Braces without Embarrassment

Adults who need orthodontic care often share the misconception that they are too old for braces and would rather not deal with the embarrassment. You are probably familiar with horror stories about rubber bands snapping, mishaps with kissing, and unsightly food sticking in metal braces. Many adults believe that braces are just for children, but they are neglecting all the benefits of correcting misaligned teeth. Braces may cause you to feel self-conscious, but they are temporary. Along with straightening your teeth, braces also provide the following benefits:

• Better oral hygiene
• Easier to clean aligned teeth
• Less complicated dental procedures
• Eliminate the embarrassment of crooked teeth

One common reason for not correcting misaligned teeth is the appearance of metal braces. Adults do not want to face co-workers and friends with colored rubber bands and metal laced throughout their mouths. The expert healthcare professionals at SingHealth suggest several alternatives that are just as effective as metal braces. You have three options for correcting your misaligned teeth without the embarrassment, and they include:

• Ceramic braces
• Lingual braces
• Invisalign®

Ceramic braces are like metal ones except that they match the natural color of your teeth. This option is less noticeable and will usually not show up in photographs. Lingual braces are attached to your back teeth only, so no one will know that you have a corrective device. Invisalign consists of clear plastic coverings that you can remove for eating and teeth brushing. All of these options lead to a more attractive smile that you do not have to feel embarrassed about.

If you do choose metal braces to correct your teeth, you should consider the following suggestions for limiting embarrassing moments. The rubber bands holding the brackets in place come in silver, which will draw less attention to your mouth. Changing the removable rubber bands on a regular basis will help prevent the material from wearing down and snapping. If you chew with your back molars and cut your food into manageable bites, you are less likely to get particles stuck in your braces. Following our treatment advice and instructions will limit the time you have to wear corrective devices. Focus on the end result of straighter teeth whenever you feel particularly self-conscious about your braces.

Preventing Decay While Wearing Braces

Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces:

1. Eat Braces-Safe Foods
Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, popcorn can also bend or break your braces. On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids.

2. Proper Brushing
You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can't always reach.

3. Ask About Special Cleaning Tools
There are also special brushes, or other tools, to get under and clean your braces. You can also find many of these items at your local pharmacy.

4. Regular Teeth Cleaning
It's important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others.
As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

Elements of Braces

When coming to our office to have braces put on, you may find yourself feeling a bit intimated and nervous about the experience. We hope to help you feel more at ease by explaining exactly what the different parts of braces are, and what they do.
Parts of Braces
• Elastic Tie — This is a very small rubber band, and it holds the archwire in place.
• Archwire — This is the main part of the braces. It is a wire guide that tracks the teeth. The wire may be moved from time to time during treatment to continue straightening a patient's teeth.
• Loop in Archwire — This is not in all braces. If it is used, it is to close a gap left from a tooth extraction.
• Bracket — This piece of equipment holds the archwire in place. Formerly, many patients used colored rubber bands to keep the brackets in place, but now since most brackets are cemented on, this is no longer necessary.
• Headgear Tube — This is a hollow area near the back bands, which allows the headgear to fit into the braces. This is only used on patients who require headgear.
• Coil Spring — If needed, this would fit between a bracket and the main archwire. Its purpose is to open up the space between the teeth. This is not necessarily used on all patients.
• Tie Wire — This is another piece of equipment that is used to keep the archwire in place. It is a thin wire that wraps around the bracket.
• Band — This is a metal band that fits completely around a tooth. It is used to help adhere brackets to the tooth.
• Hook — This is the piece of equipment that is used to attach the elastics, also known as rubber bands, around the bracket.
• Elastic — These elastics are used to connect one point of the appliance to another. The purpose is to apply pressure, and encourage the teeth to move into the proper positioning.
By defining each appliance we hope you or your child will be less apprehensive about getting braces put on. At the end of your treatment, you will have a bright, straight smile to show off to all of your friends.

