If you’ve visited Convivial Dental, then there’s a good chance you’re looking to perfect your smile by straightening your teeth with braces. At some point during your treatment, you may need to use elastics, otherwise known as rubber bands, for a certain period. These are used to apply additional pressure that will move your teeth in the right direction.

Placement of the elastics is specific to each patient’s teeth. These small rubber bands stretch over the tiny loops on both the top and bottom brackets. At first, Drs. Cartsos and Zavras may recommend you wear the elastics both day and night for an extended time.

You may be told to switch only to nighttime wear once the teeth are set in the correct position. By consistently wearing the elastics, you can shorten the overall time your braces will have to be on.

The elastics are made from medical-grade latex. If you have an allergy to latex, make sure to let Drs. Cartsos and Zavras know, so you can be given an alternate material. We will show you how to take elastics on and off when they’re given to you at your appointment.

You should remove them when you eat so they don’t become overstretched or break. It’s important not to overstretch the bands, and always to replace them if they break. Eventually it will become a familiar habit to carry the bands around with you for times when this might happen.

The Do’s and the Don’ts

• DO … always wash your hands before removing or replacing the rubber bands.
• DO … call us if you run out of elastics.
• DO … get in the habit of carrying around extra rubber bands as replacements.
• DON’T … double up on elastics because this can exert too much pressure on your teeth and could actually harm the roots.
• DON’T … overstretch the rubber bands or they will lose strength and become ineffective.

If you were recently given elastics as well as your braces, feel free to ask any questions during your appointment, or call our Chestnut Hill, Massachusetts office any time. Using elastics correctly is one more step in your journey to a perfect smile!

Let’s talk about the science of our teeth for a moment. Our enamel has a very high mineral content, making it extremely strong.  In fact, enamel just happens to be the hardest substance in our bodies.  But, unfortunately, it is not indestructible! Certain foods we eat can actually damage the surface of our teeth. Some simple and entertaining experiments can show children how our teeth can be affected by things we eat and drink, and how we can help protect them.

If you have a science-minded student at home, there are many activities you can do together, using educational websites, common household products and lots and lots of eggs. (Why eggs? Eggshells are a great substitute for teeth in these experiments. Not only are they various shades of white--like our own teeth, they are also calcium-rich—like our own teeth.) You can find any number of experiments using uncooked eggs, hardboiled eggs, whole shells with the contents blown out, or eggshells alone, so you can find just the right activity for whichever egg treatment works best for you.

Examine Enamel Erosion

One of the ways we protect our teeth is with healthy eating. The bacteria in plaque use the sugars and starches in our foods to produce acids. These acids are the substances that break down the minerals in our enamel and leave the enamel weaker. Weaker enamel is more easily attacked by bacteria and acids, which leads to cavities.

With eggs or eggshells and some carefully selected food products, you can see just how acidity affects teeth. Different websites suggest a variety of acidic liquids to dunk your eggs in, such as vinegar, soda, or citrus juices, so it’s easy to find an experiment that works with your pantry. Always use a plain water sample when you submerge eggs or shells to act as a control to measure differences against. How do the egg shells soaked in acidic liquids differ from those in plain water? It’s also fun to add simple sugar water as a test liquid to see what happens. Is it sugar or acid that causes more damage? And why might that be?

The Fluoride Fix

Fluoride is well known as a mineral that protects the structure of our teeth and helps prevent cavities. And there are actually experiments out there to test the protection fluoride provides using your egg stand-ins.

In some experiments, a hardboiled egg is coated with fluoride toothpaste or rinse for a specific amount of time and then dunked into vinegar. An untreated egg also gets a vinegar bath. You are asked to observe what is happening to each egg as it sits in its vinegar bath—are there bubbles on one egg and not the other? What do the bubbles mean? Other experiments require longer exposure to fluoride and then to vinegar—what happens to the shells of the treated and untreated eggs? What could this mean for our teeth?

Staining Studies

Our diet can do more than help create cavities. Enamel is very strong, but it is not stain-proof! Dark colored foods and drinks can make our teeth appear darker or more yellow. (And teeth that have suffered enamel erosion can pick up stains more easily.) How does food affect the brightness of our smiles?

