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Toothbrush Care

December 4th, 2018

You found the perfect toothbrush! The bristles are soft, to avoid irritating your delicate gum tissue. The angle of the bristles is perfect for removing plaque. The handle is durable and comfortable when you spend at least two minutes brushing in the morning and two at night. Why, you love this toothbrush and you’ll never let it go… for the next three or four months.

The life of a toothbrush is naturally a short one. Dr. Le-Cadre and our team recommend replacement every three to four months because the bristles become frayed and worn with daily use. They cannot clean as effectively when the bristles begin to break down, and, depending on your brushing style, may wear out even more rapidly. (Children will probably need to replace toothbrushes at least every three months.) But even in the short time you have your toothbrush, there are ways to keep it ready for healthy brushing.

  • Don’t share. While sharing is normally a virtue, sharing toothbrushes can lead to an increased risk of infections, especially for those with compromised immune systems or existing infectious diseases. Similarly, keep different brushes separate when drying to avoid cross-contamination.
  • Rinse thoroughly after brushing. Make sure to remove any toothpaste or debris left after you brush.
  • Store the brush upright. Air-drying is the preferred way to dry your brush, as covering the brush or keeping it in a closed container can promote the growth of bacteria more easily.

There are several products on the market that promise to sanitize your brush. The verdict is still out on its success, but if you or someone in your home has a compromised immune system, call our New Rochelle, NY office to see if it might be worth your while to check them out.

Even though your toothbrush won’t be with you long, make its stay as effective and hygienic as possible. And if you find a brush you love—stock up!

What is lingual orthodontic treatment?

November 27th, 2018

This might be the year that you’ve absolutely decided to do something to improve your smile. Perhaps your teeth are not as straight as you would like. Perhaps your bite is a bit off. Perhaps you want the increased confidence that a beautiful smile brings. But, for any number of reasons, perhaps you don’t want to sport traditional braces for a year or two. In that case, talk to Dr. Le-Cadre about lingual braces!

What are lingual braces?

In normal braces, brackets are attached to the front of each tooth with a special dental cement, and rubber bands or clips within the brackets grip an arch wire that moves the teeth into alignment through gradual adjustments. These braces are very effective, but, even with ceramic or clear brackets, they are visible.

Lingual means “toward the tongue,” and this is the key difference between lingual braces and traditional types of orthodontic braces. With this option, brackets are custom-designed to be applied to the inside of your teeth. A precise treatment plan is designed specifically for you, and individually crafted arch wires (again, on the inside of the teeth) guide your teeth to their best alignment. The resulting braces are almost impossible to detect.

Will lingual braces work for you?

You might be a good candidate for lingual braces if:

  • You want the least visible orthodontic treatment available.
  • You don’t have a major malocclusion (bite problem). A severe overbite might not leave room for the brackets.
  • Your tooth surface is large enough for lingual brackets. Children or adults with small teeth might not be ideal candidates.

Because lingual braces are more difficult to install and adjust, orthodontists require special training and education to provide them to patients. If you think that lingual braces might be a good fit for you, talk to a member of our New Rochelle, NY team. We are happy to provide the information you will need to decide if lingual braces are the best option for you, and the expertise to design your custom treatment if you choose them. We want the best outcome for you and your smile, and there is absolutely no “perhaps” about that.

What is a palatal expander?

November 20th, 2018

Orthodontists like Dr. Le-Cadre recommend a first orthodontic visit and evaluation for your child around the age of seven. We will evaluate your child’s jaw and facial development and make sure that there is enough room in the mouth for the permanent teeth when they arrive. One of the recommendations we might make for early treatment is the use of a palatal expander. If you are unfamiliar with this device, let’s take a closer look at why it’s necessary and what exactly it does.

Why do we recommend the palatal expander?

There are two dental arches, composed of the upper and the lower teeth, in your child’s mouth. This arch-shaped design is meant to accommodate all the permanent teeth. Further, when the upper and lower teeth meet, they should result in a healthy occlusion, or bite.

Sometimes, the upper dental arch is simply too small to accommodate all of your child’s permanent teeth, leading to crowding, extractions, and impacted teeth. Also, a too-narrow arch can result in a crossbite, where some of the upper teeth bite inside the lower ones. An improper bite can lead to problems such as TMJ (temporomandibular joint) disorder, improper wear and stress on teeth, certain speech difficulties, and other potential complications. The palatal expander was designed to prevent these problems from occurring.

What is a palatal expander and how does it work?

The expander itself is a device that increases the size of the upper dental arch. Before your child’s bones are finished growing, the space between the two bones of the upper palate is filled with cartilage. This tissue is flexible when children are young, but gradually fuses solidly into place by the time they are finished growing (usually in the early to mid-teens). If the arch can be widened to accommodate the emerging permanent teeth, or to reduce malocclusions, this improvement can also affect the need for, and length of, future dental work.

There are several types of expanders available at our New Rochelle, NY office. These are custom-made appliances, commonly attached between the upper teeth on each side of the jaw. The two halves of the device are connected with a screw-type mechanism that can be adjusted to widen the upper palate and dental arch with gentle pressure. This is a gradual process, with small adjustments usually made once or twice a day to slowly move the bones further apart. As weeks go by, you will notice a successful change in the spacing of the teeth. Your child might even develop a gap in the front teeth, which is normal and will generally close on its own.

If you would like more detailed information, talk to Dr. Le-Cadre about the palate expander. We can tell you what to expect from this treatment if we think it is best for your child’s unique needs, and how to make it as easy as possible for your child. Our goal is to provide your child with the healthiest teeth and bite possible, always making use of treatments that are both gentle and effective.

Caring for Your Invisalign® Aligners

November 13th, 2018

You’ve selected the Invisalign system because of the many benefits Invisalign offers: comfort, convenience, appearance, and even potentially shorter treatment time! And to add to the good news, caring for your Invisalign aligners is easy and uncomplicated. Follow these simple tips to keep your aligners in the best possible shape as you move through the stages of your treatment.

Stay Clean

  • Always brush and floss your teeth before using your aligners so that bacteria and food particles will not have a chance to collect around your teeth while you wear them.
  • When you brush your teeth, be sure to brush your aligners with a separate soft toothbrush and lukewarm water as well.
  • Rinse your aligners whenever you remove them during the day.
  • Soak your aligners as recommended. Use the Invisalign Cleaning System or ask our New Rochelle, NY team for other suggestions to keep your aligners free from odor and bacteria.

Stay Clear

One of the reasons you chose Invisalign is for an almost invisible appearance. Why take a chance on discoloration or scratches that will make the appliance more noticeable? Here are some common mistakes that can affect the color of your aligners:

  • If your aligner has white spots, that might mean plaque build-up. Always rinse your aligner after you remove it and clean it thoroughly night and morning.
  • Brushing with anything other than a soft brush and brushing too hard can cause scratches in the material which might be noticeable. A gentle touch will work to clean and protect your aligners.
  • Eating with Invisalign aligners can cause staining. More important, it can cause the retention of food particles in the appliance, which can lead to dental problems. Finally, aligners are not meant for chewing—they might be damaged or lose their ideal shape even with soft foods. If you are going to be eating or drinking, take your aligners out, give them a rinse, and brush before you replace them. Or stick with water! Water will have no ill effects on teeth or aligners.
  • Only soak aligners in an appropriate solution. Harsh chemicals, colored mouthwashes, and even some toothpastes can dim or discolor the clear plastic.

Talk to Dr. Le-Cadre about the best products to use and the best methods for taking care of your aligners. After all, making the process of improving your smile as easy and effective as possible is yet another benefit of choosing Invisalign!

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