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As you near the end of your orthodontic treatment, you’re probably already imagining the day when your brackets and wires finally come off. Or the moment you’ve finished with your last set of aligners. That day might come just a bit sooner if Dr. Byron Diehl and our team recommend a positioner.

While not as well-known as other orthodontic treatments, a positioner is an appliance that can shorten your time in traditional braces and aligners by weeks or even months. Curious? Read on!

• What Exactly Is a Positioner?

A positioner resembles a clear mouthguard. Its arched shape is designed to fit snugly over your teeth. It’s sometimes called a finishing appliance, because it’s designed to make those last small adjustments to your alignment and bite. If you’re a good candidate for a positioner, it can replace your braces or aligners for your last several weeks or months of treatment.

• How Are Positioners Made?

This appliance is custom fabricated to fit your very specific orthodontic needs. Commonly, a mold is made of your teeth. A model of your teeth is made from this mold. Precision instruments are used to move the model teeth into your ideal alignment.

Once this model of your future finished smile is complete, it is used to create the positioner. When the thermoplastic material is molded to the model, it creates an appliance with an indentation for each individual tooth in its desired final location.

Available in a variety of materials, a positioner is most often designed as a clear single piece, covering both your upper and lower teeth. This makes sure that your teeth are not only aligned properly, but that your upper and lower teeth are working together for a healthy bite. Openings in the positioner provide airways which allow you to breathe easily.

• How Do Positioners Work?

Because your teeth haven’t settled firmly into place yet (this will happen as you wear your retainer), they’re still able to move. That’s why your positioner is shaped to fit your teeth in their future ideal placement, not where they are at present.

Positioners require your active participation. Your teeth move to the ideal spots molded into the positioner through “exercise”—biting down on your appliance for 15-20 seconds before relaxing your bite, usually every 10-15 minutes during your daily wear. The gentle force provided by your jaw muscles helps guide your teeth into position more quickly. Dr. Byron Diehl will give you instructions on just how to—and how often to—do these exercises.

• How Long Are They Worn?

Positioners are commonly worn at least four hours a day to start with and all night long, or Dr. Byron Diehl might recommend 24 hour a day wear for the first week. As you progress, you’ll wear them for shorter periods during the day, gradually tapering off until your treatment is complete.

Depending on the amount of correction that’s still needed, positioner use ranges from several weeks to several months. One thing that will ensure that your time in a positioner is as short as it can be is your willingness to follow our instructions. The speed and effectiveness of your final tooth movements is largely up to you!

• Caring for a Positioner

Gentle treatment is best. Clean your positioner before and after wearing it using a toothbrush and mild toothpaste. Never boil it or expose it to heat. We will give you instructions for how to clean it more thoroughly, if needed.

Like retainers, clear aligners, and mouthguards, a positioner needs to be protected when it’s not in your mouth. Your positioner will come with a case, so be sure to use it!

Positioners aren’t recommended for every orthodontic patient. But if you feel this might be an option worth pursuing, talk to us when you visit our Redlands, CA office. A positioner could be an effective, time-saving step on your path to a lifetime of healthy smiles.

When we think of sports and dental damage, we naturally think of hockey and football. But when it comes to the actual number of dental injuries suffered each year, vying for top seed is the game of basketball.

How is this possible? After all, football and hockey are categorized as “collision sports”! But along with the helmets, shin guards, and padding, these teams quite often require mouthguards—and this makes all the difference. Studies have shown that an increase in the number of players wearing mouthguards means a decrease in the number of oral traumas.

And while basketball isn’t considered a collision sport, it is a contact sport. Basketball is a combination of running, jumping, hard surfaces, and solid bodies. And elbows. We can’t forget elbows. So a broken or even a knocked out tooth isn’t, unfortunately, all that unusual when bodies in motion meet hard surfaces—or other players. But there are other dental dangers as well. Besides tooth injuries, oral injuries can involve:

• The ligaments and bone structures holding teeth in place
• Bones in the upper and lower jaw
• Delicate gum, tongue, and mouth tissue.

You need a solid defensive strategy to reduce the severity of oral injuries or to prevent them from happening altogether, especially when you wear braces. The best play in your playbook? Wearing a mouthguard!

Choosing the right guard is key. There are three common options, and you can choose the model which works best for you:

• Stock guards, which are ready-made guards in pre-formed shapes and sizes. You can buy them over the counter in drug stores and sporting goods stores. Because these guards aren’t shaped to fit your teeth and mouth specifically, they can be less protective (and harder to speak around).
• “Boil-and-bite” guards can also be purchased, and can provide a closer fit. After warming the guard in hot water as directed, you place it in your mouth and bite down firmly to mold it to your teeth.
• Dr. Byron Diehl can make you a mouthguard that is designed and crafted specifically for your use. Because this guard is custom-fitted, it provides better protection for your teeth and mouth. Patients often find custom guards much more comfortable and more durable as well.

