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Whether you’ve chosen traditional braces or invisible aligners, congratulations! You’ve taken the first step on your way to a beautiful, healthy smile. Of course, like every other journey, a good start helps you get where you’re going as quickly and easily as possible. And the best way to start your orthodontic journey at Palladium Orthodontics is with a visit to your dentist for a checkup and a cleaning.

Dr. Razavi and our team will want you to make sure your teeth and gums are healthy before you begin. A complete dental exam will let you know if you have any dental conditions that need to be addressed before you get braces or aligