Hinsdale Orthodontist

It’s no secret, as you age, so does your smile. Teeth wear down as we chew our way through a lifetime of meals. Did you also know, teeth can move and shift well into adulthood? Here’s a roundup of 4 common changes orthodontists see in patients as they age:

1. Bottom teeth crowding

As you age, your jaw bone loses density and shrinks. The mismatched size of the jaw bone with teeth can lead to crowding of the bottom front teeth. Crowding can also occur because other issues such as breathing through your mouth, reverse swallowing, tongue thrusting or facial trauma.

2. Front teeth gap

Space between two front teeth is referred to as a diastema, and it can develop for a variety of reasons. Crowding of teeth or unproportioned jaws and teeth can cause spacing to gradually occur. Swallowing, with the pressure of your tongue pushing against your front teeth, rather than positioning itself at the roof of your mouth, can also cause teeth to separate over time. Gum disease is another trigger for spacing, because of the inflammation.

3. Post-orthodontic teeth shifting

Our bodies change our whole life, and our teeth change, too. After orthodontic treatment a retainer is needed to maintain teeth in position. As we age, if teeth are restored or lost, new proper fitting retainers will be needed to prevent unwanted change.

4. Wrong bite

Do you get headaches, clicking and popping jaw joints, grind your teeth or even back pain? You may have a bite disorder, which occurs when the lower and upper jaw don’t align, called malocclusion.

These changes may be completely normal, but that doesn’t mean you just have to live with them. The number of adults undergoing orthodontic treatment is at an all-time high. An estimated 1.61 million adults underwent orthodontic treatment in the U.S. in 2018. That’s one in four adults!

Whether you’re eight or 80, the biological process of orthodontic treatment is the same. Adults have denser bone tissue than children, so treatment may take a little longer, but age does not keep teeth from moving.

You can work with  Dr. Pamela Johnson of Johnson Orthodontics Willowbrook, IL. Dr. Johnson is a member of the American Association of Orthodontists (AAO) She can help you to achieve a healthy, beautiful smile at any age. - source/aaoinfo.org

As long as your retainer doesn’t hurt and still fits over your teeth, you can wear it – even if it feels tight. Your teeth may have slightly shifted, and you may need to wear your retainer longer each day to prevent your teeth from moving.

Try wearing your retainer full-time for a few days to encourage your teeth to move back into their correct positions. If the retainer continues to feel uncomfortable, contact your orthodontist.

What if the retainer doesn’t fit at all or feels painful?

Don’t force it. Contact your AAO orthodontist, who will evaluate your situation and determine what actions, if any, are needed. It could be as simple as making a new retainer or, if necessary, making some clear aligners to tweak a tooth or teeth back into proper position.

Trust an AAO Orthodontist

You can work with  Dr. Pamela Johnson of Johnson Orthodontics Willowbrook, IL. Dr. Johnson is an American Association of Orthodontists (AAO) Orthodontist who can help you to achieve a healthy, beautiful smile at any age. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligned teeth and jaws – and possess the skills and experience to give you your best smile. source/aaoinfo.org

Despite an outward picture of wellness and a healthy oral hygiene routine, athletes still tend to have more teeth-related problems than their peers. A recent study, published in the British Dental Journal, found that despite regular brushing and flossing, untreated tooth decay and gum inflammation was still prevalent among elite athletes.

Why?

Because they often refuel with high-acid drinks, gels and energy bars – all of which can weaken tooth enamel and damage teeth due to high sugar content and acidity.

The study found nearly half (49 percent) of elite endurance athletes had untreated tooth decay, and the majority of them had early signs of gum inflammation.

Even despite these same athletes reporting better dental hygiene than the general population – with 94 percent brushing their teeth at least twice a day, and 44 percent flossing regularly.

Let’s break it down (so your teeth don’t).

The acid in sports drinks and gels dissolves tooth enamel, a process called decalcification, and can lead to cavities. Once enamel dissolves, it does not come back. The loss and decay are permanent.

Add the sugar from sports drinks and gels to the mix, and the risk to tooth enamel doubles.

Plaque uses sugar and starches as food and expels acid as a by-product. If plaque is not removed regularly by brushing and flossing, the build-up can lead to additional decalcification, cavities, gum disease and loss of the bone that holds teeth in place.

What does this mean for orthodontic patients?

Athletes undergoing orthodontic treatment should be on high alert. Sports drinks are even harder on teeth with orthodontic appliances, such as braces or aligners.

For those wearing braces, visible white marks (decalcification) around your brackets can appear within a couple of months if plaque is not removed. For those wearing aligners, the damage may be amplified and occur all over because the acidic liquid seeps into the aligners and sits against teeth. Consult with Dr. Pamela Johnson for recommended beverages when undergoing your orthodontic treatment.

Bottom line – skip the sports drinks and gels.

Opt for water or other less-acidic choices. If that’s not an option, consider swishing water after sips, drinking through a straw or brushing and flossing after workouts. A fluoride rinse may also be helpful. See your dentist every six months for a professional cleaning and check-up, or more often if recommended.

Be aware that soda, sweet tea, bubbly flavored water and other carbonated beverages can have the same negative effects and should be avoided as well.

Trust an AAO orthodontist.

You can contact  Dr. Pamela Johnson of Johnson Orthodontics Willowbrook, IL. She is a member of the  American Association of Orthodontists (AAO) and can help you achieve a healthy, beautiful smile at any age. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligned teeth and jaws – and possess the skills and experience to give you your best smile. aaoinfo.org

Brushing and flossing are everyday ways to keep your teeth bright, white and healthy. Still, if you might feel like your smile is lacking some sparkle or is more yellow than it used to be, you’re not alone. When the American Academy of Cosmetic Dentistry asked people what they’d most like to improve about their smile, the most common response was whiter teeth. The American Association of Orthodontists also found that nearly 90% of patients requested tooth whitening.

Thinking about teeth whitening? Talk to your dentist or your orthodontist,Dr. Pamela Johnson can help. Get the facts first. Here are five of the most commonly asked questions about the process.

Why Did My Teeth Change Color?

Over time, your teeth can go from white to not-so-bright for a number of reasons:

Food and Drink
Coffee, tea and red wine are some major staining culprits. What do they have in common? Intense color pigments called chromogens that attach to the white, outer part of your tooth (enamel).

Tobacco Use
Two chemicals found in tobacco create stubborn stains: Tar and nicotine. Tar is naturally dark. Nicotine is colorless until it’s mixed with oxygen. Then, it turns into a yellowish, surface-staining substance.

Age
Below the hard, white outer shell of your teeth (enamel) is a softer area called dentin. Over time, the outer enamel layer gets thinner with brushing and more of the yellowish dentin shows through.

Trauma
If you’ve been hit in the mouth, your tooth may change color because it reacts to an injury by laying down more dentin, which is a darker layer under the enamel.

