Orthodontic Concerns When Your Child Goes to College

I just dropped my daughter off at college a week and a half ago in Arizona. Where has the time gone, and how did my little girl grow up so fast? Being the big tooth dork that I am, I went through a mental dental check list to make sure that she was all set, and hopefully would not have any dental issues to deal with since she is so far away. I thought this would be a good time to write an article on what parents may want to add to their own child’s checklist before their first big move away from home.

  • If they have had orthodontic treatment and their braces have been removed, make sure that they bring their retainers with them! I see patients that return from their first semester of college, and their parents see that they have not been wearing their retainers at night, and their teeth have started to shift and become misaligned. Amid the excitement and stress of being away from home for the first time, it is common for kids to stop wearing their retainers during this period of time. In general, we recommend wearing retainers at night for life, as teeth will most always tend to wander as we age, whether you have had orthodontic work or not. Remind your children who have recently moved to continue their retainer wear, as this will avoid the cost of replacing the retainers, or even having to return to braces or aligners if their teeth have shifted substantially.
  • If they loose or break a retainer while away, call your orthodontist immediately! Depending on the timing and their location, we will help you find the help you need to keep your teeth aligned and protected.
  • We also have young adults who are still in orthodontic treatment when they head off to college. If their school is relatively local to castle Rock and the Denver area, we can continue to see them on a regular basis. We have had several kids who attended a college far enough away that we had to work out a schedule with a more local orthodontist to see them while they were out of state. Of course, we would like to finish them before their big move away, but life does happen, and it is important to make a plan with your orthodontist if college and orthodontic treatment overlaps.
  • It is always a good idea to have a cleaning and dental exam/cavity check before heading off to college. As with retainers, this can be a time in life where the basics seem to slip, and it is important to keep up with proper dental health and regular care.
  • My daughter started to have sensitivity in her wisdom teeth (third molar) areas several months before she left for college. We made an appointment to have a consult with an oral surgeon, and had the wisdom teeth removed several weeks before she left. One think to be aware of: oral surgeons are usually very busy during the summer months, and you may have to wait longer for procedures during this time of the year. We waited a bit to long, and certainly added some stress to my daughter’s life as she had swollen cheeks right up until the day we headed out to college. Your dentist or orthodontist can let you know if getting third molars extracted are recommended or not at this age.
  • This can also be the age where your child may reach the point where they are not covered under your dental health insurance. This could impact your dental, orthodontic, or oral surgery coverage. Insurance plans and coverage vary, so it is a good idea to check how long your children are under your insurance umbrella.

I hope this helps. Having my first child move away was emotional for all of us, and worrying about teeth was the last thing on her mind. But being prepared will help protect your family’s orthodontic investment and beautiful smile!

 

Dr Dan Rejman is an orthodontic specialist in private practice in Castle Rock, Colorado. Four of his own children have had, or are in, orthodontic treatment!

New Board Exam Format for Orthodontic Specialists

I just returned from the American Association of Orthodontists annual meeting (which is massive in size and attendance) which was held at the Los Angeles Convention Center this year. Several highlights: My family ate at the restaurant James Beach, which was featured in my wife’s favorite movie, “I Love You Man”. They serve amazing fish, shrimp, and lobster tacos.  We took our kids to Chinatown, toured several colleges in the area, and we watched real surfers for the first time!

Most of my time however, was spent teaching the new preparatory course for the American Board of Orthodontics Scenario Based Examination. As a councilman for the College of Diplomates of the ABO, one of our responsibilities is to educate our colleagues and the public about Board Certification for our specialty of orthodontics. I have taught the preparatory course since 2014, but this was the first year of the new board examination format, and the course was doubled from 4 hours to 8 hours. It has been very uplifting to watch the very positive response and interest within our specialty to pursue board certification in orthodontics. In an age where seemingly every month there is a new product on T.V. promising “quicker, faster, cheeper, easier” (most of which have no professional supervision, an unfortunate reminder that salesman have such a forum in today’s world), our profession is taking the higher road, and a vast number of orthodontists are renewing or continuing their dedication to providing the highest possible care for patients through education, research, science, and evidence-based techniques… which is what becoming board certified is all about.

