FACEMASK INSTRUCTIONS

The “Facemask” is used in very young patients to correct skeletal Class III (underbite) malocclusions. These types of problems are characterized by upper teeth that fit behind lower teeth in the front as well as back teeth. The cause of this bite is the upper jaw that is not growing fast enough to keep up with the lower jaw.

What we accomplished with a Facemask (worn in conjunction with a palatal expander) is accelerated movement of the upper jaw forward, correcting the underbite, and producing a pleasing facial result.

Cases of underbite where Facemask therapy is most beneficial are best treated at a very young age, the younger the better! In fact, if patients needing Face Mask don’t receive therapy before age 12 or 13, the only way to correct their skeletal problem is with surgery.

  • 458 South Tamiami Trail
    Osprey, FL 34229
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TOOTH BRUSHING INSTRUCTIONS

Brush​ 3-5 minutes, 3-5 times a day especially after you eat or drink

Brush in a sequence so no area is missed, for example, top then bottom, right then left. Brush each area below for about a count of 10 in your head. Angle the brush to target each area

  1. The gum line along the front of your teeth. (gentle, circular strokes)

  2. Over the top edge of the bracket (firm, back and forth strokes)

  3. Over the entire bracket face (firm, circular strokes)

  4. Under the bottom of the bracket (firm, back and forth strokes)

  5. The gum line on the inside of the mouth, by the roof of your mouth and tongue (gentle, circular strokes)

  6. Biting surfaces of the teeth (firm, back and forth strokes)

Floss​ every night using ​floss threaders​ or ​Super floss​.
Use ​Listerine Zero​ to fight germs, prevent gum disease and keep breath fresh. Use ​Act​ or other fluoride rinse nightly to keep teeth strong.

Waterpiks​ are highly recommended​ to keep teeth and mouth clean. We like the Waterpik Complete which has a sonic toothbrush and a Waterpik in one unit. Waterpik before you brush to remove large amounts of food and plaque. Waterpik at your gum line and between the teeth, ‘tracing the tooth’, on the lip and tongue sides of all teeth. Spend extra time around appliances.

Plaque​ is the white, cakey build up that forms on teeth after eating or drinking. When teeth are not properly cleaned this can remove mineral from the teeth causing permanent white stains on your teeth. This is called ​decalcification “decal” and will not go away!

Most patients will experience some discomfort during the first few days of treatment, however, brushing and flossing is still required and cannot be skipped. Patients with clean, healthy teeth and gums experience less discomfort. If you have questions or concerns please call immediately.

Proxy brush alert: ​We do not recommend using a proxy brush due to the common misuse of the device. If used improperly, permanent damage to the gum tissue can result. Proxy brushes should only be used in an up and down motion, NOT passed between the teeth or gums. Proxy brushes are not a substitute for floss.

  • 458 South Tamiami Trail
    Osprey, FL 34229
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RETAINER INSTRUCTIONS

Your retainer should be worn full time, day and night for the entire length of treatment. After alignment is achieved, full-time wear will be necessary for 6 months.
After that you should wear your retainer at night time while you sleep indefinitely.

You will need to wear your retainer on this schedule (every night) for as long as you want your teeth to remain straight. Teeth will shift over time due to the forces of your bite and retainers are the only way to keep this force from moving your teeth. Please call us if you need a new retainer made; it is surprising how quickly teeth will start shifting.

  • Brush your retainers with soap and water every day. Retainer Brite (​www.smileshop.com​). Or denture cleaner (Efferdent) can be used once a week.
  • Do not use toothpaste; it will leave a white film on the acrylic.
  • ​Do not clean or soak your retainer in hot water, leave it outdoors, or in vehicles with extreme temperature; it will warp the acrylic.
  • Do not soak in mouthwash; this will stain and make your retainer brittle.
  • ​Do not wrap your retainer in a napkin; they will easily get thrown away.
  • ​When the retainers are not in your mouth, always put them in your retainer case.
  • ​Do not flick your retainer in/out with your tongue. This will loosen and/or break your retainer.
  • 458 South Tamiami Trail
    Osprey, FL 34229
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How and Why to Wear Rubber Bands

The elastics (rubber bands) that you have been given are very important part of your orthodontic treatment. They apply the force necessary to move the teeth either to close space or adjust the bite for the upper and lower teeth to fit together correctly.

