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We know that orthodontic emergencies are never convenient or timely. The good news is that true orthodontic emergencies are rare, and we're always available whenever you need us. As a general rule, you should call our office if you have a broken appliance or are experiencing an abnormal amount of discomfort. We'll evaluate the urgency of the problem and schedule an appointment to take care of any problems you may be experiencing.

You might be surprised to learn that you may be able to solve many problems yourself temporarily until you can get to our office. Here are some guidelines to help you understand the difference between a major orthodontic emergency and a minor issue:

Acute, Direct Injury To Mouth, Jaw or Teeth

Whether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should seek immediate care with your orthodontist and/or dentist. If the injury affects your orthodontic appliances, they may need adjustment or possible replacement, depending on the extent of the injury.

Broken or Distorted Removable Orthodontic Appliances

A distorted or broken removable appliance should be adjusted or replaced as soon as possible and should not be worn until the adjustment or repair is made. Allowing your appliance to remain damaged for an extended period of time may result in disruptions to your treatment plan.

The following solutions may help you relieve discomfort for minor orthodontic issues:

Irritation of Lips or Cheeks 

Sometimes new braces can be irritating to the mouth, especially when eating. A small amount of non-medicinal relief wax makes an excellent buffer between the braces and your mouth. Simply pinch off a small piece and roll it into a ball the size of a small pea. Flatten the ball and place it completely over the area of the braces causing irritation.

Loose Bracket or Band

If your bracket or band is still attached to the wire, you should leave it in place and put wax on it if needed for comfort. If the bracket or band can be removed easily, please don't discard it! Place it in an envelope and  bring it to your emergency appointment for repair.

Loose or Protruding Wire

Occasionally, the end of a wire will work itself out of place and cause irritation of the gum. A broken archwire, or one that is irritating the gum or cheek, needs to be seen as soon as possible for replacement or adjustment.  To temporarily relieve discomfort, use a Q-tip or pencil eraser to push the wire so that it is flat against the tooth. If the wire cannot be moved into a comfortable position, cover it with relief wax. If the wax doesn't help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If the end of the wire is still sharp place wax on it.

General Soreness

When you get your braces on, you may feel general soreness in your mouth, and teeth may be tender to biting pressures for three to five days. Stick to a soft diet until your teeth do not hurt to chewing. Irritated gums and other sore spots can be relieved by rinsing your mouth with a warm salt-water mouthwash. Dissolve one teaspoonful of salt in eight ounces of warm water, and rinse your mouth vigorously.  If the tenderness is severe, take Acetaminophen (Tylenol) or whatever you normally take for headache or similar discomfort. Aspirin, Ibuprofen (Motrin, Advil) and Naproxen Sodium (Naprosyn, Anaprox) actually slow the tooth movement, so it is not advisable to use them frequently while wearing braces.

The lips, cheeks, and tongue may become irritated for one to two weeks as they learn a new posture and become accustomed to the surface of the braces. Prompt relief may be achieved by applying a small amount of topical anesthetic (such as Orabase or Ora-Gel) directly to the sore area. You can also put wax on the braces to lessen the temporary discomfort. We'll show you how!

April is National Facial Protection Month, and the team at Bel Air Orthodontics want to remind parents, coaches and athletes to play it safe as they prepare to suit up for recreational and organized sports. Whether at practice, at a game, or simply enjoying some fun in the neighborhood, a sports-related injury can happen in an instant. That's why it's important to take precautions to protect your face and teeth from injury. Dr. Godwin suggests you take these simple steps to prevent injuries so you can stay in the game:

• Wear a mouthguard when playing contact sports; if you have braces, make sure you use a mouthguard designed specially for orthodontic patients;
• Wear a helmet. Helmets reduce of risk of head injury by absorbing the energy of an impact.
• Wear protective eye wear. According to the Coalition to Prevent Sports Eye Injuries, protective eye wear designed specifically for the sport can prevent more than 90 percent of all eye injuries;
• Wear a face shield to avoid scratched or bruised skin;
• Be alert - as a player or spectator!

Did You Know? . . .

• Athletes who don't wear mouthguards are 60 times more likely to damage their teeth. Mouthguards are particularly important if you are in orthodontic treatment.  A minor blow to the face can be uncomfortable if you don't have braces; but add metal to the mix and a minor blow to the face can leave you with abrasions and cuts inside your mouth from your soft tissue being pressed against the brackets and wires on your teeth;
• Sports-related injuries are the leading cause of emergency room visits in children ages 12 to 17 according to the Center for Disease Control;
• Whatever your sport, the right protective gear can save your teeth, your face, and even your life. If you or your child suffers dental trauma such as a knocked-out or broken tooth, Dr. Godwin suggests that you contact your dentist for immediate attention. For those in braces, it's also important to contact our office to schedule an appointment for repair since damage to braces can lengthen treatment time and affect treatment results.

