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.”
“We know that these past few weeks have been the most challenging that many of us have seen in our lifetime. In our twenty-five year history, we’ve seen a lot of changes but the uncertainty and complexity facing us now seem bigger than ever. But even during these challenging times, we never lost sight of what was most important: our patients.
Now more than ever, we want to say thank you. Thank you for letting Stanley Dentistry be a part of your healthcare team and a part of your lives. Thank you for continuing to show up for us even in the midst of these trials. Thank you for being a part of our family. And a part of being family means no matter how difficult this is, we will continue showing up for you and that’s our promise. To protect you, to care for you, and to keep you healthy. We’ll show up for you and we won’t stop. While you’ve been away, we’ve been implementing new and innovative ways to keep you and your loved ones safe. We’re eager to serve you and your family. We’re here and we’re ready to help you find your smile.”
Making sure you and your family feel safe when coming into Stanley Dentistry is our team’s number one concern. We know these are scary, uncertain times which is why we’re going the extra mile to create a safe space where you can get the dental treatment you need. A few of our new COVID-19 prevention methods include:
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.
“Hi, Dr. Bobbi here at Stanley Dentistry. We have many adults in our practice who would like to straighten their teeth and, for one reason or another, clear aligners are not an option for them.
Are you an adult who would like to straighten your teeth, but you’re concerned about wearing metal braces? Don’t be. There are many adults today who are straightening their teeth with metal braces. It’s accepted in our society, and it’s really fast and really convenient. The results that you will get after straightening your teeth with metal braces will be well worth the short time that you are wearing the braces. Today, with the technology that we have, we’re able to make the metal braces fairly invisible and definitely non-invasive. So, please come see us at Stanley Dentistry and let’s talk about your straightening options.”
For adults, we always push for Invisalign since they’re invisible and removable. However, there are a variety of cases where clear aligners just won’t work for a patient. When that happens, we look into traditional metal braces. When adult patients hear the word “braces,” they begin to panic a little because they have in mind the braces that were common twenty years ago. Those are not the braces we offer at Stanley Dentistry. We use self-ligating braces (which are very small and very fast) and ceramic braces (which are a little bulkier but sometimes required for particular cases). Here’s a full list of the different types and characteristics of braces. Patients are typically in and out of these braces within a year or two (or less).
Want to know if clear aligners or traditional braces are right for you? We can do a quick, complimentary exam to see which kind of orthodontics will help straighten your smile. Call (919) 460-9665 or go here to set up a consultation.
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.
“My name is Taylor Fisher and I grew up in South Florida. Essentially, when I was in nursing school in college, I was on the equestrian team and I had a really traumatic accident riding a horse. I shattered the whole left side of my jaw. I originally had four surgeries to reconstruct everything that first year when I was in nursing school — which was rough, really rough. When I graduated and moved to North Carolina, that’s when I started to try and get everything in place — fix everything other than the actual jaw area, which was fixed. But now, it was more dental and orthodontic.
I got four different answers from four different people telling me what to do. One endodontist was like ‘We could do a root canal but we’d have to slice open the entire gum line.” It was all this crazy stuff. I felt very confused because I didn’t know who to believe — some people were saying just take it out…So, it was scary. I didn’t know who to really trust. The people who took care of me for the original surgeries — one was in Miami and then my other doctors were in Boston. So, I was in a hard place because I didn’t feel like I trusted anyone here.
I had a patient in the ICU and his daughter was an oral maxillofacial surgeon. So, somehow, we got to talking and she also happened to live in Boston. We were talking about that and eventually it came up that she was an oral maxillofacial surgeon. We had that kind of report where I was like, ‘Can I ask you a question off the cuff? Because I really don’t know what to do in this situation and I’m getting so many different answers.’ So, I told her what was going on, with what had happened to me, and that I didn’t know where to proceed with getting implants and should this tooth stay or should it go — and on this side, what should I do? She basically looked at me and said ‘Well, you need to go to Stanley Dentistry.’