If this question interests you, find experiments that use favorite beverages as a soak for your eggs. Choose liquids with a range of color, such as coffee, soda, and apple juice. Or choose an experiment that uses different varieties of soft drinks. Will foods the same color cause the same amount of discoloration in your egg volunteers? Do you want shorter or longer soaks in each liquid? Do you want to make use of a recycled toothbrush to see if brushing that discolored shell makes a difference? With toothpaste or without?

Even though these activities are designed for older children, they still require adult supervision. You can find detailed instructions for any of these experiments at many science and educational sites online. With some household supplies, plenty of extra cups, and a quantity of eggs, you and your child can demonstrate some of the basic effects our food choices have on the health and appearance of our teeth. It’s a wonderful way to promote healthy eating and brushing habits, scientific curiosity, and shared experiences!

Don’t forget to let Drs. Cartsos and Zavras know how your experiments turned out the next time you visit our Chestnut Hill, Massachusetts office!

Plaque is a sticky subject! It sticks to the enamel of our teeth above and below the gum line, and it collects around braces. Plaque is one of the major causes of tooth decay and gum disease, and our teeth are under daily attack by this filmy menace.

What are the facts about plaque, and how can we fight back? Read on for some effective strategies!

What Is Plaque?

Plaque is a sticky film that builds up on our teeth, largely made up of millions of different types of oral bacteria. Plaque is a colorless biofilm at first, but as it collects, it takes on a white or yellow tint. If you haven’t brushed for a few days, that fuzziness you feel on your teeth is plaque build-up. Unless it’s removed, plaque hardens within a matter of days to become tartar.

• Tip: You can remove plaque with careful brushing and flossing, but it takes a dental professional to remove tartar. Be proactive!

Why Does Plaque Cause Cavities?

Bacteria in plaque use our food as their food, especially sugars and carbs. They can then transform these nutrients into acids, which attack our tooth enamel, weakening it and leaving it vulnerable to further erosion and eventual decay.

• Tip: Cavities aren’t the only damage caused by accumulated plaque. Plaque also collects along and below the gum line. If tartar forms here, it irritates delicate gum tissue, leading to gingivitis and more serious gum disease. Make sure you don’t forget your gums when you brush and floss.

When Does Plaque Build Up?

The short answer? Plaque is always forming, because oral bacteria are a natural part of our biology. (In fact, there are even oral bacterial which are beneficial.) Plaque starts building up within minutes after eating, and during the night as we sleep.

That’s why we recommend brushing for two minutes at least twice a day, and flossing at least once a day. When you wear braces or aligners, brushing more often is a good idea. Food collecting around braces or inside aligners is a feast for plaque! Ask Drs. Cartsos and Zavras for suggestions for your best brushing schedule.

• Tip: Just because plaque is unavoidable, that doesn’t mean we need to give the bacteria in plaque any additional encouragement. Every time you have a meal or a snack that’s heavy in carbs and sugars, you are providing more fuel for acid production. Cutting down on foods like sugary desserts and sodas is not only nutrition-healthy, it’s tooth-healthy!

Where Does Plaque Collect?

Plaque builds up all over tooth surfaces, at the gum line, and even below the gum line. It’s especially easy to miss in hard-to-reach places like the irregular surfaces of molars, between the teeth, behind our front teeth, and near the gum line. Plaque also collects around your braces, and requires special care to make sure your teeth don’t suffer cavities or the white spots caused by demineralization.

• Tip: One of the ways plaque avoids detection is its invisibility. Fortunately, if you’re having trouble brushing away all your plaque, there are plaque-disclosing toothpastes and chewable tablets available in the dental aisle which reveal the plaque hiding between, behind, or around your teeth by tinting it with a can’t-miss color. Just brush the color away, and you’ve brushed the plaque away as well.

How Do We Clean Away Plaque?

Use the Right Tools

Floss at least once a day. There are different materials, sizes, and coatings for floss, so you can find one that’s comfortable for you. Floss reaches those spots in between teeth and around the gum line that brushes miss.

Choose a soft toothbrush (soft bristles are better for your enamel) and change it every three to four months, or as soon as the bristles show wear. Make sure the head is the right size—too big, and it’s not only uncomfortable, but you won’t be able to reach all the surfaces you need to.

