Straightening your smile doesn't happen overnight—it can involve months or even years of orthodontic treatment. And although the end result is well worth it, the long process can make it difficult to keep your gums healthy, especially while wearing braces.
Gum swelling in particular is a common problem for braces wearers with two potential sources. First, orthodontic hardware makes it difficult to keep teeth clean of dental plaque, a thin bacterial film that can cause gum disease. Plaque and its hardened counterpart tartar can trigger a gum infection, which in turn triggers inflammation. As a result, affected gums appear swollen and red, and can easily bleed.
Gum tissues may also react to braces pressing against them and develop hypertrophy (or hyperplasia), an increase in individual tissue cell growth. If this overgrowth occurs, it may not get resolved until after your braces have been removed.
As long as the hypertrophy doesn't appear to have weakened gum attachment with the teeth, it's usually not a big concern. But what is a concern is that hypertrophy could increase a braces wearer's difficulties with oral hygiene and give rise to a true gum infection that could endanger dental attachment. Advanced cases could require surgical correction or removal of the braces altogether to adequately treat the infection.
The best way to avoid a worst case scenario is to be as diligent as possible with daily brushing and flossing. Fortunately, there are several tools that can make it easier with braces. Interproximal brushes, tiny brushes that can fit into the narrow spaces between the teeth and the braces, can be used in conjunction with your regular toothbrush.
Flossing is also easier if you use a floss threader or a water flosser. The latter utilizes a pump to emit a pulsating jet of water to break loose plaque between teeth and flush it away. Clinical studies have shown the effectiveness of water flossers for removing plaque in braces wearers as opposed to not flossing at all.
A faithful daily hygiene practice and twice-a-year cleanings and checkups with your regular dentist can help minimize your chances of gum swelling. Doing so will help ensure you'll complete your orthodontic treatment on the way to healthier and more attractive smile.
If you would like more information on teeth and gum 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.”
Question: What oral health issue do teenagers who wear orthodontic retainers and older folks who wear dentures have in common?
Answer: Both need to pay particular attention to cleaning their oral appliances.
The same goes for anyone who wears a nightguard to control tooth grinding, a mouthguard to protect teeth while playing sports, or a clear aligner for orthodontic treatment. Yet many people aren’t sure how to properly clean their appliances — so here are a few handy tips:
Whether you rely on dentures for everyday use, or just need to wear a retainer for a period of time, your oral appliance serves an important function. It may also represent a significant investment. That’s why it’s worthwhile to spend a few minutes each day giving these important items the care they need.
Orthodontic braces are a familiar sight, especially among tweens and teens: metal brackets and wires attached to the front of the teeth for all to see. Now imagine the opposite: much the same hardware, but now positioned out of sight on the back of the teeth.
It's not your imagination: It's the latest development in orthodontic technology called lingual braces. Developed simultaneously by two orthodontists in Japan and Beverly Hills, these appliances are placed on the tongue or “lingual” side of the teeth rather than the traditional labial or “lip-side.”
Generally, lingual braces can correct any bite problem labial braces can. The difference lies in how each method does its job: Traditional braces exert pressure or “push” against the teeth, while lingual braces “pull” the teeth into better alignment.
So, why choose lingual over labial? For one, they're “invisible” to others: all the hardware is on the backside of the teeth, out of sight. They're also not as readily exposed to blunt force facial trauma, which can damage traditional braces (a driving impetus for the Japanese doctor to develop them for his martial arts patients, and his American counterpart for a law enforcement patient working in a rough area).
Patients may also prefer lingual braces over removable clear aligners, another popular tooth-movement option. Fixed lingual braces achieve the same quality of “invisibility” as removable aligners, but without the inconvenience of removing them as patients must with aligners for eating, snacking or cleaning.
They can, however, be costly, running 15-35% more than labial braces. Patients may also have difficulty adjusting to them because they can affect speech and tongue comfort. However, any discomfort and initial regret with choosing lingual braces tends to fade as most patients grow more accustomed to them after a week or so.
There's one other “perk” to lingual braces—unlike patients with traditional braces who have to wait for their removal to see the finished bite correction, patients with lingual braces get an unobstructed view of their progress all during wear. That can definitely boost morale during the long treatment period!
Lingual braces haven't been around long, so not every orthodontist offers them. But the list is growing, and there soon may be a provider near you for this new teeth-straightening alternative.
