Century Orthodontics Interviews

Am I Too Old?

Am I too old for braces?

Our adult Patients ask this all the time. 
You are never too old to have a beautiful smile.  Teeth will move at any age.
(This is why we suggest all patients wear a removable retainer at night for the rest of their lives)

Patients think that coming to the orthodontist is something that is for teens only, but this just isn't the case.  We treat patients from all ages 3-85+.  Our oldest patients was 85 and drove a red mustang so you are only as old as you feel. 

We think that everyone should have the opportunity to have a pretty smile.  Patients may have had straight teeth all their lives may have movements or crowding in their adult years.  So if you are an adult don't feel bad you are not alone.

The rest of our bodies are always changing what makes are teeth different? NOTHING!

The leaps in technology allow our adult patients options that were not available 20 years ago.  Orthodontist can now offer you straight teeth without anyone knowing you are straightening your teeth.  There are now products on the market that allow doctors to straighten teeth using nearly invisible brackets and or clear plastic aligners.  These tools attract our adult patients because they won't have to show off a silver smile while the work is being done.

Clear braces and Invisalign give confidence to patients that could not have orthodontic treatment when they were young.

A smile is the best thing you can put on in the morning so wouldn't you like to show it off??
Make a call to the Orthodontist today if you are thinking about making your smile straight.

What is Decalcification?

Decalcification

The white marks sometimes found on teeth after orthodontics treatment

            There are two types of white discolorations that are found on teeth.  In one case there is a defect in the enamel formation when the tooth is being formed under the gums, causing internal white marks that can be found at any position on the tooth, even up around the biting edges.  Teeth just erupt this way and it is not a sign of decay, but they may not look very aesthetic.  Most of the time we do not know why this occurs although infections during early childhood may be a cause.

In the other case, the white marks are caused by acids that have begun to eat away the enamel of the tooth (decalcification).  This is the first stage of tooth decay.  As the enamel starts to dissolve it begins to appear white and chalky.  Eventually the enamel starts to turn brown or black and disintegrates.  At this time it is considered a “cavity”.

Typically these white marks are around the gum line where the patient has not done a good job of brushing and flossing.  As food particles collect in this area they are colonized by bacteria forming plaque.  The bacteria then eats the sugar and excrete acids which then eat away the enamel.  Any additional acids added to the mouth like citrus fruits, soft drinks, sports drinks, sour candy, etc. just make the situation even worse.  Of course sugary things just give the bacteria more to eat, so sugary acidic foods are doubly bad.  Some of the worst things are sports drinks and soft drinks.

          In the “old days” before orthodontist learned to “glue” the brackets directly to the tooth they used metal bands that were cemented around the tooth to which the brackets were welded.  Sometimes the cement would wash out from under a band, even though the band would stay around the tooth.  In those cases plaque would cause decalcification under the band that would not be discovered until the bands were removed and a white “belt” was seen across the middle of the tooth where the band was positioned.  Those were unfortunate discoveries that we just don’t see anymore.

So how do you prevent decalcification in patients with braces?

·       Brush or at lease rinse out your mouth after every meal or soft drink.

·       Make sure you do one GREAT brushing every day to remove all the plaque (it takes days for plaque to form to the point where it produces acid)

·       Avoid stick, sugary, acidic foods as much as possible.

·       Use the fluoride rinse we prescribe to lessen the risk of decay.

My Glued in Retainer

In our office,  bonded (glued in) retainers are used for certain hard to hold orthodontic corrections.  These include lower front teeth, spaces between upper front teeth and teeth with weak gum and bone support.  

Bonded retainers are not indestructible!  So we reminder our patients and anyone who might have this type of retainer to be careful chewing on hard and very sticky things.  

              It can be more difficult to brush these the teeth with the retainer on.  Make sure you clean all around and remember to floss.  It will be harder to floss with the retainer but you can always use superfloss or floss threaders to get around the bonded retainer.  

                Every night when you brush your teeth check your retainer.  If any part of the retainer comes loose from your tooth, even if part is still attached, make an appointment at the orthodontist as soon as possible.  These bonded retainers are only for holding teeth where they are and do not straighten teeth.  If your retainer comes loose and teeth move or shift a different active appliance will be required to realign your teeth and there will be a charge.  

           As any other dental appliance regular monitoring of this retainer is necessary; either by your orthodontist or by your primary dentist at regular check ups or cleanings.  After a number of years the dentist or orthodontist can remove this glued in retainer and replace it with a removable retainer that can be worn just at night.  (There is a charge for a new retainer)

               In our office after the removal of your active orthodontic appliances and two years of retention office visits we let our patients go on an as needed basis.  This means that we no require them to come in for visits if their retainers are fitting well and causing no problems.  

