During Treatment

My Braces & Orthodontic Appliances

You have your braces on - NOW WHAT! You get to sit back and watch the magic of the Damon System™ But, you do have to follow the instructions that were given to you by Dr. Kadar and our orthodontic assistants. Mainly, you need to be careful about the food you eat, brush regularly and see your family dentist at regular intervals. You can still participate in athletic activities, play musical instruments and of course, Do Homework! Other common areas of concern during orthodontic treatment are summarized below:

Oral Hygiene with Oral B Ortho Essentials

Taking care of your oral health is a whole different story when you've got braces. That's why Kadar Orthodontics has teamed up with Crest and Oral-B to create OrthoEssentials, a program that can help our patients with braces stay on track with keeping a clean and healthy mouth. With the help of OrthoEssentials, you can steer clear of common problems like gingivitis, tartar, and demineralization, which can result in additional time and expense—and get the most beautiful and healthy smile possible.

OrthoEssentials puts together everything a kid (or adult) with braces needs in one convenient kit. It combines the PRO-HEALTH SYSTEM—an ideal collection of oral care products for a someone with braces—with simple educational tools that show patients what their goals are, how easy it is to achieve them, and how to keep tabs on their progress along the way.

To understand more about the program, watch this four-minute video about how to use the system. 


Braces and Candy

When you wear braces, there are certain candies that could haunt you after Halloween is over.

If it’s sticky, chewy, hard or crunchy, it is a food that anyone wearing braces or retainers should avoid. The real bad guys are caramel, gum and taffy. You should also stay away from peanuts, taco chips and frozen candies.

On the other hand, plain chocolate candy, peanut butter cups, Oreo cookies, fruit pies and ice cream are all A-OK!

Candy lovers who gobble up sugary treats should always remember to brush their teeth thoroughly afterwards.

Music and Braces

Patients who play musical instruments often put off orthodontic treatment for fear of missing a beat! You can wear braces and still play an instrument - but it may take a bit of adjustment. When Dr. Kadar got his braces, he played the trumpet. He says, “at first, that my lips would tire quicker and the sound was slightly different. However, after three or four weeks, my playing returned to normal. Most of my musician patients say it takes about a month to get used to playing their instruments with braces. It seems to take longer to adjust if you play a brass instrument.”

Should irritation occur while playing an instrument, ask us for some extra wax. That should take care of any problem. However, if the wax doesn't help, there are special lip bumpers that can be used to ease any pressure.

The bottom line is: You can work through it by practicing normally and consistently - and by asking your music instructor to be a little patient with you.

Of course, there's no worry at all if you play the piano!

White Spots

Perhaps you've noticed that some people who wear braces develop white spots on their teeth. Basically, the discoloration indicates decay due to improper cleaning.

According to recent scientific studies, the depth of this type of tooth decay can be reduced by rinsing with sodium fluoride. It is recommended that patients with fixed braces rinse daily with a .05% solution of sodium fluoride.

Of course, the best prevention is to keep teeth meticulously clean through a combination of tooth brushing, flossing and proxy brushes.

At Kadar Orthodontics, our goal is to complete a treatment program with bright health teeth and gums - and a great smile. However, this can be achieved only if the patient makes a concerted effort for daily care and has teeth cleaned professionally on a regular basis.

Ultimately, it is the patient's responsibility to follow our instructions on how to clean and maintain teeth and braces - information that we provide on the day braces are put in place.

We encourage all patients to ask for help if, at any time, they need assistance with cleaning.

Remember: when white spots do occur on teeth following orthodontic treatment; it's not because the patient is wearing braces. The spots occur as a result of poor hygiene. Keep brushing! Keep smiling!

Orthodontic Appliances

Not so very long ago, orthodontic patients wore braces. Just braces. Now patients wear a variety of appliances with familiar names such as headgear and retainers. Others names not so familiar include Mara, Herbst and bionators.

The list is endless, but the appliances have one singular goal: to provide you with straight, healthy teeth. The appliances we use are customized, highly technical devices that allow us to achieve the very best results in the most efficient manner.

Unfortunately, many of us have unfavorable jaw and tooth growth. The further from the ideal, the more complicated the treatment! And the appliance!

