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Braces (Orthodontia)

Braces are applied to teeth for various reasons, including poorly aligned jaws, crooked, crowded and missing teeth, or a bad bite (also called malocclusion).

Various things can cause teeth to become crooked or jaws misaligned, including thumb-sucking or a traumatic injury. Some conditions are inherited.

Children between the ages of 7 and 14 are typical candidates for braces because their facial structures are still developing. Adult braces usually entail additional procedures because their faces have already fully developed.



About Braces

Orthodontics is a field of dentistry that deals with corrections involving jaw and teeth alignment.

Braces employ the use of wires and are usually one of three types:

  • Old-fashioned, conventional braces, which employ the use of metal strips, or bands.
  • Metal or plastic brackets that are cemented or bonded to teeth.
  • Brackets that attach to the back teeth (also called lingual braces).



Procedures

Orthodontic procedures, also called orthodontia, are complex processes.

In most cases, a dentist will need to make a plaster cast of the individual's teeth and perform full X-rays of the head and mouth.

After orthodontic appliances are placed, they need to be adjusted from time to time to ensure that they continue to move the teeth into their correct position.

Retainers are used following braces to ensure that teeth remain in position.



Aesthetic and Comfort Issues

Advances in technology have vastly improved appearance issues with orthodontia.

Braces today are made from extremely lightweight and natural-colored materials. The materials that braces attach to-brackets-are bonded to the surfaces of teeth but can be later removed.

People can expect to wear braces for about two years—less or more in some cases. Adults are usually required to wear braces for longer periods of time.

Because orthodontic appliances need to be adjusted from time to time to ensure they continue to move the teeth into their correct position, they can create pressure on the teeth and jaws. This mild discomfort usually subsides following each orthodontia adjustment.



Hygiene issues

People who wear braces must be diligent in ensuring that food particles and other debris do not get trapped in the network of brackets and wires. In addition, brackets can leave stains on enamel if the area surrounding them is not cleaned on a daily basis.

Daily oral hygiene such as brushing, flossing and rinsing are a necessity. Some people with orthodontic appliances can benefit from using water picks, which emit small pressurized bursts of water that can effectively rinse away such debris.

Another caveat: Braces and sticky foods don't mix. Crunchy snacks and chewy substances should be avoided at all costs because they can cause orthodontia to be loosened or damaged.



Space Maintainers

Space maintainers are helpful dental devices that can help teeth grow in normally following premature tooth loss, injury or other problems.

The devices can help ensure that proper spaces are maintained to allow future permanent teeth to erupt.

If your child loses a baby tooth early through decay or injury, his or her other teeth could shift and begin to fill the vacant space. When your child's permanent teeth emerge, there's not enough room for them. The result is crooked or crowded teeth and difficulties with chewing or speaking.