Medications
Tooth darkening can be a side effect of certain antihistamines, antipsychotics and high blood pressure medications. Young children who are exposed to antibiotics like tetracycline and doxycycline when their teeth are forming (either in the womb or as a baby) may have discoloration of their adult teeth later in life. Chemotherapy and head and neck radiation can also darken teeth.

How Does Teeth Whitening Work?

Teeth whitening is a simple process. Whitening products contain one of two tooth bleaches (hydrogen peroxide or carbamide peroxide). These bleaches break stains into smaller pieces, which makes the color less concentrated and your teeth brighter.

Does Whitening Work on All Teeth?

No, which is why it’s important to talk to your dentist or orthodontist  before deciding to whiten your teeth, as whiteners may not correct all types of discoloration. For example, yellow teeth will probably bleach well, brown teeth may not respond as well and teeth with gray tones may not bleach at all. Whitening will not work on caps, veneers, crowns or fillings. It also won’t be effective if your tooth discoloration is caused by medications or a tooth injury.

What Are My Whitening Options?

Talk to your dentist or orthodontist before starting. If you are a candidate, there are four ways to put the shine back in your smile:

Stain Removal Toothpastes
All toothpastes help remove surface stain through the action of mild abrasives that scrub the teeth. Look for whitening toothpastes that have earned the ADA Seal of Acceptance for stain removal (it will tell you on the package). These toothpastes have additional polishing agents that are safe for your teeth and provide stain removal effectiveness. Unlike bleaches, these types of ADA-Accepted products do not change the color of teeth because they can only remove stains on the surface.

In-Office Bleaching
This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect your gums. Bleach is then applied to the teeth.

At-Home Bleaching from Your Dentist
Your dentist can provide you with a custom-made tray for at-home whitening. In this case, the dentist or orthodontist will give you instructions on how to place the bleaching solution in the tray and for what length of time. This may be a preferred option if you feel more comfortable whitening in your own home at a slower pace, but still with the guidance of a dentist. Out-of-office bleaching can take anywhere from a few days to a few weeks.

Over-the-Counter Bleaching Products
You may see different options online or in your local grocery store, such as toothpastes or strips that whiten by bleaching your teeth. The concentration of the bleaching agent in these products is lower than what your dentist would use in the office. If you are thinking about using an over-the-counter bleaching kit, discuss options with your dentist or orthodontist and look for one with the ADA Seal of Acceptance. That means it has been tested to be safe and effective for teeth whitening.

Are There Any Side Effects from Teeth Whitening?

Some people who use teeth whiteners may experience tooth sensitivity. That happens when the peroxide in the whitener gets through the enamel to the soft layer of dentin and irritates the nerve of your tooth. In most cases the sensitivity is temporary. You can delay treatment, then try again.

Overuse of whiteners can also damage the tooth enamel or gums, so be sure to follow directions and talk to your dentist. source/mouthhealthy.org.

With age comes wisdom. Specifically, wisdom teeth.

Your mouth goes through many changes in your lifetime. One major dental milestone that usually takes place between the ages of 17 and 21 is the appearance of your third molars. Historically, these teeth have been called wisdom teeth because they come through at a more mature age.

When they come through correctly, healthy wisdom teeth can help you chew. It’s normal to feel a little discomfort when your wisdom teeth appear, but if you have pain, see your dentist immediately.

Room to Grow?

Wisdom teeth can lead to problems if there isn’t enough space for them to surface or they come through in the wrong position. If your dentist says your wisdom teeth are impacted, he or she means they are trapped in your jaw or under your gums.

As your wisdom teeth make their way through your gums, your dentist will be monitoring your mouth for signs of the following:

• Wisdom teeth that aren’t in the right position can allow food to become trapped. That gives cavity-causing bacteria a place to grow.
• Wisdom teeth that haven’t come in properly, which can make it difficult to floss between the wisdom teeth and the molars next to them.
• Wisdom teeth that have partially come through can give bacteria a place to enter the gums and create a place for infection to occur. This may also lead to pain, swelling and stiffness in your jaw.
• Wisdom teeth that don’t have room to come through are thought by some to crowd or damage neighboring teeth.
• A wisdom tooth that is impacted can form a cyst on or near the impacted tooth. This could damage the roots of nearby teeth or destroy the bone that supports your teeth.

Why You Might Need to Have Your Wisdom Teeth Removed

Every patient is unique, but in general, wisdom teeth may need to be removed when there is evidence of changes in the mouth such as:

• Pain
• Infection
• Cysts
• Tumors
• Damage to neighboring teeth
• Gum disease
• Tooth decay (if it is not possible or desirable to restore the tooth)

Dr. Pamela Johnson may recommend removal of wisdom teeth as part of treatment for braces or other dental care.

Before making any decisions, your dentist or orthodontist will examine your mouth and take an x-ray. Together, you can discuss the best course of treatment.

Keeping Your Wisdom Teeth?

Wisdom teeth that are not removed should continue to be monitored because the potential for developing problems later on still exists. As people age, they are at greater risk for health problems—and that includes potential problems with their wisdom teeth. Be sure to, floss around your wisdom teeth and visit your dentist regularly. Regular dental visits allow your dentist to evaluate your wisdom teeth and your overall dental health. -

Braces and orthodontic treatment are used to correct “bad bites,” or malocclusion (teeth that are crowded or crooked). In some cases your teeth may be straight, but your upper and lower jaws may not meet properly. These jaw or tooth alignment problems may be inherited or could result from injury, early or late tooth loss, or thumbsucking.

If you have an abnormal bite Dr. Pamela Johnson, an Orthodontist in Willowbrook IL,  may recommend braces or another orthodontic treatment to straighten out your smile. Correcting the problem can create a nice-looking smile, but more importantly, orthodontic treatment results in a healthier mouth. Not correcting an abnormal bite could result in further oral health problems, including:

• tooth decay
• gum disease
• tooth loss
• affected speech and/or chewing
• abnormal wear to tooth enamel
• jaw problems

Straightening your teeth can be accomplished in different ways. The kind of orthodontic treatment you have will depend on your preference and the options provided by Dr. Pamela Johnson. Traditional braces realign teeth by applying pressure. They usually consist of small brackets cemented to your teeth, connected by a wire, which is periodically tightened by Dr.Johnson to gradually shift your teeth and jaw. The brackets may be metal or tooth colored. Sometimes they are placed behind your teeth. Under the direct supervision of  Dr. Johnson, removable aligners are another option for treating orthodontic problems.

Orthodontic treatment can be provided by Dr Pamela Johnson, an orthodontist, who specializes in the diagnosis, prevention and treatment of dental and facial irregularities. Dr.Johnsons treatment will depend on the severity of your case.

Since abnormal bites usually become noticeable between the ages of 6 and 12, orthodontic treatment often begins between ages 8 and 14. Treatment that begins while a child is growing helps produce optimal results. That doesn’t mean that adults can’t have braces; healthy teeth can be orthodontically treated at any age.
Treatment plans will vary based on your situation, but most people are in treatment from one to three years. This is followed by a period of wearing a retainer that holds teeth in their new positions. Today’s braces are more comfortable than ever before. Newer materials apply a constant, gentle force to move teeth and usually require fewer adjustments.

