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You can probably see how teeth straightening can make your smile more attractive, but you might be wary of how Invisalign Teen treatment works. If you’re like most teens at our Douglasville or Union City office, you love hanging out with your friends, and you don’t want to be different, watch what you eat, or worry about how you look. Invisalign Teen has several benefits over traditional metal braces that can make your treatment easier.

People won’t know you’re wearing them.

Invisalign Teen consists of clear trays that are virtual impossible for others to see. Chances are, the only people who know that you are getting your teeth straightened will be your family and any of your friends whom you choose to tell. You won’t need to answer to “Tinsel Teeth” and “Metal Mouth” as some of your classmates with metal braces do.

You can eat what your friends eat.

You take your Invisalign Teen aligners out of your mouth for meals and snacks, so you can eat just like you normally would. You don’t need to worry about food getting stuck in your braces or leading to a bracket popping off. Unlike with braces, you can enjoy the following foods with your friends during Invisalign Teen straightening treatment:

• Popcorn at the movies
• Trail mix with dried fruit when you’re hanging out together
• Ribs and chicken wings at a party
• Eating a peanut butter sandwich, apple, and carrot sticks for lunch

You can take care of your teeth more easily.

It would be a shame if you took the trouble to straighten your teeth and then found out that you had developed tooth decay while wearing braces. This is less of a problem with Invisalign Teen aligners because they are removable. You can brush and floss your teeth as normal just by taking the trays out of your mouth.

Getting straighter teeth can be a serious confidence-booster in the long run, and with Invisalign Teen, the treatment isn’t that bad. You can wear these clear aligners without letting people know that you’re straightening your teeth, and they won’t interfere with your diet or dental hygiene.

It’s only natural when you’re waiting for something good—you count down the weeks until your birthday, or until the summer holidays, or until your braces come off. But while your birthday and your vacation won’t come any faster no matter what you do, you can help determine just how fast that happy day arrives when you’re done with your orthodontic treatment.

When you first got your appliance, Dr. Cronin gave you an estimate of how long your treatment would take. Of course, that estimate is based on everything going according to plan. What are some detours that can delay your progress?

• Missing Appointments

With every adjustment at our Langley office, you are moving closer to the ideal positioning for your teeth. If you miss or postpone appointments, it can take just that much longer to complete your orthodontic work.

• Eating the Wrong Foods

You have a list of foods that are on the do-not-eat list. Hard, chewy, sticky bites are famous braces-breakers, but don’t forget that size also matters! Biting into a juicy apple or a buttery ear of corn can damage your brackets and wires just as much as chewy candy can. Be sure everything you eat is size-appropriate and braces-friendly. Obviously, damaged braces can’t straighten teeth as effectively as intact appliances!

• Sticking with Bad Habits

Pressure from nail biting, chewing pencils, or crunching on ice can cause chips and cracks in your teeth, so just think what they can do to your appliance. Ask us for tips for quitting if you’ve picked up any of these habits. We know habits can be hard to break, but they are harder on your teeth and braces. If you bend or break a wire or loosen a bracket, you might be delaying your orthodontic progress. Which leads us to . . .

• Ignoring Appliance Accidents

Accidents happen. Brackets or metal bands can become loose; wires can bend or break; spacers can fall out. If you notice a problem, call our office right away. Sometimes a minor problem can wait, but if your appliance is damaged, your teeth aren’t moving into position on schedule.

• Blowing Off Bands

If you have bands to help correct your bite, be sure that you wear them as directed. If you skip hours or days of band-wear, you are adding to the time it will take to correct the bite problems they are meant to fix. And don’t double band to speed things up—that might put too much pressure on your teeth. Just follow our recommendations, and you will be done with those bands—and those braces—as soon as possible.

But, wait! We promised you one sure way to keep your orthodontic progress on track:

• Follow Your Treatment Plan

If you keep your appointments, take care of your braces, call us promptly if they are damaged, and wear your appliance as directed, you will be doing your part to keep your treatment on track. And that happy day when your braces come off? It will arrive right on schedule!

From the time you were small, you’ve been warned about the dangers of plaque. Why? Because:

• It’s an unpleasant film that sticks to your teeth
• It causes cavities
• It causes gum disease
• It can cause extra problems when you wear braces

And really, do we need to know much more than this to motivate us to brush? But if you’re in a curious mood, you might be wondering just how this soft, fuzzy film accomplishes all that damage. Let’s take a closer look at the sticky problem of plaque.

How does plaque form?

We live with hundreds of species of oral bacteria, most of which are harmless, and some of which are actually beneficial. But when our oral ecosystem gets out of balance, problems can occur. For example, without regular and thorough brushing and flossing, we start to build up plaque.

Plaque starts forming within hours of your last brushing. And even though plaque fits the very definition of “seems to appear overnight,” this biofilm is actually a complex microbial community with several different stages of development.

• It starts with saliva.

Saliva is vital to our oral health, because it keeps us hydrated, washes away food particles, neutralizes acids in the mouth, and provides minerals which keep our enamel strong. Saliva also contains proteins, which help form a healthy, protective film on the tooth surface. This film is called a pellicle.

• Bacteria attach to the pellicle.

There are species of oral bacteria that are able to attach themselves to the pellicle film within hours of its formation. As they become more firmly attached, they begin to grow and divide to form colonies, and are known as the early colonizers of the plaque biofilm.

• A complex biofilm forms.

If you’ve skipped brushing for a few days (please don’t!), you’ll notice a fuzzy, sometimes discolored film on your enamel—that’s a thriving plaque community, and it only takes a matter of days to go from invisible to unpleasant.

If you’re not removing plaque regularly, it can harden further and become tartar. And once you have tartar buildup, you’ll need the care of a dental professional to remove it.

