Adult treatment – Invisalign and beyond

Adult treatment – Invisalign and beyond

As an adult, you decide that you want to have the beautiful smile you have always dreamed of. Maybe you missed out on braces as a child; perhaps your teeth looked fine for years, but have worsened over time; perhaps you had braces, but didn’t wear your retainers? Whatever the reason, let us show you how your smile can be improved.

First step – straighten crooked teeth
This is what we do at Invisible Braces. Using Invisible Braces (Invisalign) we can treat crowding, spacing, crossbites, overbites, overjets, open bites, etc.

Some before and after examples:orthodontists

On average, straightening teeth with Invisible Braces (Invisalign) takes 12-18 months. This is then followed by night-time wear of retainers to hold the teeth in their new positions.

For detailed information about Invisalign Invisible Braces, please visit our FAQ page.

What else can be done?
For many patients, that is all that is needed, but for some there is much more that can be done to make the resulting smile even better. Orthodontists do not work alone – we collaborate with the patient and their dentist to achieve the best result possible. It depends what you want.

Here are examples showing how dentistry can improve your smile, even if you now have straight teeth. These would usually be discussed at your initial consultation in our practice.

Yellowed teeth – can be bleached

Gum disease – needs periodontics

Worn/broken teeth – need repair

Calculus/tartar build-up – needs professional cleaning

1. Bleaching
A simple, safe way to improve the colour of stained or discoloured teeth. You can use your Invisalign Aligners or your retainers to bleach your teeth at home. Bleaching usually takes 1-2 weeks, and lasts 1-5 years between applications.

We can supply, and advise about bleaching products.

2. Gum disease
This is not a single problem, and can range from simple redness and swelling (gingivitis):

to severe periodontitis with bone loss, requiring specialist treatment by a periodontist:

This type of problem can be improved by grafting and other specialist techniques.

For detailed information read these articles from the U.S. National Library of Medicine or the Australian Dental Association (open in new windows).

3. Scaling
Hard deposits called ‘calculus’ form on most people’s teeth, especially around the lower incisors and the upper molars. These range in colour from whitish, to yellow, to black. They are normal – but must be removed.

Brushing will not remove or prevent the formation of calculus (tartar), nor will special toothpastes. Good oral hygiene will reduce the rate of calculus formation.

Once calculus/tartar is present, it needs to be removed professionally by your dentist or hygienist. Usually this will be done, as needed, at your regular dental check up, along with polishing to remove stains.

If left, the light coloured calculus that forms above the gums will lead to gingivitis, and the dark calculus below the gums will cause periodontitis. See Gum diseases above.

4. Cosmetic Dentistry
This is a topic which includes all the above treatments, plus veneers, crowns (caps), bridges, implants, bonding, reshaping, etc – in fact, everything that could be done to make your teeth look better.

It is not possible to cover all this, but here are a few examples.

Repairing worn or chipped teeth

The enamel on the outside of your teeth is very strong (the hardest part of the body) but it is brittle, like glass. Over time enamel can chip or wear down, especially if you grind your teeth or have a bad bite.

After your teeth are straight, your general dentist can smooth or repair these damaged areas with tooth coloured fillings, by bonding or filing.

Reshaping
Here, a small tooth, called a ‘peg lateral’, has been built up to the correct size with a veneer:

If you look closely, you will see that the larger tooth to the left has been smoothed down to improve its shape also.

Veneering
In this example, a discoloured, misshapen tooth has been veneered to improve its colour and shape.
The yellow/brown colour indicates a dead tooth – probably from trauma.

Non-vital bleaching

Sometimes bleaching alone is enough, but this has to be carried out by your dentist

Bleach is placed in the hole in the back of the dead tooth, where the nerve used to be.

5. Replace missing teeth
Missing teeth should be replaced for health as well as looks. Back teeth are essential for good chewing, better digestion, and healthy jaws and muscles. Front teeth are obviously important for aesthetics, but also contribute to good oral health.

There are several options to replace missing teeth, and these should be discussed with your general dentist, or a prosthodontist. Here is a simplified illustration showing two ways to replace a missing back tooth:

6. And beyond?
Beyond the realms of normal dentistry, there are other options to improve your smile, ranging from simple injections of cosmetic fillers or Botox, up to Plastic or Maxillo-Facial Surgery. As a specialist orthodontist these are not procedures we carry out, but we can advise you and provide recommendations or referrals.

