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You’ve been told that you have a malocclusion called an “underbite.” Let’s look at just what this diagnosis means, and what it means for you.

Just what is an “underbite”?

A malocclusion is another way of saying that you have a problem with your bite, which is the way your jaws and teeth fit together when you bite down. In a typical bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth.

An underbite, on the other hand, results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

What causes an underbite?

Underbites tend to be genetic, and run in families, so, most often, an underbite is something you’re born with. The size of your jaws, the shape of your teeth, or both will affect your bite.

A smaller number of underbites develop because of injuries or early oral habits, such as prolonged and vigorous thumb sucking or tongue thrusting.

How do we treat an underbite?

Your treatment will depend on the type and severity of your underbite, and your age when treatment occurs.

• Braces and Aligners

If your underbite is a slight one, caused, for example, by crowded or overly large teeth, braces or clear aligners can help move the teeth into proper alignment.

• Functional Appliances

If the underbite is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still growing and forming.

If you’re a young patient, two appliances commonly used to help correct an underbite are palatal expanders, which gradually widen the upper jaw if it’s too narrow, and reverse pull headgear, which fits both inside the mouth and outside on the face, and provides a steady, gentle pull to encourage the forward growth of the upper jaw.

• Surgical treatment

In some severe cases, surgical treatment can correct an underbite by reshaping the jawbone itself and positioning it further back to align properly with the upper jaw.

Why treat your underbite?

A serious underbite can cause damaged teeth and enamel, painful problems with the temporomandibular joint, headaches and facial pain, sleep apnea, difficulty chewing, eating, and speaking, and can affect confidence and self-esteem.

By following your treatment plan, you’ll not only prevent these consequences, but you’ll achieve major benefits—a healthy, comfortable bite, and an attractive, confident smile. Want to know more? Talk it over with Dr. Joseph Brogan at our Philadelphia, PA office for all the information you’ll need!

The alarm sounds in the morning, you wake up and realize "I forgot to wear my retainer!"

If this only happened once, don't panic. Missing one night with a retainer is unlikely to cause significant teeth movement. However, if it has happened often, give our Philadelphia, PA office a call to make sure your teeth haven’t shifted position.

Here are some tips from Dr. Joseph Brogan to help you remember your retainer:

1. Write down the instructions we give you for wearing the retainer, whether you should wear it all day or at night, or just a few times a week. Writing things out like this helps set the schedule in your memory.

2. Clean the retainer when you take it out each time. If you don’t you may not have time when you’re rushing to get to work or school to clean it properly and may be tempted not to wear it.

3. Put a note on your mirror or in your purse or wallet reminding you to wear your retainer.

4. Set an alarm on your mobile phone to remind you when it’s time to put the retainer in. If you have email with a calendar you can set up daily reminders, too.

5. Always put the retainer in its case when you take it out to eat or sleep. You’ll reduce your risk for losing it or accidentally throwing it away.

6. If you don’t have to wear the retainer every day, you can use some recurring events to help you remember. With this system for example, watching your favorite weekly TV show, laundry day, or family pizza night can all serve as reminders that you should put in your retainer.

7. Don’t be shy about asking for help if you’re forgetful. Assure your spouse, parents, siblings, or roommates that you won’t consider if nagging if they remind you to wear your retainer.

8. Surf online for examples of how teeth can shift when retainers are not properly used. Those stories can serve as timely warning not to let the same thing happen to you!

Remember, you can always call our Philadelphia, PA office if you feel your retainer is uncomfortable or painful. We'll work with you to protect your smile!

It’s peak cold and flu season, a time to be especially conscious about your health. We have some suggestions to help you navigate this contagious time of year, with bonus tips for a healthy smile.

• Wash Up! 

Bacteria and viruses can live for hours and even days on non-porous surfaces like doorknobs, phones, and keyboards. That’s why it’s so important to wash your hands before touching your mouth, nose, and eyes, before brushing and flossing, and before you cook or eat. Washing with plain soap and water will eliminate most germs.

Bonus Tip: Keeping your fingers away from your mouth does more than prevent the transmission of bacteria and viruses. Fingernail biting can damage brackets, wires, and even tooth enamel. Prolonged thumb or finger sucking can affect tooth and jaw alignment. Delicate gum tissue can be injured or infected by broken or dirty nails. If you’d like to break harmful oral habits, talk to Dr. Joseph Brogan for suggestions.

• Stay Hydrated

Hydration supports healthy skin, helps regulate blood pressure and body temperature, and is vital for digestion and other bodily functions. Proper hydration is also important for a healthy immune system and healthy mucous membranes, which will help you fight off colds and flu. Talk to your doctor about your ideal amount of daily hydration, whether from water, other fluids, or water-rich foods.

Bonus Tip: We also need to be hydrated to produce healthy levels of saliva. Saliva washes away food particles and bacteria from teeth and braces and helps neutralize enamel-eroding acidity in the mouth.

