Donald Fox DDS MS

Invisalign For Difficult Cases

November 6th, 2019

Invisalign For Difficult Cases.

Hi, this is Dr. Donald Fox. I'm an orthodontist in South Florida. I have offices from Deerfield beach near Boca Raton, all the way to South beach. Today what I wanted to discuss with you is how you can do Invisalign with complicated cases. Many patients come to me who have been told they can't have Invisalign. Let's go over some of the simple things in this video. One of them is a person comes in and this is a model of the upper and lower teeth and the lower teeth are all crooked and you don't want, there's no way to do this without taking teeth out. But what you can do is, and it's kind of unreal to hear this, but we can actually take out one front, lower tooth and we put on metal braces on the lower cause last time when people smile and talk, they don't even show their lower teeth.

So we do the treatment, but it has to be done with lower braces because the Invisalign trays, you get one every two weeks, only move your teeth about 0.25 millimeters per tray. Braces move teeth faster than that. So this is Invisalign by the way. So there's also one for the lower, but the plastic will not move. When we take out this front lower tooth, the bone is going to be so thin that the teeth, the bone will start disappearing before we get the space close. So what we did is we use metal braces on the lower, we put them on first so that we take out the tooth and then within a week or last we start moving right away cause you can't be running around with a hole in your mouth and the bone will start dissolving away. If you don't show it back up for two months or you get the 2001st and then you put the lower brace on, that's bad too.

So we put the braces on first metal and we get the tooth removed and we line it up. Of course only at the teeth are so crooked that we don't have enough space to line up the teeth in a matter of four months, five months. We then switched you over, we take the braces off and then we've put the upper and lower. Invisalign. okay. And then we do the treatment on that. The second problem I see all the time, um, is that if you look at this upper teeth, this is OPERS. And this tooth here, the canine, the canine is a very unusual tooth that's very long. It has the longest root. So what you see here in the mouth is a certain height. But what you don't see up in the bone is the root. So the teeth are like this lined up, okay?

But the canine is like this, but many patients all of a sudden come in and their root is like this on the upper canine and the tooth. Instead of being what you see, like my hand here, this canine is actually rotated. So you have a rotation problem and the root problem and the plastic tray here cannot grab a hold of the tooth. Like this is a tooth. It just can't grab it and turn it and move the root as if the root is my arm. So, um, what we again are showing you on this model is the roots like this, but the patient has the root like this and the plastic has a hard time moving that very long, big route. And the place a lot of dentists, um, by the way, general dentist do Invisalign. I've only had a one day course. Uh, they're not fully trained, embraces, they didn't have any training really in school.

I'm not saying all of them, but I'm saying both. Um, so they're, they're doing the Invisalign, which is a little bit out of their expertise and the actually what they're doing is having Invisalign, um, tell them what to do and they're putting everything in the treatment hands of the, um, the company. And not all the doctors are at Invisalign and looking at every case. There's the many technicians. So you need to know the truth about that. But why am I saying this? Is because you can go to 10 different general dentists and then come to me and then I would tell you like, um, we can't do Invisalign alone because of your upper canine is rotated. But what we do is we, like if it's the upper canine, we can put upper clear braces on the three or four months and then switch you over after we get the route in a better alignment.

If the route gets moved that fast, sometimes it takes seven or eight months and then we can do the upper and lower. And Invisalign, the same thing can happen on the lower canines. So we see that most often. Like that canine right here or this one over here, and again, the root is not lined up. So we have the teeth are like straight like this, this, this, this. But the canine is like this. It's slightly tipped. The route is slightly tipped to the back of their mouth, but the patient comes in and the roots like this, and again, from when you looked down the tooth doesn't like this, it's turn. So we've got two, three, two problems that are three dimensional problems that Invisalign knows. They can't fully correct that and they know it. And the, and the rotation, some teeth are so rotated, they, they cannot turn teeth that are more than 35 degrees.

Here's your zero degrees. Um, let me turn my hand. Zero. This is 45 and then all the way is, um, um, well this is zero. This is 90. So you know, in geometry you have 90 is this 45 degrees is this Invisalign has a hard time rotating a tooth that's only 30 degrees or more. So what we do in those situations, again put on the braces to handle the rotations and to get those properly handled and then switch the patient over 10 busy line. So, um, I hope this helped because um, many patients don't know that they can come see me and I can try to figure out a problem so that they can still have Invisalign. I deal with a lot of celebrities, um, can exactly give you their names, but um, somehow I can prove it to you. Um, I deal with a lot of lawyers.

