Preventing Decay While Wearing Braces

Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces: 1. Eat Braces-Safe Foods Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, popcorn can also bend or break your braces. On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids. 2. Proper Brushing You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can't always reach. 3. Ask About Special Cleaning Tools There are also special brushes, or other tools, to get under and clean your braces. You can also find many of these items at your local pharmacy. 4. Regular Teeth Cleaning It's important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others. As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

When Should I Schedule an Orthodontic Evaluation for My Child?

Most parents know that routine dental care should begin during the toddler years. But many are unaware of when orthodontic treatment should begin. According to the American Association of Orthodontists, the ideal age for an orthodontic evaluation is age seven or before, when children usually have a mixture of adult and baby teeth. Although treatment usually will not begin until one to five years after the initial evaluation, the evaluation is helpful in determining whether your child has any problems with emerging teeth -- regardless of how subtle. Children have more formidable bone structures than teenagers and adults, and as they grow, orthodontic appliances can help guide jaw growth, which may prevent the development of an overbite or under-bite, as well as tooth crowding due to space limitations. Orthodontic treatment is also helpful for guiding newly emerging adult teeth into a proper alignment, which is not only aesthetically advantageous, but also helpful in preventing tooth decay. Why Early Evaluation? Taking your child to the orthodontist for an evaluation means that you may be able to identify problems with the jaw and teeth early when they are still easy to treat. Early treatment often equals a more simplified treatment plan, which is beneficial to both children and their parents. Often, earlier treatment can cost less to correct a problem than delayed treatment. If a problem is detected, our team will discuss corrective options and provide a recommended treatment schedule. Depending on your child's orthodontic needs, he or she may benefit from: •Palatial Spacers - Helpful for correcting a crossbite by expanding the width of the upper jaw. •Fixed Functional Appliance - Helpful for correcting severe upper tooth protrusion. •Headgear - Helpful for guiding healthy growth of new teeth and the jaw. Headgear is removable, but usually must be worn at least 10 hours per day. If your child is approaching the age of seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination.

What are the Early Signs of Orthodontic Problems?

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development. Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice. If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues: • Difficulty when chewing or biting • Chronic mouth-breathing • Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six • Overbite - when the upper teeth overlap the lower teeth by more than 5mm • Top front teeth that cover more than 25% of the bottom teeth while biting • Underbite - when the top front teeth go behind the bottom row of teeth when biting • Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size • Crossbite - when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone • The center of the top and bottom teeth don't line up • Uneven teeth-wearing • Baby teeth coming out too early for the child's age • Pain in jaws • Clicking in the jaw joints • The jaw shifts off-center while chewing or biting • A jaw that protrudes, or recedes, too much • Difficulty speaking or enunciating clearly • Chronic biting of the inner cheek or roof of the mouth • Asymmetrical facial structure • Grinding or clenching of the teeth If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

Braces without Embarrassment

Adults who need orthodontic care often share the misconception that they are too old for braces and would rather not deal with the embarrassment. You are probably familiar with horror stories about rubber bands snapping, mishaps with kissing, and unsightly food sticking in metal braces. Many adults believe that braces are just for children, but they are neglecting all the benefits of correcting misaligned teeth. Braces may cause you to feel self-conscious, but they are temporary. Along with straightening your teeth, braces also provide the following benefits:
• Better oral hygiene
• Easier to clean aligned teeth
• Less complicated dental procedures
• Eliminate the embarrassment of crooked teeth

One common reason for not correcting misaligned teeth is the appearance of metal braces. Adults do not want to face co-workers and friends with colored rubber bands and metal laced throughout their mouths. The expert healthcare professionals at SingHealth suggest several alternatives that are just as effective as metal braces. You have three options for correcting your misaligned teeth without the embarrassment, and they include:
• Ceramic braces
• Lingual braces
• Invisalign®

Ceramic braces are like metal ones except that they match the natural color of your teeth. This option is less noticeable and will usually not show up in photographs. Lingual braces are attached to your back teeth only, so no one will know that you have a corrective device. Invisalign consists of clear plastic coverings that you can remove for eating and teeth brushing. All of these options lead to a more attractive smile that you do not have to feel embarrassed about. If you do choose metal braces to correct your teeth, you should consider the following suggestions for limiting embarrassing moments. The rubber bands holding the brackets in place come in silver, which will draw less attention to your mouth. Changing the removable rubber bands on a regular basis will help prevent the material from wearing down and snapping. If you chew with your back molars and cut your food into manageable bites, you are less likely to get particles stuck in your braces. Following our treatment advice and instructions will limit the time you have to wear corrective devices. Focus on the end result of straighter teeth whenever you feel particularly self-conscious about your braces.

