How Does Invisalign Work?

Dr. Deborah Himelhoch and the team at Smiles in Framingham prescribe and treat their patients near Southborough, MA with Invisalign clear aligner trays more and more these days. Invisalign has quickly gained popularity and become one of the top orthodontic treatments around the world. Invisalign is the clear alternative to braces.

Fit and Finish
The Invisalign trays are made of a clear thermoplastic material that is molded to fit snugly over the surfaces of the wearer’s teeth. Invisalign aligners are fitted to and created for each patient. A 3D imaging and design program is used to develop a treatment plan with the aligners.It plots each series of trays that the patient will wear during their course of treatment. The trays gently, progressively, and effectively move the teeth into their new positions.

Power and Performance
A course of treatment with Invisalign, developed by Dr. Deborah Himelhoch, involves graduating progressively over a period of time through a series of clear tray aligners. The aligner trays exert a gentle pressure on the teeth to move them into a more natural position in the mouth. Each new set of aligners moves the teeth further into their optimal natural position. Invisalign is as effective as traditional metal braces but without the complicated wires and metal brackets.

Comfort and Convenience
Treatment with Invisalign frees the wearer from frequent and inconvenient adjustment appointments that are necessary when wearing . The smooth plastic surfaces of the Invisalign aligner trays prevents the irritation and discomfort associated with the myriad metal parts of . They can be removed for eating, brushing, flossing, and caring for the trays. Invisalign aligner trays are virtually invisible to the casual observer. They can be worn throughout the day or evening without anyone noticing they are being worn.

Protection Plan
Smiles in Framingham know that teeth may drift back to their old positions in the mouth after orthodontic treatment. A retainer is typically required after treatment with Invisalign. Wearing a retainer will help the teeth settle into their new spots and maintain their positions. Conscientiously wearing the retainer will ensure that your teeth will remain straight and in position.

To learn more about treatment with Invisalign, how it works, and if it is right for you, call Dr. Deborah Himelhoch and the orthodontia professionals at Smiles in Framingham. They are experts in treating their patients near Southborough MA with Invisalign clear aligner trays. For a consultation, call: 508-872-0555

Affordable Treatment

If you or your child needs orthodontic treatment, Smiles in Framingham located in Framingham, MA is the right choice! The great news is, we offer braces or Invisalign with low monthly payments at 0% Financing! There’s never been a better time to get the smile you and your family deserve. Call our office today at (508)-872-0555 for your complimentary consultation with Dr. Himelhoch.


Our fees are based upon the complexity of the problem, the materials used, and the anticipated length of the treatment. Treatment fees will be assessed for you specific condition treatment needs.

The Healthy, Beautiful Smile You Deserve

invisalign orthodontist framingham southborough maThere are many reasons you may need to get braces or Invisalign; including crowded teeth, misaligned bite (malocclusion) and others. One thing that sets my practice apart, is that I will see you or your child at every appointment to make sure that your treatment is going according to plan. There are a variety of orthodontic treatment options available to straighten teeth and correct your, or your child’s smile. Choosing the right option for your family when getting braces or Invisalign can be challenging, but in the end, the goal with braces is always the same; to gain a more confident, healthy smile throughout life. 

When it comes to braces or Invisalign, I know you have a lot of choices when selecting an orthodontist in Framingham, MA and the surrounding area. That’s why I invite you to schedule a complimentary consultation to explore all the orthodontic treatment options available and develop a personalized treatment plan. We’ll work with you to make braces or Invisalign affordable. We welcome you to Smiles in Framingham, and look forward to meeting you in person!

Warm Regards,
Dr. Deborah Himelhoch


Treatment of Dental Injuries

Treatment of Dental Injuries

We have the information you need to help you find the correct and affordable treatment plan for any oral and dental injuries. If you are experiencing any sort of discomfort due to sensitivity of your teeth or mouth, call our office immediately. We will be able to set you up with our next available appointment and help solve the problem and find you the relief you need. Don’t let your pain go untreated. Dr. Himelhoch is here to help prevent you from further injury to your mouth and teeth, and achieve the healthy looking smile you’ve always dreamed.

