Hi, Dr. Bobbi of Stanley Dentistry here. I wanted to talk to you today and give you some information about Invisalign. Invisalign are clear aligner braces that can help straighten your teeth without being intrusive in your personal life. I’m going to turn it over to our lead Invisalign assistant, Zara, to tell you more.
Invisalign is a clear aligner system that is a part of orthodontics that allows patients to be able to align their teeth for many different reasons. It’s very painless, almost virtually painless, and it is also pretty much invisible. You’re not able to see them as much as [traditional braces] and they’re usually faster. A lot of patients average maybe six months to a year of treatment. So, with regular orthodontics, it requires the placement of brackets and the use of metal wires to be able to move teeth precisely — which is a very effective way [to straighten teeth]. But, what’s great about Invisalign is that it’s not fixed in your mouth, thus you’re able to take it out and have very proper hygiene. It’s minimally invasive and it does well for a lot of our patients.
So, people who are candidates for Invisalign are generally people who have a wide range of malocclusion. Whether it’s minor relapses, maybe they’ve had orthodontics done in the past, or it could be used for some more major procedures such as if they’ve had teeth extracted and are interested in implants. Invisalign could also be good for patients who want veneers and they need to correct their deep bite. There are really very few limits to the kind of patient who would need or want Invisalign.
In the Invisalign process, there’s a set of aligners that we customize for your teeth specifically. You wear them for twenty to twenty-two hours out of the day which is the highest recommended effective time for them. You only take them out to eat and brush. Otherwise, you’re wearing them at all times to get the most ideal smile.
For your first Invisalign appointment, we’ll take an Itero scan. [The intraoral device] stitches together numerous images simultaneously to create a model. That way, there’s no need for gooey impressions. The process is very, very fast. We take [the scan] and take a series of photos and send them off to Invisalign to evaluate so we can get the best result for your smile. They correspond with Dr. Bobbi directly. This means they’re able to let us know of any adjustments, or if there’s anything you’re interested in changing as a patient, or if Dr. Bobbi wants to do something to perfect your smile. She goes back and forth with the lab and then they create your Invisalign aligners. We receive the aligners back from Invisalign and we bring you back into the office to make sure that they fit perfectly for you.
One thing that we might do at this first appointment is place attachments. They are little buttons of composite that go on the front side of your teeth. They serve specific anchor or rotation points for the aligners to make them more effective. Sometimes, doing this can cut down on the number of aligners you’ll need. At the very end of treatment, we polish those off.
At that first appointment, where you receive your first few sets of aligners, you go home and you continue to wear them and go about your life. Then your follow-up appointments will take place virtually. We provide a virtual platform and that way you’ll be able to check-in with us. We’ll be able to talk about how you feel like things are going and we’ll also be able to have you send pictures and check on your progress. We’ll be able to see how your teeth are tracking and if everything looks great, we’ll set up a curbside pickup for your next few sets of aligners.
This is great because it doesn’t require you to set up an appointment. You just swing by and we’ll make sure you get your next few set. Then we’ll continue to follow up with you virtually. At the end of all your aligner sets, we’ll talk about whether there’s more that you want to change — if there are minor adjustments that we want to make. If not, you’re all ready to get your retainers.
For those, you come into the office and we take one more scan of your mouth to get a perfect fit for your retainers. We send that off and the turnaround time is about a week. You come back in, we polish off all your attachments, and then we get you set up with your retainers.
In order to know if you’re a good candidate for Invisalign, we have to gather some information about your oral health, your current alignment, and your smile goals. Come in for a free consultation and we’ll be able to chat about your options! To set up your first appointment, just call (919) 460-9665. We’ll see you soon!
Every year, Cary Magazine recognizes some of the top businesses in the Triangle area with the prestigious Maggy Awards. The awards honor all kinds of businesses and business owners with categories like “Best Real-Estate Agent,” “Best Bakery,” and, of course, “Best Dentist.” Dr. Bobbi Stanley has won Best Dentist numerous years in a row and we hope to grab that esteemed title again in 2021! To do so, we need your help.
To vote for Dr. Bobbi Stanley, just click on this link, go to the third page of nominations, and go down to “Best Dentist.” It’s that simple! Make sure to write in nominations for some of your other favorite Triangle businesses. Voting for awards and writing Google reviews are great and easy ways to help small businesses. It may not seem like a big deal to you, but a few awards and five-star reviews can make a huge difference for an office like ours.
