Educational Resources

Chewy foods – bagels, licorice Crunchy foods – popcorn, chips, ice Sticky foods – caramel candies, chewing gum Hard foods – nuts, hard candies Foods that require biting into – corn on the cob, apples, carrots

Dairy – soft cheese, pudding, milk-based drinks Breads – soft tortillas, pancakes, muffins w/o nuts Grains – pasta, soft-cooked rice Meats/poultry – soft-cooked chicken, meatballs, lunch meats Seafood – tuna, salmon, crab cakes Vegetables – mashed potatoes, steamed spinach, beans Fruits – applesauce, bananas, fruit juice Treats – ice cream w/o nuts, milkshakes, Jell-O, soft cake

When you first get your braces, you may notice that your teeth and mouth feel a little tender or sore. This is perfectly normal for patients who have just gotten their braces put on, and we promise your mouth will not be sore forever! To relieve the pain, we recommend dissolving one teaspoon of salt in eight ounces of lukewarm water. Swish and gargle this solution in your mouth for just a couple of minutes. (Do not swallow the salt water.) If the pain is more severe and does not go away after rinsing, you can also try taking a pain reliever. It is also not uncommon for your lips, cheeks, and tongue to become irritated for one to two weeks as they toughen and become used to the braces. We would be happy to give you some wax that you can put over the braces to lessen the tenderness. If you need some wax, please let us know!

If your teeth begin feeling a little loose, don’t worry; this is normal! Your braces must first loosen your teeth in order to move them into the right position. Once your teeth have been repositioned, they will no longer be loose.

The wires and bands on your braces may come loose. If this happens, please contact us as soon as possible so that we can check and repair your appliance. If any piece of your appliance comes off, be sure to save it and bring it to the office with you. You can temporarily fix the loose wire by using the back of a spoon or the eraser end of a pencil to carefully and gently push the wire back into place. If the loose wire is causing irritation to your lips or cheeks, put wax or a wet cotton ball over the broken wire to relieve the pain.

Damaged appliances can increase the length of your treatment process, so be sure to take care of all your appliances. Your teeth and jaw can only move into their correct positions if you consistently wear the rubber bands, headgear, retainer, or other appliances prescribed by your doctor.

Game, Set, Match — we have great news for athletes! You can still play sports even while undergoing orthodontic treatment! If you do play sports, it’s recommended that you wear a mouthguard in order to protect your teeth and your appliance. Let your doctor know if you need help finding the right mouthguard for the best protection. In case of a sports emergency, be sure to immediately check your mouth and your appliance for any damage that may have occurred. If you notice any loose teeth, or if your appliance has been damaged, please contact our office right away. You can temporarily relieve the discomfort with wax or by rinsing your mouth with warm salt water.

When you have braces it’s very important to brush and floss after every meal in order to keep your teeth and gums healthy throughout your treatment. If you need help choosing the right toothbrush, toothpaste, and dental floss, please ask us and we can help you choose the right products for your teeth and your appliance.

The disadvantage of waiting for complete eruption of permanent teeth and having only one phase of treatment for someone with a jaw discrepancy is facing the possibility of a compromised result that may not be stable.

The goal of first phase treatment is to develop the jaw size in order to accommodate all the permanent teeth and to relate the upper and lower jaws to each other. Children sometimes exhibit early signs of jaw problems as they grow and develop. An upper and lower jaw that is growing too much or not enough can be recognized at an early age. If children after age 6 are found to have this jaw discrepancy, they are candidates for early orthodontic treatment.

Because they are growing rapidly, children can benefit enormously from an early phase of orthodontic treatment utilizing appliances that direct the growth relationship of the upper and lower jaws. Thus, a good foundation can be established, providing adequate room for eruption of all permanent teeth. This early correction may prevent later removal of permanent teeth to correct overcrowding and/or surgical procedures to align the upper and lower jaws. Leaving such a condition untreated until all permanent teeth erupt could result in a jaw discrepancy too severe to achieve an ideal result with braces.

Orthodontic records will be necessary to determine the type of appliances to be used, the duration of treatment time, and the frequency of visits. Records consist of models of the teeth, x-rays, and photographs.

In this phase, the remaining permanent teeth are allowed to erupt. Retaining devices are not usually recommended since they may interfere with eruption. It is best to allow the existing permanent teeth some freedom of movement while final eruption of teeth occurs. A successful first phase will have created room for teeth to find an eruption path. Otherwise, they may become impacted or severely displaced.

In other words, at the end of the first phase of treatment, teeth are not in their final positions. This will be determined and accomplished in the second phase of treatment. Selective removal of certain primary (baby) teeth may be in the best interest of enhancing eruption during this resting phase. Therefore, periodic recall appointments for observation are necessary, usually on a six-month basis.

The goal of the second phase is to make sure each tooth has an exact location in the mouth where it is in harmony with the lips, cheeks, tongue, and other teeth. When this equilibrium is established, the teeth will function together properly.

At the beginning of the first phase, orthodontic records were made and a diagnosis and treatment plan established. Certain types of appliances were used in the first phase, as dictated by the problem. The second phase is initiated when all permanent teeth have erupted, and usually requires braces on all the teeth for an average of 24 months. Retainers are worn after this phase to ensure you retain your beautiful smile.