Elements of Braces

When coming to our office to have braces put on, you may find yourself feeling a bit intimated and nervous about the experience. We hope to help you feel more at ease by explaining exactly what the different parts of braces are, and what they do.
Parts of Braces
• Elastic Tie — This is a very small rubber band, and it holds the archwire in place.
• Archwire — This is the main part of the braces. It is a wire guide that tracks the teeth. The wire may be moved from time to time during treatment to continue straightening a patient's teeth.
• Loop in Archwire — This is not in all braces. If it is used, it is to close a gap left from a tooth extraction.
• Bracket — This piece of equipment holds the archwire in place. Formerly, many patients used colored rubber bands to keep the brackets in place, but now since most brackets are cemented on, this is no longer necessary.
• Headgear Tube — This is a hollow area near the back bands, which allows the headgear to fit into the braces. This is only used on patients who require headgear.
• Coil Spring — If needed, this would fit between a bracket and the main archwire. Its purpose is to open up the space between the teeth. This is not necessarily used on all patients.
• Tie Wire — This is another piece of equipment that is used to keep the archwire in place. It is a thin wire that wraps around the bracket.
• Band — This is a metal band that fits completely around a tooth. It is used to help adhere brackets to the tooth.
• Hook — This is the piece of equipment that is used to attach the elastics, also known as rubber bands, around the bracket.
• Elastic — These elastics are used to connect one point of the appliance to another. The purpose is to apply pressure, and encourage the teeth to move into the proper positioning.
By defining each appliance we hope you or your child will be less apprehensive about getting braces put on. At the end of your treatment, you will have a bright, straight smile to show off to all of your friends.

When Should My Child See an Orthodontist?

Orthodontic treatments vary from dental treatment, in that they primarily address malocclusions, jaw spacing and tooth alignment, rather than the actual health of the teeth. That is why it is often more difficult for parents to determine when a child needs orthodontic treatment than dental treatment. So how can you know it is time to take your child to the orthodontist?
• Bad Bite - As the adult teeth begin to replace primary teeth, bite occlusions can develop. These often become visible to parents between middle childhood and the pre-teen years, although an orthodontist can identify a bad bite with early evaluation.
• Visible Tooth Crowding - If your child's newly emerging teeth are already crowded, you should make an appointment with our office to discuss braces.
• Tooth Grinding (Bruxism) - Children who grind their teeth at night may do so unconsciously, but the condition requires treatment to prevent the development of headaches, TMJ, and tooth damage. Oral appliances are available to correct nighttime tooth grinding.
• Difficulty Chewing, Biting, or Speaking - If your child is displaying difficulty speaking or eating, or if he or she often experiences cheek biting, schedule an orthodontic consultation.
• Asymmetry - If your child's face is asymmetrical, or if his or her teeth do not meet together in a natural way, orthodontic treatment may be necessary.
Evaluation and Preventive Care
Even if your child has no visible tooth or jaw alignment problems, the American Association of Orthodontics recommends that every child visit the orthodontist for an initial examination no later than age seven. The reason for early evaluation is because orthodontists are capable of finding subtle problems with the jaw and teeth growth and spacing before they become more pronounced and also more difficult to treat. By bringing your child in for an evaluation, you may be able to treat orthodontic conditions with shorter and more simplified treatments that are also more affordable than treatment during the teenage and adult years.

Top ten tips for keeping your BRACES sparkling clean!

Keeping your teeth clean is more important than ever when you have braces! Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:
1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.
3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.
4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.
6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.
7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.
9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.
10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

We hope this helps, and remember to give our team a call if you ever have any questions!

How did you celebrate your 4th of July?

In Honor of America's birthday, we'd like to hear about how you spent The 4th of July. We'd love to see your fun photos and how you spent the day. Our team thought it would be fun to share some facts about the history of our Independence Day.

Fun Facts:
• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.
• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.
• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’
• The first public Fourth of July event at the White House occurred in 1804.

Mouth guards and you

A lot of our patients play sports, and now is a great time to remind all of you to take care of both your mouth and appliances while participating in sports – especially contact sports such as soccer, football, baseball and basketball.

