West Maitland Dentistry Blog



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February 25, 2019 Cosmetic Dentistry

This week our topic of conversation is on orthodontics. Dr. Dhaliwal will go over everything you need to know about braces, from when your child should get them to how they can keep them clean.

Why do Kids Need Braces

There are numerous reasons why your child may need braces. When a dentist recommends braces it is usually to improve the child’s oral health and not necessarily for cosmetic purposes only. If your child’s teeth are overlapping, crooked or overcrowded then it can be difficult for them to keep them clean.

If your child’s teeth are protruding out, they can damage them if they fall or get hit in the mouth. It may also make it harder for them to close their lips all the way or make speech difficult.

An open bite, where the front teeth don’t hit each other will make it difficult for your child to bite down on foods, such as apples. Often open bites are often caused by extended use of the pacifier or a thumb-sucking habit. With early intervention, this can often be corrected.

What Age Should my Child Get Them?

There is no right or wrong answer when your child should get braces.  Every child has different dental issues or none. If you start seeing any crowding or alignment issues, it is never too early to discuss with your child’s dentist about the possibility of braces. The American Academy of Orthodontists recommends a consultation at age 7 to discuss the need for orthodontics. A typical age that an orthodontist will start treating children is between 10 to 14. This age will facilitate the teeth shifting faster since the child is growing faster which can mean less time in braces for them.

If you notice issues early on talk to your child’s dentist about getting a consult sooner. Some orthodontists can provide an early orthodontic phase to help your child not be in braces as long when they get older. Although your child may have to be in braces twice, less time in braces means the less likely your child will get cavities around them.

Seeing an orthodontist early does not necessarily mean that treatment will start right away. The orthodontist will determine a course of action and figure out the best timing for your child.

 

Types of Braces

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There are several types of braces now. All of them use some sort of pressure on your teeth to shift them into a correct position.

The most typical type of braces consists of metal brackets and bands.   The brackets attach to the front of the teeth and the bands wrap completely around the molars. With metal braces, often rubber rings and bands are used. The metal brackets can sometimes even go behind the teeth, depending on what type of movement is needed.

The metal braces can also come with a white coating over them or can be ceramic to mask the metal look. These will still provide the same force as the metal ones but are more esthetic.

 

bracesA more popular type of braces in recent years are clear removable aligners.  These are plastic trays, also known as aligners, that the patient takes in and out of their mouth. Aligners are great for maintaining oral hygiene since the patient can brush and floss normally. These types of braces only work if they are in your mouth.  Patient compliance can determine whether these are a good alternative for you or your teenager.

 

How to Keep Your Teeth Clean with Orthodontics

Patients with braces need to pay a little extra attention to their teeth.  Flossing daily and brushing after each meal can help prevent cavities.  Brackets and wires are food traps and need proper cleaning with brushing, flossing, and a water pik can help as well. An addition of fluoride mouth rinse or fluoride treatments can help prevent staining and cavities.

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Things to avoid are hard and sticky foods, such as popcorn, ice, gum, and caramels, which can pop off the brackets or bend the wires. If any part of your braces becomes damaged make sure to call your orthodontist right away. Avoid drinking excessive amounts of juices and sodas which can cause cavities.

For patients that are wearing the clear aligners it is important to take them off before eating. Also, it is important to not drink anything besides water when wearing the aligners.

 

Will Braces Hurt

Braces work by applying a small amount of pressure to the tooth in order to move it. At each visit, the orthodontist will tighten the wires which will apply more pressure. This pressure, especially at the first appointment can cause mild discomfort. Taking over the counter pain medications before and after your appointment as well as a soft food diet can help alleviate the discomfort.

Sometimes the ends of the wires or brackets can cause some irritation of the lips or cheeks. Using orthodontic wax to cover any sharp edges can really help cut down on the irritation. If your encounter extremely sharp edges that are painful make sure your orthodontist is aware.

 

Orthodontics can be a long process but in the end, a lifetime of a corrected bite is worth it. Call to make an appointment with Dr. Dhaliwal if you have any questions about braces for either you or your child.


