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Posts for tag: braces
On your way to a more attractive smile, you’ll have to deal with some inconveniences while wearing braces like avoiding certain foods or habits or dealing with possible embarrassment about your new “metal smile.” But there’s one consequence of wearing braces that could dramatically affect your dental health: the difficulty they pose for keeping your teeth clean of dental plaque.
Dental plaque is a thin film of bacteria and food particles that if allowed to build up on tooth surfaces could trigger tooth decay or periodontal (gum) disease. Brushing and flossing thoroughly every day helps prevent this buildup.
Unfortunately, metal brackets and wires can get in the way and cause you to miss areas while performing these hygiene tasks. This could cause plaque buildup in those isolated areas that could trigger an infection. And if you (or someone you love) are also a teenager, the natural adolescent surge in hormones can increase your infection risk.
If while wearing braces you notice your gums are reddened, swollen or bleeding when you brush, these are all signs of infection and the body’s inflammatory response to it. The longer the infection continues, the weaker the tissues become, causing them to gradually detach from the teeth. Along with bone deterioration (another effect of the disease), this can ultimately lead to tooth loss.
To prevent this from happening, you’ll need to be as thorough as possible with daily brushing and flossing. To help make it easier, you can use special tools like an interproximal brush that can maneuver around the braces better than a regular brush. For flossing you can use a floss threader to more readily guide floss between teeth or a water flosser that uses a pressurized stream of water rather than floss thread to remove plaque.
This extra cleaning effort while wearing braces can greatly reduce your disease risk. But you’ll still need to keep an eye out for any symptoms like swollen or bleeding gums, and see your dentist as soon as possible. If the symptoms become severe you may need your braces removed until the disease can be brought under control. The health and future vitality of your teeth and gums is what’s of primary importance.
If you would like more information on dental care while wearing braces, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Swelling During Orthodontics.”
We treat most malocclusions (bad bites) with braces or clear aligners. But not all malocclusions are alike — some can require extra procedures to achieve successful results.
One such example is when incoming teeth crowd other teeth and cause them to erupt abnormally. The crowding also reduces the space needed to move the misaligned teeth to better positions. To make more room we'll often remove some of the teeth before undertaking orthodontics.
The key is to extract the right teeth. The best candidates are those whose absence will have minimal effect on both appearance and dental function. That's commonly the bicuspids, located right on the edge of the “smile zone” (the teeth most visible when we smile) between the cuspid (eye) teeth and the back molars.
Once we choose and remove the teeth our next concern is to protect the bone at the extraction site. The bone in our jaws benefits from the pressure created when we bite or chew. This stimulates new bone cells to form and replace older cells. Without it, as when we have a missing tooth, the amount of bone can diminish over time and affect the success of any future orthodontics.
To prevent this, we take care not to damage the gums and bone removing the tooth. We may also install a graft under the empty socket to encourage bone growth.
If we've removed teeth outside the smile zone, the resulting orthodontics will move teeth into the opened space. In the end, you won't even notice they're gone. Teeth lost or congenitally missing in the smile zone, though, may eventually require a replacement tooth. A dental implant is the best choice, but it should be put on hold for a younger person until their jaw has fully developed.
In the meantime, we can install a spacer or a temporary restoration to hold the empty space and prevent other teeth from drifting into it. This can be incorporated into braces or aligners, or with a removable partial denture or a temporary modified bridge.
Extracting teeth to aid orthodontics first requires a well-laid plan that could encompass several years. The end result, though, can be well worth the time and effort — better function and a new, attractive smile.
If you would like more information on the process of straightening teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Removal for Orthodontic Reasons.”
Orthodontic treatment is a big investment. But given the benefits for future good health and a more attractive smile, it's well worth it.
In the here and now, though, braces wearers face a different threat to their dental well-being — dental disease. Wearing braces can actually increase the risk of disease and make it more difficult to fight.
Tooth decay and periodontal (gum) disease, the two most common forms of dental disease, usually arise from plaque, a thin film of bacteria and food particles on tooth surfaces. The bacteria produce acid, which erodes enamel and makes the teeth susceptible to decay. Certain bacteria can also infect the gums and eventually weaken their attachment to teeth. Thorough brushing and flossing everyday removes this disease-triggering plaque buildup.
But braces' hardware can make brushing and flossing more difficult. The brackets attached to the teeth and wires laced through them make it more difficult for floss and brush bristles to access all the areas around the teeth. Plaque can build up in certain spots; it's estimated braces wearers have two to three times the plaque of a person not wearing braces. Acid can also remain in contact with some of the enamel surface for too long.
