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What Is An Impacted Tooth?

September 27th, 2018

You may have heard the term “impacted” used to describe a tooth and wonder what it means.

In orthodontic or dental terms, “impacted” means that a tooth either has not come in (“erupted”) when expected or a tooth that cannot erupt because it does not have room or may be coming in the wrong direction or position. What causes an impacted tooth may not be known – for some people, it just happens. Genetics can play a role, so if a parent had an impacted tooth, their child may experience the same problem.

We often hear about older teenagers or adults having impacted wisdom teeth. But other teeth can be impacted, too.

In the X-ray above, the permanent canine is coming in sideways, colliding with the root of another tooth.

Children who are getting their permanent teeth can have impacted teeth. A permanent tooth can be trapped in the gums if a baby tooth does not fall out on time or if something blocks the permanent tooth’s path, such as a cyst. A permanent tooth may not erupt at all, or if it does, the tooth may appear in the wrong place. Sometimes, an impacted tooth can harm the roots of neighboring teeth. Impacted teeth can also cause crowding, and may cause already erupted teeth to move into unhealthy positions. Children may find it difficult to bite or chew, and there can be tenderness or pain. As the teeth become crowded, appearance is affected, and self-esteem can decline.

The permanent first molar is stuck or “impacted”, the baby tooth will not allow the molar to erupt.

Fixing an impacted tooth can range from relatively simple to complicated. It all depends on the extent of the problem. Extracting a baby tooth may be all that is needed to make room for the permanent tooth to erupt into the proper position. But if an upper jaw is too narrow, it may be necessary to expand the jaw, which creates more room for permanent teeth to come in. Other problems might require a combination of oral surgery and orthodontic treatment to place an attachment on the impacted tooth and the orthodontist then guides the tooth into the proper position.

Timely treatment by an AAO orthodontic specialist ensures teeth come in properly, reducing the damage done to other teeth.

The old adage “a stitch in time saves nine” applies here. It may be easier for an orthodontist to identify and correct a patient’s problem when it is forming rather than waiting for it to fully develop. To this end, Dr. Penny recommends that children get a check-up no later than age 7. Dr. Penny's specialized education enables her to diagnose even subtle problems while some baby teeth are still present. If a problem is in the making, an early check-up and x-ray will let Dr. Penny recommend intervention when it’s best for the patient.

Cade Orthodontics offer initial consultations at no cost and with no obligation. No referral is needed from the dentist, but dental check-ups are necessary during any orthodontic treatment. A check-up with an orthodontist gives your child the best opportunity to enjoy a healthy, beautiful smile.

The American Association of Orthodontists (AAO) is open exclusively to orthodontists - only orthodontists are admitted for membership. The only doctors who can call themselves “orthodontists” have graduated from dental school and then successfully completed the additional two-to-three years of education in an accredited orthodontic residency program.

Visit us at Cade Orthodontics  to schedule your complimentary consultation today.  We have extended hours on Tuesday and Thursdays.

 

 

 

Source:https://www.aaoinfo.org/blog/post/what-is-an-impacted-tooth

 

 

Taking Care of Your Retainer

September 13th, 2018

Wrapping up your orthodontic treatment? Congratulations! You put a lot of effort into reaching this important milestone. To make sure your beautiful new smile lasts a lifetime, you are ready to embark on the next stage of your treatment – and maybe most its important: wearing retainers.

Retainers are amazing little devices that hold your teeth in their new positions while bone tissue rebuilds around them, stabilizing them. It’s a process that takes time. Even after new bone has solidified, you may need to wear retainers for a long time.

Teeth can move because the bone that holds them in place continually breaks down and rebuilds. During “active” orthodontic treatment, when teeth are being moved, the orthodontist uses braces or aligners to deliver gentle, controlled forces to guide teeth into their proper places. But forces are continually at work in the mouth that can move teeth when you bite, chew, swallow and speak. To counteract these naturally-generated forces, continued retainer wear may be advised. Nothing can prevent 100% of tooth movement, but when retainers are worn as prescribed, they are the best tool available to minimize movement.