• Tips: There are special dental flosses created just for your braces. You can also use interproximal brushes water flosser to clean around wires and brackets. If you have trouble removing plaque around your teeth and braces with a manual toothbrush, consider an electric model. Several studies have shown a reduction in plaque with the use of an electric brush.

Use the Right Toothpaste

There are many toothpastes specifically formulated to fight plaque and tartar. And fluoride toothpastes not only fight cavities, they can strengthen your enamel.

• Tip: Studies have shown that toothpastes with baking soda, in particular, are effective in reducing plaque. Ask Drs. Cartsos and Zavras for a recommendation the next time you’re at our Chestnut Hill, Massachusetts office.

Use the Right Technique

What not to do?  A forceful, horizontal sawing motion is awkward, hard on your enamel, and misses plaque and debris between the teeth. Technique is important—not for style points, but for cleaner teeth!

Hold your toothbrush at a 45-degree angle, especially at the gum line, to gently remove plaque from teeth and gums. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Brush the inside of your front teeth with careful vertical strokes—remember, that’s one place where plaque is easy to overlook. The same holds true for the tops of your molars, so thoroughly clean those uneven surfaces.

If you wear braces, be sure to clean thoroughly around brackets and wires, where plaque can accumulate quickly.

• Tip: If you wear clear aligners, don’t forget to give them a gentle brushing as well! Plaque can stick to aligners, causing discoloration and odors, so follow our cleaning instructions carefully.

Who Can Help You Fight Plaque?

Even when you do your best at home, plaque can still be a sticky problem. That’s why we advise regular professional cleanings, which not only remove any plaque that’s hiding away, but also eliminate any built-up tartar around your braces. And, of course, there you can learn all about how to keep your teeth their cleanest.

True, you’re fighting plaque every day, but you have all the tools you need to make sure your teeth and gums stay healthy. You’re winning the battle with plaque every time you eat a nutritious meal, and every time you brush and floss. With that kind of strategy, plaque doesn’t stand a chance. And your bright smile and healthy teeth and gums? That’s a victory worth celebrating!

The best way to avoid orthodontic emergencies is to know how to take care of your braces properly throughout your entire treatment. However, emergencies are … well, emergencies, and sometimes no matter how cautious you are or how well you take care of your braces, the wires loosen, the bands pop, or you experience orthodontic discomfort.

Common orthodontic emergencies include broken braces, poking wires, lost or broken retainers, mouth sores, and mouth injuries sustained playing sports, which often happens when you don’t wear a mouthguard to protect your teeth and appliance.

Food

It’s important to avoid foods that can damage your braces. Most people wear braces for about two years. All chewy, sticky, crunchy, and hard foods should be avoided during that time. While this may seem like a long time to go without popcorn or bubble gum, hard foods can break the brackets of your braces and sticky foods can bend the wires. If you have a loose wire, don’t try to fix it yourself. Call Convivial Dental. In the meantime, if a wire is poking into your cheek or lip and causing irritation, put wax or a wet cotton ball over it to dull the sharp edge.

Pain and Discomfort

Some discomfort is a normal part of orthodontic treatment, especially in the hours after the braces are placed on your teeth or after a recent tightening or adjustment. However, if the pain doesn’t subside in three to five days, it’s a good idea to schedule an appointment at Convivial Dental. Until then, try dissolving a teaspoon of salt in an eight-ounce glass of water and gargling with the solution. Over-the-counter pain medication will relieve discomfort, too.

Playing Sports

Just because you wear braces doesn’t mean you can’t play sports. You just need to take some extra precautions. Sports-related injuries to the mouth and jaw are common. The best way to protect your mouth and your appliance is to wear a mouthguard. There are several different types of mouthguards available, so be sure to ask Drs. Cartsos and Zavras what’s best for you.

Brushing and Flossing

In order to keep your braces in good condition and avoid orthodontic emergencies, it’s important to brush and floss thoroughly after every meal. It’s easy for small particles of food to get trapped in your braces, and if the food isn’t removed, it gets wedged between the teeth and gums and causes plaque.

Need more tips on how to avoid orthodontic emergencies? Just ask any member of our Chestnut Hill, Massachusetts team.