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When you smile, you share your happiness with the world. But if your smile isn’t bringing you all the happiness it should, it might be time to talk to Dr. Joel Hartjes and Dr. Jon Szewczyk about orthodontic treatment.

Orthodontic treatment provides both physical and psychological benefits:

• Straight Teeth

Perhaps you’re motivated to seek orthodontic treatment because you want straighter, more evenly spaced teeth. And straight teeth are more than simply an aesthetic preference--there’s a health bonus for your teeth and gums as well!

Crooked, overlapping teeth are more difficult to brush and floss effectively, creating hard-to-reach spaces which trap food particles and plaque. Proper tooth alignment and spacing help you keep your teeth and gums cleaner, reducing the risk of cavities and gum disease.

• Healthy Bite

“Occlusion” means the way your jaws and teeth fit together when you bite. A healthy occlusion lets you bite, chew, and speak easily and comfortably because your teeth, jaws, muscles, ligaments, and tendons are aligned in harmony. A malocclusion, or bad bite, occurs when the teeth and jaws don’t align properly, putting excess stress and pressure on the teeth, jaws, joints, and muscles.

The result? Malocclusions can cause difficulties eating and speaking, affect facial symmetry, and have long lasting consequences for your dental and overall health. An unbalanced bite can lead to worn and cracked teeth. Damaged teeth might require root canal treatment and crowns. You could experience jaw, neck, or facial pain, headaches, and sleep problems. Creating a well-aligned bite will help ensure a healthy dental future.

• Improved Self-Esteem

If you hesitate to share your smile because you are concerned about the appearance of your teeth or bite, orthodontic treatment can help you greet the world with confidence.

If your happy smile isn’t bringing you maximum happiness, it’s time to consider orthodontic treatment. Talk to the team at Hartstone Dental in Middleton, WI to learn about all the benefits orthodontic treatment can offer you!

Mouthguards protect our oral health. They shield our teeth and mouths from injury during sporting activities, prevent damage from tooth grinding, and help treat sleep apnea. But sometimes, these hardworking tools need some TLC of their own. Read on to learn how to keep your appliance its sparkling, healthy best!

Mouthguard Buildup

You might notice after a few months of use that your guard is stained with white spots or a discolored film. Or that there are gritty patches on its smooth surface. Or you might suddenly notice an unpleasant odor.

If you’re wondering what’s happened to your once-pristine mouthguard, let’s break down the source of these stains, deposits, and odors.

• Plaque is a mix of food particles, bacteria, and saliva which sticks to tooth enamel. If it’s not removed, plaque can harden into tartar. And, just like plaque and tartar stick to your enamel, plaque and tartar can transfer from the teeth and stick to your guard, leaving white spots or a discolored film.
• Mineral deposits are another source of white spots and gritty buildup. Calcium and phosphate are two of the minerals found in saliva. They replace the calcium and phosphate minerals which have been stripped from tooth enamel by acidic foods or the acids created by plaque bacteria. And while these minerals are vital for enamel health, they’re not doing your mouthguard any favors! As saliva dries on your appliance, it leaves behind a residue of these white gritty minerals.
• When food particles and plaque build up on teeth, they cause bad breath. When food particles and plaque build up on appliances, they cause an unpleasant odor.

Removing Retainer Buildup

How do we break down this buildup? There are some simple ways to reduce or remove plaque, tartar, and mineral accumulation when you’re taking care of your mouthguard:

• Rinse off your guard as soon as you remove it from your mouth.
• Clean your mouthguard every time you wear it with a soft-bristled toothbrush. Because even non-abrasive toothpastes can be hard on appliances, ask Dr. Joel Hartjes and Dr. Jon Szewczyk which toothpaste—if any—is best.
• Regular deeper cleaning helps reduce the chance of buildup. Your dental team in Hartstone Dental in Middleton, WI can suggest effective ways to get your guard its cleanest, with recommendations like a white vinegar/water soak or an over-the-counter cleaning product made for appliances. Deep clean weekly or monthly as needed.
• Use cool or lukewarm water to clean or soak, because hot water can warp mouthguards.
• Don’t forget to clean your case regularly, as it can also harbor plaque, minerals, germs, and food particles.

Prevention is best!

Of course, the very best way to reduce mouthguard buildup is to prevent it from accumulating in the first place.

• Keep your teeth clean. When your brushing and flossing is on point, you’ll really reduce the amount of food particles and bacteria which transfer to your appliance.
• If you can’t brush right away, rinsing with water after eating or drinking helps remove food particles and acids from the teeth. Water is also safe to drink with your appliance in place. Which leads us to . . .
• Mouthguards aren’t meant for meals or beverages. Eating solid foods can damage a guard. Food particles stick to appliances. Clear plastic appliances which fit over the teeth can stain. And, because they fit closely over the teeth, these guards can trap foods and beverages next to your teeth, exposing your enamel to sugars and acids over a longer period. Place your guard in its case, enjoy your meal, and brush and floss as directed before your replace the appliance in your mouth.

A clean appliance is a healthy appliance! Keep your mouthguard—and your teeth and gums—in the best of health with simple, daily TLC.

During the second week in April, we recognize and celebrate the expert care dental hygienists provide. Let’s take a moment this week to explore how the special skills of this valued member of your dental team in Middleton, WI enrich your dental health.

Regular Cleanings

Dentists typically recommend routine dental examinations twice a year, and these visits will almost always include an in-office cleaning by your hygienist. Dental hygienists are highly trained healthcare professionals who are specialists in caring for your teeth and gums.

• Plaque and tartar need to be removed from tooth enamel to help prevent cavities and gum disease. While you can brush away plaque, it takes a dental professional to remove tartar, which is plaque which has mineralized over time. The hygienists who work with Dr. Joel Hartjes and Dr. Jon Szewczyk might use a hand scaler, an ultrasonic scaler, or both tools to gently scrape sticky plaque and hardened tartar from your tooth enamel.
• Your cleaning will also include polishing, where surface stains on the enamel are removed using a gentle abrasive. This cleaning might be done with a special toothpaste applied with a small rotating cup or with an air polisher, which removes stains with a stream of fine abrasive powder, water, and pressurized air.
• An expert flossing will remove any remaining plaque from between the teeth.

Deep Cleaning

Hygienists help prevent gum disease. Plaque and tartar on tooth surfaces below the gum line increase your risk of gum disease. Irritated gum tissue gradually pulls away from the teeth, creating pockets of bacteria and causing inflammation and infection.

• Your hygienist will use a probe to gently measure the depth of the space between the teeth and gums. Deeper than normal spaces or bleeding could be a sign of gum disease.
• Tartar on the tooth surface below the gum line will be removed using a treatment called scaling, a non-surgical procedure where your hygienist uses hand scalers or ultrasonic tools to carefully scrape hardened plaque from the tooth.
• Root planing might be done to smooth the root surfaces so that gum tissue can attach snugly around the teeth again, protecting the roots from plaque buildup and bacteria.

Preventative and Cosmetic Care

Some hygienists work with dentists to help provide additional diagnostic, preventative, and cosmetic services:

• X-rays and digital imaging.
• Oral cancer screenings.
• Sealants, thin plastic coatings which protect the top surfaces of molars—the most likely places to develop cavities—from accumulating food particles and plaque.
• Fluoride treatment, if recommended, applied in varnish, foam, or gel form.
• Professional whitening treatments.

Education

Finally, your dental hygienist is an educator!

• When it comes to brushing, there are effective techniques and . . . not so effective techniques. Your hygienist can teach you the best way to clean away food particles and plaque and the best tools for the job.
• During a cleaning, your hygienist will point out any spots where plaque has built up. Discovering the spots where you tend to leave plaque behind allows you to do a better, more thorough cleaning job at home.
• Flossing can be difficult for some of us because we have braces, or because of the way our teeth are aligned, or because of dexterity issues. Your hygienist can show you the best way to floss, as well as recommend products such as specially designed flosses or water flossers which will make flossing easier and more effective.

The dental hygienists at Hartstone Dental are skilled professionals who work to create cleaner, brighter, healthier smiles for their patients every day. This week, we appreciate them for helping us achieve the beautiful smiles we get to appreciate all year long!

We’re not talking about caring for major appliances here—the refrigerators, dishwashers, and washing machines which make our lives easier. We’re talking about much smaller scale appliances which produce major results for our oral care—the dental appliances which give us healthier, more attractive smiles!

A dental appliance is simply any device which helps promote dental health. And while that definition is awfully broad, you still might be surprised at the many types of dental work which qualify! Today, we look at “fixed” appliances. These restorations or devices stay in the mouth, unlike removeable appliances like mouthguards and aligners. How do they work for us, and how do we provide the care they need to work effectively?

Fillings, Crowns, and Dental Implants

Dental restorations such as crowns and fillings, which protect the structure of your teeth, are considered appliances. So are dental implants. Implants use a post surgically implanted in the bone to act as the tooth’s “root.” When the post has fused with the bone, a crown is bonded to the implanted post for a tooth which functions—and looks—like your natural teeth.

