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Your Sunny Smile

May 31st, 2023

Your beaming smile makes a sunny day even brighter—and that sunny day can return the favor! How does the sun affect your dental health? Let’s shine some light on the subject.

You may have heard how important calcium is to your body. Over 99% of the calcium in our bodies is used to form teeth and bones, providing strength and structure to the hardest parts of the body. But that’s not the only task on the calcium to-do list. Calcium is also necessary for:

  • muscles to work
  • nerves to carry messages
  • blood to deliver nutrients and oxygen
  • the release of hormones

When we don’t get enough calcium in our diets, our bodies start to draw the calcium they need for these critical functions from our teeth and bones. Over time, a severe calcium deficiency can lead to teeth that are brittle, or more vulnerable to decay, or loose due to weakened bone density in the jaw.

Keeping up with your calcium is especially important when you’re wearing braces or aligners. Calcium helps protect you from tooth decay and gum disease, which could delay your treatment. And you want your jaw bones strong and healthy as the bone tissue reforms and then stabilizes around your teeth as they move to their new, ideal positions.

We can get the calcium we need from a balanced diet. Dairy products are our most common source of calcium, and several servings of milk, cheese, or yogurt each day supply most of our needs. If dairy’s not on your menu, though, you can get calcium from other foods like broccoli, kale, collard greens, canned salmon, or sardines. Because calcium is so essential to our health, many foods are fortified with it, including fortified juices, bread, cereals—even tofu!

But there’s a snag here, and it’s a big one. We can’t really benefit from our careful consumption of calcium without the help of vitamin D. If calcium is the doorway to strong teeth and bones, vitamin D is the key which unlocks all of calcium’s benefits.

Without enough vitamin D, our bodies can’t absorb and make use of calcium. However, getting enough of this essential vitamin can be a problem. While we can get most of the vitamins we need from a balanced diet, there aren’t a lot of foods which are naturally rich in vitamin D.

So, how do we get this vital vitamin? The original option comes from nature.

  • Sunlight

Vitamin D is called “the sunshine vitamin” because of the unique chemical reaction which creates it. When the ultraviolet B rays of the sun reach special cells in our skin, they convert cholesterol in these cells to a basic form of vitamin D. These vitamin molecules travel through the body, picking up hydrogen and oxygen molecules in the liver and kidneys to become active vitamin D.

Since sunlight exposure is easy, available, and free, it seems like a simple solution to getting the vitamin D we need.

But we’ve understandably moved away from the days of basking in the sun for hours at a time. Over-exposure to UV rays damages the skin, causing premature aging and, worse, a much greater risk of skin cancer. If you enjoy time in the sun, talk to your doctor about safe sun exposure, which can depend on the part of the country you live in, the time of year, and your individual skin type.

And, if you need to avoid sun exposure, there are other opportunities for getting the vitamin D you need.

  • Diet

While there aren’t a lot of foods which are naturally rich in vitamin D, there are still a few options on the menu. Oily fish like salmon, tuna, and herring—and old-fashioned cod liver oil—are good sources of the vitamin. But most of us don’t live on a strict fish diet!

Instead, we can get the vitamin D we need from fortified foods. Vitamin D is commonly added to cow’s milk, soy milk, orange juice, and cereals to make sure the calcium in our diet is working effectively to keep our teeth and bones strong. Check out nutritional labels to discover whether your favorite grocery products contain vitamin D. And don’t forget to choose foods that are braces-friendly, as well!

  • Supplements

For hundreds of years, people who lived in climates and cities without a lot of sunshine suffered from the effects of vitamin D deficiency. Diseases like rickets, where the teeth and bones don’t form properly, were common in children. Adults who couldn’t absorb enough calcium suffered from weak teeth and bones.

Today, depending on age, allergies to sun or food products, dietary choices, and health conditions, some people are still at risk for vitamin D deficiency. If you’ve been diagnosed with this deficiency, your doctor might recommend a vitamin D supplement. (It’s important to take any supplement as directed, because taking too much vitamin D can be harmful, too.)

So, which form of vitamin D is best? Fortified foods? Supplements? Or is it that radiant original source—the sun? No need to worry. With any form of vitamin D, you’re getting the key you need to unlock the benefits of the calcium in your diet—for healthy teeth and bones before, during, and after your treatment at our Tampa orthodontic office. Your sunny smile will thank you!

