What causes crooked teeth?

March 12th, 2018

What causes crooked teeth???

When a tooth comes in crooked, who should we blame??? Is it Mom? Is it Dad? Is it just bad luck?

The truth is, there are MANY different things affecting the position of your teeth and the way that they erupt into your mouth.

There are always going to be characteristics that are passed on from parent to child. Jaw sizes and tooth shapes are probably the strongest features that are passed down, and although it is not the degree of crookedness that is passed down, it is the combination of these two that can influence how straight your teeth are.

Jaw Sizes

If your Mom or Dad had a small jaw, then it is likely that you do as well.

Smaller jaws have less room for teeth. Less room for teeth means less chance of them coming in straight.

If larger jaws run in your family, then it is likely that you have more room for your teeth, and less issues with them being crooked.

Tooth Sizes

If Mom or Dad had large teeth, it is likely that you do as well. Larger teeth take up more space, and the larger they are, the more likely that there is insufficient space and they will end up cooked or crowded.

If smaller teeth run in your family, then it is likely that you do not have crowding issues, and there is a greater chance of them being straight. You may however have extra space that requires closing.

Tooth eruption timing

Even the perfect combination of jaw size and tooth size can end up with crooked teeth. If two teeth in the same area are trying to erupt at the same time and are having a hard time maneuvering around each other, they may end up crooked.


There are 43 muscles in your face!!!!!! That is a lot of pushing and pulling and pressure! Muscles and how they are used can influence the path of a tooth into its final position.


Habits like thumb sucking, tongue thrusting, nail biting, clenching, grinding, or prolonged pacifier use, can all affect the position of the teeth as they come into the mouth.

Bad luck???

Every once in a while, a rare genetic anomaly might be responsible for an abnormal tooth in your mouth. It can cause big teeth, little teeth, missing teeth, extra teeth, fused teeth, malformed teeth, etc.


With so many things contributing to a tooth being crooked, it can be a lot to process. The good news is that there is really only good answer to a crooked tooth, and that is orthodontic treatment. Whether it is through fixed braces, or a removal appliance like Invisalign, we can make the tooth straight! It doesn’t matter what caused the tooth to be crooked, it just matters that it can be fixed!






Is Invisalign Right for Me?

December 12th, 2017



Braces or Invisalign???? What’s the difference, and is one right for me? Here are some thoughts from an Orthodontist that uses both!

There is a lot of confusing information to be found on the internet. Should I do braces? Can I do Invisalign? Should it be an Orthodontist doing my Invisalign? Let’s see if we can clear some things up.


***SELF TEST ***


If you answered yes, then Invisalign might be a good fit for you!



(see below for details)



Let’s be clear. Invisalign is not braces. They are an ALTERNATIVE TO BRACES. This means that rather than having something attached to your teeth for us to direct your teeth into position, we must rely on a piece of removable clear plastic to do the same job.     BOTH Braces and Invisalign can move teeth very effectively.

*Braces are guiding your teeth 24 hours a day, 7 days a week, and as a result are very efficient and effective.

*Invisalign is removed during eating and brushing, so effort needs to be made to wear them close to the entire day. Without diligent wear, Invisalign will move teeth slower and less effectively than braces.

*The more complicated you case is, the more difficult it may be to achieve ideal results with Invisalign only. Without attaching to teeth 24 hours a day, Invisalign may have limitations to what it can achieve. Your case may require more than just Invisalign alone to achieve your desired outcome.


***Did you know that our orthodontists can provide combination treatment that utilizes Invisalign for esthetics and braces for control and efficiency?***

Today, you can find orthodontic care around every corner. Store fronts are popping up with DIY orthodontic care and more than likely your dentist is able to provide some orthodontic care as well. Why should you choose an Orthodontist?

*Our orthodontists have gone through years of additional training solely on the practice of moving your teeth.
*Our orthodontists are certified by the American Board of Orthodontics to provide you with top level care. Only 30% of current orthodontists are board certified.










Why do I have to wear rubberbands?

November 9th, 2017

Intraoral elastics, or "rubber bands", are placed on the braces to help fix your bite.  Your braces will straighten your top and bottom teeth, but cannot fix bite issues such as a slight overbite or underbite.  Sometimes it is not possible to adjust your teeth with only wires in order to cause the teeth to move as they should.

Your rubber bands should be worn approximately 20 hours each day.  That means you have to wear them while you're sleeping.  You DO NOT have to wear the rubber bands while eating or brushing your teeth.  Other than those times. they should be in your mouth.

