Toothpaste and Orthodontics
Between the thousands of brands, different flavors, and claims it is no surprise that people can have a difficult time when choosing a toothpaste. Even some dental professionals admitRead More
Hey guys, please use the link below to schedule a virtual consult or braces check with me! Looking forward to connecting with you all❣️Dr.Gupta. Schedule A Virtual Consult →Read More
You’ve probably heard of overbites, crooked teeth, or underbites whether you know someone who has one of these conditions or if you’ve experienced one yourself. These conditions are consideredRead More
What do TMJ and TMD mean?
Medical terms can be confusing and overwhelming for some patients and even medical professionals from time to time. You may have heard your friends and family describing their diagnosisRead More
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Toothpaste and Orthodontics
Between the thousands of brands, different flavors, and claims it is no surprise that people can have a difficult time when choosing a toothpaste. Even some dental professionals admit that it can take time to differentiate between brands and types. If you are undergoing orthodontic treatment, it can make the decision even more daunting. To help you we’ve compiled the ultimate toothpaste buying guide to keep your smile healthy and happy.
Though there are many forms and types of toothpaste on the market, there are some common ingredients shared by most varieties.
- Abrasive Agents – These are scratchy particles that work to remove food, bacteria, and minimal stains from the surface of your teeth while you brush. Calcium carbonate is the most common abrasive substance used in toothpaste.
- Flavoring – Artificial sweeteners are added to make toothpaste taste better. Though many of us associate the flavor of toothpaste with mint, there are many other flavor options on the market such as cinnamon, lemon-lime, and bubblegum.
- Humectants – Moisturizing agents are used to keep pastes and gels from drying out. The most commonly used humectant for toothpaste is glycerol.
- Thickening Agents – These agents help to give toothpaste that distinctive consistency and texture that we are used to in our toothpaste.
- Detergent – Detergents are used to create suds or foams while you brush your teeth. The most commonly used agent for detergents in toothpaste is sodium lauryl sulfate.
Types of Toothpaste
Toothpaste comes in gel, paste, and powdered forms. When it comes to selecting the form of your toothpaste, it is a matter of preference. There are many types of toothpaste on the market and while some may target specific oral concerns, others may cover a variety. Some of the common types of toothpaste include:
- Fluoride- Fluoride is a naturally occurring mineral that has proven instrumental in reducing tooth decay and preventing cavities dramatically over the last 50 years. Toothpaste that contains fluoride works to strengthen your enamel to prevent acidic damage and also reverses early signs of decay by remineralizing the surface of your teeth. Anti-cavity toothpaste contains higher levels of fluoride than standard options.
- Tartar-Control- Everyone has bacteria on their teeth known as plaque which can be removed with good oral hygiene habits such as daily brushing and flossing. However, when plaque is left alone, it can harden and form into tartar, which can only be removed by a dental professional during a cleaning. Tartar-control toothpaste is formulated to reduce the number of bacteria in your mouth using chemical compounds such as zinc citrate, thus preventing the buildup of plaque and decreasing the formation of tartar more effectively than other toothpaste.
- Tooth Sensitivity- Tooth sensitivity occurs when your enamel is damaged and the second layer of your teeth, dentin, is exposed. Specific compounds, such as potassium nitrate or strontium chloride, desensitize nerve endings in your teeth to offer relief and add a protective layer to the exposed areas.
- Whitening – Having a whiter smile is a common goal for many people. Whitening toothpaste does not typically use bleach but may contain more abrasive particles or chemicals to polish or remove stains from the surface of your teeth. It is important to discuss whitening toothpaste with your dentist as some can do more harm than good as the use of whitening toothpaste can increase your risk for developing tooth sensitivity. Depending on your goals, you may need professional treatment to achieve your desired results.
Brushing with Orthodontics
Toothpaste that contains fluoride is recommended for all patients as fluoride works to reduce tooth decay and protect your enamel from erosion.
If you are straightening your teeth with Invisalign, then your oral hygiene routine can stay the same and your options are endless. For patients who have other forms of orthodontic appliances such as braces, you may need to work a little harder to maintain a clean, cavity-free smile. As always, we suggest a fluoride option, but using tartar-control toothpaste can also help to reduce plaque buildup in those hard to reach areas.
We advise our patients to avoid using whitening toothpaste or products while receiving orthodontic treatment, as these products will only whiten visible areas and may leave patients with uneven colored teeth once your braces are removed.
For more information on which toothpaste to select or how your toothpaste can affect your smile with orthodontic treatment, contact Bracify 3D Orthodontics today.
