Our practice uses the latest orthodontic technology including 3D scans, SureSmile and Invisalign.


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    About The Practice

    Wall Street Orthodontics can give you the beautiful, straight teeth you’ve always wanted! We offer a full range of orthodontics for both adults and children.

    We pride ourselves on providing technologically-advanced orthodontic care in a sleek, modern, comfortable space designed by award-winning architect James Papoutsis.

    We take our philosophy very seriously, that orthodontics is not just about fixing teeth. When we enhance a patient’s smile, we make that person feel more beautiful, and enable them to smile with confidence.

    Let us give you the beautiful, healthy smile you can’t wait to show off every day.

    Our Doctors

    Dr. Marc Lemchen

    Orthodontist

    Dr. Lemchen is a graduate of Tufts University School of Dental Medicine and is a board-certified orthodontist. He is affiliated with several of New York’s leading hospitals, including Lenox Hill Hospital, where he served as Co-Chief of the Orthodontics Department, New York Presbyterian Hospital, Cornell

    Medical College, and St. Luke’s Roosevelt Hospital. He is also a Fellow of the American College of Dentistry. After 40 years of practicing orthodontics, Dr. Lemchen holds several important scientific patents and continues to be an innovator in his field.


    Dr. Jennifer Salzer

    Orthodontist

    Dr. Jennifer Salzer was born in Syosset, New York. She graduated from Duke University in 1993 and received her Doctor of Dental Surgery degree from New York University in 1997.

    She went on to obtain her certificate in Orthodontics from NYU in 1999. During this time, she was also a Ford runway model. She is now in private practice on Park Avenue in Manhattan. She has been chosen as a featured national speaker for Invisalign® orthodontic products by Align Technology and has given numerous lectures on various aspects of dentistry.

    Jennifer has received numerous honors and awards for her work. Most notably, she is a committee member of Omicron Kappa Upsilon,

    the National Dental Association’s highest honor for academic achievement. As one of the pioneering members of Invisalign’s Top Doctor Group, she is also a certification instructor of Align Technology, and was rated the best clinical speaker of 2003.

    In addition to being represented by such popular brands as Crest, Rowley, Effects (featuring Vanessa Williams) and Spinbrush Pro, she has had numerous television appearances on networks like CBS, NBC, NY1, Oxygen and Discovery, just to name a few.

    Jennifer developed the “Youthful Smile Profile Test” to help empower and educate women on the lifestyle, lifestage, health and oral care choices that impact the aging of the mouth.


    Dr. Lacey Winford

    Orthodontist

    Welcome to Our Office

    At Wallstreet Orthodontics you will be greeted with a warm smile in the reception area. You will feel surrounded by beauty in the sleek, modern design by award-winning architect James Papoutsis.

    Relax in comfort during your appointment and enjoy the view from the heart of Wall Street. You will find cutting-edge technology in our state-of-the-art practice to ensure that you receive the most effective and efficient care possible.

    Treatment Types

    • Overview

    • Early Treatment

    • Two Phase Treatment

    • Damon System

    • Surgical Orthodontics

    • TMJ/TMD Treatment

    • Invisalign

    • Retention

    • 3D Imaging

    • SureSmile

    • Acceledent

    • iTero Scanner

    Overview

    Our goal is to give you a beautiful, healthy smile that you can enjoy every day for a lifetime. To do so, we develop a treatment plan customized to your unique situation.

    Early Treatment

    The American Association of Orthodontists (AAO) recommends seeing an orthodontist by the age of 7 to see if your child can benefit from treatment. This is an ideal age for correction, because the first permanent molars have typically come in by this time, and crossbites, crowding, and other common problems can be evaluated and addressed before they worsen.

    Early treatment can radically simplify (and in some cases do away with altogether) later treatment. It gives an orthodontist the ability to monitor the growth of the jaw and guide incoming permanent teeth. It allows the doctor to regulate the width of the upper and lower dental arches, to gain space for permanent teeth, avoid the need for extractions, and reduce the likelihood of impacted permanent teeth.

    Two Phase Treatment

    There are orthodontic advantages to treating certain cases in two separate stages. The goal of the Phase I treatment is to develop well-oriented jaws, healthy bones and gums, and adequate room for permanent teeth. Children sometimes exhibit early signs of jaw problems as they grow and develop. For example, an upper or lower jaw that is growing too much or not enough can benefit from early orthodontic treatment. Crowded jaws can also benefit from early observation and treatment. This early correction can prevent the removal of permanent teeth due to excessive overbite or overcrowding. If you believe a problem exists, you are most likely correct in your assessment.

    Generally, we use a growth-modifying appliance for skeletal problems, limiting the need for braces, to create necessary space for patients between 8-12 years of age. In our practice, approximately 25 percent of patients evaluated between these ages undergo early treatment. Our goals for these cases are:

    • Influence jaw growth in a positive manner
    • Improve the width of the dental arches
    • Reduce the need to extract permanent teeth
    • Reduce/eliminate the need for jaw surgery
    • Mitigate the risk of trauma to (or breakage of) protruding front teeth
    • Correct harmful oral habits
    • Improve facial aesthetics, which translates to higher self-esteem
    • Simplify and shorten treatment time for Phase II
    • Improve speech development
    • Improve the position of erupting teeth
    • Preserve or create more space for erupting teeth
    • Guide permanent teeth into more favorable position(s)
    • Improve lip competence, keeping the lips together
    • Take advantage of increased orthodontic compliance before the busy teenage years

    During Phase II treatment, our goal is to position all of the permanent teeth to maximize their appearance and improve their functional integrity. This is best accomplished by placing braces on all of the upper and lower teeth. The treatment length for Phase II is generally 18-24 months long.

