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Posts for tag: braces

By The Brace Place Orthodontics
June 10, 2020
Category: Dental Procedures
Tags: braces  

Having new braces could be very awkward at first, especially when it comes to cleaning your mouth. How should you do it exactly? Do you have to clean under the brackets? What shouldn’t you do? These are all valid questions since the primary oral health concerns that could when you have poor oral hygiene and braces include gingivitis, decalcifications, and periodontitis.

Besides visiting Dr. Josh Goldknopf, your orthodontist here at The Brace Place Orthodontics in Jacksonville Beach and Ponte Vedra, FL, for scheduled follow-up checkups and braces adjustments, here are guidelines that you can follow to ensure quality oral health during your treatment.

Remember The Basics

Brush your teeth following each meal, or at least twice daily during the morning and evening. Brush thoroughly but gently and spend ample time going over each quadrant of your mouth. Expect this to take longer than usual since you will need to get into the teeth behind the wires. For the best toothbrushing technique, consider these tips:

  • Rinse away any leftover debris with water.
  • Angle your toothbrush at 45 degrees, move your toothbrush back and forth, and use short, precise strokes.
  • Opt for a toothbrush with soft bristles to avoid damage to your braces, teeth, and gums. This could be a standard toothbrush, an interdental toothbrush, or an electric toothbrush.
  • Don’t forget to brush under and between the wires.
  • Lastly, clean your tongue and other mouth surfaces.

Floss Thoroughly

The main thing to remember when flossing with your new braces is that you have to thread the floss under the wire and in between each teeth. This will take some practice or special flosses like a water flosser that can apply a pressurized stream of water to loosen debris and get rid of bacteria.

Get Scheduled Professional Cleanings

Professional cleanings at either one of our offices in Jacksonville or Ponte Vedra, FL, are vital to ensure the success of your treatment. Ask your orthodontist for specific cleaning schedule recommendations.

Consider a Fluoride Mouthwash

This will offer additional protection for your teeth and gums, help strengthen your enamel, and keep them from getting damaged or decaying.

Don’t Use Whitening Products

Keep in mind that any whitening product that you apply to your teeth can only bleach the teeth parts it touches, meaning that the parts under your brackets won’t be whitened. That said, postpone your teeth whitening plans until after your braces treatment.

For Concerns or Advice on Your Braces, Call Us

Dial (904) 249-0037 to arrange your consultation with Dr. Josh Goldknopf here at The Brace Place Orthodontics in both Jacksonville Beach and Ponte Vedra, FL.

By The Brace Place Orthodontics
May 16, 2020
Category: Oral Health
Tags: oral hygiene   braces   orthodontics  

Orthodontic treatment is a big investment. But given the benefits for future good health and a more attractive smile, it's well worth it.

In the here and now, though, braces wearers face a different threat to their dental well-being — dental disease. Wearing braces can actually increase the risk of disease and make it more difficult to fight.

Tooth decay and periodontal (gum) disease, the two most common forms of dental disease, usually arise from plaque, a thin film of bacteria and food particles on tooth surfaces. The bacteria produce acid, which erodes enamel and makes the teeth susceptible to decay. Certain bacteria can also infect the gums and eventually weaken their attachment to teeth. Thorough brushing and flossing everyday removes this disease-triggering plaque buildup.

But braces' hardware can make brushing and flossing more difficult. The brackets attached to the teeth and wires laced through them make it more difficult for floss and brush bristles to access all the areas around the teeth. Plaque can build up in certain spots; it's estimated braces wearers have two to three times the plaque of a person not wearing braces. Acid can also remain in contact with some of the enamel surface for too long.

It's important, therefore, if you wear braces to make a concerted effort to brush and floss thoroughly. Besides improving technique and taking more time, you might also consider additional aids. You can obtain toothbrushes specially designed for use with braces, as well as floss holders or threaders that make it easier to access between teeth. Another flossing alternative is an oral irrigator that sprays water under pressure between teeth is an alternative to flossing.

As a precaution against acid damage, we can boost enamel protection with additional fluoride applied to your teeth. We may also prescribe antibacterial rinses to keep the bacteria population low.

Above all, be sure to look out for signs of disease like swollen or bleeding gums or pain. As soon as you sense something out of the ordinary, be sure and contact us.

If you would like more information on keeping your teeth disease-free while wearing braces, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Caring for Teeth During Orthodontic Treatment.”

Braces play an important role in your child's oral health. Dr. Josh Goldknopf of The Brace Place Orthodontics in Jacksonville Beach and Ponte Vedra, FL, recommends orthodontic solutions to improve physical "orofacial" appearance. Orthodontic treatment fixes crooked or crowded teeth, overbites, underbites, incorrect jaw position and other jaw disorders.

When should I consider braces for my child?

Orthodontists advise wearing braces during the ages of 10-to-14 because the head and mouth are developing and teeth are more likely to straighten but make sure your child sees the orthodontist by age seven.

