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Orthodontic technology changes and improves all the time. Today’s braces are lighter, smaller, and more efficient than those of past years. Wires are thinner and more flexible. Even brackets come in different styles and colors. These developments are all great news for braces wearers. Unfortunately, there is one advancement we haven’t been able to offer: self-cleaning braces.

Brackets and wires can both trap food particles and make brushing them away more difficult. This can lead to increased plaque, cavities, and staining around the area of your braces. But with the proper supplies and habits, keeping your braces clean will become routine in no time.

Braces-healthy Supplies

• Toothbrush

Your old toothbrush might work well enough with some brushing adjustments. We can show you how to angle your brush so it works most effectively, and how to make sure the bristles clean around your braces. Or, if you like, there are actually manual toothbrushes designed just for braces. These have V-shaped bristles to make cleaning around the brackets easier. Some people find an electric toothbrush works best. Whichever type of brush you use, be sure you use it often!

• Floss

Again, if regular floss works for you, stay with your normal products. If you are finding it difficult to get into the narrow spaces around your braces, there are floss threaders to get the floss into tight spaces, and flosses specially designed to work with braces.

• Interproximal brush

A big name for a tiny brush! These little cone-shaped brushes can clean around your brackets and under your wires—a great way to reach parts of your teeth your regular brush can’t.

Braces-healthy Habits

• Brush after every meal and sugary drink

Because food particles tend to stick to your braces, and the bacteria in plaque feed on these particles, your enamel is under attack without thorough cleaning after meals. Take a toothbrush and supplies with you to school or work so that you can always brush after eating. If there is absolutely no way to brush, be sure to rinse immediately with water.

• Brush carefully

Pay attention to each tooth, the area around your braces, and your gum line. And don’t forget the tops and inside of your teeth! A common suggestion for braces wearers is to devote at least ten seconds to each tooth. We might also recommend a special mouthwash to reduce bacteria and help keep your mouth and breath fresh.

• Brush on the go

Put together a cleaning kit for when you are out of the house. A brush, some floss, and toothpaste in a handy container will let you brush whenever you need to, wherever you may be. Leave it in your backpack or bag, and you’re ready for anything!

• Watch your diet

Foods that stick to teeth will stick to braces, so avoid caramels, licorice, chewy candies, and any other sticky treats. Why make your life more difficult?

While braces can make brushing and flossing more complicated, you can still keep your teeth clean, bright, and cavity-free. And remember, regular dental exams and professional cleanings are more important than ever during this time. At your next visit to our Redlands, CA office, talk to Dr. Byron Diehl about the best products and practices for the cleanest possible teeth and braces. We have plenty of ideas to help make sure you’ll have the healthy, beautiful smile you’ve worked so hard for when those braces come off!

If you’ve just gotten braces at our Redlands, CA office, you’ve probably also learned a whole new vocabulary. Malocclusion, brackets, archwires, ligatures, elastics—you’ve got the definitions down. But now you’re scheduled for an “adjustment.” What exactly does that mean?

Why Do I Need an Adjustment?

After all, you’ve just gotten braces! But the fact is, moving your teeth to their ideal location is a process that involves many steps. The brackets and wires you have today are only a starting point. Wires, and rubber bands if you need them, put gentle pressure on the teeth, gradually moving them into a better position. Every time we see you, we check the progress you’ve made and adjust your braces to move the teeth into even better alignment. It’s a careful process to make sure your teeth and jaws fit together perfectly for straight teeth and a healthy bite.

What Will Happen at an Adjustment?

Because your braces are made specifically for you, there is no one answer for everyone or even every appointment. Usually, your ligatures (the colorful bands around your brackets) will be removed, and often the orthodontic wire that is attached to your brackets will be removed as well. We’ll check to make sure you are brushing and flossing properly around your wires and brackets, and check on the condition of your braces.

Your wire might be adjusted, or bent, or tightened, or replaced all together. In the beginning, the wire will probably be more flexible. Later in your treatment, you might get a thicker, firmer wire to move your teeth more effectively, or we might bend a wire to move specific teeth.

If you need rubber bands to make sure your bite is in alignment, we’ll show you how to attach and take care of those. We’ll also look for other adjustments that might need to be made to your brackets. If you have any concerns about brackets, wires, or any other part of your braces, let Dr. Byron Diehl know! And once we’re done adjusting your braces, this is your chance to change the color of your ligatures for a new look.

Will It Hurt?

You might suffer some discomfort in the hours after an adjustment, so treat yourself gently! Stick to soft foods for a few days, and treat yourself to something cold and soothing like ice cream, yogurt, or a smoothie. Brush gently if your teeth are sensitive. Usually, over-the-counter pain relievers will take care of any soreness. You can even take a pain reliever 30 minutes to an hour before the adjustment if you are expecting some discomfort. We have more great ideas on how to reduce any tenderness you might feel—let us know if we can suggest some.