A good way to think about how the elastics work is to compare their use to pushing a car up a hill. If you stop pushing the car, it will roll back down and you lose what you have accomplished with earlier pushing. Teeth will move back the same way if you leave the elastics off. It is very important to have consistent and steady push on the teeth to get the job done.

The elastics should be used all of the time, day and night, to keep an even pressure on the teeth, unless the doctor has told you otherwise. They can be removed at meal time and for brushing your teeth but should be replaced immediately afterwards. You should change the elastic at least once a day since they lose their stretch after being in place for 24 hours. If for some reason you are not able to wear your elastics as prescribed by the doctor. STOP wearing them and call the office immediately. Do not double the elastics unless instructed to. This could add months onto your treatment time.

Remember, your teeth will not move without proper use of elastics!​ If you cooperate completely now in the use of your elastics, you will not only have a better result in the correction of your bite, but you could also be finished with your orthodontic treatment sooner.

If you ever run out or lose your elastics, please stop by the office to pick up more or call us at the office and we will mail them to you.

  • 458 South Tamiami Trail
    Osprey, FL 34229
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Herbst

The Herbst is a growth modification appliance that is used when the upper jaw is too far forward compared to the lower jaw. It replaces the old-fashioned headgear. It can prevent surgery and or extractions in some patients.

What is a Herbst appliance?

It consists of four stainless steel caps that fit over the back molars – one in each corner of your mouth. The top portion of the appliance consists of an expander (to learn more about the expander click here) ExpanderVideoMoriczOrthodontics or looped wire which runs along your palate. The lower portion has two metal bars that run parallel to the outer sides of your lower back teeth and thin bar that runs along the inner sides of your lower teeth for stability. Two metal cylinders or ‘arms’ connect the top and bottom together. The appliance is glued (with orthodontic cement) into the patient’s mouth and typically stays in your mouth for 9-12 months once the arms are placed.

How Does the Herbst Work?

The Herbst may seem like a large appliance but it does a lot of amazing things to improve your bite and jaw harmony. The appliance works by connecting a top appliance, usually and expander with a bottom piece and a system of metal caps and ‘arms’ or cylinders to connect the top and bottom jaw. All the pieces work together to correct a severe overjet (commonly mis-referred to as an overbite, and also known in slang as ‘buck-toothed’).  Many think the Herbst corrects the overjet by moving the lower jaw forward, and while this does happen, it is the sum of 5 movements created by the Herbst appliance that correct the jaw relationships. The five movements are: 1) the expander portion widens the upper jaw, allowing room for teeth to move to a broader smile position rather than stick out or put another way, move from a V-shaped upper jaw to a U-shape; 2) the top jaw moves back; 3) the bottom jaw moves forward; 4) the top teeth move back; and 5) the bottom teeth move forward. All of these movements take 9-12 months and work with growth to improve the facial and dental relationships.

herbst-appliance-max-before
herbst-appliance-front-before
herbst-appliance-max-after
herbst-appliance-front-after

What to Expect with a Herbst

The Herbst is a big appliance because it does a big job. It can prevent extractions and even surgery in many patients. It’s an amazing appliance but does take time to get accustomed to. Be patient and give it time.