At Stanley Dentistry, we pride ourselves on being one of the oldest family-owned dental offices in the Triangle. Dr. Bobbi Stanley opened the practice back in 1995 so we’ve been operating for twenty-five years. During those twenty-five years, Dr. Bobbi’s husband, Dr. Robert Stanley, decided to go to dental school as well and joined the practice as our surgeon and dental implantologist. Today, we also have Dr. David Baronowski along with two hygienists, a talented lineup of dental assistants, front desk staff, and a marketing team.
We’ve overcome everything from the 2008 recession to this year’s catastrophic COVID-19 shutdown and we always come back stronger than before. How do we do that? It’s all about our team and our patients. Everyone who works in our office, from the assistants to the doctors, is incredibly passionate about helping as many people as possible obtain healthy, beautiful smiles. We truly love helping people find their “smile confidence”. When you have that sort of pure passion, people tend to notice, which is how we’ve managed to create such an amazing patient base. Many of our patients have been with us since 1995 because they know the care we provide is unparalleled.
A lot of businesses use the saying “When you’re here, you’re family,” but at Stanley Dentistry, it’s more than just a saying. Our office is a solidified part of a Cary community. For us, this is home and the patients who come into our office every six months are our family. We’ve been lucky enough to be able to stay here and serve the Triangle for over two decades and we hope to continue to serve for as long as our team is able. Help our small business stick around by voting for Dr. Bobbi Stanley in the Maggy Awards! Just one vote goes a long way.
Every year, millions of kids, teens, and adults go into braces or start clear aligner treatment. For a lot of those people, getting orthodontics doesn’t seem like much of a choice. Their dentist “recommends it” so they go through with it. Beyond aesthetic reasons, most orthodontic patients don’t really know why getting braces or Invisalign is so important. At Stanley Dentistry, we’re all about transparency when it comes to treatment which is why we try to explain to all of our patients that orthodontics isn’t just about getting straighter teeth — it’s also about a healthier mouth.
When you’re wearing them, braces feel clunky and can make brushing and flossing more difficult. Frequently, after finishing orthodontic treatment, teens and adults have a few cavities in areas that they struggled to reach with their toothbrush. There are a few products that can help with keeping your pearly whites clean during braces treatment, but, no matter what you’re using to clean your teeth, the process will be more difficult with braces on.
The good news is, once you finish your braces treatment, it’ll be easier than ever to keep your teeth decay-free. Why? Straight, properly aligned teeth are significantly less likely to need fillings or root canals because there are fewer nooks and crannies available for plaque to accumulate. On misaligned teeth, your toothbrush struggles reach around all those jagged corners. Teeth that are overlapping each other are particularly hard to keep clean. Plaque grows, eventually creating decay which requires expensive — and sometimes extensive — dental treatment.
The best way to keep that from happening? Orthodontics. They may seem expensive at the time, but I promise you, they’ll save you money down the line.
Misaligned teeth don’t just make for more cavities — they can also affect how you speak and chew. Your bite — which is how your top teeth meet your bottom teeth — is directly influenced by dental misalignment. If your teeth are crooked, your bite might not feel “even” — meaning your teeth don’t come together perfectly. This can cause difficulties with chewing, speaking, and general jaw alignment. In children, severe misalignment can sometimes cause a blocked airway at night (similar to sleep apnea in adults) because the jaw and neck are not in the correct position. Similar problems can also occur in adults. A few crooked teeth may seem like a small problem, but they can have a big impact on your overall health.
Misalignment can also lead to enamel loss (because the teeth are rubbing together in an abnormal way) which then leads to tooth sensitivity and pain.
Wondering how to get started on orthodontic treatment? At our office, it begins with a consultation. We’ll go over the different orthodontic options we offer in the office, how much they cost, and which option is right for you. We have a few different financing options in our office to make getting orthodontics more affordable. If you’re in the Raleigh-Cary area, call (919) 460-9665 to set up an appointment. We’ll see you soon!
“Dentistry is essential health care because of its role in evaluating, diagnosing, preventing or treating oral diseases, which can affect systemic health.”
If you had braces earlier in life and now, once again, have some dental misalignment, is it possible to get Invisalign? Absolutely. This is actually a really common phenomenon in our office. After orthodontic treatment, you have to be diligent about either getting a permanent retainer or wearing your removable retainer every single night. Many of our patients lost or stopped wearing their retainers after their teenage years. Without that retainer keeping the teeth in the correct position, they gradually move back. Ten years without wearing a retainer can have surprisingly dramatic consequences. In severe cases, the misalignment is just as bad as it was pre-braces.
