Home Care

Brushing

You will notice that it is much harder to keep your teeth clean with braces. Food becomes caught in the brackets and between your teeth and can only be removed by brushing and flossing. If plaque remains on the teeth for any length of time, it can leave a permanent white scar on the surface. Brushing after meals should become part of your daily schedule. Use a soft toothbrush and brush at a 45-degree angle to the tooth in small circles above and below the brackets. Your toothbrush will wear out faster because of your appliances, so be sure to replace it whenever the bristles start to fray.

A WaterPik can be a useful addition, but it cannot remove the sticky plaque that adheres to the teeth. A Sonicare ultrasonic toothbrush can be used to help remove plaque. Flossing is important with braces and is accomplished using reusable floss threaders.

Eating Habits

Please do not eat hard foods including nuts, ice, crisp taco shells, whole apples and carrots (cut them into pieces first), hard French bread crust and rolls, spare ribs, corn on the cob (cut the corn off the cob before eating) and popcorn! These foods can cause breakage of the brackets and wires. Also beware of nail biting and pen or pencil chewing habits, since these can damage your braces. Do not eat sticky foods like taffy, caramels, bubble gum or sticky candy of any sort. Use common sense about most foods. Excessive broken appliances due to careless eating habits may result in additional charges for repair.

Braces

Check your braces for anything loose or bent. If a bracket or band comes loose or you break a wire, please call our office so that we can arrange an appointment long enough to repair it.

Sore Teeth

After braces are placed it is normal for the teeth to be sore for about 2 to 3 days. Tylenol or Advil/ Motrin will help relieve this discomfort. Some irritation to the cheeks and tongue is normal, but if you feel anything sharp is poking you, please call our office.

Elastics

Attached to your braces, elastics (rubber bands) exert the proper force that creates the right amount of pressure to move teeth and correct your bite. In order for this force to remain constant, elastics must be worn all the time and be changed a minimum of 2 times every day. Any time missed in wearing your elastics will only make your treatment take longer, so make sure to wear them as instructed. Remove them only when brushing your teeth and when eating meals. Then put them back on immediately. If you forget to wear your elastics one day, don't double up the next day-just follow your regular instructions.

Removable Appliances

A removable appliance is carefully designed to move or hold your teeth. It is important that it is worn according to instructions and brought to each appointment. Wear your appliance at all times, even while you are asleep. It may be removed during / playing vigorous sports activities. In two to three days your speech will return to normal with the appliance in place. Avoid flipping your appliance with your tongue. This can cause damage to your teeth or breakage of your appliance.

Your new appliance may make your teeth sore for a day or two, especially after an adjustment. If you have a sore spot on your gums call our office so that we can arrange to adjust the appliance. Clean your appliance by brushing it daily with toothpaste. Denture cleaner can also be used for a more thorough cleaning. Never wrap your appliance in a paper napkin or tissue and set it down on the table. You or someone else may throw it away. Don't put it in your pocket when playing or you may break or lose it. Whenever it is not in your mouth it should be in its plastic appliance case.

Keep your appliance away from dogs or cats, as they love to chew on them. Avoid storing them near any source of heat. Do not boil your retainer to sterilize it! Do not soak your retainer in mouthwash. An additional charge will be incurred for lost or broken appliances. Please bring your retainers to all appointments. Here Are A Few Things To Remember During The Time You Have Your Expander:

• 1. Your expander is cemented in place with dental adhesive. Please do not try to remove your expander. if it feels loose, call the office
• 2. You brain thinks the expander is like food so you may have a lot of saliva in your mouth for a day or so. Remember to swallow before you speak
• 3. Your expander will cause some mild speech problems intially. We encourage you to speak with your expander so that you r speech returns to normal. this may take a couple of days
• 4. Please brush your expander when you brush your teeth. We also advised the use of a water-pik to help clean the gums and the appliance
• 5. Please avoid all sorts of gooey, chewy and sticky foods to avoid accidental removal of your expander
• 6. You may need some mild pain relief medication. We recommend OTC ibuprofen. If you cannot take ibuprofen, please take tylenol. The amount you take for a fever should be fine.
• 7. If any piece of the expander comes loose, call the office immediately so we can recement the the loose piece. If any piece comes completely out of your mouth, please save it. Missing pieces may result in an additional fee

Here Are A Few Things To Remember During The Years Of Retainer Wear:

• 1. You are instructed to wear your retainer for a year full time which means 24 hours a day, 7 days a week. After a year you will be instructed to wear it nights only.
• 2. Don't fold it in your napkin or leave it on the table at a restaurant. Garbage cans don't make happy hunting grounds.
• 3. Don't put your retainer in your pocket. You might sit on it and break it. OUCH!
• 4. Take your retainer out when swimming in a lake or ocean. If it falls out you may not be able to find it. Wearing it in a swimming pool is OK.
• 5. Animals and younger children love to play with it. Please make sure your retainer is in your mouth at all times. Your retainer should only be out of your mouth when brushing.
• 6. If you have a fixed retainer (bonded onto your teeth), it is not considered permanent and can be broken or detached from your teeth, if you are not careful with it.
• 7. Bring your retainers to your check-up appointment. If anything happens to your retainers (i.e. it doesn't fit, it's broken, or it's lost) please call us ASAP. If your bonded retainer wire comes out, keep it and bring it in at your next appointment for rebonding.
• 8. The first set of retainers is included in your treatment fee. Any repair, replacement of your retainer, or rebonding of your retainer will be additional and charged to your account.
• 9. Keep things clean! Be sure to brush your teeth without your retainers in. Do not boil your retainer or put it in hot water. Brush your retainer with a toothbrush using toothpaste or water.