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.”

A Little Extra Effort Can Make Brushing and Flossing with Braces Easier

Moving teeth through orthodontics is more than a “smile makeover” — it’s also an investment in yours or a family member’s future oral health. Normally aligned teeth function better and are easier to keep clean and healthy.

Ironically, though, the same appliance that helps enhance future oral health can also make it harder to keep the mouth healthy in the here and now. This is because fixed orthodontic hardware like braces can impede a patient’s ability to reach tooth surfaces while brushing or flossing to remove plaque. This thin biofilm of food remnant and bacteria can build up on tooth surfaces and cause tooth decay or periodontal (gum) disease.

It’s therefore not uncommon for people wearing braces to have two to three times the plaque on their teeth. This is especially problematic for younger patients whose newly erupted permanent teeth don’t have the resistance of older teeth to the acid that causes tooth decay.

While maintaining effective hygiene during braces is difficult, it isn’t impossible. There are a number of things that can be done to improve plaque removal. When brushing use a soft bristle, multi-tufted brush, which is more flexible for reaching around hardware. Be sure to take the time to brush above and below each braces wire all the way around, then on the inside of the teeth and the biting surfaces. If there’s difficulty reaching between teeth with regular flossing techniques, consider using a special floss holder or invest in a “water” flosser that sprays water under a pulsing pressure to remove plaque between teeth.

It’s also a good practice to eat a diet rich in fresh fruits, vegetables and dairy products and low on snacks with added sugar, a prime food source for bacteria. Use fluoride toothpastes and antibacterial mouth rinses to help strengthen enamel and reduce bacteria. Continue regular visits to the family dentist for dental cleanings to remove hard to reach plaque and calculus (hardened deposits) and monitor for disease.

It may take a little extra time and the aid of a few new tools, but your efforts will make a difference. You or your loved one will be taking care of their teeth now, while the braces take care of their health and smile tomorrow.

If you would like more information on hygiene practices during orthodontic treatment, 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 “Caring for Teeth During Orthodontic Treatment.”

Don't Allow Your Age to Stop You from a New Smile with Orthodontics

Think you’re too old to have your teeth straightened? In reality, healthy teeth can be moved at any age to better positions. For the many adults who have some form of malocclusion (bad bite), orthodontics is still a viable option even in later years.

As important as it is to self-image and confidence, treating misaligned teeth can benefit you more than just improving your smile. Misaligned teeth may be harder to keep clean, setting up a mouth environment advantageous to the development of tooth decay or periodontal (gum) disease, the risks of both rising with age. And normally aligned teeth are easier to chew with than those misaligned.

Age isn’t the determining factor for whether you’re a good candidate for orthodontics — but your dental health is. Gum disease in particular can cause supporting bone loss, which can complicate orthodontic treatment. It’s important then that we first perform a complete oral examination and attempt to treat problems such as decay or gum disease first before attempting tooth movement.

What type of orthodontic treatment you’ll need will depend on the type of malocclusion you have and its relationship to the way your jaws fit together. Because your adult jaws have fully developed you may need orthognathic (“jaw straightening”) surgery to address certain advanced forms of malocclusion. If your bite problems aren’t that severe (the majority of situations) they can be treated with braces or, an increasingly popular alternative, clear aligners. These customized clear plastic trays are nearly invisible compared to metal braces and are effective for most patients.

Following the completion of tooth movement and other bite procedures, you will most likely need to wear a retainer to help prevent the teeth from reverting to their older positions. You may need to wear the retainer for a longer period than a younger patient, or perhaps indefinitely. Even with this mild inconvenience, though, you’ll still experience the positive effects of healthier and better functioning teeth and a great new smile.

If you would like more information on orthodontic treatment, 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.”

Treating Thumb Sucking Now Could Reduce Orthodontic Treatment Later

One of the most common parental concerns is the habit of many children, even late into childhood, to suck their thumbs or fingers. Many parents have asked us, “Could this affect their teeth?”

The answer, unfortunately, is yes — thumb sucking can contribute to a malocclusion (bad bite) that could eventually require orthodontic treatment. Before making any assumptions, however, we need to understand the bigger picture.

To begin with, infants have a different swallowing mechanism than adults and older children. When you as an adult swallow, you'll notice the tip of your tongue positions itself just above the back of the top front teeth. An infant, however, will thrust their tongue between their upper and lower jaw as they swallow (also known as an infantile swallowing pattern or primary tongue thrust). The infant normally begins changing to an adult swallowing pattern when their primary (baby) teeth begin to erupt.

However, if a child's swallowing transition is slower than normal and the tongue rests between the jaws for a longer duration, it can inhibit the full eruption of teeth, believed to be the main cause of an open bite (a gap between the upper and lower teeth when the jaws are shut). The thumb during sucking resting between the teeth can have the same effect.

Thumb sucking may not necessarily lead to a malocclusion — for example, an abnormally developing jawbone could be the culprit. If prolonged thumb sucking does become a concern, however, there are steps we can take to reduce the impact of the habit. We can install a thin metal “tongue crib” behind the upper and lower incisors that will not only discourage thumb sucking, but also help retrain the tongue not to rest between the upper and lower teeth. There are also exercise routines known as orofacial myofunctional therapy (OMT) that can retrain specific muscles in the mouth to encourage more normal chewing and swallowing patterns.

