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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. Henry Browning.

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 Wilmington 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!

After all your hard work, and months of orthodontic treatment, the big day is finally here—your braces are coming off! What you want to see: beautiful, straight teeth perfectly aligned to create a comfortable, healthy bite. What you don’t want to see: a collection of whitish spots dotting the enamel around your gum line or outlining the spot where your brackets used to be.

What are these spots? Can they be removed? And, most important, how do you avoid them?

Decalcification

Those white spots are caused by decalcification, or the removal of the minerals, especially calcium and phosphorus, that strengthen our enamel. How does this removal take place? When bacteria and plaque remain on the teeth, they produce acids that eat away at these minerals. The result is a weakened, discolored white spot in the enamel. Unfortunately, because many orthodontic patients don’t brush thoroughly around their braces, decalcification is an all-too-common problem.

Treating Decalcification

You might need cosmetic dentistry to eliminate or reduce white spots on the enamel. In some cases, they will fade over time, or teeth whitening can help. In more stubborn cases, tooth bonding or veneers can cover the affected enamel.

Preventing Decalcification

But, obviously, prevention is always better than treatment. Here are some of the ways to keep your enamel healthy and looking its best:

• Brush thoroughly after every meal.

Getting rid of the bacteria and plaque on your enamel and around your gum line will greatly reduce your chances of decalcification—and cavities. Brush after every meal, and talk to us about the best products and techniques for cleaning your teeth and appliances. And be sure to spend the extra time you’ll need for brushing around your braces.

• Floss

Even though it can be more difficult to floss with brackets and wires, it’s essential for removing plaque. We have suggestions for special flosses designed for braces wearers, and how best to use them. A water flosser can be helpful for reducing plaque if other flossing methods aren’t working.

• Use fluoride toothpaste

Fluoride actually helps remineralize our teeth, replacing the important minerals that have been lost to acid attacks. We might also suggest remineralizing toothpastes or a fluoride rinse.

• Watch your diet

Acidic foods increase the acidity levels in your mouth, sugars give bacteria the fuel they need to produce acids, and sticky foods allow bacteria to remain on teeth and braces longer. We’ll give you suggestions on the best foods to keep your teeth healthy (and your braces intact) while you’re undergoing treatment.

• Have your teeth cleaned regularly

Your dental professional will be able to remove plaque and tartar that home brushing has missed.

• Work with us!

If we let you know that you need to spend more time on your cleaning routine, or that you need to be more thorough when you brush and floss, take our suggestions to heart. We are happy to show you the most effective way to clean around your braces. Dr. Henry Browning can recommend the best dental products for your specific needs. We can suggest rinses and toothpastes that will help. We’ll let you know how much time you should spend brushing and how often.

If you have any questions at all about keeping your teeth and braces their cleanest, we are here to help. Always feel free to talk to our Wilmington team about concerns you might have about decalcification, discoloration, or any other potential problems. We are want to make sure that when your braces come off, you have every reason to smile!

You might be surprised to learn that Dr. Henry Browning and our team recommend an orthodontic appointment even before your child has had that last visit from the Tooth Fairy. In fact, orthodontic assessments at our Wilmington office can be beneficial at many stages of your child’s life. Let’s look at some of the reasons why.

The Right Spaces

There’s a reason why we recommend that every child see an orthodontist by the age of seven. If there’s room enough in your child’s mouth to accommodate all the permanent teeth that will be arriving soon, you’re good to go. But if it looks like there won’t be enough space for those adult teeth, there are solutions we can offer to make the transition from baby teeth to adult teeth a smoother one.

• If your child’s mouth is small, the permanent teeth might have too little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time.
• Too much space can also be a problem. If a child loses a baby tooth too soon, too much space between the remaining teeth can cause them to shift out of position, leaving the wrong spot open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth, and there is room for the adult tooth to erupt in its proper spot.
• If there is a bite problem, early treatment can prevent more serious problems down the road.

If no treatment is necessary immediately, we can monitor the development of your child’s teeth and bite during periodic visits.

(Stay in) The Right Places

Once your child has achieved that perfect smile, it’s time to maintain it. Teeth actually move and shift throughout our lives, whether we have had orthodontic treatment or not. But with orthodontic treatment, the bone tissue and ligaments around the teeth remodel over time to hold the teeth in their new and improved positions. That’s why it’s often important to wear a retainer constantly for several months after the braces come off, as bone and ligament become a firm, strong anchor for the newly aligned teeth and bite.

But there’s no one expiration date on retainers! Worn nightly as needed, they help teeth stay securely in their new positions for a lifetime of beautiful smiles.

Healthy Smiles Mean Happy Faces

If you think your child is ready for any phase of orthodontic work, give us a call. We will be happy to make sure there is ample room for permanent teeth to erupt in their proper spots even during the baby teeth years. If braces are indicated at a later date, we will analyze any potential alignment and bite problems and present all of your treatment options. Finally, after the orthodontic work is completed, we want to make sure your child knows the best way to maintain that beautiful smile with conscientious retainer wear.

If you have any concerns about your child’s teeth or bite, even before the permanent teeth arrive, give our Wilmington office a call. Early treatment can often prevent future problems and might even lead to faster orthodontic results. At each stage of your child’s growth, we are here to provide your best options for healthy, happy smiles.

Wearing braces during your treatment at Browning Orthodontics presents some unique challenges in the types of food you can safely eat. The wrong items can be difficult to remove from between your teeth and the appliance. Other foods may even break or loosen your braces.

Dinner recipe ideas

Lasagna is a great dinner choice because it provides you with several food groups in one easy dish.

• 1 ½ pounds ground hamburger
• 1 garlic clove
• 1 tsp. basil
• 1 pound diced tomatoes — canned is fine
• 12 oz. tomato paste
• 1 package of dry spaghetti sauce mix for seasoning
• 10 oz. box dry lasagna
• 3 cups ricotta or cottage cheese or 1 ½ cups each mixed
• ½-cup Parmesan cheese
• 2 eggs
• 1 pound sliced or shredded Mozzarella cheese

Brown and drain your hamburger meat. Dice the garlic and simmer the hamburger, garlic, basil, diced tomatoes, tomato paste and powdered sauce mix for ½ hour.

Cook the lasagna noodles as directed on the package and drain.

Beat the eggs and combine them with your ricotta or cottage cheese.

Layer ½ of the noodles in a 13 x 9 pan. Spread ½ of your cottage cheese mix on top of the noodles, then layer ½ of the mozzarella on top. Finish this layer with ½ of your hamburger mix. Repeat the layering with the other half of your ingredients. Bake at 350 F for 30 minutes.

Meats

You can enjoy ribs and chicken wings as long as you cut the meat from the bone before you eat. The same rule applies to turkey legs; do not gnaw on bones, because this can damage your braces.

Vegetables and fruits

You still need to include fruits and vegetables in your daily meals. Skip corn on the bob, whole apples, and raw carrots. Broccoli is soft but particles can become stuck in your braces, so be sure to brush and floss after your meal.

Desserts

Avoid caramel, taffy, and hard candies for dessert. Pudding and ice cream are fine, but low-sugar versions are best.

Remember that your mouth will be sore after adjustments with Dr. Henry Browning. Stick to softer foods until the sensitivity is reduced. Please do not hesitate to ask our team for recipe and meal ideas. We will be happy to take the time to explain which foods items are the best choices and why.

If you have any questions about these recipes, or if you have any questions about eating with braces, please give us a call at our Wilmington office!