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Taking care of your oral health involves a daily regimen of brushing, flossing, and rinsing to prevent tooth decay and bacterial infections. Though you may have asked us which toothbrush to use, few patients at Orthodontic Specialists of Southeastern Massachusetts ask about mouthwash.

However, different mouthwashes you might choose will have varying effects on your oral health. So which type is best for you?

Gum Health

Antiseptic mouthwashes are designed to reduce the majority of bacteria on and near the gum line. Using an antiseptic mouthwash can help decrease your chances of developing gingivitis. If possible, look for a mouthwash with antibacterial or antimicrobial ingredients.

Fluoride

Fluoride is beneficial for oral health and can help prevent tooth decay. If you drink a lot of bottled water without fluoride, we may recommend that you purchase a rinse with fluoride in it.

Bad Breath

Although mouthwash is designed to prevent bacterial build-up within the mouth, many people use it to combat bad breath. Most mouthwashes will help eliminate the bacteria that cause bad breath, and some are specifically designed to do so.

However, if bad breath is a chronic problem that requires daily treatment with a mouth rinse, contact Orthodontic Specialists of Southeastern Massachusetts to discuss your symptoms.

American Dental Association Approval

The ADA reviews mouth rinses for safety and effectiveness. A mouthwash with the ADA Seal of Approval will meet strict criteria, and will have scientific evidence or clinical studies that support the claims of the manufacturer. If possible, select a mouthwash that bears the ADA Seal of Approval to ensure you are using a quality rinse.

Considerations

If you are unsure as to which mouthwash is right for you, contact our New Bedford or Mattapoisett, MA office or ask Dr. Neil Oliveira and Dr. Derek Wolkowicz during your next visit. Also, be sure to keep mouthwash out of the reach of children, as it contains alcohol and other substances that could be harmful to them. Avoid letting children under age six use a mouth rinse, and discontinue use if you experience a burning sensation in the soft tissues of your mouth.

Although adolescence is a common time to get braces, there’s no reason for adults of any age to have to deal with crooked teeth, overbite, underbite, or other dental issues. In fact, the American Association of Orthodontists notes that demand for orthodontic treatment in adults continues to grow, with adults representing 20% of new patients.

You’re never too old for braces or other orthodontic appliances, but it’s important to consider the following:

1. Braces don’t have to be as noticeable as the metal brackets of the past. Many adults opt for ceramic or plastic braces, which are bone-colored or clear, respectively. Another option is a lingual appliance, which attaches to the back side of your teeth. These so-called “invisible” braces are much less noticeable than traditional options.
2. By adulthood, bone growth has stopped. This means that certain structural changes can only be achieved by surgery. Although this typically affects people with significant crowding, bite, or jaw problems, Dr. Neil Oliveira and Dr. Derek Wolkowicz can provide an individualized treatment plan that addresses your unique issues.
3. Treatment may take a bit longer. The length of orthodontic treatment tends to be slightly longer for adults than adolescents. Exact estimates vary by individual, but the average length of time for adult braces wearers is two years, according to the Harvard Medical School.
4. Outcomes are just as good for adults! Many adults worry that it’s too late to treat their orthodontic problems. However, treatment satisfaction tends to be very high, which is a testament to how effective braces can be in middle-aged and older adults.

Teeth erupt crookedly for a number of reasons that range from genetics to mouth deformities and serious oral diseases. When extra teeth or abnormally large teeth create a malocclusion (crookedness or misplacement of teeth), the culprit is usually genetic in nature. Other inherited traits involve jaws that are too small to accommodate a full set of teeth and misaligned jaws that did not form properly in the womb.

Can crooked teeth be prevented?

In most cases, underbites, overbites, and crooked teeth are genetically derived and can’t be avoided. Orthodontic treatment with braces will be necessary to correct the condition once the child is old enough to wear them. However, certain early childhood behaviors may also contribute to the development of crooked teeth that can be avoided. These include:

• Thumb sucking and tongue thrusting
• Losing baby teeth to decay before permanent teeth have naturally pushed them out of their sockets
• Allowing pacifier use to continue after front teeth have erupted

Permanent teeth underneath baby teeth are directly affected by the health of baby teeth. If baby teeth are prematurely lost due to decay or trauma, permanent teeth will shift when they start moving upward. Baby teeth are like anchors for permanent teeth that help guide them as they erupt through the gums.

In addition, excellent care of baby teeth is vital to having healthy permanent teeth free of discoloration or decay. Harmful oral bacteria can spread into the gums and reach permanent teeth still buried in the gums. Once attached to a tooth’s enamel, bacteria will begin eroding the tooth even before it has a chance to take its first bite!

When to Start Orthodontic Treatment for Crooked Teeth

Dr. Neil Oliveira and Dr. Derek Wolkowicz and our staff suggest that parents bring your child to Orthodontic Specialists of Southeastern Massachusetts around age seven to rule out potential issues with permanent teeth eruption. If problems are discovered, it is not unusual to begin orthodontic treatment at that age. In fact, specific conditions such as crowding and gaps between teeth are easier to correct at an early age.

Early treatment also benefits from the growth process of the jaw, which helps move teeth to normal positions.

This may come as a surprise, but brushing your teeth right after a meal can be one of the worst things you can do for your healthy teeth. A toothbrush can be considered an assault weapon against your smile if used immediately after eating certain foods.

Enamel is like the tooth’s shield. It is a hard mineral exterior on each of your teeth. In reality, enamel is the hardest part of the human body—even stronger than bone! I like to regard it as a “super-structure.” But every superhero has a weakness, and enamel’s kryptonite is acid.

A healthy tooth lives in a mouth that has a proper pH balance. When that balance tips from alkaline to acidic, a harmful process called demineralization begins. Demineralization occurs when acids attack and soften the tooth surface. Pores and fissures form and harmful bacteria move in.

With each bite of food or drink, our mouth pH fluctuates. Highly acidic foods tip the balance of your mouth from a healthy alkaline to a dangerous acid. Here are some examples of those sources of acid: citrus fruits, soda, and sugary foods. There are certainly many others, but these are the most common.

So how does brushing your teeth immediately after a meal make this process even worse?

After eating highly acidic foods, your teeth are susceptible to damage. When you brush your teeth in this weakened state you are actually damaging your enamel. The abrasive bristles of the brush wear away the protective surface of the teeth. You should avoid brushing for at least an hour, or take other, simple preventive measures immediately following a meal.

First, rinse with or drink clear water. Then chew some sugarless gum. Both of these practices will produce saliva, restore a healthy pH level in your mouth, and coat your teeth with nourishing minerals. Out of all the sugarless gums available, the best of the best are those that list xylitol as the first ingredient. Another option is to consume cheese, milk, or another non-acidic food or drink to conclude your meal.

After you have given your mouth time to return to a healthy pH, feel free to brush your teeth. Just keep in mind that any time you eat acidic foods, you weaken your teeth. Make sure not to worsen the problem by brushing immediately after dining and damaging your teeth even more. Questions? Call us at Orthodontic Specialists of Southeastern Massachusetts.