For more information, the U.S. National Library of Medicine is a good place to start. Here are some other useful links:

American Association of Oral and Maxillofacial Surgeons

A pdf publication by the Australian Society of Orthodontists

General orthodontic information from the Australian Society of Orthodontists

and from the American Association of Orthodontists

and, finally, a blog about being an Invisalign patient, http://myinvisalignblog.com/about-me

A smile makeover can change the way you look at and to the world. Here are a few “celebrities” before and after.

But don’t overdo things, blindingly white teeth are not found in nature.

Now you know all about how to make a smile better, here is your homework. What can be done for this patient?

Don’t worry – he’s not a real patient. Just a professional photographic model!

Truck Accidents and Liability Issues – Who Pays

Truck Accidents and Liability Issues – Who Pays

Texas truck accident cases can seem very overwhelming because there is so much confusion over who is liable. personal injury attorneys

Is it the truck driver? The truck driver’s employer? Or some third party you are not even aware of?

Our experienced Texas injury attorneys can help you identify the responsible parties and prove your case.

Blood v. VH-1 Music First is a case arising from a car accident caused by a commercial truck. Dennis Hernandez (Hernandez) was a commercial truck driver for MTV Networks. While he was traveling northbound on I-57 in Illinois he approached traffic. In an attempt to avoid getting stuck in the traffic jam, Hernandez crossed the center median of the highway to get onto I-57 northbound. This u-turn on the highway caused a severe accident that left a four to five mile traffic jam starting where Hernandez made the u-turn causing the severe three car accident.

Four hours after the accident, traffic was still jammed because of the accident caused by the driver. Brothers Paul and David Blood (plaintiffs) were driving on I-57 in their vehicle when they approached the beginning of the traffic jam. Behind the blood car a T.E.A.M Logistics (Logistics) truck driven by Milinko Cukovic (Cukovic) came and smashed into the pack of the plaintiff’s car. This impact left David Blood seriously injured and Paul Blood deceased.

The Blood family filed personal injury lawsuits against Cukovic, and T.E.A.M Logistics. Logistics removed the case to federal court and entered a third-party complaint against Hernandez, MTV Networks and VH-1 Music First (Hernandez defendants). Logistics argued that because of the negligence of the Hernandez defendants which caused the first accident, the second accident occurred. The plaintiffs then added the Hernandez defendants in an amended complaint.

In order to prove a case for negligence, the plaintiff must prove by a preponderance of the evidence the four elements of negligence. The four elements of negligence are: the defendant had a specific duty of care; the defendant breached this duty of care; the defendant’s breach was the actual and proximate cause of the plaintiff’s injuries; and there are damages.

Upon hearing the case, the district court entered summary judgment for the Hernandez defendants. This district court found that the Hernandez defendants were not the proximate cause of the injuries the plaintiff’s sustained. The plaintiff’s appealed this case to the circuit court.

This court first analyzed the validity of the lower courts summary judgment. The only time summary judgment is appropriate is where the moving party shows the court that there is no dispute as to the material facts of the case. Therefore, where there is a factual dispute it is improper for the court to grant summary judgment. A factual dispute is where a reasonable jury hearing the case could decide for either party.

The court in this case acknowledged that it is undisputed that Hernandez had a duty and that this duty was breached by Hernandez. However, to prove a case for negligence the plaintiff must show causation. Therefore, to establish if there was a factual dispute in this case, the court must examine the requirements of proximate cause.

To prove proximate cause the plaintiff must prove that the defendant’s breach of duty was a substantial factor to the injuries the plaintiff suffered. Next, plaintiff must show that a reasonably prudent person would be able to foresee that as a result of their action, the plaintiff could sustain the type of injuries sustained.truck accident attorneys

Because plaintiffs could not show that Hernandez could have foreseen a car accident four hours after the time that he made the illegal u-turn, this court affirmed the summary judgment of the district court. Plaintiffs were therefore unable to collect damages from the Hernandez defendants. For more information visit this website

Unfortunately, automobile accidents are more common

Unfortunately, automobile accidents are more common

Unfortunately, automobile accidents are more common than you might think. In fact, in 2005 there were almost six and a half million auto accidents in the United States! More than 45,000 people were killed in those accidents and 2.9 million people were injured. That comes out to one death every thirteen minutes. The financial cost of those accidents is estimated to be more than 230 billion dollars.car accident attorney

Since auto collisions are so common, you may very well find yourself in the unfortunate position of being involved in an accident. If you are injured in the accident, you may want to hire a personal injury lawyer who is experienced in accident law.