While you have braces it’s important to maintain a balanced diet for the health of your teeth. Of course, a healthy diet is always important, but eating too many sugary foods with braces can lead to plaque build-up around your brackets that could permanently stain or damage your teeth. Avoiding foods like popcorn, corn on the cob, chewing gum, whole apples, and other sticky foods is also a good idea. Ask Dr. Pamela Johnson about foods to avoid while you are in treatment. Not all of us are born with beautiful smiles, but with a good oral hygiene routine, and a little help from orthodontics, you can have a beautiful and healthy smile.
At  Pamela Johnson Orthodontic Solutions in Willowbrook IL,we can offer easy to understand treatment options with exceptional outcomes. Call us to schedule your first orthodontic evaluation. - source/mouthhealthy.org

Teeth vary in size, shape and their location in the jaws. These differences enable teeth to work together to help you chew, speak and smile. They also help give your face its shape and form. At birth people usually have 20 baby (primary) teeth, which start to come in (erupt) at about 6 months of age. They fall out (shed) at various times throughout childhood. By age 21, all 32 of the permanent teeth have usually erupted, but is not the case for everyone due to genetic differences.

Baby Teeth Eruption Chart

Permanent Teeth Eruption Chart

If you have any questions or concerns about your teeth regarding if/when they erupt, consult your general dentist about checking a checkup. Depending on the alignment of your teeth, the dentist may refer you to an orthodontist, like Dr. Pamela Johnson, to see if your teeth may need orthodontic guidance to properly erupt.

Source:  mouthhealthy.org

So you’ve decided it’s time to straighten your teeth. No one should hide their smile, after all. But where do you start? You’ve heard about Invisalign and how it has become one of the most popular orthodontic solutions these days. But you still have some nagging questions that need to be answered first. Some of these being, how long do you usually have Invisalign aligners for? Will aligners do the trick? Do I wear them all day long?

Not only do aligners look more aesthetically pleasing than metal braces, often, they will also produce the desired result much sooner too. Now that’s what we call a bonus. Invisalign treatment time will depend on many different factors, but the most crucial factor is how many hours a day you end up wearing your aligners. So being strict and following your doctor’s guidance is key to keeping your treatment time on track.

While most treatment plans range from 6-18 months, metal braces average at two years. Of course, everyone’s treatment plan is unique because everyone’s teeth and alignment issues are different. For example, usually, you’ll find a teenager won’t have treatment as long as an adult does because their jaws and teeth are more responsive to pressure.

This post answers the questions: how long is a typical Invisalign treatment?, how long do you usually have Invisalign?, and why do treatment times vary so much?

How Do Invisalign Aligners Work?

Invisalign treatment allows your teeth to be gently adjusted into position by using a series of clear, custom-fit aligner trays. Your trays will need to change throughout your treatment until you have reached your desired result.

Because they are transparent, most people won’t even notice you are wearing aligners, offering a minimal impact on your day-to-day life. And if you can’t stand to wear them to an important event, just take them out. However, it’s always best to consult your doctor first.

How Long Is A Typical Invisalign Treatment?

If you’re wondering, how long is the Invisalign treatment? The length of your treatment, as with most things, will depend on many factors. How complex your case is, your goals of treatment and if you keep your aligners in for the recommended 22 hours a day for starters.

On average, comprehensive Invisalign treatment time is 12-18 months. This means regular appointments with your doctor to make sure your teeth are improving as planned. These appointments will usually include a change of aligners based on your personalized treatment plan. Sometimes they may change as often as every 4 days to weekly.

How Long Do I Have To Wear An Invisalign Aligner?

You’ve heard the number. Your aligners need to be worn 22 hours a day. That’s basically the whole day, and that means while you are sleeping too. You can, of course, take them out to eat, brush, and floss, but don’t forget to put them back in. It’s essential to get on board and wear your aligners for the 22 hours, otherwise, you will delay the date your treatment will be complete.

Why 22 hours? Aligners are more extended to put constant pressure on your teeth to slowly move them into the correct place. If you’re not wearing them, your teeth will start to shift back to their original position. So if you don’t keep them in, they won’t do their job, and your goal of having straight teeth will take longer to achieve.

What if I skip a day? It probably won’t be problematic, but if you have a special event coming up and you know you will feel more comfortable leaving your aligners at home, chat to your doctor and see what they advise.

Why Does Invisalign Treatment Length Vary So Much?

We’ve mentioned treatment time varying from between 6 and 18 months – that’s a big difference in time. Why? Ultimately, the time it takes the aligners to straighten your teeth depends on how complex your dental issues are and whether you keep them in for the recommended 22 hours a day. The variables that affect the treatment length include:

Distance to cover: How much your teeth need to move plays a role in the length of your treatment.

Bone structure: Your genetics and bone structure will determine how susceptible your teeth are to moving.

Complex issues: If you have complicated teeth issues and they need to shift a lot.

Keeping them in: Whether you wear your aligners for the recommended time each day or not.

Unwanted spacing: If your aligners are being used to close gaps and spaces of about 6mm, you’ll find a much longer treatment time is on the cards – most likely 24 months. But small gaps can take just six weeks to sort out.

Crowded teeth: Evening out mildly crowded teeth can take about 6-12 months. But severe cases won’t suit Invisalign as a treatment plan.

Remember that moving your teeth will take time, especially if you want to make it a comfortable journey. No solution will be instant, but Invisalign is one of the quickest, most comfortable and easily adjustable orthodontic options.

Please stop by Dr. Pamela Johnson's orthodontic office for a consultation and see if Invisalign treatment is right for you.

Source: https://aosmiles.com

It’s a new year, you have made your resolutions, and on the top of your list is looking (and feeling) healthy!  As a part of looking healthy and with the understanding that on-camera meetings are here to stay, you may be curious about straightening your teeth. You are not alone,  according to a recent study conducted by the American Association of Orthodontists (AAO), adult (18 years+) patients now outweigh teens/kids in treatment.

A common misperception is that you may be too old for orthodontic treatment or your situation is too difficult to consider treatment but this is NOT the case. The deciding factor on whether a patient is a good candidate for treatment is the health of their teeth and gums NOT their age.

If the convenience of taking a selfie and receiving your orthodontic treatment by mail is attractive, you should be aware of the mail-order treatment process and the potential hidden dangers of a one-size-fits-all treatment plan.  An in-person consultation is the best way for you to get the proper diagnosis and treatment which will be customized just for you. Also, being actively monitored by Dr. Johnson throughout your treatment will help to ensure that your treatment goes smoothly and you will be able to have the opportunity to have your questions answered by the treating doctor. Your health history and habits should be discussed with the doctor so that you receive the best treatment possible.

Items to think about when meeting with Dr. Johnson:

• Fillings
• Missing Teeth
• Misshapen or worn teeth
• Dental disease
• Periodontal disease
• Medications
• Habits like smoking, clenching or grinding teeth, or tongue thrusting

All of these items can affect the outcome of your treatment.  Plus, for some adults to reach optimal dental health, your dentist and orthodontist will work in partnership and may need to call in other dental specialists such as oral surgeons, periodontists, and endodontists.

