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You’re an old pro at brushing and flossing by now—after all, you’ve devoted years to looking after your dental health, carefully brushing for two minutes twice each day and flossing daily.

But now, you’ve entered unfamiliar territory—orthodontic treatment. It’s time to level up your brushing game to protect your teeth and gums while you create a more attractive, healthier smile.

Why make changes in your dental routine? Because of plaque. Brackets and wires can make brushing more difficult, allowing plaque to build up around your braces. And plaque which sticks around leads to:

• Demineralization—The bacteria in plaque produce acids, which strip away minerals from tooth enamel. This creates a weak spot in the enamel and can leave a noticeable white stain on your tooth when your braces come off—especially around the places your brackets used to be, because that’s often where plaque accumulates.
• Cavities—Over time, as bacteria continue to attack enamel, a weak spot in the tooth’s surface becomes larger and deeper until it forms a cavity.
• Gingivitis—It only takes a few days for plaque to build up enough to irritate gum tissue and cause tender, inflamed, puffy, or bleeding gums.

Some new skills and new tools will help you keep teeth and gums healthy while you’re wearing braces.

Adapt Your Brushing Strategy

Wearing braces means adapting your brushing and flossing habits. You might need to spend a bit more time cleaning your teeth, but the results will be worth it!

• Brush More Often

Brushing after you eat is generally recommended to remove any food particles and plaque sticking around your brackets and wires. This might mean brushing in the morning, after meals and snacks, and before you go to bed. If you’re unable to brush after eating, be sure to rinse and swish with water to help remove food particles.

• Brush and Floss More Carefully

Brush each tooth surface, outside, inside, and the tops of molars. Angle your brush to clean around brackets and under wires. And while flossing might be more challenging, it’s still essential. Dr. Joel Hartjes and Dr. Jon Szewczyk can show you how to floss when wires get in your way.

Upgrade Your Tools

The right tools make any task easier:

• Toothbrushes— Your teeth and gums might be more sensitive now that you have braces. This is a good time to remember that you never need to scrub your teeth, gums, or braces, and that a soft-bristled brush is the only kind of brush to buy.

There are brushes designed especially for braces which have angled bristles to clean around brackets or smaller heads to fit more comfortably in your mouth. Some people find electric toothbrushes are more effective.

• Interproximal brushes and dental picks—Small cone-shaped brushes and soft picks can clean between your teeth and around your brackets and wires when a brush head is too bulky.
• Floss threaders and braces-friendly floss—Floss threaders are flexible hoops which allow you to maneuver floss under the arch wire and between your teeth. Or try pre-cut floss, which comes with one stiff end to thread easily through your braces and between your teeth.
• Water flossers—A water flosser is a gentle and effective way to help wash away food particles.
• Over the counter or prescription rinses—Dr. Joel Hartjes and Dr. Jon Szewczyk can recommend special rinses which can help prevent cavities.
• Cleaning kit—Put together a kit with toothbrush, travel-size toothpaste, floss or picks, and a small mirror for cleanup on the go.

Because there are so many options, experiment with different tools until you find the best, most efficient way to keep your teeth and braces their cleanest.

Learn from the Experts

Finally, optimize your brushing strategies with help from the experts. The dental team at Hartstone Dental in Middleton, WI can teach you new brushing and flossing techniques and suggest the best tools to get the best results. And keep up with your regular dental appointments and cleanings! Regular exams will catch any signs of demineralization before they can lead to stains or cavities, and your hygienist can work around your braces to remove plaque you might have missed.

Take some time each day to level up your brushing game, and, when those braces come off, you’ll celebrate with a winning smile!

At Hartstone Dental, we prefer our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which Dr. Joel Hartjes and Dr. Jon Szewczyk will tell you, is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease.

Should you floss before or after brushing?

You can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. Our staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you, and contact our Middleton, WI office with any questions.

It’s common for children to suck their thumb at a young age. Dr. Joel Hartjes and Dr. Jon Szewczyk and our team want you to understand the potential issues that can surface down the road if the habit isn’t broken early on.

It’s normal for infants to explore the function of their mouths by putting objects like their thumbs inside it. You shouldn’t be concerned if your baby regularly sucks his or her thumb. For infants who are still growing their baby teeth, thumb sucking can help with stimulating growth and development of their baby teeth.

Thumb sucking is not a problem among infants because they generally do it to sooth and comfort themselves. Problems can occur of kids continue the habit when their baby teeth begin to fall out, around six years of age.

If you have a young child whose adult teeth are starting to come in, that’s when thumb sucking can start to be a problem. Most children stop thumb sucking between the ages of two and three years. According to the American Dental Association, if thumb sucking continues as adult teeth come in, this can lead to problems involving improper alignment of teeth and growth of the jaw, gums, and roof of the mouth.

It may also affect your child’s speech after that, by causing a lisp or other speech impediments. As a parent, you may need to begin to regulate and intervene if thumb sucking starts to become a bigger problem for your child.

How to Stop Thumb Sucking

• Provide comfort to your child if thumb sucking happens when he or she is anxious.
• Limit thumb sucking initially to bedtime or naptime.
• Employ positive reinforcement for good behavior.
• Talk with your child about the potential problems that come from this habit.
• Distract your son or daughter with activities such as fun games any time you notice it starting.
• Involve your little one in choosing methods for stopping, like positive rewards.
• Have Dr. Joel Hartjes and Dr. Jon Szewczyk talk to your child to reinforce concerns about thumb sucking.

