Natick Braces

It's been a busy Spring for us here at the office! We have had some great theme days to celebrate St. Patrick's Day, Valentine's Day, the Kentucky Derby and even threw in a pajama day! Below is a picture of our Kentucky Derby Day with Dr. Hughes, Jen and our new team member, Mia. We recently hired Mia as a new Scheduling Coordinator to help at the front desk a few afternoons a week. Next time you are at the office, please say "hi" to Mia.  She grew up here in Natick and in her spare time is taking college classes.

One of the more frequently asked questions at the initial consultation is whether or not braces will hurt. Although every patient is different and has a different threshold for pain, there are some general guidelines as to what can be expected when it comes to braces and discomfort…
At your first appointment, (the ‘records’ appointment) an impression (mold) of your teeth will be taken. The impression is easy and painless. ‘Separating elastics’ will be placed at this appointment as well. The seperators create room between your molars for the metal bands to be placed at the following appointment. You may feel some pressure when the seperators are placed, but it is usually not painful until a few hours later when the teeth start to move.

At the next appointment the braces will be put on. The process of getting the braces put on is relatively painless. Although, the retractors used to hold back your cheeks are not the most comfortable things. The first step is to get the brackets glued to the teeth. Then, the wire is placed and ligature elastics are added to hold everything together. You may feel pressure after the braces are put on, but it really isn’t painful until a few hours later.
Three to four hours after the braces are put on you will start to feel uncomfortable. Braces work by creating inflammation around the roots of the teeth. The force placed on the tooth cuts off the blood flow to one side of the tooth creating a buildup of lactic acid (the same thing that creates a ‘Charlie horse’ or makes your muscles sore after exercise.) Over the next one to two days your body will dissolve the bone in the area where there is pressure which causes the tooth to move. Depending upon how much force was placed on the tooth the process may repeat itself. Once the force is used up the tooth will relax into the new position and any discomfort will subside. You can expect this process to occur every time your braces are tightened (about every five weeks).

As I mentioned, everyone’s pain tolerance is different. Some patients say they hardly feel a thing while others report severe pain (although this is uncommon). Over-the-counter pain relievers such as Advil and Tylenol can usually help through the first couple of days.

The road to a winning smile requires excellent teamwork. Your orthodontist has years and years of education and experience that helps him or her put the braces on just right. The patient is also a team member, carefully brushing and flossing the teeth, avoiding hard or sticky foods which may bend or break the braces, and following all other instructions such as wearing rubber bands, bite plates and other appliances.

In recognition of our very best patients, we have developed the STAR PATIENT OF THE MONTH PROGRAM. The rules are simple; each month we keep track of all patients who have perfect check ups with us. Excellent oral hygiene, excellent cooperation and a great attitude towards your orthodontic treatment, your orthodontist and his staff are the main things we’re looking for.

Needless to say, many of our patients have perfect check ups. So, at the end of each month, we randomly select one patient from the list of perfect check ups to be PATIENT OF THE MONTH.

As a token of our appreciation, the winner receives a gift certificate to a local movie cinema, and their photograph is prominently displayed in the office and on Facebook/website. Also, these patients can rest assured that they will soon be the proud owner of a beautiful smile and healthy bite…the best reward of being a great team player!

Just because it is Halloween doesn't mean you can't enjoy some tasty treats! Try out some of these yummy recipes!