• Cleaning—Clean your restorations and implants just like you would your natural teeth. This means brushing at least twice each day for two minutes and flossing once each day to protect both your dental work and your oral health.
• Diet—While restorations allow you to eat normally, it’s best to treat both your natural teeth and your restorations with care. Hard foods can crack or damage enamel, implants, and restorations. Chewy, sticky foods like caramels can dislodge restorations.

Fixed Orthodontic Appliances

If you or your child are in orthodontic treatment, you know that taking good care of orthodontic appliances will help treatment progress as quickly and comfortably as possible. Traditional braces and functional appliances like palatal expanders and the Herbst® and Forsus™ appliances are commonly used to help patients achieve their best smiles. Because these appliances stay in the mouth until treatment is complete, caring for them can present some day-to-day challenges.

• Cleaning—You might need to brush and floss after every meal and snack to prevent plaque buildup and to keep food particles from sticking to braces and/or functional appliances. Your orthodontist will provide instructions for daily cleaning routines.
• Helpful tools—Interproximal brushes, flosses designed for braces, and water flossers can make cleaning teeth and appliances easier and more effective. Talk to your dental team at Hartstone Dental to learn the best tools and techniques for your specific needs.
• Diet—Sticky, chewy, hard, and crunchy foods are not on the menu when you have a fixed appliance! Sticky and chewy foods like caramels can damage appliances and are difficult to clean from appliances and enamel. Hard foods require biting pressure which can damage appliances—and your teeth! Crunchy foods can leave hard little particles stuck in and under appliances. Your orthodontist has all the details on choosing foods which are good for your teeth and your orthodontics.
• Stick to your orthodontic routine—Keeping up with your appointments and adjustments keeps your treatment on track and allows your orthodontist to discover any problems with your appliances. If you have any concerns about an appliance, it’s always a good idea to call your orthodontist’s office immediately.

Bridges

Bridges complete smiles when a tooth or teeth are missing, enabling normal speaking, biting, and chewing. Bridges also help prevent the remaining teeth from shifting out of place.

To create a custom bridge, a prosthetic tooth or row of teeth are attached to crowns placed on adjacent natural teeth, or attached with wings bonded to adjacent natural teeth, or secured to carefully placed implant posts. The type of bridge your dentist recommends will depend on your preferences, the health of your surrounding teeth, and the number and location of the missing teeth.

• Cleaning— Because the artificial teeth in the bridge are often connected to each other and/or to surrounding teeth, typical flossing between teeth isn’t always possible. Special flosses, interproximal brushes or water picks can make sure the areas under the bridge and adjacent to your natural teeth are free of plaque and food particles. Dr. Joel Hartjes and Dr. Jon Szewczyk can recommend the best tools and techniques.
• Diet—A bridge-friendly diet is a lot like a healthy orthodontic diet. Avoid hard and chewy foods like nuts and caramels which can damage or loosen your bridge. Foods like corn on the cob, tough meats, hard breads, and apples require more biting force, which can loosen a bridge over time. Cutting foods into smaller pieces and choosing softer food options will help extend the life of your bridge. Your dental team in Middleton, WI is a great source of information on the healthiest diet for you and your dental work.

Implant-Supported Dentures

Permanent, fixed dentures remain in the mouth, anchored by implant posts strategically placed in the jaw. Like individual implant posts, these are placed surgically and require time to heal. When the posts have fused with the bone, an individually crafted denture is secured to them.

• Cleaning—Once the dentures are secured to the posts, brush and floss as you would with your natural teeth. A water flosser is helpful for cleaning under and around the denture.
• For best maintenance, Dr. Joel Hartjes and Dr. Jon Szewczyk can remove your denture for professional cleaning as needed.
• Once you have become used to your dentures, you can eat normally (although it’s best to avoid small, crunchy particles which can get trapped under the denture).

So many appliances, helping us protect our dental health and comfort in so many ways! And there are a few additional steps we can take to make sure these appliances perform at their best:

• Watch out for destructive dental habits. Nail biting, chewing on pencils or other objects, using teeth as tools to open bags or bottle caps, crunching on ice—any behaviors which can damage teeth can also damage appliances.
• Keep up with regular dental exams. Dr. Joel Hartjes and Dr. Jon Szewczyk can assess the health of your teeth and gums as well as the condition of your appliances.
• Don’t ignore problems! Call your dental team at once if you notice any damage to your teeth or appliances.

Fixed appliances make our lives better. They improve oral health, allow us to eat and speak without difficulty, and create confident smiles. With conscientious care, your appliances will continue to work both comfortably and effectively.