In short, NO, you are never too old for orthodontic treatment as long as you have healthy teeth and gums. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligned teeth and jaws – and possess the skills and experience to give you your best smile. The best way to achieve a healthy, beautiful smile at any age is to seek out a specialist with Dr. Pamela Johnson

https://aaoinfo.org.

What is the best toothpaste to use whilst wearing braces? Brushing and flossing three times per day, and after every meal flushes out all cavity-causing invaders, but brushing isn’t enough. Your choice of toothpaste is equally as important when you have a mouthful of metal. In this post, we’ll take you through what toothpaste is best when wearing braces. Firstly let’s look at what types there are.

• Flouride
• Tartar control
• Whitening (DO NOT USE)
• ADA seal of approval
• Taste test

Flouride

Let’s look at fluoride first. As it is common and highly recommended by experts in all dental fields. Fluoride protects and strengthens the enamel surface of the tooth. Youngsters should use recommended sizes. Check the ADA website for exact amounts. This goes for those wearing braces too.

Fluoride makes tooth decay less prominent and reduces acid damage from acid erosion. This all comes from sugary foods and drinks. Fluoridated water isn’t enough, your teeth depend on direct tooth contact.

Tartar Control Toothpaste

Tartar control is important and can be delivered by brushing. Tartar is hard to remove, it solidifies and is caused by plaque building up over time. This issue causes periodontal disease and decay. Tartar control toothpaste will help your teeth look the same shade after braces come off.

Ingredients like bicarbonate or potassium nitrate are added to the overprotection and removal power of toothpaste. Brushing with braces to control the above is a must as your bands and wires will not allow for full brushing movements.

Whitening Toothpaste

Whitening toothpaste is a NO-NO when wearing braces. You’ll find damage to the wires and brackets may occur. Also, when removing the braces you’ll have white spots and this will look unsightly.

American Dental Association 

The American Association is key to understanding the in and outs of toothpastes and oral health products. A brand with an (ADA) seal on its products has been tested and proven by experts. A reduction of cavities is proven when using the right type of toothpaste.

Mouthwash

Mouthwash is also an important part of oral health when wearing braces. Many dentists and orthodontists recommend using mouthwash as a supplemental fluoride treatment.

The swishing allows protective element to access hard-to-clean places. This parts of the mouth missed by toothbrush or floss when restricted by wires, brackets or bands.

For example – Colgate Super Speed Listerine Cool Mint removes surface stains to kill 99% germs.

Brushing 101

Teeth are a reflection of your overall dental hygiene and should be kept clean to maintain their appearance. Start by holding the toothbrush at an angle with bristles facing up towards your nose (or brace brackets) at about a 45 degree angle.

Gently tease them between each bracket using small circular motions until you reach the bottom wire. Apply pressure along both edges’ surfaces for best results. Use a section system if you have too to keep an eye on your progress.

Interdental Brush

An interdental brush is an great brush. Reducing the amount of plaque and reaching the in-between bits of the teeth structure. These brushes are small but effective. Make sure there are plenty in your bathroom cupboard and on your person when out.

The is also a new type of cleaner in town. Waterpik makes a small jet device for blasting away unwanted visitors and nasties.

Conclusion

The above was an intro to toothpaste choice for those wearing braces. At Pamela Johnson's Orthodontic Solutions in Willowbrook, Illinois our orthodontist can oversee your treatment from start to finish. We are open for new children, teenagers, and adults to have an examination.

We will explain all in easy-to-understand formats. So you can rest assured of your treatment quality. Dr. Pamela Johnson offers expertise in all procedures. This is to reduce the amount of time required for wearing orthodontic devices. Call us to schedule your first appointment for an orthodontic evaluation.

Be safe and have a merry Christmas/wonderful holiday season! - Dr. Johnson and staff

https://childersbraces.com/

Warning! All parents, you are now officially entering the “School Break Zone.” This time of year, of course, brings family gatherings, parties, and treats! It’s hard to turn away from the sticky and chewy foods which is why Dr. Johnson wants you to be prepared if an orthodontic emergency happens in your house.

Most importantly, we would like you to understand that accidents can happen during orthodontic treatment. When they do happen, it can result in a call or unplanned visit to the office – this is what you would consider an “emergency visit.”

Many times, your first reaction may be, “it’s not a big deal,” or “I’ll just wait until after the holidays to call.”  Dr. Johnson would like to remind you to make the call–don’t wait. Your orthodontist is your partner in creating a HEALTHY smile. If there is an urgent need during this time–for example if you are in pain, or an injury has occurred–our office should be notified and you should call for an emergency appointment.

In the meantime, stock up with supplies to help discomfort. Essential items to keep in your medicine cabinet are:

• Orthodontic wax
• Dental floss
• Tweezers
• Interproximal brushes
• Topical anesthetic (such as Orabase or Ora-Gel)
• Over the counter pain relievers (such as one taken for a headache)

Plus, a warm salt water rinse can be soothing, as well. The recommended mixture is 1 tsp. salt to 8 oz. warm water.

Ultimately, an important part of successful orthodontic treatment is communicating with your orthodontist. If an emergency arises, it’s okay. Don’t panic. This hiccup shouldn’t have much of an impact on your overall treatment plan. Given the situation, Dr. Johnson and her staff will work hard to get you back on your treatment plan. Don’t forget, you play an essential role in your treatment. All you have to do is follow your orthodontist’s directions. With holiday fun on the horizon, now is the time to have a plan in place in case you eat too many bracket-breaking treats.

https://www.aaoinfo.org/

Keeping Your Toothbrush for Too Long

The ADA recommends changing your toothbrush every 3-4 months, so make a resolution to change your toothbrush with every season this year. Frayed and broken bristles won’t keep your teeth clean—these are signs it’s time to let go. When you’re shopping, look for one with the ADA Seal of Acceptance.  A good toothbrush can help easily remove plaque around braces and in hard to reach areas that a worn-down brush might not get!

Not Brushing Long Enough

Speed demons, listen up! Your teeth should be brushed for a full two minutes, twice per day. Most of us fall short —the average time most people spend brushing is 45 seconds. If you’re racing through cleaning, try setting a timer or distract yourself by humming your favorite tune.  It is important to make sure that you are brushing the entire surface area of your teeth and the brackets/appliances attached to them, so take your time!

Brushing Too Hard

Be gentle with your teeth. You may think brushing harder will remove more leftover food and the bacteria that loves to eat it, but a gentle brushing is all that’s needed. Too much pressure may damage your gums, or even pop-off a bracket/appliance.

Brushing Right After Eating

If you feel the need to clean your teeth after eating or drinking, wait at least 60 minutes before brushing—especially if you have had something acidic like lemons, grapefruit or soda. Drink water, especially if you are having a drink that can easily stain teeth/retainers.

