fort worth orthodontist

Missing Permanent Teeth?

June 20th, 2018

 

One of the questions I often answer during new patient appointments is, “Do you see many patients with missing permanent teeth?” The answer is, “Yes, I do.”

Approximately sixteen percent of the population is congenitally missing a permanent tooth, meaning the tooth never forms. This figure does not take into consideration third molars or patients who have lost a tooth during their life.

Another common question I receive is, “Why do you see so many patients with missing teeth when it is a relatively small group in our population?” Because, orthodontics provides the best treatment plans to help patients solve this problem. Solving this problem orthodontically tends to be less invasive and less financially costly to the patient.

The three main orthodontic treatment plans I recommend for correcting the tooth missing issue: are: 1. preserve the primary (baby) tooth; 2. replace the missing tooth; or 3. orthodontically close the space where the permanent tooth is missing. The condition of the teeth, the fit of the teeth (occlusion), and the amount of crowding/spacing in the mouth are all factors that influence which treatment plan is ideal for a patient.

Preserving the baby tooth is my preferred plan of treatment as long as the fit of the teeth is good and there is not significant crowding. If the primary tooth fuses with the bone (ankylosis) at any stage, the primary tooth will need to be removed and a restorative treatment plan put into action. Replacing the missing tooth is usually accomplished with an implant and a crown.

An implant is a permanent structure placed into the bone, usually by an oral surgeon or periodontist. The implant will remain in the bone for the rest of the patient’s life. The crown on top of the implant is placed by the primary care dentist and usually needs to be replaced every ten to fifteen years.

If the patient has crowding, the primary tooth can be removed and the teeth can be orthodontically moved to close the space and fit the teeth together properly.

If you or your child is missing permanent teeth, please visit an orthodontist to learn more about your treatment options. An orthodontist will work with your primary care dentist to develop the best treatment plan for you, while orthodontically moving your teeth to give you the smile you have always wanted and a bite that is properly aligned. Every smile deserves the best treatment options and, when needed,  a board certified orthodontist.

Choosing an Orthodontist MATTERS

August 8th, 2017

(click image above to view a short video from Dr. Kelley)

Alison and I often get asked by friends living outside of Fort Worth, “How should I pick my orthodontist?” With as many dental specialties as there are and with insurance changing regularly, I am not at all surprised by this request. Please understand, I am not posting this blog in order to persuade anyone to choose me to meet their orthodontic needs, but to educate friends in their search.

First, make sure that every professional you consider is actually an orthodontist and not just a dentist that does braces. 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 degree), but has also gone through a competitive residency at an accredited orthodontic program for an additional 2-3 years to be trained specifically in orthodontics. One way you can be sure that he or she is a specialist is to look him or her up on the the American Association of Orthodontists website. This site lists only specialists who have graduated from an accredited orthodontic program and belong to the AAO.

A board certified orthodontist is an orthodontist who has voluntarily taken their specialty a step further. They have 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. Achieving board certification is the last step in a long and intensive educational experience to ultimately provide excellent patient care. The American Board of Orthodontics website lists orthodontists who have taken this extra step and become board certified.

The next place I would seek a referral would be from other SPECIALISTS in the area, especially oral surgeons. Although there are a lot of primary care dentists who might be helpful in your search, many of them are attempting orthodontics themselves. Some general dentists also form personal relationships with specific orthodontists and may refer you to their “buddy” whether or not he or she does the best work. Oral surgeons and other specialists work with all of the orthodontists in the area. Thus they are able to see and compare their work. A primary care dentist may only work with a couple of orthodontists, but an oral surgeon typically works with dozens.

Another good source of information today is the Internet. However, you need to take the information you find there with a grain of salt. First, practice websites and social media sites do not always accurately portray the quality of work the orthodontist provides. A bad orthodontist might have found an excellent website designer. On the other hand, an excellent orthodontist just might not be up with the times. You should search for reviews on the orthodontists you are considering, but again realize that not all reviews are accurate. Happy patients usually don’t go out of their way to write reviews, but unhappy ones can’t wait to get their fingers to a computer. No doctor can make every patient happy all the time. (I would actually warn you to stay away from those who contort themselves trying.) One or two poor reviews should not scare you off, assuming they are accompanied by several positive ones.

