Friday, February 9, 2018

Invisalign Growing in Popularity – Peer Pressure and Your Teen’s Smile

Invisalign has changed how adults and teens achieve their Spectacular Smiles. We are among the nation’s top providers of Invisalign –Dr. Gellerman is a top 1% national provider recognized by Invisalign – but there are some patients whose smiles will need braces.

That’s not easy for teens to hear, when all of their friends are enjoying the benefits of Invisalign.
In some cases, these teens would have benefited if they had an orthodontic evaluation around age 7, when the orthodontist may have recommended a treatment like a palate expander that would have given their teeth more room on their jaws.

In other cases, early treatment could have mitigated extreme overbites or underbites.
If your teen isn’t a good candidate for one kind of orthodontic treatment, there will be another kind that will work to give them a Spectacular Smile. The critical piece is that they are seen by an orthodontist like Dr. Gellerman, who is a board certified orthodontist.

If the wrong treatment is used, or if the trays are not properly and accurately measured and designed, there could be serious problems, like loss of bone in the jaw or loss of teeth.

Also it is important for teens to understand that wearing tray retainers requires their cooperation. They need to keep their teeth and the aligners clean to avoid tooth decay.  Unless the aligners are cleaned following instructions, they create a terrific environment for bacteria to grow –and that bacteria will end up on the teeth, leading to dental decay.

Dr. Gellerman will give you or your teen a complete examination, including digital images, and an informed decision about the best treatment option. Remember that a trained orthodontist has access to many different types of treatment, versus a general dentist who only offers one treatment.

Thursday, August 10, 2017

What is a Palatal Expander?

A palatal expander is exactly what it sounds like – an orthodontic device that expands the palate.  The palate expander puts gentle outward pressure on the upper molars in the back of the jaw. Very gently and over time, the size of the palatal expander is made bigger and the palate and the upper jaw bone become wider.
Every child should have an orthodontic examination by the time they are 7, and part of this exam is so that the palate and the overall structure, size and shape of the oral cavity and nasal floor can be measured. Once the doctor has conducted this examination, an informed decision can be made about whether or not the child needs early treatment. The use of a palate expander can eliminate the need for tooth extraction later on, which may occur if the jaw is not big enough to accommodate all of the child’s adult teeth.
There is a limited window of time when the palatal expander can be used, and that is why the examination by age 7 is so important.
If the palate is not big enough, and if mid-palatal suture has fused, palatal expansion may require surgery. An oral-maxiofacial surgeon inserts an expander into the mid-palatal suture, the location where the two halves of the palate meet. These are normally separated, but if they fuse together, this is the only way to spread them apart.
The use of palatal expander appliances have become increasingly common as a good alternative to this surgery or the practice of extracting teeth before braces can be used to straighten teeth.
Palatal expanders also increase the width of the nasal floor as they expand the width of the upper arch of the jaw. For young patients, a palate expander increases airway volume and prevents sleep apnea.

If you have questions, please call the office at 631-427-8444 and we’ll be happy to set up a free consultation for your child, including a free examination.

Friday, August 4, 2017

Are You And Your Braces Going On Vacation?

Here’s what you need to know if you and your braces are going on vacation this summer:

The most common way to lose your retainer is to put it in a napkin when you are eating out, and it happens so often during vacations! Bring an extra retainer case – just ask for one at the front desk – so you never ever put your retainer in anything but your mouth and the case!

Traveling is a time when regular routines go out the window – that’s part of the fun of a vacation. But you still have to take good care of your teeth and your braces. If you can’t brush after every meal, at least rinse your mouth with clear water. Try to floss at least daily.

Bring an emergency kit, and if you are running low on supplies, just ask us – you’ll want lots of wax, a bite wafer, a small mirror so you can get a close look, floss threaders or floss and lip balm. Don’t forget a spare toothbrush and mouthwash. A pop up folding cup is a nice addition!

If you have a problem, like a wire that moves or a bracket that comes loose, call our office and we’ll figure out an action plan. We do have a network of excellent orthodontists that we can reach out to if you are very far away. And we’ll set up an appointment so that there won’t be any delay when you do return home.

If you are using Invisalign aligner traysDr. Gellerman , it’s a good idea to bring the last tray or the next tray with you, just in case you lose a tray. Remember not to put your trays in a napkin or tissue!

Most of all, remember vacations are all about fun – have a great time and send us a photo of your Spectacular Smile on vacation! 

Thursday, July 20, 2017

Getting Ready For College – Start Invisalign Before You Go

Congratulations to graduates who are heading off to college this fall! It seems like you’ll never finish packing and planning, but before you know it, you’ll be waking up in a dorm room in this next exciting phase of your life. If you have always wanted a Spectacular Smile, good news: you can start on your new smile during the summer and easily continue treatment while you are away at school with Invisalign.

