Does it hurt to get braces?

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Markham Orthodontics | Sacramento, CA | Orthodontist | Office Tour

Does the process of getting braces hurt?


While the actual placement of braces is painless, a patient may feel discomfort for the first three or so days after braces are placed. The reason for the discomfort is because the teeth are shifting and realigning, leading to pressure and a dull, aching feeling in the teeth. Braces can also cause headaches and soreness in the mouth and this pain can also usually be managed with over-the-counter pain medicine (OTC).

Be sure to check out our options for braces.


It’s normal for patients to feel some discomfort immediately after Dr. Markham tightens their braces, and the “tight” feeling should go away in a few days. Once again: OTC pain medications are helpful here.

For the first few days after getting your braces, or after an adjustment, it’s recommended to try to eat softer foods, such as soup, pasta and yogurt. Patients must learn how to properly brush teeth with braces and how to floss under the wires to prevent inflammation of the gums and development of cavities.

Call our office today for your complimentary evaluation at (916) 924-8970.


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Markham Orthodontics | Orthodontist | Invisalign

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Call our office today for your complimentary evaluation at (916) 924-8970.

Discreet Orthodontics with Invisalign®

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Invisalign in Sacramento, CA with Dr. Markham


At Markham Orthodontics, we consider providing our patients with the straight, gorgeous smiles of their dreams our number one priority.

We offer several types of orthodontic treatment to achieve this goal. Our most popular treatment by far is Invisalign®.This program provides patients with a system of clear acrylic aligners worn in succession to gently move their teeth into alignment.

The popularity of the system stems from the lack of metal brackets and wires, allowing adults to undergo orthodontic treatment while maintaining their professional appearance.

To find out more about Invisalign®, and how you can benefit from the program, contact our Sacramento dental office today and schedule a consultation with Dr. David Markham.

About the Invisalign® Program

Invisalign® provides patients with a revolution in orthodontic treatment, replacing the metal brackets and wires of traditional braces with clear acrylic aligners that gently move teeth into place.

With Invisalign® patients no longer need to visit their orthodontist once a month to have wires tightened.

While traditional braces place restrictions on the foods patients can eat, disallowing favorites like caramel, popcorn, and even apples for fear of pulling a wire or bracket loose, Invisalign® patients can remove their aligners, allowing them to eat whatever they want, whenever they want.

Removable aligners also make cleaning teeth much easier. Invisalign® requires no bands and patients need not worry about wires pulling loose and cutting up the inside of their mouth.

The average Invisalign® treatment lasts just 12 to 18 months, as opposed to the two-year duration necessary for most patients wearing traditional braces. For most of our patients, however, the virtual invisibility of the Invisalign® aligners are the biggest advantage of the treatment.

Now, our adult patients can discreetly undergo orthodontic treatment, and nobody has to know about it except the orthodontist.

Who Benefits Most from Invisalign®?

The advent of Invisalign® treatment means that adults can now undergo orthodontic treatment without adversely affecting their professional appearance.

Dr. Markham offers Invisalign® to many of our adult patients, including some who wore traditional braces as teens and have since seen their teeth fall back out of alignment. Invisalign® aligners help fix several orthodontic maladies, such as overbites, underbites, and crooked or rotated teeth.

The program works wonders for patients with spaces between their teeth, even if other teeth have shifted and moved into those spaces. Adults suffering from malocclusion have found that Invisalign® aligners help line their jaws up correctly, providing a beautiful, healthy smile.

While Invisalign® products work wonders for adult patients, however, they can also dramatically reshape your teenager’s smile.

In fact, the company has developed a treatment program specifically for teenagers, called Invisalign® Teen. The program offers all of the same benefits as the adult plan, with a few unique additions aimed at helping teens stay on track with their treatment plan.

The aligners in the Invisalign® Teen program have a blue dot at one end that fades as your teen wears the aligner. If the blue dot remains when the child finishes with an aligner, parents will know that their teen has not stayed compliant with his plan.

The makers of Invisalign® Teen also realize that teenagers have busy lives and tend to forget things, so they include six bonus aligners with the program for free.

So if Heather accidentally throws her aligner away in the cafeteria at lunch, or Jeff loses his at wrestling practice, you can call our office, and we will order a replacement at no charge.

Getting Started with Invisalign

To begin the Invisalign® process, you will have a one-on-one consultation with Dr. Markham. The doctor will review your medical and dental history, and perform a complete oral examination, making sure no other procedures need completing before treatment begins. The doctor will then schedule you for a second appointment, which is when the excitement really begins.

At the second appointment, we will take 3D digital images of your mouth, which the doctor will feed into the Invisalign® proprietary software.

The software will scan the images and produce a treatment plan customized for your mouth. The treatment plan will include the number of aligners you will wear and the length of your treatment.