  • The Herbst appliance will feel a little bulky at first. Most patients get used to it after the first week.
  • It takes a few days for the mouth to toughen up, so if the appliance is irritating any areas of your cheeks or gums, cover the part of the Herbst that’s bothering you with wax to act as a cushion. You can also mix ½ teaspoon of salt with eight ounces of warm water and swish the solution in your mouth as needed.
  • If you find that you talk a little funny or it feels strange to swallow during the initial days of wearing the Herbst, don’t avoid these activities. You will get used to it but to speed things up, read aloud, talk on the phone a lot and keep swallowing don’t spit
  • Not everyone needs expansion but if you do, follow the specific instructions we give you and if your teeth or jaws get a little sore when you turn the expansion screw, take the appropriate dose of an over-the-counter pain reliever like Advil or Tylenol.
  • You may feel like you ‘can’t’ eat or chew. You can and you have to eat a well-balanced diet, but to start off,  make sure you have soft foods at home and protein shakes are a great addition to ensure you are getting adequate nutrition. Also be sure to drink plenty of water. When you eat less you tend to drink less and we don’t want you to become dehydrated. You will become used to chewing with your appliance in soon! Hang in there!
  • Make sure to brush and water-pik around your appliance, food and plaque can hid in all the nooks and this can cause gum disease and bad breath, it can also be uncomfortable if food or plaque gets trapped on or around your soft tissue or teeth.
  • 458 South Tamiami Trail
    Osprey, FL 34229
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Rapid Maxillary Expander (RME)

An expander/ Rapid Maxillary Expander (RME) / Rapid Palatal Expander (RPE) is an appliance that is glued (with orthodontic cement) into the patient’s mouth that widens the palate, creating more room for permanent teeth.

How does an expander work?

There are a few different designs for these expanders but all of them have a center screw that has to be turned with a key.  The number of turns will be determined specifically for each patient and a ‘prescription’ for turning will be given to you at the delivery of your expander. 

The expander is turned or  “activated” by placing the key into the keyhole in the center screw and then gently pushing the key towards the back of the mouth one notch. The screw and key are self limiting so it stops after one turn. The key is designed so that you will not poke or hurt the patient when turning properly.  After the turning has started, the front teeth will usually begin to separate. Don’t panic. This is a good sign and means the appliance is doing its job! Likewise, don’t worry if space does not appear between front teeth, Depending on the amount and location of crowding, space may not appear. After we’ve achieved the desired expansion, you’ll continue to wear the appliance to allow the bone to fill in. This process takes about 4 months from the date of the last turn but Dr. Moricz will determine when your expander will be removed based upon your individual treatment plan.

  • 458 South Tamiami Trail
    Osprey, FL 34229
thumbnail

Herbst

The Herbst is a growth modification appliance that is used when the upper jaw is too far forward compared to the lower jaw. It replaces the old-fashioned headgear. It can prevent surgery and or extractions in some patients.

What is a Herbst appliance?

It consists of four stainless steel caps that fit over the back molars – one in each corner of your mouth. The top portion of the appliance consists of an expander (to learn more about the expander click here) ExpanderVideoMoriczOrthodontics or looped wire which runs along your palate. The lower portion has two metal bars that run parallel to the outer sides of your lower back teeth and thin bar that runs along the inner sides of your lower teeth for stability. Two metal cylinders or ‘arms’ connect the top and bottom together. The appliance is glued (with orthodontic cement) into the patient’s mouth and typically stays in your mouth for 9-12 months once the arms are placed.

How Does the Herbst Work?

The Herbst may seem like a large appliance but it does a lot of amazing things to improve your bite and jaw harmony. The appliance works by connecting a top appliance, usually an expander with a bottom piece and a system of metal caps and ‘arms’ or cylinders to connect the top and bottom jaw. All the pieces work together to correct a severe overjet (commonly mis-referred to as an overbite, and also known in slang as ‘buck-toothed’).  Many think the Herbst corrects the overjet by moving the lower jaw forward, and while this does happen, it is the sum of 5 movements created by the Herbst appliance that correct the jaw relationships. The five movements are: 1) the expander portion widens the upper jaw, allowing room for teeth to move to a broader smile position rather than stick out or put another way, move from a V-shaped upper jaw to a U-shape; 2) the top jaw moves back; 3) the bottom jaw moves forward; 4) the top teeth move back; and 5) the bottom teeth move forward. All of these movements take 9-12 months and work with growth to improve the facial and dental relationships.

herbst-appliance-max-before
herbst-appliance-front-before
herbst-appliance-max-after
herbst-appliance-front-after

What to Expect with a Herbst

The Herbst is a big appliance because it does a big job. It can prevent extractions and even surgery in many patients. It’s an amazing appliance but does take time to get accustomed to. Be patient and give it time.

