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One of the most common reasons for getting braces is because there’s just not enough room for all your teeth to fit next to each other evenly. The result is overlapping and crooked teeth. What’s the first step in creating the space you need? Well, that depends on just how much room you need to align your teeth and bite properly.

When there is going to be a serious need for space, there are orthodontic solutions that can help, including palatal expanders, surgical options, and extractions. But if you only need a tiny bit of room so that regular braces will fit properly, we have a tiny solution—orthodontic spacers!

Why do you need to make space before you get braces? Because Dr. Douglas and Larry Harte might need to make some room around crowded molars so your braces can be installed properly.

For example, you might need orthodontic bands to anchor your braces. An orthodontic band is a slim, custom-fitted ring of metal which fits snugly around a molar. It is durable, provides a place to attach bands and springs to help correct malocclusions (bite problems), and can securely surround a tooth that might be weak because of a large filling. Spacers can separate crowded teeth just enough to allow a band to be fitted around a molar.

Even if you don’t need bands, sometimes separators are necessary to provide enough space between the teeth for your braces to work effectively. The back teeth tend to move even closer together with braces, and, without adequate space, bite problems, risk of decay, and other difficulties can arise.

And while you might think that some serious equipment is in order to make room between those sturdy molars, the typical spacer, or separator, is actually extremely simple--usually a tiny, round elastic band, often made of rubber. Spacers can be placed between tight teeth in a matter of minutes. Each ring is stretched and positioned between your teeth with a special tool. As it returns to its original shape, the spacer’s width provides just enough pressure on the teeth it touches to make a bit of space between them. And a bit of space is usually all you’ll need.

What do spacers feel like? For some people, they can be uncomfortable. You might feel soreness, some pressure, or as though a piece of food is stuck between your teeth. Ask us for suggestions on making you more comfortable, whether it’s dining on ice cream and cold drinks, eating soft foods, or taking over-the-counter pain relief. Separators are only designed to be in place for a very short period (usually under two weeks), but if they are causing you pain, give us a call.

What do you need to do to help the process along? Actually, it’s more what you need not to do. Don’t use dental picks or floss on your separators, avoid chewing gum, and take chewy and sticky foods off the menu. And don’t be tempted to touch or play with your spacers!

Spacers can create space between the teeth so quickly and efficiently that they often fall out on their own after a few days. If your separators fall out, give our Sparta or Livingston, NJ office a call. It could mean that you are ready for your braces, and on the way to a lifetime of healthy, beautiful smiles. And it’s a journey that begins with a tiny, springy step.

Wearing braces limits some of the snacks you can eat. However, you still have plenty of choices for fun and healthy foods that will not harm your braces. You can even enjoy a few crunchy treats as long as you choose them carefully.

Sweet Treats

Puddings provide a sweet and safe snack while you are wearing braces. You can even select flavored puddings such as caramel to satisfy the urge for items you should not eat. They can be purchased already made or whipped up at home. You can even select low-sugar varieties that still taste good. Ice cream and yogurt are also choices; just avoid products with nuts.

Healthy Snacks

Fruits are excellent for a healthy snack. You just need to avoid biting into hard fruits such as whole apples. You can avoid the problem with fruit cocktails packed in water. Cocktails still have the nutritional benefits and flavor, but contain softer pieces. Avoid fruits packed in heavy syrup, though; these tend to have too much sugar.

Crunchy or Salty Snacks

Not all crunchy foods are bad; you just need to limit the crunch. Walnuts are a softer nut that can normally be eaten safely. Small cheese crackers satisfy the need for crunchy and salty. You can also allow pieces to dissolve slightly in your mouth before chewing, to reduce any risk.

Soft granola bars are also an option. Check the granola ingredients to ensure there are no large nut pieces, and brush your teeth afterwards. Otherwise pieces can become stuck in your dental work.

If you have any questions about safe snacks, do not hesitate to ask Dr. Douglas and Larry Harte and our staff.

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth.

• Preventing Interproximal Cavities

Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach.

When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge!

The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment:

• Floss threaders are flexible hoops that help you thread floss behind your wires easily.
• Precut floss strands use a stiff tip at one end for threading floss through wires.
• Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning.
• Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces.

During your next visit to our Sparta or Livingston, NJ office, Dr. Douglas and Larry Harte can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

While they may sound refreshing, especially after participating in sports activities or after a jog, recent studies suggest that energy and sports drinks can damage tooth enamel, thus elevating your cavity risk. These drinks are especially popular among our younger patients.

In the study, researchers analyzed the fluoride content and pH levels of 13 sports and nine energy drinks by soaking tooth enamel samples in the aforementioned drinks. The samples were soaked for 15 minutes in each drink, and then were soaked for two hours in artificial saliva four times a day for five days.

As much as sports drinks are harmful to your teeth, researchers found that exposure to energy drinks such as Rockstar, Monster®, and Red Bull® resulted in twice as much enamel loss as exposure to sports drinks such as Powerade®, Gatorade®, and Propel® (3.1 percent to 1.5 percent).

Yes, there are health benefits to consuming orange juice, fruit juices, sports drinks, and flavored waters, which can contain valuable ingredients such as vitamin C and other antioxidants; these drinks can also replenish nutrients lost during a sporting event and lower the chance of heart disease and cancer. But, if not consumed carefully, these beverages can harm your teeth. They are full of sugar, which converts to acid and wears away at your teeth, causing cavities, sensitivity, and eventually tooth loss.

Even one drink a day is potentially harmful, but if you are absolutely unable to give up that sports or energy drink habit, we encourage you to minimize their use and rinse with water afterward or chew a sugar-free piece of gum. Do not brush immediately after drinking them; softened enamel due to acid is easier to damage, even when brushing. Remember, it takes your mouth approximately 30 minutes to bring its pH level back to normal. The best thing to do is to wait an hour, then brush to remove sugar that lingers on your teeth and gums.

There are many sports drinks, energy drinks, and flavored waters out there today. Dr. Douglas and Larry Harte and our team recommend you take the time to read the labels. Check for sugar content and citric acid in the ingredients. If you have any questions, or would like suggestions on the best sports drink options, please give us a call at our Sparta or Livingston, NJ office or ask us during your next visit!