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Orthodontic Blogs & Resources:

Your orthodontic provider will be compiling blogs that are written on dental and orthodontic health for your benefit. These topics will range from hygiene to prevention, general news to FAQs and more. To suggest a topic for a blog- please contact us today!

To review all archived blogs for Freda & Suriano Orthodontics- Click Here!

Does My Child Need Braces?

Posted 5/11/2017

Parents should keep close watch on their children’s dental health. It is a mistake to think that dental problems are merely cosmetic issues. Most dental problems are best addressed promptly and with haste. Experts advise that dental issues should be detected and corrected as early as possible in childhood and pre-teenage years.

What are the Signs that a Child Needs Braces?

Once your kids start growing a full set of teeth, watch out for signs that tell whether your children need dental braces to correct any orthodontic problems:

-Awkward Teeth Spacing

Premature loss of your children’s milk teeth may cause abnormal tooth growth, thus developing uneven spaces between each tooth. Food particles could get stuck in between these spaces, which induces bacterial growth around the teeth and gum area.

-Crooked Teeth

If you see any misalignment in your child’s rows of teeth, consider the option of orthodontic braces. Crooked teeth can cause problems with chewing, and persistent injury to the tongue and sides of the cheek.

-Discomfort While Chewing

When your children find chewing difficult and sometimes painful, chances are their teeth are not correctly alignment. Misalignment of the teeth creates unequal pressure on each tooth, resulting in pain and making the teeth more susceptible to plaque formation and tooth decay. Dental braces do a lot to resolve this problem.

-Minor Speech Problems

Speech problems are not just developmental. They can also be a result of bite and dental problems. This affects the enunciation and spontaneity of your children’s speech. Most bite problems can be corrected by orthodontic braces and orthodontic procedures.

Dental braces and other orthodontic treatments are essential for long term dental health and self-confidence! Any dental problems spotted during childhood should be addressed and corrected immediately. Contact our office closest to you today if you have any questions or are interested in getting braces.



How Invisalign Works

Posted: 3/30/2017

Invisalign is also known as the clear aligner therapy, which involves using vacuum-formed clear thermoplastic sheets that are a material that suck-down on the tooth surface and retains to it.

These aligners can bring can straighten the teeth and improve the smile, with the help of your Northern Jersey orthodontists.

How does it work?

After examination by your orthodontist, impressions are taken of your teeth. The impression trays are filled with impression materials and then placed over your teeth. Once the impression sets, the tray is removed carefully. Then, the impression records are sent to the Invisalign company for the fabrication of Invisalign trays. The Invisalign trays are fabricated by the close analysis of the impression model on the software program.

Based on our treatment plan, the software plans the movement of your teeth from the current position to the desired position. Once the 3-D treatment plan is approved by you and your orthodontist, a series of aligners are custom-made for the patient. The aligners follow the stages of the treatment plan, with the change of aligner after every 2 weeks. The aligners fit well onto the teeth and, at the same time, serve the aesthetic purpose - maintaining oral hygiene becomes easier, as well. The patient can easily eat, drink, brush and floss once they remove the aligners, therefore preventing a bacterial accumulation which would otherwise lead to gum and teeth related problems.

Each aligner moves the teeth step by step, little by little over time. Each aligner is worn 20 hours a day for an effective result. As it's removable, patient compliance plays the most important role for the desired outcome, therefore, it is not much preferred for young children.

These aligners are ideal for mild to moderate crowding of teeth, but in cases where the teeth need too much movement, or where the teeth are rotated in the socket, these aligners may not be effective for your smile.

If you're interested in learning if you qualify for Invisalign, then don't hesitate to contact your Northern Jersey orthodontists at one of our four locations!



Inflatable Braces: New Dentistry Innovation

Posted: 3/13/2017

Have you ever heard anything about inflatable braces? If not, you’ve found the right page to read! Dive in to learn more about this new concept in dentistry industry with the help of your Northern Jersey orthodontists.

Inflatable Braces under Clinical Trial

While traditional and invisible braces are both viable options to correct your smile, and improve your oral and dental health, there are still advancements and studies around the world trying to make orthodontics even better than it already is!

Reportedly, the University of Alabama at Birmingham launched a certain clinical trial which is known to be the first of its kind in the United States. This study is aiming to put an end in wearing of traditional braces. Dr. Chung Kau, the professor of orthodontics at UAB, emphasized that those traditional braces are created out of brackets, wires, as well as colors, and potential patients may prefer to avoid orthodontic treatment due to their personal lives, professional lives, and possible embarrassment due to their age and the idea of wearing metal braces.

This revolutionary discovery of inflatable braces may just be the answer to end the stigma on traditional braces. One of the dental students who participated in the trial mentioned that it would become a device which contains silicone balloons that will push the teeth slowly into the right position.

In connection to that, physicians recommend that it would be best to use this at night. Patients have the chance to choose when they like to wear these braces, but it is important to know that they can utilize them for not less than 10 hours every day.

If you feel uncomfortable wearing the traditional braces, then you might be able to shift to these inflatable braces once they hit the market.

As it is still in the process of development, we can’t say that it’s another superior product of innovation. Let’s just wait and learn how it will help improve the dentistry world. After all, innovation is geared towards convenience and quality living.

Before you know it, you are already smiling with this discovery!

If you want to learn more about our available orthodontic treatments, including Invisalign, then don’t hesitate to contact your Northern Jersey orthodontists at one of our four locations.



Is a Retainer Necessary After Braces?

Posted: 2/27/2017

Having your braces removed after months or even years of wearing them can be a total relief. Finally, you can eat all the foods you want and show a wide, beaming smile you’ve been dreaming for years. However, your treatment doesn’t end after removing your dental braces; your orthodontist might advise you to wear retainers for another few months or one full year to complete the treatment. Another month or year of struggle and discomfort! You desperately wanted to skip the retainers, but you also don’t want your investment turn to nothing. Is retainer really necessary after braces?


