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What causes the need for surgery?

Sometimes the root cause is genetic – as you were growing, your upper and lower jaws grew out of proportion to each other, and that can keep upper and lower teeth from meeting as they should, making it hard to bite, chew or speak. Other causes can be linked to birth defects or injuries to the jaw or environmental causes.

Who needs surgical orthodontics?

Surgical orthodontics may be necessary for someone whose upper and lower jaws, which hold the teeth, are out of position. Consequently, the upper and lower teeth don’t fit, impairing the ability to bite, chew or speak. Your orthodontist will work in conjunction with an oral and maxillofacial surgeon to position your jaws and teeth for optimal function. 

What is gum disease?

Gum disease is a bacterial growth in your mouth. Almost 50% of American adults have mild, moderate or severe gum disease. People may be unaware that they have gum disease because it does not hurt. The mildest form of gum disease is gingivitis. Untreated gum disease, or gingivitis, can get worse and become periodontitis as plaque spreads below the gums line. As the disease progresses, it progresses to advanced periodontitis. As unnerving as gum disease can be, it can be avoided. Teeth that are properly aligned are less prone to gum disease.

Are there other tools we can use to help with oral hygiene?

Here are three handy oral hygiene tools:

  • Interproximal brushes – these are great at dislodging plaque and food particles trapped between teeth, and to clear out debris that catches on brackets and wires.
  • Water irrigators – these can flush out food particles in a jif!
  • Fluoride mouth rinse – whether over-the-counter or prescription strength, a daily fluoride rinse can strengthen tooth enamel and help prevent white marks (decalcification).

Your orthodontist may suggest dipping an interproximal brush in a capful of fluoride rinse to deliver fluoride protection between the teeth, or using a fluoride rinse instead of water in an irrigator.

Manual toothbrush or a power toothbrush?

Use the toothbrush that works best for you. Make sure you brush for two minutes each time you brush! Change the toothbrush or power toothbrush head at the first sign of wear, or at least every three months.

Why is all this brushing and flossing necessary?

Brushing and flossing keep teeth and gums clean by removing plaque and food debris. When plaque and trapped food are left on the teeth and around braces, the outcome can be cavities, swollen gums, bad breath and permanent white marks on the teeth. Maintaining good oral hygiene helps to minimize your time in treatment, and contributes to a healthy result.

Do I have to floss?

Flossing is crucial to successful orthodontic treatment, and to on-going oral health. Flossing removes plaque from parts of your teeth that brushing alone can’t reach. Plaque is the enemy – it’s the source of disease processes in teeth and gums.

How often should you floss?

A minimum of once a day.

What kind of toothpaste should you use?

Fluoride toothpaste is recommended, approved by the American Dental Association, preferably without any whitening.

How often should you brush?

Your orthodontist will give specific instructions, but in general, you should brush for two minutes after every meal or snack, and before bed. Carry a travel toothbrush and small tube of toothpaste with you so you can brush when you’re away from home. Bring along floss and an interproximal brush, too. If you’re in a pinch and absolutely are not in a position to brush after eating or drinking  at the very least rinse with plain water. It can help you get rid of some food particles or traces of beverages.