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February 21, 2019 Our Office

Check out our blog post to learn about our exceptional dentist, Dr. Avni Patel Dhaliwal, including her education, hobbies, and more. She brings a unique approach to dentistry that will make you feel right at home. Schedule your checkup today!


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February 15, 2019 Dental Emergency

 

It is common for children to have injuries while growing up.  It is even more common for the trauma to happen in their mouth or on their teeth.  The treatment for the tooth depends on the amount of damage done to the tooth.  This week’s post we will go over different types of trauma and what to do when it happens.

Fractures from Trauma

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Fractures are the most common problems that kids have after a trauma to the teeth.  The fractures can be small where a simple composite resin, known as tooth-colored filling, can cover the area.  If the fracture is small enough this can be the permanent option.  These tooth-colored fillings may need to be redone in the future though as your child’s teeth color and shape change with age and time.

The fracture can expose the pulp of the tooth, leading to a need for more complex treatment.  The pulp of the tooth is the layer of the tooth that holds its blood vessels and the nerves.  If the pulp is exposed to the bacteria in your child’s mouth it can become infected and may need a root canal and crown to save the tooth.  Even if the pulp isn’t exposed just the trauma itself can do enough damage to the pulp where a root canal will still be needed.

 

Knocked-Out of Position

If your child has an injury and you notice the tooth is no longer in alignment with the rest of the teeth call your dentist immediately.  They can move it back into position and often times the ligaments that hold your tooth in place can reattach to the tooth.  A root canal may be needed so your child may be sent to an endodontic specialist to evaluate the tooth’s vitality.

After your dentist places the tooth back into the position he or she may need to splint the teeth together.  They will anchor the displaced tooth to the teeth next to it to give the tooth stability while the ligaments and bone reattach.

 

A Tooth that is Completely Out

When your child has a severe blow to the face sometimes the tooth can completely come out of the mouth.

 

Baby Teeth

If the tooth is a baby tooth do not try to place it back in.  These teeth are not replaced since the adult tooth is typically underneath.  It is important to still make an appointment with your dentist.  If the tooth is out prematurely, a space maintainer may be necessary to keep room for the permanent tooth to come in.  

Permanent Teeth

If it is a permanent tooth do not throw away it away!  Most of the time these teeth can be saved with a little TLC.  Gently rinse any dirt or debris off the tooth with water or milk.  Do not scrape or scrub it since there are still the periodontal ligaments attached to it.  These fibers are important in aiding the tooth to integrate back into the mouth.  After the debris is rinsed off gently place it back in the socket as soon as possible and call your dentist to make an appointment. When placing the tooth back in, handle it only by the crown of the tooth, not the root.  The crown of the tooth is the top of the tooth that is usually visible in the mouth.  The root is the bottom layer of the tooth that isn’t visible and is usually under the bone.

Don’t be forceful when trying to place the tooth back in the socket.  If the tooth does not easily go back in, place it in one of the following: saline solution (saltwater), milk or saliva.  Water is not a great option.  If there is no milk or saline solution available and the child is old enough not to accidentally swallow the tooth, they may hold it in their check if the dentist’s office is a short distance away.  You may also wrap it in a wet napkin to ensure it stays moist.  Do not use a dry napkin.

If your dentist can place the tooth back into its socket within an hour there is a good chance for survival.  They will still assess the need for a root canal or splint.

Trauma Take Home Points

  • Wear a mouthguard when playing sports to minimize the risk of damage to teeth.
  • Correct your child’s bite with orthodontics.  It has been shown that kids that have protruding teeth that are flared out are more likely to have damage to their teeth.
  • Call your dentist as soon as any trauma occurs to your child’s tooth.  Seeing a dentist as soon as possible will give you the best chance of saving your child’s teeth.
  • Place ice packs in the area of the trauma to help reduce pain and swelling.
  • If your dentist cannot see you immediately and the chip is small, place orthodontic wax or sugar-free gum in the area to cover up any sharp edges.
  • Try to get your child to avoid forming habits of chewing on hard substances like ice, hard candies and pencils.

Accidents happen but follow these tips to help make sure your child has the best chance to keep their teeth!  Ask us how Dr. D can make a custom sports mouth guard for your child to help prevent some of these injuries!


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