Posts for category: Oral Health
Following your orthodontist’s instructions is key to having a successful orthodontic treatment period. One important directive you should follow is to wear your retainer device every day after your braces are removed. Find out why retainers are so important when you have your teeth aligned by orthodontist Dr. Kishawn Kole-James at Superior Orthodontics in Harper Woods, MI.
What Is a Retainer?
A retainer is an oral device that is worn after an orthodontic treatment is complete. Its purpose is to maintain and retain the new position of the teeth. This stage of the treatment, called retention, is essential after spending months or years wearing braces. You must wear your retainer all day for up to a year after your braces are taken off, then while sleeping every night after that. There are three different types of retainers:
- The traditional Hawley retainer, which is made of pink acrylic based attached to a metal framework that supports your teeth.
- The clear plastic retainer (which is similar to Invisalign clear braces).
- The fixed bonded retainer (a non-removable retainer, usually affixed to the back side of the lower front teeth).
Why Are Retainers Important?
Retainers serve a number of purposes after orthodontic treatment. For one, they keep your teeth in the same desired position. Even after wearing braces for a year or more, the teeth could quickly shift back out of alignment. Retainers also provide protection for your teeth. They can reduce the occurrence of enamel erosion due to bruxism (tooth grinding). Wearing a clear plastic retainer while drinking certain beverages could also reduce the chance of discoloration.
How Your Retainer Is Made
If you have an Invisalign treatment, the last tray that you’re prescribed by your Harper Woods orthodontist will be your retainer. For a standard braces treatment, your orthodontist will take an impression of your teeth after the brackets are removed so that a plastic retainer or Hawley-style retainer can be created.
Retain and Maintain Your New Smile
After spending so much time wearing braces, it’s very important to listen to your orthodontist's orders and wear your retainer religiously. It will pay off in the long-run. Call 248-313-4899 today to discuss orthodontic treatment with Dr. Kishawn Kole-James at Superior Orthodontics in Harper Woods, MI.
Daily personal care is essential for optimal oral health. Brushing and flossing in particular keep bacteria and acid, the main causes of dental disease, at manageable levels. But to gain the most benefit from your personal care, you need to perform these tasks effectively with the proper techniques and equipment.
For most people brushing begins with a soft-bristled, multi-tufted toothbrush with fluoride toothpaste that helps strengthen enamel. You should hold the brush at a slight angle and brush with a gentle motion to remove plaque, the main cause of gum disease and tooth decay — if you’re too aggressive by brushing too hard or too long, you could damage the gums. You should brush no more than twice a day for two minutes, and at least thirty minutes to an hour after eating to allow saliva time to neutralize any remaining acid and help restore minerals to enamel.
Although some people find flossing difficult to perform, it remains an important component of daily care. Flossing once a day removes plaque from between teeth where a brush can’t reach. If you need help with your technique using string floss, we’ll be glad to provide instruction at your next visit. If you have bridges, braces or other dental restorations or appliances that make string flossing difficult, you might consider other options like floss threaders or a water flosser.
There are also dietary and lifestyle choices you can make to enhance your daily care: limit sugary or acidic foods to mealtime and avoid between meal snacks to reduce bacteria and acid in the mouth; drink water to keep your mouth moist, which will inhibit plaque buildup; and stop tobacco use, excessive alcohol consumption and chewing habits like clenching or biting on hard objects. Above all, be sure to visit us at least twice a year for cleanings and checkups, or when you notice abnormalities like bleeding gums, pain or sores.
Keeping your teeth and gums healthy can be done, but it requires a daily care commitment. Performing these hygiene habits in an effective manner will help preserve your teeth for a lifetime.
You brush and floss every day to rid your teeth and gums of disease-causing plaque. But while “showing up” is most of the battle, the effectiveness of your technique will win the war.
So, how good are you at removing plaque? One quick way to find out is the “tongue test”—simply rub your tongue along your teeth: they should feel smooth and “squeaky” clean. Surfaces that feel rough and gritty probably still contain plaque.
For a more thorough evaluation, your dental hygienist may use a product during your regular dental visit called a plaque disclosing agent. It’s a solution applied to your teeth that dyes any bacterial plaque present on tooth surfaces a certain color while leaving clean surfaces un-dyed. The disclosing agent shows you where you’re effectively removing plaque and where you’re not.
These products aren’t exclusive to the dental office—you can use something similar at home if you’d like to know how well you’re doing with your hygiene before your next visit. You can find them over-the-counter as tablets, swabs or solutions. You may even find some that have two dye colors, one that reveals older plaque deposits and the other newer plaque.
