Good Breath Gone Bad - Dr. Roy D. McAnnally

Bad breath can be a real downer, especially when you are out on a date with that girl or boy you’ve had a crush on all semester! However, bad breath can be prevented!

Bad breath, or as your doctor may call it “halitosis,” is caused by odor-producing bacteria that grows in your mouth. This bacteria gathers on bits of food in your mouth and between your teeth and braces and release sulfur compounds making your breath smell. Some foods, like garlic and onions, may contribute more to bad breath because of oils the food the food releases, and smoking is also a major cause of bad breath.

There are several myths around bad breath. Here are some common myths and the truth behind it all:

Myth #1: Mouthwash will make my breath smell better

Mouthwash will make your breath smell better, but it is only a temporary fix. If you use mouthwash, just know that you will still need to brush and floss when you get the chance as mouthwash alone will not kill all of the bacteria producing germs in your mouth. When choosing a mouthwash, pick an antiseptic with plaque-reducing compounds. Also make sure any dental products you choose comes with the American Dental Association’s (ADA) seal of approval!

Myth #2: I brush my teeth; I will never have bad breath

Brushing your teeth will save you from having breath, but the truth is most people only brush their teeth for about 30-45 seconds! You need to brush your teeth for at least 2 minutes, twice a day to give your teeth a thorough cleansing. It’s also important to brush your tongue, which is where a majority of odor causing bacteria like to hang out. Lastly, flossing to remove food and plaque between the teeth will also help reduce your chances of having bad breath!

Myth #3: If I don’t smell it, then my breath is fresh

This is a false assumption in every sense of the word! The truth is that the breath you breathe out is not the same breath coming out when you talk to someone. When you breathe you are not using your throat as you do when you are talking; and when you talk more breath moves over the back of your mouth where bacteria is causing bad breath.

#1 TRUTH: Brush your teeth twice a day (for at least 2 minutes), floss at least once and visit your dentist every six months…this way your breath will always be fresh! Not letting your nerves get the best of you on your date? That’s up to you!!!

Now That I Have Braces, What Can I Eat? - Dr. Roy McAnnally

You just got braces and the orthodontist has informed you that over the next several months you will want to avoid eating anything sticky, hard, crunchy, or chewy. What does this leave for you to eat? Lettuce? Nothing?

Luckily, there was someone else wondering the same thing when she first got braces! Brenda Waterman, 13, decided she was going to find a way to have her cake and eat it too, so she created a variety of “braces-friendly” recipes that allow you to enjoy your favorite treats without interfering with your orthodontic care! Her cookbook, “The Braces Cookbook: Recipes you (and your Orthodontist) will Love,” gives patients a variety of delicious recipes, safe to eat with braces; plus additional tips and advice for packing lunches, what to eat at parties, and braces-friendly restaurant dishes! There’s even a section with tips for dealing with the soreness that can occur when your braces or appliance are adjusted. Enjoy the foods you love – even with braces!
Here is a delicious, sneak peek recipe from “The Braces Cookbook:”

Wonderful Waffles

Forget the recipe that came with your waffle iron – this recipe will redefine fluffy, melt-in-your-mouth goodness. The secret to delicious waffles is letting the batter "sit" for five minutes before pouring into the waffle iron. Top cooked waffles with syrup, jam, fresh fruit or even whip cream. Makes about 5 servings!

Preheat your waffle iron according to the directions. You may want to lightly spray it with vegetable oil before heating.
• 3 cups flour
• 2 Tbl + 2 tsp baking powder
• 1 tsp salt
• 2 Tbl sugar
• 4 cups milk
• 4 eggs
• 1/2 cup vegetable oil
In a large bowl, whisk (or use electric mixer on low) together all ingredients. Let batter sit for about five minutes to activate the baking powder.

When waffle iron is ready, pour about 1/3 cup of batter onto each of the four squares (experiment with your iron – you don't want the batter overflowing). Gently close the cover and set your timer as the manufacturer suggests. Do not lift the cover while they bake. When done, carefully lift one edge with a flat spatula and pull the waffle away from the iron. Keep waffles warm on a plate under a clean dishtowel while the others bake.

Understanding Cavities - Dr. Roy D. McAnnally

One word nobody wants to hear when they visit the dentist is Cavity! That’s right, the dreaded cavity; but what exactly is a cavity and how do they happen? A cavity is a hole that develops in a tooth when the tooth begins to decay. It’s important to get a cavity filled as soon as it’s detected so that it does not grow bigger.

So, what causes a cavity? A cavity is caused by plaque, a sticky substance that forms on the tooth as a result of germ and bacteria build-up. Plaque is acidic and as it clings to your teeth the acids eat away the outside of the tooth (also called the enamel) and a hole is formed.

