ORTHODONTICS

ORTHODONTICS

ORTHODONTICS

ORTHODONTICS

ORTHODONTICS

At PDA Dental Group, our top priority is to provide your child with the highest quality orthodontic care in a friendly, comfortable environment. We utilize the latest technological advances in the industry and a personalized plan to ensure that your child receives the most effective orthodontic treatment possible. And that will make you both smile.

Reading Orthodontics Hours

Monday: 9:00am – 5:00pm
Wednesday: 11:30am – 7:00pm
Thursday: 9:00am – 5:00pm
Friday: 8:00am – 4:30pm

Winchester Orthodontics Hours

Monday: 8:00am – 4:30pm
Tuesday: 12:00pm – 7:00pm
Wednesdays: 8:00am – 4:30pm
Thursday: 8:00am – 4:30pm

Meet the Doctors

Dr. Shannon L. Duffy, DMD

Dr. Shannon L. Duffy, DMD

Dr. Shannon L. Duffy is a graduate of Brandeis University where she majored in Biology and was a member of the varsity women's basketball team. She received her Doctor of Dental Medicine degree from the University of Connecticut and was inducted into Omicron Kappa Upsilon, the National Dental Honor Society. Dr. Duffy completed her three year post-graduate training in orthodontics at Stony Brook University in New York.

Dr. Duffy conducted research at Stony Brook and the Beth Israel Deaconess Medical Center and her work was published in scientific journals. She is a member of the American Dental Association, the American Association of Orthodontists, and the Massachusetts Dental Society.

Dr. Carolyn J Ferrick, DMD

Dr. Carolyn J Ferrick, DMD

Dr. Carolyn J. Ferrick is a proud native of Winchester, MA . She graduated summa cum laude from Emmanuel College with a Bachelor of Science degree in Biology.  Dr. Ferrick then went on to attend Tufts University School of Dental Medicine, where she graduated in the top of her class and was inducted into the Omicron Kappa Upsilon Dental Honors Society.

After dental school, Dr. Ferrick matriculated into the Orthodontic residency program at Tufts. Her passions in orthodontics include the treatment of anterior open bites and developing close bonds with her patients and their families.

Dr. Ferrick is a true New England native and loves apple picking in the fall and spending summers on the Cape. She is currently a member of the American Association of Orthodontists, the Massachusetts Dental Society, and the American Dental Association.

Dr. Shannon L. Duffy, DMD

Dr. Shannon L. Duffy is a graduate of Brandeis University where she majored in Biology and was a member of the varsity women's basketball team. She received her Doctor of Dental Medicine degree from the University of Connecticut and was inducted into Omicron Kappa Upsilon, the National Dental Honor Society. Dr. Duffy completed her three year post-graduate training in orthodontics at Stony Brook University in New York.

Dr. Duffy conducted research at Stony Brook and the Beth Israel Deaconess Medical Center and her work was published in scientific journals. She is a member of the American Dental Association, the American Association of Orthodontists, and the Massachusetts Dental Society.

Dr. Carolyn J Ferrick, DMD

Dr. Carolyn J. Ferrick is a proud native of Winchester, MA . She graduated summa cum laude from Emmanuel College with a Bachelor of Science degree in Biology.  Dr. Ferrick then went on to attend Tufts University School of Dental Medicine, where she graduated in the top of her class and was inducted into the Omicron Kappa Upsilon Dental Honors Society.

After dental school, Dr. Ferrick matriculated into the Orthodontic residency program at Tufts. Her passions in orthodontics include the treatment of anterior open bites and developing close bonds with her patients and their families.

Dr. Ferrick is a true New England native and loves apple picking in the fall and spending summers on the Cape. She is currently a member of the American Association of Orthodontists, the Massachusetts Dental Society, and the American Dental Association.

Getting braces is an exciting event, but what happens next? We are here to help you carefully take care of your braces and answer any questions you may have during this time.

What are Braces?

Braces generally consist of individual brackets, bands, wires, and color ties that all work together to straighten your teeth, align your bite to help you chew properly, and create a healthy beautiful smile.

Eating with Braces

It is important to choose the proper foods during the course of your orthodontic treatment to prevent damage to brackets, wires or bands.

Foods to Avoid with Braces

  • Chewy foods: bagels, licorice
  • Crunchy foods: popcorn, pizza crusts, chips, ice
  • Sticky foods: Caramel candies, chewing gum
  • Hard foods: nuts, hard candies
  • Foods that require biting into: corn on the cob, whole apples, carrots.  (Cut corn off cob, cut apples and carrots into thin slices to make them braces friendly).

Discomfort after getting braces

It is normal to have soreness associated with your braces but by the fourth day, the soreness should decrease and with each day after, the feeling will diminish. For the discomfort, we recommend an over the counter pain reliever such as Tylenol (acetaminophen) or Advil (ibuprofen). Just make sure you check the dosage before giving the medication to your child.

Some patients may have irritated areas on their lips, tongue or cheeks from their braces. This is typical as well and will decrease over time. To relieve this discomfort, we recommend using wax to cover a bracket or band that may be causing this feeling.

Loose Teeth

Don’t worry if you notice that your teeth feel a little loose after your orthodontic visit. As the teeth are moved into position, this will go away and they will feel more sturdy.

Taking care of your braces.

It is important to take care of your braces also called brackets or appliances. One of the main reasons treatment time is prolonged is due to broken brackets or braces.

