4 Tips for Extending the Life of Your Oral Appliance

There are many different removable appliances — from dentures to retainers — that help people enjoy better mouth function and a more attractive smile. But like many things we use, they can wear out. Because they’re also spending a lot of time in the mouth they can become an attractive home for disease-causing bacteria.

You can extend your appliance’s life through regular cleaning and maintenance. Here are 4 tips to help you do it properly.

Use detergent — not toothpaste or bleach — for cleaning. Your appliance may look like teeth or gums, but it isn’t made of living tissue and shouldn’t be cleaned the same way. The abrasives in toothpaste can cause microscopic scratches in appliance materials that could harbor bacteria. Bleach is also a no-no — while it kills bacteria it also breaks down the composition of many appliance plastics. Ordinary household soaps like dish detergent work just fine.

Use warm — not hot or boiling — water. Boiling water also kills bacteria, but it and even hot tap water can soften many dental plastics and distort your appliance’s precise fit. Warm soapy water is sufficient for keeping your appliance clean. Be sure also to use a separate brush from your regular toothbrush, ideally one designed to clean appliances.

Consider using an ultrasonic cleaner. No matter how thorough you are, you won’t be able to fully access tiny crevices in your appliance with a brush. If you have a permanent appliance like a denture or retainer, consider purchasing an ultrasonic cleaner, a device that emits high frequency sound vibrations to loosen plaque in those hard to reach places.

Protect your appliance while it’s out of your mouth. Place a towel in the sink while you’re cleaning your appliance — an accidental drop onto a soft towel is less likely to damage it than on a hard porcelain or metal basin. Unless otherwise directed, it’s also best to remove your appliance while you sleep to help cut down on bacterial growth. But don’t leave it lying anywhere — pets or even young children may find it a fascinating “toy.” Be sure to store it in its case or in cleaning solution in a high place.

If you would like more information on taking care of an oral appliance, please contact Dr. Cindy Sumarauw at 801-281-3500 to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “10 Tips for Cleaning Your Oral Appliance.”

3 Reasons Why Orthodontics is Worth the Effort - at Any Age

Think braces and you may conjure up the image of a teenager undergoing what is for many adolescents a rite of passage. But while correcting poor bites (malocclusions) is usually optimal between pre-adolescence and early adulthood, it’s just as viable an option for older adults.

Still, many people in their later years with malocclusions think orthodontics isn’t worth the bother — it’s simply too late for them or they don’t want the "embarrassment" of wearing metal braces at their age. But even if you’re older, it’s worth reconsidering treating that bad bite. Here are 3 reasons why.

Misaligned teeth can affect your oral health. If your teeth are out of position, then they will be much harder to keep clean, and may wear down at a higher rate than normally aligned teeth. You may also find chewing your food becomes easier with a straighter bite, which can improve your overall nutrition.

A More Aesthetic Option to Metal Braces. One of the biggest concerns for many older adults is the thought of wearing metal braces for an extended time. Clear aligners are a more attractive alternative. They are a series of computer-generated incremental clear plastic trays: each tray is worn for about two weeks moving teeth a small distance before changing to the next tray in the sequence until the end of treatment. Not only are they much less noticeable than metal braces, they can be removed for easier oral hygiene, or even for a rare special occasion.

Age Really isn’t a Factor. Not everyone is a good candidate for orthodontics. A person’s level of bone volume is a major consideration: if they have significant bone loss successful tooth movement may not be possible. Systemic conditions like diabetes, severe heart-valve disease or leukemia, or drugs for arthritis or osteoporosis can also make treatment difficult if not out of the question. But, if you’re in reasonably good health with adequate bone support, there’s no reason you can’t undergo orthodontics — at any age.

If you would like more information on orthodontic treatment at any age, please contact Dr. Cindy Sumarauw at 801-281-3500 to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Orthodontics for the Older Adult.”

Preserving Baby Teeth Crucial to Future Dental Health

It’s easy to view your child’s primary (“baby”) teeth as less important than the permanent teeth replacing them. They’re temporary — the last of them will give way around ages 10 to 13 — so why go to extraordinary lengths to save them if they’re decayed?

Although relatively short in life, primary teeth are indeed important. They, of course, provide young children a means to speak and eat. But they’re also pivotal to your child’s mouth and facial development. A primary tooth lost early can lead to adverse effects in the permanent teeth and bite later.

A primary tooth holds open the space in the jaw for the permanent tooth as it develops below the gums. When it’s ready to come in, the roots of the primary tooth dissolves (resorbs), allowing it to be lost. If they are lost too early, though, it can disrupt this spacing, especially for a back tooth. If this happens, adjacent teeth can move or “drift” naturally into the open space, greatly increasing the chances of a bad bite (malocclusion). The permanent tooth may then come in the wrong position or perhaps not at all, setting up the need for costly future orthodontic treatment.

That’s why it’s better to save the tooth if we can, even employing a modified root canal treatment for deep decay if necessary. If, however, the primary tooth is lost prematurely due to disease or trauma, we can still attempt to preserve the space left behind. One way is to install a “space maintainer,” a metal orthodontic device that prevents adjacent teeth from moving into the space. This will still require constant monitoring and extra care to prevent the device from dislodging.

The best strategy for preserving primary teeth is, of course, prevention. By establishing daily brushing when the first teeth appear in the mouth, coupled with regular dental cleanings and checkups twice a year and a diet low in sugar-added foods, you can reduce the risk of dental disease. Further prevention with sealants or topical fluoride can also strengthen young teeth.

Keeping primary teeth healthy will help ensure they’ll continue until they’ve served their purpose. In the end they’ll set the stage for a lifetime of healthy teeth.

If you would like more information on caring for your child's primary teeth, please contact Dr. Cindy Sumarauw at 801-281-3500 to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Importance of Baby Teeth.”