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You’ve probably heard of overbites, crooked teeth, or underbites whether you know someone who has one of these conditions or if you’ve experienced one yourself. These conditions are considered different types of malocclusions, which is the official term for mismatched teeth or jaw issues caused by misalignments with your bite. Roughly 2/3 adults have some degree of malocclusion as very few people have perfectly aligned teeth. While some cases do not require significant treatment or treatment at all, we want to educate you on this common orthodontic occurrence and give a brief guide to malocclusions.
What is malocclusion?
Occlusion refers to the meeting of your teeth, or the actual contact of your teeth in your upper and lower jaws. Your teeth should fit easily and comfortably within your mouth without crowding, gaps, or any teeth that may be rotated or twisted. There should be a slight overlap of your upper jaw on your lower jaw so that your molars can fit into the grooves of their opposite molars.
Malocclusion refers to any deviation from the ideal occlusion. Most people have a malocclusion to some degree, but often it is so minor that treatment is not necessary unless for aesthetic reasons. There are three main categories of malocclusions:
Class 1 – This is the most common type of malocclusion where the bite is normal, but there may be a slight overlap.
Class 2 – Commonly referred to as an overbite where a severe overlap is present, meaning the upper teeth and jaw significantly protrude over the lower jaw and teeth.
Class 3 – More commonly known as an underbite, this class refers to cases where the lower jaw juts out causing the lower teeth to overlap the upper jaw and teeth.
The types of malocclusion can vary, but any type can cause issues for a patient. Common types of malocclusions include:
Crossbite – When the upper teeth bite down inside the lower teeth. It can occur on one side or both and may involve either the front or back teeth.
Open bite – When the front teeth do not overlap with the lower teeth or jaw when the mouth is closed there is a space between the top and bottom teeth.
Overbite – A severe overlap of the lower front teeth. In severe cases, the front teeth may hit the gums when a person bites their teeth together.
Overcrowding – Often caused by a lack of space resulting in teeth that overlap or become crooked, rotated, or twisted.
Overjet – Similar to an overbite, but occurs when the top teeth extend beyond the bottom teeth horizontally.
Spacing – Spaces that occur between two or more teeth
Underbite– An underbite is an anterior crossbite that occurs with the front teeth. When the mouth is closed the lower teeth protrude forward of the top teeth.
Symptoms of malocclusions vary depending on the classification, type, severity, and patient but common symptoms include:
- Misaligned teeth
- Abnormal signs of wear on teeth
- Difficulty chewing or biting
- Alteration in facial features
- Frequent biting inside of the cheek or tongue
- Tooth grinding
- Neck, shoulder, and upper back pain
- Speech complications
- Mouth, teeth, or jaw pain
- Breathing through the mouth rather than the nose
There is no single direct cause for all malocclusions. The majority of the time it is heredity due to a size difference in the upper or lower jaw or jaw shape. Sometimes certain birth defects such as cleft lips or cleft palates can lead to the development of malocclusions.
It can also be acquired from childhood habits such as thumb sucking, pacifier usage, or bottle feeding beyond the age of three. Children who have little space between their baby teeth are likely to experience overcrowding with their permanent teeth which can result in malocclusions.
Other causes for malocclusion include abnormally shaped teeth or bite patterns, presence of extra teeth, loss of teeth due to injury or accident, or impacted teeth. Malocclusions may also occur due to poor dental care such as poorly-fitted crowns or other dental/orthodontic appliances. Medical conditions such as allergies or enlarged adenoids or tonsils may also lead to airway obstructions and could create a degree of malocclusion.
Malocclusions are often diagnosed during routine dental exams. If suspected, x-rays, photographs, and molds are taken and often given to an orthodontist to study and confirm.
If a malocclusion is confirmed, an orthodontist will handle treatment in most cases. Treatment varies depending on the type of malocclusion and is determined on an individual basis. Several factors are considered including age, medical history, overall health, and the severity of the malocclusion.
Common types of malocclusion treatments may include but are not limited to:
- Orthodontic appliances such as braces, aligners, or retainers to correct the position of teeth
- Extraction of teeth to alleviate overcrowding
- Capping, bonding, or reshaping of teeth
- A palatal expander can be used in younger patients to widen the jaw
- Plates and wires may be used to help stabilize the jaw
In severe cases, surgery may be needed and you may need to be referred to a maxillofacial surgeon or oral surgeon.
