Providing exceptional patient care in Lancaster, Lititz and Willow Street, PA since 1921, LOA is synonymous with trustworthy, high quality Orthodontic care in Pennsylvania. Through the use of SureSmile technology, Drs. Manish Lamichane and Eric Howard can offer you a "braces experience" that provides shorter treatment times, fewer office visits, less overall discomfort, and high quality results. This technology-driven orthodontic process offers several important benefits that make the whole "braces experience" much easier for patients than conventional orthodontics!

Great question!
If you are brushing and flossing daily during your orthodontic treatment with, we think that’s great! But, don’t forget that it’s also important for you to visit your general dentist every 3-to-6 months in addition to brushing your teeth and flossing (and visiting our office, of course). Regular dental checkups are important for maintaining good oral health, especially during orthodontic treatment.
Tooth decay, which is caused by sugars left in your mouth, can turn into an acid, which in turn can break down your teeth. Children are at high risk for tooth decay because adolescents tend to be lax in their oral hygiene habits. Proper brushing and flossing routines, combined with regular dental visits, help keep tooth decay away.
If you have any questions, please be sure to ask our team during your next adjustment appointment, or ask us on Facebook!

Monday was Presidents’ Day, a day known for celebrating of both George Washington’s and Abraham Lincoln’s combined Birthdays. Presidents’ Day was created in 1971, when President Richard Nixon combined the birthdays of two of our most well-known presidents into one single federal holiday. Presidents' Day also marks a hard-earned day off from work and school for a lot of our patients.

Here are a few fun facts about our nation’s presidents:

*Abraham Lincoln, our 16th president, carried letters, bills and notes in his tall stovepipe hat.

*George Washington is the first president to be featured on a postage stamp.

*Ronald Reagan, our 40th president, broke the so-called "20-year curse," in which every president elected in a year ending in zero died in office.

*Abraham Lincoln was the tallest of the U.S. presidents, measuring 6’ 4” tall.

*Virginia is the birthplace of more United States presidents than any other state, followed by Ohio and Massachusetts.

*Harry S. Truman was the first president to have his Inauguration and speeches televised.

Did you know February is American Heart Month? It’s a great time to take notice of the health of your heart, say Drs. Manish Lamichane, Eric Howard. Cardiovascular disease remains American's number one killer, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care.

Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. And because people with dental insurance are more likely to visit their dentist when they should, a healthy mouth begins with a visit to Long Orthodontic Associates. In observance of Heart Month, Drs. Manish Lamichane, Eric Howard say it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25). If you have any questions about heart health, or about your treatment at Long Orthodontic Associates, please give us a call today.

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:

• Fluoride – fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.

• Antiseptic – an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.

• Combination – a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.

• Prescription – for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.

There are also many different brands of mouthwash. Some common brands include:

• Scope
• Listerine
• Act
• Crest
• Tom’s of Maine (all-natural)
• Plax (anti-plaque rinse)
• Breath Rx
• Orajel
• Targon (special mouthwash made for smokers)
• Rembrandt (whitening mouthwash)

If you are curious about which kind of mouthwash would work best for you, be sure to ask us at your next appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!

–Long Orthodontic Associates

At Long Orthodontic Associates, we know image is everything. For many people, the thought of having metal brackets and wires attached to their teeth for two or more years may be more than enough to delay orthodontic treatment.

If you’ve been considering straightening your teeth but are apprehensive about metal wires and brackets getting in the way of your smile, Invisalign treatment at Long Orthodontic Associates may be a great solution. Invisalign, which straightens teeth through a series of clear, custom-fit removable aligners, does so in a way that is discreet and hardly noticeable.

If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment at our office, please give us a call to schedule a consultation with Dr. Eric Howard and Dr. Manish Lamichane.

This exceptional, young highschooler named Ben got his braces off today and was an absolute pleasure to treat. It was very thoughtful of him to prepare a stanza or two for the occasion. Another reminder of why this profession is so rewarding!

-Drs. Lamichane, Howard and Team LOA

Even if you brush and floss daily, as well as maintain your braces and visit our office during your orthodontic treatment it is still important to visit your local dentist every 6 months, or as recommended.

