Patient Care. Peer Education. Orthodontic Solutions.

Princeton Junction
61 Princeton-Hightstown Road
Princeton Junction, NJ 08550

(609) 799-4628

Kennett Square
688 Unionville Road, Suite 101
Kennett Square, PA 19348

(609) 799-4628

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Our Blog

Esthetic Orthodontics for Adults!

August 11th, 2012

Initial Presentation                                         Ortho by COE, Provisional Dentistry by Dr. J. Greenberg

Many parents of our patients are looking to improve their smile, but seem to have misconceptions about adult orthodontic treatment and what it can do to help their self-confidence and bite.   At the Center for Orthodontic Excellence, Dr. Shah and Dr. Tamburrino have undergone advanced training to esthetically, effectively, and safely treat adults as well as children.  The process is much different and needs this extra training and attention to detail to be successful!  Below are a few FAQs about adult orthodontic treatment that we wrote to help educate you!  Call us at 609-799-4628 or click here for a complimentary smile evaluation!

10 FAQs about adult orthodontics at COE:

  1. You are never “too old” to improve your smile!  About 45% of our patients in Princeton Junction and 95% of our Philadelphia patients are aged 25-65.    Look around, chances are someone your age is right next to you and is one of our patients.
  2. Adults tend to be super patients because they are personally involved with their treatment, enjoy the process, and are very compliant with instructions.  (We love this!)
  3. If indicated, all adults are automatically prescribed inconspicuous ceramic braces or clear aligner therapies, rather than metal braces, for moving the teeth.  We will discuss the pros/cons of each method once we review your individual case.
  4. If indicated to give you the best outcome, the ceramic braces we use for adults are the most technologically advanced available.  They are just as effective and efficient as the metal version we use for kids.  Also, they do not stain or yellow!
  5. Teeth can be moved at any age, however, with adults they tend to move just a little slower.
  6. Moving teeth as an adult is not any more uncomfortable than moving teeth in children.
  7. Unlike with kids, it is even more critical for your gums to be 100% healthy prior to orthodontic movement or risks for losing bone support around teeth greatly increase.
  8. Even though your body is done growing, the bone around the teeth remodels throughout life, so you will still need to wear a retainer (only when you sleep) to preserve your smile!
  9. We have completed advanced training to properly and effectively treat adults. Also, we communicate as a team with your dentist and other specialists to complement, assist, and enhance any outstanding dental work that may be necessary for you.
  10. We will treat you with like family and strive to give you the personal attention and respect you deserve.  In return, we hope that you will be pleasant and excited on your journey to a new smile with us!

Dental radiography and journalism

May 22nd, 2012

Recently, there has been a flurry of mis-information and faulty journalism released to the public regarding dental radiographic imaging (1).  We are disappointed at the poor judgment the mass media used to publish unsubstantiated data only to sensationalize flawed research (1,2).  However, we viewed this as a good opportunity to step back and review our office’s imaging protocols to ensure we practice the highest level of safety, while not compromising your orthodontic care.

At the Center for Orthodontic Excellence, we believe that it is our duty and obligation to provide the most advanced degree of orthodontic care possible for you and your family.  To that end, we employ 3D CBCT imaging for all of our diagnostic imaging.  We strongly believe that this technology provides for the best balance between obtaining most precise diagnostic information and minimizing radiation exposure to the patient.  For your piece of mind, the 8.9’s iCAT rapid scan is essentially equivalent to the naturally occurring background cosmic radiation exposure one experiences on a round-trip plane flight from New York to Los Angeles (3).

With digital low-resolution 3D CBCT imaging, we have the ability to obtain all information in a single, low resolution scan, thus eliminating the need for multiple exposures for different image types. With the 3D CBCT, we can also benefit the patient with the following advanced diagnostic abilities, all of which are not possible with conventional imaging.

  • Accurate diagnosis of orthodontic discrepancies since a CBCT image has no distortion
  • Images of the jaw joints (TMJ’s) to ensure long term dental and orofacial health
  • Accurate measurement of the patient’s airway to assess sleep apnea or risk for breathing impairment
  • Precise limitation of the field of radiation exposure to only the areas critical for orthodontic diagnosis
  • Review of all initial scans by a certified oral and maxillofacial radiologist to ensure that no underlying pathology is present

We welcome any further questions you may have regarding our imaging protocols and how the information we obtain leads to an improved diagnosis and higher level of orthodontic care for you and your family.


  1. Seaman A.
  2. Claus EB, et al.

Thoughts from abroad...

February 21st, 2012

Well, it was a quite a long trip (31 hours with layovers and flying time each way!) but the time spent in Kunming, China certainly was worthwhile.  As part of the Roth/Williams Center for Functional Occlusion, we were teaching the Chinese orthodontists advanced treatment strategies and diagnosis in order to elevate the standard of care for their patients.  This session was 6 days that were packed with lectures, clinical demonstrations, and case presentations focusing on appliance therapy and virtual treatment simulations.

Having now taught 5 different sessions split between 36 doctors in Group 1, and now 38 different doctors in Group 2, I still am constantly amazed me how warm, welcoming, and appreciative all the students are to host us as their instructors.   It truly justifies the effort for preparing course materials, lecturing through translation, and the time spent away from my families (both actual and orthodontic) in order to provide this education.

Since there were four of us alternating the lecture time, we did have a few hours to take a break from teaching and explore Kunming.  I was fortunate to have two students take me to the Yunnan Ethnic Village, where they had communities that represented the 25 cultural minorities that comprise the population of the Yunnan province.

Check out the pictures on our Facebook page to see some of the various dress and customs…as well as an elephant ride!

Dr. Shah and I both feel blessed to be able to have the Center for Orthodontic Excellence be represented overseas, as well as have the opportunity to fulfill one of our core missions of education and raising the standard of orthodontic care worldwide!

Dr. T

Mom, I'm sleepy...

January 4th, 2012

...but I got 8 hours of sleep last night. How often do parents hear this? Is struggling to get your child out of bed something we just assume is part of the adolescent years? Do chronic "sleepiness" and teenagers go hand in hand? Some adults may say yes. However....

Does your child snore? Does your child have problems paying attention in school? Does your child wake up frequently throughout the night? If so, these may be a sign that they may not be breathing correctly during their sleep hours, and this is should not be taken lightly.

Chronic sleepiness has been attributed to short attention spans, reduced performance in school and athletics, and poor overall health and well-being. In reality, it may not be "hormonal" or "just part of the age-group" and may be rooted in a much deeper issue - airway obstruction....and this is NOT normal for any age.

At the Center for Orthodontic Excellence, we recognize the role that the airway plays in proper growth and development and routinely image and measure the size of the airway as a standard part of our orthodontic evaluation. Constricted airways (due to allergies or enlarged tonsils/adenoids) can affect proper growth and development of not only the face, but on the child's overall well-being.

An article released in the American Journal of Orthodontics and Dentofacial Orthopedics last month highlighted many of the symptoms that may hint at an underlying airway problem. If any of these criteria fit your child, an orthodontic evaluation is advised and possible referral to an ear, nose, and throat (ENT) specialist may be indicated. The table below is from Huynh TL, et al. AJO-DO 140(6): 762-770.

The full article can be viewed here.

Don't just ignore the signs and let your kids "grow out of it" as this may never happen. Contact us for an evaluation if you suspect any breathing issues. Early identification and correction of airway problems may lead to happier and more productive adolescent years....and restful nights for the whole family!

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