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Braces and aligners help straighten teeth and create a confident, attractive smile. And those visible benefits are amazing! But orthodontic treatment has an even more important purpose than transforming the appearance of your smile—and that’s protecting and improving your oral health. 

If you’re ready for orthodontic treatment, you know you can look forward to a future of beaming smiles. You can also look forward to healthier teeth and gums and a more comfortable and functional bite. For some people, orthodontic treatment can make speaking and eating easier, and could even contribute to a better night’s sleep.

How can orthodontic treatment from Dr. Joseph Brogan accomplish these goals? Let’s set the record straight!

Protecting Tooth and Gum Health

• Lowering Your Risk of Cavities

Perfectly aligned teeth are considered aesthetically pleasing, but there’s a more practical reason to appreciate straight teeth. Crooked and overlapping teeth make it easier for food particles and plaque to stick in between the teeth and harder for your brush to remove them. Straight teeth allow you to remove cavity-causing plaque more effectively and with less effort.

• Promoting Healthy Gums

When plaque and tartar build up around the gums, the gum tissue becomes irritated, which is the first stage of gum disease. When teeth are straight and evenly spaced, brushing and flossing are easier and more effective, and your gums reap the benefits.

Creating a More Functional and Comfortable Bite

A malocclusion occurs when the teeth and jaws aren’t properly aligned—they don’t fit together the way they should when you close your mouth. There are different types of bite problems, and these can impact both your oral health and your overall health depending on the type and the severity of the malocclusion. Once a malocclusion is corrected, patients can experience:

• Stronger Teeth and Healthier Gums

Teeth and jaws which don’t fit together properly put extra pressure on your teeth and gums, leading to problems such as worn enamel, cracked teeth, and gum recession. Protect your oral health by creating a well-aligned bite.

• A Pain-Free Bite

Left untreated, malocclusions can cause problems like temporomandibular joint disorder (TMD), headaches, face and neck pain, earaches, limited jaw movement, and painful chewing. Correcting your bite will protect your temporomandibular joint from harm and will relieve the discomfort and pain caused by a malocclusion. 

Other Possible Benefits of Treatment

For those with more serious malocclusions, orthodontic treatment might improve daily life in unexpected ways:

• Improved Speech

It takes a lot of coordination to produce different sounds. The lips, the tongue, the alveolar ridge which holds our teeth, the hard and soft palates, parts of the throat, and, yes, the teeth all play a part in creating speech. Some kinds of malocclusions contribute to speech disorders such as lisps, which orthodontic treatment can help correct.

• Improved Digestion

Digestion starts in the mouth, not the stomach! As we chew, we break down our food into particles which are easier for the stomach to digest. If you can’t chew properly because your teeth are misaligned or a bad bite makes it too painful to chew food as thoroughly as you should, you won’t be getting the full nutritional benefits of your healthy diet. Orthodontic treatment helps you bite down painlessly and break down foods easily for better digestion.

• Improved Sleep

Bite problems can sometimes lead to sleepless nights. More serious malocclusions may cause mouth breathing, which, in turn, can affect the quality of your sleep. If you’re having trouble sleeping, a sleep specialist can help you discover the source of your problems. If your troubled sleep is caused by tooth or jaw misalignment, orthodontic treatment might be the solution.

Orthodontists offer many treatment options designed to align your teeth and jaws for a healthy, attractive smile. Braces or aligners might be all you need to correct a mild malocclusion. Appliances and headgear can influence the growth and position of the jaw if needed. In more severe cases, surgery, together with braces, can create a proportional, healthy bite. 

Whether it’s a confident smile, healthier teeth and gums, a functional, comfortable bite, or any of the other benefits orthodontic treatment can bring, talk to the dental team at Brogan Orthodontics in Philadelphia, PA to discover how orthodontic treatment can help you achieve all of your smile goals!

Just like that, it’s Spring, and the world looks brighter! The skies are sunnier. Daylight in Philadelphia, PA lasts longer. And your smile can be brighter, too—with a little bit of spring cleaning.

After all, sometimes dental habits become so automatic that we don’t pay them as much attention as we should. Without careful daily brushing and flossing, you could start to see surface staining on your enamel. Or red and swollen gums. Or plaque buildup around your brackets. Or tartar deposits along your gumline and behind your teeth.

The start of the season is a good time to spring ahead with a plan for better oral health, and we have some simple ideas to help you clean and protect your smile all through the year.

Assemble the right tools.