Treatment of Fractured Teeth

If your child from Framingham, Southborough, Ashland, Wayland, Natick, Marlborough, Hopkinton, Holliston, and the surrounding area has chipped, cracked, or lost a tooth due to injury, the first thing to do is stay calm. Give our office a call immediately so we can help you determine the type of treatment necessary. We will also inform you of what you should do at home to help treat the injured tooth before you come to our office. A fractured tooth is one of the most common dental injuries. Most fractured teeth can be fixed by reattaching the broken piece of the tooth enamel or by bonding with a filling or crown. Call us immediately so we can treat the tooth and prevent any further injury.

Treatment for a fractured tooth depends on the severity of the injury. During your visit, Dr. Himelhoch will be able to discuss the best treatment option for you.

Types of Fractured Teeth:

  • Small fracture: If the fracture is very small, treatment is minimal—The tooth may only need to be smoothed over and polished
  • Medium fracture: If a larger piece of the tooth is broken off it can sometimes be reattached through a special bonding process. If the broken piece cannot be found or is too damaged to be reattached, composite bonding (use of white filling material) can usually be used to restore the tooth’s size and appearance.
  • Large fracture: If the fracture exposes the nerve of the tooth, chances are you’ll need more extensive treatment.

Preventing Fractured Teeth in the Future:

We encourage our patients to always brush and floss their teeth at least twice a day, helping to keep teeth bones healthy and strong.

Although fractures teeth are not completely preventable, here are a few easy go to steps you can use at home to help prevent fractured teeth:

  • Avoid chewing hard objects (such as ice, un-popped popcorn kernels, or pen tops)
  • Don’t clench or grind your teeth – If you clench or grind your teeth while you sleep, talk to your dentist about getting a retainer or other mouth guard to protect your teeth.
  • Wear a mouth guard or protective mask when playing contact sports.

Evaluation of Developing Definition

Research shows that baby teeth serve a very important function when it comes to the development of healthy teeth, gums, and overall smile. Although we know that baby teeth eventually fall out, we’ve found that they have an important impact toward the development of both our gums and our permanent teeth. Therefore, it is very important to keep up with proper dental hygiene and dental care starting from the day our baby teeth appear, to the day they leave you, and every day after.

Here are some helpful tips toward healthy dental development:

  • Brush your teeth twice a day with fluoride toothpaste
  • Clean between your teeth daily with floss or interdental cleaner
  • Eat nutritious and balanced meals and limit your snacking
  • Visit us regularly for a professional dental cleaning and oral examination
  • Check with us about the use of supplemental fluoride, which strengthens your teeth, and about use of dental sealants (a protective coating) applied to the chewing surfaces of the back teeth to protect them from decay

At Smiles in Framingham, we work hard to keep up with the development of your teeth. Call us today to schedule an appointment for us to evaluate any developing problems.

Dental Cleanings

Dental Cleanings

For a professional dental cleaning with Dr. Himelhoch, we recommend that you to make an appointment with us within at least 90 days of your previous visit. This will help take care of your teeth to prevent any problems from occurring in the future, such as gum disease and tooth decay. It will also make it very easy to detect any new problems and maintain good oral health for your mouth.

A professional dental cleaning will include a gentle teeth polishing and the removal of bacteria, plaque, tartar, and other toxins that a normal brushing at home will not be able to get rid of. It is recommended that patients see the dentist for a cleaning once every three months in order to get rid of any bacteria that may have resurfaced since your last check-up.

Dental Examination

Dental Exam

During a dental exam, we evaluate your needs as a patient, and introduce all of the proper oral hygiene and healthy dental habits you’ll need for that happy and healthy smile you’re looking for. For younger children, the appointments are usually very short and sweet, where we evaluate dental development and check for any decay. Children 2 years and older will be given the appropriate dental cleaning and fluoride treatment. We provide dental cleanings and fluoride treatment for children from Framingham, Southborough, Ashland, Wayland, Natick, Marlborough, Hopkinton, Holliston, and the surrounding areas.