These steps may not prevent future orthodontic treatment, but they could reduce its extent. The key is regular dental checkups and consultation to ensure your child's teeth and bite are developing normally.

If you would like more information on the effects of chronic thumb sucking on the mouth, 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 “How Thumb Sucking Affects the Bite.”

Wearing an Orthodontic Retainer Preserves Your Well-Earned Smile

Orthodontic treatment (commonly known as braces) can be a lengthy process to re-align your teeth to a more functional and aesthetic position. Once the orthodontic devices are removed, however, the treatment isn't finished. Wearing a retainer is the final step to ensuring that the re-alignment doesn't eventually fail. It's designed to do just what its name implies — to “retain” the teeth's new position and prevent a relapse to the old.

This can happen because of the way teeth fit into the jaw bone. The teeth are joined to the bone by the periodontal ligament, which works somewhat like a hammock: the ligament's fibers act like threads that fit into the tooth on one side and into the bone on the other, and hold the teeth in place.

As living tissue, the ligament's cell structure is dynamic and can adapt to the gentle pressure applied by an orthodontic device. However, once this pressure subsides after the device is removed “muscle memory” can cause the ligament to resist the new position and pull the teeth back to their original setting. The retainer helps hold the teeth in the new position while the bone and ligament continue to mature and stabilize around the teeth.

There are two basic types of retainers; the one recommended for you will depend on your age and the extent of your orthodontic treatment. One type is a removable device that is typically worn around the clock initially, but may eventually only need to be worn at night or for even a lesser interval of time. The other type is attached permanently behind the teeth and can only be removed by an orthodontist. Permanent retainers have the benefit of not being as visible as the removable type, and there's no bother with putting them in and taking them out.

You may consider wearing a retainer a nuisance especially after months of orthodontic treatment. But consider it the last lap in a long race — only by finishing can you achieve that winning smile.

If you would like more information on the use of a retainer, 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 articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?”

Technology for Teens with Clear Aligners

Braces have traditionally been seen as a “rite of passage” for teenagers, and while most teenagers learned to “em-brace” their orthodontics, in some situations, braces were less appealing. For example, like many people, you may have old prom and homecoming photos featuring beautiful dresses, tuxedos and a mouth full of metal braces.

Luckily, thanks to modern technology, your teen has more options than ever before, including clear aligners. Clear aligners use a system of clear, removable trays to gradually straighten teeth. Each individual aligner is slightly different than the previous one and made of a virtually invisible plastic that completely covers the teeth. When worn for 22 hours per day for a two-week period before moving on to the next aligner, teeth can be moved into the desired position. This movement can take anywhere from 6 to 24 months, and aligners can be taken out for eating, drinking and other short periods of time.

Technology is really at its finest when it comes to Invisalign clear aligners. They are computer-generated, based on photographs, models of your teen's teeth and x-rays. The models are sent to a laboratory where a computer creates a 3D image, and we manipulate each tooth on the screen into a new position until they are all properly aligned. Special software then simulates the movement of your teen's teeth and essentially creates the course of treatment. Finally, we create plastic aligners for each step of the movement.

Technology is also responsible for making clear aligners a better option for teenagers over the past few years. Originally, teens were not seen as good candidates for clear aligners because their second molars have not fully grown into position and also because it was assumed, since the aligners are removable, teenagers might not be as diligent about wearing the aligners as adults. Technology is responsible for a solution for both of these issues. Eruption tabs serve as space-holders for teeth that haven't grown in, and clear aligners for teens have compliance indicators built-in that fade with time as each aligner is worn.

When you bring your teenager into our office for an initial consultation, we'll evaluate whether clear aligners will be an appropriate solution for his orthodontic needs.

If you would like more information about clear aligners, please contact Dr. Cindy Sumarauw at 801-281-3500 to schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine article “Clear Aligners for Teenagers.”

Braces Have Come a Long Way, Says Vanna White

Everyone knows Vanna White as the elegant co-host of the popular game show Wheel of Fortune. But here's one thing you may not know: White is listed in the Guinness Book of World Records as television's most frequent clapper, with an average of 720 claps per show — that's over 28,000 per season! And here's something else: the star with the megawatt smile wore braces as a kid, and she's not too shy to talk about it.

“I only had to wear them for a year and it was a good experience for me,” she told an interviewer for Dear Doctor magazine. But when it was time for her son to get them, White noticed something different. “We used to have those silver bands that went all the way around each tooth, and they don't have that anymore. It is fascinating to see how far they have come.”

We're glad she noticed! In fact, orthodontic appliances have advanced a good deal in the past decade or so. Instead of using metal bands, brackets holding the wire part of braces are now typically attached directly to the teeth with a dental adhesive. For an even less obtrusive look, ask about using colorless brackets instead of metal ones — that way, the only part that's clearly visible is the thin wire itself. And in some situations, braces can be placed on the lingual (tongue) side of the teeth, making them all but invisible.

