Everyone wants a naturally aligned and beautiful smile, and it is no secret that orthodontic braces can help deliver one. However, there are greater benefits to wearing braces than just having straight teeth. You’ll gain many oral health benefits in addition to the cosmetic ones.

Tooth Decay and Gum Disease

Crooked or crowded teeth may overlap each other and create tight spaces in between. These can make it very difficult to brush and floss effectively, allowing bacteria and plaque to build up, and eventually leading to tooth decay and gum disease. With orthodontic treatment, your teeth will become properly aligned and spaced, which allows for more effective brushing.

Difficulties with Speech

Your teeth play an essential role in speech. When they are out of line or lean too far forward or backward, this can affect your speaking patterns, and possibly cause embarrassment and frustration. Braces can readjust the positioning of the teeth to allow for clearer, more professional speech.

Bone Erosion

Bone and gum tissues begin to erode when there are no teeth to support. This is also true for poorly aligned teeth that leave gaps and spaces or place too much pressure on the jawbone due to a bad bite. With braces, the bones and tissues are less likely to erode and can continue to support the teeth in their new alignment.

Digestion

Your teeth play an important role in digestion. Before food ever enters your stomach, it has been partially digested by the teeth. If teeth are severely out of line, however, they may not play their role in breaking down food as effectively as they should. With braces, your teeth will be straightened into optimal alignment for eating and chewing.

When the time to remove your braces finally arrives, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow your dentist’s recommendations, but knowing more about the two types of retainer beforehand can be helpful.

Removable Retainers

Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.

Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.

Permanent Retainers

Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.

Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.

One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.

Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.

Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type.

One exciting part about wearing braces is getting to choose the colors of your rubber bands. Orthodontists place elastic bands, or ligatures, over each bracket to secure the archwire in place.

These rubber bands may be individual or connected, depending on your mouth’s needs. You have the option of choosing the color of your elastics, which are changed about once every month at every visit. Our offices keep a color wheel handy to help you choose which ones suit you best!

Children and teens often enjoy picking different colors each month to express their creativity and coordinate their braces with outfits. Decorating your mouth with your favorite colors is fun for kids and takes some of the stress out of wearing braces. Adults who wish for subtlety have color options that blend in with the metal brackets and archwire. Common choices for adults include silver, clear, and gray tones.

Common Color Combinations for Rubber Bands

With individual ligatures for each bracket, you may choose different color combinations for special events. You can have alternating colors or place an entire rainbow over your teeth.

Here are a few options to consider:

• School spirit colors
• Favorite sports team colors
• Patriotic colors
• Holiday themes

Some patients choose only one color to match their mood, personality, or favorite outfits. The palette of choices allows you to make bold statements with your braces or go for subtler tones that blend in with the metal structures. Keep in mind that bright colors make your teeth look whiter, while lighter shades, such as yellow and white, may cause your teeth to appear less bright.

What Your Rubber Band Color Says About You

• Red tones indicate that you are ready for action and take charge of your life with aggressive, forward-thinking steps.
• Blue tones are calm and relaxing. You are conservative and exhibit integrity when dealing with situations.
• Green tones represent growth and balance. You are level-headed and look for opportunities to grow emotionally and spiritually.
• Purple tones attract creative energies. You like to have fun and use your imagination in every aspect of your life.
• Orange tones indicate that you are optimistic and thrive in social situations where communication is open.
• Pink is a romantic color that represents a caring personality. You also enjoy having fun with silly games and endless laughter.

Did you know that even in ancient times, people wanted to improve the look and function of their smiles? We think of modern orthodontic appliances as sleek, efficient technology, but this was not always so! Take a look at the highlights in the evolution of braces.

