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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.

If you still have questions, give us a call or visit our Caring For Your Appliances page on our website. Remember . . . The team at Bel Air Orthodontics is here to help!

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 both 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 mouth guard when playing contact sports; if you have braces, make sure you use a mouth guard 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 mouth guards are 60 times more likely to damage their teeth. Mouth guards 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.

Congratulations—you’re out of your braces! Now, all you need to do to protect that beautiful smile is to wear your retainer as recommended and keep up with your regular dental routine. And, please, don’t forget to make taking care of your retainer a daily part of that regular dental routine.

Why? Because retainers need love, too! If you don’t look after your retainer, you can experience some less-than-agreeable consequences. Here are a few clues that you might be failing to give yours the care it needs:

It Smells

Just as a buildup of bacteria and food particles in your mouth can lead to bad breath, a buildup of bacteria and food particles on your retainer can lead to unpleasant odors and taste. A clean, fresh retainer is not only more appealing, it’s healthier as well! We will be happy to give you instructions on the best ways to keep your type of retainer clean. Whether you use a daily brushing, a water rinse, or a special cleaning solution, it’s important to follow our recommendations to extend the life of your retainer.

It’s Discolored

Plaque and tartar aren’t just problems for your teeth! If your retainer is cloudy or has white spots on the surface, it’s probably accumulating the same plaque and tartar that stick to your enamel. Again, we’ll let you know the best and safest way to keep your retainer plaque-free.

It’s Looking A Little Worse for Wear

Retainers are strong, but they’re not indestructible! Washing machines, hot dashboards, creative dogs looking for new chew toys—the world is full of retainer dangers. If your retainer does suffer misfortune, give our office a call right way. Sometimes minor damage can be repaired, but if it can’t, you might need a new one. How to avoid this trouble and expense? Prevention. Always use your protective case whenever you remove your retainer and keep it in a safe place.

It’s . . . Wait, Where Is It?

If you’ve lost your retainer for even a short period of time, you might notice it doesn’t fit comfortably anymore once you’ve found it. The ligaments and bone tissue that hold your teeth remodel as your braces move the teeth into their new positions. The retainer helps keep your teeth in place while these ligaments and bone strengthen around them. If you haven’t been wearing your retainer, there is a chance that your teeth will start shifting back to their original positions. And if they get too far out of alignment, more time in braces might be needed.

Don’t worry—the team at Bel Air Orthodontics is happy to help you avoid all of these unpleasant scenarios. We’ll give you easy instructions for cleaning and taking care of your retainer. If you ever damage it or lose it, be sure to give us a call right away, so we can get you back on track as quickly as possible. You’ve worked hard for your beautiful smile—now you just need to help your retainer work to keep it that way!

February is National Children's Dental Health Month, and the team at Bel Air Orthodontics want to remind everyone about the importance of good oral hygiene and the role it plays in the health of your teeth and the success of your orthodontic treatment.

Brushing for two minutes, two times a day is the golden rule when it comes to taking care of your teeth; but did you know that brushing alone isn't enough to keep your mouth clean and disease free? The gum tissue between your teeth where your toothbrush can't reach is prone to infection. That's why flossing regularly is just as essential to your overall health care as brushing. The American Dental Association (ADA) suggests flossing at least once a day to promote total oral health.

Flossing With Braces

Flossing is more important that ever when you're in orthodontic treatment. Braces can catch food and allow plaque to build up around them, increasing the risk of gum disease. Flossing removes plaque from the areas of your teeth that your toothbrush can't reach. If you don't remove this plaque, it can harden into tartar and lead to gum inflammation and disease. Fortunately there are products to help you successfully floss around and between your braces. Here are some handy helpers that make it easier to floss while you're in treatment:

Floss Threaders

A floss threader is the most common tool to help you floss with braces. Made of a special, rigid plastic, a threader works like a sewing needle to help you guide the floss under the archwire so that you can floss as usual. Here's how it works:

1. Pull off 12 to 18 inches of your preferred dental floss.
2. Insert one end of the dental floss about five inches into the loop of the threader.
3. Pass the floss threader under or over the archwire.
4. Remove the threader from the floss and floss gently back and forth and up and down into the gumline between the teeth.
5. Repeat the process between each tooth.

Stiff-Ended Floss

Made with a bendable but rigid segment at its end, this special floss works much the same as a floss threader. Products such as Oral-B's Super Floss have three unique components—a stiffened-end dental floss threader, spongy floss and regular floss.

Simply maneuver the stiff end under the archwire of your braces, pull it through and floss as usual. All three flossing tools work together to give you maximum benefits.

Oral Irrigators

An oral irrigator, such as a Waterpik®, works by shooting a very fine jet of water between and around teeth to clear away plaque and food. This system can make cleaning around your braces much easier and more thorough. Dr. Godwin and the team at Bel Air Orthodontics highly recommend the use of an oral irrigator throughout your orthodontic treatment.

Regardless of the type flossing tool you use, make sure that you floss on a regular basis - at least once a day. Though flossing may add one more step to your daily routine, it's just as important to achieving a healthy smile as brushing. As always, let the team at Bel Air Orthodontics know if you have any questions about the best way to keep your teeth clean and healthy while you're in treatment.