One of the most important pieces of sports equipment you can wear on the field this summer is a mouth guard. A well-fitted mouth guard allows you to breathe and speak more clearly, in addition to protecting your mouth and appliances. Only by using a mouth guard can athletes avoid serious mouth and jaw injuries. The next time you’re in for an adjustment appointment, we encourage you to let us know if you’re playing or planning to play any sports. We can recommend a mouth guard that will work best for you. Also, here are five quick tips for keeping yourself safe during sport activities this summer:

• Wear a helmet

• Stretch before and after a game or practice

• Wear protective eyewear

• Wear a face shield to avoid scratched or bruised skin

• Be observant, even as a spectator

We hope this helps! You can always contact us if you have any questions! Good luck on the field!

Orthodontic Emergency? We can help!

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can't take care of yourself. We’ll be able to schedule an appointment with our office.


You might be surprised to learn that you may be able to temporarily solve many problems yourself until you get in to see us…


The following solutions may help you relieve your discomfort:


Poking Wire: Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.


Loose Bracket or Band: If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.


Loose Wire: Using a tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.


Loose Appliance: If your appliance is poking you, place wax on the offending part of your appliance.


Headgear Does Not Fit: Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, headgear becomes more comfortable the more it's worn, so be sure you’re getting in the prescribed hours.


General Soreness: When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.


Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

Making Your Life Better with Orthodontics

The number one goal of orthodontic treatment is to give you or your child a good bite, meaning straight teeth that work well with the teeth in the opposite jaw. A good bite makes it easier for you to eat, chew and speak. It can enhance your dental health and your overall health, and may well improve your self-esteem. As a part of your comprehensive dental health care plan, orthodontic treatment can help you retain your teeth—and your smile—for a lifetime.

Let your smile express yourself! Nothing can show the world how happy you are quite like a beautiful smile. In fact, it’s one of the first things others notice about you, too. With orthodontics, you can be proud to flash your smile, because you’ll know that your smile truly represents your positive attitude.

Make your mouth healthy! Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are easier to clean, reducing the amount of plaque buildup and risk for gingivitis. The cleaner you keep your teeth, the longer they’ll last!

Feel free to live your life! Orthodontics is easier today than ever before, with treatment options that fit your lifestyle and schedule. We can personalize your treatment to suit all of your needs!

June marks National Dairy Month!

In honor of June Dairy Month, our team would like to thank all of our hard working families in the Dairy Industry.
In fact, dairy is important to your overall health! Regular consumption of dairy products, such as milk, cheese and yogurt, have been found to lower your chances of contracting periodontal disease (also known as gum disease).
Results of the study show that adults who consume at least 55 grams of lactic acid a day are less at risk for gum disease. Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth.
Questions about which foods you should steer clear of and which you should enjoy during orthodontic treatment? Give us a call or ask us on Facebook!

Getting social with Dr. Cottingham

At Cottingham Orthodontics, we embrace technology, whether it’s through the innovative treatments we offer, our high-tech web site or our Facebook fan page. As you can probably tell, we love connecting with our patients online, whether it’s by sharing news on our blog or communicating ideas on our fan page. For social media to work, we understand that conversation is vital, and that’s why we invite you to join in and tell us what’s on your mind. Although social networks are hugely popular these days, we know they’re unpredictable and ever-changing.

While Dr. Cottingham and our staff takes time to research how to best use social media, we thought we’d ask you, our loyal patients: How would you like us to use our social networks? What would you like us to share on our blog? Please post your thoughts or give us a call!

The benefits of a beautiful smile

We know that having an attractive smile puts a spring in your step—or two—as well as increases your self-confidence, no matter if you’re 14 or in your late forties. Smiling not only makes people happy and puts them in a good mood, doing it often can even help you live longer, according to previous studies!

If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment at our practice. You’ll be pleasantly surprised to learn how quickly and efficiently today’s most advanced correction techniques can straighten your smile!

Don’t hide your smile any longer — give us a call today to schedule yours or your child’s orthodontic consultation.

What are your summer plans?

The dog days of summer are almost upon us, and what better time for us to ask our patients’ summer plans!

Whether you’re going camping, hitting America’s great open roads, visiting our nation’s capitol, or just staying in town and hanging out, we want to know how you’re all going to spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page!

We look forward to reading all about your summer adventures!

Ask Dr. Cottingham: "What should I expect during my initial consultation?"

Great question! When you first come in for your initial consultation, Dr. Cottingham will conduct a comprehensive examination to assess your oral health. This will better enable us to determine the best treatment method for you.