Why Retainer is Necessary after Braces

 Whether you had metal braces or clear braces, you will need to wear a retainer to complete the treatment. Wearing a retainer after your braces is very important. In fact, it’s a requirement for the treatment and not just an option for you to just pass or skip over.

Wearing a retainer after an orthodontic treatment is the only way to maintain the results achieved during your treatment. All your teeth move a little as part of the overall aging process, and this can greatly affect your teeth alignment and undo all the straightening made from wearing the braces. Your teeth have the tendency to move and shift back to their initial state. Wearing a retainer prevents your teeth from shifting back and make your investment worth it.


How Long Should I Wear the Retainer?

You and your orthodontist can decide when and how long you need to wear the retainer. However, most patients are required to wear the retainer daily, as well as at night and in between meals. This will continue for 6 up to 12 months, depending on the protocol set by your orthodontist. After 12 months of continuous wear, your orthodontist may recommend you to continue wearing your retainers at night for 3-5 times a week. The cycle of wearing the retainer will help prevent the forward and inward shifting of teeth as you age. The results from your dental treatment will be preserved by consistent and continued use of retainers. 



What You Need to Know Before Getting Braces

Posted: 2/14/2017

Getting braces can get you feeling anxious as soon as you enter the clinic. This feeling of anxiety and fear is mostly caused by the patient’s lack of knowledge about braces. You don’t really have to bother yourself with unnecessary emotions. In this article, you will educate yourself with the necessary information needed just before getting braces.

  1. Dental braces have no age limit.

Years ago, before the current high-tech dental operations got famous, people use a mouthful of somewhat distracting metal as braces. These metal braces, as they are more commonly called, are only allowed to be worn in early teenage years. These days, on the other hand, we use virtually invisible aligners which are called as Invisalign. Invisalign aligners are known as the perfect alternative to metal braces. Unlike the latter, Invisalign aligners are designed for kids, teens, and adults, which only means it has no age limit.

  1. Orthodontics vs. Dentist

People almost always directly run off to a dentist to get help with their dental health issues. A lot of people really seem to be forgetting about the fact that there are actually professionals other than dentists who can also serve the same job. Orthodontists, for example, have almost the same job as dentists, which is why it sometimes gets confused with the latter. Since we’re talking about getting braces, let’s ask about the relevant question. Which professional should we really seek help from?

It is suggested to visit an orthodontist when it comes to braces. Compared to dentists, Orthodontists have more training in the field of dentistry and are thus more reliable than the former.

  1. Beware of allergies.

Braces are made from different kinds of materials such as nickel, latex, and plastic. These materials may cause an allergy to people. That’s why it’s very important to be knowledgeable of your allergies. Should you have any, inform your dentist or orthodontist right away.

  1. Your “bite” is important.

In the process of getting braces, you will undergo dental evaluations, including the way you bite. As part of the correction of your teeth, your dentist or orthodontist will teach you ways on how to straighten your “bite”.


To learn more about any orthodontic treatments you may need, contact us today by calling one of our multiple locations:

Bernardsville: (908) 766-2555
Hackettstown: (908) 852-1252
Chester: (908) 879-0987
Bloomfield: (973) 748-2248



What Your Teeth Say About Your Overall Health

Posted: 1/31/2017

Your dental health says a lot about your health. Your teeth and gums are like windows to the rest of your body’s condition. Doctors can tell a lot about possible health problems by just looking at your mouth. It’s important that you pay attention to the condition of your oral health, so you can seek medical attention if anything is wrong.

Cracking and crumbling teeth
This may be a sign of Gastroesophageal reflux disease (GERD). Older adults are especially vulnerable to cracking and crumbling teeth. Their tooth enamel becomes thinner and almost translucent. But this tooth erosion is not a normal consequence of aging. This happens to everyone at any age.

Your teeth crack because the acid that’s coming up from your stomach dissolves them. Gastroesophageal reflux disease (GERD) is also known as Acid Reflux Disease. GERD causes your stomach acid to come up into your esophagus and then to the mouth. The damaging acid eats away your teeth.

Gums growing over teeth
This is a sign of medication problems. If you notice that your gum is growing over your tooth while taking some medication for heart disease or seizures, you might want to tell your physician about this development. Swelling of your gums over your teeth is often a sign that your dosage of medication needs to be adjusted. There are drugs that stimulate the growth of tissues in the gum.

Grinding down (wearing out) teeth
This is a sign of emotion or physiological stress. Grinding of teeth during the hours of sleep may be a sign of high level of stress. Worn teeth due to grinding at night can result in worrisome headaches in the morning. They can also result in sensitivity to eating or drinking cold and hot liquids.

If left untreated, there’s a big chance that the problem will escalate. Manage your stress level by seeking physiological counseling. Also, check with your dentist for alternatives in treating your worn-out teeth.

Healthy teeth may echo more things about your overall health. In fact, medical professionals use the condition of your teeth and gums to assess vital areas of your body and to predict certain health conditions.


Long Term Effects of Bruxism

Posted: 1/16/2017

People with Bruxism are often subjected to short-term side effects of the said problem but often encounters more serious long-term issues. For people with Bruxism, it is very important that you seek dental help as soon as you experience the symptoms.

The short-term effects of Bruxism are often taken for granted by many people. When ignored, these short-term effects that will lead to more serious problems in the future. Here are some of the short-term effects of Bruxism:

* Facial pain around the jaw and muscles around the face
* Ear ache
* Headache
* Tight and stiff shoulder
* Swelling and receding gums
* Sleep disruption
* Sleep disruption caused by the sounds of teeth grinding and clenching
* Can’t open the mouth fully
* Too much tooth mobility

Long-Term Effects of Bruxism
Long-term effects of bruxism come when the short-term effects are not given remedies. People with severe Bruxism often suffer:

* Untreated Migraine
People who suffer severe migraines experience serious headaches due to severe teeth grinding.

