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One of the most common reasons for getting braces is because there’s just not enough room for all your teeth to fit next to each other evenly. The result is overlapping and crooked teeth. What’s the first step in creating the space you need? Well, that depends on just how much room you need to align your teeth and bite properly.

When there is going to be a serious need for space, there are orthodontic solutions that can help, including palatal expanders, surgical options, and extractions. But if you only need a tiny bit of room so that regular braces will fit properly, we have a tiny solution—orthodontic spacers!

Why do you need to make space before you get braces? Because Dr. McClure might need to make some room around crowded molars so your braces can be installed properly.

For example, you might need orthodontic bands to anchor your braces. An orthodontic band is a slim, custom-fitted ring of metal which fits snugly around a molar. It is durable, provides a place to attach bands and springs to help correct malocclusions (bite problems), and can securely surround a tooth that might be weak because of a large filling. Spacers can separate crowded teeth just enough to allow a band to be fitted around a molar.

Even if you don’t need bands, sometimes separators are necessary to provide enough space between the teeth for your braces to work effectively. The back teeth tend to move even closer together with braces, and, without adequate space, bite problems, risk of decay, and other difficulties can arise.

And while you might think that some serious equipment is in order to make room between those sturdy molars, the typical spacer, or separator, is actually extremely simple--usually a tiny, round elastic band, often made of rubber. Spacers can be placed between tight teeth in a matter of minutes. Each ring is stretched and positioned between your teeth with a special tool. As it returns to its original shape, the spacer’s width provides just enough pressure on the teeth it touches to make a bit of space between them. And a bit of space is usually all you’ll need.

What do spacers feel like? For some people, they can be uncomfortable. You might feel soreness, some pressure, or as though a piece of food is stuck between your teeth. Ask us for suggestions on making you more comfortable, whether it’s dining on ice cream and cold drinks, eating soft foods, or taking over-the-counter pain relief. Separators are only designed to be in place for a very short period (usually under two weeks), but if they are causing you pain, give us a call.

What do you need to do to help the process along? Actually, it’s more what you need not to do. Don’t use dental picks or floss on your separators, avoid chewing gum, and take chewy and sticky foods off the menu. And don’t be tempted to touch or play with your spacers!

Spacers can create space between the teeth so quickly and efficiently that they often fall out on their own after a few days. If your separators fall out, give our Raleigh, Cary, Garner or Wendell, NC office a call. It could mean that you are ready for your braces, and on the way to a lifetime of healthy, beautiful smiles. And it’s a journey that begins with a tiny, springy step.

The topic is tubes. No, we’re not talking about TV shows, or sports socks, or British subway systems. We’re talking toothpaste! With so many options out there, which toothpaste should you be looking for to keep your teeth their cleanest and healthiest during orthodontic treatment?

• Fantastic Fluoride

The last thing you want while you’re wearing braces is a cavity. Cavities develop when plaque sticks to a tooth. The oral bacteria found in plaque produce acids that weaken your enamel. Over time, these acid attacks lead to the breakdown of the enamel and a cavity forms. But you have a way to stop this process. Fluoride provides protection against cavities. Fluoride toothpastes contain minerals that actually strengthen your enamel, and can even repair early damage before a cavity has a chance to form. Whichever toothpaste you choose, fluoride is the most important ingredient.

• Terrific Tartar-Control

What is tartar, anyway? Tartar, or calculus, is hardened plaque. It’s so hard, it can’t be removed by brushing alone—that’s why your dental hygienist uses special tools to remove it when you have a cleaning. Tartar buildup can lead to receding gums and gum disease, so prevent this buildup before it starts by using a toothpaste especially formulated to remove plaque.

• Desensitizing Decisions

There are many causes for tooth sensitivity. If painful sensitivity is caused by hot or cold drinks, it could mean a dental issue such as decay or a damaged tooth, and your dentist can help diagnose and treat the problem. Sensitivity be a sign that you’re not cleaning around your braces well enough, leading to sore and inflamed gums. Sometimes sensitivity can actually be caused by over-enthusiastic brushing. Remember, massage, don’t scrub! For some extra-sensitive teeth, a desensitizing toothpaste or even a prescription toothpaste can help. If you find that your teeth are more sensitive only after an adjustment, give us a call. This is usually temporary.

• What about Whitening?