Another type of nearly invisible appliance is the Invisalign clear orthodontic aligner. The aligner system consists of a series of precision-made transparent “trays” that fit over the teeth. Each tray is worn for a few weeks, and each moves your teeth by a small amount; together, they can help correct mild to moderate orthodontic problems. And the best part — they're really hard to notice! That makes them perfect for both adults concerned about a “professional” look, and image-conscious teens.

So if you're a TV star — or if you'd just like to have a brighter and better smile — it's never too late to get started! If you would like more information about orthodontics, please contact Dr. Cindy Sumarauw at 801-281-3500 to schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Magic of Orthodontics” and “Clear Orthodontic Aligners.”

Braces Are No Hurdle for Olympic Track Star

Lashinda Demus holds the U.S record in the 400 meter hurdles, with a time of 52.47 seconds, the third fastest ever recorded. While her twin 5-year-old boys cheered her on, she brought home a silver medal from the 2012 London Olympics. But when it comes to her full set of upper and lower braces, there's no silver to be seen!

Demus is a top-ranked competitor, a wife and a mom — and an adult who is currently in orthodontic treatment. With her dentist's approval, she chose clear ceramic braces. These are just one of the treatment options available to adult patients, many of whom prefer a less noticeable style of orthodontic appliance.

As many as three-quarters of adults are thought to have some form of orthodontic problem. Common issues include teeth that are crowded too closely together, or ones that have drifted too far apart after an extraction or other tooth loss. It is believed that straightened teeth are easier to clean and better for chewing — they can also improve an adult's social life, and even his or her career prospects!

Some grown-ups may hesitate to consider orthodontic treatment because they remember the “railroad tracks” they saw in junior high school. In fact, there have been many changes in orthodontic appliances in the past few years. Two popular choices for adults are colorless braces (the kind Demus wears) and clear orthodontic aligners.

Colorless ceramic braces are made of high-tech composite materials. They resist staining, and are less noticeable because their translucent appearance blends with the teeth. Often, a single wire is the only part that's plainly visible. Sometimes it's even possible to place them on the lingual (tongue) side of the teeth.

Clear aligners are an alternative to braces that are available to adults and teens. Instead of wires and attachments, these consist of a series of transparent, removable trays that are placed over the teeth and worn 20 hours per day. Over a period of six months to two years, the teeth are gradually straightened as you progress from one computer-designed tray to the next. Best of all, you can remove the trays completely to clean your teeth, and for important occasions.

Which one is right for you? It depends. While aligners have been successful in treating mild to moderate spacing issues, more difficult problems with the bite may require a more traditional form of braces. Also, there are a few health problems which might need to be attended to before orthodontic treatment is begun. The best way to learn about your options is to come in for a consultation. But remember: if you want a better smile, it's never too late.

If you would like more information about orthodontic choices, please contact Dr. Cindy Sumarauw at 801-281-3500 to schedule an appointment for a consultation. You can also learn more by reading the Dear Doctor magazine articles “Orthodontics For The Older Adult” and “Clear Orthodontic Aligners.”

Actress Katherine Heigl Straightened Her Smile with Invisalign Clear Aligners

Many adults these days are opting for clear aligners to correct orthodontic problems that have long bothered them. Katherine Heigl is a perfect example. She had one tooth that was out of alignment, and wanted to have it fixed before her wedding day.

“I got them [clear aligners] because of this wonky tooth,” Heigl told In Style magazine not long ago. “It's awesome because every two weeks you switch to a new retainer. Pretty much the perfect way to describe Invisalign is Netflix for your teeth.”

That's actually a pretty good way to describe this highly user-friendly form of orthodontic treatment. Clear aligners are transparent, plastic oral appliances that are changed every two weeks so that your teeth can be moved a little bit at a time, according to a carefully staged sequence. Though they cover your teeth completely, clear aligners are barely noticeable.

In fact, when Heigl excused herself before taking out her aligners to eat, her In Style interviewer said, “Who knew you wore them? I guess that's the point of Invisalign.”

Being able to remove the aligners for eating and, more importantly, teeth-cleaning, is another major advantage of this method of straightening teeth. Successful orthodontic treatment for adults depends on good periodontal health (“peri” – around; “odont” – tooth), and the best way to keep your gums and the underlying bone that supports your teeth healthy is to keep up an effective daily oral hygiene routine.

Clear aligners have been improved in recent years to correct more complicated malocclusions (“mal” – bad; “occlusion” – bite) than previously; they can even work well for teenagers. But there are still some cases that call for traditional braces. We would be happy to explore all the different options for orthodontic treatment with you, whether you have crowded teeth, an overbite or underbite, or just one “wonky tooth.”

If you would like more information about clear aligners, please contact Dr. Cindy Sumarauw at 801-281-3500 to schedule an appointment for a consultation. You can also learn more about clear aligners in general by reading the Dear Doctor magazine article “Clear Aligners For Teenagers.” Dear Doctor also has more on “Wedding Day Smiles.”