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Traditional braces and oral piercings—does the inevitable meeting of metals pose any risks? Let’s look at some of the potential problems with oral piercings, and you and Drs. Hutcheson, Train, Goodall, Lewis can decide if you should take a break from jewelry while you’re in treatment.

• Tooth Damage

Enamel is the strongest substance in our bodies, but when up against constant contact with metal? It’s not a fair fight.

Tongue piercings, especially, cause problems for your teeth. Whenever you speak or eat—even while you’re sleeping!—your tongue is making contact with your teeth. This continual tapping of metal on enamel can chip and crack teeth and damage fillings. A serious fracture could mean a root canal.

You’re getting braces to create a more attractive, healthy smile, so keeping your teeth intact is a priority.

• Gum Problems

Your gums are affected by orthodontic treatment. As the teeth move, the gums, ligaments, and bone around them adapt and even reshape over time. You might notice when you first get your braces, or when you go in for an adjustment, that you have a few days of swollen, sensitive gums afterward. You might also find that you are at greater risk of gingivitis, because it can be harder to keep plaque away from your gumline until you perfect your brushing and flossing skills.

Oral piercings bring their own gingival dangers. Jewelry in the tongue or lip can rub against gum tissue, especially around your lower front teeth. As the gum tissue continues to be irritated and inflamed, it pulls away from the teeth. This process is called gum recession.

Receding gums expose the tops of your roots to cavity-causing bacteria. They make you more sensitive to hot or cold foods. Pockets between gums and teeth can harbor infections that threaten the tooth itself.

Caring for your gums during braces is important for your dental health. Since people with oral piercings have a much higher rate of gum recession that those without, why add one more risk factor to your oral health?

• Metal vs Metal

Lip and tongue piercings can make contact with traditional brackets and wires, especially if you have a habit of playing with them. And let’s not forget lingual braces! Lingual braces are almost invisible because their brackets and wires are custom fitted to the back of your teeth. Whenever you speak or eat, you’ll be taking the chance that a tongue piercing will damage these custom-made appliances.

Drs. Hutcheson, Train, Goodall, Lewis can tell you if your piercings are in any danger of interfering with your braces, but even if you’re planning on aligners, there are additional reasons to consider retiring your oral jewelry. Dental associations and medical associations discourage oral piercings because they can damage teeth and gums. And there’s more. Oral piercings can lead to swelling, bleeding, allergic reactions, infection, and nerve damage.

The reason you’re considering braces is because you want a healthy, attractive smile. Don’t let a tiny piece of jewelry make your life and your treatment more difficult! Do some research and talk to our Richardson or Carrollton team about your oral piercings, and come up with a solution that’s best for your health and best for your smile.

When we think braces, we can’t help but think of the brackets on each tooth and the colorful ligature bands that surround them. But actually, the whole point of those brackets and bands is to hold the archwire in place as it gradually moves your teeth to create a better bite and a straighter smile. Let’s learn more about this talented part of your braces!

• Wire We Wearing These, Anyway?

Archwires use gentle, continuous pressure to move your teeth into alignment. That sounds simple, but there is actually a lot going on. Teeth often need more than realigning. Some teeth need to be turned a bit, some tilted. Your teeth need to be better aligned with those next to them, of course, but also need to fit properly with the teeth above or below them. You might have a malocclusion, or bad bite.

How can one wire handle all that? Well, it can’t. That’s why there are different types of wire. We often use thinner, flexible wires at the beginning of treatment, to put gentle pressure on the teeth as they start their movement. Other wires are firmer, and can be helpful in later phases, when each tooth is carefully moved to its specific, ideal spot. Archwires can be round or rectangular, thicker or thinner, springy or stiff, remember their shape or be bendable—all depending on what they need to do.

Whew! This sounds confusing, but Drs. Hutcheson, Train, Goodall, Lewis and our team are archwire experts! At every adjustment appointment, we check on the progress of your alignment and choose the exact wire you need to take you to the next stage of your orthodontic journey.

• Out of the Frying Pan, Into the Wire

Now that you have braces, it’s more challenging to make sure that your teeth are clean after eating. We’ll give you advice on how to get rid of the pesky food particles that sometimes get stuck in your braces. First, that’s absolutely not the look you’re going for. But, more than that, bacteria can use these “leftovers” as fuel to create the acids that damage your enamel and cause cavities.