When your orthodontist says it's time to start wearing rubber bands, that's usually a good indication you are nearing the end of your treatment.  While the majority of orthodontic cases do involve the use of rubber bands, there are occasional cases that don't require them. 






Last month's GUESS WHO employee was........... Kim.


Here's hints for this month's "GUESS WHO":

  1. She has one child
  2. Loves to play video games
  3. Loves to sing and draw
  4. Is a health nut
  5. Her favorite color is RED. 

National Orthodontic Health Month

October 10th, 2017

For most children, October means one thing: Halloween candy. For orthodontists, it's a month for embracing a beautiful, heathy smile in honor of National Orthodontic Health Month.

The purpose of orthodontic treatment is to create a healthy bite - straight teeth that properly meet opposing teeth in the opposite jaw. A good bite makes it easier for you to bite, chew and speak. People need braces for a number of reasons. Crowding, protrusion, spacing or abnormal bites are all problems that can be resolved through orthodontic treatment.

At KVO we are focused on giving you a perfect smile, but more importantly a healthy mouth with proper occlusion.


Take a Selfie at your next appointment and enter!!!


Time for another "GUESS WHO" challenge! Last month's employee was..... Becca!!


Here are hints for this months "GUESS WHO":

  1. Her favorite color is turquoise.
  2. She lived in Key Largo, FL for 10 years.
  3. She has 1 daughter and 2 dogs.
  4. She enjoys sewing in her space time.
  5. She loves the beach.

What is an overbite?

September 19th, 2017

is a familiar word to many people regardless of whether or not they have had braces. Overbite is a word that is used to describe how much your teeth overlap each other. It is often described as percentage - the percentage of your lower front teeth that are covered by your upper front teeth - and an ideal overbite should be around 25%.

When a person does not have overlap (no overbite) of their front teeth and the teeth do not contact, it is called an open bite. Open bites will make chewing more difficult. It may be esthetically displeasing in some cases, and can also make the proper pronunciation of certain words very difficult.
When a person has too much overbite, it is called a deep bite. A deep bite can cause damage to the gums behind your top teeth as well as premature wear and tear on the edges of your front teeth.
Whether you have too little or too much overbite, orthodontics is the answer! An overbite can be corrected with braces or Invisalign. After examining your teeth, your orthodontist will determine and explain your individual treatment plan for correcting your overbite. There is no limit to the age at which an overbite can be corrected, however it may be beneficial to correct it earlier than later to prevent damage to your teeth, gums, and bone.

Time for another "GUESS WHO" challenge! Last month's employee was..... Brandy!!


Here's hints for this month's "GUESS WHO":

  1. Her favorite color is purple.
  2. She has two dogs.
  3. She was born in Las Vegas.
  4. She loves riding horses

How long will I have to wear braces?

August 2nd, 2017

The #1 question asked at new patient exams is; "How long will my braces be on?". The main factor influencing how long you'll be in treatment is the severity of your case and the type of skeletal and dental issues that need to be addressed. The American Journal of Orthodontics and Dentofacial Orthopedics reports that nationwide the average time in braces is 20 months.

A person with mild crowding or spacing might only need braces for a year, followed by a retainer. However, someone with severe crowding might be in treatment for much longer. Since orthodontics isn't a "one-size-fits-all" deal and everyone's mouths are unique, it will vary from patient to patient. While we can't give you an exact length of time, we are very good at predicting approximately how long your treatment will take. Additionally we can talk about factors that influence the duration of your braces or Invisalign treatment.

At Klar Voorhees Orthodontics, we offer Suresmile. Suresmile is cutting-edge orthodontic technology that can significantly decrease treatment time. Suresmile utilizes 3D digital diagnostics and treatment simulation in conjunction with robotically-adjusted memory-alloy archwires for more precise and efficient tooth movement which results in shorter treatment times.

Since orthodontic treatment is individualized for each patient, we recommend you come in for a complimentary evaluation so we can assess your needs specifically.


Time for another "GUESS WHO" challenge! Last month's employee was..... CHRISTINE!! (Front Desk)

Here's hints for this month's "GUESS WHO":

  1. She was born in Norfolk, VA.
  2. She has three children.
  3. She loves trying new restaurants.
  4. She enjoys cooking.
  5. Her favorite color is black.

How to retain your KVO smile!

