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Perhaps you are already planning for the years when your teenager will need orthodontic work. But hearing that your seven-year-old would benefit from orthodontic treatment? That might come as a complete surprise! It’s a recommendation with real benefits, though—early intervention can save children from tooth and bite problems now, and even simplify their future orthodontic care.

Treating young children for orthodontic problems is called “interceptive orthodontics.” When the permanent teeth start arriving, there might be problems with spacing, bite or protruding teeth. Often, treatment while the bones are still growing is the best way to prevent more serious problems later.

We recommend that your child have an orthodontic consultation with Dr. Mugford around the age of seven. This exam is especially important for children who may have been thumb suckers or used a pacifier after the age of three, or if you notice obvious teeth, speech or bite issues.

• Crowding and Spacing Issues

Teeth are arranged in two crescent shapes called arches. When the arch of your child’s mouth is small, the permanent teeth can become very crowded as they erupt. Formerly, teeth were removed to make more room. Now, early use of a palatal expander can enlarge the upper dental arch in order to help the permanent teeth come in without crowding. The need for future tooth extraction is reduced, and there is a better chance for correct spacing and alignment with early treatment.

On the other hand, when a child loses a tooth too soon, too much space left between baby teeth can also be a problem. The remaining teeth can shift, leaving the wrong place open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth and there is room for the proper adult tooth to erupt in its proper spot.

• Malocclusions (Bite Problems)

Some malocclusions, like a crossbite, can be caused by problems with jaw and facial structure. Again, we might recommend a palatal expander to help the upper arch of the teeth to fit properly with the lower jaw. Problems with overbite, open bite and other bite issues can also be addressed at this age if necessary. Early care can discourage TMJ (temporomandibular joint) disorders, reduce speech problems, and improve facial symmetry. 

• Protruding Front Teeth

Teeth that protrude are much more likely to be damaged when playing or after a fall. Methods such as braces or appliances can reposition them and protect them from breaking or fracturing.

Many children will not need early intervention, and many can wait until they are older for orthodontic work. But if your young child has orthodontic problems that should be addressed, early intervention can do more than set the stage for successful orthodontics in the teen years. Talk to our Halifax team about what we can do for your child. Interceptive orthodontics can protect teeth, guide jaw and speech development, modify harmful oral habits and help to adjust bite problems before they become serious—when it comes to your child’s dental health, the best solutions are early ones!

It’s not unusual for a patient to be unaware of the range of services that orthodontists can provide for their patients. Knowing which services Dr. Mugford and our team perform can help you better understand your options and why we might select a particular method of treatment.

Both orthodontists and dentists care about good oral health, but they approach treatment in differing ways. You know that dentists clean teeth and treat gum disease, tooth decay, toothaches, and other oral health problems.

But what does your orthodontist do besides help straighten teeth with the help of braces? Orthodontists are commonly known to help fix or realign crooked teeth. Many of the patients at Metro Orthodontic Specialists come in for appointments that relate to their braces.

Dr. Mugford and our team recommend that children be seen around the age of seven to evaluate their potential orthodontic needs. Common problems may include overcrowding of teeth, large gaps or spaces, and overbites or underbites, among other things.

In order to address these common problems, we offer several methods of treatment besides standard braces and retainers:

• Space maintainers can be used to fill the spaces left by missing baby teeth so other teeth don’t shift and occupy the adult tooth’s location.
• Jaw repositioning appliances, sometimes known as splints, are used to reposition the upper and lower jaw bones correctly.
• Lip and cheek bumpers can also be used to avoid having to pull teeth. These bumpers are placed in the mouth so the patient’s lips or cheeks don’t put pressure on specific teeth.
• A more common appliance that orthodontists use is expanders. If your mouth is crowded, expanders will be placed on the curve of the upper and/or lower jaw(s) in order to make room for teeth to be properly aligned.
• As a last resort, an orthodontist may turn to headgear. This is normally provided to slow down the growth of the jaw. It must be worn a number of hours each day.

When you visit our Halifax office, we will go over these options with you and pick the best course of treatment, depending on the current state of your oral health.

No matter which oral appliances you end up with, Dr. Mugford and our team will go over all the available options with you to give you a beautiful smile. If you have questions regarding your treatment method, don’t hesitate to call our office and we can provide you with some insight.

Understanding the different options your orthodontist can provide should make matters less confusing if you should need to select a method of treatment.

Press Pause

If you are getting braces in the near future, it’s very important to see your regular dentist first. That way, any cavities or other dental problems can be treated before your first orthodontic appointment at our Halifax office.

Play it Safe

Once you have your braces, you’ll hearing a lot about how you need to be especially careful with your dental hygiene. Why? Because wires and brackets are obstacles to getting your teeth and gum area their cleanest. Plaque and food particles tend to stick to braces, and all too often can be missed while brushing. Plaque builds up around your gum line and brackets, and, in a very short time, can lead to sensitivity, demineralization, and cavities.

What can you do to prevent tooth decay?

• Increase Your Brushing Time

Instead of brushing twice a day, start brushing for two minutes after every meal. Put together a travel bag with a small toothbrush, toothpaste, floss, and interproximal brushes to clean your teeth when you’re on the go. If you absolutely can’t brush, rinse carefully with water, and then brush as soon as you can.

