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How does wisdom tooth removal affect orthodontic care?

September 15th, 2022

The purpose of braces and other forms of orthodontic treatment at The Brace Place is to correct malocclusion, also known as crooked or crowded teeth, or “bad bites.” Past orthodontic practice dictated that wisdom teeth be removed, especially in cases of crowding.

The wisdom teeth are the last teeth to come in, and are officially known as the third molars. The teeth typically erupt, or break the surface of the skin, in young people between the ages of 13 and 20.

Sometimes, wisdom teeth are impacted. That means they cannot break through the gum tissue. This typically happens when the mouth or jaw is too small to accommodate the teeth. Impacted wisdom teeth can become infected, and some dentists and orthodontists may want to remove them as prophylaxis to prevent possible future infection.

Justification for removing wisdom teeth

Dr. David Leever will tell you that in some cases, wisdom teeth attempt to come in the wrong way, either tilting in the jaw, or sideways. If the mouth is too small to accommodate these additional teeth, they inevitably become impacted. Swelling or infection of the gum flap above an impacted wisdom tooth may cause pain. The greatest danger is pericoronitis, a potentially dangerous infection that can occur in the gum area around an impacted wisdom tooth, or around a wisdom tooth that has erupted.

Orthodontists base their decision to remove wisdom teeth on each patient's individual circumstances. To learn more about the impact wisdom teeth have on orthodontic treatment, or to schedule a visit with Dr. David Leever, please give us a call at our convenient Tampa office!

Emergency Care for Orthodontics

September 8th, 2022

It’s vital to understand the difference between an orthodontic emergency and minor orthodontic issues. Minor issues can be handled the next day, or at your next scheduled appointment. When a real orthodontic emergency occurs, however, you will need to see a doctor immediately.

Emergencies can include injuries to your teeth, jaw, mouth, or face. Whether you have braces or oral appliances in your mouth at the time or not, it’s crucial to fix the problem before it gets worse. If you have an injury that affects an orthodontic appliance, that may need to be replaced or adjusted, depending on the extent of the injury.

You can watch for and address some common minor issues on your own, or wait to have them fixed at your next appointment with Dr. David Leever:

  • Poking wire
  • Loose bracket
  • Loose elastic band
  • Loose wire
  • Loose appliance
  • Headgear does not fit
  • Lost or broken elastic band
  • General soreness

These minor issues may arise if you eat hard or sticky foods that damage your braces or other orthodontic appliances. Make sure to be extra careful, and avoid brushing your teeth too aggressively to avoid causing damage.

These problems should not be treated as emergencies unless they begin to cause prolonged pain and discomfort. If you notice this happening, contact our Tampa office and we can provide a solution.

Some at-home remedies you can try can include covering loose brackets or wires with wax. Wax can prevent canker sores from forming by covering sharp metal pieces that poke into your gums. If you have wires that have poked out into your gums, you can use tweezers to push the wires gently away from the direction of the sore area. Always make sure you use alcohol to sterilize anything you intend to put into your mouth.

When you get braces initially, you may notice some soreness of the jaw or small abrasions from your mouth getting accustomed to foreign materials. You should not worry too much about this temporary pain.

A warm salt-water solution can be used to alleviate any swelling or discomfort you’re experiencing. Many drug stores have ointment for canker sores that will numb the area if they continue to bother you. If you notice that your pain or swelling doesn’t get better, schedule an appointment with a medical professional as soon as you can.

When in doubt, contact our Tampa office if you are unsure or still have questions about an orthodontic problem you’re facing. If the situation becomes an emergency, don’t hesitate to make an appointment with our team, so we can help provide you with a solution.

Orthodontic emergencies should be taken care of promptly whenever they arise.

How NOT to Forget Your Retainer

September 1st, 2022

The alarm sounds in the morning, you wake up and realize "I forgot to wear my retainer!"

If this only happened once, don't panic. Missing one night with a retainer is unlikely to cause significant teeth movement. However, if it has happened often, give our Tampa office a call to make sure your teeth haven’t shifted position.

Here are some tips from Dr. David Leever to help you remember your retainer:

1. Write down the instructions we give you for wearing the retainer, whether you should wear it all day or at night, or just a few times a week. Writing things out like this helps set the schedule in your memory.

2. Clean the retainer when you take it out each time. If you don’t you may not have time when you’re rushing to get to work or school to clean it properly and may be tempted not to wear it.

3. Put a note on your mirror or in your purse or wallet reminding you to wear your retainer.

4. Set an alarm on your mobile phone to remind you when it’s time to put the retainer in. If you have email with a calendar you can set up daily reminders, too.

5. Always put the retainer in its case when you take it out to eat or sleep. You’ll reduce your risk for losing it or accidentally throwing it away.

6. If you don’t have to wear the retainer every day, you can use some recurring events to help you remember. With this system for example, watching your favorite weekly TV show, laundry day, or family pizza night can all serve as reminders that you should put in your retainer.

7. Don’t be shy about asking for help if you’re forgetful. Assure your spouse, parents, siblings, or roommates that you won’t consider if nagging if they remind you to wear your retainer.

8. Surf online for examples of how teeth can shift when retainers are not properly used. Those stories can serve as timely warning not to let the same thing happen to you!

Remember, you can always call our Tampa office if you feel your retainer is uncomfortable or painful. We'll work with you to protect your smile!

The Best Treats in the House

August 25th, 2022

You waited for this movie all year. You got your tickets early, and you’ve got the best seats in the theater. Whether you paid to see the latest action flick or the most romantic comedy in the history of romcoms, it’s not as nearly as much fun if the trip to the snack bar is a horror story. Perhaps Dr. David Leever can help!

If you’re wearing traditional braces, the usual suspects, chewy, sticky, hard, and crunchy foods, are still off limits even when the lights go down. Let’s look at some alternative casting.

  • The Candy Counter

Licorice, caramels, taffy, and candy with nuts can make any film a disaster movie—and can make your next visit to our Tampa office an emergency one. Stick with soft chocolates, chocolates with creamy fillings, ice cream, and ice cream bars (without nuts or caramel, of course).

  • The Soda Fountain

Sodas won’t break your braces, but they will damage your teeth, so try to brush as soon as you can or rinse with water after enjoying one of those titanic servings. And no crunching on ice! That can damage your braces.

  • The Popcorn Machine

Sorry, we can’t help you here. Popcorn, with or without that tempting flood of melted butter, is off limits. The kernels can get lodged between your teeth and braces, and can be very hard to remove. They can also cause breakage to wires and brackets.

If you still crave something salty, check with us to see if soft pretzels or baked potato chips might be an option for you.

Movie treats contain a lot of starches and sugars, which stick to braces and feed cavity-causing bacteria, so it’s always best to go easy on the snacks. But you don’t have to give up the concession counter completely—just enjoy in moderation and be sure to brush thoroughly when you get home.

And if you wear clear aligners? You can remove your aligners, eat what you like, and clean your teeth carefully before replacing them. But do remember—you’re supposed to wear your aligners for a set number of hours each day. If you’re looking forward to a four-hour epic, make sure to take into account your treatment schedule.

We don’t know if your movie was worth the wait. But we do know that the results of your orthodontic treatment will be! Take care of your teeth and braces, and you’ll be on the fastest, healthiest track to an award-winning, red carpet smile.