The most important thing to know about retainers is that they can only do their jobs when they are in your mouth.

There’s More Than One Kind of Retainer?

Depending on the kind of orthodontic problem you had, Dr. Penny may suggest removable or permanent retainers, or a combination of the two.

Removable retainers are the kind you put in and take out. Traditional Hawley retainers are made of wire and a hard, plastic-like material. The part of the retainer that covers the roof of the mouth or goes behind your lower front teeth can be standard-issue pink (like the inside of your mouth), or can be personalized with colors or graphics to make a fun fashion statement. Nearly-invisible removable Essix retainers are available, too. They are molded from your teeth and are made of a transparent, plastic-like material. They resemble clear aligners that are used to move teeth.

Permanent retainers (“fixed”) are placed and removed by your orthodontist. Each is a custom-fitted wire that is bonded to the tongue-side of your teeth.

You and your orthodontist can discuss what’s right for you.

You’ll get a “prescription” for retainer wear – that is, when to wear them, and for how long. Follow your prescription for best results.

If you don’t wear your retainers as prescribed, not only may your teeth move, they may move so much that your retainers won’t fit. If that should happen, contact your orthodontist right away.

A Few Words of Advice

When your removable retainer is not in your mouth, put it in its case.

  • Always carry a retainer case with you.
  • Avoid dropping your retainer into a pocket or purse – the retainer can be damaged.
  • Never wrap your retainer in a napkin – it’s too easy to throw away.
  • Keep your retainer out of the reach of pets – dogs in particular seem to be attracted to retainers, and can quickly chew them into a state of uselessness.
  • Avoid heat – your retainer can become deformed if it’s left on a heater, a hot stove, or in a hot car.

Keep your retainer clean.

  • Your orthodontist will give you instructions for cleaning removable retainers, which could include brushing with toothpaste before you put them in and after they are removed, and/or the use of an effervescent cleanser.
  • Permanent retainers can be brushed and flossed; interproximal brushes may also be helpful.

If you have removable retainers, ask your orthodontist if they should be removed before you eat.

If you have an Essix retainer, you may be advised to avoid drinking liquids (except water) when the retainers are in place. Liquids can seep into the retainer, and the liquid is held against the teeth until the retainer is removed. Liquids with color (coffee, tea, red wine, etc.) can stain teeth. Liquids with sugar and/or acids, such as regular and diet soft drinks, can cause tooth decay.

If you have a problem with your retainer – it’s lost, broken, warped, too loose, too tight, etc. – contact your orthodontist.

Unless it’s lost, bring your retainer with you when you visit your orthodontist.

Now It’s Up to You

Keeping your smile healthy and beautiful is in your hands. Keep up with home hygiene and see your dentist regularly. To preserve the great results you got from wearing braces or aligners, wear your retainers as instructed by your orthodontist. Contact Cade Orthodontics any time you have a question or concern about your retainers or the alignment of your teeth.

When you choose Dr. Penny and Cade Orthodontics for orthodontic treatment, you can be assured that you have selected a specialist orthodontist, an expert in orthodontics and dentofacial orthopedics who possesses the skills and experience to give you your best smile.Call today 407-656-0990 or visit us on the web at Cade Orthodontics.

 

 

 

 

The Dog Ate My Retainers

September 6th, 2018

Protect Your Retainers

This is a true story. While cleaning house, the mom of a teenage boy, who had a set of removable retainers after recently getting his braces off, found an oddly mangled “something” on the steps leading to the home’s second floor. The item appeared to be made of plastic and wire, and something about the blob seemed familiar. The light bulb goes off, and mom realized the “something” was her son’s retainers. They had been left unattended in an area accessible by the family’s pet dog, Sydney. The dog chewed the boy’s retainers into a useless mass.