It's important, therefore, if you wear braces to make a concerted effort to brush and floss thoroughly. Besides improving technique and taking more time, you might also consider additional aids. You can obtain toothbrushes specially designed for use with braces, as well as floss holders or threaders that make it easier to access between teeth. Another flossing alternative is an oral irrigator that sprays water under pressure between teeth is an alternative to flossing.
As a precaution against acid damage, we can boost enamel protection with additional fluoride applied to your teeth. We may also prescribe antibacterial rinses to keep the bacteria population low.
Above all, be sure to look out for signs of disease like swollen or bleeding gums or pain. As soon as you sense something out of the ordinary, be sure and contact us.
If you would like more information on keeping your teeth disease-free while wearing braces, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”
Your child has had braces for a few months and making good progress with correcting a poor bite (malocclusion), but you’ve also noticed something else: his gums are becoming red and swollen.
These are symptoms of gingivitis, a periodontal (gum) disease. It’s an infection that arises when plaque, a thin film of bacteria and food particles, isn’t adequately removed from teeth with daily brushing and flossing. The braces increase the risk for gingivitis.
This is because the hardware — metal or plastic brackets cemented to the teeth and joined together by metal bands — makes it more difficult to reach many areas of the teeth with a brush or floss string. The plaque left behind can trigger an infection that causes inflammation (swelling) and bleeding.
To exacerbate the situation, gums don’t always take well to braces and can react by overgrowing. Wearing braces may also coincide with a teenager’s surge in hormones that can accelerate the infection. Untreated, gingivitis can develop into advanced stages of disease that may eventually cause tooth loss. The effect is also heightened as we’re orthodontically putting stress on teeth to move them.
You can stay ahead of gingivitis through extra diligence with daily hygiene, especially taking a little more time to adequately get to all tooth surfaces with your brush and floss. It may also help to switch to a motorized brush or one designed to work around braces. You can make flossing easier by using special threaders to get around the wires or a water flosser that removes plaque with a pulsating water stream.
And don’t forget regular dental visits while wearing braces: we can monitor and treat overgrowth, perform thorough dental cleanings and treat occurrences of gingivitis. In some cases you may need to visit a periodontist, a specialist in gums and supporting teeth structures, for more advanced treatment. And if the disease becomes extensive, the braces may need to be removed temporarily to treat the gums and allow them to heal.
Orthodontic treatment is important for not only creating a new smile but also improving your teeth’s function. Keeping a close eye out for gum disease will make sure it doesn’t sidetrack your efforts in gaining straighter teeth.
If you would like more information on dental care during orthodontics, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Gum Swelling During Orthodontics.”
While braces are a tried and true method for achieving a more attractive smile, they may also give rise to problems with dental disease. This is because their hardware — the brackets and bands that serve as tracks for the tensioning wires — make it more difficult to access the tooth and gum surfaces to clean away plaque. This thin film of food remnant may then become a haven for bacteria that cause gum disease or tooth decay.
One of the more common conditions to occur while wearing braces is gingivitis. This is an initial inflammation of the gum tissues caused by bacterial plaque that hasn’t been removed by brushing or flossing. As the inflammation grows unchecked, the infection could advance deeper into the tissues to become a more serious form of gum disease that threatens the survival of affected teeth.
Difficult as it may be for those wearing braces, the best way to avoid gingivitis is through more thorough oral hygiene practices. Fortunately, there are many hygiene products that can help you get around many of the access difficulties posed by braces. Smaller toothbrushes known as interproximal brushes and floss threaders, small aids that thread dental floss under braces wires, can access the spaces between teeth more readily than conventional brushes or floss. Water flossers (which use water under pressure to remove plaque between teeth) and motorized toothbrushes can further increase efficiency. We can also reduce bacterial growth in the mouth if need be with prescription-strength antibacterial mouthrinses.
If, however, gingivitis or gum overgrowth (another common occurrence during orthodontic treatment) continues to be a problem, we may need to take other actions including surgery. In extreme cases, the braces may need to be removed to adequately treat the gums and allow them time to heal before proceeding with orthodontics.
Extra care with daily hygiene and regular dental checkups and cleanings in addition to your orthodontic visits will help keep gum problems at bay while you’re wearing braces. Taking this extra care will stop or minimize the effect of disease as you continue on to the ultimate goal of your orthodontic treatment — a more beautiful smile.
If you would like more information on dental care during orthodontic treatment, please contact us or schedule an appointment for a consultation.
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Edward C. Joseph, D.D.S.
