Dental Adulting

March 5th, 2025

Now that you’re entering the working world, or heading off to college, or pursuing any of the many adventures awaiting you in adult life, you’re ready to take on more adult responsibilities. And one of those responsibilities is making sure you maintain your dental health.  

Luckily, it’s not that hard! Successful adulting often means simply making small proactive choices which add up to big long-term benefits. So, let’s look at a few of the everyday habits of dentally successful adults.

Choose a Healthy Lifestyle

  • Eat well.

Just like the rest of our bodies, our teeth and gums need a healthy diet to thrive. Sugar-fueled study sessions and energy drink-filled work hours should be the rare exception, not the norm. A diet rich in vitamins and minerals keeps gums healthy and enamel strong.

  • Don’t use tobacco products. 

Cigarettes, cigars, pipe smoking, chewing tobacco—any form of tobacco products, especially combined with alcohol use, can greatly increase your chances of developing mouth and throat cancers.

  • Talk to your doctor about the HPV vaccine.

HPV (human papillomavirus) can also cause mouth and throat cancers. The American Academy of Pediatrics recommends the HPV vaccine for kids ages 9 through 12. If you haven’t been vaccinated yet, talk to Dr. Joseph Brogan about the potential benefits of the HPV vaccine. 

Practice Good Oral Hygiene

  • Brush at least twice a day, for two minutes each time. 

Plaque begins to build up within hours after your last brushing. Removing plaque morning and evening also removes the cavity-causing bacteria which live in plaque. These bacteria erode enamel and lead to cavities.

  • Floss at least once a day. 

Flossing helps remove plaque from your gumline. When plaque accumulates over time, it becomes tartar, a substance so hard that you’ll need a dental professional to remove it. The bacteria in plaque and tartar irritate your gums, and this irritation is the beginning of gum disease. Early stage gum disease (gingivitis) can often be reversed with better brushing and flossing habits—but, even better, help stop gum disease before it starts with daily flossing.

  • See your dentist regularly. 

If you’ve had the same dentist since childhood, you’ve probably developed a great partnership, typically visiting your dentist twice each year for an exam and a professional cleaning. 

Make sure you make space in your busy adult life to keep your smile its healthy, sparkling best by continuing to schedule regular cleanings and exams. This is the best way to clean away any plaque or tartar you may have missed, and, most important, to catch any small problems before they become bigger ones. 

Keep Up with Your Orthodontic Care

If you’ve spent several of your teen years in braces or aligners creating a beautiful, healthy smile, you don’t want to see all your hard work go to waste. Retainers are designed to make sure your teeth stay just where they belong for a lifetime. 

When retainers aren’t worn as directed, especially when braces or aligners first come off, the teeth can shift back to their old positions. Sometimes going back to your regular retainer schedule can fix any minor movement, but sometimes patients need to go back for repeat orthodontic treatment.

How to avoid orthodontic do-overs?

  • If you have a retainer, wear it as scheduled to maintain your alignment and healthy bite. 
  • Put your retainer in a case when you’re not wearing it. A bent or broken retainer won’t keep your teeth aligned properly and can damage delicate oral tissues!
  • If your retainer is damaged, see the dental team at Brogan Orthodontics in Philadelphia, PA ASAP for repair or replacement.

Not so difficult, right? In fact, you’ve probably adopted most of these healthy habits already. Take charge of your dental health now, make good habits a part of your daily routine, and you’ll be prepared to enjoy a lifetime of healthy, attractive, adult smiles!

 

Healthy Digestion Begins with Healthy Teeth

February 26th, 2025

You pay attention to what you eat. After all, your oral health depends on it. Without the necessary proteins, vitamins, and minerals in your diet, your teeth and gums will suffer. But did you know it’s a two-way street? Without healthy teeth and a healthy bite, your digestive system can suffer as well.

Because digestion doesn’t start in your stomach—it starts in your mouth! Let’s take a quick look at how the digestive system operates.

  • Teeth

The first step in digesting is breaking down foods so your body can extract their nutrients more easily. Healthy teeth are essential here. Incisors and canines tear food into smaller pieces while molars grind these pieces into an easy-to-swallow, paste-like consistency. While we chew, the surface area of the food increases, allowing the digestive enzymes in saliva, the stomach, and the small intestine to work more efficiently.

