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Let’s see…

Toothbrush? Check.

Fluoride toothpaste? Check.

Floss? Check.

Two minutes of thorough brushing? Check.

Careful cleaning around your brackets and wires? Check.

Wait… there’s something else… it’s right on the tip of your…

Ah! Your tongue! Whenever you brush, morning, evening, or any time in between, if you want the freshest breath and cleanest teeth, don’t forget your tongue.

Why your tongue? Because the tongue is one of the most common sources of bad breath. Let’s examine just why this occurs.

The tongue is made up of a group of muscles that help us speak and chew and swallow. But there’s more to this remarkable organ than mere muscle. The surface of the tongue is covered with mucous membrane, like the smooth tissue which lines our mouths. But the tongue isn’t completely smooth—it’s textured with thousands of tiny bumps called papillae.

These little elevated surfaces have several shapes and functions. Some make the tongue’s surface a bit rough, which helps move food through your mouth. Some are temperature sensitive, letting you know that your slice of pizza is much too hot. And some are covered with thousands of the taste buds, which make eating that pizza so enjoyable.

All of these papillae with their various functions combine to create a textured surface, filled with miniscule nooks and crannies. And if there’s a nook or a cranny where bacteria can collect, no matter how miniscule, it’s a good bet that they will, and the surface of the tongue is no exception. But bacteria aren’t alone—the tongue’s surface can also hide food particles and dead cells.

How does this unappealing accumulation affect you? These elements work together to cause bad breath, especially the bacteria that break down food particles and cell debris to produce volatile sulfur compounds—compounds which create a particularly unpleasant odor. Including your tongue in your brushing routine helps remove one of the main causes of bad breath.

And that’s not the only benefit! Cleaning the tongue helps eliminate the white coating caused by bacterial film, and might even improve the sense of taste. Most important, studies show that regular cleaning noticeably lowers the levels of decay-causing plaque throughout the mouth.

So, how to get rid of that unwanted, unpleasant, and unhealthy debris?

• When you’re done brushing your teeth, use your toothbrush to brush your tongue.

Clean your tongue by brushing gently front to back and then side to side. Rinse your mouth when you’re through. Simple as that! And just like a soft-bristled toothbrush helps protect tooth enamel and gum tissue, we also recommend soft bristles when you brush your tongue. Firm bristles can be too hard on tongue tissue.

• Use a tongue scraper.

Some people find tongue scrapers more effective than brushing. Available in different shapes and materials, these tools are used to gently scrape the surface of the tongue clean of bacteria and debris. Always apply this tool from back to front, and rinse the scraper clean after every stroke. Wash and dry it when you’re through.

• Add a mouthwash or rinse.

As part of your oral hygiene routine, antibacterial mouthwashes and rinses can assist in preventing bad breath. Ask Dr. Byron Diehl for a recommendation.

• Don’t brush or scrape too vigorously.

Your tongue is a sturdy, hard-working organ, but tongue tissue is still delicate enough to be injured with over-vigorous cleaning.

Taking a few extra seconds to clean your tongue helps eliminate the bacteria and food particles which contribute to bad breath and plaque formation. Make this practice part of your daily brushing routine—it’s a healthy habit well worth remembering!

Choosing clear aligners was a great decision on your part! Straight teeth and a healthy bite? Subtle, almost invisible aligners? 3D technology custom-designed just for you? All the positives we’ve come to expect from your choice of orthodontic treatment.

So, don’t sabotage your good work! Here are five negative habits that will prevent you from getting the most out of your aligners:

1. Don’t forget to keep them clean

One of the reasons you chose clear aligners is because they are nearly invisible. But careless cleaning habits can leave them discolored, scratched, or cloudy. Soaking in colored mouthwash can stain aligners. Using abrasive cleaning products or brushing with a heavy hand can cause scratches. And failing to keep aligners clean can lead to a buildup of cloudy plaque. Talk to us! We know all the best products and practices to keep your aligners their most sanitary—and most invisible.

2. Don’t eat with your aligners in place

Aligners are simply not meant to be used while you eat. Chewing puts too much stress and pressure on them, and can lead to aligner damage and even breakage. Because you will be wearing your aligners for most of the day, planning ahead for your meals is key. One bonus: it’s a great way to eliminate unconscious snacking.

3. Don’t let foods or drinks stain your aligners

It’s great that you take your aligners out to eat, but do you remember to brush before you replace them? Foods like spaghetti sauce and blueberries that stick to your enamel can stain your aligners. And it’s always best to remove your aligners before drinking a beverage. If a drink can stain your teeth, it can stain your aligners. Red wines, dark juices, colas, and, of course, coffee and tea can cause discoloration. Another thing to consider? Food particles in the trays can not only stain your aligners (and your enamel), but keep your teeth in contact with the acids and sugars that lead to cavities.

