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How Long Will I Wear My Braces?

June 25th, 2025

How long? Well, a beautiful smile is both science and art—proper teeth and jaw alignment united with aesthetically pleasing results. Orthodontists achieve both these outcomes with a careful analysis of any dental and facial problems, a treatment plan designed specifically for each patient’s needs, and adjustments through each phase of treatment to carefully bring about that beautiful smile.

And that’s a long way of saying, there’s no one, standard answer as to how long a patient will wear braces because there is no one, standard patient. Often, treatment takes from 18 to 24 months, but it can be months shorter or months longer depending on a variety of different circumstances.

  • Different Needs

Your orthodontic needs and goals will generally determine your treatment time. Some patients need only a bit of alignment, which can lead to a fairly short orthodontic experience. Some have malocclusions such as crossbites and open bites that require more complex and lengthy treatment.

And, while we used to think of orthodontics as a teenage rite of passage, that’s certainly no longer the case. Some children will need two-phase orthodontic treatment, where early procedures before the adult teeth even come in ease the way for any necessary second stage treatment when the permanent teeth arrive years later. And some adults will want orthodontic work later in life, where denser bone tissue might lead to (somewhat) longer treatment.

  • Different Appliances

Today’s orthodontics offers you many choices in appliances. Lingual braces are an almost invisible option, with brackets and wires on the inside of the teeth. Aligners use clear, custom molded trays to move the teeth into a better position with each new tray. Even traditional braces are smaller and sleeker today, with metal or less visible ceramic brackets. Depending on the orthodontic goals you want to achieve, there might be a small difference in the amount of time each appliance will take to get you to those goals. Talk to us about all your options and what they mean for treatment time.

  • Different Levels of Participation in the Process

This is one area you can make a real difference! If you follow our instructions for using your appliances most effectively, you’ll make progress as quickly as possible. If you have aligner trays, be sure to wear them for as long as directed each day. If you have rubber bands attached to brackets on your upper and lower teeth, wear them for as many hours as required, because these little bands are actually the tools that are moving your teeth into alignment. If you don’t wear your braces or aligners as directed, not much is going to happen, and certainly not on schedule.

Give our Vienna, VA & Great Falls VA office a call, and we can discuss your goals for creating your very best smile. Once we’ve decided on a treatment plan, Dr. Allen Garai & Dr. Karen Tratensek can give you a fairly good estimate as to how long your particular treatment will take. And, when you get to share that beautiful, healthy smile, the time you’ve spent achieving it will be well worth it!

 

Tips for Using Invisalign®

June 19th, 2025

More than one patient has come into our office and asked, “What can I do to help my teeth when wearing Invisalign?”

While everyone’s teeth and dental needs are different, there are certain things everyone can do to make wearing their Invisalign aligners a more rewarding experience. Always follow the list of instructions and tips from Dr. Allen Garai & Dr. Karen Tratensek, and add the following advice to your daily routine.

Always ask us about teeth whitening. Our team at Garai Orthodontic Specialist knows how important it is for you to keep your teeth white and stain-free from the foods and drinks you consume daily. If you have attachments to your teeth, they will not whiten properly. Ask our office about teeth whitening when wearing your aligners; it might be best to wait until your treatment is complete.

Continue flossing every day. You should be flossing in any case. But it can be easy to assume that Invisalign will protect your teeth from bacteria. This is not true. Bacteria can get behind the aligners and affect the health of your teeth and gums, so keep up with your flossing schedule.

Follow the 48-hour rule when wearing your aligners. When you insert every new set of aligners, you should leave them in as much as possible during the first 48 hours. Your teeth will move more during this timeframe, and the aligners do the most good during this time.

You may experience slight discomfort while wearing your Invisalign aligners. You can take a pain reliever to help with the discomfort, but if you experience too much pain, please give us a call at our convenient Vienna, VA & Great Falls VA office to schedule an appointment!

Celebrate Your Dad's Smile

June 12th, 2025

Father’s Day is coming up, and, just in case your dad has enough ties, we have some gifting suggestions for you. Here’s a selection of gifts large and small tailored to your dad’s interests and his dental health.

  • The Outdoor Dad

If your dad is happiest out camping, or his most relaxed at the lake fishing, or gets rid of stress with a 20-mile hike, help your dad stay happy, relaxed, and stress-free with an emergency dental kit for any unexpected problems which might crop up during his adventures.

You can find these lightweight kits in sporting stores and online. Supplies like cotton rolls, dental floss, oral pain relievers, a dental mirror, and even temporary fillings are included, because, as your dad no doubt told you, it’s always best to be prepared!

  • The High-Tech Dad

For the dad who’s first with the latest in smart phones and tablets, a new smart toothbrush might tick all the boxes.

Modern electric toothbrushes have plenty of options for the tech-savvy. They come with different settings for brushing and massaging. They can let your dad know if he’s brushed long enough (two minutes, please!), if he’s brushing too hard, or when the brush head needs to be retired. Smart models even link to apps, which can, among other things, map out any missed spots in his brushing coverage or suggest more effective brushing angles.