• Use a soft-bristled toothbrush, because anything firmer can be hard on your tooth enamel and gums. If you’re having trouble removing food particles and plaque, especially around brackets and wires, an electric toothbrush might be a game changer.
• Find the right floss. If you’ve been neglecting flossing because it’s difficult, especially with braces, there are lots of options available for better, easier cleaning. Whether it’s floss threaders, floss picks, interproximal brushes, or water flossers, Dr. Joseph Brogan can recommend the best products for cleaning around your brackets and wires.
• Choose fluoride toothpaste. Fluoride not only helps prevent cavities by creating an unfavorable environment for cavity-causing bacteria, it also actually strengthens tooth enamel as well. Win/win!

Use those tools!

• Brush all the surfaces of your teeth carefully (no need to scrub) and brush along the gumline at a 45˚ angle. This will help prevent plaque from accumulating above and below the gumline, where it can harden into tartar.
• Brush often enough and long enough. Dentists generally recommend brushing twice a day, for two minutes each time, but you might need to increase your brushing schedule when you wear braces. 
• Brush before replacing aligners or wearing your retainer. You don’t want to trap food particles or bacteria in your appliance!
• Floss at least once a day, or more often as recommended. Proper flossing can be tricky sometimes, especially with braces, so ask your orthodontist, dentist, or the care team at Brogan Orthodontics for the best techniques for your teeth.

Make sure your dental products are in top shape.

• Replace your toothbrush as often as necessary. After three months or so, bristles start to fray. They don’t clean as effectively, and they could be abrasive to gum tissue. Change out your brush every three to four months, including the head on your electric brush. A good way to remember is to change your brush with the change of seasons. 
• Check the date(s)! Many toothpastes, mouthwashes, and other oral supplies come with a “best used by” date, ensuring that your products remain safe and effective.
• Choose the right toothbrush holder. Your brush should air-dry upright, because germs thrive in closed, damp environments. And your holder shouldn’t allow your brush to touch other people’s brushes to avoid transfer of bacteria and viruses. Clean your brush holder regularly to remove toothpaste residue and germs.
• Clean your aligners, retainer, mouthguard, night guard, and/or cases for your appliances as recommended. Bits of food, bacteria, viruses, and other germs collect there as well.

Work with the experts for your brightest smile.

• See your dentist regularly. You’ll discover any problems which might be dimming your smile, and you’ll discover them early.
• Schedule cleanings with your exams. Your hygienist uses tools such as ultrasonic or hand scalers and polishers to remove stubborn plaque, tartar deposits, and surface stains that brushing can’t.
• If you want brighter teeth, talk to Dr. Joseph Brogan or your dentist to discover the best time for whitening treatment. And when the time is right, consider professional whitening. While whitening kits are available in almost any drug store or supermarket, office treatments or kits provided by your dentist use stronger ingredients and are more effective.

Easy steps, yes? Step up your cleaning routine, and you’ll have a springtime filled with not just brighter smiles, but healthier smiles, too!

Healthy teeth make you happy to share your smile with the world. But there’s more to your smile than its beauty! There’s a lot of hard work going on, too. 

Teeth Are Designed for Efficient Eating

Because humans are omnivores, we can eat both meat and plants. That’s why our teeth have different shapes—they’re meant to help us process different types of food. 

• Incisors, our front teeth, have sharpish edges to help cut through meats and other firm foods when we bite.
• Canines, the pointed teeth, help tear food into bite-size portions.
• Premolars are flat topped teeth with two cusps, raised points which help us grind food.
• Molars are the flat-topped teeth in the rear of the mouth. They have four cusps to grind and crush food into a paste-like consistency. 

So: Incisors and canines bite and tear food into smaller pieces, which molars and premolars then crush and grind into a paste. Bite, tear, crush, grind—why all this food aggression? Because that’s the key to healthy digestion. 

Successful digestion begins with chewing. Chewing:

• Starts the process of breaking food down into digestible particles.
• Increases saliva production. Saliva binds food particles so that we can swallow easily.
• Expands the surface area of food particles, which allows the digestive system to extract nutrients more efficiently. 

When biting causes you pain, it can be hard to chew food. Swallowing becomes difficult when food particles are too large, and digestion becomes uncomfortable.

Bite pain can occur when there’s a deep cavity or an injured tooth, but it can also be caused when the teeth and jaws don’t fit together the way that they should. This misalignment is called a malocclusion, or bad bite. And while a malocclusion often makes eating more difficult, it can have further damaging effects as well.

Teeth Are Designed to Be Good Partners

While eating is probably the first thing that comes to mind when we think about dental duties, our teeth also work in coordination with other parts of our bodies. A malocclusion can interfere with these normally smooth interactions, affecting:

• Tooth and Jaw Health

Biting, chewing, and clenching put hundreds of pounds of pressure on our teeth and jaws. A misaligned bite misapplies this pressure, which can lead to damaged and unevenly worn teeth, tooth grinding, headaches, jaw pain, and other problems. 