Last but not least, pay a personal visit to the office you are considering. What is your initial impression as you park, approach the building, and are greeted at the front desk? Is the office up to date and clean? Is the staff helpful and in a good mood? Remember that you are going to be visiting this office about once a month until your treatment is complete. Upon visiting, ask yourself if the office feels like home and if the staff feels like an extension of your family. Finding an orthodontist is not always easy, but it is definitely worth your time, your mental peace, and your smile to do some homework.

Just for the record, I am a board certified orthodontist. Most dentists are not orthodontists. And not every orthodontist is board certified. I feel extremely blessed to be part of this elite group of specialists practicing orthodontics today. I encourage you to always ask your doctor if they are specialists. After all, doesn’t your smile deserve the BEST?

The Joys of Summer

June 12th, 2017

Most of our students are free from school for a few short months. Our entire Kelley Orthodontic office loves summer and the change of pace. I love seeing patients coming to our office with a smile on their face, a tan from being away from the classroom, and stories of their adventures. Our adult patients seem more relaxed and less stressed.

My best memories of summer centered around days with friends and family without an agenda. The fun was focused on the people we were with more than the activity of the day. Oftentimes, we did not know the day of the week. Each summer day felt like a Saturday.

I was blessed to get to spend significant time each summer with my grandparents. I attribute my close relationship with my grandparents to the extended visits over the summer. I encourage all of my patients to take the time to invest in the relationships of family. You will learn so much about yourself and how your story was put together.

Summer is also the time in our lives when we try new experiences. Learning to swim, sports and academic camps, road trips, new sites, great books, overnight camps, and mission trips. Each of these opportunities provides incredible influence on our character development. Two of my favorite activities, water skiing and sailing, were initiated during my summers. I encourage you to try something new...pick up a new hobby, read a different style of genre, try a new recipe, make a new friend, go on an adventure. You are never too old to develope a new skill or passion.

I wish each of you a joyful summer, full of experiences which stretch you a little and provide loads of fun and relaxation. I look forward to hearing your stories at your next appointment.

FINISH STRONG

May 19th, 2017

May brings back a host of memories of completing the school semester and taking finals.  As I drive through the TCU campus, I almost shudder recalling the years of taking finals and the stress accompanying them.  As I watch my own daughter prepare for her high school finals, the stress she is under permeates our home.  (not at all fun for our family of six)

My encouragement to all of our patients who are pursuing education is to Finish Strong.  You will survive finals and make it to the summer.  The question remaining is, "Will you provide your best effort?”  There are a host of reasons to Finish Strong: achieving the grade you desire, genuine interest in the subject matter, the hope of making your teacher proud, and fulfilling the expectations your parents have requested. Most of the meaningful accomplishments in my life came through hard work and determination.  I was a good student, but not a great one.  I was one of those guys who had to work HARD.  (How I envied some of my buddies who seemed to never crack books and still fly by with A’s and B’s.) Though honestly, I do not know anyone who made it through their school years without a few bumps along the way.  I can almost guarantee you will experience disappointment.  I know I did.  Thus, please do not let a professor, teacher, instructor, or grade define you.

I had one of my favorite professors in college tell me, "The only reason you are pursuing dentistry is because you want to be a doctor."  I was devastated.  I thought he knew me better and the goals I had in my life. At that point, I had a choice.  Would his opinion "define me," or would I allow this to simply be a "defining moment". I chose the latter. This became a moment in which I determined to prove his words a lie.  I searched my heart and validated my reasons behind my career choice, and I work harder to become who I knew God had called me to be.  This bump became a defining moment for me in a very positive way.

Thank goodness I chose to pursue my heart’s calling and not let one person or his opinion of me take me out.  As your orthodontist, I desire to provide you with the best smile imaginable and encourage you to pursue your dreams.  I know you can Finish Strong with hard work and a little sacrifice.  For me, the sacrifices I made are worth it everyday. I have the privilege of being your orthodontist, getting to know your heart, and seeing you achieve your goals. Choose for those bumps in life (those crummy grades, those not so understanding teachers, those circumstantial friends, and those personal mistakes along the way) to simply become teachable moments.  Remember, they do not define you.  You are bigger and your dreams are reachable.  Finish Strong, friends!

Egg Hunt - HEART Hunt

April 14th, 2017

The coolness of fresh cut grass paves the path beneath the tiny feet of little ones running around on a peaceful Sunday afternoon, searching for hidden treasures in grandma’s backyard. It’s that time of year again, the annual Easer Egg Hunt has begun.

