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What's the difference between an orthodontist and a dentist?

March 3rd, 2021

Orthodontists and dentists both help patients improve their oral health, but in different ways. Dentistry is a broad medical specialty that deals with the teeth, gum, nerves, and jaw, while orthodontics is a specialty within dentistry that focuses on correcting bites, occlusion, and the straightness of teeth. One important difference is that all orthodontists like Dr. Neil Oliveira and Dr. Derek Wolkowicz are dentists, but not all dentists are licensed orthodontists.

How are they similar?

The main similarity between a dentist and orthodontist is that they both focus on oral care. An orthodontist can work in a dental office and provide the same care as a dentist. So in this respect, they are quite similar. They are both considered doctors, and deal with the teeth and gums.

How are they different?

There are more differences than similarities. An orthodontist requires additional schooling as a dental specialty; the situation is similar to a doctor who obtains additional schooling to become a surgeon. Another difference is that orthodontists specialize in helping patients with the alignment of their teeth, improving their bite, or fitting them for corrective braces and devices. If a patient has an overbite, a dentist will refer him or her to an orthodontist.

Dentists typically encourage good oral hygiene and provide services related to:

  • Tooth decay
  • Root canals
  • Gum disease
  • Crowns
  • Bridges
  • Veneers
  • Teeth whitening

Orthodontists are dentists that specialize in the alignment of teeth, and provide services related to:

  • Misaligned teeth
  • Crowded teeth
  • Overbite
  • Underbite

What an orthodontist can help with

Orthodontists help with crooked teeth, but they assist patients with other issues as well. These include overbites and underbites, crossbites, spaces between teeth, overcrowding of teeth, and the treatment of temporomandibular disorders (TMD). Additional problems with the jaw also need to be treated by an orthodontist.

While a dentist may be trained to provide orthodontic care in addition to extractions, TMJ treatments, and fillings, trusting your smile to an orthodontist can better balance the different procedures you require.

To learn more about the difference between dentists and orthodontists, or to schedule an initial consultation with Dr. Neil Oliveira and Dr. Derek Wolkowicz, please give our team at Orthodontic Specialists of Southeastern Massachusetts a call at our convenient New Bedford or Mattapoisett, MA office.

When is the best age to begin orthodontic treatment?

February 24th, 2021

Most parents know that routine dental care should begin during their child’s toddler years. And many assume they must wait until their child has all of his or her permanent teeth to visit Dr. Neil Oliveira and Dr. Derek Wolkowicz for an initial orthodontic consultation.

The ideal age for an orthodontic evaluation is age seven. At that age, your child will have a mixture of adult and baby teeth for Dr. Neil Oliveira and Dr. Derek Wolkowicz and our team at Orthodontic Specialists of Southeastern Massachusetts to make a determination about whether any problems are present. Typically the first molars have come in by the time your child turns seven, giving us an opportunity to check for malocclusion, also known as “bad bite.” Also, by the time your child reaches the age of seven, the incisors have begun to come in, and problems such as crowding, deep bites, and open bites can be detected.

When Dr. Neil Oliveira and Dr. Derek Wolkowicz and our team perform an evaluation on your child at an early age, you get one of two positive outcomes. Although treatment usually will not begin until one to five years after the initial evaluation, it’s still helpful in determining whether your child has any problems with the jaw and teeth early when they are still easy to treat. Earlier treatment can also cost less to correct a potential problem than delayed treatment.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene.

If your child is approaching age seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination at Orthodontic Specialists of Southeastern Massachusetts.

The Best Treats in the House

February 17th, 2021

You waited for this movie all year. You got your tickets early, and you’ve got the best seats in the theater. Whether you paid to see the latest action flick or the most romantic comedy in the history of romcoms, it’s not as nearly as much fun if the trip to the snack bar is a horror story. Perhaps Dr. Neil Oliveira and Dr. Derek Wolkowicz can help!