Your orthodontic evaluation will consist of an oral and facial examination to assess your oral health. We will have you take intraoral and facial photographs as well as panoramic and cephalometric X-rays to help determine the proper orthodontic treatment method. Then, an impression of your teeth and bite will be taken to construct a model of your mouth. (This will help us when examining your diagnostic records).

Then, we will discuss your options with you. Our team feels it’s important to take the time to carefully examine your diagnostic records after your consultation so that we can more thoroughly prepare for your treatment at Cottingham Orthodontics. This additional preparation will ensure that you receive the best orthodontic care possible. At this time, we encourage you to ask us any questions you may have about your treatment.

If you are seeking orthodontic treatment for your child, our staff asks that both you and your child attend the initial consultation. We feel it is important that both you and your child completely understand the doctor’s recommendations before we proceed with treatment.

Give us a call today and schedule a consultation! We look forward to hearing from you!

May marks National Teen Self-Esteem Month! From Dr. Cottingham

At Cottingham Orthodontics, we know image is everything. At an age when image is so important, the thought of having braces may intensify the already-delicate confidence of today's teens. Well, May, which is right around the corner, is National Teen Self-Esteem Month, and during this time, parents are encouraged to act as positive role models, help stop negative self-images, and improve confidence and security among teenagers.

One of the great ways to improve your confidence is to improve your smile. And that begins with a consultation with Dr. Cottingham. After all, what better time to avoid having crooked teeth in your adulthood?

We invite you to give us a call to schedule a consultation or ask us on Facebook!

Dr. Cottingham and team want to know: What should we blog about?

As the summer rapidly approaches, we strive to continue writing about important topics related to orthodontics and your treatment at our office.

To help us continue doing that through the course of the spring and summer, we would like to ask you, our readers: what’s on your mind? What would you like to know about the always-changing and exciting field of orthodontics? What would you like us to focus on our blog in the spring and summer months? Perhaps there’s something you’ve wanted to ask us for a while? Let us know by posting here, on our Facebook page, or during your next adjustment appointment.

We look forward to hearing from you!

Dr. Cottingham wants to know: Are you visiting your dentist?

Dr. Cottingham wants to know: Are you brushing and flossing daily properly during your orthodontic treatment? If the answer is yes, that’s great! But, don’t forget that it’s also important for you to visit your general dentist every 3-to-6 months in addition to brushing your teeth and flossing (and visiting Cottingham Orthodontics, of course). Regular dental checkups are important for maintaining good oral health, especially during orthodontic treatment.

It's the perfect time for a visit to the dentist. Why? Because not only is October National Orthodontic Health Month, it's also National Dental Hygiene Month!

Your general dentist can check for problems that might not be seen or felt, detect cavities and early signs of decay, treat oral health problems early and show you how to properly brush and floss your teeth.

During an oral exam your dentist can check the health of your mouth, teeth, gums, cheeks and tongue. Checkups will also include a thorough teeth cleaning and polishing. If you have not been to the dentist in the last six months, let us know during your next visit and we will provide a few great references here in Indianapolis, Avon or surrounding areas!

Spring is here! Does Dr. Cottingham have your current contact info?

Spring is in the air! As you probably know, you can always connect with us on our Facebook page, but we invite you to please contact our office with any updates to phone numbers and addresses, so that we may be able to reach you.

We also encourage you to call us and let us know if you have any new phone numbers or if your contact information has changed!

Thank you! Have a great week!

April is Oral Cancer Awareness Month

Visiting your dentist during your orthodontic treatment will not only help keep your teeth and mouth healthy while you have braces, but will also help keep the rest of your body healthy. The fact is, every hour of every day in the U.S., someone dies of oral cancer, which is the sixth-most common diagnosed form of the disease. The five-year survival rate is only 50 percent, and oral cancer is one of the few cancers whose survival rate has not improved. Since April is Oral Cancer Awareness Month, we would like to take this opportunity to remind all of our patients about the importance of maintaining good oral hygiene while you’re undergoing orthodontic treatment.

Your dentist is specifically trained to diagnose, treat, and prevent oral health problems. Please let us now if you have any questions about your oral health during your next adjustment appointment. Take care of your teeth!