    Damon System

    The Damon System bracket is self-ligating, so it eliminates the need for elastic ties to keep the wire in. Without a tie, the braces stay clean and friction is reduced, allowing your treatment to progress more efficiently and with less discomfort along the way. Damon System braces are available with both a metal and a clear option.

    Surgical Orthodontics

    Surgical orthodontics is a combined treatment by our doctors and an oral surgeon to correct jaw abnormalities. These issues are determined after reviewing the patient’s X-rays and models.

    The orthodontist initially levels and aligns the teeth in the jawbone, then the oral surgeon positions the jaws into a more normal position to allow the bite to come together ideally. This procedure results in the improved ability to chew, speak, and breathe, while also delivering tremendous facial aesthetics.

    Drs. Lemchen, Salzer, and Cohen embrace the latest in orthodontic technologies to reduce the overall need for this method, however it can still be required in those with improper bites, as well as those with facial aesthetic concerns. All growth must be complete before jaw surgery can be performed (jaw growth is usually complete by 16 years with girls and 18 with boys), however it is very common to begin correcting tooth position while a patient is still growing.

    Temporomandibular Disorder

    The temporomandibular joint connects the jaw to the skull. Pain in this area is characterized as Temporomandibular Disorder. This joint is similar to many others in the body, and as such, is susceptible to conditions like ankylosis, arthritis, and dislocations.

    TMD Symptoms Include:

    • Biting/chewing difficulty or discomfort
    • Neck and shoulder pain
    • Dizziness
    • Hearing loss
    • Headaches/earaches in the morning
    • Jaw pain or tenderness
    • Reduced ability to open/close the mouth

    Should you notice any of these symptoms, please contact our office. Our specialists can diagnose and provide you with treatment options.

    Invisalign

    Ever wanted to get beautiful, straight teeth – without braces? Invisalign may be right for you.

    What is it?

    Invisalign offers a cutting-edge approach to orthodontics by using a series of custom-made, invisible aligners. Using 3-D computer imaging, each aligner is created specific to your teeth and gradually and gently shifts your teeth into place. The best part about the whole process is that most people won’t even know you are wearing the aligners. So you can smile with confidence, both during and after your treatment.

    Why would I want it?

    There are no metal brackets or wires to tighten. The clear aligners are virtually invisible to other people so no one will notice you are wearing the aligners. The aligners are also removable, which means you can eat what you want, brush your teeth with ease and floss with no problems. With the complete, virtual treatment plan, you can see the anticipated results before even starting your treatment. Since you have a series of aligners instead of metal wires and brackets, you actually need to visit our office less often to get adjustments.

    How does it work?

    Using modern 3-D imaging technology, a custom set of aligners is made for you. Every two weeks, you switch to a new aligner. As you switch aligners, your teeth gradually and comfortably shift, resulting in a beautiful smile. Drs. Lemchen, Salzer, and Cohen will have you come by their office every six weeks to confirm the progress of your treatment. On average, you will be in treatment for 9 – 15 months and wear 18 – 30 different aligners. However, actual treatment times will depend on your particular case.

    Invisalign FAQS

    How long will my life be affected by Invisalign?

    The quick answer is that your daily life will be basically unaffected by Invisalign. Since the aligners are removable, you can eat and drink whatever you want. That being said, you will need to wear your aligners for 20 -22 hours a day, so you should only remove them for eating, brushing and flossing.

    How long will treatment last?

    The length of treatment depends on the complexity of your case. The average case takes about 12 months to complete for a typical adult patient.

    What if I have already had braces?

    Many Invisalign patients have undergone traditional braces treatment, most frequently during their youth. However, teeth can shift with age, and Invisalign is an excellent treatment option for adults.

    How often will I need to see my Invisalign doctor?

    Drs. Lemchen, Salzer, and Cohen will schedule your appointments according to your specific case. Usually, patients visit our office every 4 – 6 weeks for Invisalign.

    How many people have been treated with Invisalign?

    Invisalign has been used to treat more than two million patients worldwide.

    How many people have been treated with Invisalign?

    Invisalign has been used to treat more than two million patients worldwide.

    Learn more at www.invisalign.com

    Worried about having metal braces for Prom, yearbook photos, or playing sports? Invisalign clear aligners are virtually invisible and most people do not even notice them. Since they are removable, you can eat what you want without any worry of breaking a bracket or rubber band.

    Invisalign aligners do not interfere with your daily life, since they are:

    • Clear – Virtually invisible and do not show up in photos
    • Removable – Eat what you want, when you want
    • Maximum Comfort – Since the aligners gradually shift your teeth, Invisalign is extremely comfortable to wear
    • Customized – Each set is specific to you, so they are optimized for fast results

    Eat what you want!

    Ever hear that you won’t be able to eat anything with braces? Not with Invisalign. Because it is completely removable, you can eat all your favorites, from corn on the cob to popcorn or apples.

    Worried that Invisalign will interfere with extracurriculars?

    Invisalign will not interfere with any of your extracurricular activities. Not only are the aligners removable, they are very durable. No matter if you are acting, playing soccer, running cross country or part of the school band, Invisalign will let you continue to do all the activities you love.

    Retainers

    Retainers may be removable or fixed. They hold your teeth in their new, correct positions after your teeth have been straightened. Your orthodontist will instruct you on how to care for your retainer and about the duration of the wear. Wearing your retainer as directed is crucial to prevent regression of your treatment.

