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How Long Do You Have to Wear a Retainer After Your Braces Come Off?

February 17th, 2023

Retainers

After you or your child gets your braces off, the grand reveal is one of life's super sweet moments. The perfectly straight teeth. The dazzling smile. Life is brilliant! However, once the primary orthodontia ends, know that you'll need to replace your braces with another piece of dental hardware – a retainer. By wearing a retainer, you'll help keep your teeth straight and your smile dazzling.

But how long must you wear a retainer? By learning more about the necessity of a retainer post-braces, you'll better understand the various factors that determine the length of time you'll need to sport a retainer.

Braces and Retainers: How They Work Together

Braces are necessary to correct a variety of conditions, including:

  • A bad bite – also known as a malocclusion – can be an overbite or an underbite
  • Crooked, crowded, spaced-out, or protruding teeth
  • Jaws that don't line up correctly
  • Misalignment at any point in your mouth

The type of braces you'll get typically reflects how much movement your teeth need to straighten and align perfectly. The time you need to wear braces depends on how much correction your teeth and mouth require, but it's usually two to three years.

Removing your braces after a couple or more years is certainly a reason to smile, but to retain that smile, your retainer needs to be your best friend. A retainer is a custom-made dental appliance designed to keep teeth in place after braces finally come off. It allows your newly aligned teeth time to settle into the soft tissue and jawbone that house them. Otherwise, your teeth will naturally try to shift over time.

By not wearing a retainer after braces, you could potentially undo all the beautiful work your braces put into correcting your dental issues. Not to mention that you'll have wasted all the time and costs that went into your braces. So, a retainer's an essential part of teeth straightening and alignment.

Retainer Types and Length of Time for Wearing Them

Depending on your dental situation, you might receive a removable and a fixed retainer. Or your orthodontist might recommend both – one on your upper teeth and the other on your bottom teeth. Whichever one you sport, your orthodontist will prescribe when and how long you must wear the retainer for optimum results, notes the American Association of Orthodontics (AAO).

Removable Retainer: You'll typically wear this retainer full time for four months to a year after braces, only removing it when you're eating or brushing your teeth. After your prescribed period of time, your orthodontist will determine if you need to wear your retainer longer.

Even if your orthodontist detects no tooth movement following the time you wear your retainer, they might recommend keeping your retainer on only during the night for further assurance your straightened teeth are stable. This could be for a few months or years more – or, depending on your teeth, indefinitely.

Fixed Retainer: With a fixed retainer, you don't have to keep track of it or remember to put it in after eating or brushing. Bonded to your teeth in an unobtrusive spot – usually the back of your teeth – you might need to wear this retainer longer, perhaps years.

Because you can't remove a fixed retainer when eating, there's a chance that periodontal issues might arise without strict oral health measures. However, there's a greater chance of retaining all the benefits your braces provided because it's constantly keeping your teeth stable.

Caring for Your Retainer

Because you must wear your retainer exactly as your orthodontist prescribes, the AAO has some retainer maintenance suggestions. Keeping your retainer in good shape will help it do its job – keep your teeth straight and in alignment – so you don't have to wear it any longer than necessary.

For removable retainers:

  • Put your retainer in its case only when it's not in your mouth. And always keep your retainer case with you.
  • Keep your retainer away from heat and pets.
  • Follow your orthodontist's prescribed cleaning method, which might involve brushing your retainer or soaking it in a denture-cleaning product.
  • Drink only water when you wear your retainer, as other beverages can get caught between the retainer and your teeth, leading to decay.

For fixed retainers: Brush and floss diligently, perhaps using an interproximal toothbrush to remove the plaque and tartar prone to build up around fixed retainers.

Every retainer situation is different. The length of time you need to wear a retainer depends on factors that led you to wear braces in the first place, the type of retainer you wear, and how well you maintain it. Know that wearing a retainer is much easier than wearing braces and allows you to retain your perfect teeth and smile.

Oral Care Center articles are reviewed by an oral health medical professional. This information is for educational purposes only. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your dentist, physician or other qualified healthcare provider. 

Reference: https://www.colgate.com/en-us/oral-health/early-orthodontics/how-long-do-you-have-to-wear-a-retainer#

The Ugly Truth About Your Toothbrush

January 13th, 2023

As easy as it may seem to do, very few of us brush our teeth as well as we could. Thankfully, where there are mistakes, there are ways to fix them.

1. You pick the wrong brush.

How do you choose from the mind-melting selection of brushes at your local supermarket?

Kimberly Harms, a dentist from Farmington, MN, says make sure your brush can cover the places that need covering. That’s everywhere you should be able to reach with a toothbrush. It can be a power toothbrush or a manual one. But there is one rule Harms says isn’t negotiable.