https://mylifemysmile.org/recipes

The day that braces come off is a day greatly anticipated by all orthodontic patients and orthodontists alike. It’s the day when both patient and doctor get to see the results of all of their hard work. Nothing can ruin this day quicker than discovering white spot lesions on the teeth.
White spot lesions, also called decalcifications and demineralizations, appear as white, chalky marks on the teeth. They are caused by dental plaque when acids created by the plaque remove minerals from the tooth surface changing the way the surface reflects light. The most common area for white spot lesions is between the gums and the brackets where brushing is most difficult. Many times white spots develop under swollen gum tissue making their detection difficult until after the braces are removed and swelling subsides. University studies have found that white spot lesions occur in 24% of adolescents who have never had braces. This number jumps to as high as 50% in teenagers with braces! Although braces DO NOT cause white spots on the teeth, they do complicate the removal of the plaque.
In order to prevent white spot lesions great oral hygiene is necessary, especially during orthodontic treatment. Removing plaque is the only sure way to prevent these stains. At Lakewood Park Orthodontics we begin oral hygiene coaching at the very first appointment. At the new patient consultation our treatment coordinator explains the importance of removing plaque and shows a video of how white spot lesions are formed. She describes which foods and drinks need to be avoided and encourages the use of a fluoridated toothpaste in order to harden the enamel surface. She also recommends using an electric toothbrush. By the end of the consultation both patients and parents know that white spot lesions are a possibility and how to prevent them.
When the braces are put on, our assistants go through proper brushing and flossing techniques with each patient. Patients are told to brush five times a day for two minutes and to floss once each day. During treatment, our assistants and Doctor Hughes reward good brushers with wooden nickels and give additional instruction to patients who are struggling. When they notice that oral hygiene needs to be improved they point it out to the patient and family immediately. Dr. Hughes has even removed braces early from some patients with severe problems.
If you have white spot lesion on your teeth when your braces come off, it’s reassuring to know that all white spots improve a little over time. Experts advise AGAINST applying extra fluoride during the first six months as it may seal the surface of the lesion and prevent remineralization below the surface. After six months, low concentration over-the-counter fluoride rinses can be applied. Remineralization pastes (like MI Paste) can also be used to repair the tooth. Bleaching has been shown to lighten the enamel surrounding white spot lesions. White spots then blend in better and actually improve as the effects of the bleaching wear off. For more severe problems, your dentist may perform microabrasion (removing superficial white spots), cosmetic bonding (replacing damaged enamel), or place porcelain veneers (covering badly damaged surfaces).
Since white spot lesions are caused by plaque the best prevention is keeping your teeth clean by practicing proper oral hygiene techniques. If you would like additional oral hygiene instruction ask Dr. Hughes or our assistants at your next appointment.
References:
Jorgensen Orthodontics http://www.gregjorgensen.com/blog/2013/08/do-orthodontic-braces-cause-white-spots-on-teeth/#sthash.rnKxgG5n.dpuf
Ora Media Dental Self-sufficiency http://mizar5.com/demin.htm

October is National Orthodontic Health Month! In a month full of hard, sticky and chewy treats, it’s more important than ever to encourage patients to be kind to their teeth during treatment. If you have braces, 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.

Vincent was the winner of our Summer "Count the seashells in the jar" contest. He won a $25 Visa gift card. Congratulations Vincent!!

Well, the outside thermometer tells us that summer is definitely in full swing! Our office is all decked out in a summer theme now and we have a new contest to go along with it. Patients who guess the number of seashells in our vase at the front desk will win a $25 Visa gift card. Good Luck!

This year, our office participated in the annual 4th of July parade in Natick. We handed out over 1,500 tooth brushes along the way! It was wonderful to see many of our patients out there cheering us on! We sure had a great time and can't wait until next year to participate again.

Announcing the birth of Silas Coffin! Brandy and her husband welcomed baby Silas on Friday, May 17 at 5:48pm. Silas weighed in at 8lb 6oz and 20 1/4 inches! Mom and baby are doing just fine. Congratulations Brandy!

Hannah was the winner of our Valentine's Candy Corn Counting Contest. She won a $25 itunes gift card! Congratulations Hannah and we will see you soon at your next appointment!

Many adults ask the question, "Am I too old for braces?" and the answer is absolutely not! Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed since the '90s and many offices now have 25% adults receiving orthodontic treatment! Adults are realizing that orthodontic treatment is not just for kids, and can help improve the esthetics of the smile and health of the mouth at any age. In a society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:

• Teeth that are crowded or spaced apart

•Teeth have shifted over the years because a retainer was not worn

• Pain or pressure from crooked teeth or a misaligned jaw

As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.

If you’ve been thinking about getting that perfect smile, we would love to have you visit us for a consultation. We understand you have a busy schedule, therefore our office offers evening and Saturday appointments in order to find a time that is convenient for you. Please give our office a call to schedule your appointment with Dr. Hughes today! Make 2013 a better, brighter, healthier New Year.

Keeping your teeth clean is more important than ever when you have braces! Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:

1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.

2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.

3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.

4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.

5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.

6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.

7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.

8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.

9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.

10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!

We hope this helps, and remember to give our team a call if you ever have any questions!

Stop Zombie Mouth

This Halloween, Dr. Hughes, the ADA and PopCap Games are redefining what a Halloween “treat” can be… by giving FUN instead of candy. Lakewood Park Orthodontics is giving away Plants vs. Zombies™ download games as a sugar-free alternative, and you can join in the fun!