If not treated, the malocclusion may worsen over time and become more pronounced. Depending on the type of malocclusion, it may become difficult for you to clean your teeth and gums which can put you at risk for tooth decay, gum disease, and even tooth loss.
For more information on malocclusion and treatment options or to schedule a consultation, please contact Bracify 3D Orthodontics today.
What do TMJ and TMD mean?
Medical terms can be confusing and overwhelming for some patients and even medical professionals from time to time. You may have heard your friends and family describing their diagnosis of TMJ, with symptoms of a clicking jaw or earaches, while others refer to it by a different name, TMD. Though these terms can sound the same, they refer to different conditions and we are here to offer you a better understanding of what TMJ and TMD are and how they may affect you.
TMJ and TMD
TMJ is an abbreviation for the temporomandibular joint which connects the mandibular, or your lower jaw, to the temporal bones of the skull. The TMJ is one of the more unique joints within your body as it allows you to move your jaw forward, backward, and side to side so that you can chew, talk, sing, yawn, and more. This joint can be found just in front of your ears on both sides of your head.
Any problem with the muscles, ligaments, discs, bones, or the joint itself are known as temporomandibular disorders or TMD and refers to the actual disorder, where the jaw joint is misaligned and causing problems such as pain, inflammation, and inability to move or operate the jaw. However, these problems or conditions are often incorrectly called by the joint name of TMJ instead.
What are the causes of TMD?
There can be a variety of causes for TMD and can arise from problems with the jaw, the muscles near the jaw, or the joint itself. If you notice some of these symptoms, it is important to see your doctor who may refer you to a specialist to determine the cause of the oral problem. Some common causes for TMD include:
- Injury to the joint, jaw, or muscles along your neck and face
- Grinding or clenching your teeth which puts pressure on the joint
- Movement or dislocation of the soft cushion, or disc, between the joint parts
- Arthritis of the joint
- Stress, which can cause you to tighten facial or jaw muscles
- Tooth/jaw misalignment
Signs & Symptoms
Patients with TMD often experience severe pain and discomfort that can be temporary or chronic. Symptoms depend on the severity and cause of your condition and can show on one side or both. There are many signs and symptoms of TMD that can overlap with other conditions, which makes a diagnosis by your doctor all the more important.
Some of the most common symptoms of TMD include:
- Pain in the face, jaw, or ear area
- Pain or pressure around the ears, face, and behind the eyes
- A clicking or popping sound when opening or closing the mouth
- Dislocation of jaw
- Locked, stiff, or stuck jaw
- Tenderness of jaw muscles
- Limited jaw movement
- Swelling of the face
- Dental occlusion (the way the upper or lower jaw/teeth fit together)
As stated above, many of the symptoms of TMD can overlap with other conditions such as tooth decay, gum disease, sinus problems, or arthritis. To determine the cause, your orthodontist will conduct a physical examination and medical history review.
During your appointment, your jaw will be tested for pain or tenderness, and your doctor will examine how your jaw works when you open and close it while listening for clicks, pops, or sounds when you operate your jaw. Your bite and facial muscles will also be tested. It is not uncommon for x-rays, MRIs, and CT scans to be required to determine the cause as these images can provide insight into the joint, surrounding tissues, and structures of your jaw. Depending on the diagnosis, you may need to be referred to another doctor or specialist for further evaluation and treatment.
Several different treatment options are available depending on your condition and the severity of your symptoms. In most mild cases TMD can be treated with self-care practices at home. Home methods include:
- Taking over-the-counter medication to relieve muscle pain and swelling
- Using moist heat or cold packs
- Eating soft foods or cutting your food into smaller pieces so you chew less.
- Avoiding hard, crunchy, or chewy foods
- Limiting extreme jaw movements that force you to open your jaw wide
- Reducing stress levels
- Performing jaw stretching exercises
If your symptoms do not improve with these home remedies or if your case is more complex, your doctor may prescribe pain medication, anti-inflammatory medicine, muscle relaxants, or even Botox to reduce tension in muscles and nerves. Your doctor may also provide you with custom made bite guards or splints to prevent clenching or grinding of your teeth.
Other treatment options may include low-level laser therapy, ultrasound therapy, or low-level electrical stimulation to provide muscle relief. If misaligned teeth or bite is the cause, corrective dental treatment may be necessary. In extreme cases, surgery can help to remove fluid or debris from the jaw or replace/realign the joint.
Every case is unique, and a careful diagnosis and treatment plan will help to address your needs. If you have any questions about TMD or your temporomandibular joint, please contact Bracify 3D Orthodontics today so that we can help.