Common Problems | Types of Braces | Color Planner
Oral Hygiene with Braces | Emergency Information
Common Problems
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Crowding of the teeth
Patient started treatment at age eleven and wore braces for twenty-six months. He loves his new smile.
Openbite: Front teeth don't touch
Patient sucked her thumb as a young child. She started treatment at age thirteen. She had braces and a special appliance — called a crib — to retrain the tongue, for twenty-eight months. Now she can bite the lettuce out of a sandwich.
Deep overbite: Lower front teeth bite into palate
This adult patient (age twenty-five) required braces and jaw surgery to correct his severe overbite, with treatment taking two years. His problem could have been corrected without surgery if he had been treated before he was a teenager.
Missing lateral incisors
This patient's lateral incisors were congenitally missing. She had braces for twenty months to move the teeth into the correct position, then the missing teeth were replaced with bonded "Maryland" bridges.
Underbite: Lower front teeth in front of upper teeth.
Patient's underbite was causing her jaw joint discomfort and excessive wear patterns on her teeth. After thirty months of treatment starting at age thirty-two, she now finds smiling and chewing much easier.
Spacing of teeth
Patient was bothered by the spaces between his teeth. Braces closed the spaces and gave him an ideal bite in twenty-four months. Special glued-in retainers help keep the spaces closed.
Overbite: Protruding front teeth
At age ten, patient had a big overbite with the top teeth protruding beyond the bottom. She had two phases of treatment. The first helped her jaws to grow more harmoniously; the second aligned her teeth and bite. At age thirteen, she was proudly displaying her new smile.
Non-braces treatment
Sometimes braces are not needed to get noticeable improvements in tooth alignment. This patient was first seen at age seven for crowding of the lower permanent teeth. A procedure was performed to reduce the width of the adjacent baby teeth and the permanent incisors aligned on their own in nine months.
Phase I
Patient's parents were concerned about both aesthetics and the health of the erupting permanent teeth when they brought him to the orthodontist at age eight. The lower front teeth were crowded and they touched the palate, and the upper front teeth were extremely displaced from their normal positions. After twenty months of Phase I treatment with an expander and partial braces, patient's appearance and dental function was vastly improved.
Types of Braces
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Traditional Metal Braces
Traditional metal braces are the most common type of braces and are more comfortable today than ever before. Made of high-grade stainless steel, metal braces straighten your teeth using metal brackets and archwires. With metal braces, you have the option of adding colored elastics (rubber bands) for a more unique and colorful smile.
Gold Braces
Gold braces are similar to traditional metal braces in many ways. They are made of stainless steel, but are uniquely coated in gold. The gold coating may be considered a more cosmetic option than traditional metal braces. And, the cost of gold braces is surprisingly comparable to most clear braces.
Ceramic Braces
Ceramic braces are made of clear materials and are therefore less visible on your teeth than metal braces. For this reason, ceramic braces are used mainly on older teenagers and adult patients who have cosmetic concerns. While they are visually less prominent, they do require more attention to oral hygiene as ceramic braces are larger and are more brittle than their metal counterparts. For these reasons, ceramic braces tend to be used more on upper front teeth than on lower teeth.
"Invisible" Braces
Clear appliances (such as Invisalign®) use a series of invisible, removable, and comfortable aligners to straighten your teeth. And, no one can tell you are wearing those aligners because they are invisible! Not only are the aligners invisible, they are removable, so you can eat and drink what you want while in treatment, plus brushing and flossing are less of a hassle. The aligners are comfortable and have no metal to cause mouth abrasions during treatment.
Learn more about Invisalign at www.invisalign.com.
Lingual Braces
Lingual braces are hidden behind the teeth and are therefore "invisible" when you smile. Lingual braces are 100% customized to match the shape of your teeth, and therefore the metal appliances are created uniquely for you. Lingual braces are a very reasonable option for athletes, models, actors, musicians who play wind instruments, and adult professionals.
Retainer color / designs chart
Oral Hygiene with Braces
Eating with Braces
What can you eat? Let's talk about what you shouldn't eat! If you've been wanting to drop a few pounds, the first week wearing braces is just your chance! For the first day or so, stick to soft foods. Avoid tough meats, hard breads, and raw vegetables. Before long, you'll be able to bite a cucumber again. But you'll need to protect your orthodontic appliances when you eat for as long as you're wearing braces.
Foods to Avoid
- Chewy foods: bagels, hard rolls, licorice
- Crunchy foods: popcorn, ice, chips
- Sticky foods: caramels, gum
- Hard foods: nuts, candy
- Foods you have to bite into: corn on the cob, apples, carrots
- Chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.
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. The lips, cheeks, and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!
Loosening of Teeth
This is to be expected throughout treatment. Don't worry! It's normal. Teeth must loosen first so they can be moved. The teeth will again become rigidly fixed in their new – corrected – positions.
Loose Wire or Band
Don't be alarmed if a wire or band comes loose. This happens occasionally. If a wire protrudes and is irritating, use a blunt instrument (the back of spoon or the eraser end of a pencil) and carefully, gently push the irritating wire under the archwire. Simply get it out of the way. If irritation to the lips or mouth continues, place wax or wet cotton on the wire to reduce the annoyance. Call our office as soon as possible for an appointment to check and repair the appliances. If any piece comes off, save it and bring it with you to the office.
Care of Appliances
To successfully complete the treatment plan, the patient must work together with the orthodontist. The teeth and jaws can only move toward their corrected positions if the patient consistently wears the rubber bands, headgear, or other appliances as prescribed. Damaged appliances lengthen the treatment time.
Brushing
It's more important than ever to brush and floss regularly when you have braces so the teeth and gums are healthy after orthodontic treatment. Patients who do not keep their teeth clean may require more frequent visits to the dentist for a professional cleaning. Adults who have a history of gum disease should also see a periodontist during orthodontic treatment.
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Brushing: Step 1
Using a dry brush with a small amount of toothpaste place bristles where gums and teeth meet.
Brushing: Step 2
For 10 seconds on each tooth use circular, vibrating motions around the gum lines.
Brushing: Step 3
Every tooth of both arches should be brushed slowly.
Brushing: Step 4
Brush the lower teeth from gum line up and the upper teeth from the gum line down. Brush the roof of your mouth and your tongue too!
Flossing: Step 1
Carefully thread unwaxed floss between braces and wire. You may find a floss threader helpful.
Flossing: Step 2
Carefully floss around the braces.
Flossing: Step 3
Carefully floss around the gum areas.
Flossing: Step 4
Carefully floss around each tooth.
Athletics
If you play sports, it's important that you consult us for special precautions. A protective mouthguard is advised for playing contact sports. In case of any accident involving the face, check your mouth and the appliances immediately. If teeth are loosened or the appliances damaged, phone at once for an appointment. In the meantime, treat your discomfort as you would treat any general soreness.
Emergency Care
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 to resolve the problem.
You might be surprised to learn that you may be able to temporarily solve many problems yourself until you schedule an appointment with our office. When working with your appliances, you need to know the names of the parts of your appliances so you are able to identify what part is broken or out of place. After alleviating your discomfort, it is very important that you still call our office as soon as possible to schedule a time to repair the problem. Allowing your appliance to remain damaged for an extended period of time may result in disruptions in your treatment plan.
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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 tweezer, try to put your wire back into place. If doing this and using wax doesn't 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, the headgear may hurt less as it's worn more, 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 saltwater mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. Placing Orabase on the affected area may help; this can be found in a pharmacy. If the tenderness is severe, take whatever you normally take for headache or similar pain.
The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the surface of the braces. You can put wax on the braces to lessen this. We'll show you how!
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