    3D Imaging

    Utilizing advanced 3D imaging software, Drs. Lemchen, Salzer, and Cohen can show you your end result before you even start treatment! You’re able to view, with precision accuracy, the curvature and width of the best smile specifically proportioned to your facial features. 3D imaging helps develop a treatment plan customized just for you that provides fast, accurate, and predictable results.

    SureSmile®

    SureSmile®Orthodontic Technology

    SureSmile is an advanced orthodontic system that helps make straightening teeth significantly more precise than every before! It is much more accurate than traditional orthodontic treatments and is changing how people feel about braces.

    SureSmile reinventing orthodontic treatment

    SureSmile is unlike conventional orthodontic treatments in that it starts with a 3D computer generated model of your teeth. This allows our orthodontists to plan movements for each tooth individually throughout your entire experience wearing braces. After the 3D model is complete, SureSmile robots customize individual braces to fit your treatment plan.

    This incredible technology allows orthodontists to create treatment plans tailored to each patient. Teeth are positioned more efficiently than every before which improves the quality of treatment results and cuts down your time wearing braces. In addition to providing more accurate treatment, SureSmile can cut down treatment time by up to 29%!

    The cutting edge solutions offered by SureSmile allow for us to offer you a treatment that has:

    • Precise results
    • Reduced pain and discomfort
    • Less trips to the office

    Learn more at www.suresmile.com

    Acceledent

    You want to improve the look of your smile, but does the thought of spending months, or even years, in braces sound like too much of a hassle? With the AcceleDent® System, you can now reduce the time of your orthodontic treatment by 38 to 50%! Using this pain-free, easy appliance, you’ll achieve your most perfect smile in no time at all.

    How does AcceleDent work?

    AcceleDent is a light, comfortable, and hands-free appliance that is used 20 minutes per day as a complement to braces to accelerate tooth movement. The patented technology gently vibrates the teeth and surrounding bone, allowing teeth to move more freely. The best part of the AcceleDent System is that it’s completely safe! You may experience a slight tingling sensation, much like that of the vibration of an electric toothbrush, but it should diminish after you become accustomed to using the appliance.

    Learn more at www.acceledent.com

    iTero Scanner

    Wallstreet Orthodontics now offers the iTero Impressionless Scanner in our office. The innovative iTero Impressionless Scanner is an advanced technology used to take oral impressions for braces, Invisalign®, appliances and retainers. Impressionless scanning uses confocal imaging to digitally capture the shape of teeth and gums, providing a multitude of views without the use of traditional impressions.

    Traditional impression techniques require a patient to be uncomfortably seated while having a messy substance held in their mouth. However, with the iTero Impressionless Scanner, it takes 1/3 the time to take an impression and we get a much more detailed result.

    iTero Impressionless Scanners have several benefits over traditional impressions. First, a patient’s movement does not distort the scan and eliminates the invasiveness and discomfort caused by impressions. Second, the real-time digital display of scans allows for immediate adjustment, assuring accurate scans the first time. Finally, the image quality of impressionless scans is superior to conventional impressions.

    Learn more at www.itero.com

    Early Treatment

    The American Association of Orthodontists (AAO) recommends seeing an orthodontist by the age of 7 to see if your child can benefit from treatment. Early treatment gives an orthodontist the ability to monitor the growth of the jaw and guide incoming permanent teeth.

    Damon System

    The Damon System bracket is self-ligating, so it eliminates the need for elastic ties to keep the wire in. Without a tie, the braces stay clean and friction is reduced, allowing your treatment to progress more efficiently and with less discomfort along the way.

    Damon System braces are available with both a metal and a clear option.

    Surgical Orthodontics

    Surgical orthodontics is a combined treatment by our doctors and an oral surgeon to correct jaw abnormalities. These issues are determined after reviewing the patient’s X-rays and models.

    Drs. Lemchen, Salzer, and Cohen embrace the latest in orthodontic technologies to reduce the overall need for this method, however it can still be required in those with improper bites, as well as those with facial aesthetic concerns. All growth must be complete before jaw surgery can be performed (jaw growth is usually complete by 16 years with girls and 18 with boys), however it is very common to begin correcting tooth position while a patient is still growing.

    Temporomandibular Disorder

    The temporomandibular joint connects the jaw to the skull. Pain in this area is characterized as Temporomandibular Disorder. This joint is similar to many others in the body, and as such, is susceptible to conditions like ankylosis, arthritis, and dislocations.

    TMD Symptoms Include:

    • Biting/chewing difficulty or discomfort
    • Neck and shoulder pain
    • Dizziness
    • Hearing loss
    • Headaches/earaches in the morning
    • Jaw pain or tenderness
    • Reduced ability to open/close the mouth

    Should you notice any of these symptoms, please contact our office. Our specialists can diagnose and provide you with treatment options.

    Invisalign

    Ivisalign offers a cutting-edge approach to orthodontics by using a series of custom-made, invisible aligners. Every two weeks, you switch to a new aligner. As you switch aligners, your teeth gradually and comfortably shift, resulting in a beautiful smile. Drs. Lemchen, Salzer, and Cohen will have you come by their office every six weeks to confirm the progress of your treatment. On average, you will be in treatment for 9 – 15 months and wear 18 – 30 different aligners. However, actual treatment times will depend on your particular case.

    Why would I want it?

    There are no metal brackets or wires to tighten. The clear aligners are virtually invisible to other people so no one will notice you are wearing the aligners. The aligners are also removable, which means you can eat what you want, brush your teeth with ease and floss with no problems.

