Posts for: November, 2019
After living with braces for a couple of years, the “big reveal” finally happens and you see your new smile for the first time. But then you’re told you have to wear another mouth appliance—around the clock to start and then just at night. After all the new smile excitement, wearing a retainer can be a little anticlimactic.
But this part of your orthodontic treatment is as important as the earlier tooth movement phase. That’s because your new “forever smile” doesn’t necessarily come with a “forever” guaranty. In fact, your teeth could quickly begin moving back to where they were before braces if you don’t wear a retainer.
The reason why is because of a tough but elastic gum tissue called the periodontal ligament. This ligament lies between the teeth and the jawbone, attaching to both through tiny extending fibers. The periodontal ligament actually does most of the anchoring work to hold your teeth in place.
The ligament is also why we’re able to move your teeth to different positions: As braces apply pressure to the teeth and jaw in the direction of desired movement, the ligament remodels itself to allow the teeth to take up these new positions.
The tissues involved, though, still retain a kind of “memory” of where the teeth used to be. This creates an immediate tendency for the teeth to revert to these old positions. To prevent this, we use a retainer that when worn keeps or “retains” the teeth in their new positions until they’ve stabilized and the old tissue “memory” fades.
There are different types of retainers, some removable and some fixed in place. Choosing the best one for a particular patient will depend on the complexity of the bite treatment, the patient’s age and level of self-responsibility and the preferences of the orthodontist. Whichever type of retainer you eventually use, it’s important you wear it to preserve all of the time and effort that went into transforming your smile.
Wearing a retainer might not be high on your “exciting things to do” list. But it’s the best way to guarantee you’ll enjoy your new smile for years to come.
If you would like more information on keeping your new smile after 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 “The Importance of Orthodontic Retainers.”
Somewhere between bites during a recent meal, the inside of your cheek found itself in the way of your teeth. You winced with pain at the resulting bite, and while it was sore for a day or two it seemed to heal over. Now, though, you’re noticing this same area of your cheek gets in the way of your teeth a lot more often, with more bites and sores.
What’s likely happened is that you have developed a traumatic fibroma. When the soft tissues of the inner cheek, lips or tongue heal after being injured, a small bit of fibrous tissue composed of the protein collagen forms like a callous over the bite wound to protect it after it heals. If, however, the process is interrupted by another bite, the fibrous tissue that subsequently forms may be thicker and thus more raised on the surface of the skin. This higher profile makes it more likely the site will be involved in repeated episodes of biting.
If the fibroma continues to be a problem, it can be solved with a simple surgical procedure. A surgically-trained dentist or oral surgeon will remove portions of the fibroma (usually with local anesthesia) to flatten the skin profile, and then close the resulting wound with a couple of stitches unless a laser was used. Any discomfort after the procedure can usually be managed with a mild anti-inflammatory drug like aspirin or ibuprofen, and the site should heal in just a few days to a week.
Although the vast majority of fibromas aren’t dangerous, it’s routine practice to have the excised tissue biopsied for abnormalities. More than likely the fibroma tissue will be normal; but by having the fibroma removed and examined, you’ll gain peace of mind about your oral health. In the process, you’ll also eliminate a bothersome and painful problem.
If you would like more information on mouth sores, 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 “Common Lumps and Bumps in the Mouth.”
When a woman learns she's pregnant, her first thought is often to do everything possible to protect the new life inside her. That may mean making lifestyle changes like avoiding alcohol or quitting smoking.
Some women may also become concerned that their regular dental visits could pose a risk to their baby. But both the American Congress of Obstetricians and Gynecologists and the American Dental Association say it's safe for pregnant women to undergo dental exams and cleanings—in fact, they're particularly important during pregnancy.
That's because pregnant women are more susceptible to dental infections, particularly periodontal (gum) disease, because of hormonal changes during pregnancy. The most common, occurring in about 40% of expectant mothers, is a form of gum disease known as pregnancy gingivitis. Women usually encounter this infection that leaves the gums tender, swollen and easy to bleed between the second and eighth month of pregnancy.
Untreated, pregnancy gingivitis could potentially advance below the gum line and infect the roots. It could also have an unhealthy effect on the baby: some studies show women with severe gum disease are more prone to give birth to premature or underweight babies than women with healthy gums.
But it can be stopped effectively, especially if it's treated early. Regular dental checkups and cleanings (at least every six months or more frequently if your dentist recommends) can help an expectant mother stay ahead of a developing gum infection.
With that said, though, your dentist's approach to your care may change somewhat during pregnancy. While there's little concern over essential procedures like gum disease treatment or root canal therapy, elective restorations that are cosmetic in nature might best be postponed until after the baby's birth.
So, if you've just found out you're pregnant, let your dentist know so they can adjust your care depending on your condition and history. And don't be concerned about keeping up your regular dental visits—it's a great thing to do for both you and your baby.
If you would like more information on dental care during pregnancy, 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 “Dental Care During Pregnancy: Maintaining Good Oral Hygiene Is More Important Than Ever.”