A good car accident lawyer should be trained to sit down with you and listen to your case. It is important for your personal injury lawyer to pay attention all of the details that you provide him or her with in order to evaluate accident law it pertains to your specific case.

If your personal injury attorney advises you to settle your case, you should listen to him or her and hear the reasoning behind the suggestion, as applied to accident law. Its possible that you will disagrees with your lawyer after you listen to the reasoning.

Make sure that your decision has a basis in accident law, because that’s all that will matter in the courtroom. If you want to go to trial, your personal injury lawyer needs to know about that immediately so that they can further research the accident law involving your collision.

It is important, however, that you understand the nature of trials. Trials can be very time consuming and stressful. Additionally, your personal injury attorney will probably charge you for going to trial, and this type of representation could get very expensive, especially when dealing with accident law.

Your lawyer may be required to compile pieces of evidence that are time consuming to come up with. Such legal work could get very expensive very quickly, so make sure you are aware of your attorney’s fee structure so that you are 100% sure of your financial standings with him or her.truck accident attorneys

At the same time, if your attorney recommends that you go to trial, it is vital that you listen to his or her reasoning behind this decision as well. Often times a personal injury lawyer will want to go to trial in order to charge you more legal fee’s. Going to trial with no solid plan (which has accident law as its foundation) is a bad move. Make sure you communicate all of your concerns with your car accident attorney.

If you decide that you aren’t happy with your lawyer’s choice or their knowledge of accident law, you can hire another one.

However, make sure that your new personal injury lawyer has a strong background in accident law. Simply knowing accident law may not be enough; you should make sure that he or she has a ton of experience practicing accident law as well.

Organic First Page Rankings are your Lifeline

Organic First Page Rankings are your Lifeline

High organic search positions are very important for the success of a business. Creating a search engine campaign is not a just one-time process, it is something that must be monitored and maintained on a continual basis. Use the five tips below to help you maintain your rankings.seo san antonio

1. Think of your search engine positions as a stock portfolio.
There are many different factors to consider when optimizing your site for good search engine rankings. Usually, an upward trend is shown within the first few months of a new campaign. After a time, you’ll begin to notice some leveling-off. This is when you should monitor and protect your rankings with diligence, to prevent decline. As in your stock portfolio, don’t worry about short-term fluctuations, they are unavoidable. Measure and watch carefully your long-term fluctuations and trends. Compare each month with the last and note the changes. You must have in place a system to chart the overall performance on a monthly basis.

2. Keep a monthly measure of your search engine positions.
You may notice frequent changes in search engine scenery. Search engines oft-times tweak their algorithms, which can adversely or favorably affect your rankings. Also, data sets from the various “freshness” stages of search engines can also affect your rankings based on what is currently being used. Another factor is your competitors. They may be diligently monitoring their campaigns and keeping their sites optimized as well. Changes are inevitable but, being proactive can protect your investment.

3. Watch the popular engines closely.
Most traffic is funneled though the top search engines by popularity. But, be aware that lists of the top ten of search engines can fluctuate and change often. Search engines that were popular not too many years ago may not even make the list today. Keep apprised of the most recent trends in search engine popularity. Base your monitoring strategies on the current most popular engines and research their popularity often.

To get a recent listing of popular engines, visit: http://www.searchenginewatch.com/reports/netratings.html.

4. Keep an eye out for big losses on specific engines.
Although it’s common for there to be a variety of losses and gains in each month, large downward shifts in many or all of your rankings should be investigated. Spiders, programs that allow search engines to index web pages, may have encountered problems with your site. Examine any recent changes in your navigational structure or code as they may be to blame. Another reason might be a spider visiting your site when it was temporarily down. Huge shifts may also occur if a search engine decided to overhaul its algorithms; this may result in the need for extensive site restructuring. And lastly, you may see shifts due to search engines shifting alliances, an example of which is a recent switchover by Yahoo in displaying Google results. Determine the reason and then work to solve your issues.san antonio seo

5. Examine your keywords and phrases for popularity shifts.
If you’re in a unique and widely untapped niche, you might enjoy very nice page rankings. But, be aware, if your niche suddenly gets flooded with new competitors, this could increase the popularity of your keywords and phrases which would result in a loss of ranking. Be sure you show particular attention to your keywords and phrases as they are the building blocks to building a successful campaign.

These tips can help you protect your investment and maintain success in your business venture and marketing campaign. Take the advice and work diligently to maintain your site rankings. You’ll find that this will keep your business successful and you in profits for a long time to come.
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