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How does wisdom tooth removal affect orthodontic care?

May 10th, 2023

The purpose of braces and other forms of orthodontic treatment at Geller Orthodontics is to correct malocclusion, also known as crooked or crowded teeth, or “bad bites.” Past orthodontic practice dictated that wisdom teeth be removed, especially in cases of crowding.

The wisdom teeth are the last teeth to come in, and are officially known as the third molars. The teeth typically erupt, or break the surface of the skin, in young people between the ages of 13 and 20.

Sometimes, wisdom teeth are impacted. That means they cannot break through the gum tissue. This typically happens when the mouth or jaw is too small to accommodate the teeth. Impacted wisdom teeth can become infected, and some dentists and orthodontists may want to remove them as prophylaxis to prevent possible future infection.

Justification for removing wisdom teeth

Dr. Geller will tell you that in some cases, wisdom teeth attempt to come in the wrong way, either tilting in the jaw, or sideways. If the mouth is too small to accommodate these additional teeth, they inevitably become impacted. Swelling or infection of the gum flap above an impacted wisdom tooth may cause pain. The greatest danger is pericoronitis, a potentially dangerous infection that can occur in the gum area around an impacted wisdom tooth, or around a wisdom tooth that has erupted.

Orthodontists base their decision to remove wisdom teeth on each patient's individual circumstances. To learn more about the impact wisdom teeth have on orthodontic treatment, or to schedule a visit with Dr. Geller, please give us a call at our convenient Plano, TX office!

There’s an App for That!

May 10th, 2023

Modern orthodontic technology has led to major changes in the world of braces. Brackets are smaller and come in both metal and ceramic materials. Wires are more efficient and more comfortable. Elastic bands come in a variety of vivid colors, or you can choose brackets which work without bands. You can even decide on clear aligners, with no brackets or wires at all.

And since modern software technology has given us a program for just about everything, it’s no surprise that you can install apps to help make your modern orthodontic treatment more convenient and more enjoyable. What can an orthodontic app do for you?

  • Keep Track of Your Appointments

There are many apps out there that are designed to help you keep your treatment on track with appointment reminders. This sounds pretty basic, but when you have school, work, sports, and activities filling your days, it doesn’t hurt to get a timely reminder that our Plano, TX office will be expecting you in the near future. And, since missed appointments delay your progress, you are making sure you achieve your beautiful, healthy smile in the shortest amount of time.

  • Mapping Out Your Routine

You know how important it is to keep track of the hours you wear your aligners. Apps can help remove the guesswork with a timer to make sure you’ve got the hours you need to progress to the next phase of treatment. Apps can also remind you when you’re ready for a new aligner, and let you track your progress in one convenient place with selfies after each aligner transition. After all, it’s really exciting to see just how far you’ve come.

If you wear traditional braces, there are apps with very helpful reminders for you, too. For example, forgetting to wear your elastics can really delay your progress. An app can let you know when it’s time to wear your rubber bands and keep track of your hours. It can also remind you to replace your bands regularly, because elastics become less elastic through the day. And take advantage of the countdown feature some apps offer to see just when you can expect to be done with your treatment when you keep on top of your routine.

  • Brushing and Flossing? Apply Yourself!

A big part of making your smile look its best after your orthodontic treatment is making sure you take care of your smile during your treatment. This means keeping up with daily brushing and flossing, and using proper technique. Two minutes brushing, twice each day, and flossing at least once a day are the basic recommendations for preventing cavities and gum disease. (During orthodontic treatment, you might need to increase your brushing and flossing—ask us how often is best for your needs.)

And to help you make sure you get a solid two minutes of brushing twice a day? Try an app that plays two minutes of your favorite music with a perfectly timed brushing playlist. Apps can also send you brushing and flossing reminders, let you know when it’s time to change your toothbrush (every three months, please!), and give you tips on better brushing and flossing techniques.

  • Have Fun with Your Appearance

Not sure just how you’ll look in braces? Get a preview with an app that uses one of your selfies to model different types and styles of braces, brackets, bands, and aligners. Metal brackets? Ceramic? Elastic bands in your favorite colors? No bands at all? Hardly visible aligners? Find the look that works for you!

  • When Problems Happen

Some apps will even guide you through common orthodontic problems, such as applying wax to an irritating bracket or relieving discomfort. Always remember, though, an app is not an orthodontist. If you have a serious problem or concern, call us immediately.

  • Orthodontist Approved

If you’ve checked out the orthodontic apps available for your operating system, you know that there are a lot of options out there. If you’re looking for an app providing information about your treatment, tips for dealing with your braces, or a convenient way to track your progress or even be part of a community, you want the best information, tips, and conveniences possible—and hopefully all in one place.

To help you find the best orthodontic app for you, talk to Dr. Geller! We might know just the app for your specific needs. Whether you choose aligners or brackets and wires, consider all the wireless options that can make your life easier, your dental care more complete, and—just maybe—your orthodontic experience a little more fun.

Mouthguard Protection

May 3rd, 2023

Let’s talk about mouthguards.

