Teeth Grinding: More Than a Bad Habit

Perhaps you don't even know you grind your teeth. Maybe a spouse or loved one woke you up in the middle of the night and made you aware of what was happening.

For many people, teeth grinding is a habit and a mechanical reflex; when they’re awakened and informed they were grinding their teeth, they have no recollection of it at all. According to the American Dental Association, this is the nightly situation for roughly ten percent of Americans. From young children to the elderly, teeth grinding, known in the dental community as bruxism, is a serious concern.

Many people who grind their teeth in their sleep have no idea they're doing it. In fact, when they wake up in the morning they feel no jaw pain and their teeth are fine: if it hadn’t been for someone telling them about it, the teeth grinding would have gone unnoticed.

There are other people, however, who wake up with jaw pain, shoulder and neck pain, and headaches. Teeth grinding can cause a host of dental complications. From cracked teeth and receding gums to a misaligned jaw, teeth grinding is not something to take lightly.

Preventive measures are the key to combating bruxism, and our office can set you on the path to a healthy and safe night sleep.

The Reasons for Teeth Grinding

There are many reasons for teeth grinding. For some people, it’s a habit they acquired when they were a child and never grew out of. On the other hand, some research claims that the condition is related to stress, anxiety, or some other type of psychiatric issue.
Still other studies point to everything from poor muscle control or over-eating before bed to gastro-esophageal issues. However, the root cause of the teeth grinding is less important than identifying preventive measures against it.

Common solutions to teeth grinding include:
• Wearing a protective nightguard
• Stress management techniques
• Medications and muscle relaxers

When you make an appointment at our office, we will assess your situation and determine what the best course of action is. Teeth grinding is a dental concern that can cause serious health issues down the road, so be sure to take preventive measures today.

Rubber Band Horoscopes: What Your Color Says About You

One exciting part about wearing braces is getting to choose the colors of your rubber bands. Orthodontists place elastic bands, or ligatures, over each bracket to secure the archwire in place.

These rubber bands may be individual or connected, depending on your mouth’s needs. You have the option of choosing the color of your elastics, which are changed about once every month at every visit. Our offices keep a color wheel handy to help you choose which ones suit you best!

Children and teens often enjoy picking different colors each month to express their creativity and coordinate their braces with outfits. Decorating your mouth with your favorite colors is fun for kids and takes some of the stress out of wearing braces. Adults who wish for subtlety have color options that blend in with the metal brackets and archwire. Common choices for adults include silver, clear, and gray tones.

Common Color Combinations for Rubber Bands

With individual ligatures for each bracket, you may choose different color combinations for special events. You can have alternating colors or place an entire rainbow over your teeth.

Here are a few options to consider:

• School spirit colors
• Favorite sports team colors
• Patriotic colors
• Holiday themes

Some patients choose only one color to match their mood, personality, or favorite outfits. The palette of choices allows you to make bold statements with your braces or go for subtler tones that blend in with the metal structures. Keep in mind that bright colors make your teeth look whiter, while lighter shades, such as yellow and white, may cause your teeth to appear less bright.

What Your Rubber Band Color Says About You

• Red tones indicate that you are ready for action and take charge of your life with aggressive, forward-thinking steps.
• Blue tones are calm and relaxing. You are conservative and exhibit integrity when dealing with situations.
• Green tones represent growth and balance. You are level-headed and look for opportunities to grow emotionally and spiritually.
• Purple tones attract creative energies. You like to have fun and use your imagination in every aspect of your life.
• Orange tones indicate that you are optimistic and thrive in social situations where communication is open.
• Pink is a romantic color that represents a caring personality. You also enjoy having fun with silly games and endless laughter.

The Evolution of Braces

Did you know that even in ancient times, people wanted to improve the look and function of their smiles? We think of modern orthodontic appliances as sleek, efficient technology, but this was not always so! Take a look at the highlights in the evolution of braces.

Ancient Times: From Greece to Rome

• According to The Angle Orthodontist, Aristotle and Hippocrates first thought about methods for straightening teeth between 400 and 300 BC.
• The Etruscans, in what we now know as Italy, buried their dead with appliances that maintained spaces and prevented collapse of their teeth and jaws during life. Archaeologists have discovered mummified remains in various locations that have metal bands wrapped around the teeth.
• A Roman tomb has also been discovered in which the teeth were bound with gold wire, including documentation on the wire’s use as a dental device.
18th Century: A French Development
• The French dentist Pierre Fauchard is acknowledged as the father of modern dentistry. In 1728 he published a book that described various methods for straightening teeth. Fauchard also used a device known as a “blandeau” to widen the upper palate.
• Louis Bourdet was another French dentist who published a book in 1754 that discussed tooth alignment. Bourdet further refined the blandeau and was the first dentist to extract bicuspids, or the premolar teeth between canines and molars, for the purpose of reducing tooth crowding.
19th Century: Orthodontics Defined
• Orthodontics started to become a separate dental specialty during the early 19th century. The first wire crib was used in 1819, marking the beginning of modern orthodontics.
• During this period, gold, platinum, silver, steel, gum rubber, vulcanite, and occasionally wood, ivory, zinc, and copper were used — as was brass in the form of loops, hooks, spurs, and ligatures.
• Edward Maynard first used gum elastics in 1843 and E. J. Tucker began making rubber bands for braces in 1850.
• Norman W. Kingsley published the first paper on modern orthodontics in 1858 and J. N. Farrar was the first dentist to recommend the use of force over timed intervals to straighten teeth.
20th Century: New Materials Abound
• Edward Angle developed the first classification systems for malocclusions (misaligned teeth) during the early 20th century in the United States, and it is still in use today. Angle founded the American Society of Orthodontia in 1901, which was renamed the American Association of Orthodontists in the 1930s.
• By the 1960s, gold was universally abandoned in favor of stainless steel.
• Lingual braces were the “invisible” braces of choice until the early 1980s, when tooth-colored aesthetic brackets made from single-crystal sapphire and ceramics became popular.

