Posts for tag: orthodontics
OK, so you've been getting orthodontic treatment for what seems like a long time, and finally, your braces are about to come off! Now you're home free, right?
Well, almost… but now comes the final part of your treatment: the retention phase. That means you'll need to wear a retainer. Most people find that a retainer is more comfortable than braces — but because it is often removable, there's the temptation to just leave it off. Don't do it! Here are the top five reasons why you should always wear your retainer as instructed:
1) A retainer helps to make your teeth stable in their new positions.
Your teeth aren't rigidly set in stone (or in bone) — instead, they are held in place by a hammock-like set of ligaments, and the bone that surrounds them is somewhat pliable. That's a good thing… because, otherwise, they would be even harder to move! But it means that it will take some time for the bone and ligament around the teeth to re-form and stabilize in its new position. A retainer holds them in position while that is happening.
2) If you don't wear it, your brand-new smile may not stay looking the way it should.
Did you know that your bone and gum tissue have some “memory?” Unfortunately, it's not the kind that could help you on a science quiz — but teeth can “remember” where they used to be located… and, if you leave them alone, they may try and go back there! A major goal of the retainer is to keep your new smile looking great! If you don't wear it, and your teeth shift back, you risk losing all the time (and money) you invested.
3) There are different types of retainers available; one of them might be just right for you.
At one time, all retainers were made of pink plastic and silvery wire, and were removable. That kind is still available, but now you may have a choice of different colors or patterns — you might even be able to customize yours! Another alternative that may be appropriate is a clear retainer that fits over your teeth, making it nearly invisible. In some cases, you can have a thin wire bonded to the inside of the teeth instead of a removable retainer. It doesn't show, and you don't have to worry about taking it out.
4) As time goes on, you'll probably need to wear your retainer less and less.
At first, you'll probably need to wear your retainer all the time, but after a while you may only have to wear it at night — a lot easier to manage! Think of it as a way of easing yourself out of orthodontic treatment — and into a brand-new smile. The retention stage also helps your teeth avoid damage by allowing the process to end slowly and gently.
5) Lots of celebrities wear them.
If we know who, we aren't telling — but let's just say that several young entertainers and a recently married British Prince have worn retainers, or are still wearing them. So, you're in good company!
If you would like more information about orthodontic retainers, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Why Orthodontic Retainers?” and “The Importance of Orthodontic Retainers.”
Taking care of your teeth is a lifetime commitment, if you want your teeth to last a lifetime. But it can be especially challenging if you're wearing traditional metal braces. With a little extra attention, though, you can reduce the risk of dental disease during orthodontic treatment.
The goal of oral hygiene is to remove biofilm, a layer of leftover food particles called plaque that is a haven for disease-causing bacteria. Orthodontic braces make access more difficult for performing oral hygiene. A little extra effort and attention, though, can make a big difference.
First, be sure you're eating a healthy diet and avoiding unhealthy snacks (especially those high in carbohydrates) between meals; this will discourage the growth of bacteria in the mouth. You should also limit your intake of sodas, sports or energy drinks since their high acidity contributes to tooth enamel erosion.
Although more difficult for someone wearing braces, brushing is still essential to good hygiene. Begin by holding a soft, multi-tufted bristle brush at a 45-degree angle, and then brush the surface area between the gum and the braces all the way around. Return to your starting point and brush the area from the braces to the edge of the top of the teeth in the same direction. Be sure you do this for both the upper and lower jaw and on both the cheek and tongue side.
Flossing is also more difficult, but not impossible. Instead of conventional floss thread, you can use special floss threaders, small interdential brushes, or an irrigation device that sprays pressurized water to remove food particles between teeth.
Above all, it's important to keep up regular office visits with us. In addition to monitoring overall dental health, we can also apply or recommend additional fluoride products to help strengthen teeth or prescribe antibacterial rinses to reduce the mouth's bacterial level.
Keeping up a good daily hygiene regimen and regular checkups will ensure that the smile you gain from wearing braces is healthy as well as beautiful.
If you would like more information on oral hygiene while undergoing orthodontic treatment, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”
Orthodontic treatment (commonly known as braces) can be a lengthy process to re-align your teeth to a more functional and aesthetic position. Once the orthodontic devices are removed, however, the treatment isn't finished. Wearing a retainer is the final step to ensuring that the re-alignment doesn't eventually fail. It's designed to do just what its name implies — to “retain” the teeth's new position and prevent a relapse to the old.
This can happen because of the way teeth fit into the jaw bone. The teeth are joined to the bone by the periodontal ligament, which works somewhat like a hammock: the ligament's fibers act like threads that fit into the tooth on one side and into the bone on the other, and hold the teeth in place.
