Pediatric Dentist & Orthodontics in Pittsfield & Great Barrington, MA - Drs. Yarmosky, Yarmosky & Ballinger


Pediatric Orthodontics

Balance = Function = Heatlh = Esthetics

Interceptive Orthodontics   |   Early Orthodontics   |   Full Orthodontics

Our special training in pediatric orthodontics, combined with early childhood and adolescent development, make us especially suited to care for your child. We combine our medical expertise with an ability to inspire confidence that helps kids feel optimistic about their treatment.

We coordinate orthodontic care visits with preventive maintenance and general dental care. This saves you visits and lets us remove orthodontic wires for thorough cleaning and examination.

Dr. Louis and Dr. Steve are eager to answer any of your questions concerning this exciting treatment.

Orthodontics is the science of applying controlled physiologic forces to create balance
of the teeth, jaw, and skull.  That balance allows for proper function, which promotes
optimal health, and as a by-product enhanced esthetics.


In our practice, we have three goals for all of our orthodontic patients:

Well Balanced Esthetic Faces     Healthy Jaw Joints      Beautiful, Long Term Smiles

Well Balanced Esthetic Faces
Each child is a product of two gene pools; mom and dad. The genetic characteristics expressed can be any combination of small teeth, large teeth, narrow palate, wide palate, retruded lower jaw, protruded “Jay Leno” jaw, and so on. For example, tooth bulk greater than jaw length results in crowded, crooked teeth. Tooth bulk less than jaw length results in spaces between teeth.

Creating the proper structural balance for each individual child allows for proper function. You chew better, you talk better, the teeth last longer (because the biting forces are on the long axis of the teeth) and yes, you look better too. We don’t dictate how your child should look. We just achieve the balance and the esthetics follow naturally from there.

Healthy Jaw Joints
If the lower jaw is retruded into the base of the skull it can lead to headaches, neck aches, backaches, earaches, and so on. This condition is called Temporal Mandibular Joint Dysfunction, commonly known as TMJ. In our orthodontic treatment we give the lower jaw freedom of movement and freedom of growth and thus predispose to health of the jaw joint. If a child has TMJ symptoms already we can orthodontically reposture the lower jaw to help alleviate those symptoms.

Long Term Beautiful Smile
Many factors contribute to a beautiful smile. By guiding the teeth into a balanced functional occlusion we help assure that beautiful smile can last a lifetime. We cannot however, overcome inevitable forces of aging. Natural aging brings changes to our body, including our oral facial complex. This is why long term retention is needed to ensure that your child’s smile will be a gift that keeps on giving. Following active orthodontic movement, customized retainers will be provided to complete the treatment.

Timing of Treatment…When
Many people view “braces” from a 1960’s perspective when treatment was started around age 13 following the routine removal of permanent teeth. Over the last 45 years however, pediatric orthodontics has progressed and evolved towards the medical model; where any growth concern is intercepted and corrected early before the maturing bone and connective tissue has been “locked in”.

Many problems can be addressed in the primary dentition (all baby teeth) by helping the child stop potentially harmful oral habits at an age appropriate time. If habits such as aggressive pacifier use or thumb or finger sucking have caused malocclusion (imbalance of the teeth and jaws) we correct the imbalance to restore the child’s normal and healthy growth pattern. This is called Interceptive Orthodontics.

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Interceptive Orthodontics

Interceptive orthodontics now can help avoid a major investment later. Gently guiding a young child's facial growth and dental development will achieve a more balanced face, healthier jaw joints and a beautiful smile that will last a lifetime!

In the past orthodontic treatment was often postponed until after eruption of all the permanent teeth. We now know that many orthodontic problems are better treated earlier in childhood by utilizing the growth that takes place in younger children.

The American Association of Orthodontists recommends that every child have an orthodontic evaluation by age 7 or earlier if a problem is detected. Although treatment may not begin at this young age, child's dental development may be carefully monitored.  Early orthodontics gently creates room for crowded teeth by reshaping and developing the boney dental arch from a V shape to a more natural U shape. Because a young child's facial bones are much more "plastic" than that of an adolescent's, active treatment most often is completed in 12 months or less. Braces are followed by an easy-to-wear night-time retainer that actually guides the remaining permanent teeth into their proper place. Early orthodontics can truly create full wide smiles that can last a lifetime.
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Early Orthodontics

Early orthodontics uses children’s natural growth potential to develop room for crowded teeth, full wide smiles and well balanced, esthetic faces. As pediatric dental growth and development specialists, we have used early orthodontics to treat 7, 8, 9 year olds for almost three decades with excellent long-term results.

