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Proper oral hygiene techniques are always worthwhile, but they are especially crucial when you’re wearing orthodontic appliances such as braces. When you don’t maintain an effective oral hygiene routine, you can be more susceptible to gum disease as well as tooth decay, cavities, decalcification, discoloration, and/or staining of the teeth.

Braces themselves don’t cause these issues, but since they create spaces that are difficult to clean, they provide extra sources of food (dental plaque and food debris) for the bacteria that do. Bacteria create a biofilm on the surface of a tooth that can spread if not addressed. That bacteria food can only be removed by a mechanical action: brushing and flossing your teeth!

Here’s a list of smart hygiene steps to follow for the duration of your braces treatment:

Proper tooth brushing technique: Make sure to brush your teeth thoroughly (for a total of about two minutes), but not too hard. Point the head of the toothbrush at the gum line and brush just hard enough so that you feel slight pressure against the gums. Use a soft, small-headed toothbrush or an electric toothbrush if you’d like. Try your best always to clean on and around every tooth, bracket, and wire in your mouth!

Flossing: Braces can make flossing a chore, but it’s an essential adjunct to proper tooth brushing. Make sure to floss between all your teeth and brackets. Drs. Rodriguez, Stewart, and Riboul can provide you with braces floss threaders and interproximal toothbrushes (small brushes used to clean areas under wires and between brackets) to make the task easier. You might also consider purchasing an oral irrigator that uses a stream of water to blast food particles and debris from between teeth and gums.

Rinse with water: This may sound slight, but it’s a good idea, especially if you aren’t able to brush. Rinsing your mouth with water throughout the day helps to dislodge the decay-causing food particles that become lodged in braces.

Hygiene away from home: It’s a good idea to have a kit with a toothbrush, floss, floss threaders, mirror, and small water cup on hand at school or work. That way, you’ll be sure to have all the tools you need to keep your mouth clean.

Regular professional cleanings: As always, it’s best to visit your dentist regularly to verify everything in your mouth is in order and your oral hygiene routine is effective. Twice a year is sufficient, unless the dentist recommends more frequent visits.

It's vital to keep your teeth and gums clean during your braces treatment, and that requires your care and attention. If feel like you need help with any of the techniques above, a member of our Miami team can demonstrate them for you!

The grownups in your life encourage you to brush and floss, eat healthy foods, and visit us in the dental office for exams and cleanings. Why? Because we all want to help you prevent cavities.

So you might be wondering, just what are cavities? How do we get them? What do they do to our teeth? How can we prevent them? Let’s talk!

Our teeth need to be strong to bite and chew. That’s why they are protected by a coating called enamel, which is made up of very hard minerals. Enamel is the strongest part of our bodies—stronger even than our bones. But this doesn’t mean nothing can hurt it! And cavities, also called tooth decay, are one of the most common dangers facing our enamel.

So, what are cavities?

A cavity is a hole in your tooth enamel. If your tooth is not cleaned and repaired when a cavity is small, this hole can grow bigger until tooth decay reaches the inside of your tooth. Enamel doesn’t heal when it’s damaged, so you need to see a dentist to make your tooth healthy again.

How do we get cavities?

Bacteria are tiny little germs. Many kinds of bacteria live in our bodies, and some of them are quite helpful. The bacteria that cause cavities are not. These unhelpful bacteria join with our saliva and very small pieces of the food we’ve chewed to make a sticky film called plaque.

Like other living things, the bacteria in plaque need food. They get that food from the foods we eat, especially sugars and starches. As they eat, they change these sugars and starches into acids, and these acids attack the minerals that keep enamel hard and strong.

Because plaque sticks to our teeth, bacterial acids are able to make weak spots in enamel if the plaque isn’t brushed away. If you see a white spot on your tooth, which could mean that your enamel is losing minerals, and getting weaker.

What do cavities do to our teeth?

Over time, weak spots can grow bigger until there’s a hole in the enamel surface. If the cavity in your enamel is small, you might not notice it at first. But cavities can become wider and deeper, and even break through enamel to reach the inside of your tooth.

The inside of each tooth holds pulp, the part of your tooth that keeps it healthy. If tooth decay spreads to the pulp, it can cause more damage and infection, so it’s important to treat a cavity right away.

Dark spots on your enamel, a toothache, pain when you drink something hot or cold or when you bite down—these can be clues that you have a cavity, and you should visit us for an exam.

How can you prevent cavities?

Even better than treating a cavity is preventing one. Let’s make a list of some helpful do’s and don’ts for cavity prevention:

• Do: Feed yourself foods that are good for you.

Foods like milk and cheese and many dark green vegetables have lots of calcium and vitamin D to help keep your enamel strong.

• Don’t: Feed bacteria foods that are good for them.

Sugar and simple starches like potato chips are the kinds of foods bacteria like best, because they are easy to break down. This means more acids to attack your enamel.

This doesn’t mean you should never enjoy a treat! But eating lots of starchy snacks and drinking sugary sodas means more plaque, and more plaque can mean more cavities. If you’re eating something starchy or sweet, it’s a good idea to brush or rinse afterward.

