I got my braces. Now what?

We love when patients ask us that question! Now that you’re wearing braces, it’s just as important to maintain a good oral hygiene regimen as you did before prior to your orthodontic treatment.

Braces are known to trap food particles and make it difficult to brush or remove plaque, which is why Dr. Joseph Brogan and our team at Brogan Orthodontics recommend that you brush and floss after every meal. We also encourage you to use a proxabrush to help with the smaller areas where your toothbrush doesn’t reach. We encourage the use of fluoride rinse as well; ask us for a recommendation.

When your braces are initially placed, your teeth are likely to be very sensitive. You may experience discomfort for up to 3 or 5 days, which is why we encourage you to eat soft foods during that time. Remember, the less pressure you put on your teeth, the less discomfort you will have.

You may also be thinking, “Okay, so what can I eat?” We would encourage you to avoid eating sticky, hard, crunchy or chewy snacks that can stick to your teeth.

Dr. Brogan and team will tell you it’s crucial to regularly check your braces for bent or loose wires and brackets. In the event of a loose/broken wire or bracket, please call our office immediately to schedule an appointment for repair.

Lastly, in addition to visiting Brogan Orthodontics during your orthodontic treatment for adjustments, you should visit your dentist for professional check-ups and teeth cleaning appointments about every six months, or as recommended by your dentist.

Questions? Please let us know below or on our Facebook page. You may also give us a call!

Brogan Orthodontics presents, The Perfect Summer Wrap

Here in Philadelphia, Erdenheim, and Skippack, PA, as it becomes warmer outside, gatherings of family and friends for picnics and potlucks usually become more frequent. That's why our friends at the American Association of Orthodontists (AAO) made an appetizing (and braces-friendly!) summer chicken wrap that is sure to delight. Remember, a healthy diet provides essential nutrients and helps you achieve the best possible result from your orthodontic treatment.

Soy Simmered Chicken Wraps

Ingredients:

• 3 boneless chicken breast halves
• 2 large onions, chunked
• Small flour tortillas (pkg. of ten) wheat or white
• (optional: 10-16 oz. of cooked chopped broccoli)
• ¼ cup soy sauce
• ¼ cup water
• 2 Tablespoons honey
• 1/8 teaspoon ginger
• 2 Tablespoons peach or apricot jam
• 1 Tablespoon cornstarch

Directions:

In a slow cooker, or a large pan on the stove, layer the onions and the chicken breast. Allow at least three hours in the slow cooker on medium, or at least one hour on the stove—the longer the better, but you don’t have to do anything to it while it cooks. Spoon out the chicken onto a cutting board, and with a knife and fork, shred the chicken as finely as you’d like. In a small saucepan, stir all sauce ingredients together over medium heat until the mixture starts bubbling, then let it simmer for five minutes on low heat to thicken. In a serving bowl, stir sauce and onion into chicken; if you’d like, add cooked chopped broccoli. Makes about six to eight servings.

Enjoy this great summer chicken wrap recipe!

-From Dr. Brogan and staff

What are patients saying about Brogan Orthodontics?

Last week, we asked you, our wonderful patients, what you most liked about Brogan Orthodontics. Well, we received some pretty great reviews, and thought we’d share a few with you today. Please feel free to contribute your own thoughts about our office! Dr. Brogan and team love getting patient testimonials!

"Dr. Brogan is always available and very personable. On our first visit, he spent time with our son, answered all the questions the three of us had and made my son feel very comfortable about getting braces."

"Everybody is bright, cheery and willing to answer questions."

"I really couldn't have had a better experience."

"The entire staff is friendly and helpful to both the patients and their parents. I have observed that staff and everyone is committed to service - if the phone rings, the person nearest picks it up; if you need an appointment, anyone is willing and able to help."

"Dr.Brogan is gentle and caring. Now, I'm never scared going to the orthodontist."

Have you had a great experience at Brogan Orthodontics? We would love to hear! You can write a review here, or you can tell us by posting on our Facebook page or by giving us a call!

Thank you,

The team at Brogan Orthodontics

Ask Dr. Brogan: Why is it so important to have straight teeth?

Some people wonder why Philadelphia orthodontist Dr. Joseph Brogan and our team work tirelessly to give our patients straight teeth. Of course it’s nice to have a smile full of evenly aligned teeth, but did you know that straightening your teeth at Brogan Orthodontics can keep them healthier? Straight teeth lead to better oral hygiene, increasing your chances of keeping your own natural teeth for a lifetime!

Straight teeth are less prone to decay, because they collect less plaque—the sticky colorless substance that forms on our teeth and leads to tooth decay; and they are easier to keep clean!

If you’re wondering whether your teeth might cause problems because they are out of alignment, please give us a call to set up a consultation. Dr. Brogan can help you decide whether or not you will benefit from orthodontic treatment.