Dr. Tweed was often called the world’s greatest orthodontist in the 1950’s and 60’s. Near the end of his career he stressed the importance of treating mixed dentition (permanent and baby teeth).  He stated, “Knowledge will gradually replace harsh mechanics and, in the not too distant future, the vast majority of orthodontic treatment will be carried out in the mixed dentition period of growth and development and prior to the difficult age of adolescence.”  He made these remarks in 1963.

If you have a child between the ages of 6 and 10 years old, ask yourself these questions to see if early orthodontic care may benefit your child:

  • Are permanent teeth too big for the space available and/or are they crowded or overlapping?

  • Is there noticeable under-bite or over-bite?

  • Is there excessive spacing or protruding of the front teeth?

  • Does the jaw shift to the side when closing or is the smile crooked?

  • Is the lower jaw receded or is it too far forward?

  • Does your child avoid smiling or is he/she excessively self-conscious about his/her teeth?

  • Does your child have difficulty chewing food?

Phase I Treatment

Early orthodontics gently creates room for crowded teeth by reshaping and developing the bony dental arch from a V shape to a more natural U shape. Because a young child’s facial bones are much more “plastic” than that of an adolescent’s, active treatment most often is completed in 12 months or less. Braces are followed by an easy-to-wear nighttime retainer that actually guides the remaining permanent teeth into their proper place. Early orthodontics can truly create full wide smiles that can last a lifetime.

Phase II Treatment

In some cases a second phase of treatment is required if the remaining permanent teeth erupt in an unsatisfactory position. This can occur due to lack of retainer wear, unusual growth patterns, or genetically controlled tooth eruption patterns. Early treatment always makes this second phase of treatment easier and usually shorter in duration than the typical full treatment started later in development. Also if a second phase is needed we give you a dollar for dollar credit for the entire early orthodontic treatment.
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Full Orthodontics Treatment

Full Orthodontics is begun when all of the permanent teeth have erupted or are about to erupt. Our goal remains the obtain a well-balanced esthetic face, healthy jaw joints and a beautiful healthy smile.

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Orthodontic Frequently Asked Questions

What age should my child have an orthodontic evaluation?

Why is it important to have orthodontic treatment at a young age?

What Causes Crooked Teeth?   |   How Do Teeth Move?   |   Will It Hurt?


What age should my child have an orthodontic evaluation?

The American Association of Orthodontists (AAO) recommends an orthodontic screening for children by the age of 7 years. At age 7 the teeth and jaws are developed enough so that the dentist or orthodontist can see if there will be any serious bite problems in the future. Most of the time treatment is not necessary at age 7, but it gives the parents and dentist time to watch the development of the patient and decide on the best mode of treatment. When you have time on your side you can plan ahead and prevent the formation of serious problems.
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Why is it important to have orthodontic treatment at a young age?

Research has shown that serious orthodontic problems can be more easily corrected when the patient’s skeleton is still growing and flexible. By correcting the skeletal problems at a younger age we can prepare the mouth for the eventual eruption of the permanent teeth. If the permanent teeth have adequate space to erupt they will come in fairly straight. If the teeth erupt fairly straight their tendency to get crooked again after the braces come off is diminished significantly. After the permanent teeth have erupted, usually from age 12-14, complete braces are placed for final alignment and detailing of the bite. Thus the final stage of treatment is quicker and easier on the patient. This phase of treatment usually lasts from 12 - 18 month and is not started until all of the permanent teeth are erupted.

Doing orthodontic treatments in two steps provides excellent results often allowing the doctor to avoid removal of permanent teeth and jaw surgery. The treatment done when some of the baby teeth are still present is called Phase-1. The last part of treatment after all the permanent teeth have erupted is called Phase-2.
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What Causes Crooked Teeth?

Crowded teeth, thumb sucking, tongue thrusting, premature loss of baby teeth, a poor breathing airway caused by enlarged adenoids or tonsils can all contribute to poor tooth positioning. And then there are the hereditary factors. Extra teeth, large teeth, missing teeth, wide spacing, small jaws - all can be causes of crowded teeth.
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How Do Teeth Move?

Tooth movement is a natural response to light pressure over a period of time. Pressure is applied by using a variety of orthodontic hardware (appliances), the most common being a brace or bracket attached to the teeth and connected by an arch wire. Periodic changing of these arch wires puts pressure on the teeth. At different stages of treatment your child may wear a headgear, elastics, a positioner or a retainer. Most orthodontic appointments are scheduled 4 to 6 weeks apart to give the teeth time to move.
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Will It Hurt?

