Getting Braces Off! -TIME LAPSE

Sydney gets her braces off!!

Why are Braces like Trains

Trains and teeth and Orthodontics…

Here is another way to help you get done faster

 if you are supposed to wear elastic bands!

Think of your teeth as individual train boxcars….

 

Think of the arch wire (connecting

the individual teeth together) as the railroad track, guiding the movement of the boxcars

Finally, the train cannot move without an engine…nor can your teeth move without the power of your elastic bands.

Moral of this story…..If you’re not wearing your elastics, your orthodontic train is sitting on a siding in the middle of nowhere not getting anywhere. 

 Wear your elastics and get to your destination…. your braces off and a great smile!

 

So get moving!!!!

Why See the Dentist while in Braces

Importance of Regular Dental Check Ups

Orthodontic treatment should be a cooperative effort between the orthodontist, the patient and the family dentist.  Although we will advise you of any obvious dental decay, we as orthodontic professionals do not give our patients a dental examination for decay or gum problems. Your family dentist takes special cavity detecting x-rays and gives you your regular cleaning and fluoride treatments.  These services are the responsibility of your regular dentist, and we expect all patients to maintain their regular office visits with their dentist.  To facilitate these visits, patients in "braces" may come in to our office before going to the dentist to have the wires removed and replaced after their cleaning.  Please CALL us so we may coordinate these wires out /wires in visits with your scheduled visit date and your dental check up.

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!

What's Next?

After I am finished with my orthodontic treatment 

what comes next?

              After you are finished wearing braces or Invisalign the next step is retention.  Retainers come in many shapes and sizes.  Each patient is special and has special needs for their teeth so retainers vary from patient to patient.  Whatever type of retainer is chosen for you should be worn for as long as you would like to keep your teeth straight.  So if you would like your teeth to stay straight forever, the only way that you can ensure that they do is to wear a retainer for 4-12 hours everyday or as instructed by the doctor.

In our office we typically use these retainers for these types of orthodontic procedures:

Full fixed (Braces)- Traditional retainer and a bonded (glued in retainer).
Invisalign- Essix (clear in office invisalign type retainer) or a Vivera (made by Invisalign)


What does that mean?

Types of retainers and their pros and cons:

• Traditional Retainers-  These retainers are an oldie but a goodie.  They are more bulky but they have lots of advantages.  These retainers can last 20-30 yrs and still do a great job.  These can have a picture or color choice added to them so that they can show off your personality.  These retainers can be adjusted if teeth have moved and are more forgiving if you slack in wearing them a few nights.  Traditional retainers also are a little less comfortable then the other types of retainers.

• Bonded Lower Retainers- Are a great way to keep your teeth straight and not have to worry about remembering to put it in your mouth.  These retainers are one of the easiest to wear but one of the hardest to keep clean.  Glued in retainers make it difficult to floss and to brush behind but it is possible.

• Essix Retainers- These in office clear plastic retainers are super comfy and invisible but they do have a few drawbacks.  These retainers are great but only last about a year to a year in half just like contact lens.  They can become expensive if you are going to wear them for a life time because you have to replace them yearly.  (About $100 an arch)

• Vivera Retainers- Invisalign's retention appliance is a great option for patients who love the clear aligners but aren't available to get to an orthodontist every year.  These retainers are made by either taking an impression or a LED Scan.  They are made by Invisalign and are made 4 sets at a time.  So you won't have to come back in for appointments yearly.  Also the scans are saved by invisalign so as long as your last aligner fits you may never have to take an impression again.     

What are Rubber Bands for Braces for?

Everyday at least one of our patients will ask, "Why am I wearing these rubber bands?" Patients wear rubber bands for many different reasons. Common reasons are to fix bite problems or to help guide the movement of teeth. Patients for the most part find that wearing their elastics is one of the most annoying parts of braces, but it is also one of the most important parts to getting the teeth straight and to having proper bite.

Why do I wear elastics? These elastics create a small but continuous amount of pressure on the teeth or jaws to move them into more desirable positions. If you wear your elastics as instructed, treatment will be completed more rapidly. When you are wearing your elastics full time, this means 24/7, taking them out only to eat and brush. We ask our patients to switch their elastics 3-4 times daily. Switching them ensures that the elastics will retain their strength, and the force will be steady. Your teeth will be sore when you start wearing your rubber bands, but the better you are with wearing them the sooner the soreness will go away. Just smile through the first few days, and your rubber bands will become easier and easier.

For patients wearing elastics the most difficult time of the day is right after lunch. Patients forget to put their rubbrt bands back in until after they get home from school or until after dinner. Forgetting will bring tooth movement to a halt and extend the amount of time in braces. It takes 10-12hrs for the teeth to start moving when wearing elastics.

Dr. Waxler tells patients their teeth are like semi-trucks. If two vehicles are on the highway and one is a sports car and the other is a semi-truck, they both can do the speed limit but when they have to come to a stop, it only takes the sports car a few seconds to accelerate back up to the 60 miles an hour. The semi-truck takes a lot longer to reach the speed limit. This is why those big trucks don't want to stop if they can avoid it.

Since your teeth are like semi-trucks, the only thing to keep them from stopping their movement is to wear your elastics as instructed. Teeth will stop moving if the elastics are out of the mouth for more then just eating and brushing. We tell our patients to put their elastics on their pinkie fingers when the bands are out of their mouths. When you are finished eating and brushing, you will look down and remember to put them back in

How long do I need to wear my retainers?

How long do I need to wear my retainers?

This is a question that is asked almost everyday in our office. The answer is an easy one, you need to wear them as long as you would like to keep your teeth straight. If you would like your teeth to be straight until you are 90 then wear your retainers until you are 90. We can only ensure that your teeth stay straight as long as you wear your retainers and they fit properly. Dr. Waxler always says "Our bodies are ever changing no matter how long you've held your teeth straight they can still move as you get older. Even people who had "perfect" teeth when they were young, often find their teeth moving slightly as they age."

So what good were braces?

The secret of a good orthodontic result is to put the teeth in the most stable position that is possible considering the person's facial structure and dental problems. After a few years in retainers, the tooth arrangement should be reasonably stable; although corrected dental and skeletal problems all have varying tendencies to "rebound". This is like people who always have to be on a diet or wear glasses to correct a problem, some teeth need to be retained forever.

If I decide not to wear my retainer...., should I still see my Orthodontist?

After approximately two years of retainer wear we enter into a post-retention period. We require appointments on a "as needed" basis. Unless you are told that your problem is particularly unstable, you may only need to wear your retainer 2-4 nights a week. If you lose, break or your retainer no longer fits please call our office to make an appointment so we can advise you on what options will fit your situation best. If you have graduated from our office there may be an office visit charge or a replacement fee.

What about my bonded (or glued in) retainer?

You may come back to see us anytime to have our office check your bonded retainer, but your regular dentist can evaluate this retainer for you at your dental check ups. If anything appears to be wrong please call us immediately to have it checked. If we need to remove this retainer we suggest getting a removable retainer to ensure that your teeth will stay straight. You may have this retainer removed at anytime and take an impression for a removable retainer to be made (at the current fee). This removable retainer will be asked to wear at night time for as long as you would like to hold those teeth straight.