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When you get braces as a child, you usually present the orthodontist with a blank canvas—newly erupted, perfect permanent teeth, just waiting to be aligned. But if you are a bit older, your canvas might already be a bit busy, with fillings, crowns, perhaps even a missing tooth. Can Dr. Joseph Brogan still work with that more complicated picture? Yes!

• Fillings

Many of us have acquired a filling or two. Normally, an old filling shouldn’t interfere with new braces. Large fillings, however, might call for spacers. These small rubber bands are inserted between two teeth as needed to create enough room for bands and brackets, and are generally put in place a week or two before you get your braces. They frequently fall out on their own as the space between the teeth gets a bit wider.

• Crowns

If you have had a root canal or any other dental treatment that left you with a crowned tooth, no need to be concerned. A special dental adhesive can be used to adhere brackets to crowns.

• Implants

If you have or would like to get an implant, this is a time to coordinate with your orthodontist and dentist or oral surgeon. Sometimes an implant can anchor your appliance, and sometimes it’s best to keep the spot open until your orthodontic work is completed. Once in place, an implant will not have the mobility of a tooth, so it’s always best to make sure your doctors can create a schedule that will work for both the installation of the implant and the positioning of your braces.

• Healthy Teeth and Gums

Before you begin orthodontic work, talk to your dentist. If you need a filling or crown, are considering a dental implant, have symptoms of gum disease, or are looking at any other dental concerns, you should work with your dentist first. Healthy teeth and gums are the very best foundation for orthodontic treatment at any age.

If you are wondering whether Dr. Joseph Brogan can help you achieve the smile you’ve always wanted, talk to us when you visit our Philadelphia, PA office! Your past dental work will be just one of the many variables we take into consideration when we’re planning your future of picture-perfect smiles.

Our office strives to bring you the latest and greatest in orthodontic techniques and technologies. Being on the cutting edge of the industry is important—it ensures you, as our patient, are getting the best orthodontic treatment you possibly can while keeping costs down!

The goal of a high-tech office is three fold: to have effective treatment, to have efficient treatment, and to make the whole process easy, painless, and cost-effective for you.

Here are some of the technologies being implemented by Dr. Joseph Brogan to do just that:

3D oral scanners: If you've ever experienced getting impressions the traditional way, it isn't very fun! Having a gag reflex is common and it takes several minutes on both the top and bottom of the mouth to get a successful impression.

With 3D oral scanners, we create a perfect digital scan of your teeth without radiation. We then use the results of the scan to create accurate braces, retainers, and other appliances for your unique teeth and mouth.

Digital Imaging: New digital imaging provides us with accurate, panoramic, and cephalometric views of your teeth and their supporting structures. This lets us plan and implement treatment with the utmost precision.

Not only does this kind of imaging expose patients to far less radiation than traditional X-rays but it also gives us immediate access to the images, whereas X-rays had to be developed. This expedites treatment time and means fewer trips to our Philadelphia, PA office for you.

New, high-tech braces options: There are so many more choices when it comes to braces these days! Advances in the industry like Invisalign®, self-ligating braces, and lingual braces, allow patients to not only get highly accurate and precise treatment, but do so discreetly without anyone else even knowing.

Digital scanning and imaging takes the guesswork out of braces. Instead of the orthodontist estimating tooth movement and treatment progression, these days it's all computer modeled with exacting detail. The result? Your braces do exactly what they're intended to do in less time with a picture-perfect outcome.

These are just some of the advances in the orthodontic industry. Needless to say, they all make the entire process that much easier and effective for you. If you have any questions or are interested in treatment, please don't hesitate to contact our Philadelphia, PA office!

What does the month of October mean to you? For people in the northern hemisphere, October is when the weather starts to get a little chilly: heavy jackets might come out of storage and the summer clothing gets packed away. You might start making plans for the upcoming holidays or looking at the beautiful and changing autumn scenery. October means something a little different to our team at Brogan Orthodontics because this is National Orthodontic Health Month. During October, orthodontic clinics all over the country work together to promote their services and inform the community about the important work we do.

National Orthodontic Health Month is an awareness campaign created cooperatively by orthodontists and other dental health professionals. During this month, we make a special effort to promote dental health and orthodontic health in particular. This is a great time to get your questions answered by dental professionals in your community and to learn more about exactly what an orthodontist can do for you and your family. Events held in connection with National Orthodontic Health Month are also an opportunity for us orthodontists to come out and meet community members. If you have never been to an orthodontist before, you might not know what to expect. Meeting one of us in person before your checkup is a great way to find out what kind of person you’ll be seeing during your appointment.

Meeting Dr. Joseph Brogan in a relaxed “meet and greet” atmosphere can be especially helpful for any young orthodontic patients in your family. Kids of all ages–and their parents!–can feel anxiety about going to the dentist. Getting to know the person you have an appointment with can make the experience a lot less stressful for everyone. We don't want anyone to avoid seeing a dental professional for regular checkups just because they don't know who we are. Just meeting and talking with the orthodontist you'll be seeing may be enough to make you feel more comfortable about your upcoming appointment.