Mouthguards are most effective when you wear them on the court and care for them off the court. This means avoiding a few flagrant fouls.

• Dirty play

All those moist nooks and crannies inside your mouthguard are a perfect environment for bacteria, mold, and plaque buildup. You should clean your mouthguard carefully every time you wear it, and let it air dry before popping it back in the case. Ask Dr. Byron Diehl for advice on getting your guard and its case their cleanest.

• Failure to sub out in a timely fashion

Mouthguards don’t work if they’re damaged. If you notice any warping, breakage, or jagged or sharp edges, contact our Redlands, CA office for a replacement. If a guard doesn’t fit you properly, it doesn’t protect you, and sharp edges can irritate or injure delicate mouth tissue.

• Unnecessary roughness

Your mouthguard protects you, so don’t forget to protect it! Keep your guard in its case when you’re not wearing it to save it from dirt, damage, and disappearance.

If you know your basketball, you know your guard game can make all the difference. Even though a mouthguard might not be mandatory on your team, that doesn’t mean it’s not essential. Remember that basketball is a contact sport, and protect your teeth, your mouth, and your braces with a mouthguard whenever you play.

If you’re thinking about investing in braces, there are a few things you should take into consideration. It’s normal for adult teeth to come in crooked, which is why braces are a common solution for teens and adults who desire a beautiful smile.

Your dentist may recommend orthodontic treatment if crooked teeth begin to affect your or your child’s oral health. But many factors go into whether braces would be right for you or your child, or not.

Modern orthodontic treatments offer numerous options for the typical issues people face, such as crooked teeth or jaw alignment problems. Malocclusion, otherwise known as having a bad bite, is common in patients with crooked teeth.

Braces can be worn for a short period of time to correct uneven jaw alignment, which may be the cause of an underbite or overbite in patients. A retainer is worn afterward to keep the newly straightened teeth in place.

Now that one in five braces wearers is an adult, grownups have a variety of braces options. Braces are typically left on for at least one year to straighten teeth effectively. Options can include regular metal braces, clear braces, or Invisalign® aligners.

If you’re an adult and would prefer a discreet treatment, clear braces or Invisalign retainers are your best options. Dr. Byron Diehl will be able to provide you with a recommended best route of treatment depending on what you’re trying to accomplish and what your budget is. Before getting braces, it’s worth learning about all the methods of treatment available at Diehl Orthodontics.

Be sure to contact your insurance company before your appointment to see if orthodontic treatments are covered; otherwise, you may want to plan to pay for out-of-pocket costs. If you have questions regarding the types of treatment we provide for our patients, call our Redlands, CA office for more information.

If you’re like most adults, you aren't enthused about the idea of having to get traditional metal braces. The look, feel, and cost keep many people from getting the smile they want.

However, many options are available at our Redlands, CA office if you’re looking for a cost-effective and more discreet way to straighten your teeth.

Choosing the right kind of cosmetic braces depends on the severity of your situation. Some cosmetic braces, such as clear aligners, are best suited for mild to moderate spacing or crowding of the teeth, and minimal bite alignment issues. But there are options for people who need more intense treatment.

Below is a list of some of the most popular options available today.

Invisalign® involves multiple clear aligner trays that you wear in a predetermined order to achieve the desired treatment result. Most people won’t even know you’re wearing them, and they offer solid results. Clear aligners might not be suitable for all cases; they are mainly for those with mild to moderate spacing or crowding of the teeth and minimal bite alignment issues.

Ceramic braces are similar to traditional braces, but less visible due to translucent ceramic brackets and/or wires. They are not quite as discreet as clear aligners such as Invisalign, but they are more subtle than traditional braces and can be used for most cases.

Lingual braces are attached to the back of your teeth instead of the front. They are highly discreet but effective at moving teeth and correcting bite issues. Their cost is higher due to the materials involved, and the additional time and effort required to place them accurately.

Self-ligating braces are similar to traditional metal braces, but no elastics (ligatures) are required on the bracket because they have built-in clips to hold the wire against your teeth. People will perceive you’re wearing them, but they don’t need as many adjustments from Dr. Byron Diehl, so you’ll require fewer appointments and undergo a shorter treatment time.

It’s only natural to have questions before you embark on a course of braces treatment. Speak with Dr. Byron Diehl or any of our staff members at our Redlands, CA office about your goals, budget, and timeframe, and we’ll help you find the right fit!