HYGIENE AND MOUTH CARE
During the course of the orthodontic treatment, care should be given to the gingivae with regular brushing. The Water-Pik should be used only on the brackets. Gingival massage is essential to remove the accumulation of food debris and minimize enlargements. The fluoride tooth paste and a fluoride mouthwash is recommended as well as the reduction of carbohydrates (sweets). The patient should continue to see his regular dentist as scheduled. A dental hygienist will see patients with special hygiene instructions.
USE OF MUSICAL INSTRUMENTS
Orthodontics doesn’t necessarily prevent patients from continuing to play musical instruments. Wax can be supplied for the patients that play brass instruments. Occasionally patients will not play while wearing braces, but this is an individual decision and most patients can continue with their musical instruments.
SPORTS AND THE WEARING OF ORTHODONTIC APPLIANCES
Most sports can be played while wearing orthodontic appliances that are fixed, with the use of a mouth guard. Football and wrestling require the use of the mouth guard. The mouth guard is not generally used while playing basketball. Some damage can occur to the appliance in sports. A mouth guard can be fitted over the fixed appliances and is available in most sports stores. Follow the instructions given with the mouth guard. Removable orthodontic appliances or retainers must not be worn while swimming, playing football, basketball and other contact sports.
MOUTH ULCERS AND OTHER LOCAL IRRITATIONS
We recommend the use of wax if the source of irritation cannot be removed and the use of Orabase which can cover mouth ulcers and lesions to promote healing and provide more comfort for the patient.
WHAT CAUSES CAVITIES
Cavities are caused by mouth bacteria, living in a dental plaque in the presence of a high sugar diet, with susceptible teeth. Some people are immune to the action of decay. The action of decay is reduced on teeth that have been treated with a fluoride application. Bacteria thrives in a dirty uncured for mouth.
Will orthodontic bands ever be used again? Yes, orthodontic banding is still done and occasionally must be done even in a bonding practice where metal crowns, extra large fillings or anterior crowns (caps) make the bonding procedure impossible. Bands also are used in case of repeated bonding breakage. However bands can be split and broken by excessive force.
UNUSUAL CONDITIONS OF TEETH
Teeth may have unusual appearances due to drugs taken during early childhood, high fevers during childhood or heredity factors. Sometimes the enamel will have cracks caused by sudden extreme temperature changes.
WILL MEDICAID COVER THE COST OF BRACES?
We can accept Medicaid on a case by case basis.