Common Orthodontic Problems
Crowding
Crowding is a very common orthodontic problem found when there is not enough room present for all of your teeth. There are many treatment options available to help resolve crowding and Dr. Chisari will review them with you at your consultation.
Spacing
Just the opposite of crowding, spacing is when there is more room then needed to accommodate all of your teeth. In some instances, this can be related to having small teeth in one or both arches. If this is the case, we will work closely with your dentist to assure optimal results.
Deep Bite (Overbite)
A deep bite is also referred to as an Overbite. This is when your upper front teeth overlap most or all of your lower teeth. This can be caused by many different factors and may potentially be damaging to your or your child’s oral health. An evaluation by Dr. Chisari will help determine the best way to resolve this problem.
Narrow Arches
Your teeth form arches and are commonly referred to as the upper arch and the lower arch. An ideal arch form is usually U-shaped. However, due to a number of factors during growth and development, arches can become narrow or V-shaped. This can contribute to crowding and other dental problems if not resolved.
Protruded Teeth (Overjet)
Protruded teeth or Overjet is an orthodontic term for “my teeth stick out.” Like many of the other orthodontic problems, overjet can be caused by a number of factors, but is most commonly related to a discrepancy between the size of your upper and lower jaws. Talk with Dr. Chisari today about how this can be resolve.
Emergency Orthodontic Care
What to do in Case of Emergency
Call our office as soon as possible if you break or loosen any of your appliances. Please do not come directly to the office – by calling us, you will allow us to create a time to see you. Even if you have a regular appointment scheduled, call us immediately to notify us if you need an appliance repaired.
Loose Brackets or Bands
Call our office immediately for advice if a brace or wire is loosened. The brace may need to be re-fitted as soon as possible. You may have a situation that requires cutting a wire or sliding a bracket off a wire at night or over the weekend. If you need to cut a wire in case of emergency, you may use fingernail clippers that have been washed and sterilized in alcohol. Please call our office the next business day so that we may schedule an appointment for you.
Wire Irritations
Sometimes discomfort caused by a wire on your braces can be resolved by moving the wire away from the irritated area with a cotton swab or eraser. If the wire will not move, try covering the end of it with a small piece of cotton or a small amount of wax. If the wire is painful, you can cut it with nail clippers or scissors that have been washed and sterilized in alcohol. If you cannot resolve the wire irritation, call our office for an appointment.
Lost Separators
Most patients lose a separator during their treatment. Do not worry about losing a separator, but call our office to see if it needs to be replaced.
Discomfort with Orthodontic Treatment
During the first week after your braces are in place and routine adjustments are complete, you will likely feel some pain, soreness, or discomfort. You may take acetaminophen or other non-aspirin pain relievers while you adjust to your new braces. A warm wash cloth or heating pad may reduce the soreness in your jaws.
Oral Hygiene
Brushing & Flossing
The best way to ensure a clean and healthy smile are brushing & flossing. Food particles can accumulate on teeth and in braces and over time turn into plaque. The bacteria that results from this accumulation can lead to gum disease, tooth decay and even loss of teeth. To avoid these problems while you are in orthodontic treatment, take special care of your braces, teeth, and gums to ensure you will have the best possible result.
Brushing
Use a toothbrush with soft bristles and a small strip of fluoride toothpaste. When you brush your teeth, move the brush in small, circular motions to reach food particles that may be under your gum line. Hold the toothbrush at an angle and brush slowly and carefully, covering all areas between teeth, between braces, and the surface of each tooth. It will take you several minutes to thoroughly brush your teeth. Brush up on the lower teeth, down on the upper teeth, and all surfaces of your front and back teeth. Brush your tongue and the roof of your mouth before you rinse.
Especially during orthodontic treatment, brush your teeth 2-3 times daily to avoid the accumulation of food particles in your teeth and braces:
In the Morning After Breakfast
After Lunch or Right After School
At Bedtime
You will need to replace your toothbrush more often due to your appliances. As soon as the bristles start to wear down or fray, replace your toothbrush with a new one. It may be difficult for your toothbrush to reach some areas under your archwire. Do not swallow any toothpaste; rinse your mouth thoroughly with water after you finish brushing. It is important to floss & use an antibacterial mouthwash & fluoride treatment throughout your orthodontic treatment & beyond for optimal oral hygiene.
Flossing
For areas between the teeth that a toothbrush can’t reach, use dental floss to remove food particles and plaque. Flossing takes more time and patience when you are wearing braces, but it is important to floss your teeth every day.
Use the reusable floss threader provided by our office to floss under your archwire daily. Pull a small length of floss from the dispenser through the threader and slide it up and down along the front of each tooth. You will be able to feel when the tooth is clean and hear the squeak of the floss against your clean teeth. Use care around your archwire and do not floss too forcefully around it or put too much pressure on it. After you floss between your archwire and braces, floss between your other teeth and gums.
If you are flossing without the floss threader, pull a small length of floss from the dispenser. Wrap the ends of the floss tightly around your middle fingers. Guide the floss between all teeth to the gum line, pulling out food particles or plaque. Unwrap clean floss from around your fingers as you go, so that you have used the floss from beginning to end when you finish. Floss behind all of your back teeth.
Floss at night to make sure your teeth are clean before you go to bed. When you first begin flossing around your braces, your gums may bleed a little. If the bleeding does not go away after the first few times, inform a staff member at your next appointment.