“The one thing that we really insist upon -- it’s very important -- is it has to have soft bristles,” she says. “The bristles need to be able to bend, to kind of get right under that gum.”

The size of the brush’s head is important, too, especially if you have a smaller mouth. Brushes also have various sizes of handles and different angles. Some are more flexible than others.

But the critical part, dentists agree, is the bristles that remove the bacteria and loosen plaque from your teeth and gums. That plaque can cause gum disease and lead to tooth decay.“Sometimes people think that the harder the bristles are, the more they’ll clean. But that’s not something that’s necessarily true,” says Maricelle Abayon, a dentist with the Eastman Institute for Oral Health in Rochester, NY.

“Soft bristles clean very effectively, more than the hard bristles. The hard bristles actually can wear down your tooth structure.”

Look for the American Dental Association seal of approval on your new brush, too.

2. You go to town on your teeth.

When it comes to brushing, harder isn’t better.

“I think one of the biggest issues that people have is that they try to scrub their teeth too hard. They feel like if they really don’t go at the teeth, like they’re trying to clean the grout in their bathroom tile, that they’re not doing the right job,” says Matt Messina, a dentist from Fairview Park, OH.

Plaque is soft and loose, so you don’t have to scrub, Messina says.

“The best way to fix this is to take away the mental issue of ‘scrub’ and ‘scrub brush’ and replace it with the word ‘massage.’”

3. You rush.

You should brush at least twice a day for 2 minutes each time. But you’re late for school or work. Or you want to get to bed. Once in a while, you need to cut that brushing short.

Don’t.

“We used to suggest, back in the day, we’d talk about using an egg timer or something like that,” Messina says. “But everybody has this wonderful thing on their body all the time now called a cell phone. If you want to set a timer and set it for 2 minutes, that’s great.

“I see a lot of young people walking around with headphones on,” she says. “If you can leave your headphones in and put on a song, your average pop song’s in the 2-3 minute range. So if you brush while you listen to one of your favorite songs, you’ve probably been in there long enough.”

4. You hold on too long.

When you find a good toothbrush, it’s sometimes hard to give it up. But when you see changes in the bristles -- when they become discolored, bent, or dirty looking -- it’s time to chuck the brush.

It loses its powers when the bristles become frayed. So change it at least every 3 to 4 months. Also, it’s smart not to share your brush with anyone else. And keep it in the open air to keep mold or bacteria from growing on it when it’s wet.

https://www.webmd.com/oral-health/features/brushing-teeth-mistakes

Broken Brackets Don’t Know it’s a Holiday Break

December 16th, 2022

Warning! All parents, you are now officially entering the “School Break Zone.” This time of year, of course, brings family gatherings, parties, and treats! It’s hard to turn away from the ooey-gooey treats which is why your Orthodontist wants you to be prepared if an orthodontic emergency happens in your house.

Most importantly, your orthodontist would like you to understand that accidents can happen during orthodontic treatment. When they do happen, it can result in a call or unplanned visit to your orthodontist – this is what you would consider an “emergency visit.”

Many times, your first reaction may be, “it’s not a big deal,” or “I’ll just wait until after the holidays to call.”  Your Orthodontist would like to remind you to make the call–don’t wait. Your orthodontist is your partner in creating a HEALTHY smile. If there is an urgent need during this time–for example if you are in pain, or an injury has occurred–your orthodontist should be notified and you should call for an emergency appointment.

In the meantime, stock up with supplies to help discomfort. Essential items to keep in your medicine cabinet are:

  • Orthodontic wax
  • Dental floss
  • Tweezers
  • Interproximal brushes
  • Topical anesthetic (such as Orabase or Ora-Gel)
  • Over the counter pain relievers (such as one taken for a headache)

Plus, a warm salt water rinse can be soothing, as well. The recommended mixture is 1 tsp. salt to 8 oz. warm water.

Ultimately, an important part of successful orthodontic treatment is communicating with your orthodontist. If an emergency arises, it’s okay. Don’t panic. This hiccup shouldn’t have much of an impact on your overall treatment plan. Given the situation, your AAO orthodontist will work hard to get you back on your treatment plan. Don’t forget, you play an essential role in your treatment. All you have to do is follow your orthodontist’s directions. With holiday fun on the horizon, now is the time to have a plan in place in case you eat too many ooey-gooey treats.

Please do not hesitate to contact our office if you have a dental emergency. Enjoy the holidays.

When Should Your Child See an Orthodontist?

November 10th, 2022

Orthodontic problems rarely fix themselves. That’s why the American Association of Orthodontists recommends that all children be screened by an AAO orthodontist at age 7.

By age 7, your child has enough permanent teeth that an orthodontist can spot a problem before it becomes … well, a bigger problem.

