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.

Patient Appreciation Day

Orthodontic Staff Appreciation Week

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Here’s wishing a Happy Orthodontic Staff Appreciation Week to our entire staff! Thank you for all you do to provide excellent care for our patients. #osaw2019

A post shared by Apple Tree Orthodontics (@appletreeortho) on Jun 4, 2019 at 1:22pm PDT

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

5 Reasons Why Summer is the Perfect Time to get Braces.

1. There is more time to learn how to care for braces.
2. Dealing with the soreness of new braces is more manageable at home.
3. It's helpful to be home when adjusting to eating with new braces.
4. It's easier to schedule appointments with more flexibility.
5. It's helpful to adjust to braces before school starts.

Summer will be over before you know it! Call to schedule your appointment today. New Patient consultations are always complementary.

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.

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.

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

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.

Dental Health is Orthodontic Health

There are major differences between a dentist and an orthodontist. While all orthodontist are dentist, only a small percentage of dentists are also orthodontists. However the dental health benefits are the same for everyone. When you care for your teeth, it benefits your smile and helps your orthodontic treatment go as planned.

• Achieve a balanced diet. This can be achieved by eating a variety of foods preferably from each of the five major food groups: breads, cereals and other grain products; fruits; vegetables; meat, poultry and fish; milk, cheese and yogurt. 
• Limit the number of snacks that you eat. If you do snack, choose nutritious foods, such as cheese, raw vegetables, plain yogurt or a piece of fruit. Each time that you eat foods that contain sugars or starches, brush your teeth. 
• Brush twice a day with fluoride toothpaste. 
• Clean between your teeth daily with floss or interdental cleaners. 
• Maintain your regularly scheduled check-ups with your dentist.

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.

Common Questions - Apple Tree Orthodontics

What are the early signs of orthodontic problems?

Although determining if treatment is necessary is difficult for you to assess, the following signs may help in prompting you to seek orthodontic advice: crowded or overlapping teeth, gaps between the teeth, front top teeth not lining up with the bottom teeth, top front teeth not meeting with bottom teeth, and top front teeth covering more than 50% of the bottom teeth. If you see any misalignment or shifting of the jaw, your child may have a skeletal problem, which may require early orthodontic treatment. These are only some of the obvious symptoms of orthodontic problems.

How do I know if my child needs orthodontic treatment?

It is usually difficult for you to determine if treatment is necessary because there are many problems that can occur even though the front teeth look straight. Also, there are some problems that look intimidating and complex which will resolve on their own. Asking your general dentist is a good reference, but we are your best resource since orthodontics is all we do. Our initial exam is comprehensive and informative, and we would be more than happy to see your child and make any recommendations necessary.

At what age should my child see an orthodontist?

The American Association of Orthodontists recommends that your child be evaluated by age seven. The majority of children will not require orthodontic treatment at age seven, but can instead wait to be treated one time when they are older. Early detection of any orthodontic problems is important in order to take early corrective action and avoid more difficult treatment later.

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. Whether you are an adult, adolescent or child, our knowledgeable team is committed to helping you achieve the smile you deserve – a healthy, beautiful, self-confident one that will last a lifetime!" 

Congratulations to Brooke on getting her braces off. She has a beautiful smile!

A post shared by Apple Tree Orthodontics (@appletreeortho) on Nov 9, 2016 at 10:02am PST

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! 😃

The Breakfast Club

Photo Provided by crackerbarrel.com

Waking in the morning is already be a daunting task, not to mention the fact that you have to try and muster up the energy to prepare for the full day ahead. 

There is one sure fire way to get an extra boost in the morning…eat breakfast.  

They say that breakfast is the most important meal of the day. Who are “They”? And why do they say this? Well…”They" are those doctors and scientists who have spent their life’s work figuring out ways to help us be a healthier society…so it’s probably safe to say that we can trust them. 

When they say that Breakfast is the most important meal of the day, it’s because eating breakfast not only provides you with the energy you need for a productive day, but it is also helps in maintaining a healthy weight. Some people skip breakfast in an effort to lose weight, but did you know that skipping meals, especially breakfast, can actually make weight control more difficult? People who skip breakfast tend to eat more food than usual at the next meal or they eat high-calorie snacks when they get hungry throughout the day. 

While adults need to eat breakfast each day to perform at their best, kids need it even more. Their growing bodies and developing brains need regular refueling often. When kids skip breakfast, they don't get what they need to be at their best. Studies show that children who skip breakfast are tardy and absent from school more often than children who eat breakfast on a regular basis. Preparing a good breakfast can be as quick and easy as splashing some milk over cereal or making oatmeal or a healthy smoothie. 

Feeling short on time in the morning? Enroll your children in a school breakfast program or pack a breakfast that they can eat on their way to school. 

3 Tips for Starting Your Day the Healthy Way 

• Purchase portable breakfast items such as fruit, yogurt or breakfast bars. 
• Get up 10-15 minutes earlier than you usually do in the morning to eat breakfast. Waking up earlier will allow you to make sure you have time to set and eat in the morning. And when you think about it…15 minutes is not that big of a deal, it’s like 1 less hit of the snooze button. 
• Replace drinking a cup of coffee with drinking a glass of milk or orange juice as both are proven to provide natural energy. 

Always remember…make sure that the foods you are consuming for breakfast are healthy and good for your body and your oral health.

Eating With Your New Braces

Photo provided by oralb.com

Now that you have your braces, what foods can you still enjoy? While some foods are off limits, don't worry, you'll be eating popcorn and snacking on potato chips again in no time! However, before you can start enjoying some of the treats you love, you will need to take special care to avoid any foods that could damage your new appliances. 

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. Minimize sugary foods; they cause tooth decay and related problems. Nail biting, pencil and pen chewing and chewing on foreign objects should be avoided. 

Examples of Sticky Foods to Avoid: 

• Gum (sugar-free or regular)  
• Licorice 
• Sugar Daddies  
• Toffee 
• Tootsie Rolls  
• Caramels  
• Starburst  

Examples of Hard Foods to Avoid:  

• Ice  
• Nuts  
• Hard taco shells  
• French bread crust/rolls  
• Corn on the cob  
• Apples and carrots (unless cut into small pieces)  
• Bagels Chips  
• Jolly Ranchers  
• Pizza crust  
• Uncooked carrots (unless cut)  

Minimize Sugary Foods like:  

• Cake  
• Ice Cream  
• Cookies  
• Pie  
• Candy   

It's important to regularly check your braces for bent or loose wires and brackets. In the event of a loose/broken wire or bracket, call our office immediately to arrange an appointment for repair.