Yes, cavities can be repaired by your dentist, but here are a few simple steps you can take to prevent cavities:

• Brush your teeth with fluoride toothpaste at least twice daily
• Gently brush your gums to keep them healthy (when choosing a toothbrush it is recommended to use soft bristles)
• Floss your teeth at least once a day to remove plaque and food that may be caught between the teeth and braces where your toothbrush can’t reach
• Limit the amount of soda and sugary treats you eat/drink
• Be sure to visit your dentist every six months for a teeth cleaning and check-up

Fluoride Is Your Friend!

There are so many ways you protect your teeth throughout your orthodontic treatment. You brush your teeth twice a day, floss regularly and protect your mouth and appliances from being damaged. But did you know there is another, often forgotten about, way to keep your teeth clean and healthy during your treatment? Fluoride – a mineral that helps prevent cavities and tooth decay – can help keep your teeth strong! Fluoride comes in two varieties, topical and systemic. Topical fluoride is applied directly to the tooth. Topical fluoride includes toothpastes and mouth rinses. Systemic fluorides are swallowed in the form of a dietary supplement. Dentists and orthodontists use in-office fluoride treatments to help protect the oral health of adults and children undergoing dental/orthodontic procedures.

Fluoride used in our office is often times a stronger concentration than in toothpaste or mouthwash, but is available at some drug stores or a pharmacy (ask your doctor how to purchase professional strength fluoride). A fluoride treatment typically takes just a few minutes. After the treatment patients may be asked not to rinse, eat or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or doctor’s recommendation, you may be required to have a fluoride treatment every three, six or 12 months. Your doctor may also prescribe a fluoride product such as mouthwashes, gels or antibacterial rinses for at-home treatment.

When choosing your own fluoride product be sure to check for the American Dental Association’s (ADA) seal of acceptance. Products marked with the ADA seal of approval have been carefully examined and have met the criteria of the ADA for safety and effectiveness. Take care of your teeth, and smile bright!

Gum Disease Can Sneak Up on You

It’s easy to tell when you have a cavity; but unfortunately, gum disease can exist in your mouth without you even knowing. In fact, you can have the beginning stages of gum disease without noticing any pain or discomfort. Since gum disease can be undetectable, it’s important to watch for warning signs in order to prevent the disease from worsening!

Signs to watch for:

• Gums that appear red or swollen
• Gums that feel tender
• Gums that bleed easily (during brushing or flossing)
• Gums that recede or pull away from the teeth
• Persistent bad breath
• Loose teeth
• Any change in the way teeth come together in the biting position
• Any change in the way partial dentures fit

If you or someone in your family is showing these signs, make an appointment right away by calling 1-800-NO-BRACES. We can diagnose the problem and begin treatment to save your teeth and give you back a healthy mouth!

Regular Checkups Are Important!

Are you brushing your teeth twice a day? If yes, that’s great, but don’t forget that it’s also important to visit the dentist every six months in addition to your usual orthodontic visits. Regular dental checkups are important for maintaining good oral health. Your dentist can:

• Check for problems that might not be seen or felt
• Detect cavities and early signs of decay
• Treat oral health problems early
• Show you how to properly brush and floss your teeth

During an oral exam the doctor will check the health of your mouth, teeth, gums, cheeks and tongue. Checkups will also include a thorough teeth cleaning and polishing. If you have not been to the dentist in the last six months, it’s time for you to schedule an appointment!

Are There Teeth Grinders in Your House?

Grind, grind, grind, grind. If you live with a teeth grinder, especially a night grinder, you may be familiar with this unpleasant sound. Other symptoms of teeth grinding (technically called “bruxism”) include:

• Sensitivity in the teeth
• Tightness or pain in the jaw
• Dull headaches, earaches, or facial pain
• Chipped, worn down, or loose teeth

People frequently grind their teeth in response to stress, so taking measures to reduce or eliminate stress can help solve the problem. Here are some things you can try to stop grinding:

• Cut back on caffeine and alcohol
• Drink plenty of water to avoid dehydration
• Relax right before bedtime with a warm bath or shower
• Help your jaw learn to relax by quitting any chewing habits (pens, pencils, gum)
• When clenching or grinding happens during the day, place your tongue between your teeth to serve as a reminder to avoid the habit

If grinding goes untreated, it can lead to chipped teeth, worn enamel, chronic pain, or even TMJ, a painful jaw disorder. If the teeth-grinder in your house can’t stop, make an appointment to see us by calling 248-647-0696. Dr. McAnnally can help determine the cause of the problem and possibly even prescribe a custom mouthpiece to help break the habit.

Moooooove Over Gum Disease!

Is dairy a major part of your diet? If not, it should be! A recent study from the American Academy of Periodontology (AAP) has found that regular consumption of dairy products, such as milk, cheese and yogurt, can lower your chances of contracting periodontal disease (also known as gum disease).

