It’s something you think about often—especially when you look in a mirror or at a photo of yourself. You wish something could have been done about it a long time ago. But now you think you’re too old to correct your misaligned teeth—your “crooked” smile.
Actually, you can transform your smile through orthodontics, whatever your age. Millions of your peers have done just that—currently, an estimated one in five orthodontic patients is an adult.
If orthodontics isn’t right for you it won’t be because of age, but most likely the condition of your gums and underlying bone or your overall health. That first factor is extremely important: if you’ve lost a significant amount of bone due to periodontal (gum) disease, there may not be enough to support the force of moving the teeth during orthodontics.
Health conditions like severe heart-valve disease, uncontrolled diabetes or drugs to treat arthritis or osteoporosis can also make tooth movement difficult. And, if you have restricted saliva flow (dry mouth), wearing orthodontic devices could be uncomfortable and increase your risk of tooth decay.
If, however, your mouth and body are reasonably healthy (and you don’t have a difficult bite problem to correct), there’s no reason why you can’t undergo orthodontic treatment. The only other thing that might hold you back is concern over your appearance during treatment. Many adults balk at the possible embarrassment of wearing metal braces “at their age.”
If this is a concern, you may have an alternative: clear aligners. These are a series of computer-generated clear plastic trays that conform to the individual contours of your teeth. Each tray is slightly different—you wear one for a short period of time (usually two weeks) before moving on to the next tray to successively and gradually move your teeth. They’re nearly invisible to others and, unlike fixed metal braces, you can take them out for a rare special occasion.
The only way you’ll know whether correcting your misaligned teeth is a viable option is to undergo a full orthodontic evaluation. From there we can help you decide if and how you want to gain a straighter, more attractive smile.
If you would like more information on adult orthodontics, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”
Each November, the American Cancer Society urges smokers to kick the habit for just one day, because if you can quit for one whole day, you can quit for another whole day. Put enough whole days back to back and you’re no longer a smoker!
According to the U.S. Centers for Disease Control, cigarette smoking is the leading preventable cause of death in the United States. It harms nearly every organ of the body, causing lung disease, heart disease and diabetes, as well as cancer of the lung, kidney and bladder.
Smoking also causes problems in your mouth. Aside from the more obvious problems of bad breath and yellowed teeth, smoking raises the risk of cancer of the mouth and throat. It can increase the buildup of plaque and tartar, which can lead to cavities and gum disease. Smoking interferes with healing, so treatments may not work as well. The majority of smokers have gum disease and they are more likely to lose teeth from advanced gum disease.
Quitting isn’t easy, but it’s the best thing you can do for your health. Who wouldn’t want fresher breath, younger-looking skin and a better sense of taste and smell?
Even for people who have smoked for a long time, the effects of smoking start to reverse themselves when you quit. Your heart rate, blood pressure and carbon monoxide levels in the blood return to normal shortly after quitting. Studies are showing that in just one year, the risk for heart disease is cut in half. 10 years later the risk of oral cancer is about equal to that of a nonsmoker. In 15 years, the risk of heart disease is the same as for a nonsmoker.
Need help quitting? Talk with your dentist or doctor. You can also visit the American Cancer Society website. If you have any questions about smoking and oral health, please contact our office or schedule a consultation. To learn more, read the Dear Doctor magazine article “Strategies to Stop Smoking.”
Ever since childhood, when her career as a model and actress took off, Brooke Shields has enjoyed worldwide recognition — through advertisements for designer jeans, appearances on The Muppet Show, and starring roles in big-screen films. But not long ago, that familiar face was spotted in an unusual place: wearing a nasal anesthesia mask at the dentist's office. In fact, Shields posted the photo to her own Instagram account, with the caption “More dental surgery! I grind my teeth!” And judging by the number of comments the post received, she's far from alone.
In fact, researchers estimate that around one in ten adults have dental issues that stem from teeth grinding, which is also called bruxism. (Many children also grind their teeth, but it rarely causes serious problems, and is often outgrown.) About half of the people who are teeth grinders report problems like persistent headaches, jaw tenderness and sore teeth. Bruxism may also result in excessive tooth wear, and may damage dental work like crowns and bridges; in severe cases, loosened or fractured teeth have been reported.
Researchers have been studying teeth grinding for many years; their findings seem to indicate that it has no single cause. However, there are a number of factors that play a significant role in this condition. One is the anatomy of the jaw itself, and the effect of worn or misaligned teeth on the bite. Another factor relates to changes in brain activity that occur during the sleep cycle. In fact, nocturnal (nighttime) bruxism is now classified as a sleep-related movement disorder. Still other factors, such as the use of tobacco, alcohol and drugs, and a high level of stress or anxiety, can make an individual more likely to experience bruxism.