* Too much Facial muscle tone
This often occurs when your facial muscles are taut and tight around the jaw area.

* Popping or Clicking of the jaw joints
The clicking and popping sounds often occur when the jaw muscles are tight. People would often call this as lock jaw. They are unable to open their mouth fully.

* Tooth loss and tooth wear
Teeth grinding can cause severe destruction as the upper and lower mouth move against each other back and forth.

* Temporomandibular joint dysfunction
This is often caused by limited mandibular movement in the mouth. This often causes sounds like the popping and clicking from the temporomandibular joints. This can become chronic and difficult to manage.

If the short –term effects are not treated right away, it will lead to more painful effects in the long run. It is best that you seek dental help when the symptoms occur. This will not only help you treat bruxism, but it will also help you avoid tooth loss and teeth destruction.



Green Dentistry: An Eco-Friendly Approach to Treating Dental Problems

Posted: 1/5/2017

Green dentistry, otherwise known as Eco-dentistry, pertains to the delivery of both dental treatments as well as oral health care through materials, technologies, and procedures, which encourage planetary and environmental health. In other words, it integrates high-end innovations to improve effectiveness and efficiency while it aims to reduce waste in our environment.

What are the benefits?

Less metal waste

Eco-dentistry, a term coined by EDA (Eco-Dentistry Association), have finally embraced metal-free, adhesive dental restoratives through the help of porcelain veneer or direct composite bonding. Why is that so? There are two main purposes for this. Primarily, they give metal-free smile treatments. Aside from that, they also get rid of the heavy metal waste linked with the silver amalgam fillings which may end up in your main water supply.

Less radiation

Let’s say, digital radiography is considered as one of the most important innovations of green dentistry. It removes our need for conventional X-ray systems. Through digital X-rays, the dentistry industry reduces dramatically hazardous chemicals like silver and lead released into the surroundings. In addition to that,

most patients are being exposed to about 90% less radiation, and more importantly, a dentist can now get images right away and with better quality than before.

No more chemical contamination

Likewise, green dentistry also uses biodegradable and high-quality of steam sterilization and disinfectant which don’t need any ventilation for harmful waste or chemical vapors. It also has energy-star dryers and washers right on the site to facilitate the use of head rest, gowns, cloth bibs, etc. which can be washed and reused easily. You don’t need to use disposable paper products anymore!

Keep in mind any dentist can become a green dentist. Yes, you heard that right. Right now, lots of dentists are reconsidering their decision regarding with their equipment, supplies, or office products and opting for environmentally sound choices. Apart from that, they are now striving hard to reduce the effect of their profession to nature through using low-flow faucet and energy efficient lights.



When is the right time to see an orthodontist?

Posted: 12/21/2016

Parents often worry about the condition of their children's teeth. Similarly, children with friends who have braces or retainers ask their parents if they need them too. But is your child too young to get braces? When exactly is the right time to see an orthodontist?


How old should your child be?

The American Association of Orthodontists believes that children should have their first visit with an orthodontist at the age of 7.


Why 7 years old?

At age 7, most problems can already be identified even though they cannot be treated yet.


What will the orthodontist assess during your child's first visit?

  • Tooth Loss and Eruption

Baby teeth are usually lost in a specific order. Deviations from the natural pattern tend to indicate that a child has oral developmental issues. By the age of 7, children should have at least four sets of permanent molars and four sets of permanent incisors each.


  • Alignment

Alignment should be dealt with at a young age. Crooked teeth are more likely to undergo uneven wear and damage due to trauma. Moreover, the shape and position of the gum tissue around the crooked teeth can also be compromised.


  • Underbites

The anterior underbite should be normalized as early as possible to prevent bite shifting and permanent damage to the front teeth caused by traumatic occlusion.


  • Protrusive Front Teeth

Although protrusive front teeth can only be fully dealt with at a later age, the severity of protruding teeth can be reduced as early as 7 years of age.


  • Crowding and Spacing

Spacing problems usually occur when a baby tooth is lost prematurely, a tooth never successfully developed or that the teeth are unusually small. Crowding requires expanded arches or in some cases, some teeth may need to be extracted.


  • Posterior Crossbites

At the age of 7, expanding the upper jaw can reduce crowding and create space that is necessary for erupting anterior teeth. This will also eliminate any possible shifting.

Defy Tradition With Invisalign 

Posted 12/14/2016

Children and adults alike who are struggling with malocclusion are often concerned about undergoing traditional braces. While there will always be a need for conventional metal bracket and wire orthodontics, they may not be right for everyone. Thanks to continued advances in orthodontics, patients in the area of Montclair now have other options available to them to consider including Invisalign.

Invisalign is a type of orthodontic treatment that can be used to address malocclusion of the natural smile. Malocclusion may include misalignment of the teeth, gaps between the teeth, or poor bite alignment. These issues may be both cosmetic and functional concerns. Patients with poor bite alignment often see unwanted wear on their natural tooth enamel because the teeth on the upper and lower dental arch do not align properly during chewing. Gaps between the teeth may cause patients to feel self-conscious when they smile, laugh, or talk with others. When these issues arise, orthodontics can help. Invisalign in particular is great for all of the above concerns.

Patients love Invisalign because it eliminates the need for metal brackets and wires. Instead it uses clear aligner trays that are worn over the dental arch day and night to gently reposition the teeth. It is much more discreet and more comfortable for patients to use. Invisalign is also comparable in cost to traditional orthodontics and is great for patients with mild to moderate misalignment. Patients with more severe cases of misalignment may not be considered appropriate candidates for treatment and may still need to consider alternatives.

