Why should I visit the dentist during my treatment?

November 20th, 2019

So, you just got your braces on, and you're wondering why you should continue visiting your general dentist since you’re seeing Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Carly Kinzer every other month. Patients always ask us if they should continue to see their dentist while in orthodontic treatment. In short, the answer is yes.

Today, we thought we would share a few reasons why it’s crucial to keep up with your regular visits with your dentist in addition to coming in for your regular adjustments at Brace Place.

One of the best reasons to visit your dentist while you undergo orthodontic treatment is to remove plaque and tartar. Having braces provides additional nooks and crannies in which food particles and bacteria can hide. Eventually, plaque and tartar can form around your brackets, bands or other appliances which can lead to cavities. Having your teeth professionally cleaned can help ensure most, if not all, plaque and tartar is removed. Even if you are undergoing clear aligner treatment, dental checkups and cleanings are equally as important.

The next reason to visit a dentist is to help protect your teeth from decalcification, or the loss of calcium in your teeth. A potentially serious condition in which white spots on your tooth surfaces, decalcification is irreversible and if left untreated, can lead to cavities. Decalcification is preventable; patients who cut down on sugary sweets and acidic foods, practice good oral hygiene, and visit their dentist regularly can help prevent decalcification.

The final reason we recommend visiting your dentist while you have braces is this: cavities can prolong your treatment. If you are interested in completing your orthodontic treatment on time and without any delays, visiting your dentist every six months or as recommended can go a long way toward making that a realistic goal. Your dentist can provide fluoride treatments or other treatments that strengthen your teeth and protect them from cavities.

Making sure to visit your dentist will help ensure your teeth look their best once your braces come off. If you do not have a general dentist and would like a recommendation on finding one in the Freehold, Manalapan or Hightstown, NJ area, please give us a call or let us know at your next adjustment appointment!

Tips to Keep Braces Clean

August 19th, 2019

Orthodontic technology changes and improves all the time. Today’s braces are lighter, smaller, and more efficient than those of past years. Wires are thinner and more flexible. Even brackets come in different styles and colors. These developments are all great news for braces wearers. Unfortunately, there is one advancement we haven’t been able to offer: self-cleaning braces.

Brackets and wires can both trap food particles and make brushing them away more difficult. This can lead to increased plaque, cavities, and staining around the area of your braces. But with the proper supplies and habits, keeping your braces clean will become routine in no time.

Braces-healthy Supplies

  • Toothbrush

Your old toothbrush might work well enough with some brushing adjustments. We can show you how to angle your brush so it works most effectively, and how to make sure the bristles clean around your braces. Or, if you like, there are actually manual toothbrushes designed just for braces. These have V-shaped bristles to make cleaning around the brackets easier. Some people find an electric toothbrush works best. Whichever type of brush you use, be sure you use it often!

  • Floss

Again, if regular floss works for you, stay with your normal products. If you are finding it difficult to get into the narrow spaces around your braces, there are floss threaders to get the floss into tight spaces, and flosses specially designed to work with braces.

  • Interproximal brush

A big name for a tiny brush! These little cone-shaped brushes can clean around your brackets and under your wires—a great way to reach parts of your teeth your regular brush can’t.

Braces-healthy Habits

  • Brush after every meal and sugary drink

Because food particles tend to stick to your braces, and the bacteria in plaque feed on these particles, your enamel is under attack without thorough cleaning after meals. Take a toothbrush and supplies with you to school or work so that you can always brush after eating. If there is absolutely no way to brush, be sure to rinse immediately with water.

  • Brush carefully

Pay attention to each tooth, the area around your braces, and your gum line. And don’t forget the tops and inside of your teeth! A common suggestion for braces wearers is to devote at least ten seconds to each tooth. We might also recommend a special mouthwash to reduce bacteria and help keep your mouth and breath fresh.

  • Brush on the go

Put together a cleaning kit for when you are out of the house. A brush, some floss, and toothpaste in a handy container will let you brush whenever you need to, wherever you may be. Leave it in your backpack or bag, and you’re ready for anything!

  • Watch your diet

Foods that stick to teeth will stick to braces, so avoid caramels, licorice, chewy candies, and any other sticky treats. Why make your life more difficult?

While braces can make brushing and flossing more complicated, you can still keep your teeth clean, bright, and cavity-free. And remember, regular dental exams and professional cleanings are more important than ever during this time. At your next visit to our Freehold, Manalapan or Hightstown, NJ office, talk to Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Carly Kinzer about the best products and practices for the cleanest possible teeth and braces. We have plenty of ideas to help make sure you’ll have the healthy, beautiful smile you’ve worked so hard for when those braces come off!

Why Do I Need Rubber Bands?

August 12th, 2019

Getting braces is a huge step in creating the beautiful smile you want. It’s easy to see how important your wires and brackets are. Week by week, you and your family and friends can see the progress you’re making as your teeth become straighter. That makes all the careful brushing, periodic adjustments at our Freehold, Manalapan or Hightstown, NJ office, and annoying loose ligatures worthwhile.

And while straight, even teeth are the visible reward you get for your months in braces, there’s a benefit that’s every bit as important that might go unnoticed by your friends and family—a healthy, properly aligned bite.

Many people have some kind of malocclusion, or bad bite. There are several different bite problems we treat. Some of the most common are:

  • Overjet (the upper front teeth protrude too far forward over the bottom teeth)
  • Underbite (the bottom teeth overlap the top teeth)
  • Crossbite (one or more teeth haven’t come in in the proper position, often with an upper tooth fitting inside a lower tooth)
  • Open bite (the upper and lower front teeth don’t touch).