    Retainers

    Retainers may be removable or fixed. They hold your teeth in their new, correct positions after your teeth have been straightened. Your orthodontist will instruct you on how to care for your retainer and about the duration of the wear. Wearing your retainer as directed is crucial to prevent regression of your treatment.

    3D Imaging

    Utilizing advanced 3D imaging software, Drs. Lemchen, Salzer, and Cohen can show you your end result before you even start treatment! You’re able to view, with precision accuracy, the curvature and width of the best smile specifically proportioned to your facial features. 3D imaging helps develop a treatment plan customized just for you that provides fast, accurate, and predictable results.

    Life with Braces

    • Life With Braces

    • Brushing & Flossing

    • Types of Braces

    • Types of Appliances

    • Palatal Expanders

    • Bite Turbos

    • Retainer Instructions

    • Emergency Care

    Life with Braces

    Eating with Braces

    It’s not going to be easy at first, and in the beginning foods you can eat will be limited. You’ll want to stick to foods that are soft, fluffy and easily mashed up. Pancakes, oatmeal, bananas, soups, cooked vegetables, applesauce, mashed potatoes, mac & cheese, and soft ice cream – just to suggest a few. Stay away from foods that are hard, crunchy, sticky, or tough.

    Foods to Avoid

    Sticky – gum, caramel, tootsie rolls, peanut butter, toffee
    Hard – apples, carrots and other raw vegetables
    Crunchy – popcorn, chips
    Tough – bagels, corn on the cob, sandwiches, steak, ribs

    There are a few tricks around some problem foods. You can cook your vegetables to make them softer, cut your corn off the cob, and slice apples and sandwiches into small, bite-sized pieces.

    If you’re in doubt about a particular food, ask the doctor.

    General Soreness

    Your mouth is going to feel sensitive and a bit sore when you first get your braces put on. To help alleviate the soreness, you can rinse your mouth with a salt-water solution or take an over-the-counter analgesic. If your braces are rubbing or poking your mouth, you can use dental wax (available at the office or your local drugstore) to cover problem areas and prevent blisters.

    Loosening of Teeth

    Part of the process of creating your new, beautiful smile is moving your teeth; to move them, they need to loosen up first. “Loose teeth” are a natural part of the process. Once your teeth are in the right place, they will settle into their new position.

    Loose Wire, Bracket or Band

    Inevitably, something is going to come loose. A bracket will loosen or a wire may pop out of place. Don’t worry!

    If it’s a flexible wire, you might be able to push it back into place using tweezers. If you can’t move it with tweezers, you can use a pencil eraser or the back of a pen to push the offending wire down. Dental wax will also be your friend, place a small amount on the spot to cover the problem area. Next, schedule an appointment to have the wire, bracket, or band repaired.

    Care of Appliances: Brushing

    It is always important to brush and floss your teeth to keep them clean and healthy – with braces, it’s more important than ever. Consistent brushing and flossing will ensure that your gums and teeth remain healthy throughout your treatment.

    Brushing

    Using a soft bristled toothbrush, begin by brushing the outside of your teeth and braces holding the brush tilted at a 45 degree angle. Brush along the top and bottom of the braces using light to moderate pressure, making sure you cover every surface very carefully. Don’t forget to brush the teeth all the way in the back and behind your back molars. It’s a good practice to brush for three minutes at least twice a day. Using a timer or singing along to a song will help you keep track of your time.

    Flossing

    Flossing at least once a day is very important for good dental hygiene and to keep your teeth healthy. Flossing with braces may seem difficult at first. To floss properly, you will need to thread the floss under the archwire. This can be done in two ways – either by threading the floss through on your own or using a floss threader to thread the floss under the wire.

    When threading the floss, it is a good practice to start by pushing the floss vertically from the top to the bottom on your upper teeth and from the bottom to the top on your bottom teeth, always threading away from your gums. Once threaded, carefully floss around each tooth and gum, moving the floss up and down, just like you did without braces.

    Types of Braces

    Damon System Braces

    The Damon System bracket is self-ligating, so it eliminates the need for elastic ties to keep the wire in. Without a tie, the braces stay clean and friction is reduced, allowing your treatment to progress more efficiently and with less discomfort along the way.

    Damon System braces are available with both a metal and a clear option.

    Invisalign

    Invisalign is the ultimate in terms of aesthetic treatment options. We use custom molded clear trays to move your teeth to the ideal position. Because they are removable, patient compliance is extremely important with aligners. Invisalign is a terrific option for working professionals or patients seeking a discrete solution to improve their smile, however it is not ideal for every case.

    Incognito

    Incognito is another custom option that uses braces that are placed on the inside of the teeth. Advanced computer software produces custom brackets and a series of wires to correct your bite efficiently, while keeping the braces hidden.

    Clear Braces

    The Damon Clear bracket is the most aesthetically clear brace in the market. It blends beautifully with your teeth and features a clear slide mechanism that conceals the wire. Because the slide is used in place of elastic ties, the braces stay clean and clear throughout treatment and reduce the overall appointments needed to complete treatment.

    Types of Appliances

    Forsus (Bite Fixer)

    This appliance is used in overbite cases after leveling and aligning your bite. We use a spring that is connected to the brackets to bring your jaw forward.

    Herbst Appliance

    We use a Herbst in more severe overbite cases as an alternative to jaw surgery. This appliance can even be used on adults and is believed to stimulate lower jaw growth, which delivers stability after your braces come off.