Elements of Braces

When coming to our office to have braces put on, you may find yourself feeling a bit intimidated and nervous about the experience. We hope to help you feel more at ease by explaining exactly what the different parts of braces are, and what they do. Parts of Braces • Elastic Tie — This is a very small rubber band, and it holds the archwire in place. • Archwire — This is the main part of the braces. It is a wire guide that tracks the teeth. The wire may be moved from time to time during treatment to continue straightening a patient's teeth. • Loop in Archwire — This is not in all braces. If it is used, it is to close a gap left from a tooth extraction. • Bracket — This piece of equipment holds the archwire in place. Formerly, many patients used colored rubber bands to keep the brackets in place, but now since most brackets are cemented on, this is no longer necessary. • Headgear Tube — This is a hollow area near the back bands, which allows the headgear to fit into the braces. This is only used on patients who require headgear. • Coil Spring — If needed, this would fit between a bracket and the main archwire. Its purpose is to open up the space between the teeth. This is not necessarily used on all patients. • Tie Wire — This is another piece of equipment that is used to keep the archwire in place. It is a thin wire that wraps around the bracket. • Band — This is a metal band that fits completely around a tooth. It is used to help adhere brackets to the tooth. • Hook — This is the piece of equipment that is used to attach the elastics, also known as rubber bands, around the bracket. • Elastic — These elastics are used to connect one point of the appliance to another. The purpose is to apply pressure, and encourage the teeth to move into the proper positioning. By defining each appliance we hope you or your child will be less apprehensive about getting braces put on. At the end of your treatment, you will have a bright, straight smile to show off to all of your friends.

What's a palatal expander and why would I need one?

A palatal expander "expands" (or widens) your upper jaw by putting gentle pressure on your upper molars and is used to make the bottom and upper teeth fit together better. It also makes more room for teeth and helps to promote a broader, more aesthetic smile.
Palatal expansion is usually not painful, but you may feel some minor discomfort. It’ll take a little time for you to get used to your appliance, so you may experience difficulty speaking and swallowing for the first day or two.
Adjusting your appliance as directed will ensure you keep on schedule with the rest of your orthodontic treatment plan. It takes about a few weeks to achieve the desired amount of expansion, after which you’ll keep wearing your expander for about six months, giving time for the new bone to form and stabilize. Our team at will give you detailed instructions about how to adjust your appliance and can answer any questions you may have about your palatal expander.

Top ten tips for keeping your BRACES sparklin’ clean!

Keeping your teeth clean is more important than ever when you have braces! Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:
1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.
2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.
3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.
4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.
5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.
6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.
7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.
8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.
9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.
10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help! We hope this helps, and remember to give our team a call if you ever have any questions!

You're Never Too Old to Treat Yourself to a New Smile!

Did you know one in every five orthodontic patients is an adult? We’re living longer and technology is improving, making orthodontic treatment an appealing and safe option for patients of all ages. As the trend toward treatment later in life grows, we’re seeing braces on parents as well as children – and even adult celebrities such as Tom Cruise, Gwen Stefani and Nicholas Cage have shown off their braces. Can Braces Work for Adults? People of all ages can benefit from orthodontic treatment with our office. The physical process for moving teeth is the same, young or old, which means it’s never too late to address issues such as an overbite or under bite, crooked or crowded teeth, or jaw disorders. How Do I Get Started? If you’re considering orthodontic treatment, we’ll make a consultation appointment with you. During this meeting we will perform a general assessment of your oral health, discuss options for treatment, and answer any questions you may have. We will also discuss matters of cost and insurance. The next step is an orthodontic records appointment in which we take x-rays, photos, and an impression of your teeth. This information drives your unique treatment plan. What Are the Benefits? Straightening your teeth can improve your smile, your self-esteem, and your dental health. Technologically advanced new treatments make it easier to identify the option that best fits your lifestyle. Modern techniques and materials have made braces and aligners more effective, comfortable and unobtrusive than ever. If you think you might benefit from orthodontic treatment, give us a call, so we may set up a consultation to determine what type of treatment best meets your needs.

Independence Day Facts, Tips, and Party invitations!

It’s hard to believe, but July is already here and half of 2012 has already passed! As July 4th approaches, our team thought it would be fun to share some facts and safety tips for celebrating our country’s independence day.

Fun Facts:
• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.
• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.
• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’
• The first public Fourth of July event at the White House occurred in 1804.
• And what could be more fitting than spending the day in a place called “America”? There are five such places in the country, with the most populous being American Fork, Utah, with 21,941 residents. Check out American Fact Finder.

Safety Tips:
• Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.
• Keep a bucket of water or a garden hose handy in case of fire or other mishap.
• Never carry fireworks in a pocket or shoot them off in metal or glass containers.
• To prevent a trash fire, be sure to douse the spent fireworks with plenty of water from a bucket or hose after fireworks complete their burning and before discarding them.
• Make sure fireworks are legal before buying or using them.

What are your plans this 4th of July? Share them with us! We’d love to hear what you and the rest of the community will be doing to celebrate! (Don’t forget to make sure there are no restrictions on fireworks! Check out this link to see if fireworks might be an issue for you this year.)

Also, check out these 4th of July party invitations, eGreeting cards, and delicious recipes!

July 4th eCard invitations!

Happy Independence Day eCards

Independence Day Recipes


Photo by shawnajean

We'd love to present Victoria, our newest bracelet winner!

Victoria is our latest winner in our bracelet contest.  Victoria loves to swim and is looking forward to going to the beach and pool this summer, as well as camp. She will also love going shopping with her winnings-- a $100 American Express gift card! Congratulation!

Orthodontic Emergency? We can help!

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can't take care of yourself. We’ll be able to schedule an appointment with our office.
You might be surprised to learn that you may be able to temporarily solve many problems yourself until you get in to see us…

The following solutions may help you relieve your discomfort:
 
Poking Wire: Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.
Loose Bracket or Band: If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.
Loose Wire: Using a tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.
Loose Appliance: If your appliance is poking you, place wax on the offending part of your appliance.
Headgear Does Not Fit: Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, headgear becomes more comfortable the more it's worn, so be sure you’re getting in the prescribed hours.
General Soreness: When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.
Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

Making Your Life Better with Orthodontics

The number one goal of orthodontic treatment is to give you or your child a good bite, meaning straight teeth that work well with the teeth in the opposite jaw. A good bite makes it easier for you to eat, chew and speak. It can enhance your dental health and your overall health, and may well improve your self-esteem. As a part of your comprehensive dental health care plan, orthodontic treatment can help you retain your teeth—and your smile—for a lifetime.
Let your smile express yourself! Nothing can show the world how happy you are quite like a beautiful smile. In fact, it’s one of the first things others notice about you, too. With orthodontics, you can be proud to flash your smile, because you’ll know that your smile truly represents your positive attitude.
Make your mouth healthy! Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are easier to clean, reducing the amount of plaque buildup and risk for gingivitis. The cleaner you keep your teeth, the longer they’ll last!
Feel free to live your life! Orthodontics is easier today than ever before, with treatment options that fit your lifestyle and schedule. We can personalize your treatment to suit all of your needs!

The Importance of mouth guards, from Your Doctor

With summer rapidly approaching, we understand the importance of being outside. So we are starting a series on outdoor activities and how to be safe while having fun in the sun. This week we talk about mouth guards, what they are, when to use them, the works. If you have any additional questions, give us a call! We'd love to hear from you! Q: What are athletic mouth protectors? A: Athletic mouth protectors, or mouth guards, are made of soft plastic. They are adapted to fit comfortably to the shape of the upper teeth. Q: Why are mouth guards important? A: Mouth guards hold top priority as sports equipment. They protect not just the teeth, but the lips, cheeks, and tongue. They help protect children from such head and neck injuries as concussions and jaw fractures. Increasingly, organized sports are requiring mouth guards to prevent injury to their athletes. Research shows that most oral injuries occur when athletes are not wearing mouth protection. Q: When should my child wear a mouth guard? A: Whenever he or she is in an activity with a risk of falls or of head contact with other players or equipment. This includes football, baseball, basketball, soccer, hockey, skateboarding, even gymnastics. We usually think of football and hockey as the most dangerous to the teeth, but nearly half of sports-related mouth injuries occur in basketball and baseball. Q: How do I choose a mouth guard for my child? A: Any mouth guard works better than no mouth guard. So, choose a mouth guard that your child can wear comfortably. If a mouth guard feels bulky or interferes with speech, it will be left in the locker room. You can select from several options in mouth guards. First, preformed or "boil-to-fit" mouth guards are found in sports stores. Different types and brands vary in terms of comfort, protection, and cost. Second, customized mouth guards are provided through your pediatric dentist. They cost a bit more, but are more comfortable and more effective in preventing injuries. Your Doctor can advise you on what type of mouth guard is best for your child.   Let’s make this summer fun AND safe!

