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Posts for tag: orthodontics

By Montgomery Dental Care
May 13, 2020
Category: Oral Health
Tags: oral hygiene   orthodontics  
4WaystoAvoidDentalDiseaseWhileWearingBraces

Keeping your teeth and gums healthy isn't always easy—and it's even more of a challenge if you're wearing orthodontic appliances like braces. That's why a fair percentage of patients wearing braces also contend with tooth decay or periodontal (gum) disease.

The reason is simple: The orthodontic hardware makes it difficult to fully reach all parts of teeth surfaces with your toothbrush or floss. As a result, you can miss removing some of the accumulated plaque, the thin film of bacteria and food particles most responsible for dental disease. And it only takes a short amount of time (just days with gum disease) for a bacterial infection to begin.

But while avoiding dental disease is difficult while wearing braces, it's not impossible. Here are 4 ways you can minimize your dental disease risk while undergoing orthodontic treatment.

Be diligent with your daily hygiene. Even though it's more difficult, don't slack on daily brushing and flossing. It does require more time to work the brush around and between the wires and brackets, but taking the time will help you clear away more plaque you might otherwise miss. It may also help to switch to a multi-tufted, microfine bristled toothbrush if you're not already using one.

Use a water irrigator. If straight thread flossing is proving too difficult (and even with a floss threader), try using a water irrigator. This device emits a pulsating spray of pressurized water that loosens and flushes away plaque between teeth. Clinical studies consistently show water flossing is effective for reducing plaque in orthodontic patients.

Lower your sugar intake. Sugar left over in the mouth is a prime food source for bacteria that cause tooth decay or gum disease. Reducing sugary foods and snacks can help reduce bacterial populations and lower your disease risk. You can also fortify your oral health with healthier foods that contain calcium and other minerals.

Keep up regular dental visits. In addition to your orthodontic adjustments, don't neglect your regular visits with your family dentist. Semi-annual cleanings help remove any plaque and calculus (calcified plaque) you may have missed. Your dentist can also monitor your health and boost your disease prevention through topical fluoride treatments or prescribed antibacterial mouth rinses.

If you would like more information on dental care while wearing braces, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”

By Montgomery Dental Care
March 27, 2019
Category: Dental Procedures

Adult Clear BracesAt Countryside Dental in Cincinnati, OH, your dentist, Dr. Janette Williams, uses specialized computer software to create custom Invisalign aligners that will straighten your teeth comfortably and discreetly.

Clear Braces

These transparent aligners are great for adults and teenagers who are looking for a hassle-free way of improving their smile.

To begin treatment, your Cincinnati, OH, dentist orders a series of custom aligner trays. Each pair of aligners in this set needs to be worn for two-to-three weeks before being exchanged for the next one in the series. On a daily basis, you'll need to wear the clear aligners 20 to 22 hours per day.

You can take these clear braces off when brushing and flossing your teeth or when cleaning the aligners themselves. You can also take the braces off during special events, like weddings, job interviews, or any other casual party, but that's unnecessary since no one can see them.

The clear plastic aligners are made of polyurethane plastic, which means they're flexible and great for straightening teeth discreetly. They also provide several other advantages:

  • They don't hinder you from having a healthy oral regimen because Invisalign is a removable appliance.
  • You can eat whatever you want while undergoing treatment.
  • You'll clean your teeth more thoroughly than if you had traditional metal braces.
  • Invisalign clear aligners are thin and flexible, so they don't irritate the soft tissue in your mouth.
  • The transparent braces are discreet and used to protect teeth from bruxism (i.e. teeth-grinding).

Oral Care

To take care of your Invisalign aligners, simply:

  • Remove braces while eating
  • Brush your teeth twice a day
  • Floss your teeth every night
  • Use fluoride-containing products

Consultation

If you are interested in knowing whether or not you're a candidate for clear aligner braces, please call your Cincinnati, OH, dental office today at (513) 793-5703!

By Montgomery Dental Care
May 09, 2018
Category: Dental Procedures
Tags: orthodontics   braces   Invisalign  

Millions of Americans require some form of orthodontic treatment every year. Although it is most common in childhood and the teenage invisalignyears, as many as 25% of patients seeking orthodontic treatment for cosmetic issues or bite and alignment problems are adults. Invisalign clear aligner trays are a discrete and effective way to straighten your teeth and maintain your lifestyle and oral hygiene routine - without getting traditional metallic or ceramic braces. Dr. Janette Williams at Montgomery Dental Care in Cincinnati, OH, recommends Invisalign as a minimally invasive and cosmetically appealing alternative to braces for teenagers and adults.