Most of us have participated, witnessed, or at least heard of this fun festivity that coincides with the celebration of the resurrection of Jesus Christ- the savior of the world who conquered death so that we who believe in Him can have eternal life! From coloring eggs, cute decorations, Easter egg hunting, presents from the Easter bunny, family dinners, or simply attending a Church service, tradition matters to us all.

But perhaps a verse from 2 Chronicles 16 can bring new sentiment to this year’s Easter Egg Hunt:

Picture eager children racing through the yard, looking expectantly to find an egg full of some glorious, candy-filled treasure. Running from egg to egg, throwing out the empty ones and anxiously awaiting the moment they hit the jackpot. Then I just imagine our loving Father!

The eyes of God search the depths of the human heart, waiting for one fully committed to His purposes so He can show Himself strong to them. Just as a child shouts for joy upon finally finding an egg full of treasures, so the loving Father rejoices when He discovers a son or daughter devoted to Him! This treasure is much more precious than candy, it’s the greatest gift we could offer- a heart fully committed to Him. Therein lies a faith proved of more worth than gold. Oh how God takes pleasure in those who delight in Him!

As God looks across the earth… what will He find when He opens your heart? Whatever it may be, know that by grace through faith in Jesus, the Father can smile upon you as His child. He is our true treasure, greater than anything you can find in a plastic egg or Easter basket. Our eternal Hope of glory looks for us, may we be found faithful to Him!

By: Hope Kiser

Forwarded by Dr. Kelley and Kelley Orthodontics

Inspired by our friends at Scriptionery.com

Everyone has a Story - Read Caylin's

April 4th, 2017


The thing I love most about what I do is “reading and experiencing” so many true life biographies in the people I meet, those I am blessed to live life with while they are in treatment under my care.  Every one of my patients could be a blog post. Truly. If I dig deep enough and ask the right questions; If I listen to their words and read their nonverbal cues, I find everyone has a unique, sometimes difficult, and in the end beautiful story.

Caylin Moore has one of those stories, an inspirational story that makes you want to read it over and over. “Inspiritational”, because in the end, Caylin is an over-comer; he has been rescued and he has rescued others through his story. In the end there is great victory. But meet Caylin face to face and visit with him authentically, and you will learn that his inspirational story came with great price, great perseverance, great faith, and as Caylin proudly claims, divine intervention.

Caylin Moore is a TCU graduate and 2017 Rhode Scholar! He is one of the most humble, compassionate, driven, and inspiring young men I have ever met.  It is a privilege and honor to call Caylin my friend and patient. I look forward to seeing the continual impact he will have on this world and reading the “rest of his story” as he follows his dreams and pursues God’s bigger calling in his life.

Below is an article written by ESPN about Caylin Moore.  It is definently worth the read.

http://www.espn.com/college-football/story/_/id/18358380/the-remarkable-story-tcu-rhodes-scholar-caylin-moore

On the Verge of Technology Break Through

March 14th, 2016

We live in a virtual/digital world so I am not surprised when asked, “Dr. Kelley do you use digital scanning when making impressions?” My answer is usually, “not yet, but for a very good reason.” I then proceed to explain why.  Well my “why” is the very reason I blog today. And I am excited to share some new developments on this topic.

My team would love to be able to utilize a digital scanner instead of alginate impressions.  There actually are several digital scanners on the market today. We have always been committed to bringing the most innovative approaches and technology to our practice.  So why haven’t we introduced digital scanning? Unlike most orthodontic offices, our team specializes in the care of a diverse group of patients, patients ranging from birth to senior adults.  We gladly embrace and consider it a privilege to treat the most complex and challenging of orthodontic cases. Thus, Kelley Orthodontics is waiting to invest in a digital scanner that can meet the needs of all our patients (babies born with cleft lip/palate, traditional orthodontic patients, and patients wearing Incognito or behind the teeth brackets.) Unfortunately, as of today, accurate digital scanning is only available to traditional orthodontic patients. However, we believe we are on the verge of a technology break through and Kelley Orthodontics is at the forefront of this discovery! I could not be more excited about this development.

