Oral Health Month in Londonderry

June is Oral Health Month. A good oral hygiene routine is the foundation to a healthy smile, especially for young children. For parents, leading by example, should establish healthy habits like brushing, cleaning between your teeth and seeing your dentist. This ultimately leads to the big difference in the health and happiness of your entire family and in children, less fears about visiting their dentist.

Here are 2 tips from the American Dental Association that are a great reminder to enforce.

Start a Routine and Stick to It:
You may be tempted to let your child skip brushing after a long day or during times when your normal schedule is off (like vacation), but keep at it. The more second nature brushing becomes the easier it will be to make sure your child is brushing twice a day for two minutes.

Kids Need to Floss: 
It doesn't matter if you clean between ​your child's teeth before or after they brush as long as you clean between any teeth that touch. You can use child-friendly plastic flossing tools to more easily clean between your child’s teeth until your child learns to do it.

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Such a bright smile celebrating patient appreciation with us. Sarah you are a pleasure to have!

A post shared by Apple Tree Orthodontics (@appletreeortho) on Jun 19, 2019 at 5:07am PDT

Patient Appreciation Day

2 Facts Parents Should Know

Baby teeth are essential, as they act as placeholders for our adult teeth and effect the way we speak and eat. Here are three facts parents should know about their baby’s first tooth.


1. Schedule an Appointment by their First Birthday: 

The American Academy of Pediatrics and the American Academy of Pediatric Dentistry recommends that infants be seen shortly after the first tooth erupts or no later than their first birthday. This first visit will help establish a dental home for your child.

The earlier you start, the better chance we have to prevent any potential problems. In addition to checking for decay and other conditions, our staff will teach you how to clean your child’s teeth properly, identify your child’s risk for cavities, and offer you helpful advice that will help your child build a lifetime of good dental habits.


2. Help Soothe Teething Pain

Babies may show signs of discomfort in the area where the tooth is coming in, the gums around the tooth may be swollen and tender, and the baby may drool a lot more than usual.

Parents can help ease teething pain by massaging their baby's gums with clean fingers, offering solid, not liquid-filled, teething rings, or a clean frozen or wet washcloth.

Smiles Ready For Summer

Summer is just around the corner! We love what we do and love seeing our patients smile with their final result. Here are just a few of our amazing patients, who light up our office.

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Summer is almost here! Join us at the office on June 12th from 2-5pm for our Patient Appreciation Day! We will have plenty of activities, raffles, and prizes for all of our fantastic patients and guests 😃

A post shared by Apple Tree Orthodontics (@appletreeortho) on May 22, 2019 at 12:14pm PDT

Don’t Forget Your Retainers

Congratulations! You are near the end of your smile journey and your braces are about to be off! Nothing like that feeling. Even long after our braces are off, teeth shift and it is natural as we grow older. There is one thing you can do to ensure your smile remains the best it can be and that is wearing retainers.

No matter your situation, it’s almost a guarantee you will be wearing some form of a retainer after having your braces are removed. It might be removable retainer, which is removed for eating and cleaning or a bonded retainer, placed discreetly behind your teeth.

There might be a minor adjustment period when you first put your retainer on. Don’t worry, this is completely normal and will pass soon enough.

Retainers are essential for helping your teeth stay in place in their new positions after wearing braces.

2 Common Bites in Orthodontics

Our smiles are uniquely ours. However so is our bite. “In orthodontics, “bite” refers to the way the upper and lower teeth come together. A bad bite, called a “malocclusion,” happens when teeth meet improperly, or they don’t meet at all,” according to the American Association of Orthodontist.

There are various bites that affect how we speak, eat and our overall mouth. Two common bites, orthodontic treatment can fix is a crossbite and underbite.

A crossbite occurs when the upper teeth fit inside of lower teeth. Can be caused by misalignment of teeth or a misalignment of the bone; can affect a single tooth or groups of teeth. Your jaw may shift to one side if not corrected and wears down on your tooth enamel.

An underbite happens when the lower jaw sits in front of the upper jaw. An underbite impacts tooth wear and adds a stress on your jaw joints. Through orthodontic treatment, these bites can be corrected and help keep you healthy, beyond an aesthetically pleasing smile.


Dr. Polgrean and her highly trained staff have been creating beautiful smiles in Londonderry, Derry, Hudson, Salem, Manchester, Litchfield, Windham, Candia, Raymond, Hooksett, and surrounding areas for over 25 years. Our doctor and staff attend numerous continuing education courses throughout the year as part of our commitment to providing you with the highest quality of care.

Facial Protection Month: Wear a Mouth Guard

April is National Facial Protection Month! National Facial Protection Month serves as a reminder over the importance of wearing mouth guards during sports, protecting your beautiful smile.