Playing sports or playing an instrument with braces.

You can definitely play sports while wearing your orthodontic appliance. It is recommended that you wear a mouthguard to protect your teeth and your braces. We provide mouthguards for all of our PDA orthodontic patients.

Brushing and Flossing

It is important to maintain good oral hygiene throughout the length of your orthodontic treatment. Braces, wires and bands can trap food particles making it difficult to brush and floss away plaque. Careful brushing and flossing is the best way to prevent plaque build-up, tooth decay and gum disease.

Our orthodontists recommend brushing with a soft bristled toothbrush and fluoride toothpaste after mealtimes or at least 3 times per day for a minimum of 2 minutes. A gentle thorough circular motion both at the gum line and under wires will help remove food particles and plaque.

Flossing is necessary to clean the areas between teeth that a toothbrush cannot reach. We recommend the use of floss threaders for ease of flossing teeth while in braces. We also recommend using a fluoride rinse such as Phosflur or ACT on a daily basis.

Types of Braces

Metal

Metal Braces are the most common braces used today. Unlike their predecessors, metal braces today are smaller, flatter, and more comfortable. They are made of high grade stainless steel or titanium.

Clear Braces

Clear braces are made of transparent materials and are less visually prominent. They are a great alternative to metal braces for patients who are concerned with esthetics.

Invisalign/ Invisalign Teen

Invisalign straightens teeth with a series of custom made aligners. These aligners are made out of a smooth clear plastic that you wear over your teeth. These aligners are changed about every two weeks.

Office Visits – Where Your New Smile Starts: The Initial Complimentary Consultation

The doctors and staff of Pediatric Dental Associates are very excited to meet with you during your first orthodontic visit. The first visit is a 30-minute complimentary appointment that consists of a review of your medical and dental history; thorough examination; and a discussion of potential customized treatment options by one of our orthodontic specialists. At this time, we will address any questions or concerns you may have.

We can often answer general questions during this first visit, but more specific information will be provided after careful analysis of orthodontic records. This is the next step in the orthodontic process if the patient is ready for treatment. The orthodontic records appointment consists of x-rays, photos and molds of the teeth.

What happens after the First Visit?
Once the orthodontic records are complete, the orthodontist will review all the dental findings with you at the treatment conference appointment. The orthodontic treatment plan will be discussed in detail and any specific questions will be answered. Finally, the braces appointment will be scheduled and you will be on your way to a beautiful, healthy smile!

How are orthodontic visits scheduled?
Once the braces are on, we generally schedule patients about every 6 weeks, depending on the particular treatment, for orthodontic adjustment appointments. The orthodontist works closely with the orthodontic assistants who review in detail the importance of keeping your teeth clean and avoiding foods that can damage your braces. Once the orthodontic treatment is complete we remove your braces and give you retainers to wear to maintain the alignment of your teeth.

Comprehensive Dental Care

It is important that you continue to see your dentist for cleanings at least every 6 months and for any other dental work that is needed during your orthodontic treatment.

True orthodontic emergencies are rare. Usually a loose bracket or wire can be a nuisance but typically they are not painful. In fact, many of the problems that you may encounter are easy to solve temporarily. If you are able to resolve the issue, please still call our office to schedule an appointment to repair the problem. However, if you do experience a painful problem or have an issue that isn’t easily remedied at home then you should call our office.

What to do when you have…

Loose Bracket or Band
If your bracket or band is loose but still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band is easily removed, save it and bring it to your next appointment. Make sure to call the office to inform them that you have a loose bracket or band before your appt.

Loose Wire

Use a tweezer and try to put the wire back into place, then place wax over the bracket and wire to stabilize.

If you cannot put the wire into a comfortable position and wax does not help, use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. Place wax on the end of the wire if it is causing discomfort.

  

Poking wire
Use a pencil to push the wire into position so that it is no longer causing discomfort.

  

It is important to maintain good oral hygiene throughout the length of your orthodontic treatment. Braces, wires and bands can trap food particles making it difficult to brush and floss away plaque. Careful brushing and flossing is the best way to prevent plaque build-up, tooth decay and gum disease.

Our orthodontists recommend brushing with a soft bristled toothbrush and fluoride toothpaste after mealtimes or at least 3 times per day for a minimum of 2 minutes. A gentle thorough circular motion both at the gum line and under wires will help remove food particles and plaque.

Flossing is necessary to clean the areas between teeth that a toothbrush cannot reach. We recommend the use of floss threaders for ease of flossing teeth while in braces. We also recommend using a fluoride rinse such as Phosflur or ACT on a daily basis.

Patient 1: Before
Initial photo series taken prior to orthodontic treatment.


Patient 1: After
Final photo series taken after a 30 month case which included a Trans Palatal Arch appliance, full upper and lower braces and elastics.


Patient 2: Before
Initial photo series taken prior to orthodontic treatment.


Patient 2: After
Final photo series taken after two phases of treatment. The first phase included a removable K-D appliance for 5 months. The second phase included full upper and lower braces for 17 months.


Patient 3: Before
Initial photo series taken prior to orthodontic treatment.


Patient 3: After
Final photo series taken after a 25 month case which included extractions, full upper and lower braces and elastics.


Patient 4: Before
Initial photo series taken prior to orthodontic treatment.


Patient 4: After
Final photo series taken after a 26 month case which included extractions, full upper and lower braces and elastics.