When teeth are first moved, discomfort may result. This usually lasts about 24 to 72 hours. Patients report a lessening of pain as the treatment progresses. Pain medicines such as acetaminophen (Tylenol) or ibuprofen (Advil) usually help relieve the pain.
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Diagnosis and Treatment

The Exam   |   Records   |   What to Expect  |   Before Leaving the Office

The following provides information about each of the steps necessary, starting with diagnosis and treatment plan and ending with your child's beautiful healthy smile.

The Exam

Another smiling face of Yarmosky Pediatric Dentistry

Every time we see your child for a Periodic Care Examination we complete a full orthodontic evaluation and monitor normal growth and development.

The exam consists of:

  • Checking the potential space for the teeth

  • The relationship of the jaws to each other

  • Tooth development, including the possibility of extra or missing teeth

  • The relationship of the dental arches to each other and to the face

  • Facial symmetry

We will discuss these findings with you and alert you to the possibility of future care as the bite develops.
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At Yarmosky Pediatric Dentistry your child’s occlusion and development is evaluated at each 6 month periodic dental exam. If we believe that your child will benefit from orthodontic care we will recommend orthodontic records be taken.

Orthodontic records consist of:

  • Growth and development x-ray and profile x-ray of the head, jaw and teeth

  • Photographs of the face and teeth

  • Impression for study models

  • Clinical observation

The doctor uses these records to create a special diagnosis and treatment plan for your child. A consultation appointment will be set up at this time approximately 2 weeks after the records are taken so the doctor can go over the results of the records and discuss treatment. You will have the opportunity to ask questions and discuss treatment options. The fee for treatment will also be discussed at the consultation visit.

Contact the Yarmosky Team today to schedule your next appointment.  After the consultation appointments will be scheduled to begin treatment and payment options will again be discussed at that time. We ask that payment be completed before treatment ends. We will be happy to discuss your individual needs and make the process painless for everyone.
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What to Expect

Before the braces are placed, spacers are inserted to make space between the teeth that will have orthodontic bands. Orthodontic bands go around the large back molars like a ring on a finger. Spacers are usually placed about one week before the braces are applied to the teeth.

After the initial placement of the braces, your lips will feel like they are sticking out. Your lips and cheeks will have to become accustomed to your new hardware, and use of orthodontic wax will help lessen the irritation until you ‘toughen” these tissues. Our office will supply you with more wax if necessary or it can be purchased at a drug store.

Slight discomfort of the teeth will begin in a few hours after braces are placed. The discomfort mimics a pressure sensation or a dull ache. You should not feel anything sharp. The teeth may become slightly mobile, since they are already moving into their new corrected position. Discomfort of the teeth can dissipate within one day, or last up to one week. Exactly when the discomfort subsides is impossible to predict and differs with each patient, although most report relief within 2-3 days.

A soft diet is recommended during these initial days, such Jell-O, soups, soft casseroles, etc., until you feel more comfortable. Small bites and chewing on back teeth may also help. Nonprescription pain remedies such as Advil, Tylenol, or generic equivalents are recommended for discomfort. If the patient can tolerate these medications, as much as 2 to 3 times the dosage can be administered to acquire more of prescription strength. For maximum effectiveness, it may be advisable to take such medications before discomfort begins.

Occasionally, you may have an orthodontic emergency that may consist of a loose bracket, bent or broken wire, or breakage due to trauma. Please call the office if you experience any problem with the appliances and we will see you as soon as possible to fix the situation.
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Before Leaving the Office

Always schedule your next appointment before leaving the Yarmosky office.  There are routine steps that we ask you to take prior to leaving the office.  These steps will minimize the discomfort related to irritation from the braces and ensure optimal response to treatment.

Please make these steps a part of each visit before leaving:

  • Use your finger or tongue to check that the wire ends do not extend into areas which might irritate or abrade soft tissue in the mouth.

  • Make sure you understand what you are to do until your next visit. This may include wearing headgear or elastic rubber bands as instructed, activating an expander or following specific hygiene or other instructions.

  • Make sure you have an adequate supply of orthodontic wax, special cleaning aids, rubber bands or other related materials you may need between appointments.

  • Always schedule your next appointment before leaving the office. Postponing appointments is a common contributor to extending treatment.

  • Make sure that your questions about treatment are answered. Treatment goes better when everyone understands the treatment process.