This happens with surprising frequency. The working theory is that dogs are attracted by the smell of the materials from which retainers are made, as well saliva. With their powerful jaws, dogs can render retainers useless in no time. Retainers also meet an unfortunate demise when they are sat upon, stepped on, fall out of a purse or pocket, or are accidentally thrown away with a lunch tray or in a napkin. The game of “dumpster diving for retainers” is no one’s idea of fun.

Retainers are truly amazing little devices that help hold teeth in their new positions following “active” orthodontic treatment. Wearing them as prescribed by Dr. Penny is the most reliable way to preserve the placement of teeth that the patient and Dr. Penny worked so hard to achieve. Replacing lost or damaged retainers carries a cost. But they should be replaced as soon as possible to prevent any unwanted movement of the teeth.

Be Careful with Retainers

There are two places for removable retainers: in the mouth or in their case. When taken out of the mouth, retainers should be placed in their case. When taken out of their case, the retainers should be placed in the mouth.

Do not wrap retainers in a napkin – they can easily be thrown away with the trash. Do not place retainers in your pocket unless they are in their protective case. Without the case, retainers that are loose in your pocket can be broken.

Contact Cade Orthodontics immediately if your retainer is lost or broken, if it is not fitting properly, or if eaten by your dog. Remember – you need to wear your retainers, not your dog.

Call today to schedule your complimentary consultation 407-656-0990.

 

Six Must-Haves for Cleaning Teeth with Braces or Aligners When You’re on the Go

August 30th, 2018

Patients with any type of orthodontic appliance should be cleaning their teeth multiple times a day. Situations inevitably come up when you’re on the go and need to freshen up. Do your teeth a favor and be prepared. Stash portable items in a backpack, purse, school locker or briefcase. You’ll be rewarded with a healthy and beautiful smile when treatment wraps up. Here are six must-haves for cleaning teeth when you’re out and about.

1. Water.

It’s your friend. And it’s readily available at bathroom sinks. After eating, or after drinking a sugary and/or acidic beverage, if you realize your toothbrush is nowhere to be found, give your mouth a thorough rinse with plain water. Swish it around to get rid of food particles or traces of beverages. Water even helps to decrease the decay-causing acidity of your mouth. A water rinse is not as good as brushing, but it’s much better than allowing materials to remain on, and in between, teeth.

2. A toothbrush.

Even without toothpaste, brushing removes food and plaque and will help you keep your teeth healthy. A travel toothbrush takes up about half the space of a regular toothbrush. But if you prefer a full-sized toothbrush, we won’t argue with you.

3. An interproximal brush.

This is a remarkable little tool. It’s small and very easy to carry along. Use it to get at food that’s stuck around brackets, between the archwire and teeth, and in between teeth. It’s effective at attacking plaque, too. You may develop such a great appreciation for your interproximal brush that you continue using it after you complete your orthodontic treatment!

4. Floss.

Dr. Penny, also recommends floss for cleaning between teeth, the space between the archwire and the teeth, and especially under the gumline. If you have braces, be sure a floss threader is stowed with your floss. That is, unless you are using “pre-threaded” floss, pre-cut to length and with an aglet tip (like a shoelace). Some brands come in single-use packets, which take up next-to-no space. Those with aligners may be able to use a flosser, if that’s the tool you prefer. A bonus: minty floss freshens breath, too.

5. A mirror.

A pocket mirror can be handy when you brush. A post-brush check will reveal whether anything unwanted is still there. An alternative: use the selfie camera in your smart phone.

6. Toothpaste.

Travel-sized tubes are convenient.

Consider these “nice-to-haves,” too:

  • Orthodontic wax – if a bracket or wire rubs a sore spot, wax quickly puts a stop to the irritation.
  • Over-the-counter pain relievers like acetaminophen or ibuprofen – great to have on hand. Students may be required to leave such medicines with the school nurse.

A little extra effort at home and away pays big dividends in shaping your new smile!

When you choose Cade Orthodontics for your orthodontic treatment, you can be assured that you have selected a specialist orthodontist, an expert in orthodontics and dentofacial orthopedics who possesses the skills and experience to give you your best smile. Stop by the office to schedule your complimentary consultation today or call 407-656-0990.  Visit us at Cade Orthodontics to schedule your appointment.

Will My Teeth Stay Where My Orthodontist Moved Them?

July 31st, 2018

Change is a natural part of life. Just as our bodies change throughout our whole life, our teeth change too. We start out with no teeth, then get baby teeth, and shed those in favor of permanent teeth. Sometimes there are problems with tooth placement and jaw positions. That’s where Dr. Penny is called in to bring about a change for the better, and transform misaligned teeth and jaws into a healthy and beautiful smile.

After orthodontic treatment is complete the most reliable way to keep your teeth where you and your orthodontist moved them is by wearing your retainers as prescribed. Your teeth will not stay where your orthodontist moved them unless you do. Changes in tooth position are a lifelong and naturally occurring phenomenon, and to maintain the result created by Cade Orthodontics, retainers must be worn. While small changes after treatment concludes are normal, retainers prevent teeth from going back to their original positions.

When treatment is complete, there is a “settling in” period; teeth adjust as you bite, chew, swallow and speak – actions that all place forces on your teeth. These small changes in tooth position are not a failure of orthodontic treatment, but are a natural process. If your retainer is not worn as prescribed, however, large changes occur instead. Large changes are disappointing to the patient, and to the orthodontist. If you are in retainers, and should you notice an unwanted change in your bite or your smile, or if you should lose a removable retainer or damage a fixed retainer (bonded in behind teeth), contact Cade Orthodontics. Don’t give teeth an opportunity to shift. Commit to wearing retainers as prescribed by Dr. Penny and limit undesirable changes!

The American Association of Orthodontists (AAO) is open exclusively to orthodontists - only orthodontists are admitted for membership. The only doctors who can call themselves “orthodontists” have graduated from dental school and then successfully completed the additional two-to-three years of education in an accredited orthodontic residency program.

When you choose an AAO orthodontist for orthodontic treatment, you can be assured that you have selected a specialist orthodontist, an expert in orthodontics and dentofacial orthopedics who possesses the skills and experience to give you your best smile.

 

Call 407-656-0990 or stop by 3311 Daniels Road, Suite 104 Winter Garden, 34787 today to schedule your Complimentary Consultation today.  We have extended hours for school age kids and working parents.

source: https://www.aaoinfo.org/blog/post/will-my-teeth-stay-where-my-orthodontist-moved-them

 

Men’s Oral Health Tips

June 14th, 2018

MAINTAINING GOOD ORAL HEALTH is crucial for everyone, but that can mean different things for men than for women. That’s why we’ve put together a list of concerns men should particularly watch out for, as well as some tips for keeping your teeth and gums clean and healthy!

Brush That Charming Smile!

Many women say a man’s most attractive feature is his smile. However, on average, men tend not to take care of their teeth as well as women do, and that puts those charming smiles at risk! According to a national survey, men were 20% less likely than women to brush their teeth twice a day, and they also change their toothbrushes less often. Make sure you’re brushing two minutes twice a day and regularly replacing that toothbrush like you’re supposed to!

The good news? Your luxurious beard might actually be helping you keep harmful germs away from your face and out of your mouth!

Minimizing Risk Factors For Disease

Because men tend to chew tobacco, smoke, and drink more than women, they become more susceptible to the oral health consequences that come with those substances, such as periodontitis, tooth loss, and even oral cancer. Make sure to avoid habits like these that put your oral health at risk!