I Have Gum Disease. Can I Still Get Braces?

May 24th, 2023

Gum disease is one of our most common dental diseases, affecting both children and adults. If you are considering getting braces or aligners, make sure your gums are their healthiest before beginning orthodontic treatment.

  • Gingivitis

For both younger and older patients, gingivitis (mild gum disease) can be the result of poor brushing and flossing habits. When plaque builds up around the teeth and gums, it irritates delicate gum tissue. The gums become inflamed, and symptoms such as redness, swelling, tenderness, bleeding, and bad breath can result. Usually, your dentist can treat early stages of gingivitis with tips on more efficient brushing and flossing, a professional cleaning, and suggestions for mouth rinses if needed.

Because brushing and flossing with braces can be more difficult, you need to devote special attention to your cleaning routine to prevent gingivitis from developing after you start treatment. Talk to us any time about how to brush and floss most effectively when you wear braces. Dr. Gregory Dyer can also recommend tools designed especially for braces wearers to get your teeth and gums as clean and plaque-free as possible. If you are a candidate for clear aligners, this option can make it easier to keep your teeth their cleanest. We’ll work with you to keep your gums healthy as your orthodontic work takes place.

  • Periodontitis

For older patients, gingivitis, left untreated, can eventually lead to periodontitis (severe gum disease). This chronic infection can lead to the formation of pockets between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can lead to the destruction of gum, ligament, and bone tissue. Left untreated, it can lead to loose teeth and even bone and tooth loss.

Making sure you schedule regular dental exams will allow your dentist or periodontist to detect and treat any signs of periodontitis as early as possible. If you have any of the symptoms of gum disease, it’s important to treat the cause of these symptoms as soon as possible to protect your gums, bone, and teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis.

Because orthodontic treatment involves moving the teeth and re-forming the ligament and bone tissue, which hold them in place, you need healthy periodontal ligaments and bones to begin treatment. If you have suffered shifting teeth or bone loss due to periodontitis, talk to us. We will let you know at your visit to our Tampa office if you are a good candidate for orthodontic work, and which type of appliance is best for your periodontal health.

We are happy to talk to you about the best way to achieve an attractive smile and a healthy bite if gum disease has been a problem in the past. Most important, we want to make sure that your teeth and gums are their healthiest even before you begin orthodontic treatment. Preventing and treating gum disease will provide the foundation you need for a lifetime of beautiful smiles.

Awesome Archwires

May 24th, 2023

When we think braces, we can’t help but think of the brackets on each tooth and the colorful ligature bands that surround them. But actually, the whole point of those brackets and bands is to hold the archwire in place as it gradually moves your teeth to create a better bite and a straighter smile. Let’s learn more about this talented part of your braces!

  • Wire We Wearing These, Anyway?

Archwires use gentle, continuous pressure to move your teeth into alignment. That sounds simple, but there is actually a lot going on. Teeth often need more than realigning. Some teeth need to be turned a bit, some tilted. Your teeth need to be better aligned with those next to them, of course, but also need to fit properly with the teeth above or below them. You might have a malocclusion, or bad bite.

How can one wire handle all that? Well, it can’t. That’s why there are different types of wire. We often use thinner, flexible wires at the beginning of treatment, to put gentle pressure on the teeth as they start their movement. Other wires are firmer, and can be helpful in later phases, when each tooth is carefully moved to its specific, ideal spot. Archwires can be round or rectangular, thicker or thinner, springy or stiff, remember their shape or be bendable—all depending on what they need to do.

Whew! This sounds confusing, but Dr. Gregory Dyer and our team are archwire experts! At every adjustment appointment, we check on the progress of your alignment and choose the exact wire you need to take you to the next stage of your orthodontic journey.

  • Out of the Frying Pan, Into the Wire

Now that you have braces, it’s more challenging to make sure that your teeth are clean after eating. We’ll give you advice on how to get rid of the pesky food particles that sometimes get stuck in your braces. First, that’s absolutely not the look you’re going for. But, more than that, bacteria can use these “leftovers” as fuel to create the acids that damage your enamel and cause cavities.

