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Summertime orthodontic guide

June 4th, 2018

Memorial day weekend has passed, the college kids are home, local schools are winding down - we're getting ready for summer at the orthodontic office!

Here's a few helpful points to help you enjoy your summer while undergoing orthodontic treatment.

  • Schedule to come in for a visit prior to any long vacations/camps to make sure there are no long wires or broken brackets.
  • Make sure you have enough aligners to get through your trips.
    • If you wear your aligners less than normal while on vacation, make sure they aren't tight before switching to a new set!
  • If a bracket breaks or a wire shifts while on vacation you can use orthodontic wax to keep the area from irritating your cheek. If you need to see an orthodontist give us a call first - we may know someone in the area!
  • If your aligner or retainer is rubbing your tongue or cheek you can use a clean emery board to smooth any sharp edges.


  • Try to schedule your August appointments as soon as possible, it's one of our busiest months as everyone is coming back from camp and vacation and trying to get in before labor day!

We hope these little pointers are helpful.  As always if you have any questions or concerns feel free to call us!

Drs. Steve Cagliostro and Gary Romeo

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Technology in the orthodontic office

April 19th, 2018

Technology has changed our lives so drastically that it's hard to imagine how we lived without it.

Even though we are one of the longer-established practices in the area, that doesn't mean we're in the stone-age with our tech! We love it, and continue to implement new tech as it improves and can make differences in our patient's experiences.

Here are our top 3 technologies that we love in the office:

Digital molds - the goopy impressions are on their way out! Now we use electronic 3d models of your teeth.

Digital treatment planning software - We put your models, photos and x-rays into our software and can project treatment outcomes, it's pretty great!

Text-message and email appointment reminders - Forgot about your appointment? You'll receive a text the day before to remind you!

Why is all this tech so appealing? Because it improves the service that we can provide to you! We'll continue to implement new technology  - it's exciting to think how orthodontics will change over the next 20 years!

Til next week,

Drs. Steve Cagliostro and Gary Romeo


Image from 3shape product website.



How do teeth actually move?

April 5th, 2018

Maybe you have braces or are wearing aligners and have wondered, how do teeth actually move?
Well, the short of it is teeth respond to any pressure applied to them. That pressure doesn't have to be from braces or aligners, it could be from your tongue during speech or swallowing, it could be from your lips, it can even be from gravity!
Each tooth is connected to the surrounding bone by a ligament called the periodontal ligament - any pressure applied to the tooth is transferred through the tooth and causes the periodontal ligament to stretch and compress. The body responds by adding more bone on the stretching side and removing bone on the compression side - hence the tooth moves!
The key is to apply an appropriate amount of pressure in the right direction to gain the desired effect. Fortunately, plenty of research has been done to help us identify values that are biologically sound and produce efficient tooth movement.
You probably didn't realize that your orthodontist sometimes wears the hat of biologist, and sometimes physicist!
Until next time,
Drs. Steve Cagliostro and Gary Romeo

Image borrowed from Dr. Steve's copy of Contemporary Orthodontics by Dr. Proffit

10 questions to ask when choosing an orthodontist

February 8th, 2018

You have many options when choosing an orthodontist - the goal is not only to find an experienced, competent clinician, but also to find a practice that meets and exceeds your expectations when it comes to service.
We encourage you to ask the following questions on a new patient phone call, make sure you ask us these same questions!

1- Are the office and staff welcoming? Am I always greeted with a "hello"?
2- Does the office offer early, evening and Saturday hours to better fit my schedule?
3- Does the office offer zero interest, easy financing?
4- Is the new patient exam an actual clinical exam with the doctor, or is it simply a meet and greet?
5- Does the doctor take time, free from distraction, to review my records and formulate a treatment plan and subsequently discuss that plan in detail with me prior to commencing treatment?
6- Will I see the doctor at every treatment appointment, or are there some appointments when I'll only see an assistant?
7- Does the office offer braces and aligners (i.e. Invisalign, ClearCorrect)? Does the doctor feel confident using aligners?
8- Are emergency visits, the first set of retainers and 2 years of post treatment followup, including x-rays, included in the treatment fee?
9- Does the office use digital records, including a digital intraoral scanner, which is more accurate and less uncomfortable than traditional impressions, and digital x-rays which use much less radiation than traditional film x-rays?
10- Are patients seen in a timely fashion? Can I schedule a new patient exam promptly? Do you respect my time and see me at my scheduled appointment time?

The doctors and staff at Westwalk Orthodontic Group welcome these questions, and any others you may have. We find that the more educated our patients are, the more value they derive from our level of service.

So, give us a call, ask us the hard questions - we're up for the challenge!

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