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A bright, beautiful smile is often achieved with braces. The time you spend wearing braces is an investment in the good health and appearance of your smile. However, Dr. Kathleen Chan and Dr. Ivy Chen and our staff know that having braces on your teeth can pose challenges. Many of these challenges are commonly faced by all who wear braces, such as flossing, getting food stuck in your braces, and bad breath.

Today, let’s address bad breath and what to do about it. There’s no reason you have to shy away from conversation for fear that you’ve got bad breath.

Fresh Breath Tips for Braces Wearers

• Eat a Healthy Diet. Unhealthy foods that are laden with sugar can contribute to bad breath. Stick with healthy produce, protein, grains, and dairy found on the list of foods your orthodontist says are safe to eat with braces.
• Drink Non-Sugary Beverages. Likewise, steer clear of sugary sodas and juices for the same reason. They contribute to bad breath.
• Stay Hydrated. A mouth that’s continually dry can lead to bad breath by inhibiting your production of saliva. Regular production of saliva removes bacteria and excess food from your mouth, both of which cause bad breath.
• Brush Often. Brush your teeth and tongue first thing in the morning, after each meal and snack, and before you go to bed, to remove food particles and bacteria that cause bad breath.
• Don’t Forget to Floss. Flossing with braces might seem tricky, but it is a necessity. Ask Dr. Kathleen Chan and Dr. Ivy Chen to show you the best way to floss effectively with braces.
• Mouthwash Use. Use the mouthwash recommended by Dr. Kathleen Chan and Dr. Ivy Chen. For the best results, swish the mouthwash around in your mouth for 30 seconds.
• Get Regular Cleanings. Regular dental exams and cleanings are more important when you have braces. Cavities can delay your treatment progress, so be sure to visit your dentist every six months.

Practice Good Hygiene Daily

Good oral hygiene practices are important every day, whether you wear braces or not. But they become even more important during the months you wear braces. In addition to your regular orthodontic checkups, see your general dentist for cleanings and exams.

Together, you and our Andover team will keep your mouth healthy and fresh during and after your orthodontic treatment.

You might be surprised to see one of your second grader’s friends with a dental appliance. Isn’t orthodontic work just for teenagers? And, if not, should your seven-year-old be sporting braces right now? The answer to both of those questions is “Not necessarily.” Two-phase treatment is a process designed to correct issues that arise during different times in your child’s life.

First Phase Treatment

We recommend that every child have an orthodontic evaluation around the age of seven to determine if there is a problem that would benefit from early treatment. First phase orthodontics is not the same as orthodontics for older patients. The focus here is on the developing bone and muscle structures which form your child’s bite and provide space for the permanent teeth when they arrive.

There are some clear-cut orthodontic goals that are much easier to attain when children’s bones are still growing.

• Reducing Crowding

If your child’s mouth is small, the permanent teeth will have little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time. Sometimes the extractions necessary to create more room for permanent teeth in later years can be avoided, as well as the possibility of an impacted tooth—one which doesn’t erupt because it is blocked by other teeth.

• Dealing with Jaw and Bite Concerns

Bones and muscles do not always develop properly, leading to problems with jaw and facial structure. Your younger child still has growing bones, so this is a great time to gently re-form the jaw into a healthy shape. Problems caused by crossbites, underbites, open bites, and other malocclusions can be reduced with early treatment.  

• Protecting Teeth

If your child has protruding front teeth, these teeth are more likely to be damaged in falls, at play, or while participating in sports. We can gently reposition them.

Second Phase Treatment

Second phase treatment is designed for your older child. After a resting period, when the permanent teeth finish erupting, we should see your child to evaluate any further orthodontic needs. This is the time to finish the process of straightening the teeth and making sure that each tooth fits together properly for a comfortable and healthy bite. This phase usually makes use of braces or aligners, and can take approximately 12-24 months.