Ancient Times: From Greece to Rome

• According to The Angle Orthodontist, Aristotle and Hippocrates first thought about methods for straightening teeth between 400 and 300 BC.
• The Etruscans, in what we now know as Italy, buried their dead with appliances that maintained spaces and prevented collapse of their teeth and jaws during life. Archaeologists have discovered mummified remains in various locations that have metal bands wrapped around the teeth.
• A Roman tomb has also been discovered in which the teeth were bound with gold wire, including documentation on the wire’s use as a dental device.
18th Century: A French Development
• The French dentist Pierre Fauchard is acknowledged as the father of modern dentistry. In 1728 he published a book that described various methods for straightening teeth. Fauchard also used a device known as a “blandeau” to widen the upper palate.
• Louis Bourdet was another French dentist who published a book in 1754 that discussed tooth alignment. Bourdet further refined the blandeau and was the first dentist to extract bicuspids, or the premolar teeth between canines and molars, for the purpose of reducing tooth crowding.
19th Century: Orthodontics Defined
• Orthodontics started to become a separate dental specialty during the early 19th century. The first wire crib was used in 1819, marking the beginning of modern orthodontics.
• During this period, gold, platinum, silver, steel, gum rubber, vulcanite, and occasionally wood, ivory, zinc, and copper were used — as was brass in the form of loops, hooks, spurs, and ligatures.
• Edward Maynard first used gum elastics in 1843 and E. J. Tucker began making rubber bands for braces in 1850.
• Norman W. Kingsley published the first paper on modern orthodontics in 1858 and J. N. Farrar was the first dentist to recommend the use of force over timed intervals to straighten teeth.
20th Century: New Materials Abound
• Edward Angle developed the first classification systems for malocclusions (misaligned teeth) during the early 20th century in the United States, and it is still in use today. Angle founded the American Society of Orthodontia in 1901, which was renamed the American Association of Orthodontists in the 1930s.
• By the 1960s, gold was universally abandoned in favor of stainless steel.
• Lingual braces were the “invisible” braces of choice until the early 1980s, when tooth-colored aesthetic brackets made from single-crystal sapphire and ceramics became popular.

Today

As we arrive in the present, you need only look at your own braces to see how far we’ve come. Your treatment plan was probably created with a 3D digital model, and we’ve likely used a computerized process to customize your archwires. Perhaps you have clear aligners, self-ligating brackets, or highly resilient ceramic brackets with heat-activated wires.

Orthodontics has come a long way from the days of Aristotle, and even the bulky wrap-around braces of just 60 years ago. Regardless of your specific treatment plan, the development of high-tech materials and methods has made it possible for your orthodontic experience to be as effective, efficient, and comfortable as possible.

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While braces play an important part in helping to create a healthy mouth and teeth, you might experience a few side effects while wearing them that are common and can be easily treated.

Even with the best of care, braces can cause soreness to your mouth. As your teeth begin to move, it is natural for your teeth to feel aches and your jaw to develop soreness.

If there are broken wires or loose bands on your braces, a sore tongue, mouth, or canker sore will occur. Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. If you experience a sore mouth or any of the following problems, call our office to schedule an appointment.

• Loose brackets: Apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth.

• Loose bands: These must be secured in place by our dentist. Try to save the band for repair.

• Protruding or broken wires: The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse.

• Loose spacers: These will need to be repositioned and sometimes replaced.

Foods to Avoid
Some foods can also help or hurt you while you’re wearing braces. Remember to cut your food into small pieces that can be easily chewed. You will want to avoid hard and chewy foods that can break your hardware. Foods such as corn on the cob, nuts, carrots, apples, ice, and bubble gum should be avoided.

Braces, rubber bands, springs, and other mouth appliances associated with braces will normally attract food particles and plaque. Without the proper care, this could cause staining of your teeth.

We recommend brushing after every meal or snack and carefully removing any food that might be lodged in the braces. A fluoride mouthwash might be helpful as well as flossing. At your next appointment, we can advise you how to floss with a brush specially designed for braces!

Let’s face it: sports-related injuries are common among children, let alone teens with braces. And now that the fall is here, the sports season is in full swing.

In a recent survey, the American Association of Orthodontists discovered that 70 percent of parents said their biggest worry is that their child will get hurt while playing sports. But 67 percent admitted that their child doesn’t wear a mouth guard when participating in organized sports, such as football, basketball, baseball and soccer. That’s why we’re helping spread the word that many facial sports injuries can be prevented simply by reminding your kids to wear mouth guards this fall season. We can provide a mouth guard for any patient in active treatment. In addition, the AAO has provided the following tips for keeping your kids safe on the field this fall. Please remind them to:

• Wear mouth guards during contact sports
• Wear a helmet
• Stretch before and after a game or practice
• Wear protective eye wear
• Wear a face shield to avoid scratched or bruised skin
• Be observant—even as a spectator

All of these can reduce injuries. Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Be sure to avoid mouth guards that custom form to your teeth, as these will resist any tooth movements that your treatment is designed to achieve.