67% of parents surveyed by the American Association of Orthodontists said their child does not wear a mouth guard, yet 70% said their biggest fear is their child getting hurt when playing sports. The most effective way to protect your childs teeth and prevent injuries is to wear a mouthguard.

About 80% of traumatic dental injuries occur to the two front teeth. Injuries can happen at any age and any skill level. So when should you wear a mouth guard? Here are just a few.

• Basketball
• Baseball
• Football
• Soccer
• Skiing
• Rugby
• Softball
• Tennis  

Do I Need to See a Professional?

Did you know that children should really be seen by an Orthodontist as early as age seven for an evaluation?

We know seven sounds crazy and way too early to be thinking about braces. However, early diagnosis and treatment can help guide facial development and tooth eruption, thereby preventing more serious problems from occurring later in your child's life. And treating children during these early growth stages allows results to be achieved, that may not be possible once facial bones have fully developed.

A check-up may reveal that your child’s bite is fine. Or it may determine that early treatment is indicated to prevent or intercept more serious problems from developing as Dr. Polgrean can detect subtle problems with jaw growth and emerging teeth while some baby teeth are still present. While your child’s teeth may appear to be straight, there could be a problem that only Dr. Polgrean can detect.

Through an early orthodontic evaluation, you will be giving your child the best opportunity for a beautiful, healthy smile.

Don't worry if your child is older than seven because it's not too late for a check-up, especially if you or your family dentist notice a problem.

Get in contact with us today, to schedule an appointment.

How Does Invisalign Work at Apple Tree Orthodontics?

At Apple Tree Orthodontics we utilize the latest technological advances in the profession to achieve fantastic results for our patients. We have seen many smiles transform through our office and love seeing the results on our patients. Here at Apple Tree Orthodontics, we recognize that each patient has unique needs, and we pride ourselves in tailoring our treatment to meet these requirements.

Invisalign treatment is a technique that straightens your teeth without braces, using a series of clear, removable aligners that are custom-modeled to fit your teeth. The virtually invisible aligners gradually reposition your teeth into a smile of which you will be proud.

So you may be wondering, what is the process like at Apple Tree Orthodontics?

1. Start with a complimentary consultation with Dr. Polgrean. Dr. Polgrean will examine to see if the Invisalign system is right for you. If invisalign is right for you, we will create an individual treatment plan using custom-molded aligners to solve your particular needs.

2. Our technology is to create a custom treatment plan that is suited to your specific treatment. We start with a fast, precise digital scan. This will tell us everything we need to know and will allow Apple Tree Orthodontics to map out a custom treatment plan just for you. You'll even get to preview your new smile.

3. Once your treatment plan has been established, we begin on creating your custom aligners made just for you.

4. Time for your aligners to be picked up. From the first day of treatment to the last, you're never on your own. Dr. Polgrean and the team at Apple Tree Orthodontics will be here, if you need anything.

5. Live your life and smile with confidence.

Not everyone is a candidate for the Invisalign aligner system. Please contact our office to schedule a consultation with Dr. Polgrean to see if the Invisalign system is right for you. Schedule a complimentary consultation. 

Orthodontic Terms to Know and What they Mean

When it comes to orthodontics, there are few things you may not know. One being terms and what they mean for you and your health. We love educating our community of Londerderry on having healthy teeth.

Here are a few orthodontic terms you should know about.

Two Phase Treatment - 
Two phase orthodontic treatment is a very specialized process that encompasses tooth straightening and physical, facial changes. The major advantage of a two-phase treatment is to maximize the opportunity to accomplish the ideal healthy, functional, and aesthetic result that will remain stable throughout your life.

Banding - 
The process of fitting and cementing orthodontic bands to your teeth.

Bonding - 
The process of attaching brackets to your teeth using a special safe adhesive.

Interceptive Treatment - 
Orthodontic treatment that is usually done between the ages of 7 and 10. The objective of interceptive or early orthodontic treatment is to provide orthopedic intervention, so that later orthodontic treatment is less complex.

A Major Benefit to Invisalign -

Invisalign treatment is a technique that straightens your teeth without braces, using a series of clear, removable aligners that are custom-modeled to fit your teeth. The virtually invisible aligners gradually reposition your teeth into a smile of which you will be proud.

The advantage to Invisalign is the range of issues it can fix including: Overly crowded teeth, Widely spaced teeth, Overbites, Underbites, and Crossbites. This is the major benefit to invisalign. You can continue to live your life and your aligners are mostly invisible.