June 29th, 2017

Imagine the most exciting day in your teen life: the day you get your braces off. It's a total right of passage. I know what you're thinking... "I can't wait to see my smile and I'm so glad to be done with orthodontic visits!" However, some of the most important orthodontic appointments come AFTER the braces are off: your retention visits. Here's why!

All of us KVO want you to keep that perfect smile you worked so hard to achieve, for life. That's where retainers come in and save the day. Retainers are meant to keep your teeth the way they look the day your braces came off. The following list is our recommendation on appropriate retainer wear:

  • First two months post braces retainers should be worn 22 hours a day.
  • The next 8-10 months, the retainers should be worn nightly.
  • After a year, we recommend wearing your retainer 3-5 times a week... forever!

Proper maintenance of your retainers is just as important as wearing them. Please remember the following tips:

  • Brush your retainer to keep it clean on a regular basis.
  • NEVER leave your retainer in a hot environment. (See the photo below of a retainer left in the car!)
  • If it's not "in your face", it should be in the case.
  • Your teeth have memory in the form of a ligament underneath the gums and bone.  Once we stop moving teeth, they want to return to their previous position.  Initially the retainer is worn while the bone heals and becomes stable; just as you would wear a cast over a broken bone.  Once the bone has healed (a couple of months later), you should be able to wear your retainer less.  Each person is going to have a different level of stability and different retainer needs.  Some people may only require minimal wear to maintain their new smile.  Other people may require more diligent wear to maintain their orthodontic results.  This is why we continue to monitor you even AFTER the braces come off.


Introducing our "GUESS WHO" challenge! Every month on the blog we are going to give you 5 facts about one of our staff members. See if you can "GUESS WHO"?!

  1. Her favorite colors are black and blue.
  2. She rides a motorcycle for fun.
  3. She has 1 daughter.
  4. She has 1 cat.
  5. She was born in Brooklyn, NY.

Think you know who she is? We will reveal the staff member in our August blog. Stay tuned!

Avoiding Soft Drink Tooth Decay

June 14th, 2017


It is well known that soft drinks can be harmful to your teeth. Whether you’ve seen a video of a tooth dissolving in a glass of coke, or you’ve heard the term ‘Mountain Dew Mouth’ before, many people are aiming for safer ways to quench their thirst!


Cavities are caused by acid destroying enamel and underlying tooth structures.

The acid can come from the soft drink itself.

The acid can come as a byproduct of the sugars on your teeth.

The longer it sits there, the more damage it does!

How acidic are these drinks?

pH of water             = 7 (NEUTRAL pH)

pH of battery acid  = 1 (VERY ACIDIC)

pH of soda  = 2.5!!!!!!!!!!


Surprisingly, some drinks that appear to be healthy, can actually be quite acidic. They may not contain the sugars that other drinks contain, but they can be just as dangerous if left on the teeth for too long.






The safest thing to drink for refreshment is water, however if you are going to have a drink that is either acidic or sugary, make sure you take the time to brush if possible, and at least rinse your mouth to decrease the chance of developing cavities or white spots!

For more information on soft drink tooth decay, see our flyer below!


February 2nd, 2017

Over the course of an orthodontic treatment, your orthodontist will likely need a total of 28 individual braces to stay glued to your tooth from the beginning to the end. Gluing a tiny brace to  something that is involved with chewing foods all day long, and expecting that brace to stay on for 18 months seams like NO EASY FEAT!

Did you know that it can take up to 20 lbs of pressure to break an orthodontic brace off???

That’s right! If you were to bite on your brace, or try to pull it off, you would need to apply upwards of 20lbs of pressure to do so!!! That’s some tough glue!!!!

How to keep them glued on:

In order for a brace to stay connected to a tooth, there are things that both the patient and orthodontist can do to maximize your success!

  • PROPER TOOTH PREPARATION: You and the orthodontist working to make sure your tooth is as clean and dry as possible during the gluing procedure.
  • GIVING YOUR ORTHODONTIST FEEDBACK: If you feel like you are biting on a brace, let them know! They can fix it!
  • CAREFUL ATTENTION to what you eat and how you eat it. We will go over foods to avoid and how to eat them, but you everyone is different.

Assuming that a brace has been successfully glued to the tooth, we should be good for as long as we need the brace! Mistakes will happen. You will accidentally eat something you’re not supposed to, your friend accidentally hit you in the face with a basketball, you were flossing and the floss got stuck on the brace, etc.

What can you do if you break a brace?

A broken bracket is not an emergency, but that doesn’t mean we don’t want to know about it!