Give us a call if you have any questions about mouth guards or your treatment!

You have braces, and you’re probably wondering what to eat. You can’t have gum, popcorn or other delicious but braces-unfriendly foods. But fear not! Our friends at the American Association of Orthodontists have a delicious recipe that will satisfy both your sugar craving and hunger when the weather gets cold.

Apple Bombolini
Ingredients:

Rustic dough
• 9 ounces cake flour (about 3 cups)
• ½ cup all purpose flour
• ½ cup granulated sugar
• Pinch sea salt
• 1 cup (2 sticks) unsalted butter, chilled and cut into large pieces
• 1 tablespoon vanilla
• 2 tablespoon cold water

Apple sauce filling
• 4 Granny Smith apples
• 1 cup (2 sticks) unsalted butter
• 1 tablespoon lemon juice
• 1 vanilla bean, or 1 teaspoon vanilla extract
• 1/3 cup granulated sugar
• 1 tablespoon water

Diced apples:
• 4 Granny Smith apples
• ¼ cup sugar
• ½ teaspoon vanilla
• ½ lemon, juiced

Directions:

For the dough: In a mixing bowl with a paddle attachment, add the dry ingredients and mix for 5 seconds to blend. Add the butter and vanilla and mix until the butter is about the size of peas. Add the cold water and blend until the dough just comes together. Form the dough into a roughly shaped ball, wrap in plastic, and refrigerate for 1 to 2 hours.
Applesauce filling: Peel, core, and slice the apples. Put the apples with the rest of the ingredients into a saucepan. Bring to a boil, turn down the heat, and cook until the apples are very soft, about 20 minutes. Remove from the heat, cool, and refrigerate.

Diced apples: Peel, core, and cut the apples into large slices. Toss with the sugar, vanilla and lemon juice and set aside.

Assemble the bomboloni: Remove the dough from the refrigerator. Roll out to1/4-inch thick round. Cut into 6-inch rounds. Place about 1/4 cup of the Apple Sauce Filling onto the center of each round. Top with a few pieces of the Diced Apples. Pull the sides up towards the center to form a bundle, pinching the dough together towards top. Cover with plastic wrap and refrigerate for 1 hour before baking

At Our office, we encourage our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease!

Should You Floss Before or After Brushing?

According to recent clinical findings, you can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. The staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine.

Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So what types of foods should you or your kids eat to protect dental appliances?

The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.

A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!

Post-Tightening Foods

As braces begin to adjust the alignment of the teeth, our office will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:

• pudding
• mashed potatoes
• soup
• ice cream
• cottage cheese
• peas
• pancakes
• pasta

Foods to Avoid

According to the American Dental Association, anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:

• hard candies
• gum
• nuts
• popcorn
• certain raw vegetables (for example, carrots)

Considerations

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child's development.

Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.

If you're wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

• Difficulty when chewing or biting
• Chronic mouth-breathing
• Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
• Overbite — when the upper teeth overlap the lower teeth by more than 5mm
• Top front teeth that cover more than 25 percent of the bottom teeth while biting
• Underbite — when the top front teeth go behind the bottom row of teeth when biting
• Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
• Crossbite — when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
• The center of the top and bottom teeth don't line up
• Uneven teeth-wearing
• Baby teeth coming out too early for the child's age
• Pain in jaws
• Clicking in the jaw joints
• The jaw shifts off-center while chewing or biting
• A jaw that protrudes, or recedes, too much
• Difficulty speaking or enunciating clearly
• Chronic biting of the inner cheek or roof of the mouth
• Asymmetrical facial structure
• Grinding or clenching of the teeth