Drs. Michael Freda and Anthony Suriano are excited to offer orthodontic treatment for patients of all ages, children and adults alike. If you are interested in finding out more about Invisalign treatment and whether or not you are an appropriate candidate, now is a great time to make an appointment with our team. Call us at (908) 766-2555 and visit one of our four convenient locations in the Montclair area, including Chester, Bloomfield, Hackettstown, and Bernardsville. We accept new and existing patients at all times in our dental practices around the New Jersey area of Montclair.

What is diastema in teeth?

Posted 11/21/2016

Diastema is a condition wherein you have a gap between two teeth. Diastema is most common between the two upper front teeth, but can be present between any two teeth.

What are the causes of Diastema?

Diastema occurs because of a mismatch in the size of jaw bones and teeth. The mismatch can either cause an extra space between teeth or overcrowding. When your teeth are smaller than your jaw, it creates a space between your teeth. However, when the teeth are too big, there will be an overcrowding.

There are instances wherein teeth go missing or undersized. It occurs mostly on the upper lateral incisors, which is located next to the two upper front teeth. The upper lateral incisors could develop a space.

Diastema can also be due to an oversized labial frenum. Labial frenum refers to the type of tissue that stretches from the inside of the mouth (upper lip) to the upper gum of your two front teeth. There are times wherein the growth of labial frenum extends between the two front teeth, thus, creating a space.

How to treat Diastema?

This condition could only be resolved through orthodontic treatment. Majority of the time people get braces that would allow the moving of teeth together. It is a must to get a full set of braces, for upper and lower teeth, in order to prevent other spaces in the teeth from occurring.

The treatment depends on the case that you have. For example, small lateral incisors could be treated through putting crowns, veneers, or bonding into your teeth. In the case wherein you have missing teeth, you might need dental implants, a bridge, or a partial denture. Meanwhile, if it is due to labial frenum, there is a surgery that could solve this which is called frenectomy. If it is caused by periodontal disease, you would need to get periodontal treatment.

As much as possible it is important that you constantly get a dental check-up and get your child treated if they have diastema. Treatment would not immediately take effect, but it is important that you discuss with your dentist the appropriate extensive treatment plan. 

Enhance Your Smile Today

Posted 11/18/2016

Patients in the Bloomfield area can benefit from using Invisalign to enhance the smile

At Freda and Suriano Orthodontics, we provide quality care and attention for patients who are ready to improve the appearance of their smile. When problems such as misalignment and malocclusion exist, patients are often told that traditional braces are the only way to achieve the beautiful smile they’ve always wanted. Thanks to continued advances in cosmetic dentistry, this is no longer the case. Now, patients in New Jersey can enjoy an alternative with our team called Invisalign.


Invisalign works differently from traditional bracket and wire braces. Invisalign is also known as aligner tray therapy. This is because the teeth are repositioned with the use of removable trays that slide over the dental arch and provide gentle forces for optimum results. Patients are presented with a series of trays made from digitized impressions of the teeth. Each tray in the series is worn for two weeks before progressing to the next. Patients who comply with treatment will achieve results in a shorter period of time than they would with traditional bracket orthodontia and enjoy a more discreet treatment throughout.


Invisalign is popular because of its appearance. The trays are made with medical-grade clear plastics for comfort and beauty. Patients can wear the trays without feeling self-conscious about their appearance. They can smile and laugh and be themselves without covering their mouth due to brackets and wires. Long gone are the days of “metal mouth” and “brace face” with Invisalign! Invisalign is just as effective and can provide faster results than conventional methods while being discreet and comfortable.


Drs. Michael Freda and Anthony Suriano of Freda and Suriano Orthodontics in Bernardsville, NJ and the surrounding area are excited to offer Invisalign as just one of many services in their state-of-the-art dental practice. Patients are encouraged to visit one of their many conveniently located offices to learn more about this and alternative treatment options that can be used to enhance the smile. Call today at (908) 766-2555 to schedule your consultation appointment.

Invisalign FAQs

Posted 10/25/2016

Learn More About Invisalign     

When it comes to Invisalign, there is a lot of misinformation online. Below is a list of some of the most frequently asked question we receive from our patients. If your question isn’t addressed below, feel free to give our office a call and we will be happy to assist.

Hackettstown: (908) 766-2555

Bernardsville: (908) 852-1252

Chester: (908) 879-0987

Bloomfield: (973) 748-2248

Is Invisalign painful?

While we wouldn’t call Invisalign painful, it can cause some discomfort. Patients have reported that compared with the discomfort of metal braces, Invisalign is virtually painless. Discomfort, when present, typically disapates after a few days and is generally a good sign as it means it is working!

How long will treatment take?

The length of your Invisalign treatment will vary based on several factors including: current positioning of your teeth and the health of your teeth. The average case takes about 12 months, but during your initial consultation our doctors will be able to better pinpoint a timeline.

How many hours each day will I need to wear my aligners?

To be effective, aligners must be worn a minimum of 20 – 22 hours each day.

How can I keep my aligners clean?

The ideal way to clean your aligners is to use the Invisalign Cleaning System. If this is not available to you, your aligners can be cleaned by brushing them and rinsing them in warm water.

Will aligners move while I sleep or eat?

The aligners are designed to fit snugly on your teeth and are designed not to move or shift while you eat, sleep, talk, laugh or sneeze.

How often will I need to visit your office?

We will schedule regular appointments with you to review and evaluate your treatment plan. Generally, these appointments are scheduled every 4 – 6 weeks, but will vary by patient.

What else should I know about Invisalign?

Invisalign aligners are virtually invisible. In our experience, no one will even notice that you are wearing them! Invisalign is designed to be a discrete alternative to traditional metal braces.

With Invisalign, you are also free to eat and drink what you please as the aligners are removed when you do so.

