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At Orthodontic Specialists of Southeastern Massachusetts, Dr. Neil Oliveira and Dr. Derek Wolkowicz and our staff have found that patients who like their smiles have better self-esteem. People who don’t like their smiles are often skittish about talking to other people. According to the National Women’s Health Resource Center, when women are asked about what they’d most like to change about themselves, many point to their smile. Despite wanting to change their smiles, quite a few of the people who are unhappy about that part of themselves won’t consider getting braces.

Most Americans Don’t Have Straight Teeth

The American Association of Orthodontics estimates that 4.5 million Americans wear braces or other orthodontic equipment to straighten their teeth and to get a healthier mouth. One in five of those braces wearers are women. The organization’s statistics also show that about 75 percent of the population doesn’t have straight teeth, and those people would benefit from getting braces.

While the main benefit of braces is straight teeth, and to improve the look of your smile, there are other benefits that make braces even more useful, including:

• Straighter teeth help people chew better.

• Straighter teeth give people a proper bite.

• People speak better when they have straighter teeth.

• When people have straight teeth, they have better overall gum and mouth health. A healthier mouth means flossing and brushing are easier, and that means your entire mouth stays healthy.
• A healthy mouth is also linked to a healthy body.

When you feel proud of those pearly whites, you feel better about your smile, and that contributes to a better self-image and improved self-esteem. Ultimately, that can lead to greater career success and a more fulfilling social life.

One of the sure signs that summer has arrived is the unmistakable aroma of barbecue drifting over backyards across the country.

If you’re new to braces, you might be wondering just how many of your favorite outdoor treats can still go on your plate. Good news! You have a lot of braces-friendly options available—with a little extra planning on your part. Two things to remember: tools and textures.

• BBQ Tools

We’re not talking about spatulas and tongs and skewers—the barbecue tools we’re talking about here are your knife and fork. Sure, many classic BBQ dishes are finger foods, but those are the very dishes which can cause problems for your braces.

Eating savory ribs or chicken legs, juicy burgers or hot dogs, or delicious corn on the cob the traditional way means biting into these foods with your front teeth. That biting puts a lot of pressure on your braces and can lead to bent wires and loose or broken brackets.

But there’s a way to get around this without giving up on your tasty favorites! There’s no rule against using your knife and fork at a BBQ, and there’s no need to bite into foods when you can cut them up into small, manageable pieces.

If you remove meat from bones before eating, if you deconstruct your grilled burger or brat by cutting it up into smaller pieces, if you slice the kernels off your corn on the cob, you can chew with your back teeth and avoid any damage to your brackets and wires. Cut grilled foods into manageable bites just like you do with your regular meals, and you won’t be leaving the party early!  

• BBQ Textures

Now let’s talk texture. Crunchy, hard, and sticky foods should never be on the menu when you’re wearing braces. These foods can damage your wires and brackets or get stuck between your braces and your teeth.

This is a time for clever substitutions. Exchange the corn chips for soft potato or pasta salad. Trade crusty and seeded buns for softer, seedless versions. Skip the grilled sticky s’mores and enjoy creamy, soft ice cream instead—but without nuts or other crunchy, sticky additions, please!

Dr. Neil Oliveira and Dr. Derek Wolkowicz and our team are happy to offer suggestions for what to eat and how to eat it safely while you’re in braces at our New Bedford or Mattapoisett, MA orthodontic office. There are unavoidable events that can put a damper on outdoor activities. Pouring rain and insect pests—not much we can do about those. But taking simple precautions with your braces means no bent wires and broken brackets to ruin your BBQ fun. Now, dig in!

Many people undergo orthodontic treatment during childhood, adolescence, and even into adulthood. Wearing orthodontic appliances like braces is sure to produce a beautiful smile. Though orthodontic treatments at Orthodontic Specialists of Southeastern Massachusetts are designed to accommodate your lifestyle, chances are you will need to make some dietary modifications to prevent damage to your braces and prolong orthodontic treatment.

The First Few Days with Braces

The first few days wearing braces may be the most restrictive. During this time, the adhesive is still curing, which means you will need to consume only soft foods. This probably will not be a problem, however, as your teeth may be tender or sensitive while adjusting to the appliances.

Orthodontic Dietary Restrictions

You can eat most foods normally the way you did without braces. However, some foods can damage orthodontic appliances or cause them to come loose. Examples of foods you will need to avoid include:

• Chewy foods like taffy, chewing gum, beef jerky, and bagels
• Hard foods like peanuts, ice chips, and hard candy
• Crunchy foods like chips, apples, and carrots

How to Continue to Eat the Foods You Love Most

Keep in mind that you may still be able to enjoy some of the foods you love by making certain modifications to the way you eat them. For example, steaming or roasting carrots makes them softer and easier to consume with braces. Similarly, you can remove corn from the cob, or cut up produce like apples and pears to avoid biting into them. Other tips include grinding nuts into your yogurt or dipping hard cookies into milk to soften them. If you must eat hard candies, simply suck on them instead of biting into them.