About National Facial Protection Month: Every April, the American Association of Orthodontists, the American Dental Society, the Academy for Sports Dentistry, the American Association of Oral and Maxillofacial Surgeons, and the American Academy of Pediatric Dentistry team up to remind parents, coaches and athletes about the importance of taking precautions to preserve their teeth and protect them from facial injuries.

With Easter just around the corner, you  might be daydreaming about all those delicious treats hidden in baskets and colorful eggs. If you're worried that you won't be able to enjoy your favorite candies and treats this Easter, fear not! There are several traditional candy options that are safe as long as you do some major brushing and cleaning afterwards. Here are some helpful tips for a fun, braces-friendly Easter holiday.

What You Can Eat In Moderation

When it comes to foods you can eat with braces, focus on two words: soft and healthy. With a little creativity, you can still splurge during Easter without eating anything that's damaging to your braces. Here are a few examples of what you can eat this Easter:

• Marshmallows: Peeps are an Easter classic! They're on our "Safe" list because they're a soft and melt-in-your- mouth treat; however, the gooey marshmallow can get stuck in your braces. If you indulge, make sure you brush thoroughly immediately afterwards.
• Soft chocolates: Just make sure they don't have any caramels, nuts or a hard shells. Look for melt-in-your-mouth options like peanut butter eggs, M&M's and chocolate bunnies or foil eggs.
• Ice cream: Enjoy them in classic Easter colors like pink or blue.
• Baked Goods: Cupcakes, cookies and brownies are the perfect canvas for Easter-themed indulgences.
• Hard-boiled Eggs: Decorate the outside, then enjoy the soft center!

Coming up with ideas for Easter basket treats while wearing braces can be half the fun, so use your imagination and have a great time!

What You Should Avoid

If you or your child has braces, you need to think twice before sinking your teeth into those Easter basket treats. Anything that is hard, chewy and/or sticky may cause damage to orthodontic brackets and wires. Here are some specific examples of Easter candy that should be avoided if you have braces:

• Sticky Candy: Jellybeans, Starbursts, Tootsie Rolls, Taffy, Nerds
• Caramels: Milky Ways, Snickers, Pay Day, Twix, caramel eggs
• Gummy candy: Gummy Bears, chewing gum
• Hard candy: Hard-shelled Easter eggs, Jolly Ranchers
• Chocolate with nuts: Almond Joy Bars, Jordan Almonds

By keeping these candies away from kids, parents can avoid bent wires, broken brackets and extra trips to Bel Air Orthodontics for repair. Damaged braces or appliances can increase treatment time, and no one wants that! Make sure to always keep your braces and your smile in tip-top shape.

A Healthier Option For Easter Fun

Instead of candy, there are lots of other things to place in Easter baskets that can make Easter morning just as special and fun. Try creating a themed basket based on a favorite hobby such as gardening complete with seed packets and digging-in-the-dirt tools, or art with paper and colored pencils or paints. You can also balance the yummy sweets with non-edible treats like games, movie tickets or gift cards.

There are tons of great ways to make sure that your family wakes up with a smile on their faces on Easter, and these are only a few. The only limit is your imagination! Dr. Stephen Godwin and the Bel Air Orthodontics team wish you all a “Happy Easter!”

So, you’re working out, eating kale, ditching the soda, drinking endless bottles of water and hopefully, recycling the empties!  You’re feeling pretty good about yourself – but, are you doing your teeth more harm than good?

You may be choosing bottled water over tap because you think it’s a healthier, tastier and more convenient; but studies show that  choosing bottled water over tap can actually be detrimental to your dental health?

When we choose bottled water over tap water, we deprive our pearly whites of something we may need. Most brands of bottled water fail to include a vital ingredient for dental health: fluoride. Fluoride plays an important role in maintaining good oral health because it helps strengthen our teeth. Stronger teeth mean a lower chance of tooth decay, and who doesn’t want that?

The good news is that the American Dental Association has endorsed both community water fluoridation and products that contain fluoride as a safe way to prevent tooth decay. If bottled water happens to be the preference for you or your family, you don’t necessarily have to force everyone to start drinking tap water. Just check the label and make sure the brand you purchase contains fluoride. It’s essential to remember that switching up the water you drink isn’t going to put you on the fast track to perfect teeth, though. We recommend that you visit your dentist every six months and floss and brush daily. If you're wearing braces, keeping teeth clean and healthy can often be challenge. For our top ten tips for keeping braces clean, read our previous blog.

If you have any questions about fluoride or your overall dental health, don’t hesitate to give the team at Bel Air Orthodontics a call.