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Barbecues and Braces

June 7th, 2023

One of the sure signs that summer has arrived is the unmistakable aroma of barbecue drifting over backyards across the country.

If you’re new to braces, you might be wondering just how many of your favorite outdoor treats can still go on your plate. Good news! You have a lot of braces-friendly options available—with a little extra planning on your part. Two things to remember: tools and textures.

  • BBQ Tools

We’re not talking about spatulas and tongs and skewers—the barbecue tools we’re talking about here are your knife and fork. Sure, many classic BBQ dishes are finger foods, but those are the very dishes which can cause problems for your braces.

Eating savory ribs or chicken legs, juicy burgers or hot dogs, or delicious corn on the cob the traditional way means biting into these foods with your front teeth. That biting puts a lot of pressure on your braces and can lead to bent wires and loose or broken brackets.

But there’s a way to get around this without giving up on your tasty favorites! There’s no rule against using your knife and fork at a BBQ, and there’s no need to bite into foods when you can cut them up into small, manageable pieces.

If you remove meat from bones before eating, if you deconstruct your grilled burger or brat by cutting it up into smaller pieces, if you slice the kernels off your corn on the cob, you can chew with your back teeth and avoid any damage to your brackets and wires. Cut grilled foods into manageable bites just like you do with your regular meals, and you won’t be leaving the party early!  

  • BBQ Textures

Now let’s talk texture. Crunchy, hard, and sticky foods should never be on the menu when you’re wearing braces. These foods can damage your wires and brackets or get stuck between your braces and your teeth.

This is a time for clever substitutions. Exchange the corn chips for soft potato or pasta salad. Trade crusty and seeded buns for softer, seedless versions. Skip the grilled sticky s’mores and enjoy creamy, soft ice cream instead—but without nuts or other crunchy, sticky additions, please!

Dr. Geller and our team are happy to offer suggestions for what to eat and how to eat it safely while you’re in braces at our Plano, TX orthodontic office. There are unavoidable events that can put a damper on outdoor activities. Pouring rain and insect pests—not much we can do about those. But taking simple precautions with your braces means no bent wires and broken brackets to ruin your BBQ fun. Now, dig in!

Going on vacation? Remember these simple tips!

June 7th, 2023

If you are wearing braces and are planning a vacation, our team at Geller Orthodontics would suggest that you be prepared. We put together a list of items that will be handy to have with you at all times while you are out of town. They include:

  • Toothpick, flosspick, or other interdental cleaners
  • Travel toothbrush
  • A water bottle or a mini bottle of mouth rinse
  • Orthodontic wax to help with discomfort from protruding wires
  • A small mirror for examining any possible issues in your mouth

Putting these items together in a “braces/oral hygiene kit” may be wise. You may even buy pre-made braces kits. Please ask us for more information.

If you happen to be on vacation and experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get him or her out of pain or discomfort.

We also suggest avoiding the following foods to prevent broken brackets and/or wire distortion while you are on vacation:

  • Chewy, sticky, or gummy food
  • Apples, pears, and other whole fruits (cut fruit into wedges before consuming)
  • Bagels and hard rolls
  • Corn on the cob
  • Hard candies
  • Hard cookies or pretzels
  • All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you are wearing clear aligners and happen to lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation! Please give us a call if you have any questions!

Does My Pre-Existing Dental Work Mean I Can’t Wear Traditional Braces?

May 31st, 2023

When you get braces as a child, you usually present the orthodontist with a blank canvas—newly erupted, perfect permanent teeth, just waiting to be aligned. But if you are a bit older, your canvas might already be a bit busy, with fillings, crowns, perhaps even a missing tooth. Can Dr. Geller still work with that more complicated picture? Yes!

  • Fillings

Many of us have acquired a filling or two. Normally, an old filling shouldn’t interfere with new braces. Large fillings, however, might call for spacers. These small rubber bands are inserted between two teeth as needed to create enough room for bands and brackets, and are generally put in place a week or two before you get your braces. They frequently fall out on their own as the space between the teeth gets a bit wider.

  • Crowns

If you have had a root canal or any other dental treatment that left you with a crowned tooth, no need to be concerned. A special dental adhesive can be used to adhere brackets to crowns.