During the course this past Friday, I saw the attendees grasp what a difficult examination this would be (a two hour oral examination in front of twelve peers, only after passing a written examination), and embrace the rigorous standards that are expected of them. It will be one of the most difficult things that they will ever have to prepare for, and it will be stressful. But I hope the general public realizes the amount of dedication that most orthodontists pour into this profession every day of our lives to make the quality of care we deliver soar way above what other, non- orthodontic specialty sources provide (especially unsupervised products such as Smile Direct). It was a lot off work on my part to prepare to teach this course, but it was so rewarding to see the continued dedication from my fellow peers.

 

Dr. Dan Rejman has two private practices in Castle Rock, Colorado, and has been Board Certified by the American Board of Orthodontics (ABO) since 2007.

Castle Rock’s Amazing Orthodontic Office…Meadows Orthodontics!

We are so excited and proud to be named a 5280 Top Orthodontist in Castle Rock, now for the eighth straight year! This honor is special, as our dental peers nominate and vote for professionals to receive this honor. As the office manager, and of our orthodontist Dr. Dan Rejman, at Meadows Orthodontics, I would like to praise our amazing staff, our amazing and talented orthodontist, our local dentists that refer patients to our office, and the families of Castle Rock that make it a joy to come to work every day to create stunning smiles. Over the years here, our dedication to the town of Castle Rock has earned a dedicated following, and I would like to list the local and regional honors that we are so grateful to have received over the years:

  • Voted a TOP ORTHODONTIST in Colorado’s 5280 magazine in 2012, 2013, 2014, 2015, 2016, 2017, 2018 and 2019 (voted on by dental peers)
  • Voted Best-of-the-Best, “Best Orthodontist in Castle Rock”  in 2014, 2015, 2016, 2017, 2018, and 2019, Castle Rock News Press (voted by the community)
  • Voted “Best Orthodontist in Castle Rock,” Douglas County’s Finest, 2014, 2015, 2016, 2017, 2018 and 2019.  Douglas County Living Magazine (voted by the public)

 

 

Constantly striving to improve, and consistently trying to provide our patients with the best experience possible has led us to being honored with the above recognition. Thank you Castle Rock!

Julie Rejman

 

Meadows Orthodontics is a privately owned orthodontic specialty practice that is open full time, solely in Castle Rock, CO!

Thank you Castle Rock for a great 2018, from Meadows Orthodontics!

2018 was an amazing year for us here at Meadows Orthodontics. I would like to thank all of our wonderful patients and their families that keep providing myself and my staff with inspiration, great attitudes, nice company and new friendships. I would also like to thank my wonderful staff that does so much to provide excellent care, and makes it fun for me to come to work everyday. Here are some photos from this year- first some before and afters of the last two patients who had their braces removed this year (of almost 500!). The “before” braces pictures are the first and third ones, with the “after” braces just below them -the second and fourth (I am much better with teeth than I am with Word Press laying out blogs!). Just below are a sample of the hundreds of paintings our patients have done for our two Castle Rock offices. This continues to be a really fun tradition, and provides such an inspiring, cute, and interesting decor that keeps getting bigger every week! Below this picture are several fun pictures of patients after getting their braces off, complete with confetti, and a picture of our team on Halloween dressed as Trolls! Enjoy, and see you in 2019!

 

  

Can I Just Get Braces on My Top Teeth, or Just My Bottom Teeth?

Some of my patients that have more mild misalignment of their teeth, or considerable misalignment on the top or bottom teeth only, often wonder if they can just have braces or Invisalign on the top or bottom teeth only. It is a good question, and the answer really depends on the person’s individual issue with their teeth, and their unique bite. Bellow are several useful points and examples to consider if you were wondering about this for yourself or your child.