  • The Dad on the Go

With his active life, any gift which makes your dad’s busy schedule run more smoothly is a good thing—such as a portable kit filled with dental necessities.

A travel toothbrush, a small tube of his favorite toothpaste, a compact mirror, dental picks, dental floss, and a mini-bottle of mouthwash are great basics for a confident smile any time of day. Put everything in a sturdy lightweight travel bag. And don’t forget to include a pack of sugarless gum! Sugarless gum helps increase saliva flow (for better hydration) and decrease oral acidity (to help prevent enamel erosion).

  • The Dad with Gourmet Taste

If your dad has foodie tastes, a thoughtfully curated gift basket is a great idea for pleasing his palate and supporting his dental health.

Include items like cheeses, which are full of calcium and phosphorus for strong teeth. Fresh fruits provide vitamins for healthy teeth and gums. Nuts offer plenty of tooth-healthy minerals and vitamins, as well as packing a protein punch. For your dad’s sweet tooth, dark chocolate (at least 70% cacao) is a great source of antioxidants, iron, zinc, magnesium and other valuable minerals. It’s lower in sugar content, and some studies suggest that dark chocolate has cavity-fighting properties and supports gum health.

  • The Athletic Dad

He can deke the goalie, throw a perfect spiral, and hit those threes from downtown. Or, at the very least, he gives his favorite sport his best shot! If your dad has some of his happiest moments, win or lose, on the ice, the gridiron, the court, or any other sporty venue, consider a custom mouth guard to protect his winning smile.

Custom guards are more comfortable than store-bought options because they are molded to fit the user’s teeth and mouth precisely. This is especially helpful for those with dental work like braces or bridges. And, because the fit is custom, breathing and talking are easier.

  • The Picture-Perfect Dad

Your dad’s smiles light up family photos! And if he’s ever expressed an interest in lightening and brightening that beautiful smile, a professional whitening treatment might be a perfect gift.

Professional whitening at our Vienna, VA & Great Falls VA office is the most effective way to brighten teeth, with results which are generally faster and more long lasting than over-the-counter treatments. And it’s done with your dad’s dental health in mind, with a checkup to make sure his teeth are in perfect shape before whitening, and with protective measures in place for sensitive mouth and gum tissue.

Of course your dad will appreciate another tie, or any other traditional gift, because you give it to him. But just in case you’re looking for something a little different to celebrate Father’s Day, choose a dental-healthy gift designed with your dad in mind—so you can celebrate his smile for years to come!

Water Features

June 4th, 2025

Heading for the beach! Hiking to the lake! Keeping cool with a tall, frosty glass of ice water in a foreign bistro, or taking a refreshing gulp from the fountain in the park! Hot weather has arrived, and water is something we’re more conscious of now than most other times of the year. Even so, water as a dental feature? Glad you asked!

  • Recreation

Whether you want to bask in the heat or escape it, heading out for a day in or on the water works. And while you’re protecting your skin with sunscreen, think about protecting your teeth and mouth as well. With one small slip, any physical water sport—water skiing, water polo, surfing—can result in damage to your teeth or jaw. Bring—and use—the mouthguard you wear for sports like basketball or biking, and make sure you have a summer of smiles ahead of you.

  • Refreshment

Summer has a beverage menu all its own. Iced coffee and iced tea, a cooler full of sodas, fresh lemonade, fruity cocktails—so many refreshing ways to beat the heat! And we would never suggest that you turn down every frosty summer temptation. But do be mindful that dark beverages like tea, coffee, and sodas can stain teeth, sugary and acidic ones are damaging to your enamel, and alcoholic drinks can be dehydrating. Water, on the other hand, is always a healthy choice. It’s helpful for keeping your mouth and teeth clean, it often contains the fluoride that helps fight cavities, it’s hydrating—and, it has no calories! Be sure to make water a significant part of your summer beverage menu, and your body will thank you for it.

  • Rinse & Restore

Water’s importance to our bodies can’t be overstated! From major organs to individual cells, we need water. And one major benefit of proper hydration is healthy saliva production. Why is that important? Saliva plays a vital role in preventing cavities. It washes away the food particles that oral bacteria feed on, reducing their ability to produce the acids that lead to enamel erosion and cavities. Saliva even helps neutralize acids already in the mouth. Finally, saliva contains important calcium, phosphate and fluoride ions which actually help restore enamel strength after it has been exposed to oral acidity.

Summer goes by all too quickly. Protect your teeth during these warm, active months with a mouthguard. And whether you spend your free time outdoors, or visiting people and places, or keeping cool at home, be mindful of dental-friendly beverage options and always stay hydrated. You’ll be ready to greet fall with a beautiful smile and healthy teeth. “Water Features”? Perhaps a better title would be “Water Power”!

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