Smile, and you might just live longer!

Folks with big smiles may actually live than those who don’t, according to a March 2010 study at Michigan’s Wayne State University. We at Brogan Orthodontics has known for quite some time that positive emotion has been linked to both physical and mental health, but researchers at the university did something quite interesting: they looked at photos of 230 ball-players who began their careers in baseball prior to 1950 and studied their smile intensity (ranging from big smile, no smile or partial smile). The players' smile ratings were compared with data from deaths that occurred from 2006 through 2009. The researchers then took into account other factors that impact life longevity, including body mass index, career length and even college attendance.

The results? Researchers found that players who weren't smiling in the photos died at the average age of 72.9 years. Players with partial smiles lived to be 75. Those with big smiles, however, lived on average to be 79.9 years old.

The take-away from the new study? Smile now, smile often and you might just live longer! Have you perfected your smile by visiting Dr. Brogan? If not, give us a call!

--Dr. Joseph Brogan, orthodontist Philadelphia, Erdenheim, & Skippack, Pennsylvania

Tackling kids' sport safety with Brogan Orthodontics

Let’s face it: sports-related injuries are common among children, let alone teens with braces. In a recent survey, the American Association of Orthodontists, or AAO, discovered that 70 percent of parents said their biggest worry is that their child will get hurt while playing sports. But 67 percent admitted that their child doesn’t wear a mouth guard when participating in organized sports such as football, basketball, baseball and soccer. That’s why Brogan Orthodontics is helping spread the word that many facial sports injuries can be prevented simply by reminding your kids to wear mouth guards. In addition, the AAO has provided the following tips for keeping your kids safe on the field this spring. Please remind them to:

• Wear mouth guards during contact sports
• Wear a helmet
• Stretch before and after a game or practice
• Wear protective eye wear
• Wear a face shield to avoid scratched or bruised skin
• Be observant—even as a spectator

All of these can reduce injuries. Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Be sure to avoid mouth guards that custom form to your teeth as these will resist any tooth movements Dr. Brogan is trying to achieve.

Give us a call if you have any questions about mouth guards or your treatment at Brogan Orthodontics!

Brogan Orthodontics supporting National Smile Month

Now that we’re in June, our staff at Brogan Orthodontics thought we’d tell you June is National Smile Month, and a good time to remind all our patients to practice good oral hygiene between your visits to see Dr. Brogan.

Below are a few simple steps you can take to improve your oral health so that you may celebrate National Smile Month for many, many years to come:

* Brush at least twice a day with fluoride toothpaste.
* Floss everyday to clean between your teeth.
* Reduce your intake of sugary foods and drinks during your orthodontic treatment with Dr. Brogan.
* Visit your dentist regularly (every 6 months)!

If you have questions about any of these tips, we encourage you to give us a call. We hope you enjoyed the long holiday weekend!

Your pal, fluoride

There are so many ways you protect your teeth throughout your orthodontic treatment. You brush your teeth twice a day, floss regularly and protect your mouth and appliances from being damaged. But did you know there is another, often forgotten about, way to keep your teeth clean and healthy during your treatment? Fluoride – a mineral that helps prevent cavities and tooth decay – can help keep your teeth strong! Fluoride comes in two varieties: topical and systemic. Topical fluoride is applied directly to the tooth. Topical fluoride includes toothpastes and mouth rinses. Systemic fluorides are swallowed in the form of a dietary supplement.

Fluoride used in the dentist/orthodontists’ office is often times a stronger concentration than in toothpaste or mouthwash, but is available at some drug stores or a pharmacy (ask your doctor how to purchase professional strength fluoride). A fluoride treatment typically takes just a few minutes. After the treatment patients may be asked not to rinse, eat or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or doctor’s recommendation, you may be required to have a fluoride treatment every three, six or 12 months. Your doctor may also prescribe a fluoride product such as mouthwashes, gels or antibacterial rinses for at-home treatment.

When choosing your own fluoride product, be sure to check for the American Dental Association’s (ADA) seal of acceptance. Products marked with the ADA seal of approval have been carefully examined and have met the criteria of the ADA for safety and effectiveness. Take care of your teeth, and smile bright!


--Brogan Orthodontics

Kids getting braces at a younger age

Braces were originally considered to be suited for teenagers. But these days, kids as old as seven are beginning their orthodontic treatment. Because preadolescent kids are usually not self-conscious, our friends at the American Association of Orthodontists, or AAO, say it could be a good idea to start early.

Experts, however, say it depends on the treatment required. Some children who get braces at an early age end up in a second phase of treatment, and end up having braces well into their teenage years despite starting young.