I asked her why and she said, ‘I trained under Dr. Rob and I know Bobbi really well. And [Dr. Rob] is very good with trauma and they have a great office, they do everything together in the same office. They can do the crowns, the orthodontics, everything — all in the same office.’ For me, that was like, ding ding ding! Finally! As someone who’s already been through a lot of trauma, already been through a lot of healthcare expenses and everything…knowing that I can have everything done at the same place was huge. And on top of that, she was vouching for their ability and their character. She was like ‘I trust them. My parents are going there.’
It was great and when I made an appointment here, I felt completely at home. It was just a great experience. I still had a lot to do in order to fix everything but I knew I was in good hands and I trusted what they said. Everything they explained to me was very logical, ‘this is how it’s going to be.’ I never felt uncomfortable or doubted their advice on what to do.
Really, all in all, it’s been a long journey and finally, I’m on the other end and I can’t thank them enough for finishing everything in my mouth but also for everything that they’ve done here. I really do think that, in the dental system, this is what you really want as a patient. To be able to go to people who have everything all together in the same place… because I can tell you, it’s really hard when you have a different oral maxillofacial surgeon, an endodontist, an orthodontist, a dentist. You have to go to multiple different places just to get the resources that you need. And then everyone disagrees with how they think things should be done. It makes you stressed out because you don’t know who to trust.
Unfortunately, coming from a medical background, I know how it goes — different people have different experiences and doctors are the same. Everyone has a different idea of what to do. I think at Stanley, they really take pride in working together, really exploring all options, and deciding that this is the best course of action. I think that’s really special.
I would want people to know that they [Dr. Rob and Dr. Bobbi] take a very systematic approach to what your major problems are. They work really hard to address that from all angles and to make sure it is being addressed. They really want you to have a better quality of life. I never once felt like just a patient — just someone who’s coming in and coming out. I’ve felt like family when coming in here.
They take everything in stride. All my dental visits…they know I have anxiety! So they always make sure they have this numbing medication ready — and this is just for dental cleanings — because I have a lot of sensitivity on my bottom teeth and I get very scared because I don’t know what to expect. This is something they do every time. They always have it ready. To me, that’s really, really thoughtful care. Knowing that these are the things that I need to feel comfortable — and I know it’s a pain in the butt and I know it’s a lot to ask for — but they have never made me feel bad for needing those things.
As a patient, you could never ask for anything more. For the people who’re taking care of you to take care of you like one of their own. That’s what it feels like when I’m here.
Dr. Robert and Bobbi Stanley are the leading dental trauma experts in the Cary-Raleigh area. They’ve dealt with countless trauma patients and have never failed to give them the quality of care they deserve. If you’ve suffered some kind of dental trauma that has left you in physical pain or has rendered you afraid to show your smile, our doctors have the answers you’ve been looking for. Schedule a free consultation today to see how a few dental appointments can change your life.
“I saw you all on the way from work to home — so that was the initial reason. So, just searching for a dentist. We were very lucky. Is it kind of strange to say that you love your dentist? But, yeah, we love it.
I think an important thing you notice when you come in is that I felt confident. I felt that people knew what they were talking about through the way that they acted. It gave me confidence. So, that’s what I liked.
Professional. It was a long time ago [his first visit to Stanley Dentistry], eight years ago, but yes, that was the first impression. They’re professionals, they know what they’re doing, I will be good here.
It was just a suggestion [to get treatment] from Dr. Bobbi. My teeth in the back had decided to move around a little bit. It was time to do something about it. Sure, I always wanted to do it but there was no reason to do it. So, this time, I went for it.
It was much faster than I thought it would be. So, I thought it would take two years or so. But it was more like ten months — so it was pretty fast. There were some days that it didn’t feel too good but in general I didn’t have to change anything in my life.
When they put it on [the braces], I embraced it. I always wanted it to be very colorful…there’s no way to hide it, right? So, I made it very bright! I knew it was for a while so I embraced it, I was fine with it — and everyone else!
I always felt very good. I came in, they knew what to do, there was no guessing that would make you insecure. It was always very nice. I spend very little time here, very often, so…it was always pretty fast. I have nothing to complain about. It was a really good experience. I would recommend Stanley Dentistry, definitely. The professionalism of Dr. Bobbi and Dr. Rob, it gives you that safety — that you know that everything will be fine when you come here.”
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!