Why?

• Your dentist can detect and treat tooth and gum problems that you may have never felt or noticed.
• Even thorough daily oral care may not be enough to prevent cavities and oral decay.
• Frequent visits can allow your dentist to treat a problem early to prevent future complications.

During an oral exam your dentist can check the health of your mouth, teeth, gums, cheeks and tongue.  Checkups will also include a thorough teeth cleaning and polishing.

If you have not visited a dentist in the past six months, please let us know! Drs. Manish Lamichane, and Eric Howard will be happy to provide a few great references here in the area!

-- Drs. Manish Lamichane, Eric Howard & Team

With the hustle and bustle of the holiday season here, Drs. Manish Lamichane, Eric Howard and our entire staff at Long Orthodontic Associates wanted to stop for a moment and extend our best wishes to you, our patients, referring doctors and families, this holiday season.

As always, if you know anyone we can help, just let us know. We promise to give them the same quality orthodontic care that we have given you.

We hope that this holiday season brings fond memories. Thank you for being part of our family.

At Long Orthodontic Associates, we know maintaining a healthy diet over the holiday season can prove a difficult task. After all, who can resist the tasty treats of Christmas? With grandma and everybody else offering you candy, chocolate logs or Christmas pudding, you just can’t say “I’ll pass” each time. But trouble lurks: every time you chow down on that chocolate or candy, the bacteria in your mouth have a feast on the sugar—at your expense.  The sugar turns into acid, and the acid eats away at the enamel on your teeth and between your braces. Then, you start getting cavities.

Instead, try fudgy cocoa bites, marvelous molasses cookies, wonderful waffles or other <a href="http://bracescookbook.com/recipes.htm">braces-friendly recipes</a>, courtesy of the American Association of Orthodontics, or AAO, and “The Braces Cookbook” by Pamela Waterman.

If you must indulge in chocolaty goodness this Christmas or holiday season, remember to brush your teeth after eating sugary treats. Hope this helps! Give us a call if you have any questions!

Happy Holidays!

Drs. Manish Lamichane, Eric Howard and our team at Long Orthodontic Associates want to know: what do your winter plans look like? Do you have any plans for an exciting family vacation? Are you hanging out around town? Catching up on sleep? Spending time with friends? Let us know!

Please feel free to share your exciting winter plans and experiences with us here or on our Facebook page! We would like to wish all of our patients and their families a safe and fun holiday season!

It’s fall here at Long Orthodontic Associates, a time when all across the country, the leaves begin to change colors and the air becomes crisp.

Today we wanted to ask you, our wonderful patients, "How are you spending your time this fall?" Our team would love to hear about your favorite places for eating, shopping, and entertainment. We are interested in learning about what makes your community “yours.”

Feel free to post your responses on our Facebook page, or give us a call!

By taking advantage of her new ceramic braces and spoofing a Katy Perry video for Halloween, our AWESOME new patient Missy showed that adults can have just as much fun as kids. Way to be Missy!

Drs. Manish Lamichane, Eric Howard, and our team at Long Orthodontic Associates hope you had a fun and safe Halloween! We would love to see what kind of costumes you or your children came up with this year. Share your Halloween 2011 photos with us by posting on our Facebook page.

Happy November!

It’s almost that spooky time of year again and Dr. Manish Lamichane, Dr. Eric Howard, and our team thought we’d share some Halloween tips from our friends at the American Association of Orthodontists.

Trick-or-treating safety guidelines:

• Young children should always be accompanied by an adult
• Carry a flashlight
• Wear a light-colored or reflective costume
• Choose face paint over masks for young ghosts and goblins
• Have an adult inspect all treats before the children dig in

To protect your braces, steer clear of the following Halloween treats, or recipes with these ingredients:

• All hard candies
• All chewy candies
• Caramel
• Nuts
• Licorice
• Taffy
• Jelly beans
• Hard pretzels
• Bubblegum
• Popcorn (including unpopped kernels)
• Ice

Of course, Halloween does not have to be completely treat-less. Braces-friendly Halloween treats can help you enjoy the “spook-ta-cular” holiday. For example, plain chocolate candy is okay, provided you remember to brush and floss afterwards. Bobbing for apples as well as caramel apples are not recommended. However, you can enjoy thinly sliced apples, dipped in yogurt or creamy chocolate sauce.