Consider this: despite the fact that early treatment can be costly and time-consuming, it is beneficial for other conditions, including Class III malocussions, or underbites. With other conditions, such as crooked or crowded teeth, early treatment might be necessary to protect your child from bullying or harassment.

Most orthodontic treatment begins between ages nine and 14, but there are no detailed statistics on preadolescents versus teenagers. The folks at AAO estimate most orthodontic treatment lasts from one to three years, with two years being the average. It’s important, however, that children be screened no later than age seven to assess what the best age for treatment is.

Hope this helps! Contact us if you have any questions!

--Brogan Orthodontics

Braces 101 with Brogan Orthodontics

Should you need to call Dr. Brogan in case you sustain any damage to your braces, we can help you more effectively if you can tell us exactly which piece is in trouble! Here’s a handy diagram and corresponding list of all the parts that make up your braces.



Elastic Tie: Tiny rubber band that fits around the bracket to hold the archwire in place.

Archwire: The main wire that acts as a track to guide the teeth along. It's changed periodically throughout treatment, as teeth move to their new positions.

Loop in Archwire: Frequently used for closing space left by an extraction. Many archwires don't have a loop.

Bracket: Small attachment that holds the archwire in place. Most often, a bracket is cemented directly onto the tooth's surface, eliminating the need for a band.

Headgear Tube: Round, hollow attachment on the back bands. The inner bow of the headgear fits into it.

Coil Spring: Fits between brackets and over archwire to open space between teeth.

Tie Wire: Fine wire that is twisted around the bracket to hold the archwire in place.

Band: A thin ring of metal fitted around a tooth and cemented in place. The band provides a way to attach the brackets to the tooth.

Hook: Welded or removable arm to which elastics (rubber bands) are attached.

Elastic (Rubber Band): Small rubber band that is hooked between different points on the appliance to provide pressure to move the teeth.

Hope this helps! Give us a call if you have any questions!

May is National Physical Fitness and Sports Month!

Did you know the month of May is designated National Physical Fitness and Sports Month? In 1983, President Ronald Reagan encouraged Americans to incorporate more activity into their lives, and the reminder is even more significant today as kids are distracted more and more by television, social networking and video games. Kids living an active lifestyle can improve their health, productivity and overall well being, and best of all? It doesn’t have to take a lot of time!

The U.S. Department of Health and Human Services has provided these public health guidelines for your reference. The guidelines call for children and teenagers to exercise one hour every day of moderate intensity physical activity (such as playing sports or brisk walking) or one hour and 15 minutes of vigorous activity (jogging, dancing and jumping rope).

At Brogan Orthodontics we always encourage our patients to stay fit by exercising or participating in sports. However, we want to remind you to always wear a mouth guard or other forms of facial protection when playing sports. To learn more about how often your child should exercise, we recommend you check out this series of helpful articles about kids and exercise, courtesy of our friends at KidsHealth.org.

More About Orthodontics From Brogan Orthodontics

There are so many questions about orthodontics that we never ask, so Dr. Brogan took some time to explain the most common concerns.

At what age should orthodontic treatment occur?

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age seven or earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander, Herbst, Facemask, headgear, or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients are adults.

How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?

Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment time on schedule.

Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires, you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers or wax can be provided to prevent discomfort.

Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give us a call at Brogan Orthodontics. We'd love to hear from you.

The importance of retainers, from Brogan Orthodontics

If you recently completed treatment at Brogan Orthodontics, we’d like to congratulate you! Now that your braces have been removed, Dr. Brogan will provide—or has provided you—with retainers. After braces are removed, teeth can shift out of position if they are not stabilized. Retainers provide that stabilization. They are designed to hold teeth in their corrected, ideal positions until the bones and gums adapt to the treatment changes. Wearing retainers exactly as instructed by Brogan Orthodontics is the best insurance that the treatment improvements last for a lifetime. Here are some things to remember when you receive your retainers:

* Wear your retainers full time, until the doctor instructs otherwise. Wearing your retainers at night ensures that your pearly whites won’t relapse.
* Take your retainers out when eating...and always put retainers in their case! (Most appliances are lost in school lunch rooms or restaurants.)
* Clean retainers thoroughly once a day with a toothbrush and only a small amount of toothpaste. Use warm but not hot water.
* When retainers are not in your mouth they should ALWAYS be in a retainer case.
* Retainers are breakable, so treat them with care. If retainers are lost or broken, give us a call immediately.
* Remove retainers when swimming or during any sporting activity in which the retainers could fall out and get broken or lost (cheerleading, basketball, etc.) or when you should be wearing a mouth guard (football, soccer, etc.).

We hope this helps! You can always contact our team if you have any questions!