• Clear, virtually invisible aligners
• Removable, will not get in the way of your activities
• Easy to remove to eat, brush, and floss
• Graduate to a new set of aligners every 1 to 2 weeks
• Easy to monitor your progress with regular appointments

Not everyone is a candidate for the Invisalign aligner system. Please contact our office to schedule a consultation with Dr. Polgrean to see if the Invisalign system is right for you.

Braces Friendly Foods for the Big Games

A big holiday is upon us! It is the unofficial holiday all over the United States, The Super Bowl! Which team are you rooting for? If you just received braces any holiday, especially The Super Bowl could be tough, finding which foods you can and can not eat.

First thing’s first, which foods are off limits? Stay off and avoid these types of foods. 

• Hard nuts, candies, hard fruits (like apples and pears)
• Hard vegetables (like carrots and corn on the cob)
• Chips
• Taco shells
• Pizza crust
• Pretzels
• Sticky stuff like taffy, gum and caramels
• Foods high in acidity that could cause discoloration like lemons, limes and sodas.

Superbowl Friendly Foods: 

• Burger Sliders
• Mashed Potatoes 
• Guacamole
• Meatballs 
• Smooth potato salad
• Cole slaw
• Soft Tacos
• Ice cream
• Cupcakes
• Creampies
• Soft pastries
• Soups
• Pasta

2 Benefits of Straight Teeth:

Fear of the unknown is human nature and some nervousness is to be expected prior to starting orthodontic treatment or even just learning more information on orthodontic treatment. You may even be second guessing if orthodontic treatment is right for you. There are many options to receiving orthodontic treatment, however the ultimate goal is a healthy straight smile.

Here are 2 benefits of having straight teeth, you may have never thought of.

1. Healthier Gums: 

When your teeth are aligned perfectly, your gums are healthier. The proper treatment allows your teeth to be aligned properly into place, therefore your gums fit better around each tooth. This allows bacteria to grow in few places. This all decreases your risk of gum disease.

2. Improves Your Overall Health: 

There is a big bridge between your teeth and oral health and your the overall health of your body. The tooth decay and gum disease associated with crooked teeth are caused by decay. Left untreated, this bacteria can lead to mouth sores, bleeding gums and possible tooth loss.

Studies by the ADA have also proven that bacteria can create oral infections, which may lead to more serious problems such as heart disease, stroke, diabetes and pneumonia.

Understanding that orthodontic treatment is so much more than improving your teeth. Your smile benefits both your physical and mental health.

Thank You 2018

It has been another fantastic year at Apple Tree Orthodontics. We treated so many wonderful people and transformed many beautiful smiles. Our dedication to providing extraordinary personal service with compassion and consideration to the unique needs of each of our patients is our top priority.

We are excited for another fantastic year ahead in 2019 and can’t wait to see all the amazing smiles in the new year.

Common Questions for those Thinking about Braces

We are so happy to serve our communities in Londonderry, Derry, Hudson, Salem, Manchester, Litchfield, Windham, Candia, Raymond, Hooksett, and surrounding areas for over 25 years. Smiles are what makes us unique and while there is no right age for orthodontics, going through treatment is a big decision. From braces to aligning your jaw to invisalign, the ultimate goal is a confident smile you will be happy with.

If you have been exploring the possibility of getting braces, here are 3 common questions we hear all the time.

1. Is Treatment Painful? 

Orthodontic treatment has improved so much and technology has come a long way. As a rule, braces make your teeth tender and sore for a few days, but it is not painful. This annoyance can be relieved with an over-the-counter medication. Today's braces are more comfortable and use technology that reduces the discomfort, such as dental wax. We use the latest in biocompatible braces, the advanced technique with light force and the highest quality of orthodontic materials, in order to reduce discomfort and treatment time.

2. I’m an Adult! Can I get Braces? 

Orthodontists today can successfully correct most problems regardless of the patient’s age. Age is not a factor in considering orthodontic treatment for adults. Any adult in good general health with healthy gums and good bone support for the teeth is a candidate for orthodontic treatment. About 30% of our orthodontic patients are adults, and that number is still growing! Our community in Londonderry and the surrounding areas will help to serve you, no matter where you live.

3. Will there be Food Restrictions? 

Yes! Because of your treatment and your health, there are certain foods one should stay away with braces. For most situations, common sense will tell you what to avoid. Hard foods, sticky foods and foods high in sugar must be avoided. Hard foods can break or damage wires and brackets. Sticky foods can get caught between brackets and wires. You can view our list here on our website.

Dentist vs Orthodontist

A question you may be wondering is, "can my dentist give me braces?" The answer is a big NO! There is a major difference between an orthodontist and a dentist. We recognize that each patient has unique needs, and we pride ourselves in tailoring our treatment to meet these requirements.