To learn more about Invisalign, or to schedule a consultation, please give one of our offices a call:

Hackettstown: (908) 766-2555

Bernardsville: (908) 852-1252

Chester: (908) 879-0987

Bloomfield: (973) 748-2248

Halloween with Braces

Posted 10/21/2016

Halloween is a big event for a lot of kids and teens, and having braces on at this time of year can present unique challenges. Anxiety may arise not only for the patient who wears braces, but for the parents who aren't quite sure how to ensure their child stays (mouth-) safe over one of our favorite holidays. All the gum, caramel, nuts, and other sticky foods that are circulated from Halloween onward through the winter holidays need not create the ghoulish risk you imagine. Here, we will look at a few ways to make sure Halloween treats don't become a nightmare.

1. You can do your child a favor, as well as those in your neighborhood, by choosing softer candies to hand out. Chocolates are a clear choice, especially when they are nut-free. Think Hershey's candies, 3 Musketeers, and peanut butter cups.

2. Not all chocolate candies are good choices. For instance, that Twix bar has sticky caramel in the middle, as does Snickers. Other candies to steer clear of on Halloween and any other time of year include gummies, licorice, and hard candies like Nerds.

3. When kids enjoy their Halloween treats, have them do so at meal time, or with a glass of water. During meals, salivation is naturally heightened, so to follow with a sweet treat would be easier in terms of diluting sugar residue. Likewise, sipping on water not only at treat-time, but throughout the day, keeps the mouth less acidic and freer of debris from candy.

4. Extra care is a must for any person wearing braces, and this becomes even more important around the holidays, when sweetness abounds. Even if "friendlier" candies are selected, teeth are still at risk for harboring tiny bits of leftovers.

5. If your Halloween will consist of a Monster Mash Bash, trade candy treats for other sweets, like cake, pudding, or soft cookies.

Most kids get far more candy than they could consume - at least not without causing a few problems. Consider donated the excess to military personnel via Operation Shoebox, or to a Ronald McDonald House near you.

We are here to support you to a healthier, more attractive smile. Schedule your visit with us in one of our four conveniently located offices.

Orthognathic Surgery for a Better Bite

Posted 9/30/2016

Every one of us develops at our own rate. Sometimes, this growth occurs at a different pace within a single body. Disproportionate jaw growth is an example, when the upper jaw grows more quickly or more slowly than the lower jaw. Is it not only a slight cosmetic issue for the jaws to develop in such a way. Speech is often affected, as is oral health, due to the misalignment that results from imbalanced jaws. Sometimes, this type of growth can be corrected with orthodontics alone. However, some patients gain the most from orthognathic surgery.

Orthognathic surgery is an oral surgery procedure that has helped a number of our Morris, NJ patients. The goal of this approach is to align the upper jaw with the lower in order to correct the bite, or the way upper teeth meet the lower teeth.

Why It Matters

Malocclusion is not the same thing as misalignment. The latter describes the condition of crookedness along a line of teeth. Malocclusion describes a bad bite. If teeth do not meet when food is chewed, the distribution of force does not occur as it should across the arch. Only the teeth that meet first during mastication will absorb force. As a result, these teeth will wear down faster, and will be susceptible to injury. The stimulation overload that occurs on those few teeth, as well, will transfer to the underlying bone, which could cause accelerated degeneration of vital structure.

During a consultation with your experienced orthodontist, you can discover the long-term effects of bite issues, and how the bite can be improved in order to preserve the health of natural teeth and the jaw as a whole.

Teeth are vital to our ability to chew and break down food for digestion. These structures give us the facial support we need to avoid collapsed cheeks and lips. They enable us to form sounds, and to feel confident in our appearance. The key to oral health is to have teeth that are functional and that do not cause pain. When bite issues exist, every aspect of oral health and wellness is affected, from the symmetry of the face to the positioning of the lips to the risk for injury, if teeth are significantly protruded.

Orthognathic surgery is a precision procedure through which the structure of the jaw is reestablished to promote beautiful, functional results. Learn more about orthodontic care for malocclusion at Freda & Suriano Orthodontics.

Inspecting Invisalign

Posted 8/26/2016

Drs. Michael Freda and Anthony Suriano of Freda and Suriano Orthodontics work with patients in the northern New Jersey area to achieve more beautiful smiles. These dentists have many years of combined experience in assisting patients with general, cosmetic, and restorative dentistry procedures. They are excited to offer aligner therapy as an alternative to traditional braces for patients faced with malocclusion of the dental arch and the bite. With mild to moderate cases, many of our patients may be able to enjoy the benefits of Invisalign services.

Many patients want to find out more about Invisalign. They hear great things about alternative orthodontic treatments and are often seeking a way to improve their smile without the use of metal bracket and wire braces. This is when the topic of Invisalign is often introduced during an evaluation and consultation appointment. We want our patients to know that they can enjoy a no-obligation appointment with our dentists to discuss Invisalign and decide if it is right for them.

Invisalign eliminates the need for metal brackets and wires on the teeth. It begins with digital impressions of the smile which are transferred into software to fabricate a series of trays used throughout treatment. The number of trays needed for adjustment will vary from patient to patient depending on the severity of misalignment. Patients can complete their entire treatment without extra trays if they comply with instructions throughout the process.

Patients wear their trays day and night for two weeks at a time. This gently repositions the teeth so that they are in better alignment with the dental arch. This can eliminate crooked teeth or even teeth that are spaced apart. Overcrowding can be improved, though in some cases extraction of teeth may be necessary to make room for the existing teeth to be shifted into place. This can all be determined during the initial consultation visit.

Freda & Suriano Orthodontics can be contacted by calling (908) 766-2555 and speaking with our front office staff to book a consultation appointment with our dentists to learn more about Invisalign orthodontics for teenagers and adults.

Thinking About Getting Braces?

