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Getting a Retainer? Make It Personal!

May 18th, 2022

If Dr. Paul Bourque, Dr. Kathy Russell, Dr. Brien Stackhouse, and Dr. Magda Barnard and our team recommend a Hawley retainer to complete your orthodontic treatment, you’re getting a classic. This retainer, invented by Dr. Charles Hawley, has been in use since the early decades of the twentieth century.

But this isn’t your great grandmother’s pink plastic retainer! The look of today’s Hawley retainer has really evolved from its early days as the “Hawley bite plate”—and pink is now a choice instead of an inevitability. In fact, you can choose from any number of colors, patterns, and designs to create a retainer that is uniquely you.

Each Hawley retainer is customized to fit your mouth and teeth perfectly. Wire clasps and a labial bow wire are securely attached to an acrylic base based on a model made from your teeth and mouth.

Your retainer is designed for function—the bow wire makes sure your teeth stay in the perfect position while your bones and ligaments get strong enough to hold them in place. The acrylic base, of course, is also functional—but that doesn’t mean you can’t have fun with it!

Retainer bases can be formed in different ways.  One type of retainer model uses pre-formed acrylic discs for the base, and these are available in many pre-formed colors and patterns. Another type of retainer builds the base by alternating several applications of liquid and powder acrylics, layer after layer. This process allows the retainer technician to create one-of-a-kind designs.

What are some of the ways to make your retainer uniquely yours?

  • Color—whether deep tones, pastels, electrics, neon, or metallic, you can find an appealing shade in the color chart. Or, if you want your retainer to keep a low profile, choose a clear or a color-coordinated pink tone.
  • Glow in the Dark—if you don’t want your retainer to keep a low profile, this might be just the look for you!
  • Glitter—accessorize your sparkling smile with a sparkling retainer.
  • Patterns—stripes, polka dots, geometric shapes—even animal patterns are possible.
  • Color Combinations—why choose one color when you can have a marbled swirl of your favorites? Or a tie-dye look? Or team colors?
  • Acrylic Designs—a colorful design that captures your personality is available with some creative acrylic artistry. Rainbows and flags, hearts and flowers, ladybugs, and spider webs are just some of the options on hand.
  • Picture Perfect—for that special hobby, pet, team, or other personal favorite, decals or pictures can be applied under a layer of clear acrylic.

Hawley retainers are made to last, so choose your design with years of use in mind. Talk to our Halifax team about the custom looks which are available to celebrate your unique personality. After all, there’s nothing more personal than your smile!

Forget Something? It’s on the Tip of Your Tongue!

May 11th, 2022

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. Paul Bourque, Dr. Kathy Russell, Dr. Brien Stackhouse, and Dr. Magda Barnard 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!

Retainer Hacks

May 4th, 2022

Even with the best of care, accidents can happen, and your retainer, unfortunately, is not immune. Of course, you need to visit our Halifax office ASAP if your retainer is damaged, but, in the meantime, there are some strategies you can use to help your teeth—and your retainer—stay as healthy as possible while you wait.

For Removable Retainers

  • When you notice any damage to your removable retainer—remove it.

Don’t wear a damaged retainer, especially overnight. You don’t want to damage it further, and you do want to avoid the possibility of choking if a retainer breaks while you’re sleeping. Dr. Paul Bourque, Dr. Kathy Russell, Dr. Brien Stackhouse, and Dr. Magda Barnard and our orthodontic team are experts when it comes to deciding if your retainer is wearable, so always consult an expert before putting a suspect retainer back in your mouth.

  • Damaged Hawley retainer?

If you have a Hawley retainer—the traditional wire retainer—here’s some good news: a Hawley retainer can often be repaired if it’s not damaged too badly. Don’t try to fix your retainer yourself, and bring it into our office as soon as possible to see if it’s fixable.

  • Damaged clear retainer?

If you have a clear retainer, let’s start with the bad news: A clear retainer is not a repairable retainer. Cracks, breaks, warping—these injuries mean that a new retainer is in your future.

The good news is that materials for plastic retainers are available that are more durable than ever. This might be a good option for you to check out, especially if you suffer from bruxism, or tooth grinding, which can be very hard on clear retainers.

  • When you’ve just finished treatment with clear aligners . . .

It’s worth asking if your last tray can sub for your retainer until you have it repaired or replaced.

  • Ask us about over-the-counter mouthguards.

While you wait for a retainer repair/replacement, your teeth are at risk of shifting out of alignment. A customizable OTC mouthguard might reduce the chance of shifting, although it’s definitely not a long-term solution! We can let you know if this temporary fix is worth it.