If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

Children and adults who visit orthodontists often feel confused and a little frightened because of the various metal tools and appliances. Knowing the applications of such devices can help ease a patient's mind when undergoing treatment. Dentofacial orthopedics is a specialty that uses appliances to adjust the jaws for ideal compatibility. The American Association of Orthodontists recommends these treatment options for children between the ages of eight and 12 to make adjustments during developmental stages. Adults also experience dental changes throughout their lives and can benefit from dentofacial orthopedic appliances. Some common problems with jaw alignment or development include:

• Underdeveloped lower jaw
• Protrusion of upper teeth
• Malocclusions
• Crossbite
• Overbite

Orthodontic Appliances for Correcting Jaw Growth Problems

Jaw-correcting appliances are either fixed or removable. Fixed appliances are applied to the teeth with the use of cement. Removable appliances require dedication from the patient to wear the devices as instructed. You will receive better results by wearing your orthodontic gear and following the treatment plan designed for your specific needs. Understanding the potential results will help you stay motivated, and parents can help their children to follow recommendations. Some appliances can cause slight discomfort during adjustment periods, but wearing them regularly will help shorten the time frame for treatment. Here are some of the most common appliances for correcting jaw growth problems.

• Headgear: This appliance is removable and consists of a stainless steel facebow and fabric safety strap. The orthodontist fixes metal bands to your upper-back teeth where you attach the facebow. The safety strap wraps around your head and secures the facebow. Headgear affects jaw growth and tooth movement by applying pressure to the upper teeth and maxilla.
• Herbst® Appliance: Typically permanent, these appliances attach to the upper and lower molars to hold the mandible forward. The purpose of this type of treatment is to eliminate an overbite. With expansion screws, the Herbst can also widen the jaw.
• Mara: This appliance pushes the mandible forward to reduce overbite. Crowns are placed on your top and bottom molars, and a metal elbow connects the crowns.
• Bite Corrector: This appliance is combined with braces to correct different malocclusions. Metal bars with enclosed springs apply pressure to both the upper and lower jaws. The placement of such bars will depend on the bite type.
• Bionator: This removable appliance guides the lower jaw so that it grows in proportion to the upper jaw. Children can develop aligned bites by wearing bionators.
• Palatal Expansion: There are two options for placement, fixed, or removable palatal expansions, to fix crossbites. The appliance attaches to the upper-back teeth and widens the jaw.
You will get used to the feeling of most appliances within one month, and the adjustment period is easier if you follow the treatment plan that our staff designs. The average time it takes to correct jaw problems is 12 months, so you can expect to see a more beautiful smile in about one year.

Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces:

1. Eat Braces-Safe Foods

Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque, which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and can be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, popcorn can also bend or break your braces.
On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids.

2. Proper Brushing

You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can't always reach.

3. Ask About Special Cleaning Tools

There are also special brushes, or other tools, to get under and clean your braces. You can also find many of these items at your local pharmacy.

4. Regular Teeth Cleaning

It's important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others.
As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.
What is a "bad bite"?

A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced — either too far apart or too close together — can also cause bite problems.

Frequent causes of bite problems:

• Heredity
• Thumb-sucking
• Premature tooth loss
• Accidents

Benefits of orthodontic treatment:

Appearance -

Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.

Preventing Decay -

It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay, and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues -

An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:

Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.

Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.

Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.

Length of orthodontic treatment:

Treatment typically ranges from 12 to 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time.

Adults who need orthodontic care often share the misconception that they are too old for braces and would rather not deal with the embarrassment. You are probably familiar with horror stories about rubber bands snapping, mishaps with kissing, and unsightly food sticking in metal braces. Many adults believe that braces are just for children, but they are neglecting all the benefits of correcting misaligned teeth. Braces may cause you to feel self-conscious, but they are temporary. Along with straightening your teeth, braces also provide the following benefits:

• Better oral hygiene
• Easier to clean aligned teeth
• Less complicated dental procedures
• Eliminate the embarrassment of crooked teeth

One common reason for not correcting misaligned teeth is the appearance of metal braces. Adults do not want to face co-workers and friends with colored rubber bands and metal laced throughout their mouths. The expert healthcare professionals at SingHealth suggest several alternatives that are just as effective as metal braces. You have three options for correcting your misaligned teeth without the embarrassment, and they include:

• Ceramic braces
• Lingual braces
• Invisalign®

Ceramic braces are like metal ones except that they match the natural color of your teeth. This option is less noticeable and will usually not show up in photographs. Lingual braces are attached to your back teeth only, so no one will know that you have a corrective device. Invisalign consists of clear plastic coverings that you can remove for eating and teeth brushing. All of these options lead to a more attractive smile that you do not have to feel embarrassed about.