  • Implants

If you have or would like to get an implant, this is a time to coordinate with your orthodontist and dentist or oral surgeon. Sometimes an implant can anchor your appliance, and sometimes it’s best to keep the spot open until your orthodontic work is completed. Once in place, an implant will not have the mobility of a tooth, so it’s always best to make sure your doctors can create a schedule that will work for both the installation of the implant and the positioning of your braces.

  • Healthy Teeth and Gums

Before you begin orthodontic work, talk to your dentist. If you need a filling or crown, are considering a dental implant, have symptoms of gum disease, or are looking at any other dental concerns, you should work with your dentist first. Healthy teeth and gums are the very best foundation for orthodontic treatment at any age.

If you are wondering whether Dr. Geller can help you achieve the smile you’ve always wanted, talk to us when you visit our Plano, TX office! Your past dental work will be just one of the many variables we take into consideration when we’re planning your future of picture-perfect smiles.

The Herbst® Appliance

May 31st, 2023

Maybe you’ve known people with braces and aligners—maybe you’ve worn them yourself!—so if braces or aligners are in your teen’s future, you have some idea what to expect and when to expect it.

But quite often, orthodontic issues require more treatment than braces alone can provide. When misalignment affects not only the teeth but the jaw as well, treatment can be more effective when it begins earlier and makes use of a different kind of appliance—the “functional appliance.”

During the years your child’s bones are still rapidly growing and forming, around the ages of eight to 14, functional appliances can help guide tooth movement and encourage jaw growth and development. One of the most widely used of these devices is the Herbst® appliance.

What does the Herbst appliance do?

There are several types of malocclusions, or “bad bites” treated by Dr. Geller. A common condition called a Class II malocclusion occurs when the upper jaw and teeth project too far forward over the lower jaw and teeth. Signs of a Class II malocclusion might include an overjet (protruding upper teeth), and/or a small or recessive lower jaw.

While correcting this malocclusion often enhances facial symmetry, which can be very important for a child’s confidence, correcting a Class II malocclusion also promotes jaw and dental health. Misaligned teeth are more difficult to clean, which can lead to decay and gum disease. Bite problems can cause persistent jaw pain and damage to the teeth. And, with an overjet, a child’s upper teeth are more at risk for injury.

The Herbst appliance was developed to treat this kind of malocclusion. It moves the lower jaw and teeth forward to create a balanced, healthy smile.

How does the Herbst appliance work?

The Herbst appliance is fixed in place with stainless steel bands or crowns that are secured to four teeth in the rear of the mouth, often the first molars on each side of the upper and lower jaws. The band or crown on each lower tooth is equipped with a small bar that extends toward the front of the mouth.

An arm on each side links the bands or crowns on the upper teeth to the front of the bar assemblies on the lower teeth. Each arm consists of a rod that fits smoothly into a tube. The telescoping action of the rod and tube allows the mouth to open and close normally. When the mouth is closed, the arms on both sides telescope shut, forming compact cylinders that hold the jaw forward.

While a child’s bones are still growing, the lower jaw’s new forward position can stimulate further bone growth and remodeling to maintain the jaw in that forward position. The Herbst appliance also has a restraining effect on the forward movement of the upper jaw. The result is a steady, noticeable improvement in the relationship between the upper teeth and jaw and the lower teeth and jaw.

Is the Herbst appliance hard to take care of?

The Herbst appliance is fairly low maintenance, but, like any orthodontic gear, it should be treated with care.

  • It’s important to watch your child’s diet, because sticky, crunchy, and chewy foods can damage the appliance. Save the caramels for a post-treatment celebration!
  • Carefully cleaning around the appliance is necessary, because a buildup of bacteria and plaque leads to consequences like bad breath, gum disease, and tooth decay. A water flosser can make reaching and cleaning tight spots easier if a brush alone isn’t effective.
  • If the Herbst appliance is damaged, some minor fixes might be doable at home with instructions from your treatment team. But if a band or crown comes loose, or if there’s a problem you’re unfamiliar with, call our Plano, TX office right away.
  • To help avoid the need for minor (or major) fixes, playing with the appliance with fingers or tongue, nibbling on pens and pencils, chewing on ice, or any other risky habits should be strictly off limits.

When it comes to your child’s health, you always have high expectations. Dr. Geller and our team have all the answers you’ll need about what to expect from this phase of your child’s orthodontic treatment, and just why the Herbst appliance is the very best option to create a future of attractive, healthy smiles.

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