March 23rd, 2022

You may have noticed that kids seem to be getting braces and other orthodontic care a lot earlier these days. There was a time, only a decade or two ago, when braces were mainly seen on teenagers, but that is beginning to change. If you’re wondering when to bring your child to our Vienna, VA & Great Falls VA office for an orthodontic evaluation, the answer actually has several parts.
The Telltale Signs
If your child has a very crowded set of adult teeth coming in, or if the permanent front teeth came in very early, these are signs that your child should see Dr. Allen Garai & Dr. Karen Tratensek, regardless of age.
The Dental Age
Barring signs of trouble or early adult teeth as mentioned above, the time that your child needs to be seen for initial orthodontic evaluation depends not so much upon your child’s actual age, but on what is known as a “dental age.”
The dental age of the patient might be entirely different from his or her actual chronological age; for example, an eight-year-old could have a dental age of 13. It is part of Dr. Allen Garai & Dr. Karen Tratensek and our staff’s job to determine the dental age and then make appropriate recommendations for the resolution of orthodontic issues if they are emerging.
The Official Recommended Age
The American Association of Orthodontists officially recommends that kids should see an orthodontist for the first time between the ages of seven and nine. Even if the child does not have all his or her permanent teeth, the teeth growth pattern can usually be predicted quite effectively by an orthodontist.
This allows for a proactive response to emerging problems, and this is the reason that some younger children are now getting orthodontic devices earlier in life. If a young child has serious orthodontic issues emerging, Dr. Allen Garai & Dr. Karen Tratensek can usually address the problems immediately and then follow up with another round of treatment when the child has all the adult teeth.
March 16th, 2022

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.
St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.
Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:
- Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
- Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
- The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
- Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.
No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Dr. Allen Garai & Dr. Karen Tratensek - have a great St. Paddy’s day!
March 9th, 2022

A clean mouth is a happy mouth. And when Dr. Allen Garai & Dr. Karen Tratensek and our staff see you have a clean mouth, we are happy too. Of course, all of this should make you happy because you’re the one preventing sneaky little food bits from getting trapped under the wires of your braces.
Still, you need to be thorough with your brushing. When you have braces, you’re playing a game of hide-and-go-seek with everything you eat. Here are five tips to keep your mouth (and us) happy.
- How is brushing with braces like geometry? It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down. Brush the bottom of your teeth with the brush angled up. Pointy brushes, aka interproximal brushes, are good for reaching the tiny spots around braces.
- Brush after every meal. If those sneaky little food bits hide in your mouth for very long, they’ll turn into plaque. And plaque is a sign of a very unhappy mouth.
- Brush one tooth at a time for at least ten seconds, and pay close attention to the spots where your braces touch your teeth.
- Fluoride is your new BFF. Make sure your toothpaste and mouthwash contain this cavity-fighting ingredient.
- Braces are no excuse not to floss. In fact, saying you can’t floss because you have braces is like saying the dog ate your homework. Dr. Allen Garai & Dr. Karen Tratensek and our staff, like your geometry teacher, aren’t going to buy it. Be sure to floss after every meal.
March 2nd, 2022

Dr. Allen Garai & Dr. Karen Tratensek and our team hear this question a lot. Some of the common reasons for crooked teeth include:
- Thumb sucking
- Tongue thrusting or improper use of the tongue during speaking and swallowing
- Premature loss of baby teeth, which causes teeth to drift and shift
- Poor breathing airway caused by enlarged adenoids or tonsils
There are also hereditary factors we get from our parents, like:
- Extra teeth
- Large teeth
- Missing teeth
- Wide spaces between teeth
- Small jaws
Dr. Allen Garai & Dr. Karen Tratensek and our team know that having crooked teeth isn’t just a cosmetic issue; it can lead to serious health problems as well. Crooked teeth can:
- Interfere with proper chewing
- Make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis
- Strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth
There are several treatment options we offer at Garai Orthodontic Specialist that can help correct crooked teeth. Please give us a call at our convenient Vienna, VA & Great Falls VA office to learn more or to schedule an initial consultation.