If you would like more information on lingual 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 “Lingual Braces: A Truly Invisible Way to Straighten Teeth.”
Actor Zac Efron has one of the top smiles in a business known for beautiful smiles. Bursting on the scene in 2006 at age 18 in High School Musical, Efron has steadily increased his range of acting roles. He recently starred as Ted Bundy on Netflix, wearing prosthetics to match the notorious serial killer's crooked teeth.
With his growing fame, Efron's attractive smile has become one of his more memorable attributes. But it wasn't always so. Before Hollywood, Efron's smile was less than perfect with small, uneven teeth and a gap between his top front teeth. Before and after pictures, though, make it quite apparent that the actor has undergone a significant smile makeover.
While fans are abuzz on the 411 regarding his dental work, Efron himself has been hush-hush about his smile transformation. We won't join the speculation: Instead, here are a few possible ways you can get a more attractive smile like Zac Efron.
Teeth whitening. A single-visit, non-invasive teeth whitening procedure can transform your dull, stained teeth into a brighter, more attractive smile. Although the effect isn't permanent, it could last a few years with a professional whitening and good oral practices. Having it done professionally also gives you more control over the level of shading you prefer—from soft natural white to dazzling Hollywood bright.
Orthodontics. Like Efron, if your teeth aren't quite in proper alignment, straightening them can make a big difference in your appearance (and your oral health as well). Braces are the tried and true method for moving teeth, but you may also be able to choose clear aligner trays, which are much less noticeable than braces. And don't worry about your age: Anyone with reasonably good dental health can undergo orthodontics.
Bonding. We may be able to correct chips and other slight tooth flaws with durable composite resins. After preparing your tooth and matching the material to your particular color, we apply it directly to your tooth in successive layers. After hardening, the unsightly defect is no more—and your smile is more attractive.
Veneers. Dental veneers are the next step up for more advanced defects. We bond these thin, custom-made layers of dental porcelain to the front of teeth to mask chips, heavy staining and slight tooth gaps. Although we often need to permanently remove a small amount of tooth enamel, veneers are still less invasive than some other restorations. And your before and after could be just as amazing as Zac Efron's.
Improving one's smile isn't reserved for stars like Zac Efron. There are ways to correct just about any dental defect, many of which don't require an A-lister's bank account. With a little dental “magic,” you could transform your smile.
If you would like more information about how to give your smile a boost, please contact us or schedule a consultation. To learn more, read the Dear Doctor magazine articles “The Magic of Orthodontics” and “Porcelain Veneers.”
If you're one of the millions of people wearing an oral appliance, you already know how important it is to your dental health. Whatever the purpose—replacing teeth, stopping teeth grinding or guarding against injury—you want to get the most and longest service from it. That means showing your appliance some tender loving care on a regular basis.
It doesn't require a lot of time and effort to clean and maintain your oral appliance. But there are some pitfalls that could lead to greater wear and tear and just outright damage. Here are 3 things you should be on the alert for to keep your appliance doing its job for you.
Be careful how you clean it. Your appliance might resemble natural oral tissue, but it's not—so don't use toothpaste. Toothpaste contains abrasives, which are fine for tooth enamel but damaging to materials in your appliance. Instead, use dish detergent, hand soap or a specialized cleaner. Don't use hot or boiling water, which could soften any plastic and distort the appliance's mouth fit. Nix the bleach too, which can fade colored portions of the appliance that mimic gum tissue.
Don't wear them 24/7 unless your dentist advises. Depending on the type and function of your appliance, you shouldn't wear them around the clock unless your dentist advises otherwise. Dentures are usually removed at night while you sleep to help prevent bacterial growth. Keeping them out at night -and keeping them clean—will help lower your risk of dental disease. One caveat, though: there are some concerns today about the effect of keeping dentures out of the mouth at night on sleep apnea. It's a good idea, then, to discuss the issue with your dentist regarding taking dentures out at night.
Prevent accidental drops on hard surfaces. Chewing forces are considerable, but your appliance is designed to take it. The same can't be said, though, if they accidentally fall on a hard surface—the fall could crack or break them. To protect against this, be sure to put a soft towel or cloth in your sink basin while you're cleaning your appliance. And don't place it on a night stand or low surface where it could be knocked off accidentally by a child, a pet or you. A sudden accident like this could be costly.
If you would like more information on extending the life of your oral appliance, 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 “10 Tips for Cleaning Your Oral Appliance.”
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