How Much Toothbrush Are You Using?

When brushing your teeth many people are using way too much...

For years on commercials we all see the toothpaste companies swirling on a large dollop of toothpaste filling the whole toothbrush bristles from end to end.  

We suggest using a pea size amount of paste so that not only you can see where you are brushing but also minty fresh breath.  It is more important to get all of the food and plaque off of all of the teeth and gums.  For patients that are having a hard time removing this we tell our patients to brush for one minute with just wet toothbrush so that you can easily rid the teeth of debris and then use a small pea sized amount to freshen breath and add a shield for the teeth to help keep them clean and healthy throughout the day.

Some toothpaste have a 12 hour "shield" to help protect the teeth from the sugars and acids we put on our teeth when eating and drinking. 

The ADA (American Dental Association) recommends  brushing twice a day, with a soft bristled toothbrush.  It should fit in your mouth easily so that you can make sure you can use all the proper angles to get all the debris  off of every tooth and gums.

They also recommend switching your brush 3-4 times a year so that the bristles don't fray or flatten.  

The ADA also states people should see a dentist or dental hygienist at least every 6 months for a regular dental cleaning and exam.

What is an Expander?

What is an Expander?

Expanders are used for certain conditions when the upper jaw or palate is narrow. Expandtion can be done before adulthood, the palate is actually two seprate bones connected down the middle by a non-bony suture.

Fixed Rapid Palatal Expander

Advantages of this technique include more room to align the teeth, a broader more esthetic smile, a more stable final result and sometimes even easier to breathing through your nose!
Relatively heavy forces applied quickly (to minimize orthodontic tooth movement) will cause the two palatal bones to separate.  After a period of time new bone fills in and preserves the increased width of upper jaw.

A typical expansion procedure involoves activation of the appliance once a day for about 3-4 weeks.  This is followed by 3-4 months of stabilization before the appliance is removed.

For most patients it is the size and bulkiness of the expander that make it the most uncomfortable. Soreness of teeth can be expected and, as the appliance expands the mid facial bones, some discomfort under the eyes and around the nose may occur.  A large space can be expected to open between the front, center teeth.  This is because one tooth goes with the right side the other goes with the left side, each is a seprate bone.  This movement stretches the gum tissue between the incisors; and over a period of a few months they will be pulled back together.  Fixed (glued in) appliances are almost always necessary to acheive an ideal alignment.

When expanding:

If you experience a GREAT deal of pain activating the appliance, you are unable to turn the screw, or if the appliance becomes loose we ask our patients to call our office and make an appointment IMMEDIATLEY!

If you are unable to make the observation appointment during the expansion phase DO NOT continue to expand past your appointment date.

The most important part: Might not be fun, but it is FAST!

Do you recycle braces?

Do you recycle braces?

 

Patients sometimes ask this question when they are getting ready to get their braces on.  The answer is NO.  When would NEVER put your braces/appliances on someone else.  Braces and appliances are unique to each patient and would not work on another patient.  The other reason we Never recycle braces and appliances is because it is unsanitary and we wouldn't want someone elses braces and neither would you.

 

We don't, however, throw them away.  We reuse them in the form of a mini sclupture that we give to our patients so they have a souveiner of their orthodontic experience.

Souveiner Appliance

Whats going on at Century

Century Orthodontics has some new things that we are offering and doing different in our office.

We are promoting our Facebook page.  Why? Well we love to stay in touch with our patients.  We like to see whats going on in their lives.  It helps show off the great smiles that the kids and adults are receiving.  As you know smiles are contagious we would love to help more people smile.  The more smiles we can bring to the world means a better place for all of us.  So if you are not a friend of our staff page yet or haven't liked our business page please do so.

We will be offering great prizes this summer. We are trying to get 1000 likes but the end of the summer.  We need your help. Please help us reach this goal by sharing our link with your friends and family.  Starting April first we are launching our 1st Facebook only contest. Our Fans will have to like our page then pick the Staff members T-shirt who they like the best.  The staff member with the most likes will receive a Special Prize to the spa or dinner and the movies.  Everyone who voted for our staff members T-shirt will be entered to win an ipad mini.  ONLY if we get a 1000 likes.  So we are asking everyone and everyone that we ask to ask someone.

What other fun things are we doing?

We are changing the way we do contests in our office too.  We going to have more guessing contests. We will also have two photo challenge contests.  This Summer we are going to ask all of our patients to make their Century Orthodontic T-shirt fun.  They can design it anyway they want to.  We will take a picture and share it with all of our offices and on Facebook. July 28th will be the last day to share them for the August contest. Then In the month of August our patients will pick their Favorite T-shirt, Most Creative and Most Crazy.  The T-shirts with the most votes will get a Special Summer Prize that will be announced in August.

Faces without Braces

We will be asking all of our bracket removal patients if they would like to share their new smile with Facebook   We then take a special picture that can be shared on Facebook for friends and family to see.  We just ask that patients and parents sign a release so that only the patients that would like to have their picture on Facebook have them on Facebook.

New Brace Face.

Patients with their new tooth jewelry will also be asked if they would like to share their smile on Facebook   This is such a great way to share with your friends and family your new smile.  Patients love the chance to show off their new bling!  Most people don't realize that braces are some of the most expensive jewelry that most people will wear.  These brackets are beautiful and you may make them as colorful or camouflaged as you like.

Mother & Father's Day

Patients who schedule their appointments the week before Mother or Father's Day will receive a special gift to give to their parent or Motherly or Fatherly figures in their life.  We will also be taking pictures to share on Facebook with Parents and friends.

Please ask if you have questions about any of the new things that are going on.  If you haven't read our blog before please look at past blogs.  There are many interesting articles not only about how to take care of your teeth but also fun things that we do.  Don't forget to visit our Webpage www.centuryorthodontics.com

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.

Go Green in March

For all of our creative artist out there or even our not so creative, we will be giving away an extra coin for showing off you green. 

If you make jewelry out of duct tape or purses out of juice boxes, send us a picture.

  If you make sculptures like Dr. Waxler we want to see them this month!

Here is a great website that shows off all the fun things that are green.

www.gogreenitems.com

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.

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