If you do choose metal braces to correct your teeth, you should consider the following suggestions for limiting embarrassing moments. The rubber bands holding the brackets in place come in silver, which will draw less attention to your mouth. Changing the removable rubber bands on a regular basis will help prevent the material from wearing down and snapping. If you chew with your back molars and cut your food into manageable bites, you are less likely to get particles stuck in your braces. Following our treatment advice and instructions will limit the time you have to wear corrective devices. Focus on the end result of straighter teeth whenever you feel particularly self-conscious about your braces.

Are you thinking about orthodontic treatment to straighten teeth or correct jaw alignment? Consider making your first step an orthodontic consultation. During the consultation we will address your questions, concerns, and talk about a treatment plan that would best suit your situation.

We want you to feel prepared and in charge of your orthodontic treatment decisions, so keep these questions in mind when you come in for your appointment.

• If I do need some adjustments to my teeth, what options will I have besides braces?
(This will help you determine what approaches we use to straightening teeth.)

• What kind of preparation is needed to get braces? How many visits will it take?
(It’s important to know how many appointments may be needed and what you will need to do between appointments to be ready for braces.)

• Can I expect any pain when getting braces?
(Ask about the ways we address pain management.)

• What determines how long I have to wear braces?
(The length of treatment will vary from patient to patient. During your consultation we can evaluate your teeth and jaw alignment to determine the correct course and length of treatment.)

• How will braces affect my lifestyle? Foods I can eat? Activities I can do?
(You may find that little needs to change in your daily routine to have a successful orthodontic outcome. We can discuss and address any changes so you can be prepared before you get your braces.)

• Who will be involved in the orthodontic work? Whom can I expect to see during my adjustment visits?

• What will my orthodontic work cost? What is the ”average” cost, and what could be the maximum?
(Make sure you are clear about what your insurance covers, who contacts the insurance company for pre-authorization, who files the insurance forms, and what flexibility there is to pay the remaining amount not covered.)

Your initial orthodontic consultation may just be the first step in relieving a lot of pain and discomfort in your life. Going in with the right questions will help you to understand the entire process and be prepared to do your part for your own dental health. Be sure to bring a list of your questions!

When coming to our office to have braces put on, you may find yourself feeling a bit intimated and nervous about the experience. We hope to help you feel more at ease by explaining exactly what the different parts of braces are, and what they do.

Parts of Braces

• Elastic Tie — This is a very small rubber band, and it holds the archwire in place.
• Archwire — This is the main part of the braces. It is a wire guide that tracks the teeth. The wire may be moved from time to time during treatment to continue straightening a patient's teeth.
• Loop in Archwire — This is not in all braces. If it is used, it is to close a gap left from a tooth extraction.
• Bracket — This piece of equipment holds the archwire in place. Formerly, many patients used colored rubber bands to keep the brackets in place, but now since most brackets are cemented on, this is no longer necessary.
• Headgear Tube — This is a hollow area near the back bands, which allows the headgear to fit into the braces. This is only used on patients who require headgear.
• Coil Spring — If needed, this would fit between a bracket and the main archwire. Its purpose is to open up the space between the teeth. This is not necessarily used on all patients.
• Tie Wire — This is another piece of equipment that is used to keep the archwire in place. It is a thin wire that wraps around the bracket.
• Band — This is a metal band that fits completely around a tooth. It is used to help adhere brackets to the tooth.
• Hook — This is the piece of equipment that is used to attach the elastics, also known as rubber bands, around the bracket.
• Elastic — These elastics are used to connect one point of the appliance to another. The purpose is to apply pressure, and encourage the teeth to move into the proper positioning.

By defining each appliance we hope you or your child will be less apprehensive about getting braces put on. At the end of your treatment, you will have a bright, straight smile to show off to all of your friends.