4. Don’t run hot

Aligners are formed using heat, so it makes sense that heat can de-form them as well. Drinking hot beverages with your aligners in place can change their shape—and even subtle changes will affect your progress. Since warped aligners might have to be replaced, save the piping hot beverages for those times you’re not wearing aligners. It’s best not to clean them with very hot water as well.

5. Don’t forget to wear them

Aligners need to be worn approximately 20-22 hours each day. If you’re not putting in the required time, you’re delaying your progress. If you’re having trouble with scheduling meals or activities, talk to Dr. Byron Diehl when you visit our Redlands, CA office. We have suggestions.

But let’s not just dwell on the negatives. We like to focus on the positive, too, so here’s the one item on your “Do List” that will absolutely make your aligner experience the best it can be:

Do follow our recommendations!

Clean your aligners with the proper tools and products—and clean your teeth and aligners after every meal and snack. Remember that water is the only guaranteed problem-free beverage. Don’t expose aligners to heat or eat with them in place, because they can be warped or damaged. And be sure to wear them as long as you need to each day—this will keep your treatment on track and on schedule.

Enjoying a future filled with beautiful, healthy smiles? That’s not just a positive—it’s a happily-ever-after!

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. Byron Diehl 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 Redlands, CA orthodontic team! You might discover that clear braces are the clear choice to create your healthy, beautiful smile.

Brackets and wires, clear aligners, lingual braces, regular brackets, self-ligating braces, elastics, spacers—you and your orthodontist have had to narrow down a lot of choices to discover the best treatment for your orthodontic needs. Now that the end of treatment is in sight, there’s one more important choice left—your retainer!

Do I Need a Retainer?

No retainer at all is probably the one option that’s off the table from the start. It’s not just your teeth that have changed position; it’s the bone and ligaments holding them that have changed as well.

A retainer prevents your teeth from moving away from their new, ideal location while your bones and ligaments are stabilizing. This process takes months, so keeping your teeth in place as your bone rebuilds and regains density is crucial.

What Are Your Retainer Options?

Three of the most popular retainer options available at our Redlands, CA office include:

• Hawley Retainers

This is the traditional retainer, with wires to hold your retainer in place and to keep the teeth properly aligned. The wires are attached to an acrylic plate molded to fit the roof of your mouth or around your bottom teeth. You can customize the acrylic base with colors and patterns for a one-of-a-kind look.

Hawley retainers are adjustable, so minor realignments can take place if necessary. The wire in front of your teeth makes these retainers visible, but, after several months of wearing them all day long, you may end up wearing them only at night.

Hawley retainers are removable, so you need to make sure they are safely in a case when you’re not wearing them. Minor damage can often be repaired, but it’s better to be proactive.

• Clear Plastic Retainers

These retainers look like clear aligners. They are formed by heating a thin piece of plastic and vacuum-forming it around a model of your teeth to create a custom, comfortable fit.

Clear retainers are almost invisible when worn, and can be removed when you eat or drink—which they should be, because food particles and liquids can be trapped inside them.

When you’re not wearing it, a clear retainer should always be in its case, because it must be replaced if the plastic is warped, cracked, or broken.

• Fixed Retainers

A fixed retainer is a small single wire bonded to the back of specific teeth, commonly the six bottom front teeth. Because fixed retainers don’t allow the teeth to move at all, they are often recommended for patients who had serious misalignments, extremely crowded teeth, or teeth with large gaps between them.

Many patients like fixed retainers because they keep teeth in perfect alignment, they won’t be seen, they’re comfortably small, and they can’t end up in the cafeteria recycling bin because you forget to replace them after lunch!

Fixed retainers are usually quite durable, but you’ll need to pay attention to your diet, because crunchy and chewy foods can put pressure on the retainer and damage it. These retainers also require special care with brushing and flossing, to make sure the teeth bonded to the wire stay clean and plaque-free.

The Right Retainer

The process of stabilizing your teeth in the jaw takes time. Choosing your retainer will depend in part on how long and how often you need to wear it: fulltime for months or for years, at night after several months of day-and-night wear, or long-term to make sure your orthodontic work lasts.

And there are other variables, as well. Your retainer might need to be removable. It might need to be adjustable. You might need a retainer for just your upper teeth, just your lower teeth, or both. All these factors and more need to be taken into consideration before deciding on your ideal retainer.

Fixed, removable, wire, plastic, colorful, clear—which retainer is right for you? The one that helps you retain the beautiful smile you’ve worked for all these months. Talk to Dr. Byron Diehl to discover the retainer that will protect that smile for years to come.