You've made an investment on spending money on getting braces, so why not keep your teeth in good health while undergoing orthodontic treatment?  Drs. Cartsos and Zavras and our team at Convivial Dental will tell you it is just as important to develop a regular hygiene routine while you're wearing braces as you did before proceeding with treatment.

Flossing is essential to the health of your teeth and gums when you're wearing braces. Because braces may hold food, sugars and liquids upon eating, it is very important to keep on top of your brushing and flossing, as well as visiting our office for regular adjustments.

While we know it's tough enough to get kids to floss daily without braces, that battle becomes even tougher when braces are involved. Remember that by not flossing, you will become more prone to cavities and gum disease during your treatment.

When flossing, remember to gently massage your gums in between the teeth. You will find that flossing with braces takes extra time, as you will have to weave the floss through each bracket. When flossing, there should be no signs of blood. If you see blood, you are not flossing enough or properly.

Using an electric toothbrush is also a good idea to massage your gums before or after flossing as electric toothbrushes can help remove any harmful bacteria that are lingering in your mouth. And don't forget to add a mouthwash to your routine to break up any bacteria that has formed. A good mouthwash will help keep your teeth and gums in good shape during your treatment.

If you have any questions about flossing or your orthodontic treatment at Convivial Dental please don't hesitate to give us a call or during your next adjustment appointment!

Although adolescence is a common time to get braces, there’s no reason for adults of any age to have to deal with crooked teeth, overbite, underbite, or other dental issues. In fact, the American Association of Orthodontists notes that demand for orthodontic treatment in adults continues to grow, with adults representing 20% of new patients.

You’re never too old for braces or other orthodontic appliances, but it’s important to consider the following:

1. Braces don’t have to be as noticeable as the metal brackets of the past. Many adults opt for ceramic or plastic braces, which are bone-colored or clear, respectively. Another option is a lingual appliance, which attaches to the back side of your teeth. These so-called “invisible” braces are much less noticeable than traditional options.
2. By adulthood, bone growth has stopped. This means that certain structural changes can only be achieved by surgery. Although this typically affects people with significant crowding, bite, or jaw problems, Drs. Cartsos and Zavras can provide an individualized treatment plan that addresses your unique issues.
3. Treatment may take a bit longer. The length of orthodontic treatment tends to be slightly longer for adults than adolescents. Exact estimates vary by individual, but the average length of time for adult braces wearers is two years, according to the Harvard Medical School.
4. Outcomes are just as good for adults! Many adults worry that it’s too late to treat their orthodontic problems. However, treatment satisfaction tends to be very high, which is a testament to how effective braces can be in middle-aged and older adults.

Did you know that even in ancient times, people wanted to improve the look and function of their smiles? Convivial Dental thinks 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. Call our office in Chestnut Hill, Massachusetts to schedule your first orthodontic consultation!

In a quest to educate pediatric dentists nationwide on the importance of the early dental examination, Dr. Zavras and colleagues analyzed insurance dental claims of 95,000+ children residing in California, Texas, and New York. The authors identified significant benefits of the early visit. Children that visited a dentist early in life received significantly less restorations in their first 5 years. Overall dental costs were also less than the dental costs of children that received care later.

To receive a reprint of the article or to learn more, please email us at convivialdental@comcast.net

Dr. Zavras is Professor of Pediatric Dentistry and Chairman of the Department of Pediatric Dentistry at Boston University. He is also adjunct Professor of Epidemiology at the Harvard School of Public Health.