At your next appointment, ask us for the limited-edition, collectible Plants vs. Zombies trading cards with the code for a free Plants vs. Zombies download game.

But remember..... to really stop Zombie mouth you MUST Brush 3-5 times (in braces), floss once a day and see your dentist regularly !!

Enjoy Halloween and the game!

The number one goal of orthodontic treatment is to give you or your child a good occlusion (or bite), meaning straight teeth that work well with the teeth in the opposite jaw. Research shows that a good occlusion makes it easier for you to eat, chew and speak. It can enhance your dental health, overall health, and self-esteem. As a part of your comprehensive dental health care plan, orthodontic treatment can help you retain your teeth—and your smile—for a lifetime.

Let your smile express yourself! Nothing can show the world how happy you are quite like a beautiful smile. In fact, it’s one of the first things others notice about you, too. With orthodontics, you can be proud to flash your smile, because you’ll know that your smile truly represents your positive attitude.

Make your mouth healthy! Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are generally easier to clean which reduces the amount of plaque buildup and risk for gingivitis. The cleaner you keep your teeth, the longer they’ll last!

Get the beautiful smile you've always wanted and still enjoy your life! Orthodontics is easier today than ever before, with treatment options that fit your lifestyle and schedule. At Lakewood Park Orthodontics, Dr. Hughes can personalize your treatment to suit all of your needs.

Think the way your teeth look doesn't really matter? Survey says: think again.

Without saying a word, your mouth is sending messages to everyone you meet. According to the American Association of Orthodontists (AAO), people often make snap judgments about individuals based solely on the condition of their teeth.

"This phenomenon was documented more than 25 years ago," says Dr. Don Joondeph, a past president of the American Association of Orthodontists, referring to an eye-opening study in which photos of young smiling individuals were altered to show varying orthodontic problems and then reviewed by focus groups.

"When the focus groups looked at the altered photos they used unflattering terms such as 'unattractive' and 'aggressive' to describe the individuals," says Dr. Joondeph. "However, when groups saw photos of the same individuals with a healthy, beautiful smile, they were more likely to view the individuals as 'intelligent,' 'attractive' and 'a friend I'd like to have.'"

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Dr. Joondeph believes that the original study, which was published in 1981, is even more applicable in today's image-obsessed world. "More than ever, young people and adults want to be perceived as healthy, attractive and appealing to their peers and others."

To obtain optimal oral health and achieve a healthy, beautiful smile, the AAO recommends a team approach. In addition to seeing a dentist for regular check-ups and cleaning, patients also should see an orthodontist to ensure that an orthodontic problem is not overlooked.

For children, an orthodontic check-up no later than age seven can identify potential problems and ensure that any future treatment is timed appropriately. For adults, an orthodontic consult may reveal that cosmetic dentistry is unnecessary. "Patients may be pleasantly surprised to learn that their unattractive teeth are generally healthy, just misaligned," says Dr. Joondeph.

In regards to the study, Dr. Joondeph believes that the first thing that people notice about his young and adult patients is obvious: "The confidence and sense of self-esteem that comes with their healthy, beautiful smiles is unmistakable to anyone they meet."

For more information about orthodontics or to schedule a complimentary orthodontic consultation with Dr. Hughes, please call 508-319-1545

The Olympics have been so exciting to watch this summer! Like many of you, this summer has brought us the Olympics as well as wonderful weather to go outdoors and enjoy all the sports we love! So, it is also an appropriate time to remind you about the importance of taking a few precautions to preserve your teeth and be protected from facial injuries, whether at a practice, at a game, or simply enjoying some fun in the neighborhood. How can you play it safe?

*Wear a helmet. Helmets absorb the energy of an impact and help prevent damage to one’s head.
*Wear protective eyewear. Eyes are extremely vulnerable to damage, especially when playing sports.
*Wear a face shield to avoid scratched or bruised skin. Hockey pucks, basketballs, and racquetballs can cause severe facial damage at any age.
*Wear a mouth guard when playing contact sports. Mouth guards can help prevent injury to a person’s jaw, mouth and teeth; and they are significantly less expensive than the cost to repair an injury.

Dr. Hughes wants you to have fun, but play safe. Let’s talk about the right mouth guard for you at your next visit!