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.

View this post on Instagram

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

Orthodontic Staff Appreciation Week

View this post on Instagram

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.

View this post on Instagram

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.

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

View this post on Instagram

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.

More On Invisalign

Invisalign is a way to straighten teeth without traditional braces. Invisalign works best for adults but can be suitable for teenagers too. Invisalign uses a series of clear plastic aligners that are nearly invisible, and almost no one can tell you’re wearing them.

How Does Invisalign Work?

You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move little by little, week by week until they have straightened to the final position Dr. Timmeny or Dr. Polgrean has prescribed. You’ll visit Appletree Orthodontics about once every 6 weeks to ensure that your treatment is progressing as planned. Total treatment time averages 9-15 months and the average number of aligners worn during treatment is between 18 and 30, but both will vary from case to case.

How to start Invisalign

STEP 1Following your initial consultation, Appletree Orthodontics will advise how Invisalign can work for you. A full treatment plan with all the alternative methods available will be provided. Once you are happy to proceed the working impression of your teeth is obtained and submitted to Invisalign.

STEP 2
Invisalign creates a virtual model of your teeth and carefully translates the treatment prescription into a sequence of stages. We then show you the planned tooth movements on the computer before finalizing the manufacture of your custom aligners to make your teeth straight.

STEP 3
You then wear each set of aligners for two to three weeks, moving your teeth gradually. We check you every 6-8 weekly to ensure your progress matches the predicted plan

Tips For Going Back To School With Braces

Caring for braces especially for students in school can be quiet hectic due to the restrictive devotions to maintain the braces and for this reason, Appletree Orthodontics has decided to put up an article which will make caring for orthodontic braces easy in school. As a student who just had an orthodontic treatment, you should be rest assured that it is the best that can happen to give you the perfect smile again but the care for your teeth and gums help make it very effective. Take a look at your new braces, you can notice a lot of nooks and crannies that can trap food and plaque and that means a great risk of tooth decay is imminent if not properly cared for, therefore you need to pay special attention to cleaning your teeth. This might look hectic but right here the team of Appletree Orthodontics has few great tips to keep your braces in top condition.

1. WATCH YOUR DIET
As an orthodontic patient with braces, it is very important for you to select your diet with caution. We know that there are several foods in school which tastes great but don't look great in your braces. Certain foods can either break a bracket or some foods are sugary and can have negative effects on the natural ability to brush behind the bracket. Be sure to make decisions on foods based on what is healthy, tasty, and won't harm your brackets.

Food to avoid: As an orthodontic patient we would advise that you desist from:

• Sticky or gooey foods 
• Hard foods 
• Sugary foods 
• Acidic drinks 

2. WEAR A MOUTHGUARD

With braces on your teeth, you might be wondering if you should desist from sports or retire from being the captain of your favorite sports team, but the truth is orthodontics does not affect your ability to play sports. You can keep on with your braces and sports if and only if you have your mouth guard on. Mouth guards are safety measures that can mean the difference between just a bruised, fat lips and thousands spent in orthodontics repair work. While you are in any kind of physical activity (including gym classes), it is advisable that you wear a mouth guard which can protect your teeth and braces from flying sports balls, swinging elbows or an accidental fall or hit.

3. BRUSH AND FLOSS REGULARLY

Braces can easily trap food, and this trapped food can lead to other inimical dental problems. Because of this, it is very important to brush your teeth after every meal and to floss at least once a day.

4. DON'T CHEW ON PENCILS

Pencils, pen, and rulers are all hard objects and most times when you get bored, anxious or plainly destructive you are tempted to chew on them in class. Obviously, this can be destructive in the moment and can be grossly inimical over time. It is important that you don't practice these habits while wearing braces.

We know that maintaining braces in school is can be tough. That is why we ensure to give you the best plans of action to help you out.

For more questions and inquiries that you may have, we are always at your service. You can always contact Appletree Orthodontics.

Invisalign Tips

Invisalign straightens your teeth without wires and brackets, using a series of clear, customized, removable appliances called aligners. It's virtually undetectable, which means hardly anyone will know that you're straightening your teeth. 

