What will I need after I get my Braces?

Care Package

              Patients who are receiving braces or orthodontic appliances for the first time are going through a lot of uneasy feelings. 

They are thinking:  Is this going to HURT tonight?
                               What am I going to LOOK like?
                               Will I TALK funny?
                               What am I going to EAT?
                               Do I have to wear a MOUTHGAURD?

To ease your transition into the whole orthodontic experience,  we tell our patients that it will be a little achey, or tight like a new pair or jeans, but to take Ibuprofen.  We tell them to improve their speech to read a book out loud or sing in the car ride home.  Soft foods are the best for the first few days and Milkshakes and smoothies are GREAT, and mouth guards are a must when it comes to Sports.


Here are  a few things that will help you on your journey to straight teeth:

• Ibuprofen
• Books or Magazines- to read out loud and keep their minds off the appliances in their mouth
• Smoothie King Gift Card
• Jump Rope- To keep their mind off of their teeth hurting
• Sugar-less Gum- For our braces patients that can not take medication to ease the pain
• Favorite soft foods
• Chap stick, Lip gloss or ESO - To prevent dry chapped lips
• Wax- for if you get bumped in the mouth or get a sore from the braces rubbing

These will make your loved one feel so much better and comfort them in their time of need.  Remind them to Smile it makes the whole process go faster!

How to get your teenager to brush their teeth.

As many parents know it can be a struggle to get their preteen and teenagers to brush their teeth.  Not only is it bad for their teeth but it is also bad for their health.  Many people don't realize how expensive dental work can be.  They don't realize the importance in going to the dentist bi yearly for a cleaning and a check up.

They just think that can't happen to me.





I'm invincible!










INFORM

They don't realize it only takes a few missed brushings to begin a mouth full of pain and put them on the path to gingivitis, cavities and loss of teeth.  People never think they are going to be the one with holes in their teeth or stains.

SHOW THEM HOW TO BRUSH

People don't realize that once you start to get cavities in your teeth,  the more likely you are to start getting more.  If you stay ahead of decay it will keep the cavities away!  People also don't realize that it doesn't matter how long you brush your teeth if you are doing it the wrong way.
Everyone needs to make sure to brush every part of the tooth and floss between the teeth and gums to remove all of the plaque and food particles.  The way a person angles their tooth brush is an important part of brushing.  It is also important to make sure you are brushing every tooth.  We find that people miss teeth without even realizing it.  They hold the toothbrush in a way were the bristles never hit the teeth.  

If all else fails you can always embaress them in front of their friends if they choose not to follow the rules.

How Do I Take Care of My Braces

Fixed Appliance Care

       We are glad to be working with you to create a great smile!  We need your cooperation to make youe treatment as pleasant as possible.  The following instructions should help you care for your appliances and your oral health while under going orthodontics treatment.

Initial Soreness:

        Ibprofen, or what you would normally take for a headache, may be taken as needed for discomfort.  It is best to keep ahead of the pain by taking the medication early and for 2-3 days after the appliance is placed and also for major adjustments.

        Wax may be used to cover brackets, bands, wires or any sharp areas.  A pea-sized ball pressed onto the area will relieve the sharpness.  Remove the wax before brushing and if you find it helpful to keep it on while eating, try not to swallow it!  Unusually sharp spots may require adjustments at our office.  Please call us for any questions regarding this.

       A mouth rinse of 1tsp. salt to 1 cup warm water maybe used yo help heal cuts or scrapes in your mouth.

Conscientious Oral Health:

          Brush teeth at least twice a day with a soft bristled or an electric tooth brush.  You will need to angle the bristles to remove all the plaque and food from your teeth.  You will need to angle your bristles above the brackets, on top of the brackets and wire and under the brackets.  Make sure to apply enough press so the bristles touch your teeth.  Often times it is necessary to pull your lips and cheeks back (especially the lower lip) to get at the area between the gums and braces.  Check your teeth when you finish brushing.  Your teeth, braces and wires should shine.  Gums should be pink and firm.  If they are not, you haven't brush adequately.

          Floss daily.  Use a floss threader or super floss to ease the process.  Use a proxy brush (the "Christmas tree" shaped brush) to clean under and around wires as well as between teeth.

         After your evening brushing and flossing, rinse with a half a cap full (1tsp) of fluoride rinse.  Swish in mouth for 60 seconds and spit it out. (DO NOT SWALLOW)  Bedtime is a good time to do this so the fluoride can work while you are sleeping.

Signs of Improper Oral Hygiene:

• Red, Puffy gum tissue that bleeds easily during brushing or flossing.  This doesn't mean to stop brushing and flossing!  When the gums heal up the bleeding will stop.
• Presence of plaque (Sticky film on braces and teeth)
• Bad Breathe
• Decalcification (white marks on the teeth)
• All these problems are preventable with good oral hygiene.

