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Dr. Ousama El-Hillal 

For contact information and directions to Dr. El-Hillal's offices in Chandler and Peoria click here

 

Dr. El-Hillal - Dr. El-Hillal received his Bachelor degree from Franklin and Marshall College. From there he earned his Doctor of Dental Medicine degree, MBA, Masters in Oral Biology and Orthodontic Specialty degree from Temple University in Philadelphia.

Dr. El-Hillal (or, as patients call him, “Dr. O.”) has been published in numerous professional journals and held a number of leadership roles, including Chief Resident, while receiving his training.

Dr. O is known for his laid-back style and ability to communicate with patients and parents. When he’s not busy creating beautiful smiles he enjoys spending time with his family, running, biking, golfing, hiking and scuba diving.

Friday
Feb282014

Non-Extraction Therapy in Orthodontics, With Dr. Ousama El-Hillal, E & S Orthodontics, Phoenix, Tolleson, Chandler, Peoria, AZ

Orthodontic technology has really advanced in how orthodontists practice and from a patient's perspective, one of the biggest advances made within the last 10 years is the ability to do a lot of treatments without having to pull teeth.  Dr. Ousama El-Hillal, orthodontist with E & S Orthodontics in the Phoenix, Arizona area, says that today, the advent of the Damon Bracket System and the ability to take 3-D x-rays allows him to diagnose and treat more effectively and efficiently.  When looking for an orthodontist, Dr. El-Hillal recommends finding one that is engaged with this technology because that enhances your experience.

Today, parents are often questioning why orthodontic treatment is being started so early on children, even as young as 7 or 8.  Dr. El-Hillal says it's inherent upon the orthodontist to give patients the best aesthetics possible and one of the simplest ways to do that is to make sure they have room for all of their adult teeth.  If there's a way to develop a child's arch at an earlier age so that extraction can be avoided, that's is something to which Dr. El-Hillal is committed.

Using a global perspective in determining whether to extract teeth from a child, Dr. El-Hillal will look at the child's profile and where the lower jaw is positioned.  He believes that going forward, if teeth are extracted, it might lead to airway obstruction, something which he thinks will be a hotly debated topic in the future.  "To move things forward, you have to look at ways of treating patients with non-extraction therapy," Dr. El-Hillal says.

Dr. Ousama El-Hillal is an orthodontist with E & S Orthodontics, with locations in Tolleson, Peoria and Chandler, Arizona.   He is a leading sleep expert with Sleep Better TV, providing online, on-demand sleep breathing disorder video content.

Friday
Feb282014

How Orthodontists Diagnose a Sleep Breathing Disorder in Children, With Dr. Ousama El-Hillal, E & S Orthodontics, Phoenix, Tolleson, Chandler, Peoria, Arizona

Snoring in a child is abnormal behavior, according to Dr. El-Hillal, an orthodontist in Phoenix, Arizona, and usually an indication of something else occurring in a child.  A child may not be diagnosed with sleep apnea like an adult but a child can get mis-diagnosed with ADD (attention deficit disorder) if a child doesn't get proper sleep, he says.  If there are subtle disruptions in their sleep patterns, then those kids will be more fatigued and restless.

At his practice, E & S Orthodontics, in the Phoenix, Arizona area, Dr. El-Hillal can identify those kids that may have airway obstruction issues and it could relate to many things.  A small upper jaw or a lower jaw that's set back are some things that as an orthodontist, he can gear in on what type of treatment would best benefit a child.

When Dr. El-Hillal feels there's a disturbance in the child's sleep and there's an airway issue, the first thing he does is evaluate the child's tonsils and adenoids to see if they're enlarged.  If so, the child is referred to an ENT for further evaluation.  The second thing is that as an orthodontist, Dr. El-Hillal wants to create an anatomical change and a more permanent change.  In order to improve the airway, he can expand or widen the top jaw and then make sure the lower haw is brought forward in a good position.

In terms of the benefits of orthodontic treatment, Dr. El-Hillal says that if the treatment is timed in such a way, we can actually improve the facial outcome of a patient.  Diagnosing is key in determining if the patient has a facial abnormality that would lend them to having sleep disturbances or airway obstructions, he says and that if we can figure that out, we can create a more permanent change in that child.

Dr. Ousama El-Hillal is an orthodontist with E & S Orthodontics, with locations in Tolleson, Peoria and Chandler, Arizona.   He is a leading sleep expert with Sleep Better TV, providing online, on-demand sleep breathing disorder video content.

 

Wednesday
Feb262014

Differences Between Damon Braces and Invisalign, With Dr. Ousama El-Hillal, E & S Orthodontics, Phoenix, Tolleson, Chandler, Peoria, Arizona

When deciding on treatment options to straighten teeth, there are a couple of options available to patients, including the Damon System and Invisalign. 

The Damon System is based on the concept that it's more than just straight teeth.  It's the idea that when you're able to expand and fully develop a person's upper and lower jaw, you end up with more lip support and structural support, which translates into a wider smile and more facial balance, says Dr. Ousama El-Hillal, of E & S Orthodontics in Phoenix, Arizona.  He says that a nice expansion can be achieved with the Damon System that allows for a more youthful look to occur.