  • The Herbst appliance will feel a little bulky at first. Most patients get used to it after the first week.
  • It takes a few days for the mouth to toughen up, so if the appliance is irritating any areas of your cheeks or gums, cover the part of the Herbst that’s bothering you with wax to act as a cushion. You can also mix ½ teaspoon of salt with eight ounces of warm water and swish the solution in your mouth as needed.
  • If you find that you talk a little funny or it feels strange to swallow during the initial days of wearing the Herbst, don’t avoid these activities. You will get used to it but to speed things up, read aloud, talk on the phone a lot and keep swallowing don’t spit
  • Not everyone needs expansion but if you do, follow the specific instructions we give you and if your teeth or jaws get a little sore when you turn the expansion screw, take the appropriate dose of an over-the-counter pain reliever like Advil or Tylenol.
  • You may feel like you ‘can’t’ eat or chew. You can and you have to eat a well-balanced diet, but to start off,  make sure you have soft foods at home and protein shakes are a great addition to ensure you are getting adequate nutrition. Also be sure to drink plenty of water. When you eat less you tend to drink less and we don’t want you to become dehydrated. You will become used to chewing with your appliance in soon! Hang in there!
  • Make sure to brush and water-pik around your appliance, food and plaque can hid in all the nooks and this can cause gum disease and bad breath, it can also be uncomfortable if food or plaque gets trapped on or around your soft tissue or teeth.
  • 458 South Tamiami Trail
    Osprey, FL 34229
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Adult Orthodontics

Discreet and Quick

“Dr. Moricz was thorough and explained how easy braces would be. She’s right, the process was fast!”
– Jeannie Notting, Sarasota, Florida

Short process. Long-term results.

There is no such thing as being too old for orthodontic treatment. More adults than ever are seeking straighter teeth. Advancements in dentistry allow for more discreet and less invasive orthodontic treatments such as ceramic clear aligners (Invisalign and Clear Correct), lingual braces that are hidden on the inside of your teeth or ceramic braces. Further advancements allow us to speed up the process so that it can take half the time of traditional treatments. Further, many adult patients find that a partial treatment which addresses his/her particular area of concern can be completed in only a few months. And braces aren’t becoming popular for cosmetic reasons alone. Rather, many adults are realizing the long-term oral health benefits associated with having straighter teeth. Call today so we can talk about what plan is right for you.

1 In 5 Patients

20% of all orthodontic patients are over the age of 18.

Choices

Choose what type of braces and even how long you are in treatment.

Face Value

A recent study confirmed that when we smile we are deemed more likeable, courteous and thought to be more competent.

IMPROVE YOUR SMILE WITHOUT INTERRUPTING YOUR LIFE

We understand that our adult patients are busy, often balancing, career, families and social life. We will work together to find the treatment modalities that fit into your schedule and address your goals. Whether you want to straighten one front tooth that bothers you, or you are considering surgical jaw alignment, we are here to help. Whether you travel a lot, have a completion goal date, work 9-5, are concerned about the appearance during treatment or are on a budget, call today and Dr. Moricz will work with you to find a solution for your orthodontic needs.