If you have any question whether a food is safe to eat during your treatment with Orthodontic Specialists of Southeastern Massachusetts, we encourage you to err on the side of caution. Of course, you can always contact our New Bedford or Mattapoisett, MA office with any questions you have about your diet and the foods that should be avoided during treatment. By following our dietary instructions and protecting your orthodontic appliances from damage, you will be back to chewing gum in no time.

February is Gum Disease Awareness month, a timely reminder that preventing gum disease is one of the best ways to protect our oral health. 

Gum disease is easily treated in its earliest stages. Left untreated, the progressive nature of gum disease makes it one of the leading causes of tooth loss in adults. 

And while we often think of gum disease as an older person’s disease, the fact is that teens and young adults can suffer from gum disease, too. Irregular brushing and flossing habits, hormone fluctuations, family history, and even orthodontic treatment can make people of any age more vulnerable to gum disease.

Let’s take a moment in this shortest month of the year to discuss how understanding, treating, and, above all, preventing gum disease can help us enjoy long-lasting healthy smiles.

How Gum Disease Develops

Gingivitis is the first, mild stage of gum disease. 

• Gingivitis begins with plaque. 
• Plaque irritates gum tissue, causing inflammation, which is the body’s reaction to injury or infection. 
• Typical symptoms include gums which are swollen or red. The gums might feel tender or bleed easily when you brush or floss. You could develop persistent bad breath. 

With proper care, gingivitis is reversible. Because gingivitis symptoms can be very mild, they’re sometimes overlooked. That’s why it’s important to keep up with regular checkups to discover and treat the disease in its earliest stages. 

Periodontitis is a serious gum disease which is destructive to the structures which support our teeth: gums, connective tissue, and bone. 

• Plaque, when it’s not removed, hardens into tartar, which can form on the tooth above and below the gumline. 
• The gums pull away from plaque and tartar deposits, creating a space between the gum tissue and tooth roots. 
• As the gums continue to recede, pockets form between the teeth and gums.
• Infection-causing oral bacteria thrive in these pockets. Gum infections can lead to painful abscesses—but gum disease is not just an infection.
• The body normally responds to bacterial infection with inflammation. With periodontitis, this inflammation becomes destructive chronic inflammation. 
• Over time, chronic inflammation and infection break down the gum tissue, bone, and connective tissue holding teeth in place. Teeth become loose or shift out of alignment.

The tooth’s support structure eventually becomes so compromised that extraction is the only option. That’s why prompt treatment is essential.

Treating Gum Disease

Several options are available to treat gum disease, depending on its severity.

Treatment for gingivitis can be as simple as paying more careful attention to your brushing and flossing and, if necessary, seeing your dentist for a professional cleaning. In some cases, your dentist might recommend an antimicrobial mouthwash or rinse.

Periodontitis requires specialized treatment from your dentist or periodontist, and this treatment will be based on how advanced the condition is:

• Topical, oral, or time-release medications treat infection.
• Non-surgical deep cleaning procedures called scaling and root planing remove plaque and tartar above and below the gumline, allowing gum tissue to reattach to the tooth. 
• Flap surgery treats more advanced gum infection by reducing pocket depth and re-securing the gums snugly around the teeth.
• If needed, bone grafts, gum grafts, and other regenerative procedures are available which help repair and restore damaged tissue.

Preventing Gum Disease

What many people aren’t aware of is just how preventable gum disease is! Because wearing braces can make brushing and flossing more challenging, it’s especially important during these months to stay on top of your dental hygiene and be on the lookout for signs of gingivitis.

• Brush twice a day for two minutes each time, after every meal, or more often if your orthodontist recommends it. 
  • Use proper brushing technique, angling your brush toward the gums to gently clean around and below the gum line. Be sure to brush around your brackets and under your wires. Use a soft-bristled brush to protect both gum tissue and tooth enamel.
• Floss once each day, after every meal, or as directed by Dr. Neil Oliveira and Dr. Derek Wolkowicz. 
• There are specialized brushes and flossers available to make cleaning around brackets and wires much easier. Electric toothbrushes and water flossers can also be helpful in removing hard-to-reach plaque. Ask Dr. Neil Oliveira and Dr. Derek Wolkowicz to recommend the flossing tools and techniques which will work best for you.
• See your dentist regularly. Gum disease can be invisible in its beginning stages. Discovered early, treatment is simple and effective. 
• Having your teeth cleaned every six months, or as recommended, will remove tartar buildup which brushing alone can’t handle. 

Your dental hygienist is experienced in cleaning teeth when patients wear braces. And you can get tips for better brushing and flossing techniques from the team at Orthodontic Specialists of Southeastern Massachusetts in New Bedford or Mattapoisett, MA, too!

Even when it seems like there aren’t enough days in the month or hours in the day, it takes just a few minutes daily to care for your gums and teeth. And when you’re aware of just how much those few minutes mean to a healthy smile, it’s time well spent!