             We call this a Post Retention Phase or PRP.  Your teeth are now as stable as they ever will be.  Unfortunately, this does not mean your teeth will never move.  So we request that you wear your retention appliances as long as you would like to keep your teeth straight.  At our patients PRP appointment we give them the option with their bonded retainer to leave it, remove it and get a removable retainer or to remove it and do nothing.  

              If a patient chooses to keep the glues in retainer we just ask that they have their dentist check it once a year to make sure teeth are continuing to stay straight and the teeth are being kept clean.  If a patient removes it and has a removable retainer made we just as them to wear this retainer at night with their other removable retainer.  If a patient chooses to go without any retention appliances we just ask that if at anytime their teeth start to move or shift they see an orthodontist as soon as possible so that they can adjust their teeth so they will not have to have full braces again.  We do not recommend this last option!

Wearing your retainer is the best insurance you have to keeping a healthy and attractive smile!

Sports and Orthodontics

Many of our patients have questions about sports and orthodontics and these are some of them.

Should I wear my retainer while playing sports?
            No, you should not wear any removable appliance when playing sports or swimming.  Please bring your appliance or retainer with you to the sporting event.  Remember when playing sports that you could get bumped in the mouth to wear a mouth guard for the safety of your lips and teeth. Please view our blog on helmets & Mouth guards.

What is the best way to protect my teeth when I'm practicing?
           You should wear a mouth guard anytime that you think that you may get bumped in the mouth. This includes wearing a mouth guard during practices and games.  Even the sports that you wouldn't think about needing a mouth guard can be dangerous.  Remember any type of extreme sport, gymnastic exercise or even horseback riding could benefit from wearing a mouth guard.  I always tell my patients that it is their responsibility to wear something to protect their mouths.

I'm afraid I will lose my retainer when I am playing sports can I leave it in the car?
          You should never leave a retainer in the car.  Retainers are very sensitive to heat, and can distort even on a mild day.  Retainers and orthodontic appliances should be kept in a case when not in the mouth and that case should be kept somewhere that nothing will mess with it and will not be forgotten.  If you have your retainer case make sure it has your first and last name on the case in case you lose it.  Make sure you have your phone number or our phone number on the case so it can be returned to you if you forget it somewhere.

I wear my mouth guard when I play hockey but I still brake brackets, what am I doing wrong?
             It is possible that you are wearing the mouth guard incorrectly or you maybe getting hit  in just the right place to knock brackets off.  Please continue wearing the mouth guard to protect your lips and teeth.  Losing brackets may get annoying but it is always better to brake brackets then teeth.  When you do brake a bracket please call our office to get the bracket replaced as soon as possible so that you are not slowing down your progress in your orthodontics.

I went through braces and have straight teeth but what happens if I get hit in the mouth after braces?
              When playing any sport that you could get hit in the mouth you should wear a mouth guard.  If you do get hit in the mouth and your teeth have moved or feel loose put your retainer in as soon as possible.  This retainer will stabilize  teeth so that they will not move in the wrong direction and also prevent the loss of your teeth.  Then you need to see your orthodontist and or your primary dental provider as soon as you can.

How to clean My RETAINERS

Cleaning traditional retainers is very easy. 

           When you are brushing your teeth, take your tooth brush and brush your retainer.  For a more “deep” clean you may use a denture cleaner or Retainer Brite.  This allows bubbles to clean particles away from your retainer.  Follow the instructions on the box.  If you have metal wires on your retainer, don’t leave your retainer in the cleaner for extended times because this can weaken the wires.

Cleaning Essix retainers or Invisalign type retainers can be very easy also. 

               Clean your aligner prior to each insertion.  First use a liquid soap to make a lather in your hand and place the aligner in hand.  Then scrub aligner with hands.  For a more accurate clean you may use a cue tip. We ask you to use a mild liquid soap. This liquid soap may be anti-bacterial if you wish.  Some patients prefer liquid soaps that are scented.  Do NOT use mouth wash.  The coloring can stain your aligners and make them more visible. Toothpaste can be abrasive to the plastic in your aligners. The scratches can collect bacteria causing discoloration and an odor.

“Oops I dropped my retainer in the trash!”

Going into the trash can be the worst scenario for a retainer.  Even if the retainer is found, many patients don’t want to put the retainer back in their mouth.  The best way to really clean your retainer is to brush it with an old toothbrush and get rid of any particles.  Then you can dip the retainer in peroxide or rubbing alcohol.

 If you want, you may bring it into us, and we will clean it for you.   

REMEMBER: if you lose your retainer or break it there may be a charge.