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First, let’s clarify what we mean about clear braces. We’re not talking about clear aligners, which can be a great option if you want treatment that is a) removable and b) almost invisible. But sometimes only traditional brackets-and-wires braces will do when it comes to your orthodontic treatment. Does this mean you can’t opt for a more subtle, less visible treatment plan?

No! Orthodontic advances in materials and design mean that you have more options than ever before when it comes to selecting brackets and wires. If you prefer more inconspicuous braces for professional or personal reasons, some of the current options in clear braces might be just the (inconspicuous) look for you.

“Clear braces” can refer to several styles of brackets and wires:

• Brackets themselves can be crafted in porcelain, ceramic, or plastic. High quality materials make them strong and stain-resistant.
• Brackets can be transparent or can be carefully tinted to blend in with your enamel.
• Some of these brackets require the usual ligatures (those tiny rubber bands holding the wire to the brackets), so it’s important to choose a band color to coordinate for a monochromatic look.
• Some of these brackets are self-ligating, designed to hold the archwire with built-in clips and needing no ligatures at all.
• Finally, there are coated and even non-metallic archwires that are designed to blend in with your enamel color and work without calling attention to themselves. Depending on your individual bite and tooth alignment, these wires might be an option.

Some of the common questions about clear braces include:

• Can everyone use clear braces?

While clear braces generally function just as traditional metal braces do, there are some cases where they might not be ideal depending on the amount and type of alignment and bite correction you need. Dr. Joseph Brogan will let you know the best options to treat your orthodontic problems as effectively as possible.

• Are they as strong as typical metal braces?

Clear brackets are quite strong, but they’re not as durable as metal brackets. If you choose porcelain, ceramic, or plastic brackets, we’ll give you all the information you need for their care.

• Do clear braces take longer to work?

They might take a bit more time to bring your teeth into alignment, or they could work just as quickly as traditional braces. They often take less time than aligners. Today’s orthodontic treatments work more efficiently and therefore more quickly than ever before, so if there are any differences in wear-time, they probably won’t be significant.

Your individual orthodontic needs will dictate how long any treatment plan will take, and if different treatment options will add or save you time. Before you choose any orthodontic plan, we’ll go over all your options and give you an estimate for treatment time for each of them.

• Any notable differences from metal brackets?

Clear brackets can be larger than metal versions. Because they can also be somewhat abrasive, they might be suggested only for your upper teeth. We’ll let you know if these brackets are a good fit for you.

• Do clear braces stain?

Today’s clear brackets aren’t prone to staining—that would certainly defeat the purpose of choosing them! We’ll give you instructions on keeping them as clean and clear as possible. Do remember, if you use ligatures, that these little bands can stain if your diet is big on coffee, tea, cola, blueberries, or any other colorful food.

• Are clear braces more expensive?

Cost of treatment is based on several factors, including the type of braces you select. We’ll be happy to compare the costs of your various treatment options.

If you want the benefits of traditional braces, but don’t necessarily want the visibility of regular metal brackets, consider the many transparent and tinted options available. Want more clarity? Talk to a member of our Philadelphia, PA orthodontic team! You might discover that clear braces are the clear choice to create your healthy, beautiful smile.

Now that many of the schools in Philadelphia, PA are back in session, Dr. Joseph Brogan would like to remind all of our patients about the importance of scheduling appointments in advance. With school, clubs, sports, and family duties to consider, we know that it can be challenging to find time to visit Brogan Orthodontics this fall. In order to accommodate all of our patients’ busy schedules, it is important that you plan ahead for your appointments so that we are able to provide you with a convenient appointment time.

As always, please remember to give us advanced notice if you’re unable to make your regularly scheduled appointment with Dr. Joseph Brogan and our team. Feel free to give us a call if you have any questions, or if you would like to schedule your fall appointment.

We’ll see you soon and hope summer is winding down nicely for you and your family!

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!

Now that you’re in orthodontic treatment, you’re probably spending more time taking care of your teeth than ever before. So, why did your dentist find a cavity at your last checkup? Let’s look at some of the potential culprits.

• Brushing More Doesn’t Always Mean Brushing Well

Even for adults with decades of experience, proper brushing technique is often overlooked. Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45-degree angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

If you wear braces, you must also take care to reach all the spots between and around your wires and brackets. Which leads us to . . .

• Are You Using the Right Tools?

Even with perfect brushing form, your braces will be a challenge for a regular toothbrush and floss. The right tools make any job easier, and that includes cleaning your teeth while you’re wearing braces.

Specially designed brushes with bristles designed to work with your brackets, floss made to fit behind wires, tiny cone-shaped interproximal brushes that fit between your teeth and around your brackets—all these tools are made specifically to remove plaque and food particles from your teeth and your braces.

• Crunchy, Hard, and Sugary Aren’t the Only Problem Foods

You know sugary foods should be limited because sugars are the favorite food of cavity-causing bacteria. And hard and crunchy foods are off limits altogether because they can damage your braces. But what about treats which look soft and harmless? Well, looks can be deceiving!

Starches in soft, carb-rich foods like potato chips and white bread quickly break down into sugars. What’s more, they tend to stick around brackets and in between the teeth, giving those cavity-creating bacteria plenty of nourishment.

This isn’t to say that you must eliminate all sugars and carbs from your diet. But when you wear braces, be especially mindful about brushing or at least rinsing thoroughly whenever you have a snack.

• Biology

Some people are biologically more prone to cavities, even with attentive brushing and flossing, so you shouldn’t feel guilty if you don’t have a perfect checkup every time. Instead, be proactive. Ask Dr. Joseph Brogan for brushing and cleaning advice the next time you visit our Philadelphia, PA office—and then follow it!

It’s not just spending more time taking care of your teeth—it’s using your valuable time the best way possible. It’s always time well-spent brushing properly, eating mindfully, and working with your orthodontist and your dentist to create a beautiful, healthy, cavity-free smile.