When the jaws and teeth don’t fit together properly, you might be looking at damaged teeth, headaches, and painful problems with the temporomandibular joint, or jaw joint, in your future. That’s why correcting your bite early is so important. Using rubber bands with your braces is one of the most popular and effective ways to help create a better bite.

Bands are used with your braces to gradually move your teeth into their best position. Specially designed brackets with tiny hooks are bonded to very specific teeth. Why so specific? Because the placement of the brackets depends on which type of malocclusion we are correcting. Rubber bands are then attached to the bracket hooks, usually from an upper tooth to a lower one. When they are in just the right position, those little bands provide just enough force to move your teeth more quickly and effectively than braces alone can.

If you need bands to help correct any kind of malocclusion, you will play a very important part in your orthodontic treatment. It will be your job to attach your bands every day. Don’t worry—while it can seem confusing at first, we’ll make sure you know exactly how and where to place them.

How long should they stay in? You’ll probably need to wear your bands 24 hours a day. It’s while you’re moving your mouth and jaw muscles that your bands are working their hardest. Talk to us about removing them for brushing and flossing, and whether you should wear them while you eat.

Can you use the same bands over several days? Not a good idea. Bands are selected for size and strength to move your teeth very precisely from visit to visit. When bands stay on too long, they become too stretched out to supply the proper pressure needed to move your teeth efficiently. Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Carly Kinzer will let you know how long is too long for your specific bands.

Are two bands better than one? Absolutely not. Again, the bands you’re given at each visit are designed for your specific needs. Too much pressure can actually be harmful. Just keep to your recommended schedule of replacing bands, and your orthodontic treatment will stay right on track.

Attaching rubber bands? Keeping them on all during the day? Replacing them as needed? All of these responsibilities might seem a bit overwhelming at first, but we are here to give you all the information and support you need to succeed. Because straight, even teeth and a bite that is healthy and functional? That’s truly how you create your beautiful smile!

 

Awesome Archwires

August 5th, 2019

When we think braces, we can’t help but think of the brackets on each tooth and the colorful ligature bands that surround them. But actually, the whole point of those brackets and bands is to hold the archwire in place as it gradually moves your teeth to create a better bite and a straighter smile. Let’s learn more about this talented part of your braces!

  • Wire We Wearing These, Anyway?

Archwires use gentle, continuous pressure to move your teeth into alignment. That sounds simple, but there is actually a lot going on. Teeth often need more than realigning. Some teeth need to be turned a bit, some tilted. Your teeth need to be better aligned with those next to them, of course, but also need to fit properly with the teeth above or below them. You might have a malocclusion, or bad bite.

How can one wire handle all that? Well, it can’t. That’s why there are different types of wire. We often use thinner, flexible wires at the beginning of treatment, to put gentle pressure on the teeth as they start their movement. Other wires are firmer, and can be helpful in later phases, when each tooth is carefully moved to its specific, ideal spot. Archwires can be round or rectangular, thicker or thinner, springy or stiff, remember their shape or be bendable—all depending on what they need to do.

Whew! This sounds confusing, but Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Carly Kinzer and our team are archwire experts! At every adjustment appointment, we check on the progress of your alignment and choose the exact wire you need to take you to the next stage of your orthodontic journey.

  • Out of the Frying Pan, Into the Wire

Now that you have braces, it’s more challenging to make sure that your teeth are clean after eating. We’ll give you advice on how to get rid of the pesky food particles that sometimes get stuck in your braces. First, that’s absolutely not the look you’re going for. But, more than that, bacteria can use these “leftovers” as fuel to create the acids that damage your enamel and cause cavities.

There’s a whole new world of dental products out there waiting to help get your braces clean. Special toothbrush heads work in the spaces between your teeth and the archwire. There are floss threaders that can get dental floss into tight places, and flosses with one stiff end you can guide under the wire so you can direct the floss to where it’s needed. There are even tiny cone-shaped brushes called “interproximal brushes” that can fit under your wires to clean around your brackets and teeth.

Take a care kit to school or work with you so you can keep the tooth surface under your wires and around your brackets free of plaque. After all the hard work you’ve put in with your braces, the last thing you want is cavities once you’ve achieved your beautiful smile!

  • Down to the Wire

We said archwires were awesome, but we didn’t say they were perfect! We couldn’t leave without suggestions for handling any wire-related problems that might come up.

One of the most common problems is the irritation caused by the end of a wire that has somehow come loose. You might be able to use a cotton swab to gently push the wire flat against the tooth. If that doesn’t work, orthodontic wax can be used to cover the end of the problem wire and smoothed into place. We’ll provide you with instructions on how to handle these and other minor wire problems at home. 

Other problems should be run past us first. If you feel your wire is coming loose, or if a loose end is causing a lot of pain and irritation, call our Freehold, Manalapan or Hightstown, NJ office. We’ll give you instructions on how to help, and make an appointment if necessary for a professional fix.

In fact, call us anytime you have questions about your braces. We’re here to help you understand each phase of the orthodontic process as you move step by step on the path to a healthy bite and a beautiful smile. And what’s more awesome than that?

Patient Testimonials

"I loved the people. The orthodontists, receptionists, and nurses all were very personable. They made the long wait easier and enjoyable. I always thought braces would be a pain, but Brace Place made it an experience I’ll never forget."

— S. Dabbara

"For two years, the experience at Brace Place for me has been a positive one. The doctors and staff have been very attentive and caring to my needs. I am pleased with the work so far and would definitely recommend Brace Place to others."

— J. Clark

"As a patient, I had an excellent experience at Brace Place. You worked until my adult teeth were perfect. I was always impressed by the staff and doctors' professionalism. Now that my children are patients, I have complete confidence that their orthodontics will be done correctly. Your office is comfortable, the staff is great and I’d recommend you to anybody."

— E. Callery-Colhoun (patient and mother of two patients)
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