    Elastics (Rubber Bands)

    We connect small rubber bands from one tooth to another to improve positioning.

    Appliance

    Any device that is used in your mouth to change the shape of your jaw or move your teeth is referred to as an appliance.

    Facemask

    An appliance used in underbite cases to advance your upper arch forward, it is used with adolescents before the age of 9 as an attempt to avoid later jaw surgery.

    TPA Appliances

    Typically used after an expander, this fixed retainer runs across your palate to hold your teeth in place. It can also be used to hold space when a primary tooth is lost earlier than usual.

    LA Appliance

    This lingual retainer is used on the lower arch to hold space after your phase I treatment. Similar to the TPA Appliance, we also use it in instances of early loss of a primary tooth.

    Fixed Retainer

    This is typically used after your treatment is complete. We bond wires to the inside of your upper and lower arches to hold your teeth in place. These are most often used in severe cases, along with clear retainers.

    Palatal Expander

    A palatal expander is a device used to widen the upper jaw so that the upper and lower teeth will fit together better. It is often used to create room in the mouth prior to braces. A space may, but will not always, open between the upper two front teeth during the first few weeks as the appliance widens the upper arch. The space will disappear in the following weeks once the turning has stopped and braces are placed.

    Palatal Expander Instructions

    1. In a well lit area tilt the patient’s head back.
    2. Place the key in the hole until it is firmly in place.
    3. Push the key towards the back of the mouth. You will notice the fender will rotate and a new hole will appear. The rotation stops when the key meets the back of the expander.
    4. By pushing back and down (toward the tongue), remove the key. The next hole for the key should now be visible.

    Bite Turbo

    A Bite Turbo is a small orthodontic platform placed on the back of the upper front teeth to prevent full closure of the teeth. This protects the lower braces from being damaged by the bite.

    When upper and lower braces are placed, in many instances, the top teeth bite down and contact the lower braces. This will cause the lower braces to break off the teeth. To prevent this, and allow placement of upper and lower braces at the same time, Bite Turbos are placed on the back of the upper front teeth to prevent full closure of the teeth.

    Retainer Instructions

    • Wear your retainers full time, until the doctor instructs otherwise.
    • Take your retainers out when eating…and always put retainers in their case! (Most appliances are lost in school lunchrooms or restaurants.)
    • Clean retainers thoroughly once a day with a toothbrush and toothpaste. Use warm but not hot water. Brushing retainers removes the plaque and eliminates odors. Efferdent® or other orthodontic appliance cleaners can be used but do not take the place of brushing.
    • When retainers are not in your mouth they should ALWAYS be in a retainer case. Pets love to chew on them!
    • Initially, you may find it difficult to speak. Practice speaking, reading, or singing out loud to get used to them faster.
    • Retainers are breakable, so treat them with care. If retainers are lost or broken, call us immediately.
    • If you have any questions or concerns about your retainers, or your retainers need adjusting, call us. Do not try to adjust them yourself.
    • Always bring your retainers to your appointments.
    • Retainer replacement is expensive … with proper care they will last for years!
    • Remove retainers when swimming.
    • Keep retainers away from hot water, hot car dashboards, pockets, the washing machine, and napkins.

    Emergency Care

    For situations requiring immediate medical attention, you should contact your doctor or local emergency medical services.

    For orthodontic-related emergencies, our office is here to help. Most emergency situations can be temporarily taken care of at home, though. Usually loose brackets and wires that are causing some discomfort or poking can be covered in wax or pushed back into place. Loose and poking wires can be manipulated using tweezers or a pencil eraser. It’s still important to call the office and set up an appointment to have the issue corrected.

    In the event of a more severe issue (an appliance breaks, a wire slips loose, or is preventing the mouth from opening or closing) call our office to schedule an appointment and have the problem taken care of right away.

    Keep in mind that there may be some discomfort for a few weeks after getting your braces on and for several days after an adjustment. In these situations, rinsing with salt water or taking an over-the-counter pain reliever may alleviate the pain.

    Eating with Braces

    It’s not going to be easy at first, and in the beginning foods you can eat will be limited. You’ll want to stick to foods that are soft, fluffy and easily mashed up. Pancakes, oatmeal, bananas, soups, cooked vegetables, applesauce, mashed potatoes, mac & cheese, and soft ice cream – just to suggest a few. Stay away from foods that are hard, crunchy, sticky, or tough.

    Foods to Avoid

    • Sticky – gum, caramel, tootsie rolls, peanut butter, toffee
    • Hard – apples, carrots and other raw vegetables
    • Crunchy – popcorn, chips
    • Tough – bagels, corn on the cob, sandwiches, steak, ribs

    General Soreness

    Your mouth is going to feel sensitive and a bit sore when you first get your braces put on. To help alleviate the soreness, you can rinse your mouth with a salt-water solution or take an over-the-counter analgesic. If your braces are rubbing or poking your mouth, you can use dental wax (available at the office or your local drugstore) to cover problem areas and prevent blisters.

    Loosening of Teeth

    Part of the process of creating your new, beautiful smile is moving your teeth; to move them, they need to loosen up first. “Loose teeth” are a natural part of the process. Once your teeth are in the right place, they will settle into their new position.

    Loose Wire, Bracket or Band

    Inevitably, something is going to come loose. A bracket will loosen or a wire may pop out of place. Don’t worry!

    If it’s a flexible wire, you might be able to push it back into place using tweezers. If you can’t move it with tweezers, you can use a pencil eraser or the back of a pen to push the offending wire down. Dental wax will also be your friend, place a small amount on the spot to cover the problem area. Next, schedule an appointment to have the wire, bracket, or band repaired.