You simply follow the product’s directions by first brushing and flossing as usual, then chewing the tablet, daubing the swab on all tooth and gum surfaces, or swishing the solution in your mouth like mouthwash for about 30 seconds before spitting it out. You can then use a mirror to observe any dye staining. Pay attention to patterns: for example, dyed plaque scalloping along the gum line means you’ll need to work your brush a little more in those areas.
The dye could color your gums, lips and tongue as well as your teeth, but it only lasts a few hours. And while plaque disclosing agents are FDA-approved for oral use, you should still check the ingredients for any to which you may be allergic.
All in all, a plaque disclosing agent is a good way to occasionally check the effectiveness of your plaque removal efforts. By improving your technique you may further lower your risk of dental disease.
If you would like more information on learning how effective your oral hygiene really is, 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 “Plaque Disclosing Agents.”
The classic movie Willie Wonka & the Chocolate Factory, starring Gene Wilder, still brings back sweet memories of childhood to people everywhere. Recently, the news broke that a remake of the beloved 1971 film is in now development in Hollywood. But at a reunion of the original cast members a few years ago, child star Denise Nickerson revealed that her role as gum-chewing Violet Beauregard caused a problem: she ended up with 13 cavities as a result of having to chew gum constantly during the filming!
It should come as no surprise that indulging in sugary treats can lead to cavities: The sugar in your diet feeds harmful bacteria that can cause tooth decay and other dental problems. Yet lots of kids (not to mention the child inside many adults) still crave the satisfaction that gum, candy and other sweets can bring. Is there any way to enjoy sweet treats and minimize the consequences to your oral health?
First, let’s point out that there are lots of healthy alternatives to sugary snacks. Fresh vegetables, fruits and cheeses are delicious options that are far healthier for you and your kids. Presenting a variety of appealing choices—like colorful cut-up carrots, bite-sized cheese bits and luscious-looking fruits and berries can make it easier (and more fun) to eat healthy foods. And getting kids off the sugar habit is a great way to help them avoid many health problems in the future.
For those who enjoy chewing gum, sugarless gum is a good option. In fact, chewing sugarless gum increases the flow of healthful saliva in the mouth, which can help neutralize the bacteria-produced acids that cause cavities. Gums that have the ADA (American Dental Association) Seal of Acceptance have passed clinical tests for safety and effectiveness.
But if you do allow sugary snacks, there are still a few ways to minimize the potential damage. Restrict the consumption of sweets to around mealtimes, so the mouth isn’t constantly inundated with sugar. Drink plenty of water to encourage saliva flow, and avoid sugary and acidic beverages like soda (even diet soda) and “sports” or “energy” drinks. Brush twice daily with fluoride toothpaste and floss once a day. And don’t forget to visit our office regularly for routine checkups and cleanings. It’s the best way to get a “golden ticket” to good oral health.
If you would like more information about sugar, cavities and oral health, please call our office to arrange a consultation. You can learn more in the Dear Doctor magazine articles “Nutrition & Oral Health” and “The Bitter Truth About Sugar.”
It’s important for your child’s current and future health that we watch out for tooth decay. Taking x-rays is a critical part of staying one step ahead of this common disease.
But while x-ray imaging is commonplace, we can’t forget it’s still a form of radiation that could be potentially harmful, especially for a child whose tissues are rapidly developing. We must, therefore, carefully weigh the potential benefits against risk.
This concern has given birth to an important principle in the use of x-rays known as ALARA, an acronym for “As Low As Reasonably Achievable.” In basic terms, we want to use the lowest amount of x-ray energy for the shortest period of time to gain the most effectiveness in diagnosing tooth decay and other conditions.
A good example of this principle is a common type of radiograph known as a bitewing. The exposable x-ray film is attached to a plastic devise that looks like a wing; the patient bites down on it to hold it in place while the x-ray exposure takes place. Depending on the number of teeth in a child’s mouth, an appointment usually involves 2 to 4 films, and children are typically spaced at six months apart. Frequency of x-rays depends on your child’s tooth decay risk: lower risk, less need for frequent intervals.
Each bitewing exposes the child to 2 microsieverts, the standard unit for radiation measurement. This amount of radiation is relatively low: by contrast, we’re all exposed to 10 microsieverts of background radiation (natural radiation occurring in the environment) every day or 3,600 microsieverts annually. Even two appointments of four bitewings each year is a fraction of a percent of the background radiation we’re exposed to in the same year.
This conservative use of x-rays is well within safe parameters for children. As x-ray technology continues to advance (as with the development of digital imaging) we anticipate the exposure rate to diminish even more. Prudently used, x-rays remain one of our best tools for ensuring your child’s teeth are healthy and developing normally.
If you would like more information on the use of x-rays with children, 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 “X-Ray Safety for Children.”