Burbank, CA 91505
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Archive:
- 2020
- February (5)
- Manage These Risk Factors to Reduce Your Risk of Tooth Decay
- Follow the Fast-Food Lead: Cut Back Sodas in Your Child's Diet
- 4 Things to Do to Keep Your Child's Dental Development on Track
- Why Gum Disease Could Affect More Than Your Oral Health
- A Root Canal Treatment Will Improve Your Health, Not Harm It
- January (6)
- 4 Ways You Can Improve Your Smile in the New Year
- Give Your Child Added Protection Against Cavities With Topical Fluoride
- Lasers Beginning to Change Some Root Canal Procedures
- Do You Have Adequate Bone to Support an Implant?
- 3 Things You Can Do to Help Your Child Avoid Tooth Decay
- Improve Your Brushing and Flossing Techniques for a Healthier Mouth
- 2019
- December (6)
- Seek Coordinated Treatment If You Have Both TMD and Fibromyalgia
- Teeth Grinding Could Endanger Your Dental Health
- Teeth Whitening: Know Your Options
- Make Your Baby as Comfortable as Possible During Teething
- How Implants Might Improve Bone Health With Dentures
- Primary Teeth Decay Could Affect Your Child's Future Dental Health
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- Office Fluoride Treatments Can Add Extra Protection to Your Child's Teeth
- Teeth Grinding in Older Children and Adolescents a Cause for Concern
- How Long Will Root Canal Treatment Last?
- Smoking Could Increase Your Gum Disease Risk
- 4 Serious Health Conditions That Gum Disease Might Make Worse
- The Before, During and After of Root Canal Treatments
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- The Triple Partnership That Could Save a Cancer Patient's Oral Health
- Do a Little Extra Food Prep to Ease TMD Discomfort
- Here's What You Can Do to Avoid Gum Disease
- Don't Panic Over Your Child's Teeth Grinding but Do Keep an Eye on It
- A Partnership With the Dentist Will Help Your Child's Teeth Develop Normally
- Clean Your Implants Just Like Your Other Teeth
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- Don't Delay Seeing the Dentist If You Suspect Gum Recession
- 4 Ways You Can Take Years off Your Smile
- Preserving the Pulp is Priority One with a Newly Erupted Permanent Tooth
- New Minimally Invasive Techniques are Improving Tooth Decay Treatment
- Topical Fluoride Offers a Protective Boost to Children at High Risk for Decay
- You May Need an Endodontist for a Tooth With Interior Decay
- August (6)
- Oral Hygiene Might Be on the Decline With the Newest Adult Generation
- Don't Let Gum Disease Cut Short Your Implant's Service Life
- "Tooth, Heal Thyself" May Soon Be a Reality
- You Need a Dentist to Remove Tartar From Your Teeth
- Tooth Type and Condition can Affect Root Canal Therapy Effectiveness
- If Appropriate, Antibiotics before Implant Surgery Could Reduce Infection Risk
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- You May Need to Postpone an Upcoming Dental Visit if You Have Shingles
- How Dentists Provide Your Child the Benefit of X-Rays as Safely as Possible
- How Early Dental Visits Can Improve Your Child's Oral Health
- 3 Things You Can do to Help Promote Your Child's Dental Development
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- Primary Teeth are Critical to Future Dental Health and Worth Preserving
- As Summer Heats Up, Be on Your Guard for Tooth Injuries
- Do This for Your Dental Health Before, During and After Cancer Treatment
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- Affordable Veneers Can Give You a New Smile
- Provisional Restorations let you Try out Your New Smile First
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- 3 Tips for Successful, Safe Home Teeth Whitening
- Your Sinus Infection Might be a Sign of a Tooth Problem
- Tooth Loss: A Health Risk for Older Adults
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- Simple Steps to Follow if Your Child has a Toothache
- Your Teenager's Teeth May Not Be Mature Enough for Veneers
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- There's Still Hope for a Re-Infected Tooth After Root Canal Treatment
- Gum Disease Could be Affecting More Than Just Your Mouth
- Get a Look at Your Future Makeover Look Now with a 'Trial Smile'
- Dentures with Implants Could Help You Avoid Bone Loss
- Transforming Your Smile with Veneers, Step by Step
- April Is National Facial Protection Month
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- Here's How to Manage School Snacks and Your Child's Dental Health
- You Don't Have to Live with a Gummy Smile. Here's How We Can Change it!