Within a day or two, you should be back to normal. If you ever suffer serious discomfort, or if the soreness lasts more than a few days, give us a call.

Remember, each adjustment brings you closer to your goal—straight teeth and a healthy bite. And that’s the definition of a beautiful smile!

We’ve probably all seen that unhappy kid or frazzled parent sifting through trash for a lost retainer. If we’re really unlucky, we might have been that unhappy kid or frazzled parent sifting through the unpleasant remains of third period lunch hour. But getting tossed isn’t the only risk these appliances face. Read on for ways to keep your retainer (and your parent!) happy.

• Keep Your Retainer With You

Always carry a retainer case. If you automatically put your retainer in its case when you’re eating, you are much more likely to remember it then if it has been wrapped up in a napkin on your lunch tray. And, if the worst happens, much more likely to recover it in one piece.

Choose the brightest colored case you can live with, so you will have an easier time locating it if need be, and discuss how to label the case to get it back safely to you--just in case.

• Keep Your Retainer Intact

You might think if you put your retainer in your backpack, or purse, or saxophone case, or athletic bag, it will be safe. It will not. Retainers are designed to be tough enough for everyday wear, but being tossed on the floor while inside a backpack is not everyday wear. Always put your retainer back in its (brightly colored) case before packing it away.

Retainers can warp if they are exposed to heat, so keep them away from potential heat sources like stoves, microwaves, and washers and dryers. Even your car dashboard can become hot enough to warp your retainer. And never use boiling water to clean them.

Finally, your dog might find your retainer to be the #bestchewtoyever, so be sure to put it in a spot pets can’t reach when you’re not wearing it.

• Keep Your Retainer Clean

Just like plaque can build up on your teeth, minerals and calcium can build up on your retainer. Different types of retainers require different cleaning methods, so talk to Dr. Byron Diehl about how to keep your retainer clean and bacteria-free. We will be happy to give you instructions on the best way to take care of your particular appliance. And don’t forget to clean your case regularly!

Accidents will happen, of course. If your retainer is lost or damaged, call our Redlands, CA office as soon as possible. We might be able to fix minor damage, and, if needed, we can replace a lost retainer quickly.

Your time in braces is over, but your teeth are still stabilizing in their new, healthy positions. Wearing your retainer regularly is the final step in producing the beautiful smile you’ve worked so hard for. Keep your retainer clean, keep it safe, and keep it with you, and you can enjoy that smile now and for years to come!

TMJ is the quick way of referring to your Temporomandibular Joint. Pardon the pun, but that’s quite a mouthful! What is this joint, what does it do, and, if your Dr. Byron Diehl and our team have told you that you have a TMJ disorder, what can we do to help?

The Temporomandibular Joint

Your two temporomandibular joints are amazing works of anatomical design. These are the joints where the temporal bone in the skull meets the mandible bone of the jaw, and allow our mouths to open and close, move back and forth, and slide from side to side. Muscle, bone, and cartilage work together to provide easy movement and to cushion the joint. But sometimes, the joint doesn’t work as smoothly as it should, and this can lead to Temporomandibular Joint Disorder, or TMD.

When Should You Suspect You Have TMD?

You might have TMD if you experience any of these symptoms:

• Painful chewing
• Pain around your TMJ, or in your face or neck
• Earaches
• Changes in your bite
• Jaws that are limited in movement or lock open or shut
• Clicking, popping or grating noises when you open and shut your jaw

There are many conditions linked to TMD. If you grind your teeth at night, have arthritis in the jaw, have suffered an injury or infection in the area, or have problems with your bite, for example, you might be more likely to have TMJ problems. If you suspect you have TMD, or suffer from any of the symptoms listed above for an extended period, give us a call.

Treating TMD

During your visit to our Redlands, CA office, we will check your medical history, and examine your head and neck. We can take an X-ray or scan if needed for further examination of the joint. Because there is no real scientific agreement yet about the best way to treat TMJ disorders, a conservative treatment plan is often best. If you do show signs of TMD, we might first suggest relaxation techniques, over-the-counter pain relievers, or the use of ice packs or moist heat compresses. A change to a softer diet can help, and you should stop chewing gum and making any exaggerated jaw movements.

If these self-care practices aren’t effective, we might suggest a nightguard. This appliance is a comfortable and flexible mouthguard custom fitted for you, and will bring relief from teeth grinding when worn at night. If this treatment is not effective, talk to us about other options.

Luckily, most cases of TMD are temporary and don’t become worse over time. But any persistent discomfort is a good reason to visit us. Whether you have TMD, or any other problem causing you pain in the head or jaw, we want to help.