    Brushing

    Using a soft bristled toothbrush, begin by brushing the outside of your teeth and braces holding the brush tilted at a 45 degree angle. Brush along the top and bottom of the braces using light to moderate pressure, making sure you cover every surface very carefully. Don’t forget to brush the teeth all the way in the back and behind your back molars. It’s a good practice to brush for three minutes at least twice a day. Using a timer or singing along to a song will help you keep track of your time.

    Flossing

    Flossing at least once a day is very important for good dental hygiene and to keep your teeth healthy. Flossing with braces may seem difficult at first. To floss properly, you will need to thread the floss under the archwire. This can be done in two ways – either by threading the floss through on your own or using a floss threader to thread the floss under the wire.

    Retainer Instructions

    • Wear your retainers full time, until the doctor instructs otherwise.
    • Take your retainers out when eating…and always put retainers in their case! (Most appliances are lost in school lunchrooms or restaurants.)
    • Clean retainers thoroughly once a day with a toothbrush and toothpaste. Use warm but not hot water. Brushing retainers removes the plaque and eliminates odors. Efferdent® or other orthodontic appliance cleaners can be used but do not take the place of brushing.
    • When retainers are not in your mouth they should ALWAYS be in a retainer case. Pets love to chew on them!
    • Initially, you may find it difficult to speak. Practice speaking, reading, or singing out loud to get used to them faster.
    • Retainers are breakable, so treat them with care. If retainers are lost or broken, call us immediately.
    • If you have any questions or concerns about your retainers, or your retainers need adjusting, call us. Do not try to adjust them yourself.
    • Always bring your retainers to your appointments.
    • Retainer replacement is expensive … with proper care they will last for years!
    • Remove retainers when swimming.
    • Keep retainers away from hot water, hot car dashboards, pockets, the washing machine, and napkins.

    Emergency Care

    For situations requiring immediate medical attention, you should contact your doctor or local emergency medical services.

    For orthodontic-related emergencies, our office is here to help. Most emergency situations can be temporarily taken care of at home, though. Usually loose brackets and wires that are causing some discomfort or poking can be covered in wax or pushed back into place. Loose and poking wires can be manipulated using tweezers or a pencil eraser. It’s still important to call the office and set up an appointment to have the issue corrected.

    In the event of a more severe issue (an appliance breaks, a wire slips loose, or is preventing the mouth from opening or closing) call our office to schedule an appointment and have the problem taken care of right away.

    Keep in mind that there may be some discomfort for a few weeks after getting your braces on and for several days after an adjustment. In these situations, rinsing with salt water or taking an over-the-counter pain reliever may alleviate the pain.

    New Patients

    • Why Us?

    • Patient Forms

    • Your First Visit

    • FAQ

    • Ortho Dictionary

    • Before & After

    Why Us?

    Our top priority is to give you a beautiful, healthy smile and that starts with an initial consultation. We are excited to meet you and welcome you to our office.

    Consultation

    We can’t wait to meet you and welcome you to our office! Our team is committed to making your treatment as easy and enjoyable as possible, in a friendly and welcoming environment.

    During your first visit, you’ll get acquainted with the process and procedures for braces; we’ll discuss your customized treatment options in detail, estimated treatment length, and the associated costs.

    If treatment is indicated, we’ll begin by taking diagnostic pictures, x-rays of your teeth, bite registrations, and impressions. These diagnostics will be referenced throughout your treatment and used to monitor progress. There is a charge for collecting the diagnostics.

    FAQ

    How long does the average treatment take?

    Utilizing the newest technologies we now anticipate total treatment times averaging less than two years from start to finish. Obviously some more demanding cases can take longer and more basic cases can finish sooner.

    Does Wall Street Orthodontics take my insurance?

    Every patient’s insurance plan is different however, we will do everything possible to help our patients receive due benefits from their association or insurance carrier. We are happy to help verify your benefits and assist you so that you may file and may be reimbursed for any coverage that you have. We are happy to provide patients with appropriate documentation and properly coded forms to help you get the maximum benefits. These forms are also helpful in maximizing flexible spending benefits.These details will be covered by one of our experts at your consultation.

    Is orthodontic treatment painful?

    Most of our patients tell us that their teeth are sore for the first three days. Simple over-the-counter pain medication usually is all that is needed. In addition, we provide soft wax and silicone to place on any rough areas of your braces to minimize mouth irritations. Warm, salty water is also a good home remedy for oral discomfort.

    How often will appointments be?

    We average 6-8 weeks between visits. In the beginning of treatment some patients need to be seen quite frequently, others have long (10-12 weeks) intervals between appointments. The closer to the end of treatment a patient gets, the more frequent the visits tend to be. When we factor all visits together we average about 6 weeks between appointments. Our offices are conveniently located in the heart of Manhattan’s Financial District so it is a short trip to your orthodontic appointments.

    What happens at a typical visit?

    Once the patient is seated, the technician reviews the chart to see what is planned for the day’s appointment. A doctor is consulted prior to commencing work, then the necessary procedures are performed. Upon completion of the day’s work, the doctor checks and reviews the work performed and plans the next appointment. All questions are answered and comfort is assured prior to the patient leaving. Most visits end with a review of the day’s work with the accompanying parent.

    How long is an average visit in the office?