Posted 8/18/2016

When many people think about braces, they see what the media has portrayed. Media images can make getting braces feel like a horror movie. In fact, it is the complete opposite.  Orthodontic technology has advanced to create an experience where the wearer may even forget they have braces. Now orthodontic treatment is much more pleasant, brackets are smaller, and the choice of ceramic braces or braces with colors creates a fun environment for the patient. 

There is also the clear alternative, like the Invisalign system. This system is a series of clear aligners that help to straighten your teeth and help you have a healthy smile. Since Invisalign is a system of clear aligners many people do not realize that you are wearing them, reducing the concern about how your braces look. At Freda and Suriano Orthodontics, we offer our patients of all ages the Invisalign system. For those patients who are not Invisalign candidates, we offer ceramic braces, which are clear and nearly invisible too!

For more information on how your Northern Jersey orthodontist can help straighten your smile- click here to contact us today!


Children Benefitting from Orthodontic Care

Posted 8/16/2016               

Usually, we think of orthodontics as a treatment for teens. In recent years, the development of Invisalign has changed the general view, and now we see more adults seeking treatment for misaligned teeth. Did you know, though, that a child can benefit from orthodontic care? In fact, research suggests that there is a great deal of value in early orthodontic evaluation for children. Our dentists in the Hudson Valley specialize in the correction of misalignment. We are happy to consult with children, teens, and adults to explore options that will enable them to create a healthy, attractive smile. When necessary, we may recommend two-phase treatment for children.

Orthodontic care for the 7 to 9-year-old doesn't look like the braces you are used to seeing on teenagers. This approach to orthodontic care is more about intercepting problems that have yet to occur. We can predict such problems by conducting a thorough evaluation of the jaw, teeth size, and other factors that correlate with oral development.

Benefits of interceptive orthodontic treatment include:

  • Decreased chance that extractions will be needed prior to braces.
  • Create space for permanent teeth before they erupt, preventing overcrowding.
  • Mitigate the risk of protrusion at the front of the mouth.
  • Facilitate symmetry and aesthetic beauty.
  • Potentially reduce phase-two of treatment: braces.

Early orthodontic care is not a necessity for every child. The recommendation for interceptive care stems from observation. In some cases, orthodontic treatment may be postponed until the jaw has completed its developmental stage. Intervention at an early age is also not a substitute for orthodontic treatment later in life. Following up with braces or Invisalign ensures that permanent teeth are in line and optimally functional.

Your dentist can help you determine if your child may benefit from two different phases of orthodontic care. Some of the obvious indicators include:

  • Visible crowding or overlapping of teeth.
  • Speech difficulties.
  • Thumb sucking habit that continues for years.
  • Early or late loss of baby teeth.

A straight smile is valuable on an aesthetic level and also as a vital aspect of oral health. For more information on orthodontic care, and when your child should be evaluated, call Freda & Suriano Orthodontics in New Jersey.

Northern Jersey Orthodontist Stresses Why All Patients Should Wear Retainers after Treatment

Posted 7/28/2016

You’ve just finished your orthodontic treatment and had your braces removed—congratulations! Your brand new smile is ready to be shared with the world! But there’s one more thing that’s important for your post-care treatment and that’s wearing a retainer. Below, your Northern Jersey orthodontist will explain why retainers are necessary, what different types of retainers are, and how to properly maintain them.

Although it may not seem necessary, the use of a retainer after your orthodontic treatment will only continue to improve your smile. When your braces have been taken off, your teeth can still continue to shift back to improper places. This means that, over time, your teeth can become crooked once more and change your bite and overall smile.

For retainers to be made, your orthodontist will be taking a mold/impression to fabricate the retainer out of the proper material. Most retainers are to be worn several years after the treatment, if not indefinitely. While it may seem like a hassle to do so, this simple retainer that can be worn in your downtime or in the comfort of your own home can keep your teeth in the same, proper position and keep your smile shining and confident for years to come!

There are two different types of retainers that patients can receive after their braces: fixed and removable. You’ll receive a certain retainer depending on your individual treatment chosen by your orthodontist. With a fixed retainer, there’s typically a thin wire worn across the back of the lower and upper front teeth that bonded in place. This retainer has the best outcome since the wires are bonded and will hold the straightened teeth in place every day.

Removable retainers are a combination of a wire going across the front of your lower and upper teeth that can be put in and taken out at any time. While this makes it easier to clean your teeth on a daily basis, many patients either forget to wear it every day or simply refuse to. Removable retainers can also be damaged or lost if not properly cared for. Most orthodontists recommend to keep them in a safe, closed container after cleaning them in order to maintain their stability.

Your Northern Jersey orthodontist wants patients to have the best smile that they can, especially after their treatment! To learn more about retainers, contact the office nearest you today!

Looking for Comfort and Convenience? Consider Invisalign!

Posted 7/22/2016

We all want to feel proud of our smile, and this sometimes takes a bit of work. If turned teeth, overcrowding, gaps, or other problems are obvious when you look in the mirror, you naturally will be apprehensive about showing them to the world. You deserve to have nice, straight teeth that add to an attractive aesthetic. You also deserve to enjoy a lifetime of oral health, which can be blocked by misalignment and trapped bacteria. At the same time, if you assume that it will take braces to straighten your teeth, you may put off making that visit that could bring out the best in your smile. If you are in the Bloomfield, NJ area, consider calling Freda & Suriano Orthodontics to learn more about Invisalign.

The Invisalign Difference

Most people know that Invisalign is not like conventional braces. This system is more than clear brackets and wires, it consists of clear, plastic trays called aligners. These look very similar to the trays one may wear when whitening their teeth. They are designed using robust software capable of turning images into a 3D animation, and then taking that animation and creating a series of aligners. Each set gently urges teeth into the next desired position. One set at a time, worn at all times except for meals and oral hygiene, these aligners achieve beautiful results.