Drs. Lamichane and Howard suggest looking for foods that are soft, such as soft chocolate that can melt in one’s mouth or peanut butter cups. Overall, candies that aren’t sticky, chewy, hard or crunchy are generally acceptable.

HAPPY HALLOWEEN from the entire team at Long Orthodontic Associates!

At Long Orthodontic Associates, we know nobody likes getting plaque on their teeth. Here are five other ways you can avoid that dreaded enemy of the teeth during orthodontic treatment, courtesy of WebMD.

Let’s start with brushing regularly.. Brushing your teeth twice a day with a fluoride-containing toothpaste is vital to a healthy mouth. Make sure you softly brush all the surfaces of your teeth.

Next on the list is flossing daily: a simple daily flossing between teeth clears away plaque before it can cause damage and can also clean plaque at the gum line. Plaque is known to reach the spaces between teeth.

Also, evading a trip to the dentist is probably not a great idea. Let’s say you brush and floss daily. You’re still at risk for plaque. With time, the plaque hardens and turns into tartar. Consider visiting your general dentist at least twice a year or as recommended by your dentist, and you have a lower chance of getting cavities or losing your teeth while wearing braces.

You’ll also want to stop avoiding those fruits and veggies. Believe it or not, there are foods out there that play a key role in keeping plaque off our teeth. They include apples, carrots, cucumbers and other raw fruits and vegetables. You can still eat these types of fruits and veggies if you have braces, but be sure to cut them up into bite sized pieces to avoid breaking off brackets.

Finally, before you pick up that candy bar, remember to not give in to your sweet tooth. Consuming sugary drinks or eating candy or other junk food allows sugar to stick to our teeth. The bacteria, then, becomes plaque, which turns into acid and damages our teeth. Avoiding these five bad habits keeps your plaque in check and your mouth as healthy as can be during your orthodontic treatment with Drs. Manish Lamichane and Eric Howard. If you have any questions, give us a call or ask us on Facebook!

There are a variety of foods Dr. Manish Lamichane and Dr. Eric Howard wants you to avoid while you're wearing braces. Some foods can occasionally damage braces, but certain foods can bend the wires or even break the brackets on your braces. If you’re wearing braces, you should avoid starch, sugar and gummy foods, as these foods can be difficult to remove during brushing. Foods that are high in sugar and starch tend to cause plaque, cavities and even tooth decay.

Avoid tough meats, hard breads and raw vegetables such as carrots and celery. Before long, you'll be able to bite a cucumber again. But you'll need to protect your orthodontic appliances when you eat for as long as you're wearing braces.

Foods you should avoid include:

• Chewy foods: bagels, hard rolls, licorice
• Crunchy foods: popcorn, ice, chips
• Sticky foods: caramels, gum
• Hard foods: nuts, candy
• Foods you have to bite into: corn on the cob, apples, carrots

Also, chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.

If you have any questions on which foods you should be avoiding and why, we invite you to give Long Orthodontic Associates a call or ask our staff during your next visit.

If you ever sustain damage to your braces and need to call Long Orthodontic Associates, we can help you more effectively if you can tell us exactly which piece is in trouble! Here’s a handy diagram and corresponding list of all the parts that make up your braces.

Elastic Tie: Tiny rubber band that fits around the bracket to hold the archwire in place.

Archwire: The main wire that acts as a track to guide the teeth along. It's changed periodically throughout treatment, as teeth move to their new positions.

Loop in Archwire: Frequently used for closing space left by an extraction. Many archwires don't have a loop.

Bracket: Small attachment that holds the archwire in place. Most often, a bracket is cemented directly onto the tooth's surface, eliminating the need for a band.

Headgear Tube: Round, hollow attachment on the back bands. The inner bow of the headgear fits into it.

Coil Spring: Fits between brackets and over archwire to open space between teeth.

Tie Wire: Fine wire that is twisted around the bracket to hold the archwire in place.

Band: A thin ring of metal fitted around a tooth and cemented in place. The band provides a way to attach the brackets to the tooth.

