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At Our office, we encourage our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease!

Should You Floss Before or After Brushing?

According to recent clinical findings, you can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. The staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine.

Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So what types of foods should you or your kids eat to protect dental appliances?

The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.

A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!

Post-Tightening Foods

As braces begin to adjust the alignment of the teeth, our office will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:

• pudding
• mashed potatoes
• soup
• ice cream
• cottage cheese
• peas
• pancakes
• pasta

Foods to Avoid

According to the American Dental Association, anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:

• hard candies
• gum
• nuts
• popcorn
• certain raw vegetables (for example, carrots)

Considerations

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

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 percent 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!

Children and adults who visit orthodontists often feel confused and a little frightened because of the various metal tools and appliances. Knowing the applications of such devices can help ease a patient's mind when undergoing treatment. Dentofacial orthopedics is a specialty that uses appliances to adjust the jaws for ideal compatibility. The American Association of Orthodontists recommends these treatment options for children between the ages of eight and 12 to make adjustments during developmental stages. Adults also experience dental changes throughout their lives and can benefit from dentofacial orthopedic appliances. Some common problems with jaw alignment or development include:

• Underdeveloped lower jaw
• Protrusion of upper teeth
• Malocclusions
• Crossbite
• Overbite

Orthodontic Appliances for Correcting Jaw Growth Problems

Jaw-correcting appliances are either fixed or removable. Fixed appliances are applied to the teeth with the use of cement. Removable appliances require dedication from the patient to wear the devices as instructed. You will receive better results by wearing your orthodontic gear and following the treatment plan designed for your specific needs. Understanding the potential results will help you stay motivated, and parents can help their children to follow recommendations. Some appliances can cause slight discomfort during adjustment periods, but wearing them regularly will help shorten the time frame for treatment. Here are some of the most common appliances for correcting jaw growth problems.

• Headgear: This appliance is removable and consists of a stainless steel facebow and fabric safety strap. The orthodontist fixes metal bands to your upper-back teeth where you attach the facebow. The safety strap wraps around your head and secures the facebow. Headgear affects jaw growth and tooth movement by applying pressure to the upper teeth and maxilla.
• Herbst® Appliance: Typically permanent, these appliances attach to the upper and lower molars to hold the mandible forward. The purpose of this type of treatment is to eliminate an overbite. With expansion screws, the Herbst can also widen the jaw.
• Mara: This appliance pushes the mandible forward to reduce overbite. Crowns are placed on your top and bottom molars, and a metal elbow connects the crowns.
• Bite Corrector: This appliance is combined with braces to correct different malocclusions. Metal bars with enclosed springs apply pressure to both the upper and lower jaws. The placement of such bars will depend on the bite type.
• Bionator: This removable appliance guides the lower jaw so that it grows in proportion to the upper jaw. Children can develop aligned bites by wearing bionators.
• Palatal Expansion: There are two options for placement, fixed, or removable palatal expansions, to fix crossbites. The appliance attaches to the upper-back teeth and widens the jaw.
You will get used to the feeling of most appliances within one month, and the adjustment period is easier if you follow the treatment plan that our staff designs. The average time it takes to correct jaw problems is 12 months, so you can expect to see a more beautiful smile in about one year.