Protecting your mouth during sports, with Dr. Cottingham

Wouldn’t you believe it, it’s already springtime! The spring months, however, bring an increase in outdoor activities and a greater chance of kids damaging their precious mouths and pearly whites. If you play sports, it’s important that you consult Dr. Cottingham for special precautions, such as wearing a mouth guard. A protective mouth guard is advised for playing spring sports such as baseball, soccer, lacrosse and others. Be sure, however, to avoid mouth guards that custom form to your teeth as these will resist any tooth movements we are trying to achieve.

In case of any accident involving the face, check your mouth and the appliances immediately. If teeth are loosened or the appliances damaged, please schedule an appointment with Cottingham Orthodontics. And don’t forget to ask us—Dr. Cottingham will provide a mouth guard for any patient in active treatment.

Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Please give us a call if you have any questions about mouth guards or your treatment at Cottingham Orthodontics.

You and rubber bands, from Dr. Cottingham

Rubber bands, or elastics, can be an integral aspect of orthodontic care, so if Dr. Karen Cottingham has prescribed elastics as a part of your treatment, it’s important to follow the directions fully. Elastics help to align your bite or cause teeth to move in different directions and straighten more quickly. Dr. Cottingham will instruct you how to hook one end to an upper bracket and the other end to a lower bracket so the rubber band goes vertically or diagonally from one bracket to another. The tension of the rubber band produces pressure on the bracket, which causes the teeth to move and straighten. This tension is also sufficient to correct an overbite or an under bite in the jaw.

If rubber bands are a part of your treatment plan, there are a few things to keep in mind. With rubber bands, you won’t be able to open your mouth fully, so they will have to be removed when you eat and reapplied after meal time. Many times, rubber bands are only needed at night, so you won’t need to worry about eating with them. Also, if you try to open your mouth too wide, your rubber bands might snap – so be careful!

Failure to wear your elastics full time or as instructed can lengthen your treatment time and may make it more difficult to achieve an optimal result. But don’t worry; your time in elastics will be well worth it when you see your beautiful, new smile.

Connect with Dr. Cottingham on Facebook!

We will be rolling out our new Facebook Timeline page soon and would love for you to check it out! You’ll find all the useful information that was there before, but now in a fun, new layout. When you Like us on Facebook, you’ll be able to check out photos of our office, find out about new events and contests, or you can even leave a note about how much you enjoyed your visit at our office. We love hearing your feedback to make our practice serve you and your family even better. To make life even easier, if you “Like” us on Facebook, you’ll automatically receive updates from our office right on your own news feed!

See you on Facebook!

From Dr. Cottingham and team

Ask Dr. Cottingham: “Are Braces Right For Me?”

Braces aren’t just for kids anymore! Regardless of your age, if you’ve always wanted to smile with confidence, but knowing that your teeth were less than perfect held you back, getting braces might be the solution you’ve been looking for. A straight smile can do so much for your self-esteem, and at Cottingham Orthodontics, we want to help you achieve the smile of your dreams.

In addition to the aesthetic benefits of orthodontic treatment, there are many health benefits as well. Teeth that are properly aligned are easier to clean and function more optimally when it comes to eating and speaking.

If you recognize any of these signs in your child or yourself, it might be time to schedule a consultation with Dr. Cottingham.

• Early or late loss of baby teeth
• Difficulty chewing or biting
• Mouth breathing
• Sucking the thumb or fingers, or other oral habits
• Crowded, misplaced, or blocked-out teeth
• Jaws that shift, make sounds, protrude, or are recessed
• Speech difficulty
• Biting the cheek or biting into the roof of the mouth
• Protruding teeth, teeth that meet in an abnormal way, or teeth that don’t meet at all
• Grinding or clenching of teeth
• Inability to comfortably close lips

Dr. Cottingham will be able to assess your orthodontic needs during your appointment and explain all the wonderful benefits you can expect to receive during your time in braces. We look forward to seeing you or your child for a complimentary consultation!

Love your or your child's new smile? Tell us about it!

At Cottingham Orthodontics, we are dedicated to helping you achieve a healthy beautiful smile that gives you the comfort and confidence you deserve! Dr. Karen Cottingham and our staff are committed to making your orthodontic experience a positive one.