  • Lets say you had orthodontic treatment in the past, but years later one of your upper front teeth has started to rotate noticeably. Your bite has otherwise remained healthy and stable. This is a case where I very well may be able to treat this issue with braces or a clear aligner limited to the upper teeth only (or lower teeth if the minor movement has occurred here). If the tooth movement can occur without disrupting your bite and will place the tooth in a healthy, aesthetically pleasing position, this is a great and comparatively simple option. Many adults that are noticing teeth starting to shift could benefit from this type of treatment.
  • Now lets say you have noticed a number of your lower teeth are misaligned or have shifted. An important thing to picture is an analogy that I use often. Your teeth should fit together similarly to a shoe box: the upper teeth are the lid, and the lower teeth are the box itself. The lower box needs to fit within the confines up the upper teeth. If just your lower teeth are crowded or overlapped (more than just several teeth merely rotated), aligning these teeth requires gaining more space. Or to use the shoe box example, if we treated the lower only, the box would need to be expanded, and would no longer fit the box lid (the upper teeth. These situations are a bit more involved than the first example above. And this is not a bad thing- read below!
  • I reassure people that I do not set fees by whether we place upper braces, lower braces, or both. Most often , it makes treatment easier, faster, and more successful if we treat both the upper and lower- thus I do not charge more for both than I do for one. Of course, in the first example with the more minor movements, we would want to keep things as limited as possible, and the fee will reflect that.
  • Likewise, Invisalign as a company does not differentiate with their pricing whether we treat the upper, the lower, or both. Invisalign fees are initially set by the number of trays that need to be switched to align teeth on ONE arch, and the other is included. Any more than 10 trays is considered a full Invisalign case, 10 or less is a limited case, of which there are several options.

If you have any questions at all about which options would be best for your teeth, please call us for a complimentary consult.

 

Dr. Dan Rejman is a Board Certified Orthodontic Specialist in Castle Rock, Colorado, and he has treated over 9,000 orthodontic patients!

“My Child is Nervous About Orthodontic Treatment!”

It is very natural for a child to be nervous about their first experiences at the orthodontist. Whether it is the initial exam, getting an expander, or braces, there is a lot of unknowns in their minds and they often fear the worst. Parents also may have unpleasant memories about their own orthodontic treatment from years ago. The great news is that we are very aware of this, many things have positively changed over the years, and once children have started with us they are almost always very relieved and happy to come in for their next appointments. Here are some things to describe how we approach treatment with children, and some things for them to know about their first appointments with us.

  • We are very empathetic! Our staff has a combined 31 children between us, so we are very familiar with children’s feelings and fears. We are in “kid mode” constantly, and all of us truly enjoy helping to put kids at ease. Personally,I was quite anxious as a little one with medical and dental appointments, so I really try to go out of my way to alleviate kid’s fears and make their entire treatment a happy experience.
  • For parents that had a less than stellar experience when they were kids, or had a grumpy or mean orthodontist, I can tell you that your experience here will be soooo much different. I am as patient as they come, and if time is needed to help with anxious youngsters, I understand.
  • We are set up for kids to have fun! We have great choices for colors (over 25)and custom color combinations for kids to choose from for their braces (see the color board to the right). We have a selection of Crazy Aaron’s Thinking Putty for kids to play with to keep them occupied during treatment if they would like to “fidget”. We have a children’s play area with toys, books and movies to set a friendly tone and keep siblings busy. We celebrate the end of treatment with treats, surprises, pictures and confetti! We have fun seasonal contests, decorate and dress up for holidays, and play fun music. It should be an enjoyable experience from beginning to end.
  • There are no shots!! Kids usually are very relieved to hear this. It is extremely rare that we have to use anesthetic, and if we do it is usually a topical paste that is like applying toothpaste.
  • We give a very detailed explanation of treatment that is needed, show kids examples, let them touch and examine appliances that may be needed, and make them feel familiar and comfortable with what we are doing before we do it. Usually placing braces does not hurt at all, and most of the discomfort from braces happens the day after they are placed, at home. The teeth usually feel sore for several days, but is very manageable with Tylenol or ibuprofen. Kids are almost always very surprised at how easy and comfortable their actual appointment with us was.
  • In general we try very hard, and are focused on feelings, not just the “nuts and bolts” or mechanics of orthodontics and braces.

 

If you have any concerns about your child’s dental development, or worries that they may have, please call Dr. Dan Rejman and Meadows Orthodontics in Castle Rock, and we will gladly answer all your questions!

The importance of wearing your elastics (rubber bands) as directed by your orthodontist

One of the most important factors in obtaining a healthy bite when in orthodontic treatment, whether you are in braces or invisalign, is often the use of elastics. We use these rubber bands to correct many types of bites that are not fitting correctly, and to make things as stable and healthy long term. This article is a short guide to help understand what specific elastics do, and why wearing them consistently, and as directed by tour orthodontist is so important.