Storing Your Brush Improperly

When you’re done brushing, keep your toothbrush upright and let it air dry in the open. Avoid keeping your toothbrush in a closed container, where germs have more opportunity to grow.  Keeping a vented, travel toothbrush protector is very useful as well for keeping bacteria off of your toothbrush head from bathroom germ particles.

Using a Brush with Hard Bristles

Soft bristles are a safe bet. And be mindful to be gentle, especially where your gums and teeth meet, as you brush.  The bacteria that develops plaque on your teeth is very soft and takes only slight pressure from another object to remove it. Talk to your dentist about what kind of toothbrush is best for you.

Improper Brushing Technique

Here's one technique to try for a thorough brush: First, place your toothbrush at a 45-degree angle to the gums. Then, gently move the brush back and forth in short (tooth-wide) strokes. Next, brush the outer surfaces, the inner surfaces, and the chewing surfaces of the teeth. Finally, To clean the inside surfaces of the front teeth, tilt the brush vertically and make several up-and-down strokes.  To make sure there are no white scars left over once your braces are taken off, be sure to brush around all sides of the bracket and regularly floss between the wires/teeth for the best results possible.  If you have an appliance that is cemented in your mouth by Dr. Johnson, make sure to brush all sides of the appliance and call the office if you have any questions about getting hard-to-reach places.

Using a Brush That's Not the Best Fit for You

There are many toothbrushes that can leave your teeth fresh and clean, including manual and power brushes that carry the ADA Seal of Acceptance. Both get the job done. Try different types until you find one you're comfortable with. For example, a power brush can be easier to hold and does some of the work for you if you have trouble brushing. No matter which you choose remember that it's not all about the brush—a clean mouth is really up to the brusher!

https://mouthhealthy.org/

Happy National Family Caregiver month!  If you’re one of the 44 million family caregivers in the United States, you’ve got a lot on your mind. However, keeping your loved one’s mouth healthy is important for their dental health, overall health and so much more.

“It’s also about comfort, safety and self-esteem,” says ADA dentist Dr. Judith Jones. “Keeping your mouth and teeth clean can prevent sensitivity or pain in your teeth. In terms of safety, there might be broken teeth, broken partials or unsafe partials they can swallow. And for their self-esteem, it’s important for individuals to have a sense of pride in their appearance and to have good hygiene.”

How much help you give will depend on the individual. If the person in your care can do the basics, let them. Some adults may have physical issues that make them unable to hold a toothbrush. Others may have memory issues, so they forget to brush and floss. People with dementia may need someone to clean their teeth each day and take them to a dentist.

No matter your situation, daily care plus professional care equal the best chances for a healthy mouth. Here are some important mouth care steps for older adults.

• Brush teeth twice a day for two minutes using a fluoride toothpaste.
• Clean between the teeth daily with floss or other between-the-teeth cleaner.
• Rinse dentures after each meal, brush them daily with denture cleaner and take them out before bedtime and store in water.
• If the person has dry mouth, an alcohol-free mouthrinse may help. Sipping water, sucking (not chewing) on ice chips and using a humidifier while sleeping can help keep him or her hydrated.
• Limit snacking and sugary drinks. Healthy foods and drinks such as fruits, vegetables, whole grains and water are good for the mouth and the body.
• Make and keep dental appointments. Even people with dentures need to visit the dentist.
• Watch for symptoms that could signal larger issues, and make an appointment with the dentist to have them checked out.

You may have questions specific to your own situation, so here are some starting points for different types of care cases. And always feel free to speak with your dentist or your loved one’s dentist for more advice.

https://www.mouthhealthy.org/

Water rules

Water, especially fluoridated water, is the best beverage for maintaining your oral health. That's because fluoride helps to make teeth more resistant to the acid attacks that can cause cavities. As of 2012, nearly 75 percent of the U.S. population had access to fluoridated water, so drinking water from your own kitchen sink can help prevent dental problems.

If you can, choose dairy

Milk, and other dairy products such as cheese and yogurt, are low in sugar, which is a good thing for your dental health. Plus, they contain protein and are full of calcium, which can help to strengthen your teeth.

Lean proteins for the win

Phosphorus-rich foods such as meat, poultry, fish, milk and eggs help to strengthen your teeth and contain valuable protein.

Fruits and veggies pack an extra punch

Fruits and veggies are an important part of any balanced diet, and they are also good for your teeth. Since they are high in water and fiber, they help to balance the sugars they contain and help to clean your teeth. Chewing also helps to stimulate saliva production, which washes harmful acids and food particles away from your teeth.

Nourishing nuts

Nuts contain protein and minerals important for overall health. In addition, nuts that are low in carbohydrates don’t add to your risk of cavities. Why? Because tooth decay is caused by acid-producing bacteria that are activated by carbs. Another benefit is that chewing nuts stimulates saliva production, which can reduce your risk for tooth decay.

https://www.mouthhealthy.org/

While all parents know baby teeth eventually fall out, it’s important to keep little teeth healthy because they are the blueprint for your child’s permanent teeth. Treating a cavity in a baby tooth is crucial to ensure the tooth stays in place until it falls out naturally because little teeth save space for, and are the pathway, for permanent teeth. Additionally, baby teeth are important to speech development and maintaining good nutrition by permitting your child to chew properly. If decay in a baby tooth is not treated, it could cause pain, impair speech and potentially damage permanent teeth or cause them to grow in crooked.

Treatment options vary based on the severity of the cavity.

https://mouthmonsters.mychildrensteeth.org

Halloween is around the corner, which for most children means bags of free candy and a chance to build a stockpile of sweets for the winter. No surprise, Halloween can also present parents with a variety of health and safety challenges.

Here's how you can help your family stay healthy and have fun on Halloween.

Time It Right

Eat Halloween candy (and other sugary foods) with meals or shortly after mealtime. Saliva production increases during meals. This helps cancel out acids produced by bacteria in your mouth and rinse away food particles.

Stay Away from Sweet Snacks

Snacking can increase your risk of cavities, and it’s double the trouble if you keep grabbing sugary treats from the candy bowl. Instead have them as a dessert after a meal or a quick study reward with some water after.

Choose Candy Carefully

Avoid hard candy and other sweets that stay in your mouth for a long time. Aside from how often you snack, the length of time sugary food is in your mouth plays a role in tooth decay. Unless it is a sugar-free product, candies that stay in the mouth for a long period of time subject teeth to an increased risk for tooth decay.

Avoid Sticky Situations

Sticky candies cling to your teeth. The stickier candies, like taffy and gummy bears, take longer to get washed away by saliva, increasing the risk for tooth decay.

Have a Plan

It’s tempting to keep that candy around, but your teeth will thank you if you limit your stash. Have your family pick their favorites and donate the rest.  Look for organizations that help you donate candy to troops overseas, like Operation Gratitude, or see if your dentist has a candy take-back program.

Drink More Water

Drinking fluoridated water can help prevent tooth decay. If you choose bottled water, look for kinds that are fluoridated.