A lot of our patients play sports, and now is a great time to remind all of you to take care of both your mouth and appliances while participating in sports – especially contact sports such as soccer, football, baseball and basketball.

One of the most important pieces of sports equipment you can wear on the field this summer is a mouth guard. A well-fitted mouth guard allows you to breathe and speak more clearly, in addition to protecting your mouth and appliances. Only by using a mouth guard can athletes avoid serious mouth and jaw injuries. The next time you’re in for an adjustment appointment, we encourage you to let us know if you’re playing or planning to play any sports. We can recommend a mouth guard that will work best for you. Also, here are five quick tips for keeping yourself safe during sport activities this summer:

• Wear a helmet
• Stretch before and after a game or practice
• Wear protective eyewear
• Wear a face shield to avoid scratched or bruised skin
• Be observant, even as a spectator

We hope this helps! You can always contact us if you have any questions! Good luck on the field!

Keeping your teeth clean is more important than ever when you have braces!

Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:

1. One tooth at a time.

When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.

3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.

4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.

6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.

7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.

9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.

10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

We hope this helps, and remember to give our team a call if you ever have any questions!

It’s hard to believe, but July is already here and half of 2012 has already passed! As July 4th approaches, our team thought it would be fun to share some facts and safety tips for celebrating our country’s independence day.

Fun Facts:

• Betsy Ross, according to legend, sewed the first American flag in May or June 1776, as commissioned by the Congressional Committee.

• The major objection to being ruled by Britain was taxation without representation. The colonists had no say in the decisions of English Parliament.

• The word ‘patriotism’ comes from the Latin patria, which means ‘homeland’ or ‘fatherland.’

• The first public Fourth of July event at the White House occurred in 1804.

• And what could be more fitting than spending the day in a place called “America”? There are five such places in the country, with the most populous being American Fork, Utah, with 21,941 residents. Check out American Fact Finder.

Safety Tips:

• Avoid buying fireworks that are packaged in brown paper because this is often a sign that the fireworks were made for professional displays and that they could pose a danger to consumers.

• Keep a bucket of water or a garden hose handy in case of fire or other mishap.

• Never carry fireworks in a pocket or shoot them off in metal or glass containers.

• To prevent a trash fire, be sure to douse the spent fireworks with plenty of water from a bucket or hose after fireworks complete their burning and before discarding them.

• Make sure fireworks are legal before buying or using them.

What are your plans this 4th of July? Share them with us! We’d love to hear what you and the rest of the community will be doing to celebrate! (Don’t forget to make sure there are no restrictions on fireworks! Check out this link to see if fireworks might be an issue for you this year.)

Also, check out these 4th of July party invitations, eGreeting cards, and delicious recipes!

July 4th eCard invitations!

Happy Independence Day eCards

Independence Day Recipes

Photo by shawnajean

Summer is here! Kids and adults alike will now be spending more time outside being active and enjoying the hotter temperatures. What’s better on a hot summer day than a delicious treat that will cool you down after doing something active in the summer sun? Luckily, our friends at the American Association of Orthodontists (AAO) have just the thing, Watermelon Sorbet! You can find the complete recipe below:

Watermelon Sorbet

Ingredients
• ¾ cup water
• ¼ cup sugar
• 1 teaspoon lime juice
• 2 to 3 cups watermelon, diced, no seeds or rind

Directions
In a small saucepan, heat the water, sugar, and lime juice on medium high for 1 to 2 minutes, stirring until the sugar has dissolved. Chill this “syrup” at least 20 minutes. In the meantime, place the watermelon chunks in a food processor or blender and liquefy them. Add the chilled syrup to the watermelon puree and blend. Freeze sorbet in an ice-cream maker according to manufacturer’s directions. Serve immediately.

Happy Summer!

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 with our office.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you get in to see us…

The following solutions may help you relieve your discomfort:

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 tweezers, try to place your wire back into place. If doing this and using wax does not 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, headgear becomes more comfortable the more it’s worn, 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 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.

Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

The number one goal of orthodontic treatment is to give you or your child a good bite, meaning straight teeth that work well with the teeth in the opposite jaw. A good bite makes it easier for you to eat, chew and speak. It can enhance your dental health and your overall health, and may well improve your self-esteem. As a part of your comprehensive dental health care plan, orthodontic treatment can help you retain your teeth—and your smile—for a lifetime.

