Archive for category: Orthodontics

How to handle orthodontic emergencies

While only a minimal percentage of orthodontic emergencies truly require immediate attention by an orthodontist, most situations can be treated at home. If you experience discomfort or pain with your orthodontic treatment, we strongly recommend reaching out to us as soon as possible to repair the issue. In the meantime, here are a few orthodontic emergencies that can be temporarily treated at home:

When my metal wire rings (ligs) or rubber bands (colors) come off, what do I do?

The tiny wires and small rubber bands on your braces hold the wire to your brackets. If one of these rubber bands came off, you can reattach it using sterile tweezers. You can also use sterile tweezers to remove a loose wire. If the wire is not loose but is sticking into the lip, you can bend it back down with a q-tip, or the end of a pen.

Make sure to communicate these issues with your orthodontist because if one ligature pops off, it is likely that others could follow as well.

What do I do about mouth sores?

Mouth sores and ulcers can be extremely uncomfortable, and some individuals are more susceptible to them than others. These mouth sores are not caused by braces but can be irritated by them. These sores can occur on the tongue, lips, or cheeks. To alleviate the discomfort, apply a small amount of topical anesthetic to the sores using a cotton swab. You can also use warm salt water to rinse a couple of times a day.

How do I relieve lip and cheek irritation from braces?

The easiest way to relieve irritation is by using a small piece of wax to cover the irritating metal. To do so, pinch off a piece of wax the size of a pea, flatten the wax, and completely cover the irritating metal with it. The metal can sometimes irritate you while you are eating; if you use the nonmedicinal wax while you’re eating and accidentally ingest it, don’t panic, it is harmless!

How do I deal with a protruding braces wire?

Sometimes the end of your wires can be displaced. This can lead to irritation of your cheeks and gums. If you have a protruding wire, using a Q-tip to press the wire down flat against the teeth. If this does not relieve it, use wax to cover the wire to prevent further irritation. In an extremely irritating case, and you cannot see an orthodontist, you may clip with a very sharp pair of wire clippers. This should be a very last resort, as clipping the wire in your mouth could cause you to swallow the sharp metal piece.

Make sure to consult with your orthodontist before doing so. Please give the office a call if the irritation continues so we can get you in ASAP. If you have made yourself comfortable, give us a call and we can get you in in a few days to make sure everything is still fully engaged. 

How do I fix loose braces brackets?

Brackets are fixed to the teeth using a special adhesive. These can be knocked off by eating hard, sticky, chewy foods or if you are struck in the mouth. It is important to speak with your orthodontist as soon as possible to determine the best next steps to take. If you cannot go into the office and your bracket is rotated or sticking out, you can temporarily fix it.

To put the bracket back in place, use sterile tweezers to move the bracket across the wire until it is situated between two teeth. Rotate the bracket into position and move it to the center of the tooth.  If it starts to rub, place wax over the bracket. Take extra care to protect from swallowing any of the metal pieces. If you have an upcoming appointment, give us a call and let us know that a bracket is off so we can have what we need ready to repair it!

 

Experiencing orthodontic emergencies? Always be sure to contact your orthodontist first. If you are a BRO patient, please call 828.585.6045 to discuss what the next steps should be. We are happy to help!

After orthodontic treatment, you will need a retainer in order to maintain that perfect smile that you got through orthodontic treatment. Unfortunately, we don’t have the technology for an eternal retainer (yet). You will need to eventually schedule an appointment for retainer replacement.

5 common signs that mean your retainer needs to be replaced

Need to replace your retainer? You can easily request an appointment through our website. With orthodontic offices in Asheville, Hendersonville and Brevard, we have a convenient location for anyone in Western North Carolina.

1) Small Cracks in the Retainer

Orthodontic retainers come in a variety of different options. Depending on when you got your braces (or other type of orthodontic treatment), you might have a retainer that is primarily made of wire, or you might have one that is made of a material similar to what’s used for Invisalign aligners. After you’ve had a retainer for a year or more, the material starts to break down. If you notice that there are cracks in your retainer while examining it, then it’s probably time for a retainer replacement.

Left unaddressed, these cracks will only continue to get bigger. Eventually, the retainer will lack the structural strength needed to keep your teeth in their proper alignment. Letting a retainer go means that you’re running the risk of losing that perfect smile that you invested so much in to.