Gum disease is caused by a bacterial infection in the mouth that affects the gums and jaw. Gum disease results in a loss of teeth and bone, and has been connected to certain cases of heart disease, stroke, diabetes, respiratory disease and osteoporosis.

Results of the study show that adults who consume at least 55 grams of lactic acid a day are less at risk for gum disease. Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth. Next time you reach for a quick snack, choose some cheese, or a glass of milk, and remember with each bite, and every sip you are preserving your teeth for a lifetime of smiles and good oral health!

For more information about keeping your teeth healthy, call us at 248-647-0696 or visit www.mcannally.com.

When is Thumb-sucking a Cause for Worry?

Lots of you have asked us about whether it’s healthy for children to suck thumbs (or, less frequently, fingers). If you’ve got a thumb-sucker in the house, you are not alone. Research tells us that between 75% and 95% of infants suck their thumbs. Is this anything to worry about?

In most cases, no. Sucking is a natural reflex for an infant, and can provide security and contentment as well as relaxation for your little one. It’s a habit that most children grow out of between the ages of 2 and 4.

However, if your child keeps sucking after he’s gotten his permanent teeth, it’s time to take a closer look. If your child sucks his thumb aggressively, putting pressure on the inside of his mouth or his teeth, it could cause problems with tooth alignment and proper mouth growth. If you’re worried, give us a call at 1-800-NO-BRACES and we will help assess the situation, and provide tips for how to help your child break the habit.

Toothbrush Trivia!

People have been brushing their teeth for thousands of years! In fact, the first “toothbrush” was created around 3000BC! Ancient civilizations used a thin twig with a frayed edge to rub against their teeth for cleaning.

The first toothbrush with bristles – similar to today’s toothbrushes – was invented in 1498 in China. Brushes were made out of bone or bamboo with bristles made from the hairs on the back of a hog’s neck.

It wasn’t until 1938 that the first nylon bristle toothbrush was introduced and people quickly became aware of practicing good oral hygiene.

Here are some other interesting facts about your toothbrush (and toothpaste):

• Most people are said to use blue toothbrushes over any other color
• The first toothpaste was used in 500 BC in China and India
• On average, children smile about 400 times per day
• Your toothbrush should be replaced every two months
• The first known toothpaste was used in 1780, Crest was introduced in the US in 1955 and Colgate in 1873

When Are Two Phases of Treatment Necessary?

Usually patients in orthodontic treatment already have their permanent teeth – they are pre-teens, teens and adults. But in some cases we have to start treatment earlier, even before the patient’s permanent teeth come in. We call this “two-phase treatment.”

When we have patients with clear developmental problems at an early age, it’s best to start work when they are young, before the problems get bigger and more difficult to treat. Examples include an upper or lower jaw that is not growing correctly, or a mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in, or what we call a “severe malocclusion” (the orthodontic word for “bad bite” which means the jaws don’t fit together correctly).

In these cases we will start early and do one round of treatment – phase one – while the patient still has “baby teeth.” Phase one usually does not involve braces, but can include a different type of appliance that helps the jaw grow into place properly. We’ll follow up with phase two usually a few years later, when permanent teeth are in place. Generally phase two involves standard braces.

In order to catch any early problems, we recommend that children have an orthodontic check-up no later than age seven (and so does the American Association of Orthodontics). However, if your dentist or pediatrician sees any sign that early treatment might be necessary, he or she may recommend your child visit our office even sooner.

Why Is It So Important To Have Straight Teeth?

Some people wonder why we work so hard to give our patients straight teeth. Of course it’s nice to have a smile full of evenly aligned teeth, but did you know that straightening your teeth can keep them healthier? Straight teeth lead to better oral hygiene, increasing your chances of keeping your own natural teeth for a lifetime.

Straight teeth are less prone to decay, because they collect less plaque – the sticky colorless substance that forms on our teeth and leads to decay – and because they are easier to keep clean. Plaque can lead to cavities and can increase the risk of gum disease.

If you’re wondering whether your teeth might cause problems because they are out of alignment, give us a call at (248) 647-0696 to set up a consultation. Dr. McAnnally can help you decide whether you could benefit from orthodontic treatment.

Everybody Benefits from Braces!

Braces aren’t just for pre-adolescents and teenagers anymore! Anyone, at any age, can benefit from orthodontic care; whether it is correcting a problem not treated in your younger years, or catching a problem early.

To ensure the best overall treatment, the American Association of Orthodontists recommends that children receive an orthodontic consultation as early as age seven. If a problem is evident, taking action early can spare a lot of treatment and expense down the road.