What can be done for people whose teeth grinding is causing problems? Since this condition may have many causes, a number of different treatments are available. Successful management of bruxism often begins by striving to eliminate the factors that may cause problems — for example, making lifestyle changes to improve your health, creating a soothing nighttime environment, and trying stress-reduction techniques; these may include anything from warm baths and soft music at bedtime, to meditation and mindfulness exercises.
Several dental treatments are also available, including a custom-made occlusal guard (night guard) that can keep your teeth from being damaged by grinding. In some cases, a bite adjustment may also be recommended: In this procedure, a small amount of enamel is removed from a tooth to change the way it contacts the opposite tooth, thereby lessening the biting force on it. More invasive techniques (such as surgery) are rarely needed.
A little tooth grinding once in a while can be a normal response to stress; in fact, becoming aware of the condition is often the first step to controlling it. But if you begin to notice issues that could stem from bruxism — or if the loud grinding sounds cause problems for your sleeping partner — it may be time to contact us or schedule an appointment. You can read more about bruxism in the Dear Doctor magazine article “Stress and Tooth Habits.”
October brings fall leaves, pumpkins — and National Dental Hygiene Month. As you change your summer clothes for a fall wardrobe, it may also be time to change your toothbrush for a new one. The American Dental Association (ADA) recommends replacing your toothbrush every three to four months. If that sounds like a lot, just think: This small but very important tool gets a lot of use!
If you brush your teeth twice a day for two minutes each time as recommended by the ADA, that’s two hours of brushing action in one month. Three to four months of twice-daily brushing makes for six to eight hours of brushing time, or a couple hundred uses. This is all an average toothbrush can take before it stops doing its job effectively.
Toothbrush bristles are manufactured to have the right amount of give, tapering, and end-rounding for optimal cleaning. When new, a toothbrush can work its way around corners and between teeth to remove dental plaque. Old bristles, however, lose the flexibility needed to reach into nooks and crannies for a thorough cleaning. Worn bristles may curl, fray or break — and can scratch your gums or tooth enamel. A toothbrush with stiff, curled bristles does not leave your mouth feeling as clean. This may lead to brushing too often or too hard, which is bad for your gums.
A good rule of thumb is to replace your toothbrush every season — unless you see signs that you need a new one sooner. For example, if you wear braces, you may have to replace your toothbrush more frequently since brushing around braces puts more wear and tear on the brush.
For healthy teeth and gums, make sure your primary oral hygiene tool is in tip-top shape. Taking care of the little things now can avoid inconvenient and expensive dental problems later. Don’t forget to schedule regular professional dental cleanings, and be sure to ask if you have any questions about your dental hygiene routine at home. To learn more about the importance of good oral hygiene, read “Daily Oral Hygiene: Easy Habits for Maintaining Oral Health” and “Dental Hygiene Visit: A True Value in Dental Healthcare” in Dear Doctor magazine.
You’ve invested a lot of time and money in orthodontic treatment to improve your smile. If you’re not careful, though, your teeth could actually move back to their old positions. The reason why is related to the same natural tooth-moving mechanism we use to straighten teeth in the first place.
Teeth are held in place by an elastic, fibrous tissue called the periodontal ligament lying between the teeth and the jawbone and attaching to both with tiny collagen fibers. The periodontal ligament allows for incremental tooth movement in response to pressure generated around the teeth, as when we chew (or while wearing braces).
Unfortunately, this process can work in reverse. Out of a kind of “muscle memory,” the teeth can revert to the older positions once there’s no more pressure from the removed braces. You could eventually be right back where you started.
To avoid this, we have to employ measures to hold or “retain” the teeth in their new positions for some time after the braces come off. That’s why we have you wear a dental appliance called a retainer, which maintains tooth position to prevent a relapse. Depending on what’s best for your situation, this could be a removable retainer or one that’s fixed to the teeth.
Patients typically wear a retainer around the clock in the immediate period after braces, and then eventually taper off to just nighttime wear. Younger patients must wear one for several months until the new teeth positions become more secure and the chances of a rebound diminish. For older patients who’ve matured past the jaw development stage, though, wearing a retainer may be a permanent necessity to protect their smile.
Retainer wear can be an annoyance, but it’s an absolute necessity. Think of it as insurance on your investment in a new, more attractive smile.
If you would like more information on improving your smile through orthodontics, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “The Importance of Orthodontic Retainers.”
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