Brushing

You will notice that it is much harder to keep your teeth clean with braces. Food compacts in the brackets and between your teeth, and can only be removed by brushing and flossing. If plaque remains on the teeth for any length of time, it will leave a permanent white scar on the surface. Brushing after meals should become part of your daily schedule. Use a soft toothbrush with firm pressure and brush at a 45-degree angle to the tooth; brush in small circles above and below the brackets. Click here for visual instructions. Your toothbrush will wear out faster because of your appliances, so be sure to replace it whenever the bristles start to fray. A waterpik can be a useful addition but it cannot remove the sticky plaque that adheres to the teeth. Braun-Oral B electric toothbrushes are great and you will receive one when you begin treatment. Flossing is important and should be done every day. The floss threaders are reusable.

Eating Habits

Please do not eat hard foods: nuts, ice, crisp taco shells, whole apples and carrots (cut them into pieces first), hard French bread crust and rolls, spareribs, corn on the cob (cut the corn off the cob before eating)! These foods risk breaking brackets and wires. Also beware of nail biting and pen or pencil chewing habits, since these will damage your braces. Do not eat sticky foods: taffy, caramels, bubble gum, or sticky candy of any sort. A small piece of sugarless gum occasionally is acceptable. Use common sense about most foods.

Remember "STICKY CHEWY, HARD AND CRUNCHY" and you will eliminate many broken appliances and lengthening your time in braces.

Braces

Check braces once a week for anything loose or bent. If a bracket or band comes loose or you break a wire, please call our office so that we can arrange an appointment long enough to repair it. Try to explain what has happened by using the diagram provided. Be as specific as possible with the receptionist. If you lose your rubber bands, call us so we can mail you some more or drop by the office and pick some up. Sore Teeth After braces are placed in the mouth it is normal for the teeth to be sore for about 2 or 3 days. Tylenol or Advil will help relieve this discomfort. Some irritation to the cheeks and tongue is normal, but if you feel anything sharp is poking you or any sores are developing, please call our office at 888-223-8080.

Elastics

Attached to your braces, elastics (rubber bands) exert the proper force that creates the right amount of pressure to move teeth. In order for this force to remain constant, elastics must be worn all the time and changed every day. Any time missed in wearing your elastics will only make your treatment take longer, so remember these things:

• You are responsible for placing the elastics on your braces between appointments. Make sure to wear them as instructed. Remove them only when brushing your teeth, gums and braces after meals. Then put them back on immediately.
• Always carry a few elastics with you, so if one breaks you can replace it right away. If your supply is low, call the office and we will mail you an additional supply of elastics.
• If you forget to insert your elastics one day, don't double up the next day — just follow your regular instructions.
• Elastics become worn out. When they lose their elasticity, they don't provide the proper pressure on your teeth and jaws. It is very important to change them as directed, even when they are not broken.

If your elastics break frequently, a wire or band loosens, or a hook breaks off — call our office immediately. Don't wait until your next appointment. These problems need to be corrected as soon as possible!

Removable Appliances

• The removable appliance is carefully designed to move or to hold your teeth. In the case of a splint, it is designed to protect your teeth and jaw joints. It is important that it is worn according to instructions and brought to each appointment.
• Wear your appliance at all times, even while you are asleep. It may be removed while eating, swimming, or playing vigorous sports activities. The exception to this is your splint. In some cases you will be instructed to wear it even while eating. In two or three days your speech will return to normal with the appliance in place. Avoid flipping your appliance with your tongue. This can cause damage to your teeth or breakage of your appliance.
• Your new appliance may make your teeth sore for a day or two, especially after an adjustment. If you have a sore spot on your gums call our office so that we can adjust the appliance.
• Clean your appliance by brushing it daily with toothpaste. Denture cleaner can also be used for a more thorough cleaning. If you are wearing a bonded wire retainer behind your front teeth, be extra careful to clean the wire and the area around it. Flossing should be done every day.
• Never wrap your appliance in a paper napkin or tissue and set it down on the table. You or someone else may throw it away. Don't put it in your pocket when playing or you may break or lose it. Whenever it is not in your mouth it should be in its plastic appliance case.
• Keep your appliance away from dogs or cats as they love to chew on them. Avoid storing them near any source of heat. Do not boil your retainer to sterilize it! If needed, bring it to the office and we will be happy to disinfect it for you.
• An additional charge will be incurred for lost or broken appliances.