Author: Dr. Joseph Yamin

We love October, and not just for the changing weather and Halloween excitement! It’s National Orthodontic Health Month.

Every year, the American Association of Orthodontists (AAO) recognizes October as a time to raise awareness of the benefits of orthodontic treatment. The AAO is the largest, oldest professional association for orthodontists in North America, and is comprised of more than 16,000 members – Dr. Yamin included!

In a month full of hard, sticky, crunchy, and chewy treats, it’s more important than ever to encourage patients to be kind to their teeth during treatment. If you have braces, try to avoid caramel, taffy, bubblegum, and candy with nuts. If you can’t keep yourself away from the sugar, opt for softer candy such as peanut butter cups or other melt-in-your-mouth treats.

As always, remember to brush and floss after consuming sugary foods. Exposing your teeth to sweets increases your risk of cavities, and allowing it to sit there can lead to decalcification, the loss of calcium from the teeth.

If you have any questions about what foods are best and worst during orthodontic treatment, feel free to ask during your next visit!

You have braces, and you’re probably wondering what to eat. You can’t have gum, popcorn or other delicious but braces-unfriendly foods. But fear not! Our friends at the American Association of Orthodontists have a delicious recipe that will satisfy both your sugar craving and hunger when the weather gets cold.

Apple Bombolini
Ingredients:

Rustic dough
• 9 ounces cake flour (about 3 cups)
• ½ cup all purpose flour
• ½ cup granulated sugar
• Pinch sea salt
• 1 cup (2 sticks) unsalted butter, chilled and cut into large pieces
• 1 tablespoon vanilla
• 2 tablespoon cold water

Apple sauce filling
• 4 Granny Smith apples
• 1 cup (2 sticks) unsalted butter
• 1 tablespoon lemon juice
• 1 vanilla bean, or 1 teaspoon vanilla extract
• 1/3 cup granulated sugar
• 1 tablespoon water

Diced apples:
• 4 Granny Smith apples
• ¼ cup sugar
• ½ teaspoon vanilla
• ½ lemon, juiced

Directions:

For the dough: In a mixing bowl with a paddle attachment, add the dry ingredients and mix for 5 seconds to blend. Add the butter and vanilla and mix until the butter is about the size of peas. Add the cold water and blend until the dough just comes together. Form the dough into a roughly shaped ball, wrap in plastic, and refrigerate for 1 to 2 hours.
Applesauce filling: Peel, core, and slice the apples. Put the apples with the rest of the ingredients into a saucepan. Bring to a boil, turn down the heat, and cook until the apples are very soft, about 20 minutes. Remove from the heat, cool, and refrigerate.

Diced apples: Peel, core, and cut the apples into large slices. Toss with the sugar, vanilla and lemon juice and set aside.

Assemble the bomboloni: Remove the dough from the refrigerator. Roll out to1/4-inch thick round. Cut into 6-inch rounds. Place about 1/4 cup of the Apple Sauce Filling onto the center of each round. Top with a few pieces of the Diced Apples. Pull the sides up towards the center to form a bundle, pinching the dough together towards top. Cover with plastic wrap and refrigerate for 1 hour before baking

At our office we know how important it is to protect your face while playing sports. Fall brings an increase in outdoor activities and a greater chance of damaging your precious mouth and pearly whites. Our team also knows sports-related injuries are common among children. It’s been found that 70 percent of parents said their biggest worry is that their child will get hurt while playing sports. Another 67 percent admitted their child doesn’t wear a mouth guard when playing sports such as football, basketball, baseball and soccer.

That’s why we’re doing our part to spread the word that facial sports injuries can be avoided simply by reminding your kids to wear mouth guards. Ask us—Our team will provide a mouth guard for any patient in active treatment.

In addition, the following tipscan help your kids stay safe on the field. Please remind them to:

• Wear mouth guards during contact sports
• Wear a helmet
• Stretch before and after a game or practice
• Wear protective eye wear
• Wear a face shield to avoid scratched or bruised skin
• Be observant—even as a spectator

All of these can reduce injuries. Only by using a mouth guard and other forms of facial protection can kids with and without braces avoid serious sports injuries. Lastly, please give us a call if you have any questions about mouth guards or your treatment with our team!

Cold and flu season is here yet again. The folks at Centers for Disease Control and Prevention say that a common cold usually includes sneezing, runny nose, sore throat and coughing. Symptoms can last for up to two weeks.

To promote a healthy and clean environment, our entire staff give a great deal of attention to sanitation and sterilization in our office at all times, as well as following all requirements for sterilizing instruments and work surfaces. For the protection of other patients and our staff, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others.

And remember to constantly wash your hands and avoid contact with those who are ill! Stay Healthy!

Are you thinking about orthodontic treatment to straighten teeth or correct jaw alignment? Consider making your first step an orthodontic consultation. During the consultation we will address your questions, concerns, and talk about a treatment plan that would best suit your situation.

We want you to feel prepared and in charge of your orthodontic treatment decisions, so keep these questions in mind when you come in for your appointment.

• If I do need some adjustments to my teeth, what options will I have besides braces?
(This will help you determine what approaches we use to straighten your teeth.)

• What kind of preparation is needed to get braces? How many visits will it take?
(It’s important to know how many appointments may be needed and what you will need to do between appointments to be ready for braces.)

• Can I expect any pain when getting braces?
(Ask about the ways we address pain management.)

• What determines how long I have to wear braces?
(The length of treatment will vary from patient to patient. During your consultation we can evaluate your teeth and jaw alignment to determine the correct course and length of treatment.)

• How will braces affect my lifestyle? Foods I can eat? Activities I can do?
(You may find that little needs to change in your daily routine to have a successful orthodontic outcome. We can discuss and address any changes so you can be prepared before you get your braces.)

• Who will be involved in the orthodontic work? Whom can I expect to see during my adjustment visits?

• What will my orthodontic work cost? What is the ”average” cost and what could be the maximum?
(Make sure you are clear about what your insurance covers, who contacts the insurance company for pre-authorization, who files the insurance forms, and what flexibility there is to pay the remaining amount not covered.)

Your initial orthodontic consultation may just be the first step in relieving a lot of pain and discomfort in your life. Going in with the right questions will help you to understand the entire process and prepare you to do your part for your own dental health. Be sure to bring a list of your questions!

Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.

What is a “bad bite”?
A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced – either too far apart or too close together – can also cause bite problems.

Frequent causes of bite problems:
• Heredity
• Thumb-sucking
• Premature tooth loss
• Accidents

Benefits of orthodontic treatment:
Appearance –
Correcting a bad bite often creates a more attractive smile, which frequently raises the patient’s self esteem.

Preventing Decay –
It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues –
An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:
– Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.
– Invisalign®: Advanced 3D computer images of the patients’ mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.
– Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.
Length of orthodontic treatment:
Treatment typically ranges from 12 – 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time.

Having braces can present some new challenges when it comes to oral hygiene. Preventing tooth decay can be a big challenge simply because of the tendency for braces to trap food under the wires and between the teeth and the brackets. Here are a few tips to keep your teeth healthy while wearing your braces:

1. Eat Braces-Safe Foods
Keeping your teeth from decay starts with a proper diet. Foods that are high in sugar or starch can cause more plaque which is difficult to remove during your brushing. There are certain foods that should be avoided while wearing your braces. First, sticky foods like caramel or gum can get stuck in your braces and be difficult to remove during brushing. Next, hard foods such as nuts and candy could bend wires or even break a bracket. Foods that are firm or hard to bite into like apples, carrots, or corn on the cob should be avoided. As much as we like to snack on them, those crunchy treats can harm your braces. Things like chips, ice, popcorn can also bend or break your braces.
On the other hand, bananas, mangoes, milk, water, poultry, and pasta all tend to be low in enamel-busting acids.

2. Proper Brushing
You want to place your toothbrush at a 45-degree angle against the gums in order to clean the whole tooth, and brush gently in the area between the wiring and the teeth. Use a softer toothbrush with fluoride paste for best results. Rinsing every day will help, too. Rinsing is important regardless, but especially important when you have braces as you need to disinfect the entire mouth, including those spots under the braces where your brush can’t always reach.

3. Ask About Special Cleaning Tools
There are also special brushes, or other tools, to get under and clean your braces. You can also find many of these items at your local pharmacy.

4. Regular Teeth Cleaning
It’s important to keep your routine appointments with your dentist and dental hygienist for a thorough cleaning twice a year or as directed. The exact frequency of these visits will be up to your dentist as some types of braces are more demanding of a regular cleaning than others.
As long as you practice good oral hygiene and follow these basic tips, you should have no problem keeping your teeth from decaying while you wear braces.

Most parents know that routine dental care should begin during the toddler years. But many are unaware of when orthodontic treatment should begin. According to the American Association of Orthodontists, the ideal age for an orthodontic evaluation is age seven or before, when children usually have a mixture of adult and baby teeth. Although treatment usually will not begin until one to five years after the initial evaluation, the evaluation is helpful in determining whether your child has any problems with emerging teeth — regardless of how subtle.