Patients usually wear 20-30 sets of aligners over a period of 12-18 months. The doctor will forward your treatment plan to an Invisalign® laboratory, where certified technicians will fabricate all of your retainers.

When your aligners arrive in our office, typically in two weeks, we will have you return for one more appointment. Here you will receive your first few sets of aligners, along with instructions for their use and care.

You will wear each set of aligners for two weeks, keeping them in place for 20-22 hours a day to maintain compliance with your treatment plan. You can remove your aligners for eating and cleaning your teeth, but they should remain in place at all other times.

Once you have received your first aligners, you will only return to the office every six weeks for a quick checkup and your next few sets of aligners.

When you have successfully completed your treatment, Dr. Markham will provide you with a retainer to keep your teeth in place.

Contact Us for a Consultation

To learn more about Invisalign® products and how they will benefit you, call our Sacramento orthodontic office today and schedule a consultation with Dr. Markham.

Stories and Friends from Chicagoland

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Doctors Luminita and David Markham attended the

American Equilibration Society Meeting in Chicago

February 2016,

dr markham orthodontics       -Satisfaction in life may be gained by spending approximately equal time living in the present, reflecting on the past, and looking forward to the future. Our annual AES meeting in Chicago provided just the right blend.

Living in the present in the city of Chicago is satisfying. Chicago is friendly, clean, and walkable – even in winter! As Alfred Wainwright noted, “There’s no such thing as bad weather, only unsuitable clothing.” So we dressed suitably and walked the city.

general dentist, auburn


-Reflecting on the past with old friends is satisfying. We had dinner one evening with Dr. Nancy Hijawi, whom we met several years ago in the Executive Management Course from Kellogg’s School of Business at Northwestern University. She is a pediatric dentist in Chicagoland.


Markham, orthodontist


-Reflecting further into the past, we visited Dr. Genrikh Gandelsman on another evening, a colleague from my orthodontic residency in Indianapolis from over 20 years ago. He is an orthodontist in Chicagoland.


Looking forward to the future is satisfying. A fellow Californian, Dr. Michael Scherer of Sonora, gave my favorite lecture at the American Equilibration Society Meeting. It was entitled ‘Intraoral Optical Scanning, CBCT Image Fusion, and In-office 3D Printing.’


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Dr. Luminita and the Maidu Dental Team have been using intraoral optical scanning and computer aided manufacturing for many years now. A lot of her patients know it as CEREC and have benefited from this amazing technology. CEREC makes it possible to avoid temporary crowns and to get final crowns done in just one office visit.

Maidu Dental will be getting CBCT imaging soon. CBCT stands for Cone beamcomputed tomography and is like a CT scan, but with dramatically reduced radiation. It is technology that creates 3D dental x-rays.

We are excited to bring this technology to our Auburn dental office and we are amazed that in the not too distant future we will be able to offer the fusion of intraoral optical scanning, CBCT, and 3D printing for the benefit of our patients. My team and I at Markham Orthodontics have ordered our first intraoral optical scanner and we expect to begin using it this summer.

This technology will allow us to eliminate traditional impressions and make digital impressions of our patients’ teeth, which increases patient comfort. We are satisfied living in the present, reflecting on the past, and looking forward to the future, and we thank all of you for choosing us to provide your dental care!


David Markham, DDS, MSD

Myths of Orthodontics

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The stereotypical braces wearer – in middle school, with a mouth full of metal brackets – has led to numerous myths about orthodontics that discourage many people from getting the dental care they need. Drs. Markham and Chiang and our staff would like to put some of these myths to rest.

Myth 1: Orthodontic treatment is for kids. Although teenagers often visit the orthodontist to get braces, adults represent a growing proportion of orthodontic patients. Whether you’re eight or 80, a consultation with an orthodontist can identify problems with your teeth, jaws, or bite that can be corrected by orthodontic interventions.

Myth 2: Traditional, metal braces are my only option. Advances in orthodontic technology have rendered improved braces and other orthodontic appliances that are much less noticeable than the braces of yesteryear. Ask Drs. Markham and Chiang about Invisalign® braces and other options that make sense for your situation.

Myth 3: Orthodontic treatment is only helpful for crooked teeth. Sure, a crooked smile is a common reason that patients seek orthodontic care. However, orthodontic interventions help with a range of dental health problems. From missing teeth to overbite to jaw misalignment, your orthodontist can help with many problems associated with the teeth, gums, and jaws.

Myth 4: Orthodontic treatment is too expensive. As with any medical procedure, orthodontics can be pricey. However, our Sacramento or Auburn, CA team works with patients to find payment plans, insurance coverage, or other payment options that reduce the financial burden.