To ensure the best possible results we decided to compile a list of a few tips for our patients currently using Invisalign.

• Wear your aligners for a minimum of 2 weeks, before moving into the next aligner. 
• Sharp or rough edges can be smoothed with an emery board. 
• Change into your next aligner before going to bed so they settle in overnight. 
• Keep your aligners in their case while eating to avoid losing them. Keep the out of reach of any household pets, especially dogs! 
• If you need to, you can soak your Invisalign aligners in a mix of 50/50 white vinegar and cold water to brighten them. 
• Wear your aligners for at least 20 hours a day. 
• Always carry a toothbrush. 
• Only drink water when you're wearing your aligners. 
• Don't put your aligners in hot water. 
• Don't use toothpaste to clean your aligners. 

If you have any further questions about Invisalign please don’t hesitate to call us at our convenient Londonderry location at 603-434-0190.

3 Smoothies For New Braces

Here are 3 Appletree Orthodontics office-approved smoothie recipes that taste great and help you get the nutrients you need. We want to show you that eating healthy, delicious food is still possible after you’ve started your braces journey. Yes, there are certain points in your treatment process when your mouth might be more sensitive than usual, but that doesn't mean you don't get to enjoy a delicious meal or snack. Smoothies are the perfect solution for when chewing just doesn’t sound all that fun!

You can prep and freeze these 3 super quick and easy smoothie recipes. Choose your own base of yogurt, juice, milk, tea, or water and some ice to blend these ingredients up into something spectacular for your taste buds!

SWEET SUNRISE

• 1C Raspberries
• 1 Orange
• 1/2 Banana
• 1C Mango

KIWI REFRESH

• 1 Kiwi
• 1& 1/2C Watermelon
• 1 &1/2C Grapes

GREEN MONSTER

• 1 Grapefruit
• 1 Banana
• 1C Pineapple
• 1C Spinach

Curious About Wisdom Teeth & Braces?

Some people require their wisdom teeth to be removed following orthodontic treatment with braces. Often the timing of the eruption of wisdom teeth coincides with the removal of braces. It is often difficult to determine if someone will have space in their mouth for their wisdom teeth to erupt or if the wisdom will become impacted.

Many people have their wisdom teeth emerge as healthy, effective back molars. In this case, the tooth has grown in straight and is not affecting the person’s bite and any dental work will be unaffected. There is nothing stopping a person with healthy wisdom teeth from getting braces either.

Wisdom teeth are a leftover trait from when humans had larger jaws and chewed hearty leaves. Wisdom teeth tend to overcrowd already corrected molars or emerge only half way. In fact, wisdom teeth statistically have the highest chance of growing in sideways, an issue known as an impacted wisdom tooth, which can affect the nearby teeth. However, wisdom teeth cannot cause front teeth to become crooked. From the back of the mouth, the pressure they exert on the other molars is not strong enough to reach the front.

This has led people to believe that wisdom teeth can ruin their current or previous dental work. There are a number of other factors that have led to this. Around 20 years old, the jaw performs its last growth spurt, which can leave teeth crooked. This is also the age when many former braces wearers begin to neglect their retainers at night.

Each set of braces is unique for the wearer, as is the decision on what to do about wisdom teeth. Talk with the doctors of Appletree Orthodontics as soon as you notice any discomfort or wisdom teeth appearing. While they may not affect your braces, wisdom teeth can change your overall oral health.

Perfect Spring Recipe| Fruit Pizza

Making fruit pizza during this time of year is the best because it embraces the Spring. The bright colors of the fresh fruit seem to brighten menus as well as spirits. Fruit pizza seems to say, “Summer is on it’s way!” Get the details and make your version of a fruit pizza this Memorial weekend!

INGREDIENTS

• (1) 17.5 oz sugar cookie mix pouch
• ½ C butter at room temperature
• 1 egg
• (1) 8 ounce block cream cheese at room temperature
• (1) 7 oz package marshmallow cream
• 2-3 C fruit of your choice, chopped into small pieces

INSTRUCTIONS

1. Preheat oven to 350 degrees.
2. Prepare the sugar cookie dough according to package directions, mixing in the butter and egg.
3. Using your hands, spread the dough evenly on a cookie sheet. Dot the dough with a fork to prevent air bubbles.
4. Bake until lightly browned, about 12 minutes. Remove from oven, and cool completely.
5. Mix the marshmallow cream and cream cheese until smooth and creamy.
6. Frost the cookie dough "crust" with the marshmallow cream mixture.
7. Cover the pizza with fruit. Refrigerate until serving. Slice into squares.
8. Enjoy!