Currently, we take traditional impressions of our cleft babies at Cook Children’s Hospital in an operating room.  The cost incurred by these families is astronomical, not to mention the discomfort and emotional strain caused to both baby and parents. Thus, the ability to take a digital scan in our office would be a gigantic step in the right direction.  Because there is no scanner on the market able to accomplish this task, we are partnering with Sirona, an amazing company that has a reputable presence in medical and digital imaging, in hopes of making this happen.

A couple of weeks ago, our representatives from Henry Schein dental company brought the Sirona scanner to our office to try on one of our cleft patients.  We attempted to take the scan utilizing the current scanner and software.  We were extremely pleased that we were able to get a significant portion of the scan. However not all of the critical areas were accurately recorded.  Thus, we are requesting the software engineers at Sirona Germany to rewrite a portion of the software to allow us to retrieve the data we need from the scan.  Since we are the first orthodontic office in the country to attempt this, we are breaking new ground.  I believe the wait and effort is worth it.  Cleft lip and palate families around the globe will greatly benefit with this new technology along with the specialties of Oral and Maxillofacial Surgery, Plastics, and Otolaryngology.

The potential ripple effects of this type of development are indescribable. Babies failing to thrive because they are unable to eat could be orally scanned and fit for an orthodontic feeding appliance days, instead of weeks, after they are born. These little ones, with lengthy roads of surgeries and therapies, could begin eating sooner, leave the hospital earlier and begin their long term treatment and healing process; all while deterring major medical costs and emotional and physical discomforts.

So how does this affect you, our general population, our mainstream and most encouraging orthodontic patient-group?  Once a scanner and software are developed that will meet the needs of our entire patient population, we will invest in it. We will be able to scan all patients here in our office!  Thank you for waiting this out with us.  Thank you for having hearts for those born with special differences. Thank you for sacrificing the good today in order to possess the best tomorrow. I have no doubt this will happen in the near future and we as an orthodontic community are all a part of making it happen.  That is exciting! Kelley Orthodontics will indeed throw a party when this day arrives.

I am very thankful for families like yours who are willing to partner with us.  I have included a couple photos from our first attempt of getting a scan of a baby born with a cleft lip/palate.  The success of this appointment will be the springboard to success for our office and offices around the world.  We are making history. You are making history. #inthistogether!

Stay tuned.  The best of orthodontics is in our future.

A Few of Our Smiles


What our Patients are Saying


"John Kelley has partnered with us in transforming the H.O.P.E. Farm Boys into men. Kelley Orthodontics has the ability to help our boys develop confidence in their appearances and more importantly their characters. The Kelley Orthodontics team has been an irreplaceable instrument in the success of our program. John Kelley and the Crew… you are the best! "

"Professionalism and efficiency usually don't mix well with warm hospitality, but somehow at Dr. Kelley's office you find it blended comfortably together at every visit. Dr. Kelley not only takes his work seriously but also his relationship with you, the patient. You will not find a more friendly, helpful staff anywhere. "

"When I first found out I was getting braces, I got kind of worried, but Dr. Kelley explained everything to me step by step and made sure I knew how to treat minor pokes or pains in my teeth. They also provided me with toothbrushes and floss just for braces and taught me how to use them. The staff is really friendly and they're really good at accommodating me to where I don't miss anything big at school. Kelley Orthodontist has done a great job helping me with my braces! "

"I personally like it when I go to the orthodontist. When all the other kids at school say, 'I have to go to the orthodontist today,' the usual responses are, 'Hope you come back alive!' or 'That stinks!' But my response is, 'Who do you have?' The reason all the kids hate orthodontics is because they don't have Dr.Kelley! The staff is amazing, they don't put pointy things into your mouth, and they make the appointments quick and fast. Thank you Dr. Kelley for making a place that makes my mouth good as new!"

"We have been so grateful for Dr. Kelley's orthodontic care of our children. His kindness in dealing with our family, thorough medical expertise, and friendly office staff have made this office feel like a second family. Three of our children have been through orthodontics with Dr. Kelley, and not only are their smiles fabulous, but they even enjoy going to the office for visits. We have full confidence in Dr. Kelley's treatment of our children's individual orthodontic needs, and for one of our children in particular have seen significant progress that will likely keep him from surgery down the road. Because orthodontics requires frequent visits and check ups, we are all the more thankful for such a fantastic orthodontist and office staff to spend time with."

See More Reviews

American Board of Orthodontics American Assoication of Orthodontists Invisalign Incognito