IMPROVE YOUR QUALITY OF LIFE

Some adults once had straight teeth and now they see that they have noticed an unwanted change to their smile or they have experienced damage to their gums or teeth as a result of shifting . Others have always wanted to improve their smile but never had the opportunity. Often it is the dentist or hygienist who urges their patients to seek an orthodontic consultation before greater problems arise. Crowded, crooked teeth can be harder to clean and this can lead to gum disease. Research has shown that there is a link between gum disease and an increase in heart attacks and strokes. Further, patients who have lived with misaligned teeth or a bite that is ‘off’ may experience abnormal wear to their teeth or gums. Whatever your reason and whatever your age, now is the time to get the smile you have always wanted.
  • 458 South Tamiami Trail
    Osprey, FL 34229
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Easy access from Sarasota and Venice from I-75 or US 41

Invisalign Treatment

barely there braces

“Dr. Moricz was able to recommend a customized treatment program for me that did not affect my life. Months went by without others noticing my clear aligners!”
– Jodi Baek, Sarasota, Florida

Invisalign Offered Near Venice and Sarasota, FL

Personalized treatment programs, fitting your schedule.

Invisalign® is an orthodontic appliance system used to inconspicuously treat crooked and crowded teeth in adults and teens. This modern take on braces features a system of clear aligner trays that are worn at all times with the exception of during meals and when brushing or flossing. The trays are custom fitted to the teeth, making them virtually unnoticeable when laughing, talking, and eating with other people. Patients receive a sequence of trays, each of which is slightly different than the one before. The aligners provide a slight resistance to the teeth, forcing them to move into alignment over time. With Invisalign®, adults and teens can achieve the smiles they’ve always wanted without feeling self-conscious about the mode of treatment.

A woman getting invisalign near Venice and Sarasota, FL

Unnoticeable

Clear aligners are a virtually invisible way to treat many alignment issues. See how easy it can be for you by contacting our office today.

Treatment Up to 2x Faster

Treatments are different for everyone, but most patients can achieve their ideal smiles sooner than later.

For All Ages

Clear aligners are an excellent option for teens and adults who want straight teeth but are self conscious about braces, who play various contact sports or musical instrument.

how does it work?

Invisalign is a series of orthodontic appliances that straighten and align crooked, gapped, and crowded teeth. We take a state-of-the-art impression of your smile and create a personalized treatment plan.

Every few weeks, you’ll swap out your custom-fit aligners to apply pressure to gradually shift your teeth into a healthier and more aesthetically-pleasing placement. And, during your time with Invisalign, you’ll be able to remove them for two hours a day! This means you can eat your favorite foods, brush and floss thoroughly, and maintain great oral hygiene.

Improve your smile without interrupting your life

Did you know wearing Invisalign® is in no way as restrictive as traditional braces? Many adults opt for this system not only because it is discreet, but also because there is no need to change your diet to avoid foods that could damage braces. This is because these clear aligner systems are free of braces and brackets, instead opting for a removable tray that can be taken out prior to meals. Also, Invisalign® fits well into busy schedules, as there is no need to attend frequent visits for wire tightening. Most patients simply change to a new aligner tray every 1-2 weeks.

How Do Clear Aligners Work?

At your initial consultation, Dr. Moricz will evaluate to see that you are a candidate for either Invisalign. If it is determined that clear aligner treatment is the best course for you, we will use the Itero scanner to take precise, 3D images of your teeth. Dr. Moricz sends these images along with a detailed treatment plan to the manufacturers who fabricate your custom aligners with excellent precision. Your aligners will be delivered to you at our office. You will return to our office for additional aligners on a customized schedule that is best for your tooth movement and your busy life. You will wear your aligners 22 hours a day. Each aligner moves selected teeth a small amount. The number of aligners (and length of your treatment) will depend upon the severity of your malocclusion and your treatment goals. Once active aligner treatment is complete, you will be given a retainer to maintain your new smile. There are a variety of retainer options and we will discuss which are best for your needs. Many Invisalign patients choose a similar clear aligner for a retainer and/or a fixed or permanent retainer that is glued behind the teeth.

  • 458 South Tamiami Trail
    Osprey, FL 34229
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Easy access from Sarasota and Venice from I-75 or US 41