Let us know! That way we can change your next appointment to allow time to fix it.

Try to pay attention to what you were doing at the time that it was broken so that we can make sure it never happens again.

How can I tell if a brace is broken?

If a brace feels loose, it is broken.

If a brace falls off the wire, it is broken.

If a brace is sliding back and forth on the wire, it is broken.

If you are unsure, take a picture, call us, and let’s figure it out together!!!

Accidents happen! The truth is that sometimes a broken brace is out of your control. Sometimes due to your bite, or some teeth having unusual enamel, crowns or bonding which will make them more difficult to glue to. Our goal is to work with out patients to give you the best shot at not breaking them, and to give you the most efficient and easiest treatment experience possible!

Taking a little bit of extra time to ensure braces stay in place will not only shorten your time in braces, but save you from unnecessary trips to the orthodontist!

Why Are People Seeing The Orthodontist At Such A Young Age???

November 22nd, 2016

The American Association of Orthodontists recommends an initial visit to the Orthodontist at age 7 to begin monitoring their orthodontic health and needs.

7 YEAR OLDS ARE ALMOST NEVER IN NEED OF IMMEDIATE ORTHODONTIC TREATMENT, however that does not mean that they are in the clear! Age 7 is the time when most children have their first permanent teeth beginning to erupt. It is the perfect time to begin monitoring eruption and development of their adult bite!

Things the orthodontist may identify at age 7 include:









It is not uncommon for the orthodontist to make simple recommendations that could prevent future orthodontic treatment from being difficult or long!

Although most of the time an initial appointment will be as simple as taking photos and counting up your child’s baby teeth, occasionally a situation is diagnosed that requires more urgent attention. By being proactive and maintaining good orthodontic health, you are ensuring the easiest pathway to a beautiful long lasting smile!

Call and receive your free initial consultation today!


October 14th, 2016

In addition to October being Breast Cancer Awareness Month, it is also a month that is very special to Klar Voorhees Orthodontics!  October is National Orthodontic Health Month!

With Halloween quickly approaching, you don’t have to miss out on all the fun! With a little bit of effort, you can enjoy just as much of the candy as your friends without braces!

Steer Clear of the Following Types of Candies!

*Sticky (Sugar Daddies, Taffies)

*Chewy (Tootsie Rolls, Starburst)

*Crunchy (Hard Candies, or candies with nuts)


*Jelly Beans



*Peanut Butter Cups

*Peppermint Patties

*Hershey Bars

*Kit Kats

*3 Musketeers

*Candy Bars without Caramel or Nuts

After you have had your Halloween Candy, Don’t Forget to Brush!

Immediately after consuming sugary foods or drinks, be sure to rinse your mouth out or brush your teeth. The sugars turn to acids and the acids turn into decay. The longer they sit on your teeth, the more time they have to destroy your enamel.

The health of your teeth does not just mean staying cavity free, and Orthodontic health

does not just mean staying away from sticky, crunchy, and chewy candies!

does not just mean staying away from sticky, crunchy, and chewy candies!

Orthodontic treatment not only produces beautiful smiles, but can improve your orthodontic health!

An unhealthy bite can result in broken or worn down teeth! Even if teeth appear to be straight, the health of your teeth could still be in jeopardy.

At Klar Voorhees, we offer a full range of treatment options from traditional braces and clear braces, to invisalign. All using the latest and greatest in Orthodontic Technology.

Call and have your free initial consultation today!

Do I Need a Water Pick?

September 19th, 2016

Okay, you’ve got your braces on. Now here are all the tools that are needed to keep your teeth clean!?!?!

Electric toothbrush, toothbrush for your book bag, floss, floss threaders, power floss, super floss, plackers, wax, an interdental brush.... Anything else? How about buying a water pick???

The truth is, you do not NEED all of those tools. Each and every person is going to have a set of tools that works best for their individual needs.

Some people will only need a basic toothbrush and something to floss in order to have top notch hygiene!

Despite being marketed as a ‘water flosser’, a waterpik is not a substitute for flossing. It is an aid to improve your flossing. It is a tool that is available just in case your normal flossing technique is not satisfactory.

When you start at Klar Voorhees Orthodontics, you will be given all of the basic tools to get you started on your journey. We will give you multiple tools and instructions so that you can determine YOUR best hygiene techniques. At each subsequent visit, we will grade your hygiene and make recommendations based upon what we see. If flossing is not your strong suit, then we may recommend trying a waterpik to see if it works for you! When in doubt, feel free to ask!