Some issues may be obvious – misaligned teeth, an “overbite,” and an underbite or a crossbite – but others can remain undetectable by the untrained eye. Either way, let an orthodontist take a look. In addition to an intraoral exam, orthodontists use panoramic x-rays to check below the surface to look for extra teeth, missing teeth, impacted teeth or teeth coming into the wrong positions.

Early treatment, which occurs while some baby teeth are still present, can guide the growth of facial and jaw bones into a better growth pattern and provide more space for incoming permanent teeth.

Problems that may lend themselves well to early treatment include:

  • Underbites – when the lower front teeth are ahead of the upper front teeth
  • Crossbites – when the upper teeth are inside of the lowers
  • Functional shift – when the jaw shifts to one side as the teeth come together
  • Very crowded teeth
  • Excessively spaced teeth
  • Extra or missing teeth
  • Teeth that meet abnormally or don’t meet at all
  • Thumb-, finger- or pacifier- sucking that is affecting the teeth or jaw growth

You don’t need to wait for a dentist referral for your child to see an AAO orthodontist. General dentists and orthodontists focus on different aspects of dental health. Orthodontists are specialists in facial development and the bite.

https://www3.aaoinfo.org/blog/when-should-your-child-see-an-orthodontist/

 

Top 7 Major Misconceptions Of Orthodontics

September 30th, 2022

There are many myths about orthodontics and braces. This blog post will help you to understand the major misconceptions that most people seem to have regarding this very important health care service.

1. My child has to wait until all his adult teeth are in place before he can get braces. 

This is a common statement I hear every day from parents and patients. The truth is that you should have an orthodontic evaluation on or before age 7, as suggested by the American Association of Orthodontists because some orthodontic problems show up early and are best treated early while the jaws are still growing and the adult teeth have not fully erupted into place. The types of problems best treated early are persistent thumb or finger sucking, severe crowding, narrow jaws, chronic mouth breathing, under bite problems (lower jaw in front of upper jaw), baby teeth falling out too early and severe overbite problems (upper teeth overlap lower teeth).

2. My child’s teeth are so crowded, I just know she/he will need teeth pulled. I had the same problem at her age and had 8 teeth removed.

Depending on the severity and the age of your child, most children today with severe crowding can be treated without any extractions of adult teeth. Advances in treatment options allow for non-extraction orthodontics and future facial negative consequences.

3. Braces are just for kids, I have bad teeth and probably my teeth are not going to move.

Adults orthontic treatment is growing at an exponential rate. My office is compromised of 50% adults and 50% kids and teens. With appliances like Acceledent, that speed up adult tooth movement and Invisalign(clear aligners) to move adult teeth, there are no limitations for adults getting a straight beautiful smile.

4. I understand that braces are usually worn for 2 to 3 years, its too time.

Most orthodontic treatments today range from 6 to 24 months. Sometimes longer treatment times are due to poor compliance, missed appointments, teeth not erupting as quickly as predicted or an extremely difficult case. The technology that is built into the braces today allows for more efficient tooth movement in less time and with virtually no discomfort!

5. I had braces as a teenager and now my teeth have shifted.

Most adults who seek retreatment will comment that their teeth shifted around the age of 20-25, as people stop wearing retainers in college or shortly after their braces come off, hence the reason for the shifting. Retainers are for life and are required to keep your teeth straight. They are prescribed night time life wear.

6. Braces are expensive and I will need to take a second mortgage on my home to pay for them.

The truth is that braces are really the best bargain in health care today. Orthodontic treatment time ranges from 12-24 months and the approximate cost is $6900-8900. If you have had a crown placed on your tooth recently or an implant for a missing tooth you probably paid $1500-4500 for one tooth. Orthodontics is working on all your teeth and providing you with a beautiful smile and health teeth for lifetime. To make braces even more affordable, most offices will set you up with an interest free payment plan for the length of your treatment. Braces are truly an investment in you or your child’s future and affordable too!

7. My Family Dentist does braces too along with cleanings, crowns and fillings. Having my family treated here is the same as going to an Orthodontist and probably less expensive too!

The truth is that a Family or General Dentist does not have the specialized training in orthodontics that an Orthodontist has. An Orthodontist is first a General Dentist who goes back to school for an additional 2 to 3 years to specialize in Orthodontics only, a total of 11 years after high school. What I ask my patients is, “For a mole on your nose would you go to your trusted family doctor or a plastic surgeon?” I am sure the answer is simple.

 

3 Tips for Healthy Summer Smiles :)

August 19th, 2022

 

 

Summer sun brings summer fun. While warm months are perfect for spending time together, summer vacation can also throw off your usual dental routine. Here are three ways to prevent summertime tooth decay

https://www.mouthhealthy.org/en/babies-and-kids/3-tips-for-healthy-summer-smiles?utm_source=mouthhealthyorg&utm_medium=mhtopstories&utm_content=summer-smiles