- March Is the Time to Evaluate Sleep Problems
- Replacing a Missing Tooth isn't Just About Improving Your Smile
- A Dental Exam Could Uncover an Eating Disorder
- Stop Gum Disease Before it Harms Your Health
- February (6)
- Dental Sealants can help Prevent Tooth Decay in Children
- 4 Things to Avoid if You Want to Support Your Child's Dental Development
- 3 Age-Related Dental Problems and what you can do About Them
- Test You're Brushing and Flossing Success with a Plaque Disclosing Agent
- Recessed Gums Could Endanger Your Teeth
- Finding the Right Solution for Your Gummy Smile
- January (6)
- Take a Look into Your Future with a Trial Smile
- Porcelain Veneers Might not be the Best Option for Teenagers
- Orthodontics Could be in Your Smile Makeover Plan
- Topical Fluoride is a Safe Way to Protect Your Child's Teeth from Decay
- Want to Keep Enjoying Winter Sports? Wear a Mouthguard!
- Enhance Your Smile for that Special, Once-in-a-Lifetime Day
- 2018
- December (6)
- Stop Smoking to Reduce Your Risk of Gum Disease
- Conscious Sedation Eases Treatment Anxiety for Young Dental Patients
- 4 Reasons Why You May Need to See a Periodontist for Your Gum Disease
- New Year, New Smile
- Crown Lengthening Might be Necessary for Seniors with Tooth Decay
- Don't Let GERD Ruin Your Teeth's Health
- November (6)
- Moderate Your Child's Juice Drinking to Lower Tooth Decay Risk
- Avoid Bone Loss around Tooth Roots through Regular Dental Care
- 4 Things to Know About Diabetes and Gum Health
- Dentures are Still a Viable Choice for Tooth Replacement
- Cosmetic Gum Surgery Can Help Restore Lost Tissues Around Teeth
- Gum Surgery Can Improve Your Smile and Save Your Teeth
- October (6)
- Try the Conservative Path to Jaw Pain Relief First
- Encourage Your Child to Stop Thumb Sucking by Age 4
- Five Tips for Top-Notch Tooth Brushing
- Ease Your Child's Teething Discomfort with these Tips
- 3 Factors That Could Affect the Success of a Root Canal Treatment
- How to Help Your Kids Form Good Oral Hygiene Habits
- September (6)
- Keep on Course during the 3 Phases of a Smile Makeover
- New Saliva Test may Help Identify Oral Cancer Earlier
- Cosmetic Questions to Ask to Get You on the Right Path to a Better Smile
- FAQs for National Gum Care Month
- Have Your Child's Chronic Mouth Breathing Checked to Avoid Bite Problems
- Look After Your Teeth During Cancer Treatment to Avoid Dental Disease
- August (6)
- Recreational Marijuana Could Increase Your Risk of Gum Disease
- 3 Reasons You Should Consider Tooth Whitening
- What to do if Your Child has a Toothache
- World Cup Soccer Coach-Dentist Saves the Day!
- Can't Afford Dental Implants? Consider Partial Dentures
- Be on the Alert for Gum Disease While Wearing Braces
- July (7)
- The Right Treatment for Your Child's Injured Tooth Increases its Survival
- Encourage Your Child to Stop Thumb Sucking Around Age 3
- You May Need Surgery to Repair the Damage of Gum Recession
- What Happens in a Root Canal Treatment and How it Can Save Your Tooth
- Don't Take a Vacation From Oral Hygiene This Summer!
- We'll Help You Maintain Your Oral Health After Gum Disease
- Tips to Brighten Your Summer Smile
- June (6)
- Good Reasons for Choosing Clear Aligners for Orthodontic Treatment
- What You Can Do to Support Your Child's Dental Development
- June Is National Safety Month: Be Prepared for Dental Emergencies
- Seek Immediate Treatment for this Advanced Form of Gingivitis
- Keep Alert for this Extreme Form of Gingivitis
- Gum Infection Around Tooth Roots Calls for Immediate Action
- 2017
- December (5)
- Extracting Certain Teeth can Boost Orthodontic Effectiveness
- Living with HIV includes Keeping a Close Watch on Your Oral Health
- 3 Ways You Can Help Your Child Feel at Home at the Dentist
- Your Age Won't Necessarily Decide Against Straightening Your Smile
- Air Abrasion Could be a More Pleasant Alternative to the Dental Drill
- May (5)
- Complications from Missing Teeth Could Limit Your Replacement Options
- Look at Your Options for Saving a Tooth First Before Replacing it
- Techniques for Keeping Impacted Canine Teeth from Spoiling Your Smile
- We can Fix a Smile Marred by Absent Front Teeth
- Lasers Could One Day be Commonplace for Treating Gum Disease
- April (5)
- An Affordable RPD Could be the Answer to Your Missing Teeth Problems
- Pediatric Dentists Specialize in Dental Care for Children and Teens
- Plan Ahead to Make Your Smile the Best it can be for Your Big Day!