We encourage parents to accompany children to their appointments, allowing the opportunity to update you on treatment progress.
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Getting to Know your Braces

Braces consist of orthodontic bands, brackets, o-rings, wires and rubber bands. Bands are placed on the molar teeth to withstand the heavy forces related to chewing. Brackets are small metal squares that are bonded to the fronts of the remaining teeth and hold the wire that will move the teeth. O-rings are small elastics that attach the wire to the brackets. They come in a variety of colors and can be changed at each visit. Wires vary in size and shape and are used in a progressive manner as the teeth assume their new corrected position. Some wires have built in hooks that allow the placement of the rubber bands. Rubber bands or elastics are used during orthodontic treatment to help move the teeth and align the bite. When rubber bands are not worn as prescribed the teeth do not move and the treatment takes longer to complete.

In some cases additional appliances are necessary such as expanders, headgear, fixed jaw repositioners and bite blocks. Sometimes removable functional appliances are used to stimulate growth and reposition the jaw. Every case is individually diagnosed and treated with the appropriate appliances in order to achieve optimal results.

Orthodontic Terms

Arch Wire  /  Brackets  Band & Loop (B&L)  Elastics (Rubber Bands) 
Functional Appliances  /  Headgear  /  Herbst  /  Lower Lingual Arch (LLA)
 Malocclusion  Occlusion  /   Openbite  /  Overbite  /  Overjet
O rings  / Palatal Widening Appliance  /  Retainers  /  Separator

Arch Wire

The part of your braces which actually moves the teeth. The arch wire is attached to the brackets by small elastic donuts or ligature wires. Arch Wires are changed throughout the treatment. Each change brings you closer to the ideal tooth position.
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Brackets are the “Braces” or small attachments that are bonded directly to the tooth surface. The brackets are the part of your braces to which the dentist or assistant attaches the arch wire.

Occasionally, a bracket may come loose and become an irritation to your mouth. You can remove the loose bracket and save it in an envelope to bring to the office. Call the office as soon as possible and make an appointment to re-glue the bracket.
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Band & Loop (B&L)

A Band & Loop is routinely used to hold space for a missing primary (baby) posterior (back) tooth until the permanent tooth can grown in.

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Elastics (Rubber Bands)

At some time during treatment, it will be necessary to wear elastics to coordinate the upper and lower teeth and perfect the bite. Once teeth begin to move in response to elastics, they move rapidly and comfortably. If elastics (rubber bands) are worn intermittently, they will continually "shock" the teeth and cause more soreness. When elastics are worn one day and left off the next, treatment slows to a standstill or stops. Sore teeth between appointments usually indicate improper wear of headgear or elastics or inadequate hygiene. Wear your elastics correctly, attaching them as you were told. Wear elastics all the time, unless otherwise directed. Take your elastics off while brushing. Change elastics as directed, usually once or twice a day.
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Functional Appliances

These are used to help modify the growth of the jaws in children. The theory behind their action is that if you hold a jaw in a specific position long enough, that it will grow into that position. What you usually get is a combination of a little jaw growth with a lot of tooth movement. These are not universally accepted, as they do not always work.

The first of these appliances were removable and are still very popular. They are made of plastic and wire. Some of their names are Frankel, Bionator, and Twin-block. A different style is actually fixed to the teeth and uses a spring action to hold the jaw into position. These have names like Herbst and Jasper Jumper.
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Often called a “night brace”. The headgear is used to correct a protrusion of the upper or lower jaw. It works by inhibiting the upper jaw from growing forward, or the downward growth of the upper jaw or even by encouraging teeth to move forward, if that is the case.
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Another appliance designed to encourage the lower jaw to grow forward and “catch up” to upper jaw growth.

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Lower Lingual Arch (LLA)

A lower lingual arch is a space maintainer for the lower teeth. It maintains the molars where they are, it does not move them. This is fabricated by placing bands on the molars and connecting them to a wire that fits up against the inside of the lower teeth. It keeps the molars from migrating forward and prevents them from blocking off the space of teeth that develop later. This is used when you have the early loss of baby teeth or when you have lower teeth that are slightly crowded in a growing child and you do not want to remove any permanent teeth to correct the crowding.
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Poor positioning of the teeth.

Types of Malocclusion:

Class I
A Malocclusion where the bite is OK (the top teeth line up with the bottom teeth) but the teeth are crooked, crowded or turned.
Class II
A Malocclusion where the upper teeth stick out past the lower teeth. 
Class III
A Malocclusion where the lower teeth stick out past the upper teeth. This is also called an "underbite".


