Our Blog

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth.

• Preventing Interproximal Cavities

Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach.

When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge!

The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment:

• Floss threaders are flexible hoops that help you thread floss behind your wires easily.
• Precut floss strands use a stiff tip at one end for threading floss through wires.
• Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning.
• Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces.

During your next visit to our Philadelphia, PA office, Dr. Joseph Brogan can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

You went through a lot of effort and work to achieve your perfect smile. You wore your Invisalign aligner trays, brushed and flossed diligently, and now your treatment is done! What happens now?

In order to keep your teeth healthy and beautiful, you should keep several practices in play.

Retainers

Although everyone’s needs are different, many patients require a retainer after Invisalign treatment. If a retainer is recommended by Dr. Joseph Brogan, use it as directed. Not wearing retainers could result in shifting teeth and potentially ruin your results.

It’s also recommended that you avoid hard, crunchy foods for the first few weeks as your teeth adjust. For younger patients, retainers are normally worn until the wisdom teeth come in or are extracted.

Brushing and Flossing

It should come as no surprise that flossing should still be done every day to remove plaque, which can develop into tartar or calculus. The build-up can lead to gingivitis and gum disease.

Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm saltwater rinse may relieve discomfort.

Because your teeth have been protected by your Invisalign aligners and are now fully exposed, they may be more sensitive the first few weeks after treatment. If that’s the case, we can recommend a sensitive toothpaste to relieve your discomfort. If your teeth are stained, a professional whitening treatment may be considered.

Regular Dental Checkups

Regular dental exams ensure your teeth stay healthy for life. Professional cleanings, X-rays, and cavity treatment can be addressed by staying on top of your routine checkups.

If you have any questions about how to care for your teeth after your Invisalign program, please ask our Philadelphia, PA team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.

You might be surprised to see one of your second grader’s friends with a dental appliance. Isn’t orthodontic work just for teenagers? And, if not, should your seven-year-old be sporting braces right now? The answer to both of those questions is “Not necessarily.” Two-phase treatment is a process designed to correct issues that arise during different times in your child’s life.

First Phase Treatment

We recommend that every child have an orthodontic evaluation around the age of seven to determine if there is a problem that would benefit from early treatment. First phase orthodontics is not the same as orthodontics for older patients. The focus here is on the developing bone and muscle structures which form your child’s bite and provide space for the permanent teeth when they arrive.

There are some clear-cut orthodontic goals that are much easier to attain when children’s bones are still growing.

• Reducing Crowding

If your child’s mouth is small, the permanent teeth will have little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time. Sometimes the extractions necessary to create more room for permanent teeth in later years can be avoided, as well as the possibility of an impacted tooth—one which doesn’t erupt because it is blocked by other teeth.

• Dealing with Jaw and Bite Concerns

Bones and muscles do not always develop properly, leading to problems with jaw and facial structure. Your younger child still has growing bones, so this is a great time to gently re-form the jaw into a healthy shape. Problems caused by crossbites, underbites, open bites, and other malocclusions can be reduced with early treatment.  

• Protecting Teeth

If your child has protruding front teeth, these teeth are more likely to be damaged in falls, at play, or while participating in sports. We can gently reposition them.

Second Phase Treatment

Second phase treatment is designed for your older child. After a resting period, when the permanent teeth finish erupting, we should see your child to evaluate any further orthodontic needs. This is the time to finish the process of straightening the teeth and making sure that each tooth fits together properly for a comfortable and healthy bite. This phase usually makes use of braces or aligners, and can take approximately 12-24 months.

Two-phase treatment is not necessary for every child. But there are some unique reasons that early orthodontics might be recommended for your child, even if it’s clear that more orthodontic work will be needed later. Make an appointment with Dr. Joseph Brogan at our Philadelphia, PA office, and let’s evaluate your child’s orthodontic needs, whether now or in the future, for a lifetime of beautiful smiles.

These days, it’s become more common to see adults at our office getting their teeth straightened with Invisalign clear aligners . . . that is, if you can see them! Whether they are seeking to overcome the stigma that “braces are just for kids,” or simply want straighter teeth without a mouth full of metal, Invisalign is an effective and easy solution.

According to the American Association of Orthodontists, from 1994 to 2010 the number of adults 18 and older who request braces increased by 58 percent: from 680,000 to 1.1 million a year. Many adults enjoy how discreet the aligners are and that the user doesn’t need to avoid any foods or make dietary changes the way you would with traditional braces. Also, each treatment is unique to the patient.

With an Invisalign treatment, you can expect to enjoy the following benefits over traditional braces:

• The total treatment time is more precise with Invisalign because your treatment is modeled by a computer. Traditional braces depend more on an estimate and aren’t as exact.
• You’ll make fewer trips to our Philadelphia, PA office, since you’re able to change your trays on your own every few weeks or whatever is prescribed.
• Without brackets to place over your teeth, there’s less risk to the health of your tooth enamel.
• Invisalign aligners are clear and practically invisible, so most people won’t even know you’re wearing them!

If you’re interested in Invisalign as a treatment option, please let Dr. Joseph Brogan know. We’d be happy to help you on your journey to a straighter, healthier smile!