Imagining your life with Invisalign® at Brogan Orthodontics

Are you wondering what Invisalign treatment is really like, and what effect it will have on your day-to-day activities? Will it slur your speech? Will people know you're in treatment? You're not alone in your concerns! Dr. Brogan and our team thought we’d share this list of questions and answers for anyone pondering Invisalign treatment at Brogan Orthodontics.

How exactly does Invisalign work?

Using 3-D computer imaging technology, Invisalign creates a series of custom-made, clear aligners exclusively for your teeth, based on the treatment plan that we specify for you. Each aligner moves teeth incrementally and is worn for about two weeks, then replaced by the next in the series until the final position is achieved.

Will I experience pain during treatment?

Most people experience temporary discomfort for a few days after a new aligner is placed. This feeling of pressure is normal and is a sign that Invisalign is working by sequentially moving your teeth to their final destination.

Can other people see that I'm in treatment?

One of the benefits of Invisalign is that the aligners are clear. You can straighten your teeth without anyone knowing.

Can I smoke during treatment?

We discourage smoking while wearing the aligners as they may become discolored.

Are there any foods I cannot eat while in treatment?

You can eat normally during the entire course of treatment. One of the advantages of Invisalign is that the aligners are removable. Simply take the aligners out before each meal, brush when you're finished eating, then reinsert the aligners afterward.

What about chewing gum?

We recommend removing your aligners for all meals and snacks, as gum and other chewy substances can stick to the aligners.

How often must I wear my aligners?

Aligners should be worn all day, except when eating, brushing, and flossing.

Will my speech be affected by the aligners?

As with any orthodontic treatment, aligners may temporarily affect your speech. If this does happen, your tongue will adjust within a day or two and your speech should return to normal.

How can I clean my aligners?

The best way to clean your aligners is by brushing and rinsing them in lukewarm water.

How often must I visit your office during treatment?

For most patients, visits every 4-6 weeks are frequent enough for us to determine that your treatment is progressing properly. Dr. Brogan will provide you with a specific schedule that supports your individual treatment plan.

What do you love about Brogan Orthodontics?

From your very first visit to Brogan Orthodontics, our team strives to provide superior treatment in a pleasant, friendly atmosphere. We thought we’d ask you, our wonderful patients: Have you been especially impressed by Dr. Brogan? Did our team go out of their way to make your day? Are you in love with your new smile?

Whether you’ve just come in for a consultation or your family has been visiting our office for years, we’d love to hear your feedback. Or, you can tell us by giving us a call!

Thank you!

What’s so special about an Orthodontist?

"Dentists, Orthodontists, they're all the same right?" We hear our patients asking this question as they wonder about the difference between an orthodontist and a dentist. Before becoming an orthodontist Dr. Brogan started out in dental school and earned a DMD (dental degree). After dental school however, Dr. Brogan decided he wanted to learn more about orthodontics, which is one of nine specialties within the dental field. So he stayed in school for a few more years and became an expert in orthodontics; which focuses on tooth and jaw alignment and bite problems like overbites and under bites.

Other dental specialties you may have heard of include endodontic (focusing on the soft tissue inside your teeth), periodontic (focusing on the gums and other tissues surrounding your teeth) and prosthodontic (focusing on restoring and replacing damaged teeth).

Isn't it nice to know there's a dental expert here to help you through any type of treatment your teeth, jaw and gums might need?

Meet Our Orthodontist

Dr. Brogan earned his B.S. at the University of Scranton in Scranton, PA, and his D.M.D. at the University of Pennsylvania in Philadelphia. He completed his Orthodontic Residency and Masters at Temple University School of Dentistry in Philadelphia. He continues to stay up-to-date with the latest in orthodontic technology by taking 40 hours of continuing education each year.

Dr. Brogan is a member of the Pennsylvania Association of Orthodontics, American Association of Orthodontics, Suburban Dental Study Club, Philadelphia County Dental Society, Montgomery County Dental Society, and Roxborough Area Study Group, and is also an Assistant Clinical Professor at the Department of Orthodontics at Temple School of Dentistry in Philadelphia.

Dr. Brogan is an Invisalign® Premier Provider, specializing in Invisalign and lingual braces, and has had numerous articles published in refereed journals. He has practiced in the Philadelphia area since 1999. Dr. Brogan and his staff strive to provide friendly and expert care using advanced technology, and treat patients as individuals by answering questions and concerns with understandable information. Our office respects that your time is valuable and tries to offer appointments that meet your needs.

A native of Havertown, PA, Dr. Brogan has lived in Blue Bell since 1997 with his wife, Lisa. They have three sons, Sam, Joey, and Michael. In his leisure time, Dr. Brogan likes to participate in sports with his kids, fly as a private pilot, fish, and play golf. He's involved in his community through organizations such as the Knights of Columbus, Cub Scouts, American Red Cross, and Habitat for Humanity.