Today

As we arrive in the present, you need only look at your own braces to see how far we’ve come. Your treatment plan was probably created with a 3D digital model, and we’ve likely used a computerized process to customize your archwires. Perhaps you have clear aligners, self-ligating brackets, or highly resilient ceramic brackets with heat-activated wires.

Orthodontics has come a long way from the days of Aristotle, and even the bulky wrap-around braces of just 60 years ago. Regardless of your specific treatment plan, the development of high-tech materials and methods has made it possible for your orthodontic experience to be as effective, efficient, and comfortable as possible.

http://www.angle.org/doi/full/10.1043/0003-3219?0501ThursdayOBFTPT?2.0.COOctober2
http://www.archwired.com/HistoryofOrtho.htm

Avoiding Common Problems Associated With Braces

While braces play an important part in helping to create a healthy mouth and teeth, you might experience a few side effects while wearing them that are common and can be easily treated.

Even with the best of care, braces can cause soreness to your mouth. As your teeth begin to move, it is natural for your teeth to feel aches and your jaw to develop soreness.

If there are broken wires or loose bands on your braces, a sore tongue, mouth, or canker sore will occur. Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. If you experience a sore mouth or any of the following problems, call our office to schedule an appointment.

• Loose brackets: Apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth.

• Loose bands: These must be secured in place by our dentist. Try to save the band for repair.

• Protruding or broken wires: The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse.

• Loose spacers: These will need to be repositioned and sometimes replaced.

Foods to Avoid
Some foods can also help or hurt you while you’re wearing braces. Remember to cut your food into small pieces that can be easily chewed. You will want to avoid hard and chewy foods that can break your hardware. Foods such as corn on the cob, nuts, carrots, apples, ice, and bubble gum should be avoided.

Braces, rubber bands, springs, and other mouth appliances associated with braces will normally attract food particles and plaque. Without the proper care, this could cause staining of your teeth.

We recommend brushing after every meal or snack and carefully removing any food that might be lodged in the braces. A fluoride mouthwash might be helpful as well as flossing. At your next appointment, we can advise you how to floss with a brush specially designed for braces!

Tackling sports injuries!

Let’s face it: sports-related injuries are common among children, let alone teens with braces. And now that the fall is here, the sports season is in full swing.

In a recent survey, the American Association of Orthodontists discovered that 70 percent of parents said their biggest worry is that their child will get hurt while playing sports. But 67 percent admitted that their child doesn’t wear a mouth guard when participating in organized sports, such as football, basketball, baseball and soccer. That’s why we’re helping spread the word that many facial sports injuries can be prevented simply by reminding your kids to wear mouth guards this fall season. We can provide a mouth guard for any patient in active treatment. In addition, the AAO has provided the following tips for keeping your kids safe on the field this fall. Please remind them to:

• Wear mouth guards during contact sports
• Wear a helmet
• Stretch before and after a game or practice
• Wear protective eye wear
• Wear a face shield to avoid scratched or bruised skin
• Be observant—even as a spectator

All of these can reduce injuries. Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Be sure to avoid mouth guards that custom form to your teeth, as these will resist any tooth movements that your treatment is designed to achieve.

Give us a call if you have any questions about mouth guards or your treatment!

Looking for a delicious braces-friendly fall dessert? Check out this recipe!

You have braces, and you’re probably wondering what to eat. You can’t have gum, popcorn or other delicious but braces-unfriendly foods. But fear not! Our friends at the American Association of Orthodontists have a delicious recipe that will satisfy both your sugar craving and hunger when the weather gets cold.

Apple Bombolini

Ingredients:
Rustic dough
• 9 ounces cake flour (about 3 cups)
• ½ cup all purpose flour
• ½ cup granulated sugar
• Pinch sea salt
• 1 cup (2 sticks) unsalted butter, chilled and cut into large pieces
• 1 tablespoon vanilla
• 2 tablespoon cold water

Apple sauce filling
• 4 Granny Smith apples
• 1 cup (2 sticks) unsalted butter
• 1 tablespoon lemon juice
• 1 vanilla bean, or 1 teaspoon vanilla extract
• 1/3 cup granulated sugar
• 1 tablespoon water

Diced apples:
• 4 Granny Smith apples
• ¼ cup sugar
• ½ teaspoon vanilla
• ½ lemon, juiced

Directions:

For the dough: In a mixing bowl with a paddle attachment, add the dry ingredients and mix for 5 seconds to blend. Add the butter and vanilla and mix until the butter is about the size of peas. Add the cold water and blend until the dough just comes together. Form the dough into a roughly shaped ball, wrap in plastic, and refrigerate for 1 to 2 hours.
Applesauce filling: Peel, core, and slice the apples. Put the apples with the rest of the ingredients into a saucepan. Bring to a boil, turn down the heat, and cook until the apples are very soft, about 20 minutes. Remove from the heat, cool, and refrigerate.

Diced apples: Peel, core, and cut the apples into large slices. Toss with the sugar, vanilla and lemon juice and set aside.

Assemble the bomboloni: Remove the dough from the refrigerator. Roll out to1/4-inch thick round. Cut into 6-inch rounds. Place about 1/4 cup of the Apple Sauce Filling onto the center of each round. Top with a few pieces of the Diced Apples. Pull the sides up towards the center to form a bundle, pinching the dough together towards top. Cover with plastic wrap and refrigerate for 1 hour before baking

When is the Best Time to Floss?

At Our office, we encourage our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease!

Should You Floss Before or After Brushing?

According to recent clinical findings, you can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. The staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine.