johnston

Carrie H.
Patient Coordinator
I schedule patient appointments, coordinate schedules, answer general questions, and keep the office running smoothly. I have been with Iowa Orthodontics for two years as of April 20th. Our staff is friendly and get along great! The practice is growing and we are always busy. I love meeting new patients and new faces. I enjoy spending time in the yard and garden, working and playing with my 3 Papillons (dogs). I am involved with fostering rescue papillons until they can find a forever home. I enjoy camping, hiking and being outdoors. I also like running and have run in the Des Moines Half Marathon, Dam to Dam and several 5 and 10K runs. Our biggest news however, is we are expecting our first baby due May 12th, 2014!

When the time to remove your braces finally arrives, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow your dentist’s recommendations, but knowing more about the two types of retainer beforehand can be helpful.
Removable Retainers
Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.
Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.
Permanent Retainers
Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.
Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.
One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.
Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.
Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type.

Everyone wants a naturally aligned and beautiful smile, and it is no secret that orthodontic braces can help deliver one. However, there are greater benefits to wearing braces than just having straight teeth. You’ll gain many oral health benefits in addition to the cosmetic ones.
Tooth Decay and Gum Disease
Crooked or crowded teeth may overlap each other and create tight spaces in between. These can make it very difficult to brush and floss effectively, allowing bacteria and plaque to build up, and eventually leading to tooth decay and gum disease. With orthodontic treatment, your teeth will become properly aligned and spaced, which allows for more effective brushing.

Difficulties with Speech
Your teeth play an essential role in speech. When they are out of line or lean too far forward or backward, this can affect your speaking patterns, and possibly cause embarrassment and frustration. Braces can readjust the positioning of the teeth to allow for clearer, more professional speech.

Bone Erosion
Bone and gum tissues begin to erode when there are no teeth to support. This is also true for poorly aligned teeth that leave gaps and spaces or place too much pressure on the jawbone due to a bad bite. With braces, the bones and tissues are less likely to erode and can continue to support the teeth in their new alignment.
Digestion
Your teeth play an important role in digestion. Before food ever enters your stomach, it has been partially digested by the teeth. If teeth are severely out of line, however, they may not play their role in breaking down food as effectively as they should. With braces, your teeth will be straightened into optimal alignment for eating and chewing.

Just hearing the word “braces” can take many of us back to junior high — that painful era when we wore unattractive glasses, endured unflattering haircuts, and carried a mouthful of braces to complete the awkward adolescent look. Despite the common assumption that braces are for kids, more and more adults are choosing to pursue orthodontics to correct their smiles.
Braces for Adults
Perhaps you never had braces as a kid and you are embarrassed by your crooked teeth. Or you went through a round of braces a decade ago and stopped wearing your retainer, which allowed your teeth to shift. Whatever your personal history, wearing braces in adulthood is an excellent way to create the straight, beautiful smile you deserve.
What Are My Options?
With recent advances in orthodontic medicine, there are numerous options for adults who need braces. The basic option is traditional metal braces. These are best for individuals who have severely crooked teeth or a significant bite problem, or require other major orthodontic changes. Metal braces are typically the least expensive option. The greatest drawback to wearing metal braces as an adult is aesthetics. Many people find them unattractive and distracting.
If you are a professional who is worried about your personal appearance, clear ceramic braces may be a better choice. Clear braces are capable of handling very crooked teeth or bite issues, but they cost more than metal braces. You also have to be careful about smoking or drinking red wine, soda, and other dark beverages while wearing clear braces. These items may stain the adhesive that binds the brackets to your teeth.
Although you may be nervous about the prospect of getting braces as an adult, you should not let your fears stop you from talking to your orthodontist. A consultation at our office will address your concerns and provide information about the best course of treatment for you. No matter what your personal situation, adult braces can be a great way to boost your confidence and create the smile you’ve always dreamed of.

At Iowa Orthodontic Solutions, we feel honored to share in your lives and want each of you to have the smile you've always dreamed of.
Please enjoy our latest video transformation of one of our favorite patients and join us in congratulating her on a job well done! Remember, if you are interested in orthodontic treatment for your family or yourself, give us a call to schedule your consultation. We look forward to seeing you soon!

We love October, and not just for the changing weather and Halloween excitement! It’s National Orthodontic Health Month.
Every year, the American Association of Orthodontists (AAO) recognizes October as a time to raise awareness of the benefits of orthodontic treatment. The AAO is the largest, oldest professional association for orthodontists in North America, and is comprised of more than 16,000 members.
In a month full of hard, sticky, crunchy, and chewy treats, it’s more important than ever to encourage patients to be kind to their teeth during treatment. If you have braces, try to avoid caramel, taffy, bubblegum, and candy with nuts. If you can’t keep yourself away from the sugar, opt for softer candy such as peanut butter cups or other melt-in-your-mouth treats.
As always, remember to brush and floss after consuming sugary foods. Exposing your teeth to sweets increases your risk of cavities, and allowing it to sit there can lead to decalcification, the loss of calcium from the teeth.
If you have any questions about what foods are best and worst during orthodontic treatment, feel free to ask during your next visit!

Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So what types of foods should you or your kids eat to protect dental appliances?
The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.
A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!
Post-Tightening Foods
As braces begin to adjust the alignment of the teeth, our office will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:
• pudding
• mashed potatoes
• soup
• ice cream
• cottage cheese
• peas
• pancakes
• pasta
Foods to Avoid
According to the American Dental Association, anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:
• hard candies
• gum
• nuts
• popcorn
• certain raw vegetables (for example, carrots)
Considerations
Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, we’re seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. It’s never too late to look and feel your best!
Can Braces Work for Adults?
People of all ages can benefit from orthodontic treatment. The physical process for moving teeth is the same, young or old, which means it’s never too late to address issues such as an overbite or underbite, crooked or crowded teeth, or jaw disorders.
How Do I Get Started?
If you’re considering orthodontic treatment, we’ll make a consultation appointment with you. During this meeting we will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan.
What Are the Benefits?
Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever.
If you think you might benefit from orthodontic treatment, give our team a call, so we may set up a consultation to determine what type of treatment best meets your needs.

Cold and flu season is here yet again. The folks at Centers for Disease Control and Prevention say that a common cold usually includes sneezing, runny nose, sore throat and coughing. Symptoms can last for up to two weeks.
To promote a healthy and clean environment, our entire staff give a great deal of attention to sanitation and sterilization in our office at all times, as well as following all requirements for sterilizing instruments and work surfaces. For the protection of other patients and our staff, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others.
And remember to constantly wash your hands and avoid contact with those who are ill! Stay Healthy!

Now that many of the schools are back in session, we would like to remind all of our patients about the importance of scheduling appointments in advance. With school, clubs, sports and family duties to consider, we know that it can be challenging to find time this fall.
Here are some important things you can do to prepare for the new school year:

• Brush your teeth twice a day with a fluoride toothpaste.
• Floss at least once a day
• Limit sugary snacks that cause tooth decay

In order to accommodate all of our patients’ busy schedules, it is important that you plan ahead for your appointments so that we are able to provide you with an appointment time that is convenient for you.
We look forward to seeing you soon!

Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.
What is a "bad bite"?
A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced - either too far apart or too close together - can also cause bite problems.
Frequent causes of bite problems:

• Heredity
• Thumb-sucking
• Premature tooth loss
• Accidents

Benefits of orthodontic treatment:
Appearance -
Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.
Preventing Decay -
It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.
Avoiding Alignment Issues -
An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.
 
Types of orthodontic treatment:
- Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.
- Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.
- Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.
 

Length of orthodontic treatment:
Treatment typically ranges from 12 - 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time.
 
 

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.

Here's a great, fun recipe we found to make tasty, healthy treats for your kids and bring a smile to their face!
Ingredients

• smooth peanut butter
• 1 red apple, cored and sliced into eighths
• squeeze of lemon juice
• miniature marshmallows

Directions

1. Spread peanut butter on one side of each apple slice (squeeze a little lemon juice over the apple if not serving immediately).
2. Place four miniature marshmallows on one apple slice and then lay another apple slice, peanut butter side down, on top.

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development.
Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.
If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:
• Difficulty when chewing or biting
• Chronic mouth-breathing
• Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
• Overbite - when the upper teeth overlap the lower teeth by more than 5mm
• Top front teeth that cover more than 25% of the bottom teeth while biting
• Underbite - when the top front teeth go behind the bottom row of teeth when biting
• Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
• Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
• The center of the top and bottom teeth don't line up
• Uneven teeth-wearing
• Baby teeth coming out too early for the child's age
• Pain in jaws
• Clicking in the jaw joints
• The jaw shifts off-center while chewing or biting
• A jaw that protrudes, or recedes, too much
• Difficulty speaking or enunciating clearly
• Chronic biting of the inner cheek or roof of the mouth
• Asymmetrical facial structure
• Grinding or clenching of the teeth
If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

At our practice, 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 our team takes the 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 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 you 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. From clear braces to removable aligners and totally invisible lingual (behind the teeth) braces, we can personalize your treatment to suit all your needs.

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!

Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:
• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
• Pain or pressure from crooked teeth or a misaligned jaw
• A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.

As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.

If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

During the month of March, Iowa Orthodontic Solutions is proud to be a part of Daffodil Days, supported by the American Cancer Society.
The daffodil is the first flower in spring and is a symbol of hope and renewal. The Daffodil Days program gives hope to people facing cancer by raising funds to help beat the disease. By participating in the program, we hope to bring a renewal of awareness, education and give strength to millions of Americans facing cancer.
Be sure to follow this link to Daffodil Days of Iowa and thank you for your support!

When you get braces with us there are a few things you’ll have to adjust to get optimal results in the shortest amount of time. If you have any questions about the “do’s and don’ts” of living with braces, feel free to ask Dr. Mark Guevarra or any member of our staff during your next adjustment!
Eating
When you have braces, there are a few types of food that can damage your brackets and bend your wires, leading to more appointments and longer treatment times. By simply avoiding sticky, chewy, crunchy, and hard foods, as well as foods that require biting into like corn on the cob, your orthodontic experience will be much easier.
Cleaning
You’ll never believe the amount of food that can get stuck between your braces when you eat. In addition to causing bad breath and tooth decay, it looks pretty gross, too. It’s so important to brush your teeth after every meal and floss every day, and even though it’s kind of a hassle, it’ll all be worth it in the end.
Sports
Protecting your smile if you play sports is essential when you have braces. Mouth guards help protect your teeth and gums from injury. We can provide a mouth guard for you if you plan on participating in any kind of contact sport!

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:
• Fluoride – fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.
• Antiseptic – an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.
• Combination – a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.
• Prescription – for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.
If you are curious about which kind of mouthwash would work best for you, be sure to ask us at your next appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!
– Iowa Orthodontic Solutions