Whether you've visited our Indianapolis or Avon offices for a week, months or even years, we'd love to hear your feedback about how our office is faring! There are lots of ways you can share your thoughts about our practice with the rest of the world, but we encourage you to head to our Google Places page and write a review there.

If you wish, you may also review Dr. Cottingham and team on our Yelp page.

Thank you in advance, and we hope you had a wonderful weekend! We look forward to reading your reviews!

Presidents’ Day Fun Facts with Cottingham Orthodontics!

Monday marks Presidents’ Day, a day known for celebrating of both George Washington’s and Abraham Lincoln’s combined Birthdays. Presidents’ Day was created in 1971, when President Richard Nixon combined the birthdays of two of our most well-known presidents into one single federal holiday. Presidents’ Day also marks a hard-earned day off from work and school for a lot of our patients at Cottingham Orthodontics.

Here are a few fun facts about our nation’s presidents:

*Abraham Lincoln, our 16th president, carried letters, bills and notes in his tall stovepipe hat.

*George Washington is the first president to be featured on a postage stamp.

*Ronald Reagan, our 40th president, broke the so-called “20-year curse,” in which every president elected in a year ending in 0 died in office.

*Harry S. Truman was the first president to have his Inauguration and speeches televised.

*Abraham Lincoln was the tallest of the U.S. presidents measuring 6’ 4” tall.

*Virginia is the birthplace of more United States presidents than any other state, followed by Ohio and Massachusetts.

Ask Dr. Cottingham: How long does orthodontic treatment take

Your smile is totally unique, so the time you’ll need to spend undergoing orthodontic treatment will also be unique. Generally, orthodontic treatment will take about two years, and this is for good reason. During this time, your teeth will slowly move into their desired positions, leaving you with a great smile with as little discomfort as possible. Rushing treatment can result in a less than perfect smile with a greater chance of tooth movement after your treatment is complete. At Cottingham Orthodontics, we don’t want to waste your time with treatment that won’t retain your smile for the rest of your life.

Of course, treatment time will vary depending on your specific situation. Very minor tooth movement may only take a few months to correct, while serious malocclusion (poor bite) may need more than two years to correct. Only Dr. Cottingham will be able to accurately estimate the time your treatment will take. But trust us—it’ll all be worth it in the end!

Has your child or teen visited Cottingham Orthodontics for an orthodontic consultation? If not, please give us a call and let us help him or her begin the journey to a gorgeous smile!

Ask Dr. Cottingham: When should my child come in for a consultation?

Great question! Dr. Karen Cottingham and our staff know that sometimes, parents assume they must wait until their child has all of his or her permanent teeth to visit Cottingham Orthodontics for a complimentary consultation, only to discover treatment would have been much easier if started sooner. In fact, our friends at the American Association of Orthodontists recommend that every child has an orthodontic check-up no later than age seven.

You’re probably thinking: “Ok, so what’s so great about age seven? Enough permanent teeth have arrived for Dr. Cottingham to make a determination about whether there are any problems. At that age, the first molars have come in, providing an opportunity for Dr. Cottingham to check for malocclusion, or what we call “bad bite.”

Orthodontic evaluation at an early age provides one of two positive outcomes for people: For some, early identification or problems will lead to easier or shorter orthodontic treatment in the future, as well as fewer expenses. For others, a healthy prognosis provides people a peace of mind.

We want to assure you that Dr. Cottingham gives very realistic evaluations at that age, and in fact, most cases can wait. At our office, parents will always get a fair evaluation and only the most necessary of cases will require treatment.

If your child is nearing his or her seventh birthday, we encourage you to visit our office for a consultation. Please give us a call at our convenient offices in Indianapolis or Avon to schedule an appointment.

At Cottingham Orthodontics, February Marks National Children's Dental Health Month

At Cottingham Orthodontics, February, which is just around the corner, is National Children's Dental Health Month, and Dr. Cottingham and team thought we’d promote good oral hygiene among our patients with a few tips and tricks, courtesy of the American Dental Association.

