Emergency Care: Bracket Has Come Off

Houston, We Have a Problem:
When something with your braces is just not quite right…

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Your braces are a system made up of a lot of little parts that work together to make lots of little movements to your teeth. Since there are a lot of parts that move, and they are attached to your mouth, which also moves, it is likely that you might have some part of your braces that breaks, falls off, or just does something flat out weird.

Today, we are going to explore one of the different things that can go wrong while you have your braces, and what you should do. Some problems you might be able to fix on your own (or with a little help from mom and dad), but other problems might be a little more complex. For those, you will definitely want to ask your orthodontist to lend a hand.

Loose Bracket:

So you had a bracket come loose from your tooth. The tell-tale wiggle of a loose bracket is easily noticeable, and might be annoying to you. However, there is no reason to panic or worry if you have a bracket that has decided to break free. For this problem, your orthodontist will have to be involved as you can’t re-bond (what orthodontists call re-attaching a bracket) a bracket to your tooth on your own!

While having a piece of your braces come loose might seem like a big deal, this is not an orthodontic emergency. Having a bracket come loose causes no pain or bleeding, and as long as the rest of your brackets are still attached, there is no rush to get in to your orthodontist to have it re-bonded. In fact, when you call your orthodontist, they will even tell you it is okay to have a bracket off for up to a month and will usually just reattach it at your next regular visit.

In the meantime, here are some ideas to minimize any irritation caused by having a bracket off. If the bracket is still attached to the wire, you can attempt to slide it off if it is the back bracket, or if it is in between other, still attached brackets, you can use wax to keep it from moving around. When using orthodontic wax, make sure to dry the area where you intend to place the wax thoroughly. Paper towel works well for getting an area dry enough. Take a pea-sized amount of wax and roll it into a ball. Press the ball firmly over the loose bracket. The bracket should be stuck in place and no longer able to slide around on the wire.

Remember, having a bracket off is not a true emergency, and wont cause a delay in your orthodontic treatment if you get it re-bonded within a month. If your next appointment is over a month away, and you have a loose bracket, just call your orthodontist and get scheduled to have it repaired. Otherwise, a courtesy call to your orthodontist to just let them know you have one off is great as they will will know they just need to take a few extra minutes with you at your next regularly scheduled appointment.

For any questions regarding orthodontic emergencies, braces in general or to schedule an initial exam, call our office. For our Fishers location, call 317-570-0011, or for our Shadeland office, call 317-849-0110.

Brace Yourself!

What to expect in your first few days in braces.

So you are getting your braces on. Congratulations! Getting braces is an exciting experience, and as you ponder what colors you will choose on your big day and what your friends will think of your new smile, you might also ponder what it will feel like to have braces. After all, you will have something attached to your teeth that was not there before!

The process of getting braces is very easy. All you have to do is sit back and relax as the orthodontist and the assistant place the individual brackets and the wire on your teeth. After your braces are on, the assistant will teach you how to maintain your new smile with special techniques for brushing and flossing. They even give you a tool kit with everything you need to keep your teeth sparkling clean.

On the first day of having braces, it will feel funny, and you might have to adjust your lips a little as they can’t rest in their usual position on your teeth. Your teeth will most likely feel a bit tight as the wire is already hard at work, gently moving your teeth to a better position.

After the first day, you will feel the impact of having braces a little more, and the discomfort will probably be the greatest at this point. The inside of your lips and cheeks are used to having the smooth surface of your teeth to move around on, and now, all of a sudden, there are raised objects on your teeth that your lips have to navigate around. Sometimes this can cause small sores, which might be uncomfortable. Your mouth heals very fast, however, and once it gets used to the braces, generally within a week or less, the sores will go away. You can use a variety of tricks such as salt water rinses and wax to treat this discomfort.

Tooth soreness is also common when you first get your braces. While in braces, you now have a wire that is working to guide your teeth to their proper positions. Teeth are stubborn and have been in their places for a long time, so they are not eager to move. This means that your teeth will probably be a little sore, and you will want to stick to soft foods for a few days after getting your braces put on. Use your preferred, regular pain-killer such as Advil, Tylenol or Aleve to help reduce soreness.

Your first week in braces is definitely a transition period as your teeth are undergoing a big change. While you might experience some discomfort for the first week, do not worry. It is far from permanent, and is never severe enough to make you miss school, work or other activities. Once your mouth gets used to the braces, you will be amazed at how easy orthodontic treatment is.

Your Orthodontic Exam

What to Expect on Your Very First Visit to Our Office.