• Flossing—More Important than Ever

Use the flossing tools designed just for braces to make sure you’ve removed food particles and plaque from around your braces and gums. A water flosser can be helpful if manual flossing isn’t effective.

• Keep Up with Your Regular Dental Care

Schedule regular checkups and professional cleanings at your dentist’s office. They will be able to remove plaque you might miss at home.  

• Follow Our Advice

We’ll give you instructions on how to brush and floss, what products to use, and diet suggestions (such as keeping sugary and sticky foods off the menu and away from your braces). If we notice plaque building up around your gums and brackets, we’ll let you know that you need to step up your hygiene habits. We can also suggest rinses and toothpastes that help fight plaque.

But if, despite all your efforts, you do get a cavity? There are options!

• Ignoring Your Cavity?

Not an option. You shouldn’t wait until you are out of braces to get a cavity treated. This just gives decay a chance to spread further.

• Working With Your Braces

Repairing a cavity means removing the decay in the tooth, cleaning the area, and then filling the tooth. If your cavity isn’t located near your bands, brackets, or wires, your dentist might be able to work around your braces, and you can get your cavity treated during a regular dental appointment.

• Removing Parts of Your Braces for Treatment

Sometimes a cavity is located in a spot that your dentist can’t reach because of your braces. In that case, we’re able to coordinate with your dentist and remove a wire or bracket temporarily so you can have your tooth filled. Make an appointment to replace your bracket and re-attach your wire, and you’ll be back on schedule as soon as possible.

Fast Forward

Keep your eyes on your goal--you’re in braces because you want a beautiful smile. Keeping on top of your dental health is an essential part of creating that smile. Talk to Dr. Mugford about tips for getting your teeth their cleanest. If you do develop a cavity, we’ll help you figure out the best way to treat it without causing too much delay in your orthodontic treatment. Taking care of your teeth now is the best way to create a future of beautiful smiles!

Just like that, it’s almost summertime. As the spring season ends, perhaps these lighter, brighter days are inspiring you to do a bit of last-minute spring cleaning. Or perhaps they’re not. No judgment here!

What Dr. Sidney Mugford can recommend wholeheartedly is finishing the season with a clean, sparkling smile. And we have some bright ideas for you!

Refresh Your Cleaning Technique

Tooth brushing can become so automatic that we don’t think about the basics anymore. And suddenly, we’ve finished brushing in half the time we used to, and, hey, how long has that floss been sitting on the counter, anyway?

Now that you’re in orthodontic treatment, it’s more important than ever to keep your teeth their cleanest:

• Plaque acids can strip minerals from your teeth. If you don’t clean around your brackets thoroughly, plaque buildup can leave discolored spots on your enamel.
• If a cavity develops, treatment could require removing part of your braces. This means extra appointments and a delay in your orthodontic schedule.

So, let’s review the brushing basics for a clean and healthy smile.

• Spend two minutes brushing, at least twice each day. Dr. Sidney Mugford might suggest brushing after every meal to make sure food doesn’t stick to your teeth and braces.
• Make sure you reach all the surfaces of your teeth, inside, outside, and on top of your molars.
• Use short, gentle brush strokes, covering a tooth or two at a time.
• Angle your brush to clean along the gum line. Plaque around the gums leads to irritation and inflammation, and is a common cause of gum disease.
• Use vertical strokes to clean the inside of your front teeth.
• Floss at least once each day, or as recommended by your orthodontist.

Special Jobs Require Special Tools

Since we’re tidying up, let’s talk about some helpful cleaning tools. The right tools make removing plaque a lot easier.

• Toothbrushes

There are toothbrushes designed especially for braces, with angled heads, longer handles, and different bristle arrangements. Whether you try a new design, or stick with your old favorite, replace your brush whenever necessary.

After three to four months of brushing, your toothbrush bristles start to break down. Frayed and matted bristles can’t clean as effectively as a toothbrush in top shape. Electric toothbrush heads can wear down more quickly because they often have shorter bristles. Each change of season is a good time to remind yourself to change brushes.

Extra tip: Buy a brush with soft bristles. Even medium bristles can cause enamel abrasion.

• Floss Upgrades

If you wear braces, check out the floss options made just for you. Floss threaders help you thread floss under wires. Or try floss which comes in pre-cut strands with a stiff tip to thread the floss through wires more easily. You might find that an orthodontic flosser, a small piece of floss attached to a thin plastic handle, is the easiest way to clean between your teeth. Experiment until you find your most convenient and effective floss.

• Interproximal Brushes

These tiny cone-shaped brushes fit snugly and comfortably between the spaces of your teeth to remove plaque.

• Water Flossers

Water flossers are high-tech tools that use a pulsing stream of water to clean between and around the teeth. They’re particularly helpful if you have traditional or lingual braces.

Dr. Mugford can suggest the best tools for the cleanest teeth. And speaking of your dental team . . .

Some Cleaning Jobs Require Professional Help

Wearing braces doesn’t mean you should skip cleanings—in fact, it’s more important than ever to make sure that all the plaque that has built up around brackets and wires is removed. Your hygienist knows how to work with your braces for an effective and braces-friendly cleaning.

Spring’s coming to an end, but taking care of your dental health is always in season! A clean smile isn’t just a more confident smile, it’s a healthier one. Talk to our Halifax team for more tips to create your best and brightest smile at any time of year.