Breakage Instructions:

• Check your braces daily for any loose or broken bands, brackets or wires and call the office if you need a repair.
• Breakage can cause undesirable tooth movement that will prolong treatment time so please be careful.  Damage to the teeth and soft tissue is also possible if broken appliances are not repaired.
• Wax may be used to cover anything sharp or to hold things in place until you can get into the office to get them fixed.
• Remember if you have a broken bracket this could extend your orthodontic treatment.

Mouth and Lip guards:

• We offer generic mouth guards for active sports. Please let us know if you need one.
• We offer lip guards for patients who play certain musical instruments or who are in gymnastics or "Cheering" Poms.
• When you are finished with your fixed appliances, we also offer custom made mouth guards for patients who play sports and would like a guard that will also help keep their teeth straight.

Modified Eating Habits:

• Please do not chew anything HARD, such as ice cubes, hard candy, pens or pencils, and fingernails.
• Please do not chew anything STICKY, such as taffy, caramel, gummy bears, bubble gum etc. (sugarless gum is okay and even encouraged)
• Please do not bite into anything tough with your front teeth, such as apples, corn on the cob, bagels, and meat that is on a bone. (cut these things into pieces small enough to eat with a fork daintily)
• Please LIMIT amounts of carbonated drinks (soda), flavored water (propel), sports drinks (Gatorade), energy drinks (Red Bull) or juice.  Basically anything besides water.  If you drink these drinks, try to drink them with a meal and always remember to brush or at least rinse with water afterwards.
• Nothing STICKY, CRUNCHY, HARD or CHEWY!!!!!    All of these thing have a higher opportunity to weaken loosen or break brackets.  These loose or broken brackets could lengthen your treatment time, so it's up to you 

       

Frequently Asked Questions about Invisalign

Q:Will my Invisalign treatment be painful?
A: During the first few day patients feel a slight discomfort similar to a tightness or tenderness associated with a new pair of shoes or tightness of a pair of roller skates. This is normal.  This is a sign of the aligner working and moving teeth.  This pain is normal and should slowly fade as the aligner moves teeth.  The best way to keep the discomfort at a minimum is to take tylenol or I-B profen or anything that you would normally take for a headache.  We tell our patients to take this the day you start and the next day.  This will ease this process and help keep your mind off your teeth.  The best medicine is to stay busy and keep your aligners in as much as possible.

Q: Will wearing my Invisalign affect my speech?
A: Like any orthodontic treatment there are always a slight difference in speech.  Our patients notice a slight lisping the first few days the best way to get rid of this is practice talking in them.  Read a book out loud or sing in the car.  Talk as much as possible to retrain your tongue and this will disappear.  Most of our patients notice no change in speech at all, however.  Usually the only people who notice are close friends or family that you talk to on the phone.  The people who you speak to on a daily basis (co-workers & friends)  do not notice any changes. 

Q: What do I do if my aligners do not snap into place?
A: Minor discrepancies between the new aligner and current tooth position are normal, since the current tooth position are normal.  Since teeth need time to conform to the new aligner position.  You may need to add a few days until you change into your next aligner.  Always check your aligner before you try in a new one.  Check to see if the aligner is the right number and if it contends your personal ID#.  If all of this is correct and it still does not fit correctly consult the orthodontist.

Q:  Are there restrictions on what I can and can not eat?
A:In general, no.  Unlike traditional orthodontic appliance you can take your "braces" out.  So you may eat whatever you want.  The first few days in your aligners you may not want to eat anything too tough or chewy. This maybe more painful. 

Q: Is it ok to drink hot or cold drinks while wearing my aligner?
A: Except for cool water, Invisalign recommends that you take out your aligners to eat or drink anything.  This is to avoid the formation of cavities or staining.  Also hot drinks may warp the aligners.

Q: Can I chew gum with my aligners in?
A: NO.  Chewing gum will stick to the aligners.  If you need to chew gum the best time is after a meal, chewing sugar-free gum will help clean food from between the teeth. 

Q: Will smoking or chewing tobacco stain the aligners?
A: Yes, it is possible to stain the aligner if you smoke or chew tobacco.

Q: What should I do if I loss or break an aligner?
A: We tell our patients that they should go back to their previous aligner and call us so we can order a new aligner.

How do I know if I have a type of gum disease?

Gum Disease-

You may not have pain or any “problems,” but there are a few ways to tell if you need to go see your dental professional.  

            Some ways to know are your gums bleed when you are brushing or flossing, your gums are red and swollen, and/ or  you have mouth sores or bumps that will not go away.  
         
         When you are at the dental professional’s office, it is important that you ask what steps to take to improve your oral hygiene.  Even though you maybe brushing you may be doing it incorrectly or not brushing or flossing long enough.