Don’t forget that thumb sucking is a common habit that many children indulge in, and it should not be a concern right away. If you’re worried about your child’s thumb-sucking habit, start to address the issue as soon as possible.

The above techniques can help to reduce the amount of time your child sucks a thumb. Dr. Joel Hartjes and Dr. Jon Szewczyk and our team are here to help you if you have any questions or concerns about this habit.

Feel free to call our Middleton, WI office and we will be happy to help you and your child.

Some languages have many different words for love. Some have many different words for snow. One language even has different words for a tasty layered sandwich. Is that a hoagie or a hero you’re having? A sub? Grinder? Po’boy?

“Sugar,” though, is a single word which has taken on many meanings, from casual endearment to monosaccharide molecule. Today, we’re examining scientific definitions, with a short and sweet look at the science of sugar.

Chemistry

First, let’s get basic—all the way down to the molecular level.

Carbohydrates, fats, and proteins are the three essential macronutrients which keep our bodies running. Sugars are molecules made of carbon, hydrogen, and oxygen atoms, and all carbohydrates are made of these sugar molecules, from single unit structures to very complicated chains.

Sugars called monosaccharides are the most basic of the carbohydrates. “Monosaccharide” comes from the Greek words for “single” and “sugar,” and monosaccharides are the sugars we mean when we talk about “simple sugars.” Why are they simple? Because a monosaccharide is a single molecule which can’t be broken down into smaller carbohydrates.

While there are several types of monosaccharides, the three major simple sugars are:

• Fructose—the sugar we get from fruit.
• Galactose—the sugar found in milk.
• Glucose—the sugar our bodies use the most. It’s found in plants, and also produced when our bodies break down other carbs. Fun fact—this is the only sugar essential for brain cell function.

When two monosaccharide molecules join together, they form a disaccharide (not surprisingly, from the Greek for “two sugars”). Again, there are quite a few disaccharides, but we tend to concentrate on three in our diets:

• Lactose (glucose + galactose)—found only in milk and dairy products.
• Maltose (glucose + glucose)—the sugar chiefly produced by grains.
• Sucrose (glucose + fructose)—produced in plants. These plants include sugar cane and sugar beets, from which we get our refined table sugars.

The reason sugar molecules are so important is because of how our bodies use them.

Biology

Our bodies use the glucose in carbs for energy. As foods break down, first through digestion and then in the cells, the chemical bonds which hold glucose molecules together break as well. This action releases energy, and this energy fuels all our bodily functions.

But even though we need carbohydrates to keep our bodies going, and even though sugars are the easiest carbs to use for energy, there’s a reason no one recommends a diet filled with extra sugar.

Our bodies get all the sugar they need from the natural sugar in the foods we eat. Natural sugars are found in fruits, dairy products, even some vegetables and grains. Along with that sugar come vitamins, minerals, antioxidants, fiber, and/or protein.

Extra sugars added during baking or mixing or processing for flavor and sweetness provide none of these nutrients. These sugars are known as “added sugars,” and have more serious consequences than just empty calories.

Once we have the sugars we require, there’s no need for more. Extra sugars are stored in liver, muscle, and fat cells for later use. When we eat too much sugar, this carefully balanced system is upset, with negative effects for, among other things, weight, blood sugar, insulin levels—and our dental health.

Nutrition and Dental Health

You know that a sugar-filled diet often means a cavity-filled checkup. Why? Because it’s not just our bodies that break down sugar for fuel.

The oral bacteria in plaque also need sugars for food, which they use to make acids. An acidic environment in the mouth weakens and dissolves the minerals which keep tooth enamel strong. And these weak spots are vulnerable to decay. A steady diet of sugar-filled foods means that your enamel is constantly under acid attack.

Cutting down on added sugars is one of the easiest and best ways to cut down on added cavities. Reading recipes, checking out labels, learning to recognize added sugars—this is nutritional research which has sweet results.

How to recognize added sugars? Here’s where language gives us plenty of words to fill our linguistic sugar bowl. Whether the ingredients are called agave nectar, honey, molasses, syrups, treacle, or table sugar, they’re really just sugar. More specifically, they’re all sugars made up of glucose and fructose, with at best a trace amount of vitamins and minerals—and usually not even a trace!

To make our lives easier, labels on food packaging now let us know exactly how much of the sugar in any product is “added sugar.” You expect to find a high percentage of sugar on dessert labels, but you might be surprised to read how much sugar is added to foods like energy drinks, sports drinks, flavored yogurts, cereals, spaghetti sauce, and many more of the items in your grocery cart. Spend an extra minute examining the label, and save yourself many empty calories.

Monosaccharides, disaccharides, glucose, fructose, maltose, agave syrup, treacle, and on and on—so many words for so many kinds of sugar. When it comes to dental health, let Dr. Joel Hartjes and Dr. Jon Szewczyk have the last word on sugar science. During your next visit to our Middleton, WI office, talk to us about reducing unnecessary sugars in your diet for a future filled with the sweetest of healthy smiles.