expert type icon EXPERT

Dr. Pat Brown, D.M.D, M.P,H B.S

Orthodontist

Dr. Pat Brown practices Orthodontics in Boston, MA. Comprehensive orthodontic treatment includes metal wires that are inserted into orthodontic brackets, which can be made from stainless steel or a more aesthetic ceramic material. The wires interact with the brackets to move teeth into desired positions. Being advanced in the field, Dr. Brown may also use Invisalign or other aligner trays that have been designed to align a patients? smile. As an orthodontist, Dr. Brown must recognize various characteristics of a malocclusion or dentofacial deformity, define the nature of the problem, including the etiology if possible, and design a treatment strategy based on the specific needs and desires of the patient.
Dr. Pat Brown, D.M.D, M.P,H B.S
  • Boston, MA
  • Accepting new patients

What is the maximum age to get braces?

Because, function and the ability to eat well are important at any age, several of my patients began treatment after age 90.

How do you floss when you have braces?

Use a bridge aid or floss threader

Can you bite into an apple with braces?

You can bite into an apple with braces, however you will break the braces. It is advised that you cut the apple into slices

Can a tight retainer damage your teeth?

Retainers seldom alter tooth structure. The integrity of the tooth should not in any way be damaged by a retainer. If a retainer is too tight, it may move teeth in the wrong direction READ MORE
Retainers seldom alter tooth structure. The integrity of the tooth should not in any way be damaged by a retainer. If a retainer is too tight, it may move teeth in the wrong direction and cause crowding. Or fits too loosely, it might allow spacing, but the teeth themselves should not be damaged.

Do braces move your teeth every day?

Sub clinically there probably is some movement each day. After a while the movement becomes less and less if somebody does not go for

Can crowns be used on front teeth?

Yes crowns can be used on front teeth but if it's not necessary it's not advisable to

Do you need Invisalign to fix one tooth?

Many times there are other things besides 12 that is crooked. You should say an orthodontist to be evaluated to see if it is just one to let us crooked or is it caused by the mal READ MORE
Many times there are other things besides 12 that is crooked. You should say an orthodontist to be evaluated to see if it is just one to let us crooked or is it caused by the mal positioning of other Teeth. Depending on the amount of crookedness of the to it may not be necessary to do an entire and visit line case but again it may be necessary if the tooth is badly mal aligned.

Is it normal to leave Invisalign in all the time?

Invisaline or any Aligner therapy must be removed if you are eating or drinking anything except plain water do not want to damage your teeth by holding acid or sugar against them. READ MORE
Invisaline or any Aligner therapy must be removed if you are eating or drinking anything except plain water do not want to damage your teeth by holding acid or sugar against them.

Do clear aligners hurt?

If teeth are moving there is some sensitivity. Depending on how much pressure is placed on a tooth and what the change is sensitivity Should be rather minor

Can you use mouthwash while wearing Invisalign?

NEVER WHILE THE ALIGNER IS IN PLACE.

Do you get hardened plaque under your braces?

ONLY IF SOFT PLAQUE REMAINS, ACTING AS A LATTICES

Can teeth be sensitive to braces?

All teeth have only one response that is discomfort. The degree of discomfort really depends on the individual tooth or the individual. A tooth never feels warm and fuzzy like READ MORE
All teeth have only one response that is discomfort. The degree of discomfort really depends on the individual tooth or the individual. A tooth never feels warm and fuzzy like somebody giving you a massage. The reason for the sensitivity is pain is a protected mechanism it tells you there is a change in the delicate tooth structure it is normal to feel some change therefore some discomfort as teeth are moving. Generally, the discomfort goes away with in several days. Or if Tylenol or Ibuprofen Is taken in advance of the procedure or before the tooth responds to the movement that reduces the amount of time and sometime completely stopped sensitivity. Also, using a DE sensitizing tooth place helps.

Can crowns be moved by braces?

Crown should be solidly bonded or cemented to tooth structure. If this is the case then the tooth itself should be able to move. If the Crown is loosely placed and does not  adhere to READ MORE
Crown should be solidly bonded or cemented to tooth structure. If this is the case then the tooth itself should be able to move. If the Crown is loosely placed and does not  adhere to the tooth the Crown can move away from the tooth it self but this is a problem that the general dentist should take care of.  Also if the Crown is placed on an implant, generally will not move; there for that particular Crown is cemented properly will not move . Many times it is difficult to bond or banned a Crown due to the smooth surface.

Is Invisalign better than braces?

Brace means to hold. Both metal and acrylic trays hold your teeth. The question as to whether in invisalign is better than braces depends on what your treatment should be. Some READ MORE
Brace means to hold. Both metal and acrylic trays hold your teeth. The question as to whether in invisalign is better than braces depends on what your treatment should be. Some cases are best treated with metal or porcelain races with wire other cases are treated best with Aligner therapy.

Do ceramic braces break easily?

Medal races are much stronger than ceramic, However for some cases ceramic may be appropriate

Is removing teeth necessary for braces?

There are many factors that decide if teeth need to be removed. Just putting on braces alone does not mean that teeth need to come out. How ever if there is excessive crowding, READ MORE
There are many factors that decide if teeth need to be removed. Just putting on braces alone does not mean that teeth need to come out. How ever if there is excessive crowding, or if there is recession these things contribute to the necessity of having teeth or a tooth removed.

How long should one keep their braces to correct the alignment of the bottom teeth?

Without more information or seeing your total problem it's difficult to give you an answer. Aligning lower teeth sometimes is a short procedure depending on how crooked teeth are READ MORE
Without more information or seeing your total problem it's difficult to give you an answer. Aligning lower teeth sometimes is a short procedure depending on how crooked teeth are and space considerations. But the total treatment is always most important.

My son is 3 years old and is still on the bottle. Will it have an impact on the shape of his teeth?

First and most important is that he doesn't use the bottle at night without brushing his teeth. Milk bottle caries is a very serious problem. Depending how hard how often your READ MORE
First and most important is that he doesn't use the bottle at night without brushing his teeth. Milk bottle caries is a very serious problem. Depending how hard how often your son is sucking on the bottle it may impact the form of his mouth. If possible it's best to use different types of bottle nipples as each nipple type Demands a different kind of sucking

After five weeks of completing my braces treatment my tooth hurts.

Review what's going on with your orthodontist and the orthodontist may suggest taking X-rays. Frequently, people do not wear their retainers 22 out of 24 hours, thus teeth are READ MORE
Review what's going on with your orthodontist and the orthodontist may suggest taking X-rays. Frequently, people do not wear their retainers 22 out of 24 hours, thus teeth are moving back and forth instead of being stabilized by the retainers.