Maintain a Healthy Diet

Your body is like a complex machine. The foods you choose as fuel and how often you "fill up" affect your general health and that of your teeth and gums.

Stay Away from Sugary Beverages

This includes soda, sports drinks and flavored waters. When teeth come in frequent contact with beverages that contain sugar, the risk of tooth decay is increased.

Chew Gum with the ADA Seal

Chewing sugarless gum for 20 minutes after meals helps reduce tooth decay, because increased saliva flow helps wash out food and neutralize the acid produced by bacteria. Find one with the ADA Seal for maximum effectiveness.

Brush Twice a Day

Brush your teeth twice a day for two minutes with an ADA-accepted fluoride toothpaste. Remember, replace your toothbrush every three or four months, or sooner if the bristles are frayed. A worn toothbrush won't do a good job of cleaning your teeth.

Clean Between Your Teeth

Floss your teeth once a day. Decay-causing bacteria get between teeth where toothbrush bristles can't reach. Flossing helps remove plaque and food particles from between the teeth and under the gum line.  This also helps get rid of bacteria left behind after brushing that causes bad breath.

Find fun-filled Halloween activity sheets and pumpkin stencils in the link below!

https://www.mouthhealthy.org/en/resources/activity-sheets/halloween

Have a wonderful Halloween season! - Dr. Johnson and staff

www.mouthhealthy.org

Just like what’s under the bread in a sandwich, orthodontists use x-rays to check below the surface to look for extra teeth, missing teeth, impacted teeth or teeth coming into the wrong positions.

Speaking of extra teeth, did you know snails have over 14,000? A full set of adult human teeth has only 32.

Why is looking below the surface so important?
Well, some things may be hiding that can only be seen through x-rays. Impacted teeth may prevent adult teeth from erupting properly. Sometimes, an impacted tooth can even harm the roots of neighboring teeth, cause crowding and may cause already erupted teeth to move into unhealthy positions.

If you do have an “invisible” orthodontic problem, an early check-up and x-ray may help you avoid more costly, invasive treatments down the road.
It may be easier for Dr. Johnson to identify and correct a problem when it is forming rather than waiting for it to fully develop.

You wouldn’t skip a well-check at the pediatrician, and you shouldn’t skip an early trip to the orthodontist either. A visit to Dr. Johnson by age 7 will help keep your child’s oral health in check. Just because your general dentist has not referred you does not mean you cannot visit Dr. Johnson for an exam. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligned teeth and jaws – and possess the skills and experience to give you your best smile.

https://www.aoinfo.org/

Make a Mouthguard Part of Your Uniform

Helmet? Check. Knee pads? Check. Mouthguard? Check! Mouthguards usually cover your upper teeth and protect your teeth, lips, tongue, face and jaw against injuries, so they need to be part of your uniform in any sport you play.

Wearing a mouthguard regularly becomes second nature. It does not matter what type of mouthguard you choose, just make sure it fits properly.

In fact, many sports won’t let you play without one.  USA Hockey requires all youth players to wear a mouthguard. “The referees have to be able to see it, and it has to be colored,” says Dr. Long, a former college hockey player and team dentist for the National Hockey League’s Carolina Hurricanes.

Sideline Sugary Sports Drinks

If you need to quench your thirst, reach for water instead of a sports drink. The bacteria in your mouth will use the sugar from your sports drink to produce an acid that weakens the hard outer shell of your teeth, which may increase your risk for cavities over time.  This bacteria can sit in your mouth guard and attack your enamel the entire time it's in during play.

Brush, Floss, Rinse, Repeat

Practice makes perfect when you’re mastering the skills of any sport, so do the same with your daily dental habits.  An unhealthy tooth is more likely to be damaged if a sports injury happens.  A tooth that has had a lot of decay and a lot of fillings is nowhere near as strong as a tooth that has not had decay and has not had a lot of fillings.

Keep your smile strong by brushing twice a day for two minutes and flossing once a day. Then, in the home stretch of your daily dental routine, use an ADA-Accepted mouthwash.

https://www.mouthhealthy.org/

When your dog is overdue for a groom, you wouldn’t bring them to your appointment at the salon. To maintain a poodle's luscious locks or a husky's thick winter coat, you visit a groomer, the definite choice in caring for your dog’s specific needs. Well, the same is true for orthodontic treatment!

The uniqueness of each individual's tooth structure means that every case is going to be treated a little differently, whether it's an overbite, protrusion, cross-bite, etc. Orthodontists are specialized in properly aligning teeth and jaws and possess the dental training to give you your best smile, making them an easy choice for orthodontic treatment. To put it simply, it’s best to see an orthodontist for orthodontics!

Here’s why:

1. Orthodontists are specialists.

Orthodontists are specialists who focus on the bite and alignment of your teeth. Dr. Johnson prides herself in being a perfectionist when it comes to delivering the best, most comfortable smile to each and every patient.  Her job as an orthodontist is to not only make sure that your smile looks great, but your bite feels good and functions properly, too.

2. Orthodontists have 3,700 hours of orthodontic training.  YES! 3,700.

In addition to dental school, orthodontists are the only dental specialists who have additional education and training focused exclusively on the movement of teeth, jawbones, facial bones, and soft tissue–3,700 hours of specialized training to be exact. They understand growth and development and are also called dentofacial orthopedists.  Dr. Johnson also takes time outside of the office to continue her dental training by regularly attending seminars, group-study programs, and working together on complex cases to achieve the best treatment possible for her patients.

3. Because of their extensive training, they can provide you with a truly customized treatment plan.

Straightening teeth and aligning the bite are both complex biological processes, not quick fixes. With expertise in those complexities (like changes in jaw bones, facial bone and soft tissue as teeth are moved), Dr. Johnson and her staff are well-equipped to provide a truly custom treatment plan that is best for you. When it comes to your health you don’t want to miss any critical factors. When it’s time to make an appointment for yourself or your family, take comfort in knowing that, by selecting Dr. Pamela Johnson and her staff, you will be seeing the right person for the job.

https://aaoinfo.org

We know going into any dental office, whether it's the dentist or orthodontist, can cause some nervous butterflies. You could be scared that the treatment may hurt, you haven't been in for a while, or you're nervous to hear how your orthodontic treatment may go. Whatever your reason, Johnson Orthodontics will make sure your dental and emotional health are taken care of. Here are some strategies you can use at your next appointment to help ease any anxiety you may have:

1. Talk to Us

Sharing your thoughts and feelings makes a huge difference when you are anxious. If you have anxiety about your visit to Johnson Orthodontics, make sure to get your concerns off your chest by speaking with Dr. Johnson. Our team will be able to give you the best treatment if we know your needs.

• Tell us about your anxiety. You can explain this to the receptionist when you make your appointment, and remind Dr. Johnson and the dental staff when you arrive.
• Ask questions. We will answer all your questions and concerns, and sometimes knowing what's going to happen during your treatment could alleviate your fears.
• Give us a signal. Talk to Dr. Johnson and the dental staff about creating a signal for when you are feeling overwhelmed and need a break during your appointment.
• Feel any pain, tell us. Please don't feel embarrassed if you feel any pain or about your pain tolerance. Talk to our team so we make sure you feel comfortable.