There’s a whole new world of dental products out there waiting to help get your braces clean. Special toothbrush heads work in the spaces between your teeth and the archwire. There are floss threaders that can get dental floss into tight places, and flosses with one stiff end you can guide under the wire so you can direct the floss to where it’s needed. There are even tiny cone-shaped brushes called “interproximal brushes” that can fit under your wires to clean around your brackets and teeth.

Take a care kit to school or work with you so you can keep the tooth surface under your wires and around your brackets free of plaque. After all the hard work you’ve put in with your braces, the last thing you want is cavities once you’ve achieved your beautiful smile!

  • Down to the Wire

We said archwires were awesome, but we didn’t say they were perfect! We couldn’t leave without suggestions for handling any wire-related problems that might come up.

One of the most common problems is the irritation caused by the end of a wire that has somehow come loose. You might be able to use a cotton swab to gently push the wire flat against the tooth. If that doesn’t work, orthodontic wax can be used to cover the end of the problem wire and smoothed into place. We’ll provide you with instructions on how to handle these and other minor wire problems at home. 

Other problems should be run past us first. If you feel your wire is coming loose, or if a loose end is causing a lot of pain and irritation, call our Tampa office. We’ll give you instructions on how to help, and make an appointment if necessary for a professional fix.

In fact, call us anytime you have questions about your braces. We’re here to help you understand each phase of the orthodontic process as you move step by step on the path to a healthy bite and a beautiful smile. And what’s more awesome than that?

Bracketology

May 17th, 2023

Analyzing strong points, looking for potential problems, making comparisons—it’s bracketology time! Nope, not basketball (although we hear they have something similar), but a brief analysis of your orthodontic options when it comes to choosing a winning bracket.

If you’re getting braces, you’re probably already familiar with how they work—brackets are bonded to the teeth to hold an archwire, which provides gentle, controlled pressure to move the teeth into alignment. But within that basic bracket-and-wire system, there are several different bracket designs available to you at our Tampa orthodontic office. Let’s see what the scouting report has turned up on our final four, pointing out their distinct advantages as well as some potential mismatches.

Traditional metal brackets

Advantages:

  • Traditional braces with metal brackets are effective for more than just straightening teeth. They can be used to correct rotated teeth, differences in tooth height, and bite problems. For severe bite and alignment problems, traditional braces are most often the right choice.
  • Metal construction makes these brackets able to handle the controlled pressure needed to treat serious malocclusions.
  • Cost-effective. These are usually the least expensive option.

Potential Disadvantage:

Clear/Ceramic Brackets

Advantages:

  • Lack of visibility! Whether you go for clear brackets or brackets tinted to match your enamel, you’ll be keeping a low-profile with this choice.
  • Stronger and more stain-resistant than ever before, using the latest in ceramic, porcelain, or plastic materials.

Potential Disadvantages:

  • Not as durable. Unlike metal, these clear brackets can crack or break. If you play a contact sport, these might not be for you.
  • Some ceramic brackets are larger than other choices, so might be recommended only for the top teeth.
  • Clear or tinted brackets can be more expensive.

Self-Ligating Brackets

Advantages:

  • These brackets use a clip or trapdoor mechanism to hold your archwire without the need of bands. Ceramic options are available if you want an even more discreet appearance.
  • Can be more comfortable with less friction between wire and bracket.

Potential Disadvantages:

  • Self-ligating braces are generally more expensive.

Lingual Braces

Advantages:

  • Lingual braces use metal brackets, but they attach to the back of each tooth for almost invisible bite correction.
  • Custom-made. Lingual brackets can be designed and fabricated to fit your individual teeth perfectly.

Potential Disadvantages:

  • Trickier to clean because of their placement behind teeth.
  • Might not be suitable for a deep bite if there’s not enough clearance between top and bottom teeth.
  • Initial discomfort caused by the tongue’s contact with the braces when you speak and eat.
  • Custom-made brackets are more expensive.

So that’s a brief rundown of your bracket choices. But, unlike sports bracketology, there are no losers here! Dr. Gregory Dyer can give you the pros and cons of each bracket design, so you can make an informed decision based on the kind of braces which will work best for you. With coaching like that, no matter which bracket option you choose, the final result is the same—a winning smile!

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