Dr. Greg Jorgensen
(505) 891-9440
1401 Barbara Loop SE
Rio Rancho, NM 87124

The Jorgensen Orthodontics Blog

Archive for the ‘Early Treatment’ Category

What is the MARA Appliance?

Posted by Dr. Jorgensen on August 26th, 2016
What is the MARA Appliance?

The MARA appliance is one of many orthodontic devices that is designed to correct overbites (actually called overjet in the dental community).  The MARA (short for Mandibular Anterior Repositioning Device) is made by Allessee Orthodontics Laboratory in Sturtevant, Wisconsin. Because is it non-removable by the patient, it fits into the category of “fixed functional appliances.” Although there may be variations in design, the MARA appliance is basically a CAM system that requires a patient to position their lower jaw forward in order to bring their front teeth together. It is called a functional appliance because it requires the patient to…

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Should Braces Go On Before the Baby Teeth Are Gone?

Posted by Dr. Jorgensen on April 17th, 2016
Should Braces Go On Before the Baby Teeth Are Gone?

I’m a believer in two-phase treatment. I recommend two-phase treatment when young patients (usually 7 to 10 years old) have problems so severe that waiting until they are teenagers would make treatment more difficult, take longer, or leave them socially handicapped through their elementary and junior high years. But what about starting treatment in teenagers who still have baby teeth remaining? Do all baby teeth need to be gone before the second or comprehensive phase of treatment begins? One of the first things I look for in an initial orthodontic exam in teenagers is the presence of primary or baby…

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Does Tongue Thrusting Create Anterior Open Bites?

Posted by Dr. Jorgensen on March 24th, 2014
Does Tongue Thrusting Create Anterior Open Bites?

For years dentists have told patients that anterior open bites (bites where there is a gap between the upper and lower front teeth) are created when the tongue is pushed between the front teeth during swallowing. Although the tongue is one of the strongest and most active muscles in the body, does swallowing actually cause open bites? University research that measured the length of time the tongue actually contacts teeth during a swallow helped to bust this myth.  Researchers counted the number of times that patients swallow during a day and then timed the duration of a single swallow. By…

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Does My Child Need To Have Baby Teeth Removed?

Posted by Dr. Jorgensen on December 15th, 2013
Does My Child Need To Have Baby Teeth Removed?

One of the most common questions I get from parents in my office and on this blog is whether or not their child should have baby teeth removed. Most baby teeth (primary or “milk” teeth) fall out on their own. There are times however when having them removed by your dentist is not only necessary, but beneficial. Conversely, there are times when you should not have baby teeth removed. While I cannot diagnose your child’s problems online, here are some general guidelines to help you understand when removing primary teeth is appropriate. For a detailed explanation of when baby teeth…

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Can Orthodontic Expanders Be Used on the Lower Teeth to Avoid Extractions?

Posted by Dr. Jorgensen on April 13th, 2013
Can Orthodontic Expanders Be Used on the Lower Teeth to Avoid Extractions?

I don’t think I’ve ever had a patient excited about having teeth removed as part of orthodontic treatment. Nevertheless, there are some mouths that just don’t have enough room for all 32 teeth (in fact, if you count wisdom teeth, less than 15% of Americans keep all their teeth). Parents seem relieved when I offer the option of an expander in the upper arch as an alternative to extractions. Can expanders also be used in the lower arch? The anatomic feature in the upper arch that allows for the use of palatal expanders is the mid-palatal suture. In children younger…

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