Children have more formidable bone structures than teenagers and adults, and as they grow, orthodontic appliances can help guide jaw growth, which may prevent the development of an overbite or under-bite, as well as tooth crowding due to space limitations. Orthodontic treatment is also helpful for guiding newly emerging adult teeth into a proper alignment, which is not only aesthetically advantageous, but also helpful in preventing tooth decay.

Why Early Evaluation?
Taking your child to the orthodontist for an evaluation means that you may be able to identify problems with the jaw and teeth early when they are still easy to treat. Early treatment often equals a more simplified treatment plan, which is beneficial to both children and their parents. Often, earlier treatment can cost less to correct a problem than delayed treatment.
If a problem is detected, our team will discuss corrective options and provide a recommended treatment schedule. Depending on your child’s orthodontic needs, he or she may benefit from:

• Palatial Spacers – Helpful for correcting a crossbite by expanding the width of the upper jaw.
• Fixed Functional Appliance – Helpful for correcting severe upper tooth protrusion.
• Headgear – Helpful for guiding healthy growth of new teeth and the jaw. Headgear is removable, but usually must be worn at least 10 hours per day.

If your child is approaching the age of seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination.

Visibly crooked teeth are not the only reason to take your child into the orthodontist. There are some subtle things to look for as well, which may indicate the onset of more serious orthodontic issues. Many orthodontic issues are much easier to address if treated and corrected during a child’s development.

Waiting until facial development is complete or until the permanent teeth have come in can make correction of many orthodontic issues more challenging. Both children and adults can benefit from orthodontic care at any age, but addressing issues early is almost always the ideal choice.

If you’re wondering if you or your child might have need for orthodontic care, there are some things you can be on the lookout for. Here are some of the most common warning signs of orthodontic issues:

• Difficulty when chewing or biting
• Chronic mouth-breathing
• Sucking the thumb, the fingers, or any other oral sucking habits that continue after the age of six
• Overbite – when the upper teeth overlap the lower teeth by more than 5mm
• Top front teeth that cover more than 25% of the bottom teeth while biting
• Underbite – when the top front teeth go behind the bottom row of teeth when biting
• Crowded, crooked, overlapped, misshapen, misplaced teeth or extra teeth of any size
• Crossbite – when one or more teeth tilt toward the cheek or toward the tongue causing excessive stress on the jawbone
• The center of the top and bottom teeth don’t line up
• Uneven teeth-wearing
• Baby teeth coming out too early for the child’s age
• Pain in jaws
• Clicking in the jaw joints
• The jaw shifts off-center while chewing or biting
• A jaw that protrudes, or recedes, too much
• Difficulty speaking or enunciating clearly
• Chronic biting of the inner cheek or roof of the mouth
• Asymmetrical facial structure
• Grinding or clenching of the teeth

If you notice that either you or your child has one or more of these conditions, they could be signs that there is a risk of orthodontic or health problems. The sooner these problems are addressed, the wider and brighter you will be able to smile going forward!

Adults who need orthodontic care often share the misconception that they are too old for braces and would rather not deal with the embarrassment. You are probably familiar with horror stories about rubber bands snapping, mishaps with kissing, and unsightly food sticking in metal braces. Many adults believe that braces are just for children, but they are neglecting all the benefits of correcting misaligned teeth. Braces may cause you to feel self-conscious, but they are temporary. Along with straightening your teeth, braces also provide the following benefits:

• Better oral hygiene
• Easier to clean aligned teeth
• Less complicated dental procedures
• Eliminate the embarrassment of crooked teeth

One common reason for not correcting misaligned teeth is the appearance of metal braces. Adults do not want to face co-workers and friends with colored rubber bands and metal laced throughout their mouths. The expert healthcare professionals at SingHealth suggest several alternatives that are just as effective as metal braces. You have three options for correcting your misaligned teeth without the embarrassment, and they include:

• Ceramic braces
• Lingual braces
• Invisalign®

Ceramic braces are like metal ones except that they match the natural color of your teeth. This option is less noticeable and will usually not show up in photographs. Lingual braces are attached to your back teeth only, so no one will know that you have a corrective device. Invisalign consists of clear plastic coverings that you can remove for eating and teeth brushing. All of these options lead to a more attractive smile that you do not have to feel embarrassed about.

If you do choose metal braces to correct your teeth, you should consider the following suggestions for limiting embarrassing moments. The rubber bands holding the brackets in place come in silver, which will draw less attention to your mouth. Changing the removable rubber bands on a regular basis will help prevent the material from wearing down and snapping. If you chew with your back molars and cut your food into manageable bites, you are less likely to get particles stuck in your braces. Following our treatment advice and instructions will limit the time you have to wear corrective devices. Focus on the end result of straighter teeth whenever you feel particularly self-conscious about your braces.