Our Blog

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. Frech 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. Frech, please give our team at Wichita Falls Orthodontics a call at our convenient Wichita Falls, TX office.

It’s no easy feat to have one of the best smiles in Hollywood. The reality TV starlet Kristin Cavallari attributes her gorgeous smile to routine oral hygiene, the removal of two impacted wisdom teeth, and having undergone orthodontic treatment. Kristin’s treatment began in sixth grade when she was fitted with a device Dr. Frech and our team call a palatal expander, which is used to guide upper jaw growth in our younger patients.

What is a palatal expander?

A palatal expander “expands” (or widens) your upper jaw by applying gentle pressure on your upper molars, and is used to make the bottom and upper teeth fit together better. In addition, palatal expanders work to create more room for teeth, as well as promote a broader, more appealing smile.

Do palatal expanders hurt?

Palatal expanders are usually not painful, however you may experience difficulty speaking and swallowing for the first few days. Adjusting your palatal expander as instructed by Dr. Frech will ensure there are no delays in regards to your treatment plan.

Typically, it takes a few weeks to achieve the desired amount of expansion, after which you will keep wearing your expander for about six months, giving time for the new bone to form and stabilize. Dr. Frech and our team at Wichita Falls Orthodontics will give you detailed instructions about how to adjust your appliance and can answer any questions you may have about your palatal expander.

If you have any questions about your palatal expander or your treatment plan with Dr. Frech, please give us a call at our Wichita Falls, TX office!

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Dr. Frech and our team recommend the following to kick your nail biting habit:

• Keep your nails trimmed short; you’ll have less of a nail to bite.
• Coat your nails with a bitter-tasting nail polish.
• Ask us about obtaining a mouthguard, which can help prevent nail biting.
• Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
• Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
• If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Dr. Frech and our team for a recommendation.

Many of our patients at Wichita Falls Orthodontics ask us about indirect bonding, a method of applying brackets for braces to the teeth in such a manner that an entire set of braces can be applied, including expanders, in less than an hour. Until now, braces were placed on each individual tooth, one at a time. The procedure required meticulous, long, painstaking sessions for both patient and doctor, to ensure each bracket was in the correct position, especially in the back of the mouth.

Indirect bonding process

Indirect bonding is a technique in which molds of the teeth are made, and most of the work for the braces is done in the lab. It is a remarkable process that depends on our ability to make particularly accurate models of your teeth. Much detail goes into the accurate measurement and alignment of the model, since your mouth is naturally unique to you.

The brackets for the braces are placed on the models of the teeth, exactly in the right place, fitted into the trays made on the model, and sealed and cured.

Setting the braces

When you come to our Wichita Falls, TX office to have your braces fitted, the trays, made from your own teeth models, have been completed with the braces built into them. All that remains is a short sitting to fit the trays onto your teeth, align them, and separate the braces from the trays.

Your own teeth will have to undergo some preparatory work in order to accept the braces. This involves preparing the surface of the teeth for the adhesive for the braces, as well as preparing the surfaces of any crowns. You will also have a short period to wait while the adhesive cures, once the braces are in place.

All the other work that would traditionally have been done in the orthodontist’s chair has been done on the models, and by the time the orthodontist sees you for the second sitting, your braces are exactly aligned to your teeth, set in place, and the wires placed.

Adjustments to your braces

You will be seen approximately every six to 14 weeks. When needed, adjustments will be made to the wires that run through the braces. In this way, indirect bonded braces are very much like traditional braces. You’ll also need to follow a diet free of sticky, chewy, or crunchy foods, because they can damage your braces. If you have any questions about the potential for indirect bonding for your braces, please give us a call at our convenient Wichita Falls, TX office or ask Dr. Frech during your next visit!