I cannot say for sure that you will be a good Invisalign candidate without an exam. Invisalign can fix many orthodontic problems but it still can’t do everything traditional braces can do. Tightly packed misalignment oftentimes requires braces. If you do need braces (after going through braces treatment once before), the length of treatment will most likely be shorter than your first stint with braces. Modern braces are smaller and faster than older ones. In most cases, adult patients are in and out of braces within a little over a year.
If you’re tired of your post-braces misalignment, schedule a virtual consult at our office. You can submit a few photos and I’ll send back a video explaining what treatment option might be best for you.
After the virtual consult, you’ll schedule an in-person appointment at our office in Cary, North Carolina. Invisalign appointments are very fast since all we need is a quick digital scan of your teeth. The scan takes a few minutes and is 100% pain-free. It’s sort of like getting an x-ray done — except even easier since no radiation is used to produce the image. We then send that scan off to the Invisalign lab. Within a week or two, they’ll send us your first batch of clear aligners.
Invisalign typically takes between six to twelve months to complete. Patients go through a series of clear aligner trays, changing them every week or every other week. We keep a close eye on every Invisalign patient’s progress to ensure a perfect final result. If you’re not happy with your smile at the end of treatment, Invisalign offers complimentary realignment trays to refine any minor flaws.
We want your smile to last a long time which is why we always strongly encourage our patients to get retainers. Our office offers both removable and fixed retainers. I’ll take a look at your case and recommend one or the other. I typically prefer to put fixed retainers on my patients since it ensures long-lasting alignment. Removable retainers work well — but it’s difficult to remember to take them in and out.
It’s not easy, navigating the clear aligner market nowadays. A lot of new clear aligner brands have popped up in the last few years. It’s difficult to tell which ones are worth your time and which ones aren’t. SmileDirectClub, Strayt, Byte, and SnapCorrect are just a few of the new at-home clear aligner brands that I’ve seen appear recently. These brands (particularly SmileDirectClub) have done a brilliant job marketing themselves as current, trendy companies that can give their customers straight smiles overnight.
For some people, these brands, or any of the other at-home clear aligner brands, work wonderfully. They go through the treatment, paying in monthly installments, and end up with a beautiful smile. But, for a lot of people, these companies are unable to deliver on their promise of a healthy, straight smile. It’s not because the aligners aren’t high quality (a lot times, they are). It has to do with not being under a doctor’s care.
Just because you have misalignment that you want to correct doesn’t mean you’re a perfect candidate for clear aligners. I give all of my patients who’re thinking about going into Invisalign a full exam. We do this exam to make sure their teeth and gums are healthy. If someone has cavities or needs an extraction, I want to do that before they go into Invisalign.
Extractions are particularly important because, when you get an extraction, the remaining teeth begin to move to fill in that gap. If a dentist extracts one of your teeth after your clear aligner treatment (and you don’t immediately get a dental implant or bridge), the time and money you put into your straight smile will go to waste. Within a year, the teeth will become misaligned again. If you go back to the dentist a year or so after an extraction and you want to get a dental implant, chances are you will have to go into a clear aligner again. Your teeth will have moved and there won’t be enough room to place a natural and long-lasting implant.
Making sure your teeth are decay-free before clear aligner treatment is important. However, it’s even more important to make sure your gums are healthy. A huge number of Americans have periodontal disease (gum disease) and don’t even know it. Periodontal disease occurs when bacteria gets underneath your gums, causing bleeding, inflammation, and, in severe cases, tooth loss. The bacteria encourages the gums to pull away from the teeth (gum recession), weakening the bond between tooth and gums.
When the gums become too recessed to hold onto the tooth, the tooth falls out. If someone with periodontal disease goes into clear aligners, they exponentially increase their chances of dental mobility (loose teeth). Clear aligners work by gently but persistently pushing teeth into the desired position. If the gums are healthy, this process works well. But, if the gums are already weak, the clear aligners will be too forceful. The teeth will become loose (and potentially fall out) instead of aligning.
This is an extremely dangerous consequence to at-home clear aligners. Even if you think your gums are healthy, please make sure to visit a dentist before starting treatment — or, better yet, get Invisalign. Dental mobility is frequently treatable but it isn’t something anyone would want to go through. Waking up to a loose tooth is terrifying. With Invisalign, a doctor will be monitoring your case, making sure everything is healthy and progressing correctly. Just having that peace of mind is, for most of my patients, reason enough to get Invisalign instead of an at-home aligner brand.