Always on the mind of patients is, “When are my braces coming off?”. The one thing that impacts the speed of treatment the most is how many hours a day elastics are worn (if directed), and how consistent they wear them from day to day. For example, if I estimate that treatment will take 18-22 months, this is assuming that the patient will be excellent with compliance if we request them to wear elastics 20-23 hours a day (say to correct an open bite- more about this below). If the patient skips several days a week, or only wears the elastics 12, 16, 18… hours a day, the amount of time they will be in braces or invisalign to correct the bite will likely increase significantly. This is so important for a patient (and their parents) to understand from the beginning of treatment. Another important thing for parents to keep in mind; the pre-teen and teen mind is often not wired for truly understanding and grasping the consequences of this concept. I have had four kids of my own in braces. Three of them wore elastics great and finished as estimated or sooner. The fourth struggled with remembering to wear the elastics, and his treatment time was nearly double the others!

Lets go over what elastics are actually doing to correct specific bites. The important thing to remember here is that when you start with elastics, they ARE the treatment- the braces at that point are just a scaffolding while the rubber bands cause the movement.

  • Class II elastics:  These are worn to move your upper teeth back, and the lower teeth forward
  • Class III elastics: These are worn to move the lower teeth back, and the upper teeth forward
  • Box elastics: Move the upper and lower teeth towards one another, often to correct open bites

These are just several of the most common elastics. Other options other than elastics, or used in conjunction with elastics, are fixed springs inside the mouth, headgear, Forsus, functional appliances, and facemasks. I will let you know what will work the best for your specific case if we use more than just elastics. The one common factor in all of these is consistency of wear, so do your part to make your treatment as fast and efficient as possible!

 

Dr. Dan Rejman practices as a full time, board certified orthodontic specialist in Castle Rock, Colorado. Please call if you have any questions about your or your child’s bite, esthetics, or developmental issues.

 

 

What are the options when you have several teeth that that are too small?

It is very common for me as an orthodontist to see teeth that are disproportionately small or large compared to the other teeth in the mouth. I see teeth that are too small much more often, and this is especially common with the upper lateral incisors (the second teeth back in your mouth starting from the front). Several times a week, I see new patients with laterals that are anywhere from a millimeter or two too narrow (which patents often never realized they were small), to ones that are very noticeably narrow, which we call “peg laterals”. When these patients are starting orthodontic treatment with braces or invisalign, it is important to recognize this size discrepancy so that their bite can be planned accordingly to fit ideally when we are finished.

The goal of this article is to explain what is involved with getting the bite to fit properly when there is a tooth size discrepancy, as this concept often can cause some confusion with parents. An analogy that I often use is that your bite is like a shoe box fitting together. The upper teeth are like the lid of the shoe box: they are  broader than the lowers, and they should make a framework around the lower teeth. The lower teeth are like the box itself, which should all fit securely inside the framework of the uppers. Picture what would happen if you took the snuggly fitting cap to a shoe box, and replaced it with a smaller lid (like having several upper teeth that are too small) and tried to place this on the box. If you forced it to fit, the lid would likely tear, and there would be extra space left at these tears when the lid was pushed down. This is what happens in the mouth when there are upper laterals that are too small, and the remainder of the teeth are positioned in a correct bite: there are spaces that are left over where the teeth are narrow, and we are often physically unable to close these spaces anymore (the upper “lid” would become too small and will not fit to the lower anymore).

So what options do we have when this occurs? Here are the three most common:

  1. Leave spaces adjacent to the small teeth at the end of orthodontic treatment, and after the braces are removed your general dentist will restore them to their proper width. I usually recommend this option when the laterals are noticeably small, and the “widening” of these teeth by your dentist results in a much nicer appearance. Your dentist will help you choose the best materials to use, whether it be bonded composite, or ceramic veneers or crowns. There is an extra charge outside of orthodontics for your general dentists to perform this procedure.
  2. Reduce the size of the lower teeth to match the missing width of the upper teeth. I usually recommend this option when the missing upper lateral width is relatively small and the upper laterals appear very nice even though they are a bit smaller. With this option, the front 6-8 teeth are made slightly narrower by sanding between where these teeth meet one another. It basically creates a number of small spaces, after which I close the lower spaces (which creates a smaller “lower box”), which then allows for full closure of the upper spaces (using the existing smaller “upper lid”). The advantage of this option is that no further dental procedures will be needed after orthodontic treatment. The downside is that there will be some removal of enamel- they key is to keep it conservative, and for me to go no where near the point that it causes increased risk of future decay, increased long term sensitivity, or an appreciable loss of tooth structure. If too much tooth reduction or slenderizing would be needed, I always recommend option 1 above.
  3. Leave the lower teeth “back” from an ideal bite. A skilled orthodontist will always try to get your bite as aligned and as healthy as possible, but sometimes this is an option if the size discrepancy of the laterals is small enough, and the bite can be left purposefully off a bit in order to close all the upper spaces. I don’t do this as commonly, but it is another option if patients don’t like the thought of the the other two options above.

