We often ask why an Orthodontist as a Specialist?

Trust a specialist: Whether you’re considering clear aligners or conventional braces, an orthodontist is best suited to care for you. Your smile deserves the best possible care, which is why you should go to an in-person consultation with a board certified orthodontic specialist. Orthodontists diagnose, prevent and treat dental and facial irregularities to correctly align teeth and jaws. Orthodontists receive an additional two to three academic years of specialized education beyond dental school at an accredited orthodontic residency program.

More than an easy fix: Orthodontics is about more than just straightening teeth or closing space. It’s about your bite, the way your teeth come together, and how your jaws move. Orthodontic care does provide a beautiful smile and added aesthetic benefits, but even a small adjustment can affect the overall look, feel, and function of your mouth and face. The alignment of your teeth and jaws influences the way you eat, breathe, sleep, and speak.

Beware of Direct-to-Consumer Companies:  In recent years, some people have resorted to at home orthodontics with the view that it is cheaper and quicker. There are a number of factors and questions you may want to consider. Orthodontic treatment involves the movement of biological material, which if not done correctly could lead to potentially irreversible and expensive damage such as tooth and gum loss, changed bites, and other issues. Remember that orthodontic treatment is not a product or device – orthodontic treatment is a professional, dental service. When your care is personally supervised by an orthodontist who is a member of the American Association of Orthodontists, you are assured that your orthodontist spent years in a post-doctoral residency program focused on providing orthodontic treatment to patients. Before making any decision about orthodontic treatment, consider doing some research and having an in-person consultation.

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.

Spring Smiles

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. Here are some amazing smiles. #AppleTreeOrtho

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Monday’s masterpiece in the making!...keep following for updated progress and final results. #invisalignteen #clearaligns #openbitecorrection

A post shared by Apple Tree Orthodontics (@appletreeortho) on Apr 15, 2019 at 1:10pm PDT

Your First Day in Braces

At Apple Tree Orthodontics we believe you have taken the first step toward a healthier and more beautiful smile but you are probably wondering what comes next. The first week is the biggest period of adjustment, and there is a lot to learn in this short time. What to eat?  How to brush?  No worries, in a very short time your braces will feel completely natural.

On the first day, your braces will probably feel sort of like a mouthful and it may take time to get used to them. By the second day, you may feel some soreness or discomfort. If you are going to experience any discomfort, the second and third days are when it will happen. If you do experience discomfort it can be dealt with by taking an over-the-counter pain reliever, such as Tylenol.

If you have any questions or concerns the team at Apple Tree Orthodontics is here to help you! We have some great information right on our website - available to you 24 hours a day, 7 days a week. Simply click here to access our site.

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  

3 Health Foods for National Nutrition Month

March is National Nutrition Month and a perfect opportunity to showcase foods that help our teeth remain healthy and our smile in tip top shape. While we know the health benefits of eating healthy, the foods we consume on a daily basis, also greatly affect our teeth.

Dairy - Dairy is healthy in various ways, such as yogurt, milk and cheese. The calcium help our teeth remain strong and healthy.

Lean Protein -  Foods rich in protein such as meat, poultry and fish help to strengthen your teeth and contribute to your overall health in your body. Be sure to floss after every meal or at least once a day.

Nuts - Nuts are delicous and greatly benefit our teeth. Various types of nuts contain protein and minerals. Several nuts are low in carbohydrates don’t add to your risk of cavities and help avoid tooth decay. If you are going to snack on a snack, nuts are a safe bet.

Of course, if you have braces or in the middle of an orthodontic treatment, avoid nuts and hard foods alike.

Check out some of our patient’s beautiful smiles. Contact us to set up an appointment or if you have any additional questions.

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.

Avoiding Orthodontic Emergencies

At Apple Tree Orthodontics we know that even with the best of care, braces can cause soreness to your mouth. This soreness is the way your body reacts to your teeth as they begin to move. Your braces play an important part in helping to create a healthy and beautiful smile but you may experience a few side effects while wearing them that are common and can be easily treated.

Canker Sores
Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. We recommend Canker-X gel and we can provide you with a sample to try.

Loose Brackets
If you have a loose bracket you can apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth. Please call the office for an appointment as soon as possible!

Loose Bands
The band will need to be reattached. Please call the office for an appointment and remember to bring the band with you.

Broken or Protruding Wires
The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse. Please call the office for an appointment to trim or adjust the wire.

Loose Spacers
If a spacer (separator) becomes dislodged it may need to be repositioned and sometimes replaced. Please call the office to see if they need to be replaced.

Remember, braces aren't forever but your smile is! If you ever have any questions or are having discomfort - we're just a call away! (650) 434-0190

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.

The Truth about Orthodontic Myths

Myth: I can’t play sports with braces
Truth: Having braces, does not mean you have to stop living your life! As long as you wear a mouthguard, braces should not stop you or your child from playing your favorite sport. Ask our staff for more information on mouthgurads. 

Myth: My teeth will remain straight permanently after treatment
Truth: Orthodontic treatment such as Invisalign and braces are one of the most effective ways to straighten your teeth. However, your teeth will start to drift back to the original position if you do not wear your retainer as recommended by your orthodontist. Or you may notice your teeth begin to shift as you grow older. 