There’s a whole new world of dental products out there waiting to help get your braces clean. Special toothbrush heads work in the spaces between your teeth and the archwire. There are floss threaders that can get dental floss into tight places, and flosses with one stiff end you can guide under the wire so you can direct the floss to where it’s needed. There are even tiny cone-shaped brushes called “interproximal brushes” that can fit under your wires to clean around your brackets and teeth.

Take a care kit to school or work with you so you can keep the tooth surface under your wires and around your brackets free of plaque. After all the hard work you’ve put in with your braces, the last thing you want is cavities once you’ve achieved your beautiful smile!

• Down to the Wire

We said archwires were awesome, but we didn’t say they were perfect! We couldn’t leave without suggestions for handling any wire-related problems that might come up.

One of the most common problems is the irritation caused by the end of a wire that has somehow come loose. You might be able to use a cotton swab to gently push the wire flat against the tooth. If that doesn’t work, orthodontic wax can be used to cover the end of the problem wire and smoothed into place. We’ll provide you with instructions on how to handle these and other minor wire problems at home. 

Other problems should be run past us first. If you feel your wire is coming loose, or if a loose end is causing a lot of pain and irritation, call our Richardson or Carrollton office. We’ll give you instructions on how to help, and make an appointment if necessary for a professional fix.

In fact, call us anytime you have questions about your braces. We’re here to help you understand each phase of the orthodontic process as you move step by step on the path to a healthy bite and a beautiful smile. And what’s more awesome than that?

If you’re brushing your teeth twice a day during your orthodontic treatment, Drs. Hutcheson, Train, Goodall, Lewis and our team think that’s wonderful! But, don’t forget that it’s also important for you to visit your general dentist every six months, or as recommended, in addition to brushing your teeth and flossing. (And visiting Children's Dental Specialists for regular adjustments, of course.)

Dental checkups are crucial for maintaining good oral health. Your general dentist can check for problems that might not be seen or felt, detect cavities and early signs of tooth decay, as well as catch and treat oral health problems early. During an oral exam, your dentist can also check the health of your mouth, teeth, gums, cheeks, and tongue. Checkups will also include a thorough teeth cleaning and polishing.

If you have not been to the dentist in the last six months, let us know during your next adjustment visit and we will provide a few great references in the Richardson or Carrollton area!

Imagine that you sit down for some evening television, and during the course of the evening, you see five commercials regarding dental products. They all claim to be the best. Then remember your last visit to the dental aisle at a local grocery store. The choices are overwhelming and there seems to be no sure answer as to which would be the best choice for your child.

Children's Dental Specialists recommends that parents break down the decision process. First, consider your child’s age and stage of development. Up until age ten to 12, your child cannot adequately brush or floss independently. It is not a maturity issue, but rather dexterity. Automatic toothbrushes are highly appropriate for all ages. Brushing quality improves when using a battery-powered toothbrush. Use it together with your child, and always play an active role in your child’s oral home care.

As a general rule, the brush head of the toothbrush should be a little larger than the child’s upper portion of the thumb. This will help ensure it will fit in all the places it needs to.

Flossers are great for children. These will have a horseshoe shape on one end with floss in-between. A particular brand name does not matter. Some have a higher quality and this should be evident when you use them. You can make a choice for individual preference with color, handle size, or shape, etc.

There are many brands of toothpaste and there are also differences in the ingredients. Some contain sodium fluoride, the standard ingredient in cavity prevention. Others have stannous fluoride, which is anti-bacterial and anti-cavity. Potassium nitrate is commonly found in anti-sensitivity, and triclosan is found in one particular brand for anti-bacterial properties. It is most common for children to be at a high risk for cavities. Therefore, our team at Children's Dental Specialists recommends toothpaste with fluoride once your child is old enough to spit.

Before a child can spit, use toothpaste without fluoride. This is an ideal time to use toothpaste with xylitol. Xylitol should be listed as the first ingredient; this way you’ll get the almost medicinal property of this natural sweetener. After you have found the right type of toothpaste, consider its flavor. The best kind of toothpaste is one that will be used, so choose a flavor that your child will love!

If you have any other questions, our would like specific brand recommendation feel free to call us at Children's Dental Specialists or ask Drs. Hutcheson, Train, Goodall, Lewis during your next appointment!