2. Distract Yourself

Here are a few things you can do to try to take your mind off what's going on when the team is working on your teeth. You can do one or a combination of the strategies below.

• Listen to music or an audiobook. Bring your headphones in and you can drown out the noise around you.
• Keep your hands busy. Sometimes having something in your hands can help, so if you have a stress ball or even a fidget spinner, bring it in.
• Daydream. Close your eyes and imagine being somewhere else that's relaxing to you.

3. Use Mindfulness Techniques

Another strategy is to try breathing techniques. This can also be combined with the suggestions for keeping your mind occupied.

• Count your breaths. Inhale slowly and exhale for the same number of counts. Do this multiple times before you come in, in the lobby, or while you're in the dental chair.
• Do a body scan. Relax your muscles by starting from your head and going through each body part until you get to your toes.

Dental visits of all kinds can seem scary, but we promise to be there for you every step of the way. We want to make your time getting your orthodontic treatments as easy and relaxing as possible. So try these strategies, and don't forget to let us know if you have any questions or concerns!

source: mouthhealthy.org

With schools returning to in-person learning and sports coming back, it's important to know that wearing a mouth guard while playing sports is essential to protecting your children's teeth.

Most parents support the idea that mouth guards should be worn, but studies show a significant percentage of them do not wear their mouth guards while playing sports. In early 2017, the American Association of Orthodontists (AAO) collected data in an independent survey* that delivered a clear message: 99 percent of parents whose children play organized sports felt youth should be required to wear mouth guards in order to play. Yet 37 percent of parents said their child never wears a mouth guard while playing sports. This includes games, practices and recreational play.

There is also a misconception that repairing a knocked out or broken tooth is not very expensive. According to the study, parents estimate it would cost $1,142 to replace a damaged permanent tooth, but in reality, costs to treat one knocked-out tooth over a lifetime can range from $5,000 to $20,000**. Parents and patients may not realize that restorations may have to be repeated periodically, which amplifies repair or replacements costs.

Which Sports Should Require Mouth Guards?

In a nutshell, all of them. The AAO's study shows that while a majority of parents think mouth guards should be required for football and hockey, only half the parents said the same thing for basketball and even less than that agreed for baseball. A 2007 study published in the Journal of the American Dental Association ranked basketball as the sport at the top of the list for the highest rate of dental injuries for both men’s and women’s intercollegiate athletes. And according to mouth guard manufacturer Shock Doctor, one in four injures on the basketball court occurs above the neck.

Wearing mouth guards should also be extended to sport practices. Forty percent of parents reported that their child’s sports practices are less structured than games, and generally have few or no medical personnel nearby.

Overall, when playing sports, whether it's an official game, practice, or a quick scrimmage in the park with friends, a mouth guard should be worn to protect the teeth from injury.

source: aaoinfo.org

*The American Association of Orthodontists commissioned Wakefield Research to conduct the 2017 AAO Sports Survey among 1,000 U.S. parents whose children play organized sports. The survey was conducted in January 2017 using an email invitation and an online survey. The overall sampling error rate for this survey is +/- 3.1 percent at the 95 percent level of confidence.

**Sports Health, “Common Dental Injury Management in Athletes,” vol. 7, no. 3, May-June 2015, p. 250.

Stating “it should go without saying that tooth brushing is a prerequisite for a healthy set of chompers,” Reader’s Digest adds that another way to help prevent cavities is to “avoid eating sugar and other simple carbohydrates.” The article explains that bacteria in the mouth “thrive off of the sugars” left on teeth, releasing acids that can harm dental enamel and lead to cavities. The article also points to information on brushing and flossing at MouthHealthy.org.

MouthHealthy.org provides additional information for patients on nutrition and dental health and tips to reduce sugary snacking.

We'll make a great first impression!

The Itero Element Scanner is a state-of-the-art digital impression system that eliminates the need for messy putty in your mouth. With our Itero Element Scanner, we can digitally capture a detailed 3D model of your teeth and gums. Not only is this process far more comfortable than the old putty based impressions, but it's faster and can offer a superior clinical endpoint.

During the impression process, you can breath or swallow as you normally would. You can even pause during the process if you need to sneeze or just want to ask a question. The scanner gives us a 3D model of your mouth that can be used for dental services including the Invisalign outcome simulator to show you what your new smile might look like. We can also use the scanner to make retainers and appliances! be sure to ask us about our new digital scanner at your next appointment!

Reader’s Digest (9/13, Laliberte) provides the “best sleep position for 11 health problems,” including temporomandibular joint dysfunction. The article recommends people with TMJ or another type of jaw pain sleep face up. “Don’t keep your face on its side, because that can put pressure on the joints or the jaw itself and make the pain worse,” says Ana Paula Ferraz-Dougherty, DDS, spokesperson for the American Dental Association.

MouthHealthy.org provides additional information on TMJ disorders for patients

The American Dental Association guidelines recommend dental sealants for all children and teens due to the tremendous effectiveness of sealants to prevent and arrest the progression of caries. The oral health community and the public have been concerned about the potential adverse effects associated with the release of BPA from resin-based dental sealants. Testing by the ADA Science Institute found:
1.BPA detected at trace levels on dental sealants
2.BPA exposure from dental sealants is 100 times lower than BPA present in the air
3.BPA levels in dental sealants tested were well below the daily exposure level set by the EPA

Read the full report in the new online edition of the ADA Professional Product Review and share this helpful infographic on the safety of dental sealants with your patients.

Reuters (8/23, Crist) reports that “a study of more than 60,000 dental patients” indicated that “those with gum disease were twice as likely to have had a heart attack, stroke or severe chest pain.” Researchers found that “even after taking other risk factors for cardiovascular disease into account, such as high blood pressure, high cholesterol, diabetes, and smoking,” individuals “with periodontal disease were still 59 percent more likely to have a history of heart problems.” The findings were published in the Journal of Epidemiology and Community Health.

The Hill (8/22, Wheeler) reports that the American Heart Association has announced a new standard for how much sugar children should consume a day. The group is “recommending only 6 teaspoons – the equivalent of about 100 calories or 25 grams – for children ages 2 to 18.” It also recommended children under 2 not consume any added sugars. The recommendations were published in the AHA journal Circulation.

AFP (8/22) notes that the AHA’s report found that American children on average eat three times more sugar than its daily recommended intake. The report said, “Eating foods high in added sugars throughout childhood is linked to the development of risk factors for heart disease, such as an increased risk of obesity and elevated blood pressure in children and young adults.”
For more information visit: MorningHuddle.com

Business Insider (8/21, Gillett) includes brushing teeth and flossing among “17 quick and easy daily habits” that readers recommend to become a healthier person. The article notes that the ADA recommends brushing twice a day and flossing daily. Not following this guidance could increase the risk for developing other health issues, the article adds.