• Eat Healthy Foods

A healthy diet is crucial for a healthy immune system, with foods such as lean proteins, fruits, vegetables, whole grains, and low-fat dairy products.

Bonus Tip: A balanced diet is good for your oral health, too! We need vitamins A and C for healthy gums and oral tissues, minerals like calcium and phosphorus to keep tooth enamel strong, and dairy products enriched with vitamin D, which enables our bodies to absorb the calcium we get in our diet.

What happens if you become ill despite your precautions? 

• Reduce the Chance of Infecting Others

If you’re ill, you can help stop the spread of germs by limiting contact with other people, covering your mouth and nose when you cough or sneeze, washing your hands frequently, and cleaning the common surfaces in your house which harbor germs. 

Bonus Tip: Sharing isn’t caring when it comes to colds and flu. No matter how close you are to your family members or roommates, your toothbrushes shouldn’t be close at all. Let your brush air-dry in an upright position away from other brushes to avoid contamination. 

• Be Choosy about OTC Medications 

If you take sugary cough or cold medications, brush or rinse afterward. Sugar-free cough drops are better for your teeth than sweet lozenges which bathe your enamel in sugar as you let them dissolve. 

Bonus Tip: Don’t bite into cough drops! You risk not only broken brackets and wires, but chipped and cracked teeth.

• Keep Up with Healthy Habits

Be sure to keep hydrated, especially if you’ve been suffering from vomiting or diarrhea. Get the sleep you need to recover. Eat a well-balanced diet.

Bonus Tip: Stay on top of your dental hygiene and brush and floss as usual, with one caution. Vomiting brings up harsh stomach acids which weaken the mineral bonds keeping tooth enamel strong, so brushing right away can be abrasive. If you throw up, rinse your mouth with water and wait 30 minutes before brushing to allow your enamel to come back to full strength.

• Stay Home When You’re Sick

You’ll get better faster with proper care, which includes getting the rest you need to recover. And you won’t be sharing germs with the people around you.

Bonus Tip: If you have an appointment scheduled with your orthodontist, reschedule if necessary. Your orthodontic team at Brogan Orthodontics will be happy to accommodate you to prevent the spread of germs and to make any procedure a more comfortable one.

It’s the height of cold and flu season in Philadelphia, PA, but you’re not alone! Talk to your doctor about immunizations and other preventative measures. If you do become ill, follow your physician’s recommendations. And if you have any orthodontic concerns, your orthodontic team is prepared with timely advice—at any time of year.

If the scariest part of Halloween in Philadelphia, PA is trying to figure out which treats are braces-friendly and which treats are braces-frightful, we have a fiendishly simple suggestion to help keep your brackets and wires safe from harm: ghost any treats which are chewy, crunchy, hard, or sticky!

It’s no mystery how certain candies and treats can cause trouble for your braces. The pulling effect of chewy candies like caramels can pull a bracket right off your tooth. Biting into a hard candy can break a wire. Crunchy treats can get stuck under wires and damage braces. Sticky foods pull on your wires and brackets.

Broken braces are no fun. Loose or detached brackets can be uncomfortable. Bent or broken wires can cause sores and cuts inside your mouth. Damaged braces mean extra trips to Brogan Orthodontics for repairs, and can even delay your treatment if the damage is significant or you can’t see Dr. Joseph Brogan right away. 

And chewy, crunchy, hard, and sticky treats have a haunting effect on your dental health as well. These foods stick to brackets and wires and can be difficult to brush or floss away. Cavity-causing bacteria feast on the sugars and food particles left behind, putting you at greater risk for cavities.

So, what specific treats should *vanish* from your candy collection this Halloween? Here are some of the most damaging to braces: 

• Chewy caramels, taffy, fruit chews, gum, and licorice
• Crunchy candied apples, caramel popcorn, peanut brittle, nuts, and popcorn balls 
• Hard and hard-shelled candies, lollipops (especially with gum centers), and jawbreakers
• Sticky gummies, jellybeans, and candy corn

But it’s not all frightful news! There are many spook-tacularly good treats which you can enjoy without putting your braces in jeopardy:

• Peanut butter cups
• Soft chocolate bars (with no nuts or caramel hiding inside!)
• Soft cupcakes
• Pudding cups
• Mint patties
• Ice cream
• Sugar-free gum (if it’s okay with your orthodontist)

And here are a few good tricks for keeping your teeth and gums healthy, whether or not you wear braces:

• Brush and floss after treats. 
• Enjoy sweets in moderation. 
• Skip the sour candies. Acidic foods can damage tooth enamel.
• Eat treats with a meal. Eating increases saliva production, which helps neutralize acids and wash away food particles.

Don’t let a damaged bracket or wire spoil your Halloween fun. Talk to Dr. Joseph Brogan to learn which candies are a treat for both you and your braces and you’ll stay on the fast track to a boo-tiful, healthy smile!