For some patients, the idea of an orthodontic exam is a little overwhelming as they have either no idea, or a limited idea, of what to expect when they walk through an orthodontists’ front door. What many patients do not realize, is that at Walker Dixon Orthodontics we make the exam experience painless and easy.

Patients and their families will first be greeted by our treatment coordinator who will take them on a tour of our office, ensuring that no area of our office is cloaked in mystery. Patients will then be treated to their own photo-shoot which will be turned into a gallery. This is followed by a couple of diagnostic x-rays. These images and x-rays will be shared with patients’ dentists and are a necessary part of the doctor’s decision whether or not to recommend treatment for a patient.

After the photos and x-rays are taken, the orthodontist will review them and will then conduct an oral examination of the patient, and they will explain what they see. From there, the doctor will then make a treatment recommendation. Not all patients will even require treatment, or some might have to wait a while for more dental development to occur before moving ahead with braces. Those patients who are ready and do need treatment will be presented with a treatment plan as well as treatment cost. Patients and parents will also have ample opportunity to get all of their questions answered directly by the doctor during the exam as well.

The entire exam should take just around an hour to complete, and by the exam’s conclusion, patients will have in-depth knowledge of their orthodontic situation and a plan going forward. For more information regarding exams, orthodontics in general or to schedule an exam, please call our office at 317-570-0011 for our Fishers location or 317-849-0110 for our Shadeland location.

The Daily Grind

Why you might be grinding your teeth, and why you might want to get help.

Grinding of teeth, also known as bruxism, is quite common, and almost everyone has done it at some point in their lives. While it is most common to grind your teeth at night in your sleep, there are some who even do it during their waking hours.

Why do we grind?

Bruxism has a number of potential causes, and not everyone grinds their teeth for the same reasons, but there are a couple of causes that might lead to bruxism.

Stress and anxiety
An abnormal bite and/or crooked/missing teeth
Side effects: medication and alcohol and tobacco use can sometimes cause grinding
Age: young children tend to grind their teeth but this usually goes away with age
Caffeine: consuming caffeinated beverages in the evening has been linked to some cases

Should you seek help?

Again, almost everyone will grind their teeth at some point in their lives, however persistent and severe bruxation often requires intervention. If you grind your teeth frequently, you may experience temporomandibular joint disorders, damage to your teeth and pain in your face, teeth and jaw.

 

Making Brushing Fun for Kids

Great article on how to make brushing fun for kids, and by doing so, increasing oral hygiene compliance.

As tough as it may be, establishing a regular tooth-brushing regimen is just one of those parts of raising kids that we have to deal with. Here are a few easy tricks that might help in getting your kids to brush.

via Easy Tricks to Get Your Kids to Brush Their Teeth — When Women Inspire

Wisdom Teeth

Why your Orthodontist might say they need to go!

What is a Wisdom Tooth?

Wisdom teeth are commonly referred to as a third molar, and they are usually the last teeth to develop. Contrary to their name, wisdom teeth have nothing to do with an individual’s wisdom, but get their nickname from their time of eruption, which usually occurs in early adulthood.

Do I Need to Get Them Removed?

Whether or not an individual can keep their wisdom teeth varies. Generally, most people do not have enough room in their jaws to allow for their wisdom teeth to stay. It is believed that in the long-distant past, humans had longer laws that allowed the wisdom teeth to erupt, but over time, human jaw size has been reduced, leaving the wisdom teeth with nowhere to go! So, when it is time for the wisdom teeth to emerge, they can become impacted, or only partially emerge which can result in tooth decay on the partially exposed tooth. Wisdom teeth can also travel in directions that can pose a threat to your other teeth, especially if they are traveling in the direction of your molars’ roots.

There are rare instances where wisdom tooth removal is not needed. If an individual is missing a tooth, sometimes a wisdom tooth can be beneficial. Some individuals are even born without wisdom teeth altogether, which would eliminate the need for their removal.

Your dentist or orthodontist will make the recommendation if your wisdom teeth need to be removed, so consult with them if you have questions on the timing of wisdom tooth removal. If they believe it is time, they will be able to write you a referral to an oral surgeon for the procedure.

The Top 10 Things Not to Do While in Braces

What can you avoid doing while in braces to ensure your treatment is a success? We will give you the breakdown of the top 10 things you should know to avoid.

Being in braces, you will find that you are able to do just about everything you did prior to treatment. There are some things you will want to avoid doing while undergoing orthodontic treatment, however. In this post, we will outline the top ten things that will cause problems for you and your braces, so your experience in braces is problem free!