2) Your Retainer is Loose

If your retainer starts feeling loose, that’s a strong sign that it’s time to replace it. This doesn’t mean there is an issue with your teeth. Retainers wear down overtime and grow wider. This is why they can feel loose eventually, even if you have been good about wearing it. The issue here is that you are no longer getting the benefit of wearing the retainer. A loose retainer will not keep your teeth in place. We strongly urge you to get a replacement retainer before getting to the point that it no longer fits. Your teeth can begin to shift (slowly) back to their original position without that retainer in optimal condition.

That perfect smile means a lot to you and it means a lot to us at Blue Ridge Orthodontics. Being mindful of your retainer and replacing it before it loses its function is essential in keeping your smile looking perfect for life.

3) Your Retainer is Warped

Modern retainers are great, but those benefits come with a greater risk of them getting damaged or warped. Remember, a retainer that doesn’t fit is one that doesn’t work. A common scenario that we’ve dealt with here at BRO is a retainer that got warped because someone put it in the dishwasher or you tried to use very hot water to clean it. This is a situation where you would want to give us a call.

If you go for an extended period of time without wearing your retainer, it may hurt when you put your replacement retainer in for the first time. This is not a defect with the retainer itself. It means that you need to wear your retainer more often.

4) Too Much Calcium Has Built Up in the Retainer

Even if you are diligent about proper retainer maintenance, calcium can build up on your retainer over time. The problem is that calcium buildup can easily discourage one from wearing their retainer as often as they should. If you or your child has stopped wearing their retainer do to a nasty calcium buildup, it is time to get a replacement. You can easily schedule an appointment with Blue Ridge Orthodontics to get a retainer replacement at one of our orthodontic offices in Western North Carolina.

5) You Lost Your Retainer

Losing things is a frustrating but natural part of life. Remember that you are going to be using your retainer over the long run in order to maintain that beautiful smile. Over the years, moves, career transitions, new relationships and so much more present numerous opportunities to lose your retainer. It happens to the best of us.

If you have lost your retainer, please don’t wait too long to get a replacement. Our orthodontists will want to bring you to take a new impression for your replacement retainer. If it has been a while since you lost your retainer, then the new one will gently squeeze your teeth back into alignment. It’s also recommended that you establish a good place to store your retainer, so it is easy to put them back in before you go to bed.

Retainer Fatigue – What is That?

As a diamond level Invisalign provider, it should come as no surprise that many of our patients end up with clear retainers after their orthodontic treatment has finished. Like Invisalign and our impressions aligners, these clear retainers are highly discrete and this makes it easier for our patients to wear them more often.

However, there is a downside to this type of retainer – the material will fatigue over time. Every time that you take out your clear retainer, it actually stretches the material a minute amount. The retainer will eventually be stretched enough to allow for micro movements in your teeth. If you don’t get your retainer replaced, that stretching will continue and your teeth will be allowed to move further out of their proper alignment.

Retainer fatigue is the reason why people can still experience some minor movement in their teeth even if they’re diligent about wearing their retainer. The simple truth is that your teeth are stronger than your clear retainer – crazy right? If we were to give a former patient a brand new retainer produced from the mold we took after they got their braces off, it would feel tighter.

Order Your Replacement Retainer From BRO

You need to wear your retainer if you want to maintain that perfect smile that you’ve earned through orthodontic treatment. This can come as a surprise to patients, but your retainer is so important. if your retainer is broken or lost, we urge you to not let it go. Order your replacement retainer from Blue Ridge Orthodontics in Western North Carolina. The process is simple, convenient and very affordable.

Call us today at (828) 585-6045 if you have any questions about your retainer or getting a replacement. BRO has offices in Asheville, Hendersonville and Brevard. we have a friendly and very talented orthodontic team that’s ready to answer any of your questions.

Happy day! You’re finally getting your braces removed after months or even years of orthodontic treatment. You made that significant investment to improve your smile and your oral health, and now it’s time to reap the benefits. But wait! Your WNC orthodontist just mentioned the word “retainer.” Why are they saying that you need a retainer right after you got those metal brackets removed from your teeth?

This bit of news does come as a bit of a surprise to some of our patients in Western North Carolina. Unfortunately, some people also don’t take their retainer as seriously as they should. You don’t want to make that mistake. You do need to wear a retainer after you get your braces taken off and here’s why.

Why Do You Get A Retainer After Braces?

Orthodontic treatment is an investment. Depending on the issues that are being treated, it can take years to fully perfect a patient’s smile. After all that time and work, you want to ensure your teeth remain perfectly aligned for the rest of your life right? This is why you need to wear a retainer after braces.

