January 8th, 2025

Dr. Allen Garai & Dr. Karen Tratensek and our team recommend always wearing a protective mouthguard to participate in most physical sports. We especially encourage this if you have braces that can potentially cut your mouth or cause damage to your teeth. You have various choices to consider when you’re looking for a protective mouthguard.
One option is a full facial guard, which is often used for contact sports, such as football or hockey. This type offers full protection of the face from external impact. You should also consider an additional mouthguard to protect yourself from cuts inside your mouth, and avoid possible damage to your braces.
Boil-and-bites are another version of mouthguard that can be used for more physical sports. This type is used just the way its name implies: You warm the mouthguard in water to soften the material, then bite down gently once it’s at the correct temperature to form it into the shape of your mouth. These are fine to use temporarily, but they don’t always provide the best protection if they don’t fit properly.
Another option is to have Dr. Allen Garai & Dr. Karen Tratensek make a custom mouthguard for you. The mouthguard will be designed with built-in layers to protect both your teeth and braces when it’s worn. Having Dr. Allen Garai & Dr. Karen Tratensek create a custom-fitted mouthguard will ensure optimal protection and a comfortable fit whenever you participate in physical activities.
Protecting your teeth and braces is essential when you compete in sports. Accidents happen, and having a preventive mouthguard can potentially save you from oral pain and damaged braces. Our Vienna, VA & Great Falls VA office is happy to assist you in creating a custom-made mouthguard for any sports activities you want to pursue.
If you’ve experienced a mouth injury that has caused damage to your braces, please contact us immediately so we can fix the problem right away. Remember, prevention is key when it comes to your oral health!
January 1st, 2025

Watching the clock tick down the final seconds until midnight, many of us- Garai Orthodontic Specialist included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:
- Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
- The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
- The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
- Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.
Whether you plan to stay in Vienna, VA & Great Falls VA, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!
December 26th, 2024

The average age of individuals who get braces is between nine and 14, although it is appropriate for younger children to visit Garai Orthodontic Specialist for a consultation with Dr. Allen Garai & Dr. Karen Tratensek. While parents may be concerned about the efficacy of early orthodontics, research suggests that early intervention can prevent greater dental health problems later in life.
What types of conditions require early intervention?
According to the American Association of Orthodontists, 3.7 million children under the age of 17 receive orthodontic treatment each year. Early intervention may be appropriate for younger children with crooked teeth, jaw misalignment, and other common issues. Early orthodontic treatment may be of use for several types of problems:
- Class I malocclusion. This condition is very common. It features crooked teeth or those that protrude at abnormal angles. In general, early treatment for Class I malocclusion occurs in two phases, each two years long.
- Class III malocclusion. Known as an underbite, in which the lower jaw is too big or the upper jaw too small, Class III malocclusion requires early intervention. Because treatment involves changing growth patterns, starting as early as age seven is a smart choice for this dental problem.
- Crossbite. Crossbite occurs when the upper and lower jaws are not properly aligned. An orthodontic device called a palatal expander widens the upper jaw, allowing teeth to align properly. Research suggests that early treatment may be beneficial in crossbite cases, especially when the jaw must shift laterally to correct the problem.
- Tooth extraction. That mouthful of crooked baby teeth can cause problems when your child’s permanent teeth erupt. For kids with especially full mouths, extracting baby teeth and even permanent premolars can help adult teeth grow in straight.
Considerations when thinking about early intervention
Early intervention isn’t helpful for all conditions. For example, research suggests that there is little benefit to early orthodontics for Class II malocclusion (commonly known as an overbite). Instead, your child should wait until adolescence to begin treatment. Scheduling a visit to our Vienna, VA & Great Falls VA office when your child is around age seven is a smart way to create an individualized treatment plan that addresses unique orthodontic needs.
December 18th, 2024

The team at Garai Orthodontic Specialist loves to help adults achieve straighter teeth and a beautiful smile. If you are considering getting braces, here are some things you’ll need to know.
Can braces work for adults?
The good news is that braces work for just about anyone. There are several different types of braces, howver, and not all of them may work for you. The different kinds of orthodontic treatments include:
- Ceramic braces
- Metal braces
- Self-ligating brackets
- Lingual brackets (braces behind the teeth)
- Invisible braces
- Rubber bands for bite correction
- Headgear and other appliances
Schedule a consultation with Dr. Allen Garai & Dr. Karen Tratensek, and we can help you determine the best option for your needs.
How do I get started?
We understand that braces can be a daunting prospect for many individuals. They may appear expensive and time-consuming; however, the process can be relatively pain-free! Here are the first steps you need to take on the road to straight teeth.
You will probably have a lot of questions and concerns before starting. Here are a few questions you should ask:
- What kind of braces do you recommend for my teeth?
- How long will the treatment take?
- How often will I need to come in for adjustments?
- What is the total cost of the treatment? Do you accept insurance? Will you require the full amount up front, or do you have payment plans?
During your first meeting with Dr. Allen Garai & Dr. Karen Tratensek, we’ll take some X-rays and molds of your teeth to help you determine your best treatment plan. To ensure your treatment is as effective as possible, we may include preliminary dental work before your braces are placed.
After you’ve chosen a treatment plan and undergone any necessary prerequisite dental work, you’ll be on your way to a better smile! Call our Vienna, VA & Great Falls VA location so you can get started today!