Greater Risks Of Dry Mouth

Men are statistically more likely to suffer from high blood pressure and heart disease than women, and with these kinds of diseases comes the need for medication. One very common side-effect of many such medications is dry mouth.

Saliva is crucial to good oral health because it washes away bacteria and regulates the mouth’s pH. When the saliva runs dry, there’s an increased risk of cavities, gum disease, and even bad breath. If you’re experiencing problems from dry mouth, please don’t hesitate to schedule an appointment with your dentist.

Be A Man: Go To The Dentist

This leads us to another problem that impacts men more than women, and that is the tendency to neglect regular dental visits. Prevention is crucial to good oral health, which is why we recommend that all patients schedule a dental appointment every six months, whether or not anything seems to be wrong with their teeth.

Let’s Keep Those Pearly Whites Shining!

Don’t take the “tough guy” approach with your dental health by holding out until you’re experiencing significant tooth pain or some other obvious problem before you see your dentist. Always make sure to schedule those regular appointments so that you can stay ahead of any problems, and keep up with your good oral health habits in the meantime!

As always, we love helping our patients!

 

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Impress Your Friends With Dental Trivia

June 7th, 2018

 

 

MOST PEOPLE OUTSIDE of teeth-related professions probably only think about their teeth when something’s wrong, like when there’s something stuck between them in the middle of a date, they’re sore from a toothache, or they’re stained after drinking coffee or juice. That’s why we thought our patients would appreciate an opportunity to think about teeth in a more fun and interesting context. So get ready, because it’s time for some dental trivia!

You Probably Didn’t Know…

These are seven of our favorite pieces of dental trivia! How many of them did you already know? If you know any cool dental facts we didn’t include in our list, feel free to share them in the comments!

  1. A Lifetime Of Brushing: If you brush your teeth for two minutes twice a day, that means you’re spending a whole day brushing your teeth for every year of your life! Keep up the great work!
  2. First Impressions: After your eyes, your smile is what people notice most about you, so make sure you’re taking care of it!
  3. Teeth Tattoos: It is possible to tattoo your teeth, though technically the tattoo is on a cap or crown that covers the tooth, not the tooth itself. (We probably wouldn’t recommend this one!)
  4. Super-healing: The mouth heals faster from injuries (like a bitten cheek or burned tongue) than any other part of the body. This is because of the ample blood supply, the simplicity of the tissues in the cheeks, tongue, and gums, and the healing properties of saliva.
  5. Congenitally Missing Teeth: Most of us will have 20 baby teeth and between 28 and 32 adult teeth (depending on how many wisdom teeth we have) in our lifetime, but for 3-8 percent of the population, some of those teeth might never develop at all!
  6. Baby Teeth: One in about 2,000 babies are born with at least one tooth already erupted! These are called natal teeth (or neonatal if they erupt within the first month).
  7. Ice Age Dental Fillings: Archaeologists have discovered evidence of crude dental fillings in teeth from 13,000 years ago in northern Italy!

For a few more weird dental facts, check out this video:

 

Keep Taking Care Of Those Teeth!

There are plenty of weird and fascinating things we can learn about teeth, but if you ever notice anything about your own teeth that strikes you as unusual, go see your dentist. It’s always better to make sure nothing out of the ordinary is going on, and your teeth will thank you for doing so earlier rather than later.

Remember to keep brushing and flossing!

 

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

Is Your Frenulum Holding You Back?

May 31st, 2018

 

 

YOU’VE HEARD OF being tongue-tied, but what about lip-tied? Both are actually legitimate medical conditions, and the culprits are pieces of tissue in our mouths called frenula.

Tongue Ties And Lip Ties

We all have a frenulum (or frenum) that connects our upper lips to our upper gums, one that connects our lower lips to our lower gums, and one that connects our tongues to the floors of our mouths. Normally, they are all thin and highly elastic, allowing free movement of our lips and tongues. If someone is literally tongue-tied, it means the lingual frenulum (the one under the tongue) is large enough to restrict the movement of their tongue, causing difficulties with speech, chewing, and swallowing.