• Do: Brush at least twice a day, for at least two minutes, with fluoride toothpaste.

This is the best way to get rid of plaque, which builds up every day. And fluoride toothpaste even helps make your enamel stronger.

• Don’t: Forget to floss.

Flossing takes a while to learn to do well, but it’s very important. Flossing helps prevent cavities between the teeth and near the gums.

• Do: Visit our Miami office for exams and cleanings.

Not only will we look for cavities, we’ll let you know the best way to brush and floss so you can get your teeth their cleanest. We even have special coatings called sealants that can protect your teeth from plaque.

• Don’t: Feel bad if you get a cavity!

Some people are more likely to get cavities than others, even when they brush just right and eat healthy foods. If you have a cavity, we can remove decay and repair your tooth with a filling.

And one last thing to do: talk to Drs. Rodriguez, Stewart, and Riboul if you have any questions about the best ways to protect your teeth from cavities. We have lots of suggestions to help you take care of your healthy, beautiful smile!

Drs. Rodriguez, Stewart, and Riboul and our team know it can be a challenge to get our children to brush, brush well, and brush often. Here are some tips that can help you keep those beautiful little teeth healthy.

Make it Fun, Make it a Habit!

We should all brush twice a day. The most important time to brush is at night before bed. When we sleep, our saliva production decreases, and this creates an environment for oral bacteria to cause greater destruction to our teeth and gums. Brushing should last at least two minutes, followed by flossing and mouthwash if you choose.

Here are some ideas to make this nightly ritual more entertaining.

• Set a good example. Brush your teeth with your children and make it fun! Pick a song to play while brushing.
• Make it a race to the bathroom to see who can get their toothbrush and floss ready. But don’t make it a race to finish; make sure brushing lasts at least two minutes.
• Try using a sticker sheet. For every night your children brush well, give them a sticker. (Be sure to check their work.) After a certain number of stickers, they earn a reward. Let them pick the reward! As the child improves at brushing every night without reminders, you can wean her or him from the reward.
• SPECIAL TIP: Let your child check your brush work!

As parents, we should help our children make health and wellness something to take pride in. Be gentle with your children when they make mistakes, whether forgetting to brush or maybe developing a cavity. Tell them even our team at Little Stars Dentistry of Miami Shores gets cavities. Thankfully, there is always room for improvement. Happy brushing!

Analyzing strong points, looking for potential problems, making comparisons—it’s bracketology time! Nope, not basketball (although we hear they have something similar), but a brief analysis of your orthodontic options when it comes to choosing a winning bracket.

If you’re getting braces, you’re probably already familiar with how they work—brackets are bonded to the teeth to hold an archwire, which provides gentle, controlled pressure to move the teeth into alignment. But within that basic bracket-and-wire system, there are several different bracket designs available to you at our Miami orthodontic office. Let’s see what the scouting report has turned up on our final four, pointing out their distinct advantages as well as some potential mismatches.

Traditional metal brackets

Advantages:

• Traditional braces with metal brackets are effective for more than just straightening teeth. They can be used to correct rotated teeth, differences in tooth height, and bite problems. For severe bite and alignment problems, traditional braces are most often the right choice.
• Metal construction makes these brackets able to handle the controlled pressure needed to treat serious malocclusions.
• Cost-effective. These are usually the least expensive option.

Potential Disadvantage:

Clear/Ceramic Brackets

Advantages:

• Lack of visibility! Whether you go for clear brackets or brackets tinted to match your enamel, you’ll be keeping a low-profile with this choice.
• Stronger and more stain-resistant than ever before, using the latest in ceramic, porcelain, or plastic materials.

Potential Disadvantages:

• Not as durable. Unlike metal, these clear brackets can crack or break. If you play a contact sport, these might not be for you.
• Some ceramic brackets are larger than other choices, so might be recommended only for the top teeth.
• Clear or tinted brackets can be more expensive.

Self-Ligating Brackets

Advantages:

• These brackets use a clip or trapdoor mechanism to hold your archwire without the need of bands. Ceramic options are available if you want an even more discreet appearance.
• Can be more comfortable with less friction between wire and bracket.

Potential Disadvantages:

• Self-ligating braces are generally more expensive.

Lingual Braces

Advantages:

• Lingual braces use metal brackets, but they attach to the back of each tooth for almost invisible bite correction.
• Custom-made. Lingual brackets can be designed and fabricated to fit your individual teeth perfectly.

Potential Disadvantages:

• Trickier to clean because of their placement behind teeth.
• Might not be suitable for a deep bite if there’s not enough clearance between top and bottom teeth.
• Initial discomfort caused by the tongue’s contact with the braces when you speak and eat.
• Custom-made brackets are more expensive.

So that’s a brief rundown of your bracket choices. But, unlike sports bracketology, there are no losers here! Drs. Rodriguez, Stewart, and Riboul can give you the pros and cons of each bracket design, so you can make an informed decision based on the kind of braces which will work best for you. With coaching like that, no matter which bracket option you choose, the final result is the same—a winning smile!