If you never received orthodontic treatment when you were young, don’t worry! You’re never too old for a beautiful smile. Set up an appointment for a consultation and find out how adult orthodontics will transform your smile, and your life!

What’s so Special About an Orthodontist?

We often find our patients wondering about the difference between an orthodontist and a dentist. Dr. McAnnally started out in dental school and got a DDS (dental) degree, just like your dentist. But after dental school, Dr. McAnnally decided he/she wanted to learn more about orthodontics, which is one of nine specialties in the dental field. So he/she stayed in a school for a few more years to become an expert in orthodontics, which focuses on tooth and jaw alignment and bite problems such as overbites and underbites.

Other dental specialties you may have heard of include endodontics (focusing on the soft tissue inside your teeth), periodontics (focusing on the gums and other tissues surrounding your teeth) and prosthodontics (focusing on restoring and replacing damaged teeth).

Isn’t it nice to know there’s a dental expert to help you through any type of treatment your teeth, jaw and gums might need?

Is Invisalign Really Customized for Each Patient?

Yes, it is, and that’s part of what makes it work. If you were a candidate for Invisalign treatment, the first thing we’d do is to take an impression of your teeth as they are now and digitize it. Using special software, we would then look at this current positioning and compare that to the ideal placement of your teeth – in other words, exactly where we would want them to end up.

Next we’d use the software to map out the exact path your teeth would take from now through the end of your treatment. Based on this precise prescription, a set of custom aligners would be created specially for your teeth. Throughout the course of treatment, you’d wear these clear, removable aligners one at a time, each one moving your teeth closer and closer to their final, perfectly aligned position. And the whole time it would be your secret, since the aligners are virtually invisible!

Dr. McAnnally is a certified Invisalign provider. If you have questions about Invisalign, or would like to find out if you are a candidate for Invisalign treatment, give us a call at (248) 647-0696.

Invisalign® Bloomfield Hills, MI (Michigan)

Dr. McAnnally is a perennial member of Align Technology’s Century Club, an honorary membership bestowed annually upon the 100 largest Invisalign providers in the world.

He is the #1 Invisalign provider in the Midwest including North Dakota , South Dakota , Minnesota , Wisconsin , Illinois , Ohio , Indiana , Kentucky , western Pennsylvania , and his home state of Michigan. He currently ranks among the top ten most experienced Invisalign providers in the world. With his experience and Invisalign’s proprietary technology, you can have the beautiful straight teeth you've always wanted – without braces. A complimentary consultation with Dr. McAnnally can determine if Invisalign is right for you.

What is it?

Invisalign uses a series of invisible, removable, and comfortable aligners that no one can tell you're wearing. So you can smile more during treatment as well as after. Invisalign is made with 3-D computer imaging technology, and has been proven effective in practices throughout the world. Invisalign is currently available in 35 countries. Align’s proprietary software is available to certified practitioners in 7 languages, Spanish, Italian, French, German, English, Portuguese, and Japanese.

Why would I want it?

Not only are your aligners invisible, they are removable, so you can eat and drink what you want while in treatment, plus brushing and flossing are no problem. They are also comfortable, with no metal to cause mouth abrasions during treatment. And no metal and wires usually means you spend less time in your doctor's office getting adjustments.

Invisalign also allows you to view your customized treatment plan in virtual reality BEFORE you start treatment. Quite amazingly, the total number of aligners, the positions of your teeth at 2 week intervals throughout treatment and your total treatment time are established BEFORE your treatment begins. The doctor can monitor the progress of your dental correction in virtual reality with great accuracy using Align Technology’s proprietary ClinCheck® software. And with our secure web site and an internet connection, you can see your virtual treatment at home and show others how great your teeth will look when your treatment is completed.

How does it work?

You wear each set of aligners for about 2 weeks, removing them only to eat, drink, brush, and floss. As you replace each aligner with the next in the series, your teeth will move incrementally – little by little, week by week – until they are well-aligned in the final positions Dr. McAnnally has prescribed. You'll visit Dr. McAnnally about once every 6 to 8 weeks to ensure that your treatment is progressing as planned. Total treatment time averages 10 to18 months and the average number of aligners worn during treatment is between 20 and 36, but both will vary from case to case.

Are you an Invisalign candidate?

Have you been told that Invisalign is not right for you, that your treatment is too difficult for Invisalign, or that Invisalign is just for simple problems? Have you been told that you can be treated faster or better with traditional braces? The opinion you received may have been from a practitioner who is simply more comfortable treating with traditional braces. While more than 70% of orthodontists in the US and Canada are certified to treat with Invisalign, only a small percentage have treated a significant number of Invisalign patients. Experience counts! A complimentary examination by Dr. McAnnally can determine whether Invisalign is right for you.

Learn more about Invisalign at www.Invisalign.com.