Hook: Welded or removable arm to which elastics (rubber bands) are attached.

Elastic (Rubber Band): Small rubber band that is hooked between different points on the appliance to provide pressure to move the teeth.

Hope this helps! Give us a call if you have any questions!

Long Orthodontic Associates, serving Lancaster, Lititz, and Willow Street, have been receiving some great patient reviews lately!

Check out what our current patients are saying about Dr. Manish Lamichane, Dr. Eric Howard, and our team!

“The front desk staff is exceptional. Of course so is Dr. Manny” –Cameron B.

“Honestly, the whole team is terrific. I am very pleasantly surprised how consistent and genuine the nice personalities are in the office.” –Mark K.

“The nurse was extremely friendly and the Dr. was wonderful to myself, my husband and was great with my young daughter.”-Alexis W.

“Dr. Howard was really outstanding! He put my daughter at ease, met her at her level, was encouraging and she walked away very excited instead of fearful.“ –Elizabeth V.

“Trish..she is always very friendly. Even when our appointment is not with her, she always goes out of her way to talk to us.” –Noah V.

Have you had a great experience at Long Orthodontic Associates? If so, share your story with the world by visiting our Fruitville Pike, Willow Street, or Lititz Google Places page and leaving a review.

You just got braces at Long Orthodontic Associates and Dr. Manish Lamichane or Dr. Eric Howard has informed you that during your orthodontic treatment you will want to avoid eating anything sticky, hard, crunchy, or chewy. What does this leave for you to eat? Lettuce? Nothing?

Luckily, our friends at the American Association of Orthodontists, or AAO, created a variety of “braces-friendly” recipes that will allow you to enjoy your favorite treats without interfering with your orthodontic care!

Recipes include main dishes, side dishes and even yummy desserts! After all, a healthy diet provides essential nutrients and helps the patient achieve the best possible results from orthodontic treatment.

If you have any questions about the recipes listed or about the foods you should be avoiding during your orthodontic treatment, please give us a call or ask us on Facebook!

Enjoy!

If you recently completed treatment at Long Orthodontic Associates, we’d like to congratulate you! Now that your braces have been removed, Dr. Manish Lamichane or Dr. Eric Howard will provide—or has provided you—with retainers. After braces are removed, teeth can shift out of position if they are not stabilized. Retainers, however, always provide that stabilization. They are designed to hold teeth in their corrected, ideal positions until the bones and gums adapt to the treatment changes. Wearing retainers exactly as instructed by Drs. Lamichane and Howard is the best insurance that the treatment improvements last for a lifetime.

To learn more about the advantages of wearing retainers after your orthodontic treatment with Dr. Lamichane or Dr. Howard, please read this helpful article about retainers from KidsHealth or give us a call!

Drs. Manish Lamichane and Eric Howard will tell you that keeping your teeth clean is more important than ever when you have braces. Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and could possibly reduce your treatment time.

Here is a very concise video explaining the proper way to floss your teeth with braces. Give Long Orthodontic Associates a call if you have more questions about flossing. Enjoy!

Drs. Manish Lamichane and Eric Howard will tell you that keeping your teeth clean is more important than ever when you have braces. Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top 10 tips:

1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.

3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.

4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.

6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.

7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.

9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.

10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

Hope this helps!

-The team at Long Orthodontic Associates

Drs. Manish Lamichane, Eric Howard and team understand not everyone enjoys visiting their orthodontist. But we strive to bring you the best and most comforting experience at each visit.

We’d like to know:

What is it about Long Orthodontic Associates that makes you comfortable or puts you at ease? Is it something about our pleasant office environment? Our friendly staff or Drs. Lamichane and Howard?

Let us know by posting here, on our Facebook page, or by giving us a call!

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, we’re seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. It’s never too late to look and feel your best with Long Orthodontic Associates!

Can Braces Work for Adults?

People of all ages can benefit from orthodontic treatment with Dr. Manish Lamichane and Dr. Eric Howard. The physical process for moving teeth is the same, young or old, which means it’s never too late to address issues such as an overbite or underbite, crooked or crowded teeth, or jaw disorders.

How Do I Get Started?