  • Salivary Glands

Saliva production increases when we eat. Digestive enzymes in saliva begin breaking down carbs into sugars, and separating fat molecules. Saliva also contains antimicrobial peptides which are important for oral and gut health.  

  • Esophagus

This muscular tube connects the back of the throat to the stomach. As we swallow, muscles in the esophagus contract and relax, an involuntary movement called peristalsis. These contractions push food down into the stomach. Peristalsis also occurs in the stomach and intestines, efficiently moving food through the rest of the digestive system. 

  • Stomach

Inside the stomach are gastric acids and enzymes which break food down further to help the small intestine make use of these nutrients in the next stage of digestion.

  • Small Intestine

This organ works to reap the benefits of our healthy diets. The small intestine absorbs about 95% of the nutrients from our digested food—carbohydrates, proteins, fat, vitamins, and minerals—and transfers these nutrients to the circulatory system to be used throughout the body. Any remaining food particles travel to the colon, or large intestine.

  • Large Intestine

Bacteria in the large intestine help process soluble fiber, which we can’t digest on our own. The large intestine is also where insoluble fiber and anything else undigested are converted to solid waste. 

Now, let’s look at how a malocclusion, or bad bite, can disrupt the digestive process.

In some cases, malocclusions are mild, and require little or no treatment. A more serious malocclusion, though, can impact the way the jaws fit together, making it difficult or impossible for the jaws and teeth to align correctly for efficient and comfortable chewing. What are some possible consequences?

  • Uneven bite pressure

With a healthy bite, your teeth and jaws fit together properly to let you get the most out of your meal. When teeth and jaws don’t meet properly, it’s hard to chew food into the paste-like consistency necessary for rest of our system to process it smoothly.

  • Reduction in digestive enzymes and peptides

Difficulty chewing means less chewing. Less chewing means less saliva, and your system won’t benefit from the digestive prep work and gut protection which saliva typically provides. 

  • Uncomfortable swallowing

Insufficiently chewed food makes peristalsis in the throat and other digestive organs more difficult. Larger pieces of food can become stuck in the esophagus, causing painful swallowing or even choking.

  • Higher risk of stomach problems

When food isn’t chewed thoroughly, the stomach has to work harder, and the risk of gastroesophageal reflux increases. Highly acidic gastric juices can back up into the esophagus and mouth, causing heartburn, chest pain, sore throat, and vomiting. 

  • Bowel irritation

When food particles are too large, the small intestine must work harder to break them down and to absorb their nutrients. Insufficiently digested food can also upset the bacterial balance in the large intestine. These problems can cause indigestion, constipation, gas, and bloating.

  • Changes in nutrition 

Orthodontic problems can also lead to nutritional imbalances even before we start to digest. Soft foods and liquids are often chosen over proteins, fruits, and vegetables when chewing pain is a regular occurrence. While a soft diet is fine for a few days if your mouth is a bit sore following an orthodontic or dental treatment, it can be difficult to get the all the nutrients your body needs when you only eat soft foods.

Orthodontic treatment has many well-known benefits. Straighter teeth. A comfortable, functional bite. Increased self-confidence. Let’s add one more benefit to that list—making sure your digestive system gets off to a great start!

The team at Brogan Orthodontics in Philadelphia, PA recommends an orthodontic evaluation for children around the age of seven, because finding malocclusions early makes it easier to correct them. But if you’re an adult, don’t settle for painful chewing and an increased risk of digestive problems. Talk to Dr. Joseph Brogan to learn how orthodontic treatment can give you an attractive, functional smile. Your healthy smile—and your healthy body—will thank you!

Gum Disease Awareness

February 19th, 2025

February is Gum Disease Awareness month, a timely reminder that preventing gum disease is one of the best ways to protect our oral health. 

Gum disease is easily treated in its earliest stages. Left untreated, the progressive nature of gum disease makes it one of the leading causes of tooth loss in adults. 

And while we often think of gum disease as an older person’s disease, the fact is that teens and young adults can suffer from gum disease, too. Irregular brushing and flossing habits, hormone fluctuations, family history, and even orthodontic treatment can make people of any age more vulnerable to gum disease.