Having a “lip tie,” on the other hand, means one of the labial frenula is so thick and/or tight that it restricts movement of the lip it’s attached to. Being lip-tied can lead to problems such as a large gap between the teeth, gum recession, and, in infants, not being able to latch while breastfeeding.

What Can We Do About It?

Luckily, a simple surgery called a frenectomy can reduce or remove an abnormal frenulum. Now, don’t let the word “surgery” scare you off. A frenectomy is definitely worth considering for anyone with these frenulum-related problems, particularly if they’re experiencing pain or discomfort.

Frenectomies are relatively quick procedures with short healing times. Periodontists (dentists who specialize in working with the gums) and oral surgeons are normally the ones who perform them. The way it works is that the doctor will numb the area  and make a small incision in the frenulum to make it smaller or remove it. Alternatively, the procedure could involve laser surgery, where the doctor removes the frenulum with a laser. Either way, that pesky lip tie or tongue tie will be gone!

Let’s Take Care Of That Frenulum

For the majority of people, frenulums will never be a problem. If you think any of yours might be thick or tight enough to cause the above problems, schedule an appointment with us, and the same goes for your children if they seem to have these problems. We can take a look and see if a frenectomy would be a good option. If it is, then we can recommend a periodontist or oral surgeon to take care of it.

Thank you for choosing us to take care of that smile!

 

The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

An Eating Disorder’s Impact On Oral Health

May 24th, 2018

THE FOOD WE EAT provides our bodies with the building blocks to maintain healthy cells, tissues, and organs and the energy to work, learn, and do the activities we love. It is crucial that we eat enough food (and preferably the right kinds) in order to keep everything working properly, which is why eating disorders are such a serious threat.

Malnutrition And Overall Health

Eating disorders are a group of psychological disorders that can have a devastating impact on the mental, physical, and emotional health of those who suffer from them. No system in the body is spared, and that includes oral health. That’s why we want to educate our patients on the dangers of eating disorders and encourage anyone suffering from one to seek help returning to healthy eating habits.

Anorexia: Starving The Oral Tissues

Anorexia Nervosa is an eating disorder characterized by extremely restricted food intake, and may also involve purging and compulsive exercising. The main risk to oral health with anorexia is malnutrition. Insufficient nutrients can result in osteoporosis, which weakens the jaw bones, leading to tooth loss. The gums may also bleed easily, and the salivary glands may swell up and produce insufficient saliva, resulting in dry mouth.

Bulimia: Stomach Acid Versus Teeth

Bulimia is an eating disorder characterized by periods of overeating (binging) followed by forced elimination of food through vomiting or laxatives (purging). Frequent vomiting exposes the teeth to stomach acid on a regular basis, which erodes the protective layer of enamel and can lead to discoloration, decay, and even tooth loss.

Watch this video to see bulimia’s effects on teeth, as well as how dentist’s can help:

Preventing Additional Damage

Maintaining a good dental hygiene regimen is an important part of keeping teeth and oral tissues healthy in any circumstance, but particularly while recovering from an eating disorder. One important caution to take if your teeth have been exposed to acid (whether from acidic food and drink or from regurgitated stomach acid) is to wait thirty minutes to brush. Immediately after acid exposure, tooth enamel is weaker and can be scrubbed away by brushing, so it’s better to rinse with water and wait to brush.

The Road To Recovery

Eating disorders are very serious, and recovery is about getting the right help — from supportive friends and family as well as licensed psychologists. If you or someone you know is suffering from an eating disorder, a good first step on the road to recovery would be contacting the National Eating Disorders Helpline. The dentist also plays a role in minimizing and repairing the damage from malnutrition and acid erosion, so make sure to schedule an appointment.

Your overall health and wellness are important to Dr. Penny and all of us at Cade Orthodontics!

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