Invisalign in Cincinnati, OH

The cosmetic aspect of Invisalign clear aligner trays is obviously one of the biggest advantages, but there are many other benefits to consider. Unlike traditional braces, Invisalign trays are removable, which allow you to keep your regular diet and continuing enjoying your favorite foods without restrictions. They also allow you to keep up your normal oral hygiene routine. The trays are custom designed out of high-quality plastic for a comfortable fit and are far less invasive and disruptive to your quality of life than traditional braces.

How Invisalign Trays Work

The first step is to schedule a consultation to determine whether Invisalign is the best option. Depending on your situation and alignment needs, the average treatment time may be shorter with Invisalign, and more affordable than traditional orthodontic treatment. The trays are removable for up to two hours per day, so you can enjoy your meals without restrictions on certain foods. You can continue to show off your smile without embarrassment as your teeth gradually shift into the desired alignment.

Find a Dentist in Cincinnati, OH

Ready to get started with Invisalign? For more information about how they work and whether they are the right option for you or a member of your family, contact Montgomery Dental Care at 513-793-5703 to schedule an appointment with Dr. Williams today.

By Montgomery Dental Care
January 17, 2018
Category: Dental Procedures
Tags: orthodontics  
CoaxingImpactedTeethtotheRightPositioncanImproveYourSmile

What makes an attractive smile? Of course, shiny, straight and defect-free teeth are a big factor. But there’s another equally important element: all your teeth have come in.

Sometimes, though, they don’t: one or more teeth may remain up in the gums, a condition known as impaction.¬†And if they’re in the front like the upper canines (the pointed teeth on either side of the front four incisors) your smile’s natural balance and symmetry can suffer.

Impaction usually happens due to lack of space on a small jaw. Previously erupted teeth crowd into the space of teeth yet to come in, preventing them from doing so. As a result the latter remain hidden within the gums.

While impaction can interfere with the smile appearance, it can cause health problems too. Impacted teeth are at higher risk for abscesses (localized areas of infection) and can damage the roots of other teeth they may be pressing against. That’s why it’s desirable for both form and function to treat them.

We begin first with an orthodontic examination to fully assess the situation. At some point we’ll want to pinpoint the impacted teeth’s precise location and position. While x-rays are useful for locating impacted teeth, many specialists use cone beam CT (CBCT) technology that produces highly detailed three-dimensional images viewable from different vantage points.

If the tooth is in too extreme a position, it might be best to remove it and later replace it with a dental impact or similar restoration once we’ve completed other necessary orthodontic treatment. But if the tooth is in a reasonable position, we might be able to “move” the tooth into its proper place in the jaw in coordination with these other tooth-movement efforts to make room for it.

To begin this process, an oral surgeon or periodontist surgically exposes the tooth crown (the normally visible portion) through the gums. They then bond a small bracket to the crown and attach a small gold chain. An orthodontist will attach the other end to orthodontic hardware that will exert downward pressure on the tooth to gradually bring it into normal position.

Dealing with impacted teeth of this nature is often part of a comprehensive effort to correct the bite. If we’re successful, it could permanently transform both the smile and overall dental health.

If you would like more information on treating impacted teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Exposing Impacted Canines.”

BondedRetainersProvideaLessNoticeableOptionforKeepingTeethStraight

If you're currently undergoing orthodontic treatment, you're no doubt looking forward to the day your braces come off. But that won't end your treatment just yet — you'll need to wear a retainer.

Teeth are held secure in the bone of the jaw by an elastic tissue known as the periodontal ligament. As the braces “pull” the teeth to their new position, the ligament stretches and the bone remodels around the teeth. But the ligament also has a tendency to rebound as the tension eases when the braces are removed. The teeth could then return to their original position, especially during the first few months.

To prevent this patients wear an orthodontic appliance known as a retainer. It maintains some of the tension once supplied by the braces to help keep or “retain” the teeth in their new position. Depending on your age and other factors, you'll have to wear one for at least eighteen months; some patients, especially adults, may have to wear one indefinitely.

You may be familiar with a removable retainer, one you can take in and out of your mouth. But there's another type called a bonded retainer that's fixed to the teeth and can only be removed by a dentist. With this retainer a dentist bonds a thin piece of wire to the back of the teeth where it can't be seen. You can feel it, though, with the tongue: an unusual sensation at first, but one easily grown accustomed to.

Unlike their removable counterparts, bonded retainers aren't noticeable, either to others or the wearer. They're especially appropriate for patients who may not be as diligent in wearing a removable retainer.

It does, though, have some disadvantages. The position of the wire running horizontally across several teeth can make flossing difficult. And as with any retainer, removing it could increase the risk of the teeth moving out of alignment.

There are a number of factors to discuss with your orthodontist about which type of retainer is best for your situation. If you do choose a bonded retainer, be sure you work with the dental hygienist on how best to floss the affected teeth. And if you do have it removed, have a removable retainer prepared so you can preserve that smile you've invested so much into obtaining.

If you would like more information on bonded retainers following braces, please contact us or schedule an appointment for a consultation.