In an article in the Free Press (ME) (8/18), the Maine Dental Association noted that “the American Dental Association recommends brushing for two minutes twice a day with a fluoride toothpaste, cleaning between teeth once a day with floss or another interdental cleaner, and visiting a dentist regularly.”

In the Harvard University (MA) (8/17) “Harvard Health Blog,” Robert Shmerling, MD, an associate professor in medicine at Harvard Medical School, discusses recent news questioning the benefits of dental flossing, citing a lack of research. Dr. Shmerling states, “These headlines...miss the mark on this flossing kerfuffle,” and he adds that “unproven is unproven, not disproven.” The “obvious next step,” says Dr. Shmerling, is for researchers to have “a well-funded, well-designed study” to examine the health impact of flossing. In the meantime, “I’m not going to wait for the research; I’m going to keep flossing,” he states.

The ADA has released a statement on the benefits of using interdental cleaners, and a Science in the News article titled “The Medical Benefit of Daily Flossing Called Into Question” discusses evidence about the impact of flossing on oral health.

MouthHealthy.org also provides resources for patients on flossing, including the correct flossing technique.

The Danville (CA) Patch (8/14) stated that “a mouthguard is an essential piece of athletic gear,” recommending children wear mouthguards while “participating in sports and recreational activities” to help minimize the risk of dental damage and facial injuries. The article noted that three types of mouthguards exist: custom-made, ready-made, and boil and bite.

MouthHealthy.org and the Oral Health Topics on ADA.org provide additional information on mouthguards for patients and for dental professionals.

The ADA News (8/1, Manchir) reports that “a 6-year-old child is exposed to more BPA” from food, drinks, and cosmetic products “than from the amount that is in dental sealants,” according to research published in the August issue of the ADA Professional Product Review. The article reports that “the ADA Science Institute staff tested the BPA release from 12 dental sealants used by dentists in the U.S.,” finding the BPA released from dental sealants is .09 nanograms, “well below” the EPA’s “limit proposed for a 6-year-old child.” Dr. David Sarrett, PPR editor, said, “This issue of the PPR provides a much-needed perspective on the amount of BPA in dental materials compared with other sources of exposure.”

In addition, a release on PRNewswire (8/1), states in continuing coverage that “a new systematic review and updated clinical practice guideline from the American Dental Association (ADA) and American Academy of Pediatric Dentistry (AAPD) show dental sealants are a powerful and effective therapy in the fight against childhood dental decay and disease.” The systematic review and the updated clinical practice guidelines are both available in the August issue of The Journal of the American Dental Association and the July/August issue of AAPD’s Pediatric Dentistry Journal. Lead author Dr. Timothy Wright said, “The joint report reaffirms that sealants should be a routine part of cavity prevention, as children with sealants are up to 80 percent less prone to cavities compared to those without them.”
For more information visit www.ADA.com

US News & World Report (7/27, Esposito) reports that adults are increasingly “getting braces to straighten their teeth, fix their bites and improve their smiles.” The article reports that “adults made up a record high of nearly 1.5 million orthodontics patients in the U.S. and Canada,” according to a 2014 survey from the American Association of Orthodontists. According to the article, “This rising popularity” is due in part to “orthodontic options that make braces inconspicuous.”

MouthHealthy.org provides additional information for patients on braces.

JADA Article Discusses Antibiotic Use In Dentistry.

The Centers for Disease Control and Prevention (7/25) reported that the CDC and the Organization for Safety, Asepsis, and Prevention (OSAP) collaborated to publish an article in The Journal of the American Dental Association August issue, concerning responsible antibiotic use in dentistry. According to the article, “In an effort to improve antibiotic use in dentistry, best practices were developed to guide dentists through the entire antibiotic prescribing process.”

The Oral Health Topics on ADA.org provides additional information on antibiotic stewardship for dental professionals.

In an articled titled, “Turns out, you really only need to floss if you want to keep your teeth,” the New York Daily News (7/25, Pesce) discusses flossing, noting the CDC’s recent National Health and Nutrition Examination Survey found one-third of adults do not floss. “Do you need to floss? It depends on whether you want to keep your teeth or not,” said Dr. Matthew Messina, a spokesperson for the American Dental Association. Although many Millennials have benefited from fluoridated water and fluoride toothpaste, resulting in a lower decay rate, “our body chemistry does change as we get a older,” said Dr. Messina. “So some people might have a very high host-resistance (against bacteria) when they’re young, but they are going to find that is not the case as they get older.”

MouthHealthy.org provides additional information for patients on flossing, including how to properly floss teeth.

A consumer-directed video on the Business Insider (7/21) website features American Dental Association spokesperson Dr. Ada Cooper discussing dental carries. “The biggest myth about cavities is that if it doesn’t hurt you don’t need to fix it,” Dr. Cooper said. “That is completely wrong.” She states that when a cavity has begun to cause pain, it usually requires “more extensive treatment” at that point. Explaining what causes dental decay and why some people may have more cavities than others, Dr. Cooper says “brushing and flossing, of course, are the best way to minimize the number of cavities that you get.” In addition, dentists have many tools available, such as fluoride rinses and treatments, to make teeth more resistant to dental decay. “The best thing to do,” Dr. Cooper says, is to have regular dental visits to ensure detection and treatment of cavities while they’re still small.

The Oral Health Topics on ADA.org and MouthHealthy.org provide additional information on caries for dental professionals and for patients.

Stating that it’s easier than one might think “to make tooth brushing mistakes,” Reader’s Digest (4/13, Bender) identified eight common mistakes people may make while brushing. For example, a common mistake is not brushing teeth long enough, the article stated, noting that “the American Dental Association recommends brushing for two minutes, but many people fall woefully short—and don’t even realize it.” According to the article, common mistakes also include brushing too hard, using an incorrect angle while brushing, using a toothbrush with bristles that are too firm, using a toothbrush head that is too large, using the same toothbrush for too long, not flossing regularly, and not brushing twice a day with fluoride toothpaste. “Dental disease is totally preventable,” says ADA spokesperson Dr. Sally Cram, “and a lot of it can be avoided by stepping up your home brushing program and having check-ups.”

MouthHealthy.org provides additional information on the proper brushing technique.

USA Today (7/19, May) discusses a new study, which CBS News first reported on last week, that finds children who suck their thumbs or bite their nails are less likely to develop certain allergies. The study, published in the journal Pediatrics, “observed more than 1,000 participants from childhood to adulthood,” finding that “at age 13, 38% of children who frequently sucked their thumb or bit their nails had an allergy, compared to 49% of those who didn’t.” The results were similar for these individuals at age 32. Despite the findings, the authors said, “We do not suggest that children should be encouraged to take up these oral habits.”

Harvard University (MA) (7/19, McCarthy) added that continued thumb sucking after permanent teeth come in may cause problems with proper alignment of teeth. The article notes the American Dental Association offers tips to help children stop sucking their thumbs, recommending, for example, parents praise children when they are not sucking their thumbs.

MouthHealthy.org provides additional information on nail biting and thumb sucking for patients.