Orthodontists can make these corrections with new and innovative appliances. In more severe cases, the skills of an oral surgeon may be required in the treatment. When you see someone wearing an unusual looking appliance, know that a great effort is being made to improve his/her health and appearance.

Patients who persevere through the very difficult treatment programs are to be applauded for their efforts. Adjustment to the more unusual appliances can be difficult. Soon, they will be feeling and looking great!

We have listed the most common appliances Dr. Kadar uses and instructions for care of these appliances:

Elastics and rubber bands

The use of elastics and rubber bands is an essential part of your treatment. To be effective, they must be worn as directed by Dr. Kadar. Here are some hints to make your treatment more successful:

Here are some rubber band brand names:

Ram, Moose, Elephant, Rabbit, Ostrich, Whale, Fox

Mandibular Anterior Repositioning Appliance (MARA)

This is a bite advancer that corrects your overbite or overjet in the most predictable and efficient manner. It replaces the need for headgear or a bulky retainer, and will remain in your mouth for at least 1 year. The MARA can reduce the duration of treatment while achieving optimal results.

Initially, it will feel awkward when you hold your jaw forward while eating. Your teeth will not fit together well, and you won’t be able to chew perfectly.

But the improvements will be noticeable eventually. In fact, holding your jaw forward makes you look much better!

Caring for your MARA appliance:

The arms of the MARA are only guides to show you where to bite. Do NOT bang or chew on them, or they will come loose. If the arms lock (a rare occurrence), simply give them a few gentle movements to unlock them and restore them to their proper position.

Your bite may change over the next few months, requiring an adjustment. You may also notice small spaces between your lower front teeth, but they’re temporary, and will be closed later with your braces.


A spacer or separator is a device that’s placed between teeth to create a small space. Spacers are custom tailored to fit snugly between each tooth, and move them slightly apart. This space is necessary to accommodate the braces or other appliances that will be placed at a future visit.

Because spacers do move your teeth a bit, they’re a little uncomfortable. But keep in mind that once you’re finished with the spacer, the rest is a breeze! So don’t get discouraged. Ibuprofen or acetaminophen will help to relieve any soreness.

Caring for your spacer or separator:

Active Clear Retainers

The Active Clear Retainer (ACR) moves your teeth into a better, more attractive position. To be effective, it must be worn and taken care of as directed by the Doctor.

Your teeth will feel sore for about 3 days. This is a sign that they’re beginning to become your new and brighter smile. Take acetaminophen or ibuprofen to alleviate any discomfort.

Caring for your ACR:

Holding Arch

A holding arch is placed around the first molars and is used to maintain space in the mouth.  Patients who have prematurely lost baby teeth or patients with crowding and/or bite issues can often benefit from this appliance. Holding arches are often recommended as a patient is getting near to losing all their baby/primary teeth.  Some baby teeth are actually larger than the adult tooth that will replace them.  By placing a holding arch before the loss of the baby teeth, valuable space can be gained making treatment faster and easier!  Patients wearing holding arches should avoid sticky foods.

Palatal Expanders

Palatal expanders work by stretching your mouth slightly, and remain in place for about 6 months. Most expanders must be turned, or activated, anywhere from 24-40 times during this period. The number of turns depends on the type of expander you’ve been given.

Cemented palatal expander

This appliance expands the upper jaw, creating more space for the teeth, and allows a better fit with the lower jaw. It must be worn and taken care of as directed by Dr. Kadar. Here is some information to help you achieve the best results.


To Activate:

Possible side effects:

Removable palatal expander


This appliance expands the upper jaw, creating more space for the teeth, and allows a better fit with the lower jaw. It must be worn and taken care of as directed by Dr. Kadar. Here is some information to help you achieve the best results.


To activate, remove the expander from your mouth. Then:

Possible side effects:

Herbst Appliance

Affectionately known as the “shock absorber,” this is a bite-jumping device used to pull your lower jaw forward and, at the same time, push the upper jaw backward. It can also be designed to allow your upper arch to expand and help correct the front-to-back relationship between the upper and lower jaws. A rod and tube (that really does act like a shock absorber) connects your upper and lower jaws. This won’t interfere with opening and closing your mouth, but you may find moving your mouth from side-to-side a bit of a challenge.