For Fixed Retainers

If the wire retainer bonded to your teeth becomes loose, or if you notice your teeth shifting, you might need a repair or a replacement. This is a job for us. In the meantime,

  • When you have a broken wire . . .

If a broken wire is causing discomfort, check to see if you should flatten it or cover the wire tip with dental wax to protect soft tissues. Warm water rinses can ease irritation.

  • When your wire is broken or loose . . .

Stay away from chewy, sticky, and crunchy foods. You should be doing this anyway with a fixed retainer to keep it from becoming detached—and if it’s already loose, no need to make it more so!

  • Ask us about over-the-counter mouthguards.

Check to see if an OTC, customizable mouthguard is a good idea to keep your teeth from shifting if you can’t visit Metro Orthodontic Specialists right away.

We started off by saying that accidents can happen even with the best of care. So you can imagine what can happen without the best of care. Keep your retainer in its case, keep it away from heat, don’t eat foods that can harm your retainer—all the precautions that make accidents unlikely to happen.

But if something awful befalls your retainer, call our Halifax office right away. Why aren’t we suggesting ways to fix your broken retainer with the supplies you have in your home toolbox? Because the best life hack of all for someone with a damaged retainer is to leave the fixing to a dental professional.

Understanding Your Overjet

April 27th, 2022

Bite problems are so common that most of us know someone who’s worn braces. So perhaps you’re already familiar with the terms “overbite” and “underbite”—but if you’ve been diagnosed with an “overjet,” that just might be an orthodontic diagnosis that is new to you. If so, here are a few questions and answers to help promote overjet understanding.

Just what is an “overjet”?

An overjet is a type of malocclusion, which means that there’s a problem with your bite, the way your jaws and teeth fit together when you bite down. In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.”

An overjet is a Class II malocclusion, which means that the upper front teeth project further beyond the lower teeth than they should. Overjets and overbites are both Class II malocclusions, and the words are often used interchangeably, but there’s a notable difference between the two conditions.

An overbite occurs when the top teeth overlap the bottom teeth too far vertically, and you can’t see as much of the lower teeth as you should when you bite down.

An overjet is considered more horizontal in nature, where the top teeth project at an outward angle toward the lips instead of pointing straight down toward the bottom teeth. This condition is sometimes called protruding or buck teeth.

What causes an overjet?

The reason for your overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both.

Overjets can run in families. They can also be caused by the size and position of your jaws and the shape and position of your teeth, all of which affect your bite alignment. But early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to overjet development.

How do we treat an overjet?

There are many types of treatment available. Dr. Paul Bourque, Dr. Kathy Russell, Dr. Brien Stackhouse, and Dr. Magda Barnard will recommend a treatment plan based on the cause and severity of your overjet. Because some treatments are effective while bones are still growing, age plays a part as well.

  • Braces and Aligners

If you have a mild overjet, and minor dental issues are the main cause of the malocclusion, braces or clear aligners can effective.

  • Functional Appliances

If the overjet is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still forming.

For young patients, there are several appliances which can help correct an overjet. Some, such as the Twin Block and the Forsus Spring appliances, work inside the mouth, while others, like headgear, are worn externally. Your orthodontist will recommend the most effective appliance for your needs.

  • Surgical treatment

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself.

If we recommend surgery, oral and maxillofacial surgeons are experts in surgical procedures designed to create a healthy and symmetrical jaw alignment. Dr. Paul Bourque, Dr. Kathy Russell, Dr. Brien Stackhouse, and Dr. Magda Barnard will work with your surgeon to design a treatment plan, which will usually include braces or other appliances following surgery.

Why treat your overjet?

A serious, moderate, or even mild overjet can lead to many dental and medical problems, including:

  • Concerns about facial and dental appearance
  • Front teeth which are more at risk for injury
  • Difficulty closing the lips
  • Problems speaking or chewing
  • Headaches, facial, and temporomandibular (jaw) joint pain

When you work with our Halifax team to correct your overjet, you’re not just correcting a problem. You’re also creating something—a healthy, comfortable bite, and an attractive, confident smile. We can talk about general answers to your overjet questions, but when it comes to understanding your very individual smile, Dr. Paul Bourque, Dr. Kathy Russell, Dr. Brien Stackhouse, and Dr. Magda Barnard will have all the answers you need to make that healthy bite and that confident smile a reality! 

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5991 Spring Garden Road Suite 200
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