Which option is best for you? If you know you have abnormally narrow teeth, I will be happy to help you decide which option is best. Every bite is unique, and we will decide on a custom treatment plan to finish your teeth as healthy and as attractive as possible!

 

Dr. Dan Rejman is board certified by the American Board of Orthodontics, and is the councilor for the College of Diplomates of the ABO for the Southwest and Rocky Mountain regions.

 

Not Just Braces at Meadows Orthodontics!

One of the fun things that we do at Meadows Orthodontics is to give our new patients the option to fill out a “fun” questionnaire. It is a list of their favorite things and interesting facts about themselves that they would like to share. Over the years it has provided a lot of laughs, topics for our staff to talk with them about (beats talking about the weather!), and often teaches parents a few things about their own kids! An example was our question, “What is your favorite band or singer?”, where a six year girl old wrote “Metallica”. Their mother laughed and had no idea she was picking up on the music that her father likes. The most common response? Taylor Swift and Imagine Dragons by far. Also surprising is that “sushi” is the most common response to “What is your favorite food?” for kids! We have found out that youngsters want to be very specific things when they grow up, like equine veterinarians, F-22 pilots, Denver Broncos, brain surgeons, and motocross racers (the ones that want to be an orthodontist get brownie points!).

We have had kids perform unique talents that make the whole room laugh, including talking clearly with their mouth closed (amazing), bending their double jointed thumbs in weird directions, making TWO rolls with their tongues at one time, making their eyebrows do a caterpillar, yodeling, turkey calls, all sorts of dance moves, making their hand spin over 600 degrees around, the old arm pit sound effects (parents are always so proud when their kids break that out!)… it goes on and on. Yes, it’s an episode of David Letterman’s stupid human tricks here most every day. Most common favorite TV show? That would be Friends and The Office. We have learned that in our patient family we have a cup stacking champion, competitive archers, an opera singer, a competitive barbershop quartet member, a recently crowned (or belted?- mixed martial arts) MMA champion, multiple state champion cheerleaders (yay CV!), several small business entrepreneurs under 15 years of age (wow!), young rodeo riders, and a Rubik’s Cube competitor.

The other day, one of my assistants asked if I had filled out one of these forms. After all this time I actually hadn’t, so here it goes. I’m certainly not as interesting as some of the people above, but I’ll try!

What is your favorite sport to play or activity? I love to ski, mountain bike, and golf. This year I started snowmobiling to backcountry ski.

What is your favorite sport to watch? College football and basketball. My favorite teams are the Michigan Wolverines, and the Syracuse Orange. I also make it a point to watch the lacrosse final four every spring.

Do you play an instrument? I love music but unfortunately I am sadly unmusical myself! And I am an awful singer☹

What is your favorite food? So many here! Pizza, Pho, Indian cuisine, Cornell chicken, and beef on weck. Those last two are Upstate New York specialties- ask me for the recipes!

What do you want to be when you get older? I LOVE what I do, but if I had to choose an alternate I’d go with a chef.

What is your favorite band or singer? Kenny Chesney, George Straight, the Pixies, Motley Crue, New Order and Red Hot Chili Peppers. Also Taylor Swift, and Bieber’s last album (just being real here).

What are some interesting places you have been? Russia and China (where we adopted three of our children), Greece, Belgium, France, Germany, the Netherlands, Anguilla and Hong Kong.

What is your favorite TV shows and movies? Movies- Step Brothers, Dunkirk, and we have a tradition to watch Love Actually every Christmas Eve. TV shows- The Office, American Chopper, Frazier and Chopped. When it is on I cant stop watching poker or curling, even though I don’t play either (is that weird?).