For the first couple months after you got your braces off, you will be instructed to wear your retainers regularly. This is a crucial period of time, because some relapse movement can occur after the brackets have been removed from the teeth (more on that later).

The Retainer Is an Essential Orthodontic Appliance

A retainer is a very important orthodontic appliance that is worn by patients after they have their braces removed. Remember that the purpose of this appliance is to keep the teeth from shifting out of their proper alignment. You may be wondering why this is necessary. Over time, your jaw changes and this can cause shifting in the teeth (especially if you got your braces at a young age). You also use a variety of muscles each time you speak. Your tongue for instance is a significant muscle that pushes on your teeth constantly in order to form words. This pushing can cause shifts.

Are There Different Types of Retainers?

For our orthodontic patients here in Western North Carolina, Blue Ridge Orthodontics offers 2 types of retainers after they get braces.

Fixed Retainers

A fixed retainer is essentially a wire that is bonded to the tongue side of the teeth. As the name implies, this type of retainer is meant to stay fixed in place indefinitely. depending on how long you’re fixed retainer has been in place, the bonding agent used can weaken. It is possible that harder types foods could break away the bonding and expose the wire. At this point, you should make an appointment to have your fixed retainer repaired.

Removable Retainers

If your orthodontist is confident that you will be able to wear your retainer or the prescribed duration, they may give you a removable retainer after you get your braces taken off. This type of retainer can be removed when needed as the name implies. More advanced orthodontic technology such as Invisalign and BRO’s Impressions can also function as removable retainers.

How Long Do You Need to Wear Your Retainer After Braces?

For Removable Retainers

Remember that you’re going to need to wear your retainer initially all the time. Remember, with removable retainers you are able to take them out in order to eat or drink. They are convenient, but it is so important that you stick to the prescribed duration. The bone mass around the shifted teeth will be comparatively soft during these first few months after your orthodontic treatment has completed. The retainer keeps teeth from shifting into this softer bone mass.

If you follow our instructions during the first couple months, then you can switch to just wearing it during the night. You should wear it every night if you would like to keep your teeth in proper alignment for the rest of your life.

If it has been years or even decades since you got your braces taken off, it is important to note that the teeth tend to shift naturally as people age. do you still wear your retainer at night? If you stop wearing your retainer, you may begin to notice some shifting in your teeth. If you have questions, then please give us a call at (828) 585-6045. Our orthodontists can make sure you retain the smile that you invested so much in.

For Fixed Retainers

If you were given a permanent retainer after you got your braces taken off, then it is recommended that you keep that on for at least 10 years. If your fixed retainer has not been causing any significant hygiene problems after that amount of time, then you should consider keeping it in place for as long as you’re able to. This is because fixed retainers can cause serious issues for people who are not diligent about their brushing and flossing habits.

Now if you got braces as an adult, then it’s recommended that you keep your permanent retainer in place for the rest of your life. This is simply due to the fact that the risk of teeth shifting is greater in older patients due to grinding and other adult onset periodontal conditions.

How to Take Care of Your Retainer & Your Long-Term Oral Health

Since you will be wearing your retainer regularly for a long period of time, regular cleaning and maintenance are going to be very important. Unfortunately, some patients end up slacking on the maintenance side and eventually their retainer can get pretty nasty. Some may even discard their retainer at this point. If you follow these retainer care tips, then this won’t happen to you and you’ll be able to keep that perfect smile for the rest of your life!

How to Clean Your Fixed Retainer

Since you will be keeping that fixed retainer in your mouth for at least 10 years, proper cleaning and maintenance makes a significant difference. Otherwise, your fixed retainer could put you at greater risk for gum infections and teeth cavities. Your orthodontist will provide you with a special type of floss that has a wire portion that will allow you to thread it through the teeth and under the fixed retainer. This is the only way to keep your fix retainer clean and plaque free.

How to Keep Removable Retainers Clean

Remember that removable retainers provide that extra level of convenience since you can remove them in order to eat or drink. That being said, you still need to clean them properly on a regular basis. First, we recommend that you wash them with lukewarm water after every meal. Next, you should also use a little bit of toothpaste and your toothbrush to clean them every night and morning.

Blue Ridge Orthodontics

For anyone reading this post who may be in need of adult orthodontic treatment, we do provide complimentary consultations at all of our clinics in Western North Carolina. Check out some of our before and after photos if you’d like to see what we’ve been able to do for our adult patients. As a diamond level Invisalign provider, Blue Ridge Orthodontics can offer a variety of options few orthodontists in the country can match.