The Herbst appliance is normally worn for 12 months. To be effective, it must be worn and taken care of as directed by the Doctor.

Caring for your Herbst appliance:

Possible side effects:

Tooth positioner

Like a retainer, a tooth positioner holds the teeth in their proper position and helps to settle the bite. It must be worn 24 hours a day, for at least the first 4 to 7 days.

It is essential to exercise the teeth by clenching into the tooth positioner for 20 seconds, every 10-15 minutes. By doing this, there’s a very good chance your braces can be removed sooner.

Caring for the tooth positioner:

In an Emergency

What should I do if one of my wires comes loose and is poking into my cheek? What if one of my teeth gets knocked out? Or if something gets caught between my teeth?

The answer - stay calm. Most problems with orthodontic treatment can be corrected easily at home. If you’re experiencing a problem, try these solutions first. If they don’t correct the problem, give us a call. In many cases, we can talk you through the solution right over the phone!

If the office is not open, our 24-hour in-house answering service will help you.

It’s a Matter of Business

Scheduling & Appointments

So you got your Damon Braces™, Invisalign® or orthodontic appliance placed and working! Now what? You can leave the orthodontic stuff to Team Kadar. Your job is to schedule and keep your appointments so we can complete treatment the fastest way possible. At Kadar Orthodontics, we value your time, because we know that your life is busy.

Did you know that our Doctor will personally examine your teeth each and every appointment? We are in the office Monday-Friday and have an after hours answering system. You can always reach us here on the web 24 hours a day and email your question when it is convenient for you!

To keep your treatment progressing smoothly, we schedule most appointments on an 8-14 week cycle, with early morning and late afternoon maintenance appointments available.

Did you know that 93% of our patients are seen within six minutes of their scheduled time? We constantly evaluate and revise our scheduling system to provide you with the best service during your orthodontic visits.

We understand that your own schedule may be hectic. That's why our automated system gives you a courtesy reminder call, and leaves a message if you're not there. We also send reminder e-mails to those who prefer them. If you prefer to receive reminders by e-mail, please give us your e-mail address. You'll receive a secure password so you can check your appointments online 24/7 and view your photos, x-rays, and account balances, as well!

If you need to reschedule, please give us at least 48 hours' notice, so that we can keep everyone's treatment on schedule - including yours. We'll try to give you the same time slot; however, the more popular appointment times may not be open for several weeks.

Please make sure we receive any changes in your phone number so we can update our records. You can email our Scheduling Coordinator at or call the office 856-582.1400.

And remember, Keep Smiling – even with those Braces on!

Your Account & Insurance

When you come for an initial consultation, Dr. Kadar develops an individualized treatment plan for you. Thus, the orthodontic charges that are presented will be based on your specific needs. Our Treatment Coordinator reviews the total charges, insurance benefits (if applicable) and payment plan options. Our charges are comprehensive and include initial and progress photos, x-rays and models of your teeth. The fee includes all visits, including emergency care appointments, during observation and active treatment. Patients receive complimentary retainers at the conclusion of treatment.

To make orthodontic treatment affordable to all of our patients, we offer several methods to fit your specific situation. Our payment plans include a cash discount for full payment and use of automatic monthly payments through your checking or credit card account. In addition, we work with several financing companies that provide low interest, no initial fee and extended term plans.

If you have orthodontic insurance, we will let you know how your plan will effect the payment options provided. We also suggest you call the health plan directly to verify your coverage. When you call, ask for the dental claims department and provide the subscriber’s identification number, DOB, etc. Our goal is to be sure you receive all of your insurance reimbursement in a timely manner.

We know that understanding insurance and payments plans, etc can be confusing. To help ease the process, Dr. Kadar has employed a full-time Financial Coordinator since 1999. With over 30 years of healthcare experience, she assists patients and parents with insurance reimbursement, flexible spending, credit and debit card billing, external financing and coupon payments.

Payment Questions: call our Financial Coordinator at 856-582-1400 or email anytime day or night!