The same look that worked for you in high school may not suit you now–and you have a whole new group of people to meet. If you’ve got an awkward smile and you’re uncomfortable with how your teeth look, Invisalign is a perfect solution.

You can start treatment with Invisalign before you go away and bring the aligner trays with you when you leave for college. You’ll keep making progress while you’re at school and need to check in with Dr. Gellerman when you return on breaks.

You’ll still look your best when going to classes, getting involved with school activities and expanding your horizons. All the while, your teeth will be moving to the perfect position. Want to know more? Call Gellerman Orthodontics at 631-427-8444 and schedule your free consultation today!

Friday, July 7, 2017


WOW – this summer Gellerman Orthodontics celebrates 1,000 patients who have started treatment with Invisalign® clear aligners! Did you know that Dr. Gellerman is recognized by Invisalign as one of its top 1% providers nationwide?

We’ve worked hard to achieve this high level of performance and we’re proud of it!

Why are our patients so happy with their Invisalign smiles?

Dr. Gellerman and our entire team have more training than most Invisalign providers. We’re not just going for a weekend certification course! At least once a month, we attend Continuing Education courses and Study Groups on Invisalign. We keep up to date with all of the latest in technology and treatments so that our patients get the best possible care.

Our training and years of experience shows when our patients smile!

What’s behind the growing popularity of Invisalign at Gellerman Orthodontics? For teens, Invisalign is easy to live with, and because so many of their friends are also having treatment with Invisalign, they are already familiar with how the aligner trays work. They also like being able to remove the trays to brush and floss.

Adults like Invisalign because it lets them smile without feeling self-conscious. Brides and grooms opt for Invisalign so that their engagement and wedding photos are picture perfect. People who are in the public eye—at meetings, speaking, or being in front of the camera—like knowing that their smiles are improving every day, without anyone knowing.

If you want a great smile this summer, talk with Dr. Gellerman about Invisalign today and join the 1,000+ Invisalign patients. They're smiling because of Dr. Gellerman and Invisalign--a great team!

Learn more about Invisalign – call the office today at 631-427-8444 for a FREE consultation and exam.

Tuesday, June 20, 2017


Are you packing for camp this month?  If you wear braces, don’t forget to pack everything you need to take care of your Spectacular Smile!   Here’s a list of what you need to bring:

  • Extra wax, floss and spare toothbrushes
  • Mouth guards – and remember to wear them for sports
  • Extra retainer cases – remember the most common way to lose a retainer is to put it into a napkin.  

If a wire or band breaks or becomes loose while you are away at camp, use the back of a spoon or the eraser on a pencil to gently press the wire back under the archwire.

You can use wax or a piece of wet cotton as a buffer between the wire and your mouth if the inside of your mouth feels irritated.

Remember not to eat foods that are hard to chew and follow the same instructions at camp that you do at home.

If you have any questions or concerns, just call the office 631-427-8444.  
And have a great summer!!

Wednesday, June 7, 2017


If you're a sports fan, you know that every now and then a player gets sidelined by a hit to the face. Lately, this has happened to a few basketball players who don't wear protective helmets but do face a tangle of arms and elbows. They leave the game and sit on the bench, surrounded by concerned coaches, and usually they are back in the game in a matter of minutes -- because they are wearing mouth guards!

Mouth guards are mouth savers! Student athletes wearing a high-quality custom fit mouthguard enjoy an extra layer of protection. The material in the mouth guard is designed to absorb the force of the blow to the face. This is Physics 101: if you get hit hard on the face, the force transfers from the thing you were hit with your face. Not fun!

When kids are wearing braces and they take a hit to the face, the force transfers to the braces and that can cause soft tissue damage, painful cuts and tears to the lip, gums and inside of the cheeks.  A mouth guard can minimize the damage.

Even kids who are not wearing braces need to wear a mouth guard. Having permanent teeth knocked out at a young age is life altering. If the tooth is not put back into the mouth in time, they'll have to deal with having false teeth for the rest of their lives. It's easily avoided—just by wearing a mouthguard.

At Gellerman Orthodontics, we think mouth guards are so important that we give them away for FREE - and these are not just the inexpensive mouth guards that you can pick up at the local sport store for a few dollars. These are high-tech materials that offer the protection possible!

If your student athlete doesn't have a good mouth guard, you are sending them out to play unprotected.

Call our office at 631-427-8444 for an appointment for a custom fit mouth guard. Coaches are encouraged to call and make appointments for the entire team. We're serious about mouth guards - we hope you are too!