• Speech

Our teeth work with our tongues and lips to form many of the phonetic sounds which make up speech. Try saying the word “teeth,” and see how your tongue and teeth work together! Misaligned teeth and jaws can affect speech development in children and pronunciation in children and adults.

• Face Shape

Our teeth and jaws help give shape to our faces. Alignment problems can affect facial symmetry and self-confidence.

You Can Help Your Teeth Work Their Best

Daily brushing and flossing, eating a healthy diet, and regular visits to your dentist for exams and cleanings help your teeth perform their many daily duties. But if bite problems are causing troubles with eating, tooth or jaw pain, difficulty speaking, or self-consciousness, it’s time to team up with your orthodontist. 

And just like your everyday dental care, orthodontic treatment works best with your active participation. 

• Make sure your teeth are their cleanest with careful brushing and flossing. You may need to brush and floss more often while you’re in treatment.
• If you wear braces, eat a braces-friendly diet. 
• Wear aligners, bands, or appliances for the hours recommended each day.
• Keep up with your orthodontic visits to keep your treatment on schedule.

Talk to your orthodontist to learn more about how to help your teeth work their best for you—and be ready to share that beautiful, hard-working smile!

Orthodontists and dentists use advanced procedures to treat and save teeth. But sometimes, a tooth just can’t be saved and needs to be extracted. Sometimes it’s due to extensive decay, or infection, or serious injury. Or sometimes, to create a healthy bite, an extraction is necessary during orthodontic treatment.

When does an orthodontist recommend an extraction? Conditions which call for extraction include:

• Incoming Wisdom Teeth

Not many people have enough space in their mouths for four wisdom teeth! And when there’s no room to erupt properly, wisdom teeth can become decayed or infected, push your other teeth out of place, and damage the roots of nearby molars. Extracting wisdom teeth protects your teeth and your bite alignment.

Usually, orthodontic treatment takes place before the wisdom teeth begin to erupt. But if yours start to make an appearance during treatment, your orthodontist and dentist will work together to schedule extraction without interfering too much with your orthodontic treatment plan.

• Tooth and Jaw Structure

Dr. Joseph Brogan and the team at Brogan Orthodontics carefully plan your treatment based on examinations, X-rays, and/or 3D imaging. The goal is to align your teeth and jaws for an attractive smile and a healthy, functional bite. When overcrowding is severe, or if there is a serious malocclusion (bite problem), or if a particular tooth is unusually large or misshapen, your orthodontist might recommend an extraction.

Sometimes more room can be made for teeth with appliances such as palatal expanders or, in other cases, with the help of oral surgery. Extractions are only recommended when they are absolutely necessary.

• Baby Teeth Which Aren’t Coming Out 

Baby teeth normally fall out in a predictable pattern. Front teeth first, canines and molars last. Baby teeth have small roots, and these roots begin to break down when the adult teeth underneath put pressure on them as they start to erupt. As the root gets smaller and smaller, the baby tooth gets looser and looser—until it falls out. 

Sometimes, though, the roots of primary teeth don’t break down, and the baby teeth stay right where they are. This means that the permanent teeth have to erupt someplace else—usually behind those baby teeth. This creates a double row of teeth, and your permanent teeth can become crooked or overlap as they try to fit in. Extracting stubborn baby teeth allows your adult teeth to come in just where they’re supposed to. Because of their small roots, extracting primary teeth is usually simple and straightforward, and can be done in your dentist’s office. 

• Too Many Teeth

Most of us have 32 adult teeth, including wisdom teeth. It’s rare, but sometimes an extra, or supernumerary, tooth develops. Your jaw is most probably not equipped to accommodate any extras, so, in this case, the extra tooth or teeth are removed to give the rest of the teeth the space they need to avoid overlapping or crowding.

When your orthodontist recommends an extraction, it’s because it’s important for your dental health. Dr. Joseph Brogan will refer you to a dentist or a specialist like a periodontist or oral surgeon, who will: 

• discuss the extraction procedure with you, including sedation options
• numb the area 
• gently loosen and then extract the tooth
• provide options for pain management after the procedure
• give you detailed instructions for aftercare
• work with your orthodontist to keep your treatment on schedule

Extraction is never your first choice, or your orthodontist’s! But when an extraction is necessary for tooth and bite alignment, everyone at Brogan Orthodontics in Philadelphia, PA will coordinate a treatment plan to create your best—and healthiest—smile.