The alignment and spacing of your upper and lower teeth when you bite down.

Types of Occlusion:

Openbite - Anterior opening between upper and lower teeth.

Overbite - Vertical overlapping of the upper teeth over the lower.

Overjet - Horizontal projection of the upper teeth beyond the lower.

Crossbite - When top teeth bite inside the lower teeth. It can occur with the front  teeth or back teeth.

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O rings

O rings, also called A-lastics, are little rings used to attach the arch wire to the brackets. These rings come in standard gray or clear, but also come in a wide variety of colors to make braces more fun. A-lastics are changed at every appointment to maintain good attachment of the arch wire to the bracket, enabling our patients to enjoy many different color schemes throughout treatment.
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Palatal Widening Appliance

An appliance which is placed in the roof of the mouth to widen the upper dental arch. The maxilla, or upper dental arch, is joined in the center by a joint, which allows it to be painlessly separated and spread. Temporarily you may see a space develop between the upper two front teeth. This will slowly go away in a few days. Once this has occurred, the two halves knit back together and new bone fills in the space.

Care of appliance: Brush as usual. Brush the appliance and roof of the mouth thoroughly. Rinse often to clean any food lodged between the arch and appliance.
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At the completion of the active phase of orthodontic treatment, braces are removed and removable appliances called retainers are placed. To retain means to hold. Teeth must be retained or held in their new positions while the tissues, meaning the bone, elastic membranes around the roots, the gums, tongue and lips have adapted themselves to the new tooth positions. Teeth can move if they are not retained. It is extremely important to wear your retainers as directed!
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A plastic or rubber donut piece which the dentist uses to create space between your teeth for bands.



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Orthodontic Care

Braces Care   |   Hygiene    Appliance Care   |   Elastics Care   |   Proper Diet

Braces Care

You will be shown the proper care of your braces when your orthodontic treatment begins. Proper cleansing of your mouth is necessary every time you eat. Teeth with braces are harder to clean, and trap food very easily. If food is left lodged on the brackets and wires, it can cause unsightly etching of the enamel on your teeth. Your most important job is to keep your mouth clean. If food is allowed to collect, the symptoms of gum disease will show in your mouth. The gums will swell and bleed and the pressure from the disease will slow down tooth movement.


These steps will eliminate cavities, decalcification, and gum problems throughout treatment. Please use them and your orthodontic treatment will be more comfortable. If you should need a toothbrush, travel toothbrush, or proxabrush at any time during active treatment, simply ask a member of our staff to replenish your supplies.

1.  Oral Hygiene and Tooth Cleaning (Not Just Brushing): As you eat, your teeth and gums collect food. If this food isn’t removed after each meal, plaque forms and can act as a food source for the bacteria in your mouth. This will lead to:

  • Cavities (tooth decay) and decalcification (white makings on your teeth)

  • Gum Disease, which is seen as swollen, red and bleeding gums.

It is easy to care for your braces and gums, and in so doing, these problems can be avoided by proper care. Also, if your gums are swollen and inflamed, you can experience more discomfort during treatment.

2. Proper Use of Your Soft-Bristled Orthodontic Brush: One of the most effective ways to reduce plaque build-up is by careful cleaning of your teeth with your toothbrush after meals and before bedtime. Examine your teeth for plaque build-up and thoroughly clean all surfaces of the braces. Re-examine your teeth to make sure all visible plaque has been removed. Repeat this step as often as needed to assure no visible plaque remains. Be sure to clean your teeth at school after meals too!

  1. Brush back and forth across……between the wires and gums on the upper and lower to loosen any food particles.

  2. Next, brush correctly as if you had no brackets or appliances on.

  3. Start on the outside of the uppers with the bristles at a 45 degree angle toward the gum and scrub with a circular motion two or three teeth at a time using ten strokes, then move on.

  4. Next, do the same on the inner surface of the upper teeth.

  5. Then, go to the lower teeth and repeat steps A & B.

Look in a mirror to see if you have missed any places. Your teeth, brackets and wires should be free of any food particles and plaque.

Note: If your gums bleed when brushing, do not avoid brushing, but rather continue stimulating the area with the bristles. Be sure to angle your toothbrush so that the area under your gum line is cleaned.  After 3 or 4 days of proper brushing, the bleeding should stop and your gums should be healthy again.

3. Dental Floss: Flossing is still necessary when wearing braces.  Although slightly more time consuming, dental floss may be used with the aid of a floss-threader which may be purchased at the pharmacy. Ideally your teeth should be flossed one time each day before bedtime.