As living tissue, the ligament's cell structure is dynamic and can adapt to the gentle pressure applied by an orthodontic device. However, once this pressure subsides after the device is removed “muscle memory” can cause the ligament to resist the new position and pull the teeth back to their original setting. The retainer helps hold the teeth in the new position while the bone and ligament continue to mature and stabilize around the teeth.
There are two basic types of retainers; the one recommended for you will depend on your age and the extent of your orthodontic treatment. One type is a removable device that is typically worn around the clock initially, but may eventually only need to be worn at night or for even a lesser interval of time. The other type is attached permanently behind the teeth and can only be removed by an orthodontist. Permanent retainers have the benefit of not being as visible as the removable type, and there's no bother with putting them in and taking them out.
You may consider wearing a retainer a nuisance especially after months of orthodontic treatment. But consider it the last lap in a long race — only by finishing can you achieve that winning smile.
If you would like more information on the use of a retainer, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?”
If you are considering having your teeth straightened, for cosmetic or other reasons, the idea of using clear aligners rather than traditional braces may be appealing.
Here are the answers to some frequently asked questions about clear aligners.
What are clear aligners?
Clear aligners are clear removable custom fitted “trays” that gradually straighten teeth. Used sequentially, each individual tray is slightly different from the one before and is worn every day for two weeks before going on to the next one in the series. This slowly moves your teeth to a new position.
How are they made?
The trays are computer-generated, based on impressions and models of your mouth combined with the knowledge of growth, development of teeth and jaws, and most importantly how and why teeth move.
How long does this treatment take?
By wearing clear aligners for at least 20 hours per day for two weeks before changing to the next tray in the sequence, treatment time can range from six months to two years depending on your individual situation.
Can children wear clear aligners?
Clear aligners are generally used for adults who have all their teeth and when jaw growth is complete, but can be used for younger people depending upon the extent and severity of their situation.
What situations can clear aligners be used for?
Clear aligners can realign or straighten teeth, close mild spaces, treat elongated teeth and tip teeth into better position. They are usually recommended for correcting mild to moderate crowding of teeth, particularly if your back teeth already fit together properly.
When are clear aligners probably not the right choice?
If you have a bad bite (your back teeth do not fit together well), or if you have a severe overbite or underbite, traditional braces are probably a better choice for treatment. If your teeth are severely crowded, or if your situation is complex, clear aligners will probably not be the right treatment choice.
How do you decide whether clear aligners are right for you?
An orthodontic assessment of your individual situation must be performed by our office.
What is considered in the assessment?
The assessment includes specialized x-rays of your teeth, jaws and skull, along with photos, impressions, and models of your bite.
For more information about clear aligners vs. traditional braces, make an appointment with us for a consultation and an examination of your own situation. You can learn more by reading the Dear Doctor magazine article “Clear Orthodontic Aligners: An Alternative for Adult Orthodontics.”
Is there a single orthodontic appliance that can help your child get a wider, better-looking smile, correct problems with the bite, make room in a crowded upper jaw for new teeth to erupt (come in)... and shorten the overall time he or she will need to wear braces? The answer is yes: It's the palatal expander, a device that works with the natural growth patterns of a child's mouth, and offers dramatic results.
What's a palatal expander? Basically, it's a custom-made orthodontic appliance that fits between the rows of back teeth at the top (roof) of the mouth, close to the palate. After it has been put in place, it can be tensioned with a special key. Because it is contained inside the mouth, it's invisible when worn — but its benefits are easy to see.
How does it work? The palatal expander takes advantage of the fact that the left and right halves of a child's upper jaw bone don't completely fuse (knit together) until sometime after puberty. Until that happens, the upper jaw is relatively soft and easy to manipulate. When tension is applied, the palatal expander gently moves the bones apart, just like braces do for teeth. Then new bone tissue naturally fills in the space.
The appliance is tightened daily for a few weeks — while spacing improves dramatically — and then it's left on for several weeks more to stabilize the expansion. The total time a child needs to wear it is generally 3-6 months. After that, a set of braces can be put on if needed. So, what's so great about a palatal expander?
For one thing, the device can correct a crossbite, which occurs when the back top teeth bite inside (instead of outside) the bottom teeth. For another, expanding the upper jaw can relieve the condition known as crowding, which happens when the jaw isn't big enough to accommodate all the teeth. A related situation — impacted teeth — occurs when a tooth that hasn't yet erupted is blocked by another tooth above it. Both these conditions formerly required tooth extraction: an invasive and sometimes complicated procedure. Both can now be remedied by a palatal expander.
But maybe the biggest plus to a youngster — where a month can seem like an age — is the prospect of having to wear braces for less time. And that alone is a good reason to smile.
If you have questions about palatal expanders, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “Palatal Expanders” and “The Magic of Orthodontics.”