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Thanks for asking! It really depends on the dental age of the patient rather than their chronological age. Usually a good time to have your child evaluated by an orthodontist is after the front permanent teeth have erupted into the mouth or if there appears to be extreme crowding of the teeth.

The American Association of Orthodontists recommends that children between the ages of seven and nine should be evaluated by an orthodontist. There are times when an early developmental treatment is indicated to correct situations before they become major problems. In these circumstances the patient will most likely benefit from a second phase of orthodontics when all of their permanent teeth have erupted.

Most full orthodontic treatment begins between ages nine and 14, and lasts from one to three years, with two years being the average. It’s important, however, that children be screened at an early age for Dr. Henry Browning and our staff to assess if your child can benefit from orthodontic treatment and when treatment should begin.

We hope this helps, and invite you to give us a call if you have any questions about your child’s treatment at Browning Orthodontics.

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 Wilmington office, Dr. Henry Browning 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 get braces as a child, you usually present the orthodontist with a blank canvas—newly erupted, perfect permanent teeth, just waiting to be aligned. But if you are a bit older, your canvas might already be a bit busy, with fillings, crowns, perhaps even a missing tooth. Can Dr. Henry Browning still work with that more complicated picture? Yes!

• Fillings

Many of us have acquired a filling or two. Normally, an old filling shouldn’t interfere with new braces. Large fillings, however, might call for spacers. These small rubber bands are inserted between two teeth as needed to create enough room for bands and brackets, and are generally put in place a week or two before you get your braces. They frequently fall out on their own as the space between the teeth gets a bit wider.

• Crowns

If you have had a root canal or any other dental treatment that left you with a crowned tooth, no need to be concerned. A special dental adhesive can be used to adhere brackets to crowns.

• Implants

If you have or would like to get an implant, this is a time to coordinate with your orthodontist and dentist or oral surgeon. Sometimes an implant can anchor your appliance, and sometimes it’s best to keep the spot open until your orthodontic work is completed. Once in place, an implant will not have the mobility of a tooth, so it’s always best to make sure your doctors can create a schedule that will work for both the installation of the implant and the positioning of your braces.

• Healthy Teeth and Gums

Before you begin orthodontic work, talk to your dentist. If you need a filling or crown, are considering a dental implant, have symptoms of gum disease, or are looking at any other dental concerns, you should work with your dentist first. Healthy teeth and gums are the very best foundation for orthodontic treatment at any age.

If you are wondering whether Dr. Henry Browning can help you achieve the smile you’ve always wanted, talk to us when you visit our Wilmington office! Your past dental work will be just one of the many variables we take into consideration when we’re planning your future of picture-perfect smiles.

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. Henry Browning 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. Henry Browning 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. Henry Browning 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 Wilmington team for more tips to create your best and brightest smile at any time of year.