4. Proxybrush: A proxybrush was designed so you could effectively remove plaque from around the gum line, under the braces and between your teeth. It works well and should be used each day before bedtime.

5. Clean the Danger Zone: Extra care must be taken in the area between your gums and the braces.  We call this the “danger zone”.  Food and plaque that collects around your braces and wires can cause stains and cavities as well as unpleasant odors, so be sure to keep your teeth clean. Brush after each meal.  Take your time and do it right. An electric or ultrasonic toothbrush such as Sonicare or Interplak is fine and so is a Water-Pik appliance if used on the lowest pressure setting, so as not to damage the gum.

6. Regular 6 Month Periodic Care Visit: We will coordinate and combine regular 6 month Periodic Care Visits (comprehensive exam, cleaning and fluoride treatment) with your child’s regular monthly visit.
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Appliance Care

Clean the retainer by brushing with toothpaste. If you are wearing a lower fixed retainer be extra careful to brush the wire and the inside of the lower teeth. Always bring your retainer to each appointment. Avoid flipping the retainer with your tongue, this can cause damage to your teeth. Place the retainer in the plastic case when it is re-moved from your mouth. Never wrap the retainer in a paper napkin or tissue, someone may throw it away. Don't put it in your pocket or you may break or lose it. Excessive heat will warp and ruin the retainer.
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Elastics Care

If elastics (rubber bands) are worn intermittently, they will continually "shock" the teeth and cause more soreness. Sore teeth between appointments usually indicate improper wear of headgear or elastics or inadequate hygiene. Wear your elastics correctly, attaching them as you were told. Wear elastics all the time, unless otherwise directed. Take your elastics off while brushing. Change elastics as directed, usually once or twice a day.
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Proper Diet

Avoid Sticky Foods such as:  
Caramels Skittles
Candy bars with caramel Starbursts
Fruit Roll-Ups Toffee
Gum Gummy Bears
Candy or caramel apples  
Avoid Hard or Tough Foods such as:
Pizza Crust Ice cubes
Nuts Bagels
Hard Candy Popcorn Kernels
Corn Chips  
Cut the following foods into small pieces and chew with the back teeth:
Apples Pears
Carrots Celery
Corn on the Cob Chicken wings
Pizza Spare Ribs
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Orthodontic Emergencies or Problems

Loose Bracket   |   Poking Wire   |   Wire out of Back Brace 
Poking Elastic (Rubber Band) Hook   |   Sore Teeth

Please feel free to contact the office if you are experiencing any discomfort or if you have any questions. Below are a few simple steps that might help if you are unable to contact us or if you need a “quick fix”.
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Loose Bracket

Occasionally, a glued bracket may come loose. You can remove the loose bracket and save it in an envelope to bring to the office or leave it where it is, if it is not causing any irritation. Call the office as soon as possible in order for us to allow time to re-glue the bracket.
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Poking Wire

If a wire is poking your gums or cheek there are several things you can try until you can get to the office for an appointment. First try a ball of wax on the wire that is causing the irritation. You may also try using a nail clipper or cuticle cutter to cut the extra piece of wire that is sticking out. Sometimes, a poking wire can be safely turned down so that it no longer causes discomfort. To do this you may use a pencil eraser, or some other smooth object, and tuck the offending wire back out of the way.
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Wire out of Back Brace

Please be careful to avoid hard or sticky foods that may bend the wire or cause it to come out of the back brace. If this does happen, you may use needle nose pliers or tweezers to put the wire back into the hole in the back brace. If you are unable to do this, you may clip the wire to ease the discomfort. Please call the office as soon as possible to schedule an appointment to replace the wire.
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Poking Elastic (Rubber Band) Hook

Some brackets have small hooks on them for elastic wear. These hooks can occasionally become irritating to the lips or cheeks. If this happens, you may either use a pencil eraser to carefully push the hook in, or you  can place a ball of wax on the hook to make the area feel smooth.
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Sore Teeth

You may be experiencing some discomfort after beginning treatment or at the change of wires or adjusting of appliances. This is normal and should diminish within 24-72 hours. A few suggestions to help with the discomfort:

  1. Rinse with warm water, eat a soft diet, take acetaminophen (Tylenol) or ibuprofen (Advil) as directed on the bottle.

  2. Chewing on the sore teeth may be sorer in the short term but feel better faster.

  3. If pain persists more than a few days, call our office.


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