Summer is Almost Here- Tips for a Bright, White Smile!

Summer is only weeks away, which means a season full of vacations, adventures and great memories is just around the corner for most of our patients. Whether you are headed to a barbecue, a camping trip, hitting America’s open roads or just having fun in the backyard this summer, we want to hear all about it! Make sure to let us know what you’re up to as spring winds down and summer begins on our Facebook page! Everyone wants a glowing and radiant white smile when the sun comes around and we have a few reminders to keep your pearly whites healthy and beautiful over the summer! Try to stay away from drinks that will stain your teeth like coffee, soft drinks or dark colored juices- Not only will drinks like this weaken your enamel but they will also darken that fabulous smile your working on! Another tip is to try and focus on brushing your teeth- everyone knows when busy schedules start picking up, getting a good brushing session in tends to take the backseat! A good tip for keeping your mouth safe from staining and other possible pitfalls is to try and swirl your mouth with water after any meal you can’t fully brush your teeth after- your teeth, inside and out, will benefit! We also encourage you to post any photos from your adventures!

Memorial Day weekend, a time to remember and honor the men and women lost while serving for our country. Memorial Day is also the unofficial start of summer, and for many folks getting out of town for three days after being cooped up in the classroom or the office spells sweet, sweet relief. What about you? What are you up to this Memorial Day weekend? Whether you are headed to a barbecue, a camping trip, or just hitting the great American open roads, we’d like to hear all about it! Our entire team wishes you a happy, safe and relaxing Memorial Day weekend!

Memorial Day weekend, a time to remember and honor the men and women lost while serving for our country. Memorial Day is also the unofficial start of summer, and for many folks getting out of town for three days after being cooped up in the classroom or the office spells sweet, sweet relief. What about you? What are you up to this Memorial Day weekend? Whether you are headed to a barbecue, a camping trip, or just hitting the great American open roads, we’d like to hear all about it! Our entire team wishes you a happy, safe and relaxing Memorial Day weekend!

“Am I Too Old for Braces?”

Absolutely not! Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In a society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:

• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
• Pain or pressure from crooked teeth or a misaligned jaw
• A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile. As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us. If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

Ask your Doctor: "What should I expect during my initial consultation?"

Great question! When you first come in for your initial consultation your doctor will conduct a comprehensive examination to assess your oral health. This will better enable us to determine the best treatment method for you. Your orthodontic evaluation will consist of an oral and facial examination to assess your oral health. We will have you take intraoral and facial photographs as well as panoramic and cephalometric X-rays to help determine the proper orthodontic treatment method. Then, an impression of your teeth and bite will be taken to construct a model of your mouth. (This will help us when examining your diagnostic records). At your second appointment, the doctor will discuss your options with you. Our team feels it’s important to take the time to carefully examine your diagnostic records after your consultation so that we can more thoroughly prepare for your orthodontic treatment. This additional preparation will ensure that you receive the best orthodontic care possible. At this time, we encourage you to ask us any questions you may have about your treatment. If you are seeking orthodontics for your child, our staff asks that both you and your child attend the initial consultation. We feel it is important that both you and your child completely understand the doctor’s recommendations before we proceed with treatment. Give us a call today and schedule a consultation! We look forward to hearing from you!

May is National Teen Self-Esteem Month!

At David S. Ostreicher, D.D.S., M.S., M.P.H., we know image is everything. At an age when image is so important, the thought of having braces may intensify the already-delicate confidence of today's teens. Well, May is National Teen Self-Esteem Month, and during this time, parents are encouraged to act as positive role models, help stop negative self-images, and improve confidence and security among teenagers.

One of the great ways to improve your confidence is to improve your smile. And that begins with a consultation at David S. Ostreicher, D.D.S., M.S., M.P.H.. After all, what better time to avoid having crooked teeth in your adulthood than coming in for a consultation with Dr. Ostreicher?

We invite you to give us a call to schedule a consultation or ask us on Facebook!