If your child has just gotten braces, chances are it’s a good time to brush up on dental hygiene! Why now? What’s different? And how can you help? Let’s take a few minutes and explore these timely questions.

Brushing and Flossing Are Especially Important with Braces

There’s no getting around it, it’s harder to clean teeth with brackets and wires. But it’s essential to pay attention to dental hygiene. When bacteria and plaque start building up, your child is at risk for gum disease, cavities, and tooth discoloration.

• Gingivitis

This early stage of gum disease is the result of gum irritation caused by plaque. The gums become red, swollen, sore, and can bleed or start to recede. With proper brushing and flossing, gingivitis can be eliminated, along with the risk of developing more serious gum disease.

• Tooth Decay

One of the major reasons for cavities is the erosion of enamel caused by oral bacteria. These bacteria feed on sugars from our diet and produce acids that attack the tooth’s surface. Plaque, formed by a mass of these bacteria, sticks around brackets and the gum line, putting your child at risk for cavities near his orthodontic work—which might require removing wires and brackets to treat.

• Demineralization

When acids attack teeth, they remove the minerals from our enamel. This demineralization eventually leads to cavities, but in its early stages can cause white spots to appear where the mineral structure has been weakened. Braces wearers are at special risk for demineralization, especially around brackets and near the gums, where plaque can be missed while brushing.

Time for New Brushing and Flossing Techniques

Even if your child has always done a wonderful job of brushing and flossing, braces provide a new challenge for getting teeth their cleanest. Unfortunately, plaque buildup around the brackets and the gum line is all too common in orthodontic patients. Dr. Cassy Wiggins can recommend some tools that make the cleaning process easier and more effective.

• Toothbrushes

Manual brushes are available with small, soft-bristled heads designed especially for braces wearers. If your child still has problems getting rid of plaque and food debris, an electric toothbrush might be helpful. And remember, encourage your child to be thorough but gentle for the sake of both braces and gums.

• Flossing with Braces

Flossing can be challenging for children at any time, but especially with braces. We’ll show you how floss threaders work, and how special flosses designed just for braces can fit under wires. This might also be a good time to invest in a water flosser. Your help demonstrating how to floss even with brackets and wires blocking the way will be appreciated by your child and your dentist!

• Products Just for Braces

Interproximal brushes are tiny cone-shaped brushes designed to fit around brackets and wires and between teeth. We can also suggest special toothpastes and rinses to help fight plaque and prevent cavities from developing. Ask us about what to shop for to make both of your lives easier.

You Can Help!

• Teamwork—Works!

When your child first gets braces, practice brushing and flossing together. Our Parker, CO team will be happy to show you both the very best techniques for keeping teeth their cleanest and healthiest. Especially for young children, your help will make sure those techniques are learned and used.

• Make Time for Cleaning

Your child’s before-braces routine might have meant brushing two minutes each morning and two minutes at night. But thorough cleaning around brackets and wires might take a bit longer. (And, with braces, it’s best to brush after every meal rather than the common twice-a-day routine). Be available, at least at first, for a quick check to make sure braces and teeth are their cleanest. And you may have to help with removing and replacing bands until your child gets the hang of it.

• Be Prepared!

Whether it’s a day at school or an overnighter with friends, be sure your child has a kit filled with cleaning supplies ready to take along. A toothbrush, floss, an interproximal brush, toothpaste, a mirror—with these necessities, your child can keep on top of any cleaning emergencies.

For younger children especially, learning how to keep teeth and braces their cleanest can take some time. Be patient, be prepared, and be willing to help, and you and your child will have a new routine mastered—in no time at all!

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 Parker, CO office, talk to Dr. Cassy Wiggins 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!

You waited for this movie all year. You got your tickets early, and you’ve got the best seats in the theater. Whether you paid to see the latest action flick or the most romantic comedy in the history of romcoms, it’s not as nearly as much fun if the trip to the snack bar is a horror story. Perhaps Dr. Cassy Wiggins can help!

If you’re wearing traditional braces, the usual suspects, chewy, sticky, hard, and crunchy foods, are still off limits even when the lights go down. Let’s look at some alternative casting.

• The Candy Counter

Licorice, caramels, taffy, and candy with nuts can make any film a disaster movie—and can make your next visit to our Parker, CO office an emergency one. Stick with soft chocolates, chocolates with creamy fillings, ice cream, and ice cream bars (without nuts or caramel, of course).

• The Soda Fountain

Sodas won’t break your braces, but they will damage your teeth, so try to brush as soon as you can or rinse with water after enjoying one of those titanic servings. And no crunching on ice! That can damage your braces.

• The Popcorn Machine

Sorry, we can’t help you here. Popcorn, with or without that tempting flood of melted butter, is off limits. The kernels can get lodged between your teeth and braces, and can be very hard to remove. They can also cause breakage to wires and brackets.

If you still crave something salty, check with us to see if soft pretzels or baked potato chips might be an option for you.

Movie treats contain a lot of starches and sugars, which stick to braces and feed cavity-causing bacteria, so it’s always best to go easy on the snacks. But you don’t have to give up the concession counter completely—just enjoy in moderation and be sure to brush thoroughly when you get home.

And if you wear clear aligners? You can remove your aligners, eat what you like, and clean your teeth carefully before replacing them. But do remember—you’re supposed to wear your aligners for a set number of hours each day. If you’re looking forward to a four-hour epic, make sure to take into account your treatment schedule.

We don’t know if your movie was worth the wait. But we do know that the results of your orthodontic treatment will be! Take care of your teeth and braces, and you’ll be on the fastest, healthiest track to an award-winning, red carpet smile.

We’re all friends here, so if you sometimes feel a bit nervous before your orthodontic appointments, no judging! Ask us about any worries you might have. We are happy to explain procedures, equipment, and your orthodontic options so you know exactly what is going on during treatment. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is called radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are many different types of dental X-rays used in orthodontics, including:

• Occlusal X-rays, which show the entire arch of teeth in the upper or lower jaw.
• Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
• Cephalometric X-rays, which show the patient’s entire profile, and the position and development of the teeth and jaws.
• Cone Beam Computed Tomography, an external device which uses digital images to create a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

You might have noticed that these X-rays, unlike, for example, typical bitewing X-rays, don’t take images of individual teeth. That is because orthodontists deal with the teeth in relationship to each other and to the structures around them.

Beautifully aligned teeth and a healthy bite are the visible result of your orthodontic work, but there’s a lot going on above and below the surface that needs to be discovered and taken into account before your treatment even begins. X-rays help us evaluate:

• The size, shape, and position of your teeth, including impacted teeth and wisdom teeth
• The size, position, and health of your roots throughout treatment
• The size and shape of your jaw bones, and how they affect your teeth alignment and bite
• Your progress during different phases of treatment

How Do Orthodontists Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a typical panoramic X-ray provides roughly the same amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Dr. Cassy Wiggins and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

• We take X-rays only when they are necessary.
• We provide protective gear, such as apron shields and thyroid collars, whenever needed.
• We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
• When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

• You are changing orthodontists and have had previous orthodontic X-rays taken. Ask to have your older X-rays sent to our office so we have a complete record of your orthodontic history. (With digital X-ray technology, this transfer can be accomplished with e-mail!)
• You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play an important part in helping us make sure your orthodontic treatment provides you with a lifetime of beautiful and healthy smiles. If you have any concerns, contact our Parker, CO office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!