Reasons You Should Still See A Dentist During Orthodontic Treatment

If you’re a patient at Appletree Orthodontics you are used to visiting us for your regular adjustment appointment every 6-8 weeks. While our hygienist is in your mouth making those adjustments, it’s important for you to remember our team is working on your braces and trips to your general dentist are still very much needed.

When we work on your braces, we are not looking specifically for any cavities and anything we do notice is a by-product of monitoring your oral health from an orthodontic perspective. Even if we did find something suspicious we don’t have the facilities to correct it.

For this reason, we tell you to maintain your regular dental checkup schedule of once every 6 months.

Another important thing to remember is that your oral hygiene needs to be flawless. The appliances that are in your mouth are, unfortunately, a magnet for plaque buildup. If you are a bit lax with brushing and rinsing out your mouth after eating, you may just find that you have a beautiful straight smile with stained teeth.

While having braces does not increase the risk of cavities, not caring for your teeth and having braces does.  If you have any questions regarding your oral hygiene click here to visit our website or contact Appletree Orthodontics at our new Londonderry office, 603-434-0190.

OUR NEW ADDRESS

We are excited to announce our new office is located at:

1F Commons Drive, Suite #36

Londonderry, NH

OPENING DAY IS MAY 22, 2017!

Learn What To Eat With Braces

Just get braces? You may notice that your mouth feels a little different after they’re first put on. To make your transition a little smoother, you may want to change your eating habits for the first few days while you get used to your new braces. We at Appletree Orthodontics want to make things easier on our new patients, so below you will find some suggestions for the best kinds of foods to eat when you first get braces.

1. Have a smoothie. Smoothies are great option for a delicious meal in a glass, offering a convenient, balanced option. Throw whatever you like in a blender, add protein to make it more filling and even try a handful of spinach— if the smoothie is made right, you won’t even taste it!

2. Think soft. The first day or so of having your new braces on will mean you may not feel like chewing a whole lot. But that’s fine–try something soft but delicious like tender turkey, mashed potatoes and gravy. Soups, chili, pudding, oatmeal and yogurt are all good choices during your first few days with braces.

3. Easy to chew. A steak dinner is not the best thing to have at your “congratulations on getting your braces” dinner. But meat shouldn’t be off the table completely–how about some shaved turkey cold cuts?

4. Try new things. Having to change up what you eat for a few days is the perfect excuse to try some new foods–how about a soft cheese you haven’t had before, like Munster or Brie? How about a new smoothie recipe for breakfast? Baked apples for a snack or dessert? You may end up discovering a new staple for your everyday diet.

5. Stay healthy. Don’t fall into the ice cream trap. Sure, it’s good for a treat, but it won’t give you the nourishment you need to look and feel your best. Eating soft food doesn’t mean eating unhealthy.

Lastly, remember to stay hydrated and drink lots of water throughout the day, avoiding pop and sugary drinks as your teeth are even more susceptible to cavities when you have braces.

More On Fluoride

Our team at Appletree Orthodontics knows that there are several ways you can protect your smile throughout your orthodontic treatment. If you follow the rule of thumb and brush your teeth twice a day, floss often, and protect your appliances from damage, your treatment should be very successful.

One thing we’d like to add, is did you know there is another way to keep your teeth healthy and bright during your treatment with braces?

How is this possible? One word: fluoride. Fluoride is the mineral that helps prevent cavities and tooth decay. This mineral also helps keep your teeth strong. Fluoride comes in two varieties: topical and systemic. Depending on your oral health or the recommendation of Dr. Polgrean or Dr. Timmeny, you may be required to have a fluoride treatment every three, six, or 12 months.

If you have any other questions about fluoride or your treatment, please don’t hesitate to give Appletree Orthodontics a call!