    Most visits are 45 – 60 minutes in length. Appointments which require the application of any braces can take longer, whether it is the initial visit or during treatment. Most of these brace application visits are performed during the morning hours as they tend to take longer and require more direct contact between doctor and patient. The initial banding (i.e. the day braces are first placed) usually takes 2 to 2 1/2 hours.

    What happens when treatment is complete?

    All of our patients enter a two year retention program following completion of fixed orthodontic treatment. Retainers are delivered at the end of treatment, final records are taken and reviewed, and periodic follow up visits are scheduled to assure the beautiful result achieved with braces will last for a life time.

    What happens if a patient is not ready for treatment?

    We place all patients who are not ready for treatment in our “Orthodontic Guidance Program”. This allows patients to be recalled to the office periodically, in order to assess their status in terms of orthodontic development. It is our goal not to start any patient treatment until it is the most opportune time to treat them. By waiting for this time, a treatment plan which is the most efficient and economical can be delivered. In a sense, we wait until we can do the best care, at the best time, for the best value!

    What color rubberbands can I choose from?

    Every color imaginable!! We have collected orthodontic ties with every color of the rainbow, which we make available to our patients. Even those patients with the new Damon brackets, which do not require ties to hold the wires in place, are given the choice of colors if they so desire. Patients with clear braces can place clear ties on their braces or can have colors as well. We like our patients to enjoy their treatment with us and we do what we can to make it fun.

    What happens if an appointment must be missed or canceled?

    We request our patients to call us as soon as possible if a change in schedules arises. If the office is closed, you may leave a message to cancel your appointment on our answering machine. You may then call back to reschedule or request the office to call you at your convenience. If appointments are canceled in adequate time, patients requesting sooner visits can often be accommodated. The sooner an appointment is rescheduled, the sooner a new appointment can be made which will keep treatment progressing at the rate necessary for a speedy finish.

    One of the largest causes for extended treatment times is missing appointments. Delaying rescheduling delays progress even further. So, if an appointment must be missed please call to cancel and reschedule as soon as possible.

    What should be done in an emergency situation?

    If an orthodontic emergency arises (broken braces, something cutting or preventing closure of the mouth), call our office number (212) 871-9835. Instructions for contacting our paging system will be given. Call our pager and someone will return your call as soon as possible. Obviously, if an emergency is of a life threatening nature it is advised to call 911 or immediately visit the nearest emergency room.

    What do I do to get started?

    Call us at (212) 871-9835 ASAP for a evaluation appointment. When your appointment is made, we will send you a patient health information package, which we request you fill out prior to your visit. When you come for the first appointment, you will be met by one of the treatment coordinators who will brief you about the visit. Then one of the doctors will examine you (or your child) and determine the best course of treatment. If necessary, diagnostic records (digital photos, X-Rays and impressions) will be taken to evaluate. If the diagnostic records are indicated, there will be a charge for this service.

    Parts of Braces

    Appliance – A device that assists in the straightening of teeth. Examples are braces, Invisalign, and retainers.

    Archwire – The wire that extends through each bracket slot in braces

    Band – A metal device that wraps around the tooth to hold a bracket or tube in place

    Bite Turbo – A small orthodontic device placed on the back of the upper front teeth to prevent full closure of the teeth. This protects the lower braces from being damaged by the bite.

    Bonding – The technique of attaching an orthodontic device directly to the enamel of the tooth with the use of adhesive

    Bracket – The metal device (also referred to as a brace) for fastening the archwire to the tooth or band

    Coil Spring – A spring that fits between the bracket and the archwire to open space between teeth

    Elastic – A small rubber band that attaches to the braces to exert forces on teeth to facilitate movement

    Elastic Tie – A small rubber band that encircles the bracket to seat the archwire in the bracket slot

    Forsus – A device used to improve the placement of the bite or jaw

    Herbst Appliance – A device that corrects overbite by holding the lower jaw in a protrusive position

    Hook – A small device to which elastics or other auxiliary devices are attached

    iBraces – A type of braces that are placed behind teeth so that no one can see them, also known as incognito braces

    Invisalign – A type of treatment that uses a series of clear plastic aligners, similar to clear retainers, to gradually move teeth

    Ligature – A wire used to tie a tooth to an orthodontic appliance or another tooth

    Mouth Guard – A tooth or gum shield worn by patients (athletes) to prevent injuries

    Palatal Expander – A device used to widen the upper jaw so that the upper and lower teeth will fit together

    Retainer – A device, usually made of plastic and wires, to hold teeth in position after treatment

    Separator – A device or instrument designed to wedge teeth apart, particularly teeth in tight contact. Frequently used for the examination of proximal surfaces, finishing a restoration, or before banding.

    Wax – A soft, malleable substance placed on brackets to prevent rubbing or irritation

    Orthodontic Procedures

    Banding – The process of adhering bands to teeth

    Bonding – The attachment of an orthodontic device directly to the tooth enamel

    Cephalometric X-Ray – A diagnostic tool very similar to an x-ray. This device is typically used for treatment planning.

    Consultation – The first evaluation done by an orthodontist. Typically, this is a visual assessment where the doctor identifies the treatment parameters.

    Debanding/Debonding – The process of removing orthodontic appliances from the teeth

    Impression – A replica of teeth and oral tissue made from a thick liquid material that sets as a solid rubber mass

    Panoramic X-ray – Wraparound photographs of teeth using an x-ray machine

    Before & After

    Consultation

    We can’t wait to meet you and welcome you to our office! Our team is committed to making your treatment as easy and enjoyable as possible, in a friendly and welcoming environment.