Whitening toothpastes do a good job of taking care of some surface stains, so why not use them? Because they take care of some surface stains. When your braces are in place, your brackets cover a small portion of your enamel—a portion that won’t be whitened as you brush. Generally, because whitening toothpastes don’t make a huge difference in tooth color, this might not be a problem. Talk to Dr. McClure before you decide to whiten, and we’ll have suggestions just for you.

In fact, if you have any questions about the best toothpastes for orthodontic patients, contact our Raleigh, Cary, Garner or Wendell, NC office! Getting your braces is a great step forward on your way to a beautiful smile. Let us help you choose the right toothpaste to make sure that beautiful smile is a healthy and lasting one.

Let’s talk about mouthguards.

We could talk about how important wearing a mouthguard is when you lead an active life. If you play sports, ride bikes, skateboard, or participate in many other kinds of exercise, mouthguards protect your teeth, mouth tissue, and jaws from accidents. 

Or we could talk about how wearing a mouthguard while you’re wearing braces has extra benefits. Besides its normal protection, your guard helps protect your brackets and wires from damaging contact, and your delicate mouth tissue from impact with your braces.

But we’re not going to talk about any of these important topics today. Instead of looking at how your mouthguard protects you, today we’re going to look at how you can protect your mouthguard.

If you want your guard to last longer, work better, and stay (and smell!) cleaner, some basic tips make all the difference.

• Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping your mouthguard clean isn’t difficult.

When you wear your guard, the same plaque that is present in your mouth makes itself at home in your appliance. And when your guard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your mouthguard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your mouthguard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of mouthguard you have, be sure to follow our instructions if you have a custom guard, or clean as directed by the manufacturer if you have a store guard.

• Keep it safe.

When your mouthguard isn’t in your mouth, it should be in its case. Floating loose in your locker or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

• Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Dr. McClure can make you a mouthguard designed to fit your teeth and braces perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your mouthguard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or see Dr. McClure about replacing or repairing your custom guard. A mouthguard that doesn’t fit, doesn’t keep you safe.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard is braces that will last through your treatment at our Raleigh, Cary, Garner or Wendell, NC office and a smile that will last you for a lifetime. Those are benefits we can talk about all day!

You’ve decided—now’s the time to talk to Dr. McClure about straighter teeth and a better bite. So what’s holding you back? If you are concerned because you have a missing tooth, don’t let that stop you from making that first appointment. Orthodontists today have many options to help you achieve the benefits of a more attractive, and even healthier, smile.

How can we accommodate a patient with a missing tooth or teeth? Because each patient is different, our approach will be tailored to your specific needs.

A Lost or Missing Permanent Tooth

There are a number of treatment options available, depending on the position of your other teeth.

• If your teeth are already crowded, it might be possible to close a small gap left by a missing tooth with braces.
• If the space between your teeth is the perfect size for a replacement tooth, your orthodontic appliance will keep that spot open as your braces move the rest of the teeth into alignment.
• If you need more space for a replacement tooth, braces can help widen the space between your surrounding teeth for an ideal fit.

Tooth loss can occur for a number of reasons. Accidents, decay, and gum disease can lead to tooth loss.  Congenitally missing teeth, teeth that simple never developed, are also a fairly common condition. But missing teeth are not merely a cosmetic issue, and should not be ignored. A gap in your smile can lead to shifting of the teeth around it, bite problems, difficulty chewing, and gradual loss of bone tissue beneath the missing tooth.

Today’s implants are a permanent, natural-looking replacement for a lost tooth. If you decide that an implant is your best option for tooth replacement, you are still a candidate for orthodontic treatment. Dr. McClure and your oral surgeon can decide on a schedule that will provide the best timing for each phase of your treatment.

A Lost Baby Tooth

Finally, let’s not forget younger patients. Sometimes children benefit from orthodontic care before all of their adult teeth have erupted. If your child has lost a baby tooth too early, a space maintainer can be used to prevent shifting and misalignment of the remaining baby teeth and leave room for the adult tooth to erupt in its proper spot.

We recommend that your child have a first orthodontic assessment around age seven, but if your child has lost a primary tooth before its time, give our Raleigh, Cary, Garner or Wendell, NC office a call. We can let you know if a space maintainer is the best way to prevent future dental and orthodontic problems.

If you have concerns about a missing tooth or teeth, talk to us! Orthodontic treatment is always custom-designed to fit the needs of each individual patient. We can discuss your specific goals, and how orthodontic treatment can help you achieve them. There is no reason to let a missing tooth keep you from a more attractive, healthier smile!