If you’re wearing traditional braces, the usual suspects, chewy, sticky, hard, and crunchy foods, are still off limits even when the lights go down. Let’s look at some alternative casting.

  • The Candy Counter

Licorice, caramels, taffy, and candy with nuts can make any film a disaster movie—and can make your next visit to our New Bedford or Mattapoisett, MA office an emergency one. Stick with soft chocolates, chocolates with creamy fillings, ice cream, and ice cream bars (without nuts or caramel, of course).

  • The Soda Fountain

Sodas won’t break your braces, but they will damage your teeth, so try to brush as soon as you can or rinse with water after enjoying one of those titanic servings. And no crunching on ice! That can damage your braces.

  • The Popcorn Machine

Sorry, we can’t help you here. Popcorn, with or without that tempting flood of melted butter, is off limits. The kernels can get lodged between your teeth and braces, and can be very hard to remove. They can also cause breakage to wires and brackets.

If you still crave something salty, check with us to see if soft pretzels or baked potato chips might be an option for you.

Movie treats contain a lot of starches and sugars, which stick to braces and feed cavity-causing bacteria, so it’s always best to go easy on the snacks. But you don’t have to give up the concession counter completely—just enjoy in moderation and be sure to brush thoroughly when you get home.

And if you wear clear aligners? You can remove your aligners, eat what you like, and clean your teeth carefully before replacing them. But do remember—you’re supposed to wear your aligners for a set number of hours each day. If you’re looking forward to a four-hour epic, make sure to take into account your treatment schedule.

We don’t know if your movie was worth the wait. But we do know that the results of your orthodontic treatment will be! Take care of your teeth and braces, and you’ll be on the fastest, healthiest track to an award-winning, red carpet smile.

Does Your Valentine Wear Braces?

February 10th, 2021

The Valentine shopping list is traditional and simple: Flowers. Candy. But if your Valentine is in braces this year, suddenly your choices become more complicated. No need to worry! Dr. Neil Oliveira and Dr. Derek Wolkowicz and our New Bedford or Mattapoisett, MA team have some sweet suggestions that are both braces-friendly and Valentine-approved.

First, let’s look at some options where Cupid’s arrow has missed the mark.

  • Caramels—these sticky treats are difficult to clean from orthodontic work, and sticky, chewy foods can even cause damage to wires and brackets.
  • Chocolate covered nuts—hard foods such as nuts can break or bend wires and brackets.
  • Assorted chocolates—a confectionary minefield! There are bound to be some caramels and nuts in there somewhere, hiding beneath an innocent coat of chocolate, just waiting to ruin your Valentine’s evening.
  • Other candies such as taffy, licorice, hard candy? No, no, and no. Remember, anything sticky, chewy, or hard is on the “Loves Me Not” list.

So, which chocolate treats won’t break hearts or braces?

  • Soft truffles—if it’s not Valentine’s Day without a be-ribboned box of chocolates, choose soft truffles to fill it.
  • Chocolate mousse—the perfect end to a romantic dinner.
  • Chocolate covered strawberries—it’s a special occasion treat that won’t mistreat braces.
  • Rich chocolate cake—always a delightful indulgence, and even better if it’s in the shape of a heart.

If your Valentine is not a chocolate fan, there are other sweet treats that are delicious alternatives.

  • Cheesecake can be topped with (pitted!) cherries to celebrate in holiday-appropriate color.
  • Soft heart-shaped cookies will be even more romantic with decorative icing—add your initials for a personal touch.
  • Select an array of frozen yogurt, ice cream, or gelato in different shades of pink.
  • Macarons also come in a variety of pink and red shades—but make sure this confection is on your Valentine’s braces-friendly list!

Of course, you can celebrate the day without sugary tributes. A single flower, watching your favorite movie together or, best of all, a heartfelt card or letter are all wonderful ways to show you care. But if it’s just not the same holiday without a sweet treat, try some of our suggestions. Your Valentine will appreciate your thoughtfulness.