Let your smile express yourself! Nothing can show the world how happy you are quite like a beautiful smile. In fact, it’s one of the first things others notice about you, too. With orthodontics, you can be proud to flash your smile, because you’ll know that your smile truly represents your positive attitude.

Make your mouth healthy! Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are easier to clean, reducing the amount of plaque buildup and risk for gingivitis. The cleaner you keep your teeth, the longer they’ll last!

Feel free to live your life! Orthodontics is easier today than ever before, with treatment options that fit your lifestyle and schedule. We can personalize your treatment to suit all of your needs!

In honor of June Dairy Month, our team would like to thank all of our hard working families in the Dairy Industry. We all rely heavily on the hard work that our country’s farmers do!

In fact, dairy is important to your overall health! A 2008 study from the American Academy of Periodontology (AAP) found that regular consumption of dairy products, such as milk, cheese and yogurt, can lower your chances of contracting periodontal disease (also known as gum disease).

Results of the study show that adults who consume at least 55 grams of lactic acid a day are less at risk for gum disease. Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth.

Questions about which foods you should steer clear of and which you should enjoy during orthodontic treatment? Give us a call or ask us on Facebook!

Now that summer is just around the corner, we know you all are starting to make big plans for vacations and trips! The summer months can be a busy time for a lot of our patients, and we know how hectic your lives can be! Just be sure to remember keep up with your dental health care and your appointments with our practice!

During the summer, there are also a lot of foods and beverages that we all love to enjoy, but often these treats can damage our teeth. Sugary foods and drinks can be harmful to your dental health, so stay diligent by brushing at least three times a day and flossing at least once!

We look forward to hearing all about your plans for the summer, and be sure to take lots of pictures that you can share with us on Facebook! Stay safe, have fun, and brush and floss your teeth!

Memorial Day weekend, a time to remember and honor the men and women lost while serving for our country. Memorial Day is also the unofficial start of summer, and for many folks getting out of town for three days after being cooped up in the classroom or the office spells sweet, sweet relief.

What about you? What are you up to this Memorial Day weekend? Whether you are headed to a barbecue, a camping trip, or just hitting the great American open roads, we’d like to hear all about it!

Our entire team wishes you a happy, safe and relaxing Memorial Day weekend!

Absolutely not! Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In a society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:

• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
• Pain or pressure from crooked teeth or a misaligned jaw
• A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.

As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.

If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

We know that you may have many questions regarding your initial consultation, and it is our goal to make sure that you feel informed and excited to come in for your first visit! Below, you’ll find some things that you can expect when you come in for your complimentary initial consultation.

At your initial appointment, we will conduct a comprehensive exam to determine if there is a need for orthodontic treatment. You will also have an opportunity to meet our staff and Dr. Lee as well as tour our facility. During this time, we encourage you to ask any questions that you may have, including questions about our payment plans, options, and acceptance of insurance benefits, and we will offer you all of the information that you will need so that you can make the best choice for you and your smile!

Then, if you are a good candidate for orthodontic treatment, we can begin your treatment plan during your consultation with diagnostic records. If we determine that orthodontic treatment will help you achieve optimal oral health and improve your smile, we will then schedule your first appointment with Dr. Lee!

Our goal is to provide all of our patients with the highest level of orthodontic care because we know how important it is for your health and happiness! Your smile says a lot about you, and making your smile the best it can be is our specialty! And be sure to head over to our Google Places page to check out all of the wonderful things people have said about their treatment at our practice! If you have any questions about your initial exam or orthodontic care in general, please do not hesitate to get in touch with us. We look forward to helping you along the road to your best smile!

At Sung Lee Orthodontics, we know image is everything. At an age when image is so important, the thought of having braces may intensify the already-delicate confidence of today's teens. Well, May is National Teen Self-Esteem Month, and during this time, parents are encouraged to act as positive role models, help stop negative self-images, and improve confidence and security among teenagers.

One of the great ways to improve your confidence is to improve your smile. And that begins with a consultation at Sung Lee Orthodontics. After all, what better time to avoid having crooked teeth in your adulthood than coming in for a consultation with Dr. Lee?