We could talk about how important wearing a mouthguard is when you lead an active life. If you play sports, ride bikes, skateboard, or participate in many other kinds of exercise, mouthguards protect your teeth, mouth tissue, and jaws from accidents. 

Or we could talk about how wearing a mouthguard while you’re wearing braces has extra benefits. Besides its normal protection, your guard helps protect your brackets and wires from damaging contact, and your delicate mouth tissue from impact with your braces.

But we’re not going to talk about any of these important topics today. Instead of looking at how your mouthguard protects you, today we’re going to look at how you can protect your mouthguard.

If you want your guard to last longer, work better, and stay (and smell!) cleaner, some basic tips make all the difference.

  • Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping your mouthguard clean isn’t difficult.

When you wear your guard, the same plaque that is present in your mouth makes itself at home in your appliance. And when your guard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your mouthguard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your mouthguard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of mouthguard you have, be sure to follow our instructions if you have a custom guard, or clean as directed by the manufacturer if you have a store guard.

  • Keep it safe.

When your mouthguard isn’t in your mouth, it should be in its case. Floating loose in your locker or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

  • Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Dr. Geller can make you a mouthguard designed to fit your teeth and braces perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your mouthguard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or see Dr. Geller about replacing or repairing your custom guard. A mouthguard that doesn’t fit, doesn’t keep you safe.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard is braces that will last through your treatment at our Plano, TX office and a smile that will last you for a lifetime. Those are benefits we can talk about all day!

Spring Cleaning

May 3rd, 2023

Just like that, it’s almost summertime. As the spring season ends, perhaps these lighter, brighter days are inspiring you to do a bit of last-minute spring cleaning. Or perhaps they’re not. No judgment here!

What Dr. Geller can recommend wholeheartedly is finishing the season with a clean, sparkling smile. And we have some bright ideas for you!

Refresh Your Cleaning Technique

Tooth brushing can become so automatic that we don’t think about the basics anymore. And suddenly, we’ve finished brushing in half the time we used to, and, hey, how long has that floss been sitting on the counter, anyway?

Now that you’re in orthodontic treatment, it’s more important than ever to keep your teeth their cleanest:

  • Plaque acids can strip minerals from your teeth. If you don’t clean around your brackets thoroughly, plaque buildup can leave discolored spots on your enamel.
  • If a cavity develops, treatment could require removing part of your braces. This means extra appointments and a delay in your orthodontic schedule.

So, let’s review the brushing basics for a clean and healthy smile.

  • Spend two minutes brushing, at least twice each day. Dr. Geller might suggest brushing after every meal to make sure food doesn’t stick to your teeth and braces.
  • Make sure you reach all the surfaces of your teeth, inside, outside, and on top of your molars.
  • Use short, gentle brush strokes, covering a tooth or two at a time.
  • Angle your brush to clean along the gum line. Plaque around the gums leads to irritation and inflammation, and is a common cause of gum disease.
  • Use vertical strokes to clean the inside of your front teeth.
  • Floss at least once each day, or as recommended by your orthodontist.

Special Jobs Require Special Tools

Since we’re tidying up, let’s talk about some helpful cleaning tools. The right tools make removing plaque a lot easier.

  • Toothbrushes

There are toothbrushes designed especially for braces, with angled heads, longer handles, and different bristle arrangements. Whether you try a new design, or stick with your old favorite, replace your brush whenever necessary.

After three to four months of brushing, your toothbrush bristles start to break down. Frayed and matted bristles can’t clean as effectively as a toothbrush in top shape. Electric toothbrush heads can wear down more quickly because they often have shorter bristles. Each change of season is a good time to remind yourself to change brushes.

Extra tip: Buy a brush with soft bristles. Even medium bristles can cause enamel abrasion.

  • Floss Upgrades

If you wear braces, check out the floss options made just for you. Floss threaders help you thread floss under wires. Or try floss which comes in pre-cut strands with a stiff tip to thread the floss through wires more easily. You might find that an orthodontic flosser, a small piece of floss attached to a thin plastic handle, is the easiest way to clean between your teeth. Experiment until you find your most convenient and effective floss.

  • Interproximal Brushes

These tiny cone-shaped brushes fit snugly and comfortably between the spaces of your teeth to remove plaque.

  • Water Flossers

Water flossers are high-tech tools that use a pulsing stream of water to clean between and around the teeth. They’re particularly helpful if you have traditional or lingual braces.

Your Dr. Geller can suggest the best tools for the cleanest teeth. And speaking of your dental team . . .

Some Cleaning Jobs Require Professional Help

Wearing braces doesn’t mean you should skip cleanings—in fact, it’s more important than ever to make sure that all the plaque that has built up around brackets and wires is removed. Your hygienist knows how to work with your braces for an effective and braces-friendly cleaning.

Spring’s coming to an end, but taking care of your dental health is always in season! A clean smile isn’t just a more confident smile, it’s a healthier one. Talk to our Plano, TX team for more tips to create your best and brightest smile at any time of year.

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