Two-phase treatment is not necessary for every child. But there are some unique reasons that early orthodontics might be recommended for your child, even if it’s clear that more orthodontic work will be needed later. Make an appointment with Dr. Kathleen Chan and Dr. Ivy Chen at our Andover office, and let’s evaluate your child’s orthodontic needs, whether now or in the future, for a lifetime of beautiful smiles.

Braces are an investment in your smile. When your teeth reach a desired straightness, you’ll have a beautiful smile, but it’s important to keep it that way! You can accomplish this with a retainer provided by Chan & Chen Orthodontics.

A retainer is a small, custom-fit device that reinforces the new position of your teeth after your braces are removed. But for many patients, especially the youngest ones, wearing a retainer may seem like an annoyance. So exactly how long after your braces come off should you wear your retainer?

Graduation of Wear Time

When we remove your braces, Dr. Kathleen Chan and Dr. Ivy Chen will evaluate the condition of the bone structure surrounding your teeth and determine how well it is adjusting to the new position of your teeth. For the first few months, we may require you to wear your retainer both day and night, except during meal times and for brushing and flossing.

As the bone and gum tissues adjust to your new smile, we may determine that you need to wear your retainer only at night. After about one year of wearing the retainer every night, you may be able to take a couple of nights off each week.

However, we do not recommend ever stopping permanently. To best secure the position of the teeth, especially through future extractions and oral health changes, wearing your retainer a few nights a week will be necessary for many years.

Considerations

If you are concerned about your appearance when you wear a retainer, there are many that can be worn discreetly. You could choose a clear plastic one that is less obvious during the months immediately following removal of your braces. When you change to night wear only, clear wire retainers are available for minimal visibility as well.

Another option is a lingual retainer. It is placed on the back sides of your teeth so no one will ever know it is there! Lingual retainers are also permanent, so there’s no risk of losing them.

Remember, wearing your retainer is an investment in your smile. If you fail to wear it consistently, the tissues that support your teeth will be unsupported, and you may begin to experience noticeable shifting. You’ve worked hard to get that beautiful smile — your retainer will let you keep it! Remember to call our Andover office if you have any questions about your retainer!

Why all the fuss about fluoride? Your dentist recommends it, your toothpaste is formulated with it, most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

1. Fluoride Works!

Fluoride is an attractive option for protecting your teeth—and we mean that literally. Fluoride protects the surface of your teeth by working on a molecular level to attract minerals which strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions that are found in our saliva to restore any minerals that have been lost. This process helps repair any weak spots that might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals. Even better? These new crystals are more resistant to acids.

2. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride was important when you were younger and still had your baby teeth. This is because fluoride joined with minerals in your adult teeth while they were growing and developing, creating stronger, more cavity-resistant teeth even before they erupted.

And now that your permanent teeth are here, you’re still in luck! When you drink fluoridated water, you’re increasing the amount of fluoride in your saliva. Just like fluoride toothpaste, saliva bathes your teeth with fluoride ions, remineralizing and strengthening the tooth surface and helping repair weak spots in your enamel.

3. It’s Easy to Get Fluoride Protection

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride in our diet each day. If your community’s water is low in fluoride, Dr. Kathleen Chan and Dr. Ivy Chen can help you. Prescription fluoride rinses, gels, supplements, and other treatments are available at our Andover orthodontic office to make sure that your teeth are well-protected, wherever you may live. We will let you know which products are best for you and how often to use them.

Most toothpastes are formulated with fluoride, so you’re getting the enamel-strengthening benefits of this mineral every time you brush. Keeping up with your brushing is especially important while you’re in orthodontic treatment.

Because wearing traditional braces can mean it’s harder to reach all the plaque on your teeth, especially behind wires and around your brackets, that demineralization we talked about earlier is a common problem during treatment. Demineralization often leads to discolored white spots on enamel and, eventually, cavities. If you need more protection than toothpaste alone provides, Dr. Kathleen Chan and Dr. Ivy Chen will suggest fluoride treatments to reduce the risk of demineralization and even reverse some of its effects.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. And sealants for both kids and adults provide long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter that’s simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?