June 10, 2024
Toothpaste Ingredients Looking at the label on most toothpaste, it would seem that you need an advanced degree in biochemistry to decipher the ingredient names.Propylene glycol, sodium bicarbonate, sodium pyrophosphate, anhydrous dicalcium phosphate and dioctyl sodium sulfosuccinate are all listed. Are you sure you want to put this stuff in your mouth? Fear not. Here is an explanation of which ingredients do what in various types of toothpaste: Hydrogen Peroxide This is one of the few ingredients actually proven to whiten teeth. It is, in essence, a bleach. H.P. is found in the kits dentists can prescribe to bleach your teeth, as well as in over-the-counter bleaching kits. The American Dental Association advises that you should bleach your teeth only under the recommendation and supervision of your dentist. Sodium Bicarbonate It sounds high-tech, but it's actually nothing more than old-fashioned baking soda. It's function in toothpaste is questioned by the ADA, although some dentists say it can help to remove coffee and food stains from your teeth. It is a mild abrasive, so it scours your teeth, helping to eliminate plaque. And it does make your teeth feel clean and smooth. Other abrasives you'll often find in toothpastes are dicalcium phosphate, kaolin, bentonite, silica and calcium carbonate (chalk). Sodium Pyrophosphate This is the active ingredient normally found in tartar-control toothpaste. It has been shown to prevent the formation of plaque when used regularly. However, once tartar hardens onto your teeth, it can't be removed at home. Only a professional cleaning will get rid of it. Propylene Glycol This is a widely-used humectant - an ingredient that keeps the toothpaste moist, and prevents the solid and liquid ingredients from separating. Other common humectants in toothpaste are sorbitol, pentatol and glycerol. Dioctyl Sodium Sulfosuccinate This is a detergent-type ingredient that causes toothpaste to foam in your mouth. You may also see ingredients such as sodium stearyl fumarate and sodium lauryl sulfate. Some believe that the latter (SLS) induces canker sores in people sensitive to this ingredient. As with any product, if use causes discomfort, stop using it and consult your dentist or doctor. Sodium Saccharin This is the least-expensive sweetener, so it is the one you are most likely to see in most toothpastes. It is 600 times sweeter than table sugar, so only a small amount is used to sweeten your toothpaste. Other common toothpaste sweeteners are aspartame and ammoniated diglyzzherizins. Desensitizing Ingredients These are used in toothpastes specially formulated for sensitive teeth. Strontium chloride and potassium nitrate are the two ingredients recognized by the ADA to reduce discomfort if your teeth are sensitive to hot or cold foods. How do they work? They block the transmission of pain to the nerves in your teeth. They don't work immediately - it takes 4-6 weeks for these ingredients to desensitize your teeth. Triclosan This is an antibacterial agent that was recently approved for use in toothpaste by the FDA. It has been used for years as the active ingredient in antibacterial soaps, lotions, sponges and cutting boards. In toothpaste, triclosan has been clinically proven to fight gingivitis in adults by inhibiting the growth of plaque-causing bacteria. Colgate Total, manufactured and distributed by Colgate-Palmolive Co., is the only toothpaste that currently contains the disinfectant triclosan. Other toothpaste manufacturers are expected to follow suit, but since triclosan is considered a drug, all toothpastes that contain it will have to obtain FDA approval before going on the market.
June 10, 2024
Tooth Sensitivity Do you have or do you know someone who has sensitive teeth? If your answer is yes, you will have a true appreciation for the content of this page. What Is Tooth Sensitivity? It can be defined as a painful reaction in one of more teeth triggered by hot, cold, sweet, or sour foods and drinks. This pain can be sharp, sudden and shoot deep into the nerve endings of your teeth. Apart from a cavity or a missing filling, the most common cause of tooth sensitivity is exposed dentin on the roots of your teeth. Normally, the dentin (the second, more sensitive layer of the tooth) is surrounded and protected by your enamel, cementum (special root covering) and gums. The cause or mechanism of dentinal sensitivity is still not well understood. It is believed that the little tubes that connect the dentin to the nerve or pulp serve as sensory conductors. That sensation may be one of pain. OUCH!! Causes Of Exposed Root Surfaces Which May Result In Dentinal Sensitivity: Brushing too hard - Over a period of time, brushing too hard or using a hard-bristled toothbrush may wear away enamel or cementum and cause the dentin to be exposed. Recession of the gums - Movement of gums away from the tooth due to periodontal disease will expose the root surface. Gum disease - Inflamed and sore gum tissue may also cause sensitivity due to the loss of supporting ligaments which exposes root surface. Other Causes Of Sensitive Teeth: Cracked teeth - Chipped or broken teeth may fill up with bacteria from plaque and enter the pulp causing an inflammatory reaction. Grinding your teeth - Grinding or clenching your teeth may wear down the enamel and expose underlying dentin. Plaque - The presence of plaque on the root surfaces can cause sensitivity. What To Do At Home: Maintain good oral hygiene - Continue to clean all parts of your teeth and mouth thoroughly. Use a soft bristled toothbrush -This will result in less toothbrush abrasion of the tooth surface. Use desensitizing toothpaste - There are many on the market. With regular use you should feel a decreased sensitivity. Try spreading a thin layer on the exposed roots with your finger or a Q-tip before you go to bed. You'll need to find the product that works for you, likely through trial and error. Consider what you eat - If you frequently eat foods high in acids, such as citrus fruits (example: sucking on lemons), they can gradually dissolve the enamel over time, leading to dentin exposure. The citric acids may aggravate the hypersensitivity and initiate a painful reaction. Use fluoridated dental products - As an example, with a daily application of a fluoridated mouthrinse, hypersensitivity usually decreases. Ask us about a daily fluoride rinse for your home use. Professional Care: Ask us what may be used to help reduce sensitivity. Some of the most common treatments are: White fillings to cover exposed root surfaces Fluoride varnish applied to the exposed root surface Dentin sealer applied to the exposed root surface
June 10, 2024
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