Invisalign is a great product for people who don't want to use braces, as it's the "clear alternative to braces," Dr. El-Hillal says.  The beauty of Invisalign, he says, is that it's an option for patients who would have never considered doing braces and allows them the opportunity to straighten their teeth and achieve a great smile in a way that for them, may be more socially-acceptable.  In addition to being a clear alternative, another great benefit of Invisalign is that you're able to take it in and out, which faciliates your ability to clean your teeth more effectively, adds Dr. El-Hillal.

Invisalign has really transformed over the past 10 years in giving teenagers an alternative to braces.  By high school, some teenagers don't want braces, so this allows them to straighten their teeth without the concept of braces, which Dr. El-Hillal considers to be powerful in their product.

There are some concerns from parents with Invisalign, however, including compliance and losing it.  There are 2 blue dots on the aligners, which keep the dentist informed about usage and compliance and Dr. El-Hillal says that the manufacturer can replace the aligners at no charge up to 2 times.

Dr. Ousama El-Hillal is an orthodontist with E & S Orthodontics, with locations in Tolleson, Peoria and Chandler, Arizona.   He is a leading sleep expert with Sleep Better TV, providing online, on-demand sleep breathing disorder video content.

Tuesday
Feb252014

Self-Ligation Brackets in Application of Braces, With Dr. Ousama El-Hillal, E & S Orthodontics, Phoenix, Tolleson, Chandler, Peoria, Arizona

The main reasons people get braces are for functional and aesthetic concerns.  Dr. Ousama El-Hillal, an orthodontist in Phoenix, Arizona with E & S Orthodontics, tries to create the opportunity for his patients to have great self-esteem and confidence and allow their personalities come through their smiles, as he feels there is a great deal of importance put on a smile in our society.

Dr. El-Hillal uses the Damon bracket system for his patients choosing braces.  Different than traditional braces, Dr. El-Hillal started using it eight years ago, which has allowed him to move away from extracting teeth and then using expanders or head gear.  The advent of this into his practice has really changed how he treats his patients.

Traditional braces use a bracket, wire and elastics that hold in the wire.  The self-ligation brackets, like the Damon System, has a door on the bracket that holds the wire, which allows Dr. El-Hillal to do the things he needs to do with the system because it creates a "frictional environment," to work in.  In other words, it allows him to use biological sensible forces, producing tooth movement and not applying too much force in the tooth movement.

Within the self-ligation brackets, there are the passive and active brackets.  The Damon System is a passive door that acts like a "guillotine," going straight up and down, where as the active door is more like a "garage door," that goes up and then starts to curve.  "That little curve makes a big difference in the treatment outcome," Dr. El-Hillal says.  This is one of the main reasons why Dr. El-Hillal uses the Damon System over active self-ligation brackets.

The difference is in the outcome of treatment in making sure the use of the wire in that system is fully-expressed and Dr. El-Hillal knows when the door is open or closed and when closed, he knows it's working as efficiently as possible.  "When we do a certain movement, we're going to get that movement to occur quicker," he says.

Dr. Ousama El-Hillal is an orthodontist with E & S Orthodontics, with locations in Tolleson, Peoria and Chandler, Arizona.   He is a leading sleep expert with Sleep Better TV, providing online, on-demand sleep breathing disorder video content.

Tuesday
Feb252014

Diagnosis of Sleep Apnea in Children, with Dr. Ousama El-Hillal, E & S Orthodontics, Phoenix, Tolleson, Chandler, Peoria, AZ

If your child is restless, has been diagnosed with ADHD, is bedwetting or grinding their teeth, these are all signs there may be an airway obstruction issue, says Dr. Ousama El-Hillal, of E & S Orthodontics in Phoenix, Arizona.  The first step, he says, would be to have their tonsils and adenoids evaluated by an ENT to see if they're enlarged.

Grinding is not a normal response in children and when we have that, the cause may be that the child is moving their lower jaw in such a way to improve their airway and in doing that, it helps them breathe better, Dr. El-Hillal says.

Depending on the age of the child, it will determine their course of treatment.  Dr. El-Hillal will usually not pursue orthodontic treatment until the child is at least 6 years of age and prior to that, will send them to an ENT for an evaluation first.  After the age of 6, Dr. El-Hillal might use early treatment with the Damon system to widen the upper teeth and jaw.

Children with sleep problems don't go into their proper cycles of sleep and end up being more fatigued, which creates hyperactivity.  Parents may not recognize this, which can contribute to the mis-diagnosis of ADHD, notes Dr. El-Hillal.

A lot of times when a child diagnosed with ADHD comes into his office, Dr. El-Hillal will look at their teeth, which can tell us things that a physician can miss.  Often times, physicians are not trained to look in the mouth and the mouth can really tell what's going on, Dr. El-Hillal says.  By looking into the mouth, it allows dentists to explore things a child's physician may not have picked up on, he says.

Dr. Ousama El-Hillal is an orthodontist with E & S Orthodontics, with locations in Tolleson, Peoria and Chandler, Arizona.   He is a leading sleep expert with Sleep Better TV, providing online, on-demand sleep breathing disorder video content.