Answering all your burning questions about mouthwash

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:

• Fluoride - fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.

• Antiseptic - an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.

• Combination - a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.

• Prescription - for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.

There are also many different brands of mouthwash. Some common brands include:

• Scope
• Listerine
• Act
• Crest
• Tom’s of Maine (all-natural)
• Plax (anti-plaque rinse)
• Breath Rx
• Orajel
• Targon (special mouthwash made for smokers)
• Rembrandt (whitening mouthwash)


If you are curious about which kind of mouthwash would work best for you, be sure to ask Dr. McAnnally at your next appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!

More About Orthodontics From Dr. McAnnally

There are so many questions about orthodontics that we never ask, so Dr. McAnnally took some time to explain the most common concerns.

At what age should orthodontic treatment occur?

Orthodontic treatment can be started at any age. Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed. Early treatment may mean that a patient can avoid surgery and more serious complications. The American Association of Orthodontists recommends that every child first visit an orthodontist by age seven or earlier if a problem is detected by parents, the family dentist or the child's physician.

What is Phase I and Phase II treatment?

Phase I, or early interceptive treatment, is limited orthodontic treatment (i.e. expander, Herbst, Facemask, headgear, or partial braces) before all of the permanent teeth have erupted. Such treatment can occur between the ages of six and ten. This treatment is sometimes recommended to make more space for developing teeth, correction of crossbites, overbites, underbites, or harmful oral habits. Phase II treatment is also called comprehensive treatment, because it involves full braces when all of the permanent teeth have erupted, usually between the ages of eleven and thirteen.

Would an adult patient benefit from orthodontics?

Absolutely!! Orthodontic treatment can be successful at any age. Everyone wants a beautiful and healthy smile. Between 30-40% of our patients are adults.

How does orthodontic treatment work?

Braces use steady gentle pressure to gradually move teeth into their proper positions. The brackets that are placed on your teeth and the arch wire that connects them are the main components. When the arch wire is placed into the brackets, it tries to return to its original shape. As it does so, it applies pressure to move your teeth to their new, more ideal positions.

How long does orthodontic treatment take?

Treatment times vary on a case-by-case basis, but the average time is from one to two years. Actual treatment time can be affected by rate of growth and severity of the correction necessary. Treatment length is also dependent upon patient compliance. Maintaining good oral hygiene and keeping regular appointments are important in keeping your treatment time on schedule.

Do braces hurt?

The placement of bands and brackets on your teeth does not hurt. Once your braces are placed and connected with the arch wires, you may feel some soreness of your teeth for one to four days. Your lips and cheeks may need one to two weeks to get used to the braces on your teeth.

Will braces interfere with playing sports?

No. It is recommended, however, that patients protect their smiles by wearing a mouth guard when participating in any sporting activity. Mouth guards are inexpensive, comfortable, and come in a variety of colors and patterns.

Will braces interfere with playing musical instruments?

No. However, there may be an initial period of adjustment. In addition, brace covers or wax can be provided to prevent discomfort.

Should I see my general dentist while I have braces?

Yes, you should continue to see your general dentist every six months for cleaning and dental checkups, or more frequently as recommended.

Got more questions? Give us a call at 1-800-NO-BRACES. We'd love to hear from you.

Imagining Your Life With Invisalign

Are you wondering what Invisalign treatment is really like, and what effect it will have on your day-to-day activities? Will it slur your speech? Will people know you're in treatment? You're not alone in your concerns! Following are a list of questions and answers for anyone pondering Invisalign treatment.

How exactly does Invisalign work?

Using 3-D computer imaging technology, Invisalign creates a series of custom-made, clear aligners exclusively for your teeth, based on the treatment plan that we specify for you. Each aligner moves teeth incrementally and is worn for about two weeks, then replaced by the next in the series until the final position is achieved.

Will I experience pain during treatment?

Most people experience temporary discomfort for a few days after a new aligner is placed. This feeling of pressure is normal and is a sign that Invisalign is working by sequentially moving your teeth to their final destination.

Can other people see that I'm in treatment?

One of the benefits of Invisalign is that the aligners are clear. You can straighten your teeth without anyone knowing.