The first step when you’re getting Invisalign is either impressions or an Itero scan. Up to around five or so years ago, dental impressions were the preferred way to gather accurate 3D “images” of the teeth (which we need in order to create clear aligners). Taking an impression involves placing a putty-filled tray inside the patient and having them bite down and wait for the impression to set. It’s a difficult process that’s uncomfortable for the patient and only offers moderately accurate information.
This is why our office uses Itero scanners instead of traditional impressions. Itero scanners allow a dental assistant to quickly and easily digitally scan a patient’s mouth. The scan is an exact 3D image of the patient’s teeth which means it’s very, very accurate. When we send the scans to the Invisalign lab, we’re confident that the trays they send back to us will be perfect for the patient. The process is pain-free and takes less than a couple of minutes. The transition from taking impressions to scanning was truly monumental for our office. It made the orthodontic process exceedingly easier for patients.
If you do a 100% at-home clear aligner process, you will have to do your own traditional impressions. They will send you an “impressions kit” with the needed tools and instructions. Once you’re done, you will mail it back to the company’s lab. The lab techs will use those impressions to make your clear aligners.
On paper, all of that sounds fine. That is, until you begin to think about how difficult and uncomfortable it is to take an accurate impression. Offices train dental assistants (who still use impressions) to know exactly how to do a perfect or near-perfect impression. Expecting someone who’s never done it before to do it (with limited materials and instructions) is a little ridiculous and very risky. If the impression is done incorrectly, it could mean either a longer process for the patient or ill-fitting trays that only create further misalignment. A poor impression can mean, at the end of your treatment, having a smile that is less aligned than the one you started with.
Invisalign encourages all of its doctors to use Itero scans since it realizes the fallacies of traditional impressions. All those scans are done by a trained dental assistant in a dental office.
We know no one likes going to the dentist but, if you want a straight smile, it’s something you need to do. If you need a blood sample, you go to the doctor to do it. They don’t send a kit to your house and ask you to do it yourself because there are a host of risks involved in doing that. At-home clear aligner brands have made people feel like getting mail-delivered trays is the same thing as going to the dentist for treatment but it isn’t. It carries with it a lot of potential dangers like dental mobility and further misalignment.
Invisalign is the oldest and most highly-rated clear aligner brand for a reason. It allows the dentist to take an active role in the treatment process. This includes monitoring the patient’s progress and making tweaks along the way. At the end of treatment, the doctor can take a look at the patient’s mouth and recommend realignment (more trays) or a particular retainer to keep things straight. For at-home brands, you’re on your own a lot of the time which means you may not be able to keep your straighter smile for very long.
Everyone wants a beautiful, straight smile but not everyone thinks they can afford it. See, orthodontics have a bad (and untrue) financial reputation. People see them as purely a luxury item. They think orthodontic services are incredibly expensive (and not always covered by dental insurance). This is why tons of people opt to ignore misaligned or crooked teeth.
While misalignment may seem like a purely cosmetic problem, it can actually wreak havoc on your dental health, especially as you get older. Even minor misalignment can make brushing and flossing difficult (or just less effective), which leads to more fillings, root canals, and extractions. As you get older, minor misalignment will always become more severe. A case that would take only a few months in Invisalign can take over a year if the patient chooses to wait a decade before looking for treatment.
Getting orthodontics is something everyone should consider — no matter their budget. The health benefits of a straighter smile are worth the cost of orthodontics. Why are we able to say that so confidently? It’s simple: anyone can finance braces or Invisalign.
When you first come in for an Invisalign consultation (one of our most common consultations), we’ll take a quick scan of your mouth. Just that simple scan will let us know the exact cost of the treatment. Invisalign is great because it comes in package pricing so you know just how much you have to pay at the beginning. This price includes any adjustments needed at the end of treatment so there are zero hidden fees.
That initial number may sound like a lot but, once our financial coordinator breaks it down into monthly payments, you’ll realize just how manageable it is. We offer Invisalign financing based on how many months your treatment takes. If your treatment takes twelve months to complete, you’ll have to make twelve payments. If your treatment takes six months, you’ll make six payments. Once we break down the numbers, you’ll be surprised how low your monthly payments can be.
If you’re still struggling with costs, we can set up a time for you to talk to our financial specialist. She can guide you through some of our other financing options.
With how easy it is to take dental scans nowadays, Invisalign is faster and more affordable than ever. If you’ve been considering clear aligners, now’s the time to go ahead and schedule a consultation. That initial consult is completely complimentary but it’ll give you a good overview of what your smile can look post-treatment and how much it’ll cost. We’ll see you soon!
