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Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth.

• Preventing Interproximal Cavities

Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach.

When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge!

The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment:

• Floss threaders are flexible hoops that help you thread floss behind your wires easily.
• Precut floss strands use a stiff tip at one end for threading floss through wires.
• Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning.
• Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces.

During your next visit to our Langley office, Dr. Cronin can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

When you’re busy at school or work, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any orthodontic and dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Dentists recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at school or work with no time to head home before your date, or a garlic-heavy lunch in the cafeteria, or a dash from the classroom to after-school activities, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

• Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
• Toothpaste
• Mini-bottle of mouthwash
• Small mirror—to check for any lunch leftovers
• Dental floss—to remove any lunch leftovers. Use braces-friendly dental floss if you have traditional braces.
• Dental Wax—to cover any uncomfortable wires or brackets
• Interproximal brushes—to remove food particles from around your braces and between your teeth
• Extra rubber bands
• Aligner/Retainer case—keep your aligner or retainer safe and clean while you’re eating

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

• A travel version of your manual or electric toothbrush and travel case
• Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
• Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
• Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
• Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
• Our Langley office’s phone number. In case of emergency, Dr. Cronin can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

• Dental mirror
• Cotton rolls
• Over-the-counter pain relief—including a tube of oral pain relief gel
• Ice pack
• Dental wax—this handy item not only protects against sharp wires, it can cover the sharp edges of a broken bracket
• Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
• Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

For months and months, you’ve been dedicated to following your orthodontic treatment plan. Wearing your bands or putting in the hours with your aligners. Eating orthodontic-friendly foods. Seeing your orthodontist on a regular basis.

But that’s all in the past. Today, your braces are coming off! You’ve finished with your last set of clear aligners! Now it’s time to enjoy your accomplishment and celebrate this moment.

And after you’ve celebrated the moment, what’s next? Why, it’s time to look to the future! Because one thing we can predict for the years ahead is that you’ll want to keep your smile looking as wonderful as it does today. Let’s look at some of the simple steps you can take to retain that new smile.

Keep Up With Your Brushing and Flossing

Wearing braces or aligners meant learning a whole new way to take care of your teeth and gums. You used special tools to clean around your brackets and wires. You learned how to keep your aligners clean and stain-free. You brushed and flossed after every meal and snack break.

So returning to regular hygiene habits should be a cinch—two minutes of thorough brushing at least twice a day, with careful flossing at least once each day. And you’ll probably notice something else which makes your life easier—properly aligned teeth are easier to brush and floss effectively.

But just because it’s easier, doesn’t mean it’s not as important. Keeping your teeth clean and cavity-free and your gums healthy will keep your smile looking its best, so be sure to brush and floss just as consistently as you did when you were in treatment.

See Your Dentist Regularly

Even though you won’t be making regular visits to our Langley office anymore, that doesn’t mean your dental calendar is clear! Cavities aren’t a good look for your new smile. Neither are tartar stains or red and swollen gums.

Checkups once or twice a year mean that you have a healthy smile as well as a beautifully aligned one. And a professional cleaning from your dentist’s office will make sure it’s a gum-healthy, bright, and stain-free smile as well.

Wear Your Retainer

Your teeth may have moved to their perfect positions, but they haven’t moved there permanently yet.

During orthodontic treatment, gentle pressure from your appliance causes steady, careful tooth movement. As teeth move in the jaw, old bone cells around the roots break down where they’re no longer needed, and new bone cells build up around the roots in their new position. It’s a gradual process which makes sure your teeth are held firmly in the jawbone.

Bu this isn’t the end of the process. When you stop wearing braces or aligners, teeth and ligaments may begin shifting back to their original location. The new bone tissue that holds your teeth in their ideal spots isn’t strong enough yet to stop this shifting, especially with the normal forces of biting, chewing, clenching, and all the other activities that put pressure on teeth.

Your retainer holds your teeth in just the right position while jawbone tissue has time to reshape, rebuild, and stabilize. This can take months or more to accomplish, especially when you’ve had a more serious misalignment or bite correction.

Which also means . . .

Wear Your Retainer as Long as Necessary

Dr. Cronin will recommend the best retainer for you. Three popular options include:

• Hawley Retainers—the traditional removable retainer. This appliance uses wires embedded in a molded acrylic plate to keep your teeth properly aligned and to hold your retainer in place.
• Clear Plastic Retainers—a removable custom retainer made of vacuum-formed plastic. This piece looks and fits over the teeth like a clear aligner.
• Fixed Retainers—a small single wire bonded to the back of specific teeth to hold them in place and prevent any movement.

For the first few months, you might need to wear your removeable retainer both night and day, and then switch to nighttime wear. Dr. Cronin might recommend long-term nightly retainer use, or perhaps taper to a few nights a week. A fixed retainer can last for many years. We can’t tell you how long you’ll need to wear your retainer because that answer depends on your specific orthodontic needs.

If you do stop wearing your retainer and find that your teeth are shifting, see Dr. Cronin as soon as possible. Fixing a slight shift can be fairly uncomplicated, but waiting until your teeth and bite are more seriously out of alignment could require another session in braces or aligners.

The hard work you’ve put in to create your smile is past, and today you’re enjoying all the benefits of aligned teeth and a comfortable bite. Taking simple steps to maintain these benefits will help guarantee a future filled with healthy, confident smiles.

Dr. Cronin and our team have the experience and training to evaluate the present state of your teeth and bite, and to design a treatment plan to give you the healthy, attractive smile you picture for your future. And when you choose Invisalign^® for your treatment, you’ll be able to get an advance view of exactly what that future will look like!

How is this possible? Because when you choose Invisalign, you’re getting the benefit of some of the most advanced technology in orthodontics.

The process begins with a computerized scan of your teeth and mouth. Special scanner software creates a 3D image to capture your smile as it is now. But that’s not all. Using our customized treatment plan, Invisalign software can provide not only a model of your smile today, but an evolving model of what your smile can be. Seeing your present smile transform step-by-step into your future smile is a great motivator to follow that treatment plan!

For each step of your treatment, Dr. Cronin will provide a new set of aligners created to move your teeth and bite toward this goal. Why don’t you need a mold made of your teeth every time you get a new aligner? Because, with Invisalign, we design your aligners to fit your future tooth alignment.

Aligners are not fabricated to snugly fit around your teeth as they are, but as they will be after several days of wear. Each set is molded with small improvements to your alignment, and provides gentle, consistent pressure to move your teeth to that next step.

This “future fit” is why you may experience a bit of discomfort with a new set of aligners. Over the days that you wear them, the fit will become more and more comfortable. This won’t be because your aligners have changed. It will happen because your teeth have gradually moved where your aligners direct them.

Once your teeth and bite have reached this new step in your treatment, it will be time for the next set of aligners in the series, and so on. Dr. Cronin will let you know just how long you need to wear each set, and you can even track your progress with every appointment.

So, are we predicting the future? Not really. When you use Invisalign, we are planning and creating your future smile. Dr. Cronin will use the Invisalign system to customize your treatment for your very specific needs, step by step, and aligner by aligner, until you attain the smile you previewed before you even started treatment.

But one thing we can predict: If you follow our recommendations, keep your appointments at our Langley office, and wear your aligners as directed, there’s going to be a beautiful, healthy smile in your future.