At Apple Tree Orthodontics we utilize the latest technological advances in the profession to achieve unsurpassed results for our patients. In addition to “clear” braces, Invisalign clear aligners, and Teen Invisalign clear aligners, we offer low radiation digital radiography, and a “no impression” intra-oral scanner eliminating the need for traditional impressions. We have extensive experience in treating more complex cases which may require orthodontics in conjunction with jaw surgery. Our team works closely with several oral surgeons in the Boston area.


Dr. Polgrean and her highly trained staff have been creating beautiful smiles in Londonderry, Derry, Hudson, Salem, Manchester, Litchfield, Windham, Candia, Raymond, Hooksett, and surrounding areas for over 25 years.

Right Age for Orthodontics:

Orthodontists today can successfully correct most problems regardless of the patient’s age. But that does not mean that the orthodontic treatment starting age does not matter. In fact it may play a significant role in the total time and expenses required for the completion of the orthodontic treatment.

Children: The magic number is 7! The American Association of Orthodontists (AAO) recommends that all children have a check-up with an orthodontist by the time they reach age 7, for early detection of any potential problems. At this stage, we can spot potential orthodontic problems related to jaw growth and eruption of adult teeth.

Teenagers: Most orthodontic problems are ideally treated during this time. Usually, all or most permanent teeth are present and patients are at one of their most active phases of growth. This is a great time to correct most problems, as the jaws are actively growing and their growth can be most easily modified during this time.

Adult: As we grow older, our teeth may shift and it may be necessary for an improved smile through orthodontic treatment. Healthy teeth can be moved at any age, and it is never too late to improve your smile.

Learn more about the right age for orthodontics, and give us a call if you have any questions at (603) 434-0190

Halloween Recipes for a Fun Night

If you just received braces or looking for something different to try this Halloween, here are two incredibly delicious alternative to sweet treats and hard candy that can harm your teeth if you have braces.

Halloween Parfait:
What You Need:

• 3 boxes instant vanilla pudding 
• 1 teaspoon red food coloring  
• 1/2 teaspoon yellow food coloring 
• one 9-ounce package plain chocolate wafers  
• 6 cups milk chocolate syrup to taste  
• One 8-ounce can mandarin oranges, drained 

Directions:

• Combine pudding mix and milk in a large bowl as directed on the package. 
• Refrigerate until firm. 
• Crush chocolate wafers into crumbs, using a food processor, or put the wafers into a plastic food storage bag and crush with a rolling pin. 
• Combine red and yellow food coloring in a small bowl. 
• Stir into pudding thoroughly, until pudding is orange. 
• Alternate layers of pudding with layers of chocolate crumbs in a parfait cup or glass for a total of three layers of pudding. 
• Top each layer of crumbs with chocolate syrup to taste before adding the next pudding layer.
• Top each parfait with mandarin oranges and additional chocolate wafer crumbs. Makes eight 8-ounce servings.

Two Candies to Avoid this Halloween

Happy Halloween from everyone at Apple Tree Orthodontics!

We believe that Halloween is the perfect opportunity to talk to your child and remind them about the importance of sticking to their health routine. This includes brushing your teeth, flossing, wearing your retainers, using mouthwash and other health tips. If you recently received orthodontic treatment such as braces or in the middle of your treatment, we recommend you avoid these sweet treats.

1. Hard Candies: You want to watch out for hard candies on Halloween and beyond. These can break your teeth and can be damaging if you have braces. On top of that, hard candies can cause the sugar to wash all over your teeth. This is due to having the hard candy for longer periods in your mouth.

2. Sour Candy: It’s no secret how important the enamel on your tooth is. Acidic foods are harmful to your enamel and can cause it to erode, exposing your tooth to being more vulnerable to cavities. You can pass on sour candy because of the acidity.

National Orthodontic Health Month: 3 Benefits of Orthodontics

October is National Orthodontic Health Month! The importance and benefits of Orthodontics exceeds beyond just a beautiful smile. Here are 3 benefits of orthodontics.

1. Prevent Cavities – Orthodontic treatment is the process that straightens teeth through various treatment plans such as braces and Invisalign. Straight teeth are easier to clean and therefore prevent bacteria that can cause cavities. 
2. Prevent Gum Disease – Orthodontic treatment allows your teeth to be spaced out better. This makes it easier for people to floss and clean their teeth. Without straight teeth, it is easier for food to hide between teeth, causing bacteria, turning into gum disease. 
3. Helps Bad Bites – Orthodontic treatment can fix bad bites such as overbites and under bites that make it difficult to eat, chew and sometimes speak.