- Practice Proactive Prevention to Enhance Your Child's Dental Development
- You may need a Periodontist to Fully Treat Your Gum Disease
- January (5)
- Simplify Your Toothpaste Purchase by Looking for These Ingredients
- Get Control of Dry Mouth to Protect Your Dental Health
- Restore a Flawed Tooth in as Little as One Visit with Composite Resin
- You Should Brush and Floss Around Your Implant to Ensure its Longevity
- Keep a Lookout for These Soft Tissue Conditions in the Mouth
- 2016
- November (5)
- 4 Reasons you may want Your Dentist to Whiten Your Teeth
- Clear Aligners Make it Easier for Teenagers to have Their Teeth Straightened
- Follow These Common Sense Steps When Your Child has a Toothache
- Don't Let the Acid in Sports and Energy Drinks Ruin Your Tooth Enamel
- Dental Implants can Replace Your Whole Tooth, Not Just What You See
- September (5)
- Make Efforts to Protect Your Teeth from Disease While Wearing Braces
- What to Expect Before, During and After Implant Surgery
- Lasers Adding New Precision and Efficiency to Root Canal Treatments
- Treating "Burning Mouth" Depends on What's Triggering it
- Take These Measures to Lower Your Child's Tooth Decay Risk
- June (5)
- Crown Lengthening Opens up New Teeth Restoration Possibilities
- Root Canal Treatment Alleviates Pain and Saves Your Tooth
- 4 Reasons Saving Your Child's Decayed Baby Tooth is a Good Idea
- Teens Benefit Most from A Temporary Solution to Missing Teeth
- The Risk for Gum Disease Increases While Wearing Braces
- May (5)
- Mild Pain Relievers may be all you need for Discomfort after Dental Work
- Here's What to Do if Your Child has a Toothache
- Your Case of Gingivitis Could Develop into Something More Harmful
- Sedation Therapy can reduce Anxiety in Children during Dental Visits
- Weigh a Poor Smile's Emotional and Social Cost when Considering Restorations
- March (5)
- Removable Dentures Remain a Viable Option for People with Total Tooth Loss
- Erosion and Other Problems may be Signs of Bulimia
- Is There a Link Between Gum Disease and Cardiovascular Health?
- Surgically Accessing Sinuses can Help Grow New Bone for Implants
- Test Out Your Future Look With a 'Trial Smile'
- 2015
- December (5)
- Dental Amalgam Continues to be a Durable and Safe Tooth Filling
- Sealants Provide a Little Extra Protection for Children at High Risk for Decay
- Saliva Performs Many Functions for Both Oral and General Health
- Three Considerations for Working with Your Dentist on Your Smile Makeover
- Simple or Surgical? Choosing the Right Kind of Tooth Extraction
- 2014
- August (5)
- Dental Hygienist - Your Partner in Preventing Disease and Maintaining Oral Health
- Major Benefits for Tooth Replacement With Dental Implants
- Replace Missing Teeth to Prevent Other Teeth From Moving Out of Place
- Taking Precautions Before, During and After Implants Will Help Ensure Success
- Conscious Sedation can Make Your Child's Dental Visit More Pleasant
- 2013
- December (5)
- Do Clear Orthodontic Aligners Really Work?
- Dental Amalgam Fillings Remain a Safe and Reliable Tooth Restoration Option
- Monitoring Blood Pressure is Important for Both Your General and Oral Health
- Consider all the Cost Factors When Deciding on a Crown Restoration
- New Permanent Teeth - Faster Than Ever!
- October (5)
- Are You an Athlete? Here Are Five Reasons You Should Wear a Mouthguard
- Dental Implant Maintenance: 5 Facts You Should Know
- Advances in Clear Aligners Make Them a Viable Choice for More Teens
- Frequently Asked Questions About Root Canals
- Implant Overdentures: a Marriage of Options for Lower Jaw Tooth Replacement
- 2012
- August (7)
- Tooth Brushing: Don't Overdo It!
- American's Obsession With Bad Breath
- Top 5 Advantages of Dental Implants
- Factors that Can Influence a Dental Implant
- Early Orthodontic Care Helped Child Star Nolan Gould Get Ready for Prime Time
- Child Star Nolan Gould Talks About Tooth Extractions, Orthodontic Treatment
- How Does Tooth Bleaching Work?
- 2011
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