Lawyers don't want braces in court. There was even shows like a LA law and all where there's a lawyer as braces on and the judge thinks less of him or not as powerful of a person or something. Two lawyers dialogue, lawyers like braces, but I deal with them and I deal with celebrities who don't want it to be seen with the braces or not for so long. Um, and we do different other things to try to unmask the problem. One other thing is Invisalign does not widen the mouth as wide as if you can use the fixed or removable expanders. We use removable expanders that are virtually, uh, clear. Uh, they don't hurt so we can widen the mouth so that the teeth fill up the width of your mouth because a busy line can only widen about that much versus we have expanders that can wide as much as this and avoid extractions, get all the teeth to fit were Invisalign, wasn't going to work. So again, um, I hope this help again, this is Dr. Donald Fox orthodontist. I'm a orthodontic specialists and braces. I treat children as early as age seven for geography problems. Um, but particularly you can go to my website at, and find the location of one of my offices and come visit me to do an exam. And, and especially if you'd been to someone, they said you couldn't have Invisalign. Anyway, thank you for listening to this again. I hope this help.

Damage Caused By Thumb Suck

November 4th, 2019

Damage Caused By Thumb Suck, Dr Donald Fox Orthodontist South Florida

Hi, this is Dr. Donald Fox, orthodontists and expert on how to get your child to stop Thumb sucking, fingers sucking, time sucking and Binky pacifiers. Yes, there is a technology out now that I've actually developed. I've tripped over those 25 years ago and it's in my new book called Stop Thumb Suck Revolution. It's saw an available at Barnes and noble, Apple and Amazon, which also you have uh, odd books and also nook. It's in digital and paperback. The purpose of this video today is to teach you the different damages that can be done by thumb sucking. Thumb sucking is supposed to stop at age two. Even in the certain articles you may read on the internet says he can go up to age five and no problems. That's not true. I've seen this, I've been doing this for 31 years. I consider myself an expert in the field of number of people.

Not only that, I've gotten to stop thumb suck usually within one hour to one week, but all the damage op repaired and it has to, the damage has to be repaired starting at age six or seven, not age 10 or 12 if your child comes in with the damage done from thumb sucking or finger sucking a, the [inaudible] going to end up having jaw surgery. I'm gonna tell you that ahead of time or we're not. This is not something you want the permanent teeth to come into the damaged area where the baby teeth work. So we're going to go over that right now. How does the damage occur? First of all, this is a mouth and the mouth has a certain width across here and across the bottom. So when a child sucks, so this muscle here called the bucks Nader, you can look this up, B, U, C, C, I N a T O R goes in and it causes the mouth on the lower and the upper to get squished and next thing you know the mouth is too skinny and there's not enough room to the teeth at age six.

Then now the mouth has to be widened with certain devices. I use plastic devices that are economical. They don't cause as much and they don't hurt hardly at all. A lot of people use fix expanders. I'd just agree with them. The research says stop using them years ago because they expand too fast. So I believe in slow expansion over a five to six month period. The second, um, problem is that when a child puts their thumb in their mouth, here's the upper teeth and then their jaw can't get to the normal place anymore. So now their jaw is back and this actually about putting the thumb in the mouth keeps the jaw back and now even if you get the thumb out of there, the jaw will not grow out to where it's supposed to. Some people say it will catch up. No, you once it's back, it's back.

The jaw will not just grow out on its own. You need to make it grow out. There's devices also that do that. The next problem is that the, again, same thing, the child puts the thumb in the mouth and depends on how they suck. They actually can push these front teeth up and then some children, if they suck intensively, next thing you know they suck. And next thing you know the bone and the teeth are in the back are sub down. So now we have another problem. So now I've already presented to you three or four different things damaged and it's really disappointing because most of the 80% of the children come out and they have all the damages just went over. Okay, so to give you an idea about this, it's in my book again, stop thumb suck revolution. It's available. You go online at

In suck revolution. And again, you can see this particular child, we'll look at the top photo first, pushed their upper front teeth out and then the back teeth in the back got sucked down. So this child had both when it was all done. You can see the before and after. And this is one of the cases I actually treated and I want it in the mouth. And then I got the tooth to come down and there was some other tricks and that bottom photo has permanent teeth and the damage that can be done also in this particular photo is the mouth is real skinny and the upper teeth stick out. The bottom is the after result and you can see the child's jaw is back on this photo. It's, we didn't get it to grow out and then they had teenage braces and now the face got totally corrected. And this girl was very beautiful when she was finished.

Not so lucky was a child who came in, we got him the stock thumb sucking and you can see over here the jaw is way back. The teeth were all bucked out, sticking out. We call it buck B U C K. this patient had to have jaw surgery because we, by the time we got them to stop sucking their thumb, they were already a teenager and the bone structures were now permanently damaged. So at age six or seven, you want to bring the child in so that we can handle these particular problems. Not all orthodontists are trained the same to do this, um, just cause they went to orthodontic school. There's a lot of other training that you know how to correct these type of problems. Um, I would say over half the orthodontists don't deal with early treatment. Then the other half, half of those, which now we're down to 25% of organize, have formal training and early treatment at age six.