“Very professional, very caring, very warm. In tune with all of your questions and needs. You don’t feel like, when you ask a question, that they’re tired of you asking questions. They’re willing to address any concerns you have. They’re very thorough and their attention to detail is amazing — which includes your personal feelings and comfort while you’re here.
When you come in, and you’re greeted by the staff until you make it back and upon your exit. It’s a very warm feeling, I feel like everyone knows me. There’s a connection, if you will, in the way that they’re treated. Very professional. Very high-quality. You feel very relaxed at this place. You know, the dentist hasn’t always been my favorite place to go — nothing about the person themself, just the culture of a dentist’s office. But here, you feel very relaxed and at ease. I would totally recommend this office and I have recommended this office.”
Whether you’re experiencing dental pain or a lack of self-confidence because of your smile, we can help. Our team of dentists is able to cover a wide spectrum of dental specialties including orthodontics, cosmetics, oral surgery, TMJ treatment, and pediatrics. Schedule a new patient complimentary consultation online by clicking here. We’ll see you soon!
In response to the spread of COVID-19 in North Carolina, our office has decided to postpone all elective treatment until May 11th. Your health and wellness is always our number one priority. Elective treatment includes cleanings and new patient consultations. As always, we will still be open for emergencies and for major procedures that could not be rescheduled. We will also be conducting virtual consultations for people who would like to start their dental treatment while in the safety and comfort of their homes. Simply go to our Make an Appointment page and let us know that you’re interested in setting up virtual consultation. We will call you shortly to schedule.
Like our in-person consultations, our virtual consultations are 100% free. They offer patients some time with the doctors to ask questions about different procedures. The doctor may ask you to take some pictures of your smile so they can start putting together a customized treatment plan. Once our office opens back up, you can come in and immediately get started with whatever procedures the doctor has recommended.
Unless you are experiencing an emergency, we recommend scheduling a virtual consultation at this time. We may not be able to give a diagnosis, but we will be able to answer some of your questions and begin your journey to a healthier, brighter smile. So many of our patients go into their first consultation thinking they need one thing and, after talking to the doctor, leave knowing they need something completely different. This virtual consultation is a time to clear the air and get both the patient and the doctor on the same page.
We understand that this is a challenging time for everyone. We’re more than willing to work with you when it comes to choosing a good platform for your virtual consultation. If you have an iPhone, we recommend using FaceTime. If that doesn’t work, we are open to using other platforms including Zoom and Skype.
We are also offering virtual consults that do not need to be scheduled. For these, you can simply send in a description of your smile along with a few pictures. One of our doctors will create a short video for you explaining a good course of treatment. If this style of consult interests you, please click here.
This is the easy part! To schedule a virtual consultation with one of our doctors, you can either call 919-371-4454 or you can go to our Make an Appointment page and request one. We’ll handle it from there!
When you think of orthodontic braces, you probably imagine a mouth full of unsightly (and sometimes painful) metal brackets and wires. After all, getting braces isn’t exactly an experience most of us would like to have. They create beautiful smiles but getting to that point isn’t always easy.
Many people still get traditional metal braces but, in 2020, there are a lot of other options out there too, depending on your orthodontic needs and your budget. Here are the four most popular kinds of braces that are currently on the market:
These are the braces we’ve all seen before. Traditional braces use metal brackets and wires to move teeth into alignment over an extended period of time. In recent years, some orthodontists have started using heat-activated arch-wires with traditional braces. These allow the natural heat in the mouth to help move teeth quicker than ever before.
Ceramic braces are very similar to traditional braces. They sit on the front of the teeth, just like traditional braces, but they blend in with the teeth a little better since they’re made of tooth-colored ceramic material. The wires can sometimes be colored too to help make the braces appear invisible.
They work just as fast and effectively as metal braces but they are typically more expensive.
Unlike traditional and ceramic braces, lingual braces attach to the back of the teeth instead of the front. This makes them virtually invisible but more uncomfortable than traditional braces since the tongue frequently comes into contact with them.
Lingual braces can’t fix everything so if you’re interested in getting them, you should first ask your orthodontist if they’d work in your unique case.
The most recent (and wildly popular) addition to the world of braces doesn’t look like braces at all. In the last fifteen years, Invisalign has cornered the orthodontic market by offering clear, pop-on retainers that straighten teeth without brackets, bands, or wires. Invisalign uses a series (18 to 50) of solely plastic trays to guide misaligned teeth into the proper position.
Patients who choose Invisalign have to wear the trays as often as they can to see the best results but, luckily for them, the trays are clear and fairly comfortable so it isn’t too much of a chore. You do have to take them out when eating or drinking dark liquids to prevent staining.