If you’re considering orthodontic treatment, we’ll make a consultation appointment with you. During this meeting we will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan.

What Are the Benefits?

Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever.

If you think you might benefit from orthodontic treatment, give Long Orthodontic Associates a call, so we may set up a consultation to determine what type of treatment best meets your needs.

Does the thought of having braces bring you down? The team at Long Orthodontic Associates understands that one of the biggest concerns for orthodontic patients with braces is the length of their treatment.

But you’re in luck, because Drs. Lamichane and Howard specialize in SureSmile, high-tech braces that are revolutionizing the orthodontic industry. SureSmile, which combines digital 3-D imaging, has computer-aided treatment planning and customized archwires to straighten teeth about 40 percent faster than traditional braces. The SureSmile program calculates the exact shape and pattern of the teeth and bends and cuts the braces wires, with more precision than traditional braces.

There are three steps. First, Dr. Lamichane and Dr. Howard identify the initial tooth position with the patented OraScanner, a wand with a tiny camera attached. The OraScanner creates a precise 3-D digital model of your mouth, which is then uploaded into software that lets us view your mouth and teeth from any angle. Next, the SureSmile system allows us to create your entire treatment plan prior to treatment, using special computer software to analyze the 3-D model of your mouth and develop a custom archwire treatment. Finally, SureSmile’s robotic technology bends Shape Memory Alloy archwires, which can “remember” your prescription.

RESULTS

With SureSmile’s specially programmed archwires, your teeth move more directly into their intended positions. The result for our patients is shortened treatment time and a more comfortable experience in braces.

Once the braces are on it’s only a matter of time before they are taken off revealing beautiful, straight, healthy teeth. With traditional braces a patient is expected to schedule 18 to 20 office visits over two years. With SureSmile, patients average seven to 10 visits and can have their braces off within half the time!

If you’re considering orthodontic treatment, please contact Long Orthodontic Associates today!

Summer is finally here, and the team at Long Orthodontic Associates thought we’d ask: What’s your favorite part about summer? Is it the warm weather? The free time you get? Spending quality time with friends and family? Grilling barbecue in the backyard?

Drs. Manish Lamichane, Eric Howard and team would like to know what makes your summer truly special. Let us know by posting a comment below, on our Facebook page, or by give us a call!

Some people wonder why Lancaster and Lititz orthodontists, Dr. Manish Lamichane and Dr. Eric Howard work tirelessly to give our patients straight teeth. Of course it’s nice to have a smile full of evenly-aligned teeth, but did you know that straightening your teeth at Long Orthodontic Associates can keep them healthier? Straight teeth lead to better oral hygiene, increasing your chances of keeping your own natural teeth for a lifetime!

Straight teeth are less prone to decay, because they collect less plaque—the sticky colorless substance that forms on our teeth and leads to tooth decay; and they are easier to keep clean!

If you’re wondering whether your teeth might cause problems because they are out of alignment, please give us a call to set up a consultation. Drs. Lamichane and Howard can help you decide whether or not you will benefit from orthodontic treatment.

Braces today are “cool” and—many would say—even “fun.” These were among the findings of a 2010 nationwide survey of moms whose children are going through or have had orthodontic treatment. New technologies such as SureSmile, advanced computer software, color options, and even popular celebrities—Tom Cruise, Dakota Fanning, Danny Glover, Serena Williams—sporting stylish braces are making orthodontic treatment more comfortable, fashionable and cool for today’s teens.

The study, conducted on behalf of our friends at the American Association of Orthodontists for February’s National Children’s Dental Health Month, found 86 percent of moms reporting that braces are cooler today than when they were children. Sixty-nine percent of moms also said wearing braces makes their children feel cool, and 81 percent reported their children’s experience with orthodontic treatment as either positive or extremely positive.

Different color options and the ability to change colors, for example, provide exciting ways for young patients to customize appearances. That enthusiasm helps them to feel good about their orthodontic treatment with Drs. Manish Lamichane and Eric Howard, and may contribute to the success of treatment.

Has your child or teen visited Long Orthodontic Associates for a consultation? If not, please give us a call and let us help your child begin the journey to a gorgeous smile!