August 10th, 2016

Congratulations, the big day has come, and you are getting your braces off! But wait, now you have to wear a retainer???

Once your teeth are in an ideal position, we need to hold them there! Just like a broken bone requires a cast to heal, your teeth require a retainer to become stable in their new position.

Even with extremely diligent retainer wear, some minor changes will occur and your retainer may get loose. If you skip some time in your retainer, your retainer may get too tight. If you notice small but progressive changes in the days or weeks after your braces come off, your retainer may need to be adjusted or replaced. The sooner you notice the problem and report it to your orthodontist, the easier it will be to correct. Just like your braces required adjustments, so do your retainers.

So, remember that retainers are designed to hold teeth in place and teeth should not shift significantly if the retainer is being worn as prescribed. What we really want our patients and parents to understand is that this is a lifetime commitment. Protect that great smile, wear your retainers!

Some people’s teeth will become more stable than others, and each individual may have a different set of instructions for how much to wear your retainers to keep the teeth in position.

Nothing is permanent in orthodontics. We can align the teeth and the bite, but we cannot change the patient’s genetic makeup or their muscle patterns. The muscles are the primary influence on tooth alignment.

It is for this very reason that your orthodontist will monitor you and your retainers after the braces are removed.

So, remember that retainers are designed to hold teeth in place and teeth should not shift significantly if the retainer is being worn as prescribed. What we really want our patients and parents to understand is that this is a lifetime commitment. Protect that great smile, wear your retainers!

What are these white spots on my teeth?

July 11th, 2016

White Spots or Decalcification are the early warning signs of a cavity on a tooth.

The accumulation of plaque around an orthodontic brace, + the acidic byproducts of the bacteria in the plaque + failure to remove the plaque = enamel decalcification.

Braces present a new challenge in keeping your teeth clean. The same process takes longer, is more difficult, and needs to be done more often to keep your teeth as clean as they were before.

While a full blown cavity may take years to develop, the initial stages of a cavity (A WHITE SPOT) can appear in as little as 1 MONTH!!!

There are several options available to help fight white spots, however no option is as effective as preventing them in the first place!

At Klar Voorhees Orthodontics, we are proud to provide all of our patients with the latest technology in prevention of white spots.

At the beginning of your treatment your teeth will be coated with a Fluoride real easing sealant thats acts as a second line of defense against plaque and decalcification. Just as sealants can be used on your molars to prevent cavities, Opalseal can be applied to the same surfaces that your braces are attached and apply the same amount of protection to the teeth that need it the most.

Is my Orthodontist Board Certified?

May 10th, 2016

A board certified orthodontist is an orthodontist who has voluntarily gone through hundreds of additional hours of preparation to demonstrate their judgment, skills and knowledge required for providing the highest level of patient care. They have achieved board certification through the American Board of Orthodontics, the only orthodontic specialty board recognized by the American Dental Association and in affiliation with the American Association of Orthodontists.

Did You Know That Only 1/3 of All Orthodontists Are Board Certified?


An orthodontist is a dentist who has not only completed a graduate program in dentistry to receive their DDS or DMD (Doctor of Dental Surgery or Doctor of Dental Medicine), but has also gone through a competitive residency at a CODA-accredited orthodontic program for an additional 2-3 years to be trained specifically in orthodontics and dentofacial orthopedics.

Happy National Facial Protection Month!

March 30th, 2016

As members of you or your child’s dental health team, our job is not only to move your teeth into position and give you a nicer looking smile, but also to give them a healthier smile and teach you HOW TO PROTECT IT!

It is a great idea to where a mouthguard for all sports where trauma to your mouth or face is a danger.

<iframe width="560" height="315" src="https://www.youtube.com/embed/FVmOVoxkArU" frameborder="0" allowfullscreen></iframe>

Because your teeth are constantly moving with braces, a simple mouthguard that is fit by boiling in water will not work. A braces mouthguard fits snugly around the gums, while providing the teeth some room to move.

At Klar Voorhees Orthodontics, we recommend Shock Doctor Mouthguard’s for braces because of their comfort and how easy they are to find in the stores. The truth is, any braces mouthguard will do a good job as long as you are wearing it.

In addition to your mouthguard protecting your teeth and jaws, a properly fitting mouthguard will also prevent your braces from injuring your lips!

If you have any mouthguard questions, don’t hesitate to ask our staff at your next appointment.

Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram Follow Us on Instagram
Back to Top