How To Take
Care Of Your Braces
Braces collect
food and dental plaque very easily. If proper
oral hygiene is neglected during
orthodontic treatment both
tooth decay and periodontal disease can easily occur.
It is very
important to maintain a daily plaque control program. Such a program may be as
follows:
A soft
toothbrush should be used. A special orthodontic toothbrush can also be used to
brush your teeth.
Flossing with
braces takes more time than usual. Superfloss or floss threaders can aid in
flossing, and make it more time efficient. An interdental brush can be used to
fit between the wire and the tooth to remove hard-to-reach plaque and food
debris.
Oral irrigators can
be used as an adjunct to brushing and flossing. This helps remove food debris
and plaque.
A mouthwash
containing
fluoride can be used to help prevent cavities from occurring.
Hard foods should
be avoided since they can bend the wires, loosen the bands, or break the
brackets. Fruits and raw vegetables should be cut up into smaller pieces and
chewed on the back teeth.
Sticky foods such
as gum, toffee and caramel should be avoided since they can bend and
break the wires and brackets.
Foods high in sugar
should also be avoided, since this increases the chances of tooth decay.
Regular
dental
appointments are important to monitor the health of the teeth and gums during
orthodontic treatment.
Orthodontics is a lot of work and taking care of them is not easy, but in the
end, the results will be worthwhile when you have your new and improved smile.
Frequently
Asked Questions
Why should I get
Braces?
**Your smile is the
most striking part of your face. Dental Braces (orthodontic treatment) will make your
smile look great. The appearance of teeth and face, jaw alignment, proportion and
function can be greatly improved which in turn leads to improved self-esteem,
confidence, well-being and feeling of acceptance.
**You will be able
to chew your food better.
Chewing is the first step in digestion. If your teeth are not straight, you will
not be able to chew your food correctly so partially unchewed food will go down
to your stomach. That can give you an upset stomach
**You will avoid
dental problems.
If you do not get orthodontic treatment when you need it you will have problems
with your teeth for years to come; your teeth will be hard to clean. Your gums
will hurt. Your teeth will wear in ways that the should not. The effects are
significant enough that many adults are now going back to the orthodontist for
braces.
**You may avoid
developing a breathing problem.
As you get older the roof your mouth can sometimes partially block the air
passages in your nose. That makes you snore loudly, and may contribute to a
condition called "sleep apnea". If you get braces you can avoid this
possibility.
**Reduce risk of
injury to protruding front teeth
**Correct harmful
habits
Why do people need
braces?
Orthodontic
problems are built into your genes. In the last 10,000 years, people got bigger.
People's mouths got a little bigger but people's teeth got A LOT BIGGER. The
result is that most peoples teeth no longer fit correctly in most people's
mouths. Your orthodontist moves your teeth around and possibly stretches your
mouth so everything fits correctly.
Are there other
reasons that people need braces.
It has been said
that if babies use a pacifier (dummy) for too long, they can develop an
incorrect bite. Orthodontic problems can also be caused by injuries to your
mouth, or if you suck you thumb when you are older than two. Fingernail biting,
or lip biting can also cause orthodontic problems. There is also some
information about
breastfeeding increasing orthodontic problems if the
breastfeeding is stopped suddenly. Still, most people need braces because their
teeth grow faster than their mouth. That is a natural part of growing up, and
there is nothing you can do about it.
How Does
Orthodontics Work?
Braces use steady,
gentle pressure over time to move teeth into their proper positions. They don't
look like they're doing much just sitting there. but in fact, every moment or
your orthodontic treatment, there's something happening in your mouth. Something
good for you. The brackets we place on your teeth and the main arch wire that
connects them, are the two main components. The bracket is a piece of specially
shaped metal or ceramic that we affix to each tooth. Then we bend the arch wire
to reflect your 'ideal" bite-what we want you to look like after treatment. The
wire threads through the brackets and, as the wire tries to return to its
original shape, it applies pressure to actually move your teeth.
The orthodontist
pushes your jaw to stretch your mouth so all your teeth fit. He then pushes on
your teeth so they are all in the proper places. If your top jaw is too small,
your orthodontist can install a special gadget called a "palatal expander" to
get your jaw to grow wider. If your teeth stick out, your
orthodontist can
install another gadget called a "facebow" to push your back teeth back. In that
way, your orthodontist is able to move around individual teeth and expand your
jaw so that all of your teeth fit correctly in your mouth.
