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 

       

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.

Clean teeth & Gums, What's the point?

Keeping your mouth healthy and clean is an important part of your overall health. When teeth are not being taken care of, they tend to build up plaque and tartar. This build up creates bacteria that causes irritation to the gums causing bleeding and a low grade infection. This infection is called gingivitis. People who have gingivitis are more likely to have heart problems, suffer a stroke, or heart attack. You are also more likely to have a hard time controlling blood sugar and blood pressure problems.

Helmets and Mouth Guards

Sports safety is a very important thing to think about when getting involved with any sport. In the past it was seen as un-cool to wear a helmet when riding a bike. In some cities in the US laws are passed to enforce the importance of wearing one for your safety. By spending $20 on a bike helmet, you could not only save yourself from a concussion but also your life. Helmets keep players alive and prevent 1 head injury every four minutes. A face guard is attached to the helmet completely covering the face. This makes players 35% less likely to have a facial injury.

When playing any sports where the player could get hit in the mouth, a mouth guard is needed. People don’t realize that by wearing a mouth guard this decreases the odds of injury to your lips, teeth, and even your brain. When protective mouth wear is being worn correctly, it can decrease the chance of getting a concussion. Mouth guards can range anywhere from $5-$150, but rehabilitation costs for a single tooth knocked out can surpass the price of a custom made mouth guard by 20 times. Most of the sports related injuries happen at practice. So that means not only do you have to wear a mouth guard and helmet during the games but also at practice. In orthodontics we have lots of teens who play a wide variety of sports and extra activities. Some of the most dangerous sports are not ones that you would think would be dangerous. Cheerleading and gymnastics as well as horseback riding are all activities where we have seen a lot of broken brackets and mouth injuries. We see a lot of these injuries because people don’t see them as dangerous and don’t take the precautions that they would for football or hockey. This year alone 5 million teeth will be knocked out while people are playing sports. We at Century Orthodontics hope that you do not become part of that statistic.