Myth: My dentist says he can give me braces
Truth: Pause and consult with an orthodontist. While all orthodontist are dentist, a very few percentage of dentist are also orthodontist. An orthodontist is a dental specialist in the diagnosis, prevention and treatment of dental and facial irregularities. Orthodontists must successfully complete an additional two to three-year residency program of advanced dental education in orthodontics. 

Myth: Braces are only for children
Truth: The truth is farther from this myth. As we grow older, our teeth begin to shift in various places. Braces are not just for kids. Check out how an orthodontic treatment for adults can benefit your smile and lead you to a more confident you! 

National Pepperoni Pizza Day

Today is a day for everyone to rejoice! Yes that includes you, who just go braces!

Today is National Pepperoni Pizza Day! Don’t let the beginnings of braces let you not enjoy this day. Getting used to life with braces means learning what you can and can’t eat. When you get braces, you’ll need to change some of your eating habits. Eating certain foods, such as nuts or hard candy, can damage or break your braces. Biting into hard foods can pull away the brackets and wires, which can be painful and prolong the process of getting that beautiful smile.

For National Pepperoni Pizza Day, we’re sharing a healthy recipe that's safe for your teeth and all “brace-wearers” will enjoy!

Pepperoni Spinach Pizza:

• Prepare a batter of spinach. Keep it aside.
• Boil some spinach and drain it.
• In a pan, cook onion and green chilies for a minute.
• Add the boiled spinach to this mixture, with salt to taste.
• Add paneer and cream.
• Take pizza bread, spread the mixture on it and grate cheese.
• Cook it in pre heated oven for 10 minutes.

Mushroom Pepperoni Pizza:

• Take a non-stick pan and sauté garlic and onion for 2 minutes and then add capsicum to it.
• Cook for a while.
• Add tomato puree and bring to a boil. Now add boiled pasta and macaroni mix them well; add salt to taste.
• Spread the ready mixture on pizza bread, grate cheese on top of it and bake for 10 minutes.

Which Mouthwash?

Mouthwash is an essential part of a good oral hygiene routine, that often goes unnoticed. But did you know there are multiple types of mouthwash? Each also has a different function and works in different ways to help your teeth.

Fluoride Mouthwash: 
You’ve heard how fluoride helps your teeth. Well fluoride in mouthwashes, does just that and helps protect your teeth from cavities and tooth decay. Be careful when using this type of mouthwash because an intake of too much fluoride is not good.

Antiseptic Mouthwash:
This is the most common type of mouthwash, you probably have some in your cabinet. This type of mouthwash contains alcohol and used to eliminate bad breath and fight infections in your mouth. Along with brushing your teeth and flossing, all three work together to fight bad breath and bacteria.

Cosmetic Mouthwash:
The only benefit of this mouthwash, to your oral health care is to mask bad breath.

Natural Mouthwash:
Natural mouthwash has the same functions of all the other mouthwash, except their ingredients are natural. It is the popular alternative to alcohol-free mouthwash.
If you have any questions about what type of oral hygiene products to use during and after your orthodontic treatment, please do not hesitate to ask us.

Adult Orthodontics

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

When it comes to orthodontic treatment, there is no one-size-fits-all approach and there is not limit in age. As we grow older, our teeth start to shift and do not look the same as they once were. Even if you had braces as a teenager, orthodontic treatment should not be seen as a barrier to a more confident smile.

Numerous technological advances have made braces less noticeable, less painful and even less time-consuming. As America's baby boomers have become more health conscious, they're rejecting the notion that loosing teeth and dentures are a routine part of growing older, and we love that!

Teeth can be straightened at any age. The biological process involved in tooth movement is the same for both children and adults. At Appletree Orthodontics, we have various services when it comes to adult orthodontic treatments. Schedule a complimentary consultation to see which orthodontic treatment is for you.

Your First Visit with Apple Tree Orthodontics

Fear of the unknown is human nature and some nervousness is to be expected prior to starting orthodontic treatment. Your first visit to our office is a time for us to get to know you and determine what your main concerns are. 

We will ease your fears by giving you as much information as needed to help you feel comfortable. Each member of our team is friendly and accessible and we encourage our patients or parents to ask questions. We believe that patients will feel more comfortable if they know what to expect and are well informed of a procedure before it occurs.

We try to avoid any unexpected surprises and let each patient know everything we are going to do, before we do it. 

At your first visit, you will be greeted by one of our staff members and given a tour of the office. Initial paperwork will be completed and a complimentary, no obligation orthodontic exam will be done. During this time, we evaluate many things relating to the face, the smile, the fit of the teeth and the amount of room for all of the teeth. From this initial visit, if a patient is ready for treatment, diagnostic records may be taken or scheduled at a later date per patient preference. If indicated, treatment fees, general payment options and insurance benefits are discussed. 

If a patient is still developing and is not yet ready for treatment, we will recommend the patient be placed into an observation phase where we will follow growth and development to determine the appropriate time for treatment.

If you have any questions, please feel free to call us at (603) 434-0190. We hope to see you soon! 😃