At what age should
I start orthodontic treatment?
You can get
orthodontic treatment at any age. Kids as young as 4 are sometimes advised to
start orthodontics early to avoid a problem later on. People as old as 60
sometimes get orthodontic treatment to fix crooked teeth. Still, orthodontic
treatment works best and is the least painful when you are 8 to 14 so we advise
that you start orthodontic treatment then.
Your jaw is growing
the quickest when your are 8 or 9 so it is usually best to expand your jaw and
reshape your mouth when you are 8 or 9. This is called "interceptive
orthodontics". Then you should wait for most of your permanent teeth to come in.
Usually, your permanent teeth come in when you are 12 or 13 and so that is the
best time to start full orthodontic treatment when you are 12, 13 or 14.
What happens if I
wait until I am older?
You can get braces
at any age so if you are too afraid, you can wait a couple of years. However, as
you get older the treatment takes longer and hurts more. Your jaw is growing
fast when you are 8, so your jaw is easy to stretch. If you wait until you are
12, the orthodontist needs to push a lot harder to expand your jaw so it hurts.
By time you are 20, you may need surgery to expand your jaw.
What is having
braces like?
Generally,
teenagers do not find braces to be any big deal. Your mouth is usually sore for
the first week after you get braces. Also, your mouth will be sore when the
braces are tightened. However, with modern braces, you should get so used to the
braces, that you should not notice the braces, except when the braces are being
tightened or if you get hit in the mouth.
If you start
orthodontic treatment when you are 18 or older, it generally is more
uncomfortable; your teeth feel like they are loose in your mouth. Still, the
pain is worth the gain.
Do Braces Hurt?
It matters what
kind of braces you use. Old fashioned braces will hurt a lot of the time.
However, if you get modern braces, they will not hurt except when they are first
put in or when your braces are tightened.
Can I still talk
when I have braces?
Yes. Standard
braces should not affect how you talk or the sound of your voice. You can talk,
sing, yell, make fun of people, and act just as you do now. Braces will not stop
you from having fun. Just do not get punched in the mouth. It hurts!
Occasionally the
orthodontist needs to put in a gadget which gets in the way of your tongue. If
so, you may have trouble talking clearly for a day or two, but then you will be
able to talk fine.
Are there any other
activities that I should avoid when I have braces?
We advise against
you participating in activities where there will be many blows to a your mouth.
Sports like boxing, karate, and wrestling should be avoided. Fighting should
also be avoided.
Can I eat when I
get braces?
Yes! You can eat
most of the good things that you can eat now. The one big limitation is that
your mouth will get sore after you first get braces, so we recommend that you
only eat softer foods for the first week. However, after that you should be able
to eat normally.
Are there anything
else that I cannot eat?
You probably should
not eat hard sticky, gooey or crunchy foods. Caramel, toffee can stick
on your braces and pull the braces off your teeth. You also need to be careful
with crunchy foods like carrots and apples and hard rolls so that you do not
knock your braces off your teeth.
What happens if the
braces come off?
The orthodontist
will attach them again. Usually, this is no big deal, although if it happens
lots of times, your orthodontic treatment will take longer.
Why cannot the
orthodontist attach the braces strongly enough that the braces cannot come off
during eating?
The orthodontist
needs to take off your braces at the end of the orthodontic treatment. If the
orthodontist attaches your braces too firmly, the braces will not come off again
at the end of your orthodontic treatment.
What can I expect
on the first visit to the orthodontist?
Generally, it takes
a few visits to the
orthodontist for you to start your treatment. On your first
visit your medical history is recorded. The orthodontist will then examine your
mouth to see if you need orthodontic treatment.
Generally,
the orthodontist will look at your mouth to see if everything is ok. Is your
mouth big enough to hold all of your teeth? When you close your mouth, are the
top teeth lined up with your bottom teeth? Are any of your teeth crooked or not
in the right place? Are there any missing teeth? Are there any other problems
like a breathing problem, or a problem with the joint in your jaw? After the
orthodontist looks at you, he will determine you need braces.
