Brushing with Braces: How to Keep a Clean Mouth

November 19th, 2014

A clean mouth is a happy mouth. And when Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Debbie Parnes and our staff see you have a clean mouth, we are happy too. Of course, all of this should make you happy because you’re the one preventing sneaky little food bits from getting trapped under the wires of your braces.

Still, you need to be thorough with your brushing. When you have braces, you’re playing a game of hide-and-go-seek with everything you eat. Here are five tips to keep your mouth (and us) happy.

  1. How is brushing with braces like geometry? It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down. Brush the bottom of your teeth with the brush angled up. Pointy brushes, aka interproximal brushes, are good for reaching the tiny spots around braces.
  2. Brush after every meal. If those sneaky little food bits hide in your mouth for very long, they’ll turn into plaque. And plaque is a sign of a very unhappy mouth.
  3. Brush one tooth at a time for at least ten seconds, and pay close attention to the spots where your braces touch your teeth.
  4. Fluoride is your new BFF. Make sure your toothpaste and mouthwash contain this cavity-fighting ingredient.
  5. Braces are no excuse not to floss. In fact, saying you can’t floss because you have braces is like saying the dog ate your homework. Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Debbie Parnes and our staff, like your geometry teacher, aren’t going to buy it. Be sure to floss after every meal.

Sugar and Your Orthodontic Treatment

November 12th, 2014

One word no one likes to hear is “cavity!”

For those patients of ours wearing braces, hearing that word is especially problematic, considering that delaying any dental work may result in delaying treatment time.

We often blame candy as the culprit behind tooth decay, but other foods and drinks that kids consume can be just as harmful to their teeth, and can lead to cavities and tooth decay. Keeping your teeth or your child’s teeth from decay during treatment starts with a proper diet, and today, our team at Brace Place will explain the negative effects that candy and other treats, including peanut butter, raisins, fruit juice, and chewy fruit snacks, have on your child’s teeth as he or she undergoes orthodontic treatment. Keep in mind that half of your child’s sugar intake may be coming from beverages that he or she drinks. A major offender is soda, but be mindful of fruit juices as well.

While sugar is known to sit in your child’s teeth and in between and under brackets and wires after consumption, it is important to know sugar is not the only cavity-causing culprit. Carbohydrates, starches, acids, and any food that is chewy or sticks break down into sugars, and can promote tooth decay.

So, what are the alternatives?

Candy such as dark chocolate, sugar-free gum, or anything that contains xylitol, a sugar substitute, is not as harmful for your teeth as hard, chewy, or sticky sweets. Sugar-free gum or gum that contains xylitol are known to reduce levels of bacteria on teeth.

And if you’re still looking for something to snack on, we recommend cutting up easy-to-eat fruits and vegetables. You would also be surprised how much eating a banana or sipping on a glass of water helps you curb snack cravings.

If you’re one of those folks who just can’t stay away from sweets, we encourage you to brush your teeth immediately afterward and swish water in your mouth.

Whatever you eat, Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Debbie Parnes and our team want you to remember to brush often, floss regularly, and visit your general dentist as your treatment progresses. If you have any questions about sugary foods or drinks, please give us a call or ask us during your next adjustment visit!

How do teeth move with braces?

November 5th, 2014

Although teeth seem to be solidly fixed in their sockets (at least they don’t wobble when we chew!), all teeth can easily be moved if Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Debbie Parnes and our staff attach brackets and wires to them called braces. In the past, all braces were made of stainless steel, but today’s advanced dental technology gives people the option of wearing transparent, acrylic mouth trays called Invisalign®, or relying on traditional metal braces for correcting malocclusions.

Brackets, Slots, and Arch Wires – Oh My!

When light pressure is consistently exerted on teeth, they will gradually move in the direction of the force. For example, affixing brackets to front teeth and threading a flexible, metal wire through tiny slots on the front of the brackets allows the orthodontist to tighten this arch wire enough to initiate desired movement of teeth. Generally, orthodontic patients visit Brace Place once a month to have this wire tightened to keep teeth moving in the desired direction.

Tissues surrounding the teeth that experience pressure from arch wires will slowly (and, for the most part, painlessly) stretch, and allow the socket to enlarge so the tooth and its root become looser temporarily. This allows the root to move without causing bleeding or pain. Once Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Debbie Parnes and our staff are satisfied with the repositioning of teeth, we will remove the braces and let bone material fill in the socket so that teeth are solidified into their new (and straighter) positions.

Clear Braces vs. Traditional Braces

Both types of orthodontic corrective devices move teeth in the same manner: by applying a continual force against teeth. Clear aligners, like Invisalign, are mouth trays made of hard acrylic material that people wear for at least 23 hours a day. Unlike metal braces, Invisalign can be removed for eating and brushing purposes and the aligners are nearly invisible because of their transparency.

Invisalign aligners are usually reserved for people with gaps between their teeth or whose teeth are only slightly crooked. Traditional metal braces are often necessary when severe malocclusion exists and requires more pressure than Invisalign offers.

Halloween: Candy, costumes, and more!

October 30th, 2014

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the orthodontic office of Dr. Brad Elkin, Dr. Joshua Epstein, Dr. George Sargiss, Dr. Martin Epstein, Dr. Sonalee Kapoor and Dr. Debbie Parnes hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Brace Place!

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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