Dental health is something that affects everyone; healthy teeth and gums contribute to a healthy smile and a lifetime of comfort and well-being. Orthodontists are just one of the various dental practitioners you could visit at some point in your life, so taking a little time to learn who we are and what we do is certain to be a helpful experience. We look forward to seeing you and your family this October at our Philadelphia, PA location!

From the time you were small, you’ve been warned about the dangers of plaque. Why? Because:

• It’s an unpleasant film that sticks to your teeth
• It causes cavities
• It causes gum disease
• It can cause extra problems when you wear braces

And really, do we need to know much more than this to motivate us to brush? But if you’re in a curious mood, you might be wondering just how this soft, fuzzy film accomplishes all that damage. Let’s take a closer look at the sticky problem of plaque.

How does plaque form?

We live with hundreds of species of oral bacteria, most of which are harmless, and some of which are actually beneficial. But when our oral ecosystem gets out of balance, problems can occur. For example, without regular and thorough brushing and flossing, we start to build up plaque.

Plaque starts forming within hours of your last brushing. And even though plaque fits the very definition of “seems to appear overnight,” this biofilm is actually a complex microbial community with several different stages of development.

• It starts with saliva.

Saliva is vital to our oral health, because it keeps us hydrated, washes away food particles, neutralizes acids in the mouth, and provides minerals which keep our enamel strong. Saliva also contains proteins, which help form a healthy, protective film on the tooth surface. This film is called a pellicle.

• Bacteria attach to the pellicle.

There are species of oral bacteria that are able to attach themselves to the pellicle film within hours of its formation. As they become more firmly attached, they begin to grow and divide to form colonies, and are known as the early colonizers of the plaque biofilm.

• A complex biofilm forms.

If you’ve skipped brushing for a few days (please don’t!), you’ll notice a fuzzy, sometimes discolored film on your enamel—that’s a thriving plaque community, and it only takes a matter of days to go from invisible to unpleasant.

If you’re not removing plaque regularly, it can harden further and become tartar. And once you have tartar buildup, you’ll need the care of a dental professional to remove it.

• What happens if we ignore plaque and tartar?

We get cavities and gum disease.

How does plaque cause cavities?

• The bacteria in plaque, like all organisms, need nutrients.

Our normal oral environment and the food in our everyday diets provide the nutrients plaque needs. And, as we mentioned above, certain types of oral bacteria convert these nutrients into acids. Foods such as carbohydrates, starches, and sugars are most easily converted into acids, which is why we recommend that you enjoy them in moderation.

• The biofilm promotes acid production.

Within the plaque film, anaerobic bacteria (bacteria which don’t use oxygen) convert sugars and starches into acids. As the plaque film becomes denser, it blocks acid-neutralizing saliva and oxygen from reaching these bacteria close to the tooth’s surface, creating an ideal environment for the bacteria to produce their acid waste products.

• Acids attack enamel.

The sticky nature of plaque keeps these acids in contact with tooth enamel, where, over time, acids dissolve minerals in enamel, weakening the mineral structure of the tooth.

How does plaque cause gum disease?

• Bacteria cause inflammation and gingivitis.

The bacteria in plaque irritate the delicate tissue of the gums, which causes an inflammation response which can leave your gums swollen, red, bleeding, or tender. This early form of gum disease is gingivitis. Fortunately, good dental care and careful brushing and flossing can usually prevent and even eliminate gingivitis.

• Plaque and tartar can lead to periodontitis.

When plaque and tartar build up around and below the gumline, the gums pull away from the teeth, leaving pockets where bacteria collect, leading to infection as well as inflammation. Infections and constant inflammation not only harm gum tissue, they can destroy the bone supporting the teeth. This serious gum condition is periodontitis, and should be treated immediately to avoid further infection and even tooth loss.

How does plaque affect orthodontic patients?

• Plaque collects around your braces.

Braces provide plenty of spots for plaque to hide from your brush. If you aren’t extremely diligent with your brushing and flossing, plaque collects near brackets, wires, and bands—all those spots that a brush and floss find difficult to reach.

• Plaque promotes demineralization

The demineralization process we mentioned above can cause white spots on teeth (decalcification), where minerals have dissolved. Sometimes these spots can be treated, and sometimes they are permanent. They can become quite sensitive, and may lead to cavities.

Careful brushing and flossing around your braces will help eliminate the plaque that can cause demineralization near brackets. Ask Dr. Joseph Brogan about the tools and the brushing and flossing techniques which will give you the best results.

How do we fight plaque?

From the time you were small, you’ve learned how to fight plaque:

• Brush at least twice a day for two minutes, and be sure to brush all of your tooth surfaces and around the gumline.
• Floss to remove plaque from between the teeth and near the gumline.
• See your dentist as recommended for a thorough professional cleaning.

Be proactive. If you have any questions, talk to us at our Philadelphia, PA office about the best way to keep plaque at bay. We can show you the most effective ways to brush and floss, recommend anti-plaque toothpastes and rinses, even suggest plaque-revealing tablets if you’re missing some trouble spots.

We’ve only brushed up on some plaque basics, because there is a lot more to discover about this complex biofilm. Happily, even with all there is to learn about plaque’s growth and development, it’s reassuring to know that getting rid of it is quite simple—with just a soft-bristled brush, some dental floss, and a few minutes of your time each day, you’re on the way to a healthy, happy, plaque-free smile.