Eating Hard Foods

Hard candy and foods might be tempting, but they can cause problems for you and your braces. When you chew on something hard, you can cause the brackets to break off of your teeth, and you can cause the wire to come out of the brackets, which might poke your cheek and gums causing pain for you! Some examples of hard foods and candy include jaw breakers, sweet-tarts, hard pretzels, hard breadsticks, and nuts.

Eating Sticky and Chewy Foods

Sticky and chewy foods can be delicious, but they are often the causes of problems with braces. Non sugar-free gum, taffy, caramels, and other similar foods can get stuck on braces and pull lose your brackets and wires, which can cause you discomfort if wires start to poke from being pulled loose. Stick with drier foods that are easier to chew and wont adhere to your brackets and wires the way sticky foods will.

Chewing on Things Other Than Food

If you like to chew on pencils, pens, mouth guards or other non-food items, this is a habit you will want to break immediately before pursuing orthodontic treatment. Not only are these items bad for your teeth in general, but they can bad for your braces, too. Chewing on non-food items can result in brackets coming loose or breaking off and can also result in wires being knocked loose, so learn to curb that habit sooner rather than later.

Not Brushing Teeth After Eating

While it might seem inconvenient to have to brush after every meal, excellent oral hygiene is absolutely necessary when you are in braces. Braces act like shelves on your teeth and can hold food on your teeth and gum line, causing irritation that can result in swelling, bleeding and eventually cavities. Keep a small pouch with a travel-sized toothbrush and toothpaste at work, school or in your car to make it more convenient to brush.

Not Flossing

Flossing your teeth is definitely more of a challenge when you have braces, but with the right tools and a little patience, it is possible. Flossing is also necessary when you have braces as the brackets and wires can hold and hide food in places not easily visible to you. Left on your teeth and gums, the food will decay causing gum swelling, bleeding, bad breath and eventually cavities. Use flossers designed especially for braces, floss threaders, or invest in a Waterpik to ensure you are flossing effectively.

Playing With Wires

It might feel strange at first to have braces on your teeth, and when you are bored, it might be easy to reach into your mouth and play with your wires. However, when you choose to play with your wires, you run the risk of breaking the wire, which can result in a wire poking into your cheek and gum line causing you pain. Doing this can also result in a bracket breaking off of your teeth, which might mean an extra trip to the orthodontist’s office. Try to keep from playing with your wires, and if you suffer from fidgety hands, perhaps find another outlet for your boredom such as a stress ball or fidget spinner.

Picking at Brackets

When a bracket is rubbing, or feeling strange to you, you might be tempted to pick at the bracket with your fingernails or other objects. As tempting as it may be, you must refrain from picking at your brackets. Doing so can result in brackets coming loose and causing you additional discomfort and trips to the orthodontist. If a bracket is really bothering you, use orthodontic wax to cushion the irritation, and maybe call your orthodontist if you feel as if the problem is more severe.

Removing the Wire

While you might have figured out how to open the doors on your brackets to remove your wire, you should never do this. It might make brushing and flossing easier, but you run the risk of not putting your wire back in properly, or not being able to get the wire back in at all. Putting a wire in improperly can result in incorrect tooth movement, which might delay treatment completion, and can also in more extreme cases, even cause root damage. Leave the wire removal to your orthodontist, and learn to become a pro at your oral hygiene routine with your wire in.

Playing Sports Without a Mouthguard

If you enjoy playing sports, you will want to get a mouthguard to protect your braces and teeth. Even if you have never had an accident while playing a game, one can happen at any time, and it is better to be protected. Ensure you get a mouthguard, such as the Shock Doctor, that is designed for braces. We sell them at a discount to our patients, but if you are in another state, check with your local orthodontist to see if they offer mouth guards at their office or if they can direct you to a supplier.

Not Wearing Elastics

The biggest thing that is guaranteed to delay your braces coming off is not wearing elastics that your orthodontist recommends to you. Your elastics are essential to correcting your bite, and if you do not wear them, your bite will not change, and your orthodontist will not take off your braces until it is correct. So, wear those elastics day and night!

In conclusion, while it might seem like there are a lot of things you should not do while you are in braces, luckily, these are all things that are easy to avoid or stop doing. If you have further questions on whether or not something will harm your braces, call your orthodontist to ask. They will happy to answer your questions on how to keep your braces and teeth in great shape while you are in treatment.