Oral Hygiene

BRUSHING & FLOSSING

The best way to ensure a clean and healthy smile is brushing and flossing. Food particles can accumulate on teeth and in braces, and over time, turn into plaque. The bacteria that results from this accumulation can lead to gum disease, tooth decay and even loss of teeth. To avoid these problems while you are in orthodontic treatment, take special care of your braces, teeth and gums to ensure you will have the best possible result.

BRUSHING
Use a toothbrush with soft bristles and a small strip of fluoride toothpaste. When you brush your teeth, move the brush in small, circular motions to reach food particles that may be under your gum line. Hold the toothbrush at an angle and brush slowly and carefully, covering all areas between teeth, between braces and the surface of each tooth. It will take you several minutes to thoroughly brush your teeth. Brush up on the lower teeth, down on the upper teeth and the outside, inside and chewing surface of your front and back teeth. Brush your tongue and the roof of your mouth before you rinse.

Especially during orthodontic treatment, brush your teeth four times daily to avoid the accumulation of food particles in your teeth and braces:

In the morning after breakfast
After lunch or right after school
After supper
At bedtime
You will need to replace your toothbrush more often due to your appliances. As soon as the bristles start to wear down or fray, replace your toothbrush with a new one. It may be difficult for your toothbrush to reach some areas under your archwire. Do not swallow any toothpaste; rinse your mouth thoroughly with water after you finish brushing. It is important to floss and use an antibacterial mouthwash and fluoride treatment throughout your orthodontic treatment and beyond for optimal oral hygiene.

FLOSSING
For areas between the teeth that a toothbrush can’t reach, use dental floss to remove food particles and plaque. Flossing takes more time and patience when you are wearing braces, but it is important to floss your teeth every day.

Use the reusable floss threader provided by our office to floss under your archwire daily. Pull a small length of floss from the dispenser through the threader and slide it up and down along the front of each tooth. You will be able to feel when the tooth is clean and hear the squeak of the floss against your clean teeth. Use care around your archwire and do not floss too forcefully around it or put too much pressure on it. After you floss between your archwire and braces, floss between your other teeth and gums.

If you are flossing without the floss threader, pull a small length of floss from the dispenser. Wrap the ends of the floss tightly around your middle fingers. Guide the floss between all teeth to the gum line, pulling out food particles or plaque. Unwrap clean floss from around your fingers as you go, so that you have used the floss from beginning to end when you finish. Floss behind all of your back teeth.

Floss at night to make sure your teeth are clean before you go to bed. When you first begin flossing around your braces, your gums may bleed a little. If the bleeding does not go away after the first few times, inform a staff member at your next appointment.

ORAL HYGIENE

Interdental Toothbrush
A Proxabrush is an interdental (between the teeth) toothbrush that you may use to clean underneath and around your wires and braces. Use the Proxabrush gently to avoid damaging your wires. The Proxabrush will help you to clean your braces while maintaining healthy teeth and gums.

Antibacterial Mouthwash
Peroxyl, a hydrogen peroxide antiseptic mouth rinse, will reduce inflammation to your gums and cheeks. Peroxyl helps to prevent infection and decrease irritation that may develop from your braces. Rinse your mouth with two teaspoons of Peroxyl (half a capful) for one minute and then spit it out. You may use Peroxyl up to four times daily following your schedule for brushing: after meals (or after school) and before bed. Just like using peroxide for a scrape on your skin, Peroxyl helps the inside of your mouth heal. Peroxyl can be used for general irritation caused by your braces or for canker sores, cheek bites and other minor temporary injuries to the gums.

Topical Fluoride
Phos-Flur is a sodium fluoride gel that helps prevent tooth decay while you are wearing braces by killing bacteria and replacing minerals in tooth enamel that have been exposed to harmful acids. The use of Phos-Flur does not replace daily brushing and flossing but should be done following your daily schedule at bedtime. Place a small strip of Phos-Flur on a toothbrush and apply it to your teeth for one minute and spit it out. You may not eat or drink for 30 minutes after you use Phos-Flur. It is important for the active ingredient to stay on your teeth for 30 minutes, so do not wash it away by eating or drinking.

Cleaning Your Removable Appliance
Brush your removable appliance every day as a part of your regular brushing and flossing schedule. Because food particles and plaque can accumulate on your appliance just as they do on your teeth, soak the appliance daily. Dissolve a Polident, Efferdent or other denture-cleaning tablet in a glass of tap water at room temperature and soak your appliance once every day. Your appliance will taste better, and you will prevent plaque and bacterial accumulation.

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First Visit

We are always excited about meeting new patients during their first visit to our office. Your initial appointment will consist of a thorough examination and a discussion of potential treatment options. This important visit will give us insight into your orthodontic needs. Please visit this website Here:

During the initial examination for each patient, Dr. King will address the following questions that cover the basics of orthodontic treatment. We encourage you to ask questions as well.braces and invisalign

Is there a condition that orthodontics can address?
Is treatment needed now, or should treatment be delayed until
appropriate growth, tooth eruption or other factors have occurred?
What treatment procedures will be used to correct the problem?
Do any permanent teeth need to be removed?
How long will treatment take?
How much will it cost?
What are my payment options?

While we can often answer these general questions about treatment during the initial examination, we will address specific areas after careful analysis of the diagnostic records. We feel it is important to analyze each patient’s specific needs, because in-depth planning leads to superior results and higher patient satisfaction.

Following the initial visit, if Dr. King finds the need for treatment, then you will be scheduled for diagnostic records. Diagnostic records include
X-rays, photos and impressions for study models and are necessary for developing the appropriate treatment plan.

We will then schedule a consultation visit to discuss treatment options, time frames and financial arrangements. We insist that our patients leave the office with a clear understanding of their specific needs, what the treatment will consist of and how long it will take. Also, we will answer any additional questions.

Please assist us by providing the following information at the time of your first visit:

Any panoramic X-ray taken within the past six months.
If you have orthodontic insurance, bring your insurance card. By providing this information at the first visit, we will be able to give you an estimate of your costs. See more here

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Common Signs that You May Need Braces

Braces can correct a number of cosmetic and functional dental issues. For a list of common signs that you may need braces, read on:

Crooked Teeth

The most obvious sign that you need braces is a visible malocclusion, commonly known as crooked teeth. This is more than just a cosmetic problem: It can be difficult to keep overlapping teeth clean and poor dental hygiene leads to oral issues such as cavities. Fortunately, braces can be used to fix everything from a mildly crooked smile to teeth that are so far out of alignment that they are growing out of the gum improperly. There is a form of braces available to fix every type of malocclusion, no matter what the problem might be.

Improper Bite

An even more serious problem than crooked teeth is an improper bite, of which crooked teeth may actually be an indicator. A normal bite will align so that the molars meet in a straight line and the top front teeth come down slightly over the bottom teeth when the mouth is at rest. If your bite is not configured like this, serious problems in chewing and speaking may occur.

Jaw Pain

An improper bite can contribute to temporomandibular joint disorder, commonly known as TMJ. This condition is a direct result of a poor bite: Because the jaw is out of alignment, the jaw muscles have to compensate, which can place undue strain on them and cause pain and stiffness. This can also cause the teeth to wear down faster and more unevenly.

If you think that you could benefit from braces, contact King Orthodontics in Durham, North Carolina. We provide a number of different braces systems, including Invisalign and Damon braces. For more information, call us today at (919) 246-4433.

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