By age seven, the first permanent molars and incisors have come and your orthodontist in Jacksonville Beach and Ponte Vedra can evaluate teeth and create a plan to ensure proper growth of the jaw and guide incoming permanent teeth. Early treatment also helps:

  • properly develop the upper and lower dental arches
  • increase space for incoming permanent teeth
  • avoid permanent tooth extractions
  • eliminate swallowing or speech problems

Treatment duration varies from one person to another but most people need to wear braces between 18 and 30 months, followed by wearing of a retainer from a few months to two years so teeth remain straight. There are several types of retainers (removable hawley wire retainers, removable clear plastic retainers and bonded permanent retainers) so ask your dentist which works best for you. In some cases, patients need to wear a permanent retainer.

How Orthodontic Treatment Works

Orthodontic appliances come in different materials, metal, ceramic, or plastic, and different appearances and functions, removable or brackets bonded to the teeth.

All braces pretty much work the same way though. They place a constant and controlled force on teeth. The gentle pressure directs teeth to their corrected position.

Would you like to consult your orthodontist?

Dr. Josh Goldknopf of The Brace Place Orthodontics in Jacksonville Beach and Ponte Vedra, FL, can help answer your questions. Just call to make an appointment or for a consultation at (904) 249-0037 today!

By The Brace Place Orthodontics
April 13, 2020
Category: Dental Procedures
Tags: braces  

Oral health depends on more than a pretty smile. It stems from proper bite, muscular function, and balance, plus the right growth and development early in life. At The Brace Place Orthodontics in Jacksonville Beach, FL, Dr. Josh Goldknopf provides the detailed orthodontic care needed for a smile that looks amazing, performs well, and lasts a lifetime.

Just what is orthodontia?

Orthodontia is the dental specialty that corrects problems associated with tooth alignment, occlusion (bite), smile appearance, and muscular function/balance. It also evaluates and corrects how a child's jaw grows and develops so that problems related to speech, biting, chewing, and facial appearance may be avoided.

However, it's important to note that adults may receive treatment from an orthodontist such as Dr. Goldknopf, as well. As long as teeth, gums, and jaw bone are healthy, you can achieve the smile you want and the oral function and health you deserve.

Problems that braces can treat

Braces and other orthodontic devices, such as palatal expanders, move teeth and other soft and hard oral tissues into more favorable positions. The British Orthodontic Society says typical treatment plans which employ conventional metal braces may take up to three years to complete.

The desired outcomes are to:

  • Balance how teeth close together
  • Improve speech
  • Make biting and chewing more comfortable and efficient
  • Limit mouth breathing
  • Smooth jaw function
  • Close gaps and open space between crowded teeth
  • Correct underbite (the lower jaw protrudes), overbite (the upper jaw extends over the lower), crossbite (the lower jaw is skewed to one side) and open bite (top and bottom teeth do not meet)
  • Help teeth meet at the midline between the upper and lower jaw

What will your care plan involve

Much depends on your consultation with Dr. Goldknopf. During this meeting at either our Jacksonville Beach or Ponte Verda office, your orthodontist will perform an oral examination of the gums and teeth and take special 3-D images with the i-CAT cone beam scanner. He can then tell you which smile alignment issues you should address, what kind of appliances are best for you, and how long your treatment will take.

Get going on that new smile

Dr. Josh Goldknopf of The Brace Place Orthodontics looks forward to seeing you for a smile consultation at one of our two offices. To schedule an orthodontist appointment at either our Jacksonville Beach or Ponte Verda, FL, location phone (904) 249-0037.

By The Brace Place Orthodontics
April 06, 2020
Category: Oral Health
Tags: oral hygiene   braces  

Finally — your braces are off! A look in the mirror reveals a straighter, more attractive smile. Unfortunately, it may also show something not so attractive — tiny, chalky spots on your teeth.

These “white spot lesions” are created by acid remaining too long in contact with the enamel, causing it to lose minerals at those places. The acid comes from plaque (a thin film of bacteria and food particles) that brushing and flossing fail to remove. Snacking on foods and beverages with added sugar or high acid content may also make it worse.

Besides their unattractiveness, these spots can lead to tooth decay — so it’s important to try to prevent it. Limiting sugar-added snacks and acidic beverages to mealtimes will help, but the main key to preventing lesions is more thorough brushing and flossing.

Because of the braces, this can take longer to do than if you weren’t wearing them. It’s also more difficult maneuvering your toothbrush or floss around the orthodontic hardware. You can improve thoroughness and access by using a powered brush or one specially designed for use with braces. And, a water flosser that removes plaque between teeth with a pulsating spray of water is an effective alternative to string floss.

Even if (despite your best efforts) some lesions form, we can still treat them. Resuming normal hygiene practices after braces may take care of it — if not, we can strengthen the affected areas of the enamel with pastes, gels, or other topical fluoride applications. We can also use a technique called caries infiltration that injects tooth-colored resin (often used for cosmetic dentistry) beneath the white spot to harden it, and leave it more translucent in resemblance of normal enamel. If these fail to produce satisfactory results, we can use cosmetic bonding that permanently covers the tooth with resin or veneers.

It’s best, though, if you can prevent the lesions while you’re wearing braces. Besides daily hygiene, be sure to keep up regular dental visits for teeth cleaning. Your efforts will go a long way toward keeping your newly aligned teeth bright and blemish-free.

If you would like more information on dental care and hygiene while wearing braces, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “White Spots on Teeth during Orthodontic Treatment.”