Why is Invisalign considered the most comfortable way to straighten teeth? Aligners are fabricated from smooth, thin plastic. They form to your teeth, which is a far cry from small, pokey brackets sticking out from each tooth. Because gentle force is exerted by aligners, patients do tend to feel this sensation, but it is rarely described as painful.


Invisalign is convenient for a number of reasons:

  • Barely-there aligners do not affect your appearance.
  • Removable aligners let you brush and floss normally, and continue to eat your favorite foods.
  • There is no need to visit the orthodontist for tightening; just change your aligners as directed, and wear them no less than 22 hours each day. (We do schedule periodic appointments for progress checks).
  • Most Invisalign cases are completed within about a year and a half.

Due to the numerous advantages of Invisalign, most of which do pertain to comfort and convenience, most patients prefer this method of straightening their teeth. That being said, it is important to understand that the end goal is to give you a smile you can feel proud of. Invisalign is not right for every person. To see if it is right for you, give us a call at one of our New Jersey offices. 

Invisalign orthodontics

A smile with perfect alignment may not come naturally for some patients. Our bodies are genetically predisposed to having straight or misaligned teeth. It all depends on how the teeth come into the mouth after our baby teeth fall out. Sometimes the teeth erupt through the gum line right where they need to be, while others may experience a variety of issues called malocclusion. Malocclusion refers to misalignment of the teeth in the dental arch which can affect aesthetics and function—especially when the bite is not properly aligned.

At Freda & Suriano Orthodontics, we understand that patients are often uneasy with the idea of undergoing more traditional types of orthodontics. This is why we offer alternatives that patients with mild to moderate malocclusion may enjoy, including Invisalign. 

Invisalign helps patients in the community with realigning their teeth without the need for traditional metal brackets and wires. Brackets and wires can be unsightly and embarrassing, especially for adult patients seeking a realignment of their smile. They can also make it difficult to properly brush and floss the teeth, resulting in a higher risk of developing the periodontal disease or dental caries throughout the treatment process. 

Invisalign is different. Invisalign utilizes trays that are clear and durable. Patients slide the tray into the mouth over the dental arch and go about their day without feeling uncomfortable about the appearance of their teeth. These trays also reduce rubbing and irritation which may be experienced with conventional braces. When worn day and night, patients can achieve the results they desire in a short period of time—with most patients achieving the look they want in approximately one year’s time.

If you wish to speak to a dedicated team of professionals about Invisalign, call (908) 766-2555 to make an appointment at Freda & Suriano Orthodontics today. We encourage patients to schedule a consultation visit with our staff to find out if they are an appropriate candidate for treatment and can improve their smile in a discreet, affordable, and comfortable manner.

Learn About the History of Orthodontics with the Help of Freda & Suriano Orthodontics!

Posted 7/14/2016

While orthodontics may seem like a modern part of dentistry, this section goes as far back as Ancient Egyptian times! We had to start somewhere, right? Through various amounts of tests and experiments, devices and techniques, professionals have helped shaped orthodontics into the well-developed part of dentistry that it is today. With the help of your orthodontics near Basking Ridge NJ, we’ll delve deeper into the history of this treatment and how we’ve come to where we are now.


When it comes to ancient orthodontics, Egyptian mummies used metal bands around their teeth in order to correct their crooked smile. This was around 50,000 years ago! Improvising with what they had, archeologists believed that they had used catgut to tie these bands and provide enough pressure to be able to move the teeth into place.


Ancient Greeks, Etruscans (citizens of ancient Italy) and Romans were also practicing orthodontics. Etruscan women were preserved with gold bands on their teeth to keep them in their position. The famous Ancient Greek physician, Hippocrates, had written about the first known description of tooth irregularities around 40 B.C. There were documents of different suggestions that writers had left behind that would correct the positioning of your teeth, like pushing them together with your fingers or filling in the area.


Moving forward to the 18th century, Pierre Fauchard (commonly well-known as the Father of Dentistry) invented an appliance called the bandeau, which was a horseshoe-shaped strip of metal that contained spaced holes to fit around the teeth and correct their alignment. Into the 19th century, a form of headgear was created by J.S. Gunnell, which fastened to the jaw from the outside of the mouth in order to apply gentle pressure on the teeth.


One of the most important people in the history of orthodontics is Edward Hartley Angle, considered the Father of Orthodontics, who identified the properties of malocclusion, misalignment, and how to properly address them with the use of correct orthodontic appliances in the beginning of 1880.


Look how far we’ve come! There are so many people to thank for where we are now within this field of dentistry, all so we can have the smile that we’ve always dreamed of. If you’re interested in orthodontics don’t hesitate to contact the office nearest you. We hope to hear from you soon!

Northern Jersey Orthodontist Provides Tips for Patients to Avoid Serious Dental Damage

Posted on 6/27/2016

Taking care of your smile is an everyday job, no matter how simple it may seem. There is more to healthy teeth and gums than just brushing, especially if you’re in the middle of orthodontic treatment. We want all of our patients to have the best smile that they possibly can, which is why your Northern Jersey orthodontist is here to help ensure that you’re working towards a happy and healthy smile with these oral hygiene reminders.


During orthodontic treatment, there are parts of your daily dental routine that will be quite different. Cleaning your braces won’t be a walk in the park in the very beginning, but that’s why we’re here! Being thorough is the number one key here, making sure that you’re reaching every part of your mouth while you brush. Food particles can be tricky and get caught in places that may not be so easy to remove the first brush over. This is why we recommend for all patients, even ones without braces, to brush their teeth for at least two minutes in order to maintain a healthy smile. This goes for flossing, too!


If you’re suffering from poor oral health, then the rest of your overall health can be affected, as well. Gingivitis and gum disease are potential problems that a patient of any age can run into if they’re not properly brushing and flossing their teeth twice a day (a poor diet can harm your teeth, as well). With poor oral health, you’re at a higher risk for infections and potential tooth loss, inflammatory heart issues, digestion problems, and more.