And then out of that, how many people have the real expertise? I've treated over 25,000 patients in 31 years and over 7,000 of them were age six. The number of thumb suckers I've stopped, or at least over 2000 patients and most of them stopped within one week or less. An actually 50% stopped the pers night when they went home. Um, with the actual techniques that are in this book, um, this book has, has 37 habit busters. How those stops. Simple thumbs up problems like the Charles is doing it here and there, but if they're doing it day at night, there's some chapters in here that you sit down and read them to yourself and then you can practice, you know, with a neighbor or something. You don't have to, but you can go right then to then you can have the book out right in front of the child and just so you don't lose your place, do the techniques that says in the book and the child will stop just as well as you are to bring them to me.

Um, I do do one on one coaching with a child and take patients on to stop their thumb sock habits. Um, my orthodontist offices are from Deerfield beach, the South beach and South Florida. And uh, I welcome to um, meet you and your child, but particularly hopefully the book stops the problem and then we need to handle the damage. Please don't sit there and think this damage is going to go away. It is not going to go away. And it's really disheartening when you come in at age 10 or 11 and I tell you, you should have been here at age seven when the treatment could have been totally reversible. The damages from the thumb or the finger sucking. Again, this is Dr. Donald Fox, And I really enjoyed helping you or your child today with his damage and learning more about this problem. Thank you.

Stop Suck Habit

November 1st, 2019

Dr Donald Fox, Orthodontist. Stop suck habit.

Hi, this is Dr. Donald Fox, orthodontists. I am an also an expert and different habits of thumb sucking, fingers, sucking, toe, sucking, blanket sucking and yes, binkies pacifiers sucking. You probably want to know, why would you be wanting to look at reading about a book that does this versus why doesn't the dentists know how to stop this problem? The dental field never has figured this problem out and use as different things. I call them crutches. That doesn't address the real problem that a child has because the child actually is making the decision every time to put their thumb in their mouth or their finger and they're causing damage. But you know, in the dental field it's resorted to things like there's a plastic guard that you put over the thumb called a thumb guard and it's very frustrating to the child. It can take weeks and weeks and weeks for the child to stop.

also there is a, gloves that are black gloves and again, the child just takes these off, but again, doesn't address the problem. It's almost like a situation where you got some ID that smoking cigarettes. Why don't we just duct tape their mouth and or other techniques to get rid of the smoking versus helping the person to get the decision to stop the sucking their, to stop smoking. Same thing with sucking. There's also dentists and Peter donnas. Children. Dentists will put a device that's glued to the back Maulers. You see these rings here and it's got a crib and some of them have level's sharp barbs and then there's one down below. It has sharp barbs and it really makes a child feel bad because they don't know how to stop when they just know that they need to stop. Also, let me get over here to the damage.

The biggest thing is the thumb can push the teeth up and out, but more importantly it can take those back up or teeth and suck them down so that now the bite is open. Now these are baby teeth back here. Now we don't want the permanent teeth to come into this position. Or would the patient need to have braces and jaw surgery? Also? There's, you need to find an orthodontist like myself. It's hard to find someone who is very well trained in early treatment. At age six. I have a master's degree and they don't facial orthopedics, which means basically I know how to do alter the bone structures of the face. I can get the upper bone structure here to grow out. I can get this lower jaw here to grow out if the upper teeth are bucked out that the child has to be in my hands around age seven.

A lot of orthodontists have trained somewhat in that, but don't have formal degrees in it. I actually treated over 7,000 patients with facial deformities, particularly at age six, particularly in this case here. This patient here, when finished all the teeth came down and we also handled getting the mouth, fully under control so that the patient didn't have jaw surgery and didn't have any permanent teeth out. So I hope this helps you today. Realize that stop thumb's revolution has 37 techniques, uh, are you can try one at a time with your child if it's something very mild, but really is this three chapters in this book that addresses the problems of why the child is making the decision to stop or not stop thumb sucking. And these are very powerful from as pack a parent, particularly a mom. This book was written for a mom, not a dentist that you read this book on a Saturday and Sunday, roughly six hours each day.

Very easy, fast and arrest and read for you to understand what is going on behind your child's problem. And then you then apply that to it only takes about an hour to hour and a half sitting down with the child. Once they're well fed, well rested, cause you all have their attention and they need to be able to talk to you. yes, this book works as early as age two, as long as the child can talk to you and carry on with sentences. If they can't carry on sentences and they're just distracted or they're bouncing around, you're, you're going to have to wait another six months because you're going to get very frustrated that the book doesn't work because of the challenges to immature. But there are many. I've seen as many as half the age. Two children can carry on a very good conversation about a movie or something they saw and you, you sit down with them and you'll know right away when you read the book and then you go to use it whether they're paying attention to you, but the book works and it really is very awesome.

There's nothing negative in it and the child feels good. You feel good that they stop particularly this embarrassing habit. when it's they doing it out in public or their friends, find out again, it stopped. Thumbs suck. Revolution. It's at It's on available at Amazon, Barnes and noble and Applebooks, nook. It's in digital and paperback. Again, Dr. Donald Fox, orthodontists. I have offices from Deerfield beach, all the way down to South beach and South Florida, and I've been practicing for 31 years. And I really enjoy what I do and I look forward to helping you. Thank you.