    During your first visit, you’ll get acquainted with the process and procedures for braces; we’ll discuss your customized treatment options in detail, estimated treatment length, and the associated costs.

    If treatment is indicated, we’ll begin by taking diagnostic pictures, x-rays of your teeth, bite registrations, and impressions. These diagnostics will be referenced throughout your treatment and used to monitor progress. There is a charge for collecting the diagnostics.

    Health History Forms

    Adult Health History Form


    Child Health History Form

    FAQ

    How long does the average treatment take?

    Utilizing the newest technologies we now anticipate total treatment times averaging less than two years from start to finish. Obviously some more demanding cases can take longer and more basic cases can finish sooner.

    Does Wall Street Orthodontics take my insurance?

    Every patient’s insurance plan is different however, we will do everything possible to help our patients receive due benefits from their association or insurance carrier. We are happy to help verify your benefits and assist you so that you may file and may be reimbursed for any coverage that you have. We are happy to provide patients with appropriate documentation and properly coded forms to help you get the maximum benefits. These forms are also helpful in maximizing flexible spending benefits.These details will be covered by one of our experts at your consultation.

    Is orthodontic treatment painful?

    Most of our patients tell us that their teeth are sore for the first three days. Simple over-the-counter pain medication usually is all that is needed. In addition, we provide soft wax and silicone to place on any rough areas of your braces to minimize mouth irritations. Warm, salty water is also a good home remedy for oral discomfort.

    How often will appointments be?

    We average 6-8 weeks between visits. In the beginning of treatment some patients need to be seen quite frequently, others have long (10-12 weeks) intervals between appointments. The closer to the end of treatment a patient gets, the more frequent the visits tend to be. When we factor all visits together we average about 6 weeks between appointments. Our offices are conveniently located in the heart of Manhattan’s Financial District so it is a short trip to your orthodontic appointments.

    What happens at a typical visit?

    Once the patient is seated, the technician reviews the chart to see what is planned for the day’s appointment. A doctor is consulted prior to commencing work, then the necessary procedures are performed. Upon completion of the day’s work, the doctor checks and reviews the work performed and plans the next appointment. All questions are answered and comfort is assured prior to the patient leaving. Most visits end with a review of the day’s work with the accompanying parent.

    How long is an average visit in the office?

    Most visits are 45 – 60 minutes in length. Appointments which require the application of any braces can take longer, whether it is the initial visit or during treatment. Most of these brace application visits are performed during the morning hours as they tend to take longer and require more direct contact between doctor and patient. The initial banding (i.e. the day braces are first placed) usually takes 2 to 2 1/2 hours.

    What happens when treatment is complete?

    All of our patients enter a two year retention program following completion of fixed orthodontic treatment. Retainers are delivered at the end of treatment, final records are taken and reviewed, and periodic follow up visits are scheduled to assure the beautiful result achieved with braces will last for a life time.

    What happens if a patient is not ready for treatment?

    We place all patients who are not ready for treatment in our “Orthodontic Guidance Program”. This allows patients to be recalled to the office periodically, in order to assess their status in terms of orthodontic development. It is our goal not to start any patient treatment until it is the most opportune time to treat them. By waiting for this time, a treatment plan which is the most efficient and economical can be delivered. In a sense, we wait until we can do the best care, at the best time, for the best value!

    What color rubberbands can I choose from?

    Every color imaginable!! We have collected orthodontic ties with every color of the rainbow, which we make available to our patients. Even those patients with the new Damon brackets, which do not require ties to hold the wires in place, are given the choice of colors if they so desire. Patients with clear braces can place clear ties on their braces or can have colors as well. We like our patients to enjoy their treatment with us and we do what we can to make it fun.

    What happens if an appointment must be missed or canceled?

    We request our patients to call us as soon as possible if a change in schedules arises. If the office is closed, you may leave a message to cancel your appointment on our answering machine. You may then call back to reschedule or request the office to call you at your convenience. If appointments are canceled in adequate time, patients requesting sooner visits can often be accommodated. The sooner an appointment is rescheduled, the sooner a new appointment can be made which will keep treatment progressing at the rate necessary for a speedy finish.

    One of the largest causes for extended treatment times is missing appointments. Delaying rescheduling delays progress even further. So, if an appointment must be missed please call to cancel and reschedule as soon as possible.

    What should be done in an emergency situation?

    If an orthodontic emergency arises (broken braces, something cutting or preventing closure of the mouth), call our office number (212) 871-9835. Instructions for contacting our paging system will be given. Call our pager and someone will return your call as soon as possible. Obviously, if an emergency is of a life threatening nature it is advised to call 911 or immediately visit the nearest emergency room.

    What do I do to get started?

    Call us at (212) 871-9835 ASAP for a evaluation appointment. When your appointment is made, we will send you a patient health information package, which we request you fill out prior to your visit. When you come for the first appointment, you will be met by one of the treatment coordinators who will brief you about the visit. Then one of the doctors will examine you (or your child) and determine the best course of treatment. If necessary, diagnostic records (digital photos, X-Rays and impressions) will be taken to evaluate. If the diagnostic records are indicated, there will be a charge for this service.

    111 Broadway (The Trinity Building) Suite 1707 New York, NY 10006

    Call us: 212-871-9835 – Email us: info@wallstreetorthodontics.com

    Contact Us

    For questions or to set up an appointment, please contact us at (212) 871-9835 or by email at info@wallstreetorthodontics.com. Our standard operating hours are Monday 8:30 am to 6:30 pm, Tuesday through Thursday 7:30 am to 5:30 pm.

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