We want your smile to last a lifetime, so here are some easy-to-remember tips to keep it that way:

  • Brushing and flossing twice a day: don’t hesitate to ask about the best toothpaste and floss that works for you, especially if you wear braces.
  • Healthy diet: a bad diet can result in a bad smile, which is why you should eat healthy foods that benefit your teeth, too!
  • Avoid harmful habits: smoking cigarettes and biting your nails are only a couple of the bad habits that can severely damage your smile.


To learn more, or to schedule an appointment with your Northern Jersey orthodontist, contact the practice nearest you by calling one of our offices or filling out this form!

Orthodontist Discusses how Bad Breath can Damage Your Everyday Smile

Posted on 6/17/2016

We’re all familiar with bad breath, whether it’s after a particularly pungent meal with some of your favorite ingredients (a little extra garlic never hurt anybody, right?) or when you just wake up and let out the first-morning yawn. Usually, a proper brushing session can eliminate these smells and you’re able to go on with your day, but that’s not always the case. Your orthodontist near Clifton NJ delves into how serious halitosis can be and how to fight it.


When someone is wearing braces, bad breath can occur if there are lingering pieces of food that may have gotten stuck in between brackets and your brushing and flossing hasn’t been completed properly. We want our patients to know how important it is to clean your teeth on a daily basis, especially if you have braces or any other orthodontic treatment since it may be a bit more difficult during this time.


Millions of Americans suffer from bad breath, but there is also a large amount of people who experience halitosis and have a difficult time getting rid of it, no matter if they brush, floss, use mouthwash or use mints. Having chronic bad breath can negatively affect a person’s day-to-day routine, causing embarrassment and potential isolation.


Smelly foods aren’t the only reason that someone could be suffering from bad breath. Habits, like smoking cigarettes and using tobacco products, can cause the smell to stick around for hours, sometimes even days if you are constantly participating in this habit. Poor oral and dental care can also contribute to bad breath since you aren’t getting rid of any excess food particles and bacteria from your foods and drinks throughout the day.


If you’re suffering from chronic bad breath and want to find solutions, contact our office to schedule an appointment or consultation with your orthodontist. Visit our website to find the closest office nearest you!


Northern NJ Orthodontist on Treatment for Adults

Posted 5/6/16

It is never too late to have a straight smile that you love to show off! To all of our adult patients in Bernardsville, Chester, Hackettstown, Bloomfield and the surrounding areas- this one is for you! Freda and Suriano Orthodontics offer some of the top “adult” choices for orthodontics available in the market. These choices, including Invisalign and more, make it so that most people won’t even be able to tell you are seeking orthodontic treatment- but boy will they notice the results.

Don’t worry- we can back up this claim with solid numbers too, for this analytical types out there.

The American Association of Orthodontists (AAO) conducted a survey last year about the number of adult patients, 18 or older, receiving orthodontic treatment. According to the study, that number increased 16% from 2012 to 2014, with over 1.4 million patients receiving treatment. The AAO estimates that 27 of all U.S. and Canadian patients are adults.

But why this increase? The AAO believes it is a combination of the growing technology of orthodontics, as well as the proven long-term benefits and aesthetic improvement. If you can look better and be healthier, all without having metal braces for everyone to notice- it can be a big plus.

You can read more about the findings, as well as read quotes from several experts, by clicking here.

For more information on adult braces treatments, such as Invisalign and more, contact Freda and Suriano Orthodontics by scheduling an appointment today!

Choosing Invisalign or Traditional Braces

Posted 3/25/16

Even with the dawn of so many different types of braces, a great deal of the patients of doctors Freda and Suriano will still choose between two main types: traditional metal and clear ones. And while systems like Invisalign may not be available to all of our Bloomfield, Chester, Bernardsville, and Hackettstown area patients- it is an innovative option that will work in a multitude of cases.

With that in mind, today we wanted to give you a little guide, comparing some of the main “bullet points” that a patient may consider when choosing either traditional braces or Invisalign.


One of the most obvious attributes that can come into mind when choosing your type of braces is how they look! Many patients will choose Invisalign because they are see-thru retainers that you rotate through every couple of weeks. These retainers will help shift the teeth little by little and are completely removable. You do not have the more permanent metal wires, bands and brackets like you do with traditional braces. In fact, you and your Bloomfield Invisalign provider may be the only ones who can even tell you have the retainers in- that is how clear they can be!


As it relates to the various parts and pieces that make up braces, safety can become a concern. Anyone who has had, or knows someone who has had traditional braces knows of how little cuts on the tongue, cheek and mouth are commonplace. Not to mention, after adjustments every month or so- your teeth may be a little sore too. Invisalign systems are custom fit to your specific mouth, and in the event it ever did before uncomfortable- you can always take it out and call our office for an adjustment.

Treatment time:

Lastly, the time spent wearing braces or the Invisalign retainers can vary drastically. An average period of treatment for someone with metal braces can be between 2-4 years while Invisalign users can be done in as little as 1 to 2!

To re-iterate, Invisalign systems are not going to be available for every single patient, as doctors Freda and Suriano will have to evaluate you before ultimately choosing one method or another. If you are interested in finding out more about Invisalign from your top Bloomfield, Chester, Hackettstown and Bernardsville area orthodontists- CLICK HERE to schedule an appointment with the office nearest to you.



Invisalign Invisalign Teen
Damon Smile
122 Morristown Rd (Rte 202)
Bernardsville, NJ 07924 (908) 766-2555
Bernardsville Office Location
2A Doctor's Park (Seber Rd)
Hackettstown, NJ 07840 (908) 852-1252
Hackettstown Office Location
191 Main St
Chester, NJ 07930 (908) 879-0987
Chester Office Location
1310 Broad St
Bloomfield, NJ 07003 (973) 748-2248
Bloomfield Office Location