Can I smoke during treatment?

We discourage smoking while wearing the aligners as they may become discolored.

Are there any foods I cannot eat while in treatment?

You can eat normally during the entire course of treatment. One of the advantages of Invisalign is that the aligners are removable. Simply take the aligners out before each meal, brush when you're finished eating, then reinsert the aligners afterward.

What about chewing gum?

We recommend removing your aligners for all meals and snacks, as gum and other chewy substances can stick to the aligners.

How often must I wear my aligners?

Aligners should be worn all day, except when eating, brushing, and flossing.

Will my speech be affected by the aligners?

As with any orthodontic treatment, aligners may temporarily affect your speech. If this does happen, your tongue will adjust within a day or two and your speech should return to normal.

How can I clean my aligners?

The best way to clean your aligners is by brushing and rinsing them in lukewarm water.

How often must I visit your office during treatment?

For most patients, visits every 4-6 weeks are frequent enough for us to determine that your treatment is progressing properly. Dr. McAnnally will provide you with a specific schedule that supports your individual treatment plan.

From Kissing to Metal Detectors: Braces Myths Unraveled -- Dr. McAnnally

Dr. McAnnally and the American Association of Orthodontists (AAO) sets the record straight on some of the biggest myths surrounding braces and orthodontic treatment. Currently more than four million children and one million adults in North America wear braces. Below are the answers to some of the most popular – and strange – questions AAO members have received from their patients during the past year:

If two people with braces kiss, can their braces become locked together?

With today’s smaller sleeker braces it is extremely difficult – almost impossible – to lock braces while kissing. Also, braces are not magnetic, which means any “attraction” felt is on the part of the wearers, so pucker up!
Teen with braces

Will my braces set off the metal detectors in the airport?

You are cleared for takeoff – the lightweight materials used in braces will not affect metal detectors.

Can braces rust?

No. Today’s braces are made of new stronger materials, like titanium alloy, and will not rust.

Will my braces interfere with radio signals or electronic devices?

No. Radio-loving gadget fanatics can rest easy.

Can I play a musical instrument?

Yes – that is if you could play a musical instrument before you got braces.

Will braces increase my chance of being struck by lightening?

No. With or without braces the chances of a lightening strike remain the same which, in the U.S. in any one year, according to nationalgeorgraphic.com, is one in 700,000.

Now that I have braces, can I still play sports?

Yes, but be sure to wear a mouth guard. Mouth guards are one of the least expensive pieces of protective equipment available. Not only can mouth guards save teeth, they may also protect against jaw fractures. Mouth guards are advisable for anyone, whether they wear braces or not.

Will my braces attract unwarranted attention from fish?

Scuba aficionados take heart: there is no need to cancel your next dive. The small brackets used in today’s braces, especially ceramic or tooth-colored brackets, will not attract attention from unsavory fish or sea life.

Once braces are removed, my teeth will remain straight forever, right?

Wrong. Teeth move throughout one’s lifetime, therefore it is important to hold on to retainers and wear them as prescribed by your orthodontist to maintain a healthy, beautiful smile.

Softly Brushing Your Way to Clean Teeth From Dr. McAnnally

Just as there are so many different types of toothbrushes to choose from, each brush also has a different type of bristle! There are generally three different types of bristles; hard, medium, and soft. We always recommend that our patients, especially children and seniors, use a soft bristled toothbrush.

Using a hard and medium bristled brush can actually harm your teeth and gums by stripping the enamel from the teeth and irritating the gums so that they become red and sore, and can even cause gum recession. If you do use a hard or medium bristled brush as a personal preference, we recommend using an electric toothbrush.

Soft bristles are much gentler on your teeth and gums, and while patients of all ages are recommended to use soft bristled brushes, they are particularly great for children, seniors, patients recovering from a dental procedure, and patients wearing braces.

Soft bristles, and even extra-soft bristles are every bit as effective when it comes to cleaning your teeth; in fact, if you currently use a hard or medium bristled brush, try a soft bristled brush next time you buy a toothbrush and we bet you won’t even notice a difference!

--Dr. McAnnally