During dental examinations, Dr. Himelhoch will perform a full and gentle check-up to observe both the development and growth of the teeth, mouth, and gums, and look for any progressing or occurring problems. If any problems are found during the examination, we will discuss the available options, and help determine the right treatment plan for you.

We want your child’s visit with us to be a positive experience. In order to prepare them for their appointment, discuss with them what will occur during their visit. Explain how going to the dentist is a part of growing up, and that the dentist is going to help make their teeth healthy and strong. Avoid words that may remind them of pain, such as “shot” or “hurt”. If you show excitement and are upbeat during your discussion, chances are your child will be too.

Dental Cleanings

For most children, the AAPD recommends a dental check-up at least twice a year. Regular teeth cleanings can help remove the bacteria, plaque, tartar, and other toxins, that cause tooth decay and cavities. Regular trips to the dentist will also help instill good oral hygiene habits in your children. Dr. Himelhoch and her team will help instruct children on proper brushing and flossing, which will lead to cleaner, and healthier teeth and gums.

We look forward to seeing you! Schedule an appointment today!

Tooth Extractions

Instructions for Home Care Following Tooth Extraction

1. Your mouth will be numb for awhile. Average time is 2 – 3 hours. Be careful not to pinch, hit or bite your cheek, lips or tongue while they are numb. If you do, they can be quite sore later. Avoid chewing while you are numb. Take liquids and foods that can be eaten without chewing.

2. PAIN – A certain amount of pain following an extraction is not uncommon. Acetaminophen (e.g Tylenol) or Ibuprofen (e. g. Motrin/Advil) is usually sufficient for pain control. Use as directed on the bottle for your child’s age and weight. Avoid aspirin as this can increase bleeding. Call if your child is having difficulty with pain control.

3. BLEEDING – A certain amount of bleeding is to be expected following tooth extraction. If bleeding occurs, place a small folded pad or gauze directly over the bleeding area and bite or hold down firmly for 30 minutes. Repeat the above process if necessary: avoid hot liquids. Do NOT spit or rinse VIGOROUSLY for 24 to 48 hours. Avoid drinking through a straw for 24 to 48 hours.

4. ACTIVITY– No sports, swimming or vigorous activity for 2 days as this may increase the likelihood of bleeding.

5. SWELLING – Only minor or no swelling is expected with a primary (baby) tooth extraction. If swelling does occur it is usually worst 24-48 hours after the extraction. An ice pack may be used the day of the extraction to reduce swelling. If pain or swelling occurs after the wound has apparently healed, call the office for an appointment.

6. MOUTH RINSE – Vigorous mouth rinsing may stimulate bleeding. Therefore, DO NOT rinse the mouth until the following day. You may then gently rinse your mouth with a warm salt water solution (1/2 teaspoon of ordinary salt to a glass of warm water) after eating and before going to bed if desired.

7. DO NOT DISTURB THE BLOOD CLOT – The grayish or yellowish appearance and a slight odor do not indicate an infected condition. Keep fingers, toothpicks or other matter that may cause infection out of the mouth. In some cases Gelfoam (a foamy white material) has been placed in the socket to reduce bleeding. Do not disturb this material. It will dissolve by itself over several days time.

8. DIET – Light, soft foods and adequate liquids are advisable. Avoid foods that are difficult to chew.

Follow-up – Return to the office for post operative treatment, if so instructed.

Call the office if you have any concerns or unusual problems.

Dental Fillings

Dental Fillings

Instructions for your New Filling

  • Your mouth will be numb for awhile. Average time is two hours but can range from one to five hours.
  • Be careful not to pinch, hit or bite your cheek, lips, or tongue while they are numb. If you do, they can be quite sore later.
  • Avoid chewing while you are numb. Take liquids and foods that can be eaten without chewing.
  • White fillings can be flossed at any time



Tuesday 8:30 am – 5:00 pm
Thursday 8:30 am – 5:00 pm
Friday 8:30 am – 4:00 pm
Saturday* 8:00 am – 1:00 pm
* Two Saturdays per month