Let’s take a moment in this shortest month of the year to discuss how understanding, treating, and, above all, preventing gum disease can help us enjoy long-lasting healthy smiles.

How Gum Disease Develops

Gingivitis is the first, mild stage of gum disease. 

  • Gingivitis begins with plaque. 
  • Plaque irritates gum tissue, causing inflammation, which is the body’s reaction to injury or infection. 
  • Typical symptoms include gums which are swollen or red. The gums might feel tender or bleed easily when you brush or floss. You could develop persistent bad breath. 

With proper care, gingivitis is reversible. Because gingivitis symptoms can be very mild, they’re sometimes overlooked. That’s why it’s important to keep up with regular checkups to discover and treat the disease in its earliest stages. 

Periodontitis is a serious gum disease which is destructive to the structures which support our teeth: gums, connective tissue, and bone. 

  • Plaque, when it’s not removed, hardens into tartar, which can form on the tooth above and below the gumline. 
  • The gums pull away from plaque and tartar deposits, creating a space between the gum tissue and tooth roots. 
  • As the gums continue to recede, pockets form between the teeth and gums.
  • Infection-causing oral bacteria thrive in these pockets. Gum infections can lead to painful abscesses—but gum disease is not just an infection.
  • The body normally responds to bacterial infection with inflammation. With periodontitis, this inflammation becomes destructive chronic inflammation. 
  • Over time, chronic inflammation and infection break down the gum tissue, bone, and connective tissue holding teeth in place. Teeth become loose or shift out of alignment.

The tooth’s support structure eventually becomes so compromised that extraction is the only option. That’s why prompt treatment is essential.

Treating Gum Disease

Several options are available to treat gum disease, depending on its severity.

Treatment for gingivitis can be as simple as paying more careful attention to your brushing and flossing and, if necessary, seeing your dentist for a professional cleaning. In some cases, your dentist might recommend an antimicrobial mouthwash or rinse.

Periodontitis requires specialized treatment from your dentist or periodontist, and this treatment will be based on how advanced the condition is:

  • Topical, oral, or time-release medications treat infection.
  • Non-surgical deep cleaning procedures called scaling and root planing remove plaque and tartar above and below the gumline, allowing gum tissue to reattach to the tooth. 
  • Flap surgery treats more advanced gum infection by reducing pocket depth and re-securing the gums snugly around the teeth.
  • If needed, bone grafts, gum grafts, and other regenerative procedures are available which help repair and restore damaged tissue.

Preventing Gum Disease

What many people aren’t aware of is just how preventable gum disease is! Because wearing braces can make brushing and flossing more challenging, it’s especially important during these months to stay on top of your dental hygiene and be on the lookout for signs of gingivitis.

  • Brush twice a day for two minutes each time, after every meal, or more often if your orthodontist recommends it. 
    • Use proper brushing technique, angling your brush toward the gums to gently clean around and below the gum line. Be sure to brush around your brackets and under your wires. Use a soft-bristled brush to protect both gum tissue and tooth enamel.
  • Floss once each day, after every meal, or as directed by Dr. Joseph Brogan. 
  • There are specialized brushes and flossers available to make cleaning around brackets and wires much easier. Electric toothbrushes and water flossers can also be helpful in removing hard-to-reach plaque. Ask Dr. Joseph Brogan to recommend the flossing tools and techniques which will work best for you.
  • See your dentist regularly. Gum disease can be invisible in its beginning stages. Discovered early, treatment is simple and effective. 
  • Having your teeth cleaned every six months, or as recommended, will remove tartar buildup which brushing alone can’t handle. 

Your dental hygienist is experienced in cleaning teeth when patients wear braces. And you can get tips for better brushing and flossing techniques from the team at Brogan Orthodontics in Philadelphia, PA, too!

Even when it seems like there aren’t enough days in the month or hours in the day, it takes just a few minutes daily to care for your gums and teeth. And when you’re aware of just how much those few minutes mean to a healthy smile, it’s time well spent!

The Origins of Valentine's Day

February 13th, 2025

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Dr. Joseph Brogan and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Brogan Orthodontics!

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