What are some interesting things about you? I was a dairy farmer until my mid 20’s, I have delivered hundreds of calves, I like to oil paint and cook, and I once biked from Florida to Canada in 12 days (almost-I flipped my bike in northern Pennsylvania, broke my wrist, and rode patches of the last leg in a cast!). I love boxers (I have had four: Gumby, Hank, Stanley and Nora), once had a 24 pound cat, have a large collection of ball caps (the camo hat from 105 West is my favorite), and cant stand raw onions, mushrooms and walnuts. This is kind of fun so I’ll keep going… I have bungee jumped in Whistler (terrifying!), I can waterski barefoot, have had Thanksgiving dinner with Jennifer Garner, was part of the world’s longest swim relay, and I had poison ivy that covered over 90% of my body on our entire honeymoon in Alsace, France. Also, my staff finds it is funny that I think “I want it that way” by the Backstreet Boys is the best song ever. It really is.

Well, there you go. One of the great things about being an orthodontist in Castle Rock is getting to know all types of people. And if you have a stupid human trick, feel free to stop in and share it with us!

Whitening Your Teeth after Braces or Invisalign

As an orthodontist, my patients often ask me about whitening their teeth, and when it should be done in relation to their orthodontic treatment. For patients who have braces, I almost always recommend having whitening done after braces are removed as opposed to before braces are put on. This is because the braces will partially cover the newly whitened teeth if done before treatment. Also, having teeth whitened after orthodontic treatment is complete is a nice gift to oneself now that the teeth are aligned beautifully, and can really put the final aesthetic touch on your teeth. Here is some advice and information to consider if you are thinking of whitening your teeth.

Whitening systems are considerably different in their effectiveness, method of application and cost. I almost always refer my patients to their general dentist for whitening, as the methods that they use are the most effective, and make my patients the happiest. Most importantly, the process is supervised by a professional who can address issues such as sensitivity, tooth and gum health issues, and different areas of teeth that may whiten incredibly well, to no change at all (more on that below).

 

  • In office whitening is a procedure that usually takes 30-90 minutes, and a UV light or laser is used on the teeth to accelerate the whitening process by a form of hydrogen peroxide. Depending on the severity of your teeth’s discoloration, several visits may be required. Be careful- Blue LED lights sold on TV or the mall, etc., do not make whitening any faster that just the gel itself.
  • At home tray whitening with custom trays is where your dentists makes custom fit trays just for your teeth, and peroxide gel of different strengths are used for 1-2 weeks while you sleep at night. Again, this is supervised by your dentist, and they can make adjustments if there is tooth sensitivity, or more whitening is desired. The advantage of this system compared to over the counter products is the strength of the gel, and the custom trays ensure even, complete whitening to the tooth surfaces.
  • Whitening strips are purchased over the counter. The plastic flexible strips are stuck to your teeth, and the thin film of hydrogen peroxide will start to whiten the teeth. These products are generally weaker than the dentist supervised products, and whiten only the areas the tape-like film makes contact with.
  • Whitening toothpaste is the least expensive option, but these products do not actually change the color or shade of your teeth. Instead, they use abrasives to help remove surface stains. If it appears that your teeth are yellower or discolored, but do not have surface residue or staining, this will be of little help.

Your teeth have pores on the surface of the enamel that covers them. These pores trap the products that you place in your mouth, and products such as coffee, wine, tea, berries and smoking are especially notorious for changing the color of teeth over time. Hydrogen peroxide acts to remove the stains out of the pores in your enamel. The newly “cleaned” pores can cause a temporary increase in tooth sensitivity, especially to temperature. This is normal, and after several days the minerals in saliva or fluoride rinses will help bring things back to normal. The results of tooth whitening will last quite a while, depending on the individuals diet. Touch ups will be needed from time to time to re-whiten the teeth as they slowly discolor again over time.

It is especially important to consult your dentist about whitening if you have porcelain or ceramic crowns, veneers, or composite (tooth colored) fillings. These materials will not whiten as your natural teeth will! Your dentist can help you plan the color of future crowns or veneers based on how white you want your teeth to be in the long term. It is unfortunate to have a nice veneer or crown placed, and then decide you want to whiten your teeth, and now the crown does not match the rest of your teeth! If you have any questions at all, I will be glad to give you guidance and advice regarding these issues.

Dr.Dan Rejman is a board certified orthodontic specialist for children, teens and adults in Castle Rock, Colorado.