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--Dr. McAnnally and team

When Are Two Phases of Treatment Necessary? Dr. McAnnally Explains

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
•A mouth growing in a way that doesn’t leave enough room for all the permanent teeth to come in
•A severe malocclusion, or bad bite, which means the jaw doesn’t fit together correctly

In these cases we will start early and do one round of treatment – phase one – while the patient still has their 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 early problems, Dr. McAnnally and staff 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.

Preventing Gum Disease and Protecting your Teeth!

It is estimated that around 80 percent of American adults are currently diagnosed with some form of gum disease. Also known as, periodontal disease or periodontitis, gum disease starts with gum inflammation and can end with major damage to the bone and tissue holding the teeth in place, resulting in tooth loss and irreversible damage to the gums. Many doctors and researchers have also found gum disease to be the cause of several other health problems, including heart disease, diabetes, and complications for women during pregnancy. Gum disease is a serious dental health condition, and by understanding how gum disease is caused, what symptoms to look for, and how you can prevent it, you will be able to keep your smile healthy for many years to come.

What causes gum disease?

Your mouth is full of bacteria, and when the bacteria are left in your mouth, it can cause a sticky, colorless film over your tooth surface called plaque. Brushing your teeth regularly and flossing can help to remove much of the plaque build-up on your teeth; however, if you do not brush and floss regularly, the plaque on your teeth can harden and turn into tartar. Tartar cannot be removed by a toothbrush, only your dentist has the special tools needed to remove tartar from your tooth’s surface.

Eventually, if left untreated, the tartar and plaque on your teeth will cause gingivitis. Gingivitis is the early stage of gum disease and is usually curable if caught early enough. Signs of gingivitis include:

• Red, swollen gums
• Gums that bleed when you brush and floss
• Gums that pull away from your teeth
• Pockets between your teeth and gums where food gets caught
• Persistent bad breath

If you have gingivitis, and it is left untreated, you may end up with gum disease. Gum disease causes the gums to pull completely away from the teeth and form infected pockets. The bacteria in your mouth and on your teeth will start to break down the tissue and bone that supports your teeth and holds them in place. Gum disease that is left untreated will lead to the extraction or loss of teeth. Most people do not show signs of gingivitis and gum disease until they are in their 30s, 40s, or older. Certain risk factors can increase your chance of getting gum disease, including:

• Smoking
• Diabetes
• Stress
• Certain prescription medications
• Illness
• Genetics

How can I prevent gum disease?

You can help your chances of never getting gingivitis or gum disease simply by taking care of your teeth and gums on a regular basis. Here are some of the ways you can help keep your smile healthy:

• Brush your teeth at least twice a day using fluoride toothpaste approved by the ADA.
• Floss at least once every day to remove food stuck between your teeth and along the gum line.
• Visit your dentist for routine, general checkups and teeth cleaning every six months.
• Eat a well balanced diet, including fruits and vegetables.
• Stay away from using tobacco products of any kind.

Gingivitis and gum disease are both preventable and treatable. If you would like a list of recommended dental health care products, or have any questions about gingivitis, gum disease, and how to keep your teeth and gums healthy, please ask Dr. McAnnally at your next appointment. Our practice is happy to answer any questions you may have, and provide you with accurate information to help you maintain the health of your smile in between office visits. If you think you may have any form of gingivitis or gum disease, please contact our practice at 1-800-NO-BRACES to schedule an appointment as soon as possible.

National Dental Hygiene Month

Did you know that October is National Dental Hygiene Month? Fall is here, and Halloween is coming soon, but now it is more important than ever to maintain good oral hygiene.

All those sweet, sour and sticky candies may taste great, but these treats can damage your teeth and braces too! Did you know sour candies can be acidic to your teeth, and actually wear down the enamel that protects them? This can cause tooth decay and cavities! After eating these candies, be sure to wash your mouth out with water, drink milk or eat a few slices of cheese. These will help neutralize the acid in your mouth (wait at least one hour before brushing your teeth with toothpaste, as this can actually increase the effects of acid on your teeth)

Besides cavities and tooth decay, many people do not realize that good oral health and hygiene are important to your overall health too! Research is discovering the connection between periodontal disease and other major health concerns, such as heart disease! Therefore, it is important to maintain a good oral hygiene routine: see your dentist every six months, brush and floss daily and use an antibacterial mouthwash.

Make a resolution to improve your oral health for October, the National Dental Hygiene Month!

--Dr. McAnnally