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Sleep, Airway & Orthodontics, Part 1

January 17th, 2019

Sleep and airway related orthodontics in children has become an area of great study over the past several years. We now know that children who snore or sleep with their mouths open on a regular basis tend to have an upper airway constriction. We also know that bed-wetting, ADD, ADHD, disruptive behavior along with sensory processing disorder are all associated with sleep disruptions and sleep-disordered breathing.

Four percent of children have some sort of disrupted sleep - that's why at Westwalk Orthodontic Group, we screen all of our patients under the age of 18 for symptoms associated with sleep disordered breathing.

Unfortunately, just knowing that there is some sort of sleep disordered breathing is only the first step to addressing the problem. The cause of sleep-disordered breathing in children can be multi-faceted. Several possible causes include: enlarged tonsils and/or adenoids, a narrow nasal airway with increased nasal resistance, a low tongue posture, a recessive lower jaw, or even obesity. When necessary, we work with your pediatrician, ENT and speech pathologist to enact the best treatment plan for your child.

Next week, we'll discuss how orthodontic treatment can affect positive change for the child with sleep-disordered breathing.

Drs. Steve Cagliostro and Gary Romeo


When should I bring my child for an evaluation?

January 3rd, 2019

breaking habits

Sometimes during a new patient exam we wish that we had the opportunity to see the patient several years earlier. Maybe we could have intercepted a canine tooth before it grew in off course, or maybe we could have helped to alleviate a thumb sucking habit before it caused structural changes to the jaw bones.

For reasons such as these, it is important to remember that every child should have an evaluation with the orthodontist by age 8. Treatment won't be recommended until later in development for a very high percentage of these children, but the children that do require early treatment will benefit greatly from interceptive orthodontics.

Your orthodontist is the health-care professional with the most training in dental and jaw bone development, and can help you navigate if and when is the right time to intervene to affect positive change for your child.

So, the next time you are wondering when is the right time to ask for an orthodontic  consultation, remember that each child should have an evaluation with the orthodontist by age 8.

Drs. Steve Cagliostro and Gary Romeo


Aligner basics - water only!

December 18th, 2018

Most patients are surprised that they shouldn't drink anything other than water with aligners in....Wait, what about my morning coffee? or that post-workout Gatorade?

Unfortunately, liquids can damage your teeth and your aligners. Here's some facts:

  • Any liquid you drink with you aligners in will seep under the aligner and sit on your teeth.
  • Sugary liquids provide a food source for acid-producing bacteria that live in your mouth. This acid can produce cavities on your teeth while you are wearing your aligners.
  • Colored liquids will stain your aligners and teeth, also most colored liquids are acidic which again, isn't good for your enamel!
  • Hot liquids will deform your aligners!  This means your progress will stop and the next set of aligners may not fit!

Any time you eat or drink anything other than water it is recommended that you brush your teeth prior to re-inserting your aligners. When away from a toothbrush, you can consider rinsing vigorously with water, it'll help wash away food particles and neutralize the oral environment.

Thanks for reading!

Drs. Steve Cagliostro and Gary Romeo

Adult orthodontics

December 10th, 2018

Adults are realizing every day that they too can benefit greatly from orthodontic treatment. Whether it's for one little rotation, a small bit of crowding, or more extensive alignment and bite issues, your orthodontist is the health care professional with the most experience in diagnosis and treatment of your alignment and bite problems.
At the new patient exam, we'll assess your chief concerns and give you an idea of what we reasonably could expect as an outcome along with a general timeline. After orthodontic records are taken, a detailed plan is constructed and discussed with you and any other treating dentists or dental specialisits.
Most of our adult patients choose aligner treatment over traditional or tooth-colored braces. Aligner treatment has improved, and at times can produce an outcome as good, if not better, than braces alone! You can learn more about Invisalign by clicking here.
Some patients concerns can be addressed as quickly as several months, others may take up to two years. Office visits average 15 minutes or less once treatment has begun and are spaced by approximately 6 weeks.  In general, fees are commensurate with length and complexity of treatment. Fortunately, we offer easy down payments and monthly payments with no added interest.
We like to be convenient for you, that's why we have early, late and Saturday appointments available in both of our offices.

We love being your family orthodontist in the greater Norwalk and Westport communities!

Drs. Steve Cagliostro and Gary Romeo

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