• Teeth brushing techniques: It takes only two minutes to properly brush using short, gentle strokes and devoting extra attention to the gumline, areas around fillings and hard-to-reach areas such as the back teeth.

• Flossing: hold the floss snugly between thumbs and index finger and insert it between each of the teeth, making sure to go beneath the gumline and curving the floss around the base of each tooth.

• Snack wisely: choose healthy snacks such as cheese, fruits and vegetables and avoid crunchy, sticky, chewy candies that can stick to the teeth. If you eat these snacks, be sure to brush after doing so.

• Carbonated or sugary drinks: these drinks create acids that can damage the teeth when mixed with saliva, so they should be avoided altogether. If you’re going to drink one of these beverages, don’t sip on it throughout the day. Rather, drink it and then brush your teeth.

• Regular dental visits: in addition to seeing our team at Cottingham Orthodontics during your orthodontic treatment, you should visit your dentist here in Indianapolis or Avon for professional check-ups and teeth cleaning appointments about every six months.

National Dental Health Month aims to increase awareness about the importance of our patients' oral health. If you have any questions about keeping your mouth healthy, or about your treatment with Cottingham Orthodontics, please feel free to give us a call or ask us on Facebook!

When should you call Cottingham Orthodontics?

Great question! Our good friends at the American Association of Orthodontists have put together a helpful list that outlines when you should call Dr. Karen Cottingham. Here are some early warning signs indicating it’s time to check in with us at either our Indianapolis or Avon office this fall:

1. Early or late loss of baby teeth
2. Difficulty of chewing or biting
3. Mouth breathing
4. Finger sucking or other oral habits
5. Crowding, misplaced or blocked-out teeth

6. Jaws that shift, make sounds, protrude or retrude
7. Speech difficulty
8. Biting the cheek or biting into the roof of the mouth
9. Protruding teeth
10. Teeth that meet in an abnormal way or don’t meet at all
11. Facial imbalance or asymmetry
12. Grinding or clenching of teeth

Do any of these warning signs fit you? If so, give us a call as soon as possible!

Dreaming of a dazzling smile? We can help!

The fact is, most of us aren’t born with a red carpet smile. And that’s where Dr. Cottingham and our team can help. Of course, orthodontic treatment help make your teeth stay strong, healthy and become perfectly-aligned. But did you know you can get the beautiful straight teeth you've always wanted — without braces?

Our team at Cottingham Orthodontics are proud to offer an adult-friendly option for straightening teeth called Invisalign, which uses a series of invisible, removable and comfortable aligners that no one can tell you're wearing. So, you can smile more during treatment as well as after. Not only are the aligners invisible, they are removable, so you can eat and drink what you want while in treatment. Plus, brushing and flossing are no problem. They are also comfortable, with no metal to cause mouth abrasions during treatment. And no metal and wires usually means you spend less time at our office getting adjustments. Invisalign also allows you to view your own virtual treatment plan when you start so you can see how your straight teeth will look when your treatment is complete.

If you’ve been thinking about getting that perfect smile, we would love to have you in for a visit. Please give us a call to set one up! A complimentary consultation with Dr. Cottingham can determine if Invisalign is right for you. See you soon!

The benefits of a beautiful smile, from Cottingham Orthodontics

At Cottingham Orthodontics, we know having an attractive smile puts a spring in your step—or two—as well as increases your self-confidence, no matter if you’re 14 or in your late forties. Smiling not only makes people happy and puts them in a good mood, doing it often can even help you live longer, according to previous studies!

If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment at Cottingham Orthodontics. You’ll be pleasantly surprised to learn how quickly and efficiently today’s most advanced correction techniques can straighten your smile!

Don’t hide your smile any longer—give us a call today at our Indianapolis or Avon to schedule yours or your child’s complimentary orthodontic consultation. See you soon!

Happy new year from Cottingham Orthodontics!

At Cottingham Orthodontics, the New Year is a time to look back to the past, and more importantly, forward to the coming year. Our wish is that our patients continue to keep their teeth healthy, as well as wear their rubber bands, headgear and appliances as prescribed during their treatment.

We look forward to meeting those patients who are planning to begin their orthodontic treatment this year - we think it's a great resolution!

Happy New Year from all of us at Cottingham Orthodontics!