• What happens if we ignore plaque and tartar?

We get cavities and gum disease.

How does plaque cause cavities?

• The bacteria in plaque, like all organisms, need nutrients.

Our normal oral environment and the food in our everyday diets provide the nutrients plaque needs. And, as we mentioned above, certain types of oral bacteria convert these nutrients into acids. Foods such as carbohydrates, starches, and sugars are most easily converted into acids, which is why we recommend that you enjoy them in moderation.

• The biofilm promotes acid production.

Within the plaque film, anaerobic bacteria (bacteria which don’t use oxygen) convert sugars and starches into acids. As the plaque film becomes denser, it blocks acid-neutralizing saliva and oxygen from reaching these bacteria close to the tooth’s surface, creating an ideal environment for the bacteria to produce their acid waste products.

• Acids attack enamel.

The sticky nature of plaque keeps these acids in contact with tooth enamel, where, over time, acids dissolve minerals in enamel, weakening the mineral structure of the tooth.

How does plaque cause gum disease?

• Bacteria cause inflammation and gingivitis.

The bacteria in plaque irritate the delicate tissue of the gums, which causes an inflammation response which can leave your gums swollen, red, bleeding, or tender. This early form of gum disease is gingivitis. Fortunately, good dental care and careful brushing and flossing can usually prevent and even eliminate gingivitis.

• Plaque and tartar can lead to periodontitis.

When plaque and tartar build up around and below the gumline, the gums pull away from the teeth, leaving pockets where bacteria collect, leading to infection as well as inflammation. Infections and constant inflammation not only harm gum tissue, they can destroy the bone supporting the teeth. This serious gum condition is periodontitis, and should be treated immediately to avoid further infection and even tooth loss.

How does plaque affect orthodontic patients?

• Plaque collects around your braces.

Braces provide plenty of spots for plaque to hide from your brush. If you aren’t extremely diligent with your brushing and flossing, plaque collects near brackets, wires, and bands—all those spots that a brush and floss find difficult to reach.

• Plaque promotes demineralization

The demineralization process we mentioned above can cause white spots on teeth (decalcification), where minerals have dissolved. Sometimes these spots can be treated, and sometimes they are permanent. They can become quite sensitive, and may lead to cavities.

Careful brushing and flossing around your braces will help eliminate the plaque that can cause demineralization near brackets. Ask Dr. Grant about the tools and the brushing and flossing techniques which will give you the best results.

How do we fight plaque?

From the time you were small, you’ve learned how to fight plaque:

• Brush at least twice a day for two minutes, and be sure to brush all of your tooth surfaces and around the gumline.
• Floss to remove plaque from between the teeth and near the gumline.
• See your dentist as recommended for a thorough professional cleaning.

Be proactive. If you have any questions, talk to us at our Douglasville or Union City office about the best way to keep plaque at bay. We can show you the most effective ways to brush and floss, recommend anti-plaque toothpastes and rinses, even suggest plaque-revealing tablets if you’re missing some trouble spots.

We’ve only brushed up on some plaque basics, because there is a lot more to discover about this complex biofilm. Happily, even with all there is to learn about plaque’s growth and development, it’s reassuring to know that getting rid of it is quite simple—with just a soft-bristled brush, some dental floss, and a few minutes of your time each day, you’re on the way to a healthy, happy, plaque-free smile.

You’ve decided—now’s the time to talk to Dr. Cronin about straighter teeth and a better bite. So what’s holding you back? If you are concerned because you have a missing tooth, don’t let that stop you from making that first appointment. Orthodontists today have many options to help you achieve the benefits of a more attractive, and even healthier, smile.

How can we accommodate a patient with a missing tooth or teeth? Because each patient is different, our approach will be tailored to your specific needs.

A Lost or Missing Permanent Tooth

There are a number of treatment options available, depending on the position of your other teeth.

• If your teeth are already crowded, it might be possible to close a small gap left by a missing tooth with braces.
• If the space between your teeth is the perfect size for a replacement tooth, your orthodontic appliance will keep that spot open as your braces move the rest of the teeth into alignment.
• If you need more space for a replacement tooth, braces can help widen the space between your surrounding teeth for an ideal fit.

Tooth loss can occur for a number of reasons. Accidents, decay, and gum disease can lead to tooth loss.  Congenitally missing teeth, teeth that simple never developed, are also a fairly common condition. But missing teeth are not merely a cosmetic issue, and should not be ignored. A gap in your smile can lead to shifting of the teeth around it, bite problems, difficulty chewing, and gradual loss of bone tissue beneath the missing tooth.

Today’s implants are a permanent, natural-looking replacement for a lost tooth. If you decide that an implant is your best option for tooth replacement, you are still a candidate for orthodontic treatment. Dr. Cronin and your oral surgeon can decide on a schedule that will provide the best timing for each phase of your treatment.

A Lost Baby Tooth

Finally, let’s not forget younger patients. Sometimes children benefit from orthodontic care before all of their adult teeth have erupted. If your child has lost a baby tooth too early, a space maintainer can be used to prevent shifting and misalignment of the remaining baby teeth and leave room for the adult tooth to erupt in its proper spot.

We recommend that your child have a first orthodontic assessment around age seven, but if your child has lost a primary tooth before its time, give our Langley office a call. We can let you know if a space maintainer is the best way to prevent future dental and orthodontic problems.

If you have concerns about a missing tooth or teeth, talk to us! Orthodontic treatment is always custom-designed to fit the needs of each individual patient. We can discuss your specific goals, and how orthodontic treatment can help you achieve them. There is no reason to let a missing tooth keep you from a more attractive, healthier smile!