Our Blog

Gums and Braces

September 16th, 2020

“Yes,” you’re thinking, “I shouldn’t be chewing sugary, sticky gum while I’m wearing my braces.” Or perhaps, “I should check with my orthodontist to see if this sugar-free gum is safe for my braces.” And these are both great thoughts—but today, we’re thinking about gums of a different sort!

While you’ve been taking care of your teeth with regular brushing and flossing, you’ve also been taking care of your gums. And now that you’re wearing braces, your gums need a bit of special attention to keep them their healthiest.

We tend to think of gum disease as an adult problem. In fact, periodontitis, or serious gum disease, is one of the most common chronic infections in the adult population. But young gums need care, too! Gingivitis, a milder form of gum disease, is unfortunately a common problem for both children and adults.

Gingivitis is an inflammation of the gums caused by the build-up of plaque and tartar. When plaque builds up, it irritates delicate gum tissue. And while gingivitis is not as serious as periodontitis, the symptoms caused by this disease are nothing to smile about:

  • Redness
  • Tenderness and soreness
  • Swelling
  • Bleeding
  • Bad Breath

If you’re already feeling a little tender or swollen after an adjustment, the added discomfort caused by gingivitis is the last thing you want. But even worse, neglected gingivitis can lead to more serious infections of gum and even bone tissue. Luckily, gingivitis is both preventable and treatable with proper dental care.

So, how to protect your gums? We have some suggestions.

  • Brushing Better with Braces

It can be hard to brush around your brackets and wires, but keeping these areas free of food particles and plaque makes for healthy gums—and fewer cavities! There are specially designed manual toothbrushes made for braces wearers, and tiny interproximal brushes that can reach tight spaces. Or, perhaps an electric toothbrush will do a better job for you. Just be sure to brush after each meal for the most complete removal of bacteria and plaque.

  • Learn New Flossing Techniques

You might wonder how on earth you’ll get in between your teeth with your wires and brackets in the way. We have the answers! We know the best techniques for flossing your specific braces, and we’ll recommend specially designed flossing tools to make the job easier. Water flossers can also be a great help for cleaning in tight spots. Be sure to make flossing part of your daily routine—you’ll be able to remove plaque from places brushing just can’t reach.

  • Rinsing? Recommended.

Talk to Dr. Kathleen Tavarez about the best dental rinses for reducing plaque and tartar, or how gargling can help prevent irritation. And drink water! Water helps wash away plaque and bacteria, and is a great way to rinse teeth and braces if you absolutely can’t brush after eating.

  • Keep up with Professional Cleanings

Be sure to keep up with your regular dental exams and cleanings. Your dentist or hygienist will be able to remove any plaque or tartar build up that home brushing can’t handle.

We want your time in braces to be as healthy—and comfortable—as possible. If you have any gum discomfort, swelling, or sensitivity, give our Menlo Park or San Carlos, CA office a call. With prompt action, gingivitis can be treated, and with careful attention to your cleaning routine, gingivitis can be prevented altogether. Something to think about!

I Only Have One Crooked Tooth. Should I See an Orthodontist?

September 9th, 2020

Your smile is just about perfect. There’s just that one tooth that’s out of place. So, do you really need to see an orthodontist?

Absolutely! Why? There are several good reasons.

First, let’s check to make sure there is no physical problem causing that turned tooth. A crooked tooth might result from an early oral trauma while the tooth is developing, or a baby tooth lost too early, or the loss of a nearby adult tooth. But a sudden change in a tooth’s orientation might also be caused by a cyst or a tumor. If you notice any changes in your tooth’s position, it’s a good idea to talk to Dr. Kathleen Tavarez.

Second, we want to make sure your bite is aligned properly. If your tooth is crooked due to crowding by your other teeth, or if it has rotated a bit because there is too much space between your teeth, your bite might be affected as well. Malocclusions, or bad bites, can lead to a number of unpleasant consequences, including headaches, jaw pain, and increased pressure and stress on the teeth.

Third, a crooked tooth can lead to more difficulty brushing and flossing between and around the teeth, which increases the chance of tooth decay.

Fourth, we provide the professional medical care you need. Some people with a turned tooth attempt self-help with rubber bands, dental floss, or other home remedies. Not only is this unlikely to work, it can actually lead to infection, root problems, and even tooth loss.

Maybe there are no health concerns causing, or caused by, your crooked tooth. Your bite is strong, and you like your unique smile just the way it is. In that case, smile on!

But if you are interested in aligning that one crooked tooth with the rest, give our Menlo Park or San Carlos, CA office a call, and we’ll get to the root (literally!) of the problem. Depending on the reason your tooth is twisted, we’ll suggest the braces or clear aligners that will provide your most effective orthodontic treatment, and give you safe and lasting options for achieving the smile you’ve always wanted. Perfect!

Orthodontic Treatment: Does a Missing Tooth Mean Missing Out?

September 2nd, 2020

You’ve decided—now’s the time to talk to Dr. Kathleen Tavarez 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. Kathleen Tavarez 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 Menlo Park or San Carlos, CA 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!

Let’s Be Perfectly Clear!

August 19th, 2020

One of the most common reasons for choosing clear aligners is that they are just that—clear! You can achieve a healthy, beautiful smile without the more obvious wires and brackets of traditional braces. But if your aligners are noticeably stained well before it’s time to replace them, you can be facing days or weeks of self-conscious smiles.

Luckily, this problem is preventable. Let’s look at some of the common causes of aligner discoloration and how to avoid them.

  • Beverages that Stain Teeth Stain Aligners

You take your aligners out to eat, of course, but do you always remember to remove them when you drink a beverage? Red wines, coffee, tea, dark juices, and sodas don’t just cause enamel staining—they can discolor your aligners as well. Even worse, drinking an acidic or sugary drink with your aligners on gives that acidic, sugary beverage an opportunity to bathe your teeth in acids and sugar over a period of time. Keep your aligners (and your enamel) protected by removing them when you drink anything other than water, and brush your teeth before you replace them. If you absolutely can’t remove aligners, a straw will reduce the risk of staining.

  • Soaking in Mouthwash

Mouthwash is a way to keep your teeth and mouth fresh-smelling and free from bacteria. You also want your aligners to stay fresh and bacteria-free. So, what could be the problem in giving your aligners a good soak? Well, sometimes a colorful mouthwash can stain your aligners to match! If you’re not a fan of tinted aligners, talk to us about the safest ways to use mouthwash with your appliance.

  • Using Harsh Cleaners

There are products specifically made for aligners which will keep them their cleanest and clearest. Harsh cleaners and even toothpastes can be abrasive, leaving visible scratches or cloudiness. We’re happy to recommend the best and safest cleaning products for your aligners.

  • Inadequate Cleaning

Plaque, that bacteria film that can stick to your enamel and around your gum line, can also stick to your aligners. If you notice a white film on your appliance, it could be plaque. Thorough and regularly scheduled cleanings are essential. Talk to us about the best schedule and methods for keeping your aligners not only clear, but sanitary.

What if, despite taking precautions, your aligners do get stained? If your aligners are new, we might be able to offer you some suggestions to get you through the next week or so. If you are almost ready for your next set of aligners, you might have no problem waiting. But the simplest solution to stained aligners is prevention.

Talk to Dr. Kathleen Tavarez at our Menlo Park or San Carlos, CA office about how to keep your aligners looking their best—and least visible. Whether it’s diet suggestions or the most effective soaking and cleaning techniques, we have the answers to ensure your brightest, most confident smile. After all, isn’t that one of the reasons you chose clear aligners?