarship for new braces and the beginnings of a more confident future.
“Today we are changing the lives of both Stormy and Paola by giving them an opportunity that they would not normally have with braces,” said Niki Adams, president of Smile for a Lifetime, at a ceremony held Thursday. “Changing their smiles to build self-confidence and really change their future.”
Paola Ruiz and Stormy Sumner received braces as part of a scholarship program from Smile for a Lifetime at Serenity Orthodontics. – photo by Bradley Wiseman
According to Adams, over the last year and a half Smile for a Lifetime has searched the community looking for young people in need of braces and orthodontic work but who would normally be unable to pay for such expensive work on their own.
She said that with the help of Forsyth County Schools, they have been able to give scholarships to several teens in the area. Their goal is to treat at least 12 children in 2018 and 2019.
“Sadly, your first impression is made within like eight seconds and that involves your smile,” Adams said. “(They) deserve a pretty smile, and it doesn’t matter what your finances are.”
Unlike other similar programs that assist families with dental work, Susan Podray of Serenity Orthodontics said that families bear no cost for the Smile for a Lifetime program and can apply totally free twice a year.
But she said that once accepted, their scholarship comes with one string: 40 hours of community service that the teen must complete during the time of their treatment to the charity of their choice.
“It does not cost these teens and these families anything to apply … but we do ask the teens to pay it forward,” Podray said. “The form of community service that they do doesn’t matter to me, they can go to a soup kitchen or whatever it is and as long as they are giving back, for me that’s enough.”
After the scholarship giveaway on Thursday, Christina Osborne, mother to Stormy, one of the teens who received a scholarship, said that this gift means the world to her daughter.
“It means a lot, it gives her self-esteem,” Osborne said. “She’s been through a lot, and this is going to give her what she deserves.”
She said that they had been looking at braces for years, but until this point, they thought that it wasn’t realistic financially, despite how much Stormy needed them.
“I’m so grateful she gets to have an opportunity to have them done,” she said. “As long as she’s happy, that’s all that matters.”
August 14, 2018
Is it a Que-tip or cotton swab? Perhaps Kleenex or tissue paper, brands labels sometimes get used interchangeably with products. Clear aligner therapy for orthodontic purposes is also known to the general public as Invisalign. This therapy though isn’t just a product it is a service meant to deliver beautiful healthy cosmetic and functional results to your teeth and surrounding bones and soft tissues like your lips.
On occasion I get asked by patients what the difference is between various clear aligner options. Just listen to Pandora or scroll through your Facebook and Instagram feeds and you will be exposed to various DIY options as well as brands advertising to prospective consumers like Invisalign or Clear Correct. These advertisements remind me of the pharmaceutical industry and their push to get patients to request treatments from their doctors just as Vioxx did before it’s debacle with patient deaths, but I digress.
- The first major difference between clear aligner offerings and the most important towards achieving results is your Orthodontist. You should be absolutely sure you are seeing an orthodontist and that the orthodontist is treatment planning your new smile. This is the single biggest Differentiation between big brands and local offices. Plastic molded to your teeth to make clear aligners is just cheap plastic without the guidance and experience of an orthodontist. You should also see a doctor whom can use auxiliary techniques like braces as some plans to require some fixed appliances for short periods of time to achieve smile perfection.
- The digital software used by each orthodontist to stage the movements of your teeth to work towards achieving the goals of your treatment plan will vary between doctors. New software now allows doctors more control are gaining popularity in orthodontics. This is a breakthrough because the older software company’s used to require use of their printing services. New software company’s have given doctors more choices for their patients by decoupling the software and subsequent manufacturer monopoly. It used to be that doctors had to treatment plan and manufacture with the same plastic manufacture lab like Invisalign. Now a doctor can use newly developed software and open STL files to treatment plan and manufacture separately giving the office and patients choices on Clearer plastics and faster delivery leading to shortened treatment times. This digital process is making treatment with an orthodontist more affordable than ever with regards to clear aligners.
- he third key to clear aligner therapy is with manufacturing the aligners themselves. The cost of 3D printers has been coming down for years. More labs have been able to offer services for printing models and creating clear aligners with more plastic choices than ever before. Orthodontists can now choose to 3D print your clear aligners in the office or (in house) to completely control your smile design and experience.
Digital orthodontic treatment planning is part of our philosophy at Serenity Orthodontics. We strive to be leading edge for patient comfort and experience. Dr Susan Podray uses our in office clear aligner system and 3D printing capabilities with Sure Smile software to design your treatment as well as Invisalign aligners, Insigna Braces, Inbrace lingual braces and treatment simulation to help all our patients receive the best care and orthodontic therapy that matches your results to your budget. Serenity Orthodontics offers free Smile consultations serving communities is Roswell, Alpharetta, Cumming, Johns Creek, Sugar Hill and Braselton.
April 17, 2018
Damon Brackets or Damon Braces are the most expensive self ligating bracket on the market. Damon Braces are also one of the most highly recognized brands of braces among doctors and patients. I believe it to be a luxury brand of braces as the bracket design is beautiful, it’s door is robust and some treatment mechanics are simply easier to perform in office making some periodic adjustments faster. Damon Braces cost 10x more to buy from Ormco then a traditional bracket this cost is sometimes passed on to the patient depending on dental insurance and the patients malocclusion. Despite the higher material costs associated, I have never heard of an office charging 10 times more for orthodontic treatment. Orthodontic fees do vary office per office based on the dental insurance which are accepted as well as the fluctuations of a usual customary fee in a region. An Orthodontist can move teeth beautifully with any type of braces so be sure to visit an Orthodontist.
Dr Susan Podray is an Elite Damon Braces Doctor . Serenity Orthodontics is proud to offer Damon Braces, Damon clear Braces, Traditional Braces, Neon braces, Lingual Braces, InBrace and clear aligner therapy. Visit us in our offices in Cumming, Braselton, Flowery Branch, Johns Creek, Milton and Roswell for a smile consultation with Dr Susan Podray.
April 16, 2018
What is the best color for braces? There is no wrong answer all Braces colors rock! The color that makes you smile is best choice. Be confident and show off your braces! I personally love choosing colors for braces, to make your teeth look the whitest choose purple or teal. If you want the color to blend into your braces then silver, grey, light blue, light pink all blend with the wires and brackets. Primary colors always look bright and sporty, they are perfect for celebrating holidays like Christmas. Be careful with white, it stains and can look like bread around the braces. My personal favorite is neon green as it’s my favorite color. I hope this helps you select a color that suits your mood and style. Smile On and have a blast at your next orthodontic adjustment appointment.
If you want to discuss more about braces styles and seasonal braces colors visit us at one of our Serenity Orthodontics locations in Cumming, Milton, Braselton or Roswell.
January 23, 2018
What is INBRACE?
INBRACE is a new style of braces that hides behind the teeth and uses a space-age memory wire to perfect a patient’s smile. The product also significantly decreases treatment time and doctor visits for patients, establishing this new technology as the most advanced and efficient braces on the market today. INBRACE has the added benefit of allowing you to brush and floss normally so there is nothing to remember to put back in after eating. Perfect for the busy professional who wants a quick and discreet solution to straighten teeth.
Why Choose INBRACE?
- Fully Invisible: INBRACE is discreetly hidden behind your teeth – only you and your doctor know it’s there.
- Customize Your Smile: You and your orthodontist create the perfect smile using 3D imaging before you even begin treatment. Create the smile you’ve always wanted.
- No Hassle:: No changing aligners, nothing to remember other than to brush and floss normally. Perfect for travelers and busy professionals.
Smartwire Technology: INBRACE uses a space-age memory wire for a friction free system that results in less painful treatment overall.
December 21, 2017
When you think about orthodontics, you probably picture a mouthful of metal, some pain and a high price tag. While that may be the stereotype, Dr. Susan Podray-Donovan and her team are changing the way people think – and smile. A native of Florida, Susan and her husband, Jon (who just happens to be an excellent Practice Manager) came to North Georgia because of the excellent schools and job opportunities. After living near Lake Lanier, they fell in love with Cumming and decided to stay. They opened their first orthodontic office on Windermere Parkway, expanded into Vickery Village and most recently opened a third office in Braselton.
But it’s not so much where they do it as what they do. At Serenity Orthodontics, Podray-Donovan and her team pride themselves on personalized care. “I focus on meeting each patient’s goals and customize a treatment plan that harmonizes smile esthetics and function,” Susan explains. “Our team utilizes the most advanced orthodontic and digital technologies.” And the result? Serenity Orthodontics is able to complete most treatments in 15 months or less, maintaining an affordability and convenience that is unmatched here in North Georgia!
Orthodontics, like many other industries today, has a variety of options so there is not one secret formula to a great smile and healthy teeth. For this reason, Serenity Orthodontics approaches each patient individually, matching products with people to create lasting effects. “Orthodontics is an art,” Podray-Donovan explains. “Once we decide on the individual treatment plan, we then select the orthodontic appliance that best suits and reflects that patient’s style.” From Neon Braces, Damon Braces, Clear options, aligners like the well-branded Invisalign and more, the team at Serenity is expert at using these tools to achieve the results that patients love. Communication during the orthodontic experience is also critical, so the Serenity team fosters an open door policy. “Families are always welcome to join our patients in the clinic to ask questions — we love to educate!” Patients and families can also connect with Serenity via phone, text or social media.
As an expert in her field, Susan Podray-Donovan loves what she does and that passion shines through when speaking with her. However, it’s when she talks about her office team that she really lights up! “I have a dream team,” she says. “We are truly a serenity family, operating on three core values – patient safety, beautiful treatment outcomes and positive experiences.” At Serenity, everyone you meet exhibits a strong commitment to their patients, their practice and their community. It’s no wonder that Serenity has founded a local chapter of Smile for a Lifetime Foundation, a charity that donates orthodontic treatment to patients in need.
A critical member of Susan’s team, both at home and at work, is her husband Jon. “He is the Yin to my Yang,” Susan says. “We founded Serenity so we could find serenity!” Coming from a business and accounting background as well as biomedical science, Jon is instrumental in detailing the administrative tasks of the practice as well as acting as the Treatment Coordinator. He will also tell you that he can predict what treatment plan Susan will recommend for a patient, based on her breathing patterns during the patient consult! Work/life balance is always challenging, especially when the lines between home and office are easily blurred, but Susan and Jon know that they are showing their children the possibilities that exist in today’s world and how to combine work ethic and passion for a career you can love.
Eyes may be the windows to the soul, but it is a beautiful, healthy smile that makes that all-important first impression. Susan Podray-Donovan, husband Jon and the team at Serenity Orthodontics are committed to creating those smiles – one patient, one plan and one positive experience at a time!
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November 10, 2017
The holidays are upon us, and, like most moms, I’m always on the lookout for a good deal. From toys to food to decorations, I’m on it! But, one thing I won’t skimp on is the health of my family.
When it comes to products my family consumes–I want to know the ingredients, the source, and the distributor.
Unfortunately, consumers look for the cheapest price, and may inadvertently buy something off the black market (completely counterfeit) or the grey market (products usually re-labeled, expired or mislabeled with incorrect information).
Counterfeit cosmetics often make the headlines. Consumers usually find these products on the internet, at street markets or in shanty downtown stores. When an item is counterfeit or mislabeled, it’s dangerous because we don’t know its long-term effects, ingredients or whether it’s safe for extended use.
Counterfeit products on the black market are hazardous, but mislabeled and expired products on the grey market can be just as scary.
This problem isn’t just affecting big brands like Mac and Bobby Brown Cosmetics. These issues are also found in the world of Dentistry. Searching dental products on EBAY and Amazon you will find tools, dental materials and dental chemicals. It is this grey market that is a growing problem in dentistry. Sometimes chemicals like dental bleach are counterfeit. Not only do they not work as described on the fake packaging, but they can also cause serious burns and injuries to consumers looking for a deal. Other times expired products are relabeled and purchased by an unsuspecting consumer, often leading to a product that doesn’t work as prescribed.
The best way to avoid buying poor products is to make your purchase from a reputable distributor. Sometimes these distributors have online stores that can be trusted. Your dental provider is here to help! We want the best for our patients. Do not be afraid to ask your dentist which brands are best, and where these products can be purchased. Many times your dentist or orthodontist can provide reputable products for the same cost or less than the sellers on Amazon, or they can recommend a reputable business to purchase the products that are safe and effective.
Don’t hesitate to contact Dr Susan Podray at Serenity Orthodontics for questions about reputable brands and companies for your dental needs.
October 25, 2017
My millennial patients and Facebook friends ask me about various dental fades that they see on social media. These products show off amazing results by various “new” dental products and claim superior results over trusted dental brands. Social media influencers sell these products to unsuspecting followers to make a quick buck. These products have no true merit with regards to Their claims and they often can cause serious harm with long term use.
1: Toothpaste Nuskin AP24 is highly abrasive can scrape and scratch your enamel, it then coats them in titanium dioxide (white paint) that is thickened by dimethicone and other agents to stay on your teeth for a short period of time. In short this product will not give you desired long term results. If you need whiter teeth for a wedding or professional photos for a short term project use it. Long term use can lead to yellowing and staining of your teeth because as you use it it will erode your natural enamel over time.
2: Activated charcoal although great for absorbing toxins in some situations, use on your teeth can be disastrous. It is very abrasive and can scratch your enamel thus weakening your teeth. Long term use can also cause yellowing and staining of your teeth.
3: Use of lemon juice or other natural acids to whiten your teeth. Just as the other two trends acid erodes the enamel. It erodes it on a chemical level gradient by causing the calcium and phosphate crystals in your enamel to be lost. Long term use can cause yellowing and staining to your teeth.
These trends can cause permanent damage requiring people to get costly fillings, crowns and veneers to restore the appearance of your teeth. Once enamel is lost it doesn’t grow back, exposed Denton not only looks yellow or brown it can cause painful sensitive teeth. If you want whiter teeth or are searching for a more natural dental product be sure to ask your dentist or your orthodontist for recommendations.