We invite you to give us a call to schedule a consultation or ask us on Facebook!

There are a variety of foods you should avoid while you're wearing braces. Some foods can occasionally damage braces, but certain foods can bend the wires or even break the brackets on your braces. If you’re wearing braces, you should avoid starch, sugar and gummy foods, as these foods can be difficult to remove during brushing. Foods that are high in sugar and starch tend to cause plaque, cavities and even tooth decay.

Avoid tough meats, hard breads and raw vegetables such as carrots and celery. 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 you should avoid include:

• 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

Also, chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.

If you have any questions on which foods you should be avoiding and why, we invite you to give us a call or ask our staff during your next visit.

Invisalign clear aligners can be a great option for improving the look of your smile. At Sung Lee Orthodontics, we have lots of experience using this technology to give our patients the straight, beautiful smile they’ve always wanted. Plus, because it’s so convenient, Invisalign won’t interfere with your daily life.

• Invisalign aligners are clear, discrete and effective at moving your teeth into their ideal positions.
• You don’t need to change your eating habits, because your aligners can be easily removed.
• Invisalign aligners are made of comfortable, smooth plastic, so you don’t have to worry about taking care of metal brackets.
• Invisalign aligners make daily oral hygiene easier, reducing the risk of possible problems.
• Invisalign treatment is covered by most insurance providers, just like traditional braces.

A straight smile makes you look great, but it also can help you keep the rest of your mouth healthy. Correctly aligned teeth can decrease health issues that can be caused by an improper bite, speech or chewing difficulties, jaw problems, and increased wear on the tooth enamel.

Invisalign can be used by teens and adults, so whether you want to improve your own smile or need more information about your teen’s orthodontic options, contact our Puyallup office to learn more.

At Sung Lee Orthodontics, we know image is everything. For many people, the thought of having metal brackets and wires attached to their teeth for two or more years may be more than enough to delay orthodontic treatment.

If you’ve been considering straightening your teeth but are apprehensive about metal wires and brackets getting in the way of your smile, Invisalign treatment at our office may be a great solution. Invisalign, which straightens teeth through a series of clear, custom-fit removable aligners, does so in a way that is discreet and hardly noticeable.

If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment at our office, please give us a call to schedule a consultation with Dr. Lee.

Absolutely not! Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In a society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:

• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
• Pain or pressure from crooked teeth or a misaligned jaw
• A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.

As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.

If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our Puyallup office a call to schedule your appointment today!

At Sung Lee Orthodontics, we know nobody likes getting plaque on their teeth. Here are five other ways you can avoid that dreaded enemy of the teeth during orthodontic treatment, courtesy of WebMD.

Let’s start with brushing regularly. Brushing your teeth twice a day with a fluoride-containing toothpaste is vital to a healthy mouth. Make sure you softly brush all the surfaces of your teeth.

Next on the list is flossing daily: a simple daily flossing between teeth clears away plaque before it can cause damage and can also clean plaque at the gum line. Plaque is known to reach the spaces between teeth.

Also, evading a trip to the dentist is probably not a great idea. Let’s say you brush and floss daily. You’re still at risk for plaque. With time, the plaque hardens and turns into tartar. Consider visiting your general dentist at least twice a year or as recommended by your dentist, and you have a lower chance of getting cavities or losing your teeth while wearing braces.

You’ll also want to stop avoiding those fruits and veggies. Believe it or not, there are foods out there that play a key role in keeping plaque off our teeth. They include apples, carrots, cucumbers and other raw fruits and vegetables. You can still eat these types of fruits and veggies if you have braces, but be sure to cut them up into bite sized pieces to avoid breaking off brackets.

Finally, before you pick up that candy bar, remember to not give in to your sweet tooth. Consuming sugary drinks or eating candy or other junk food allows sugar to stick to our teeth. The bacteria, then, becomes plaque, which turns into acid and damages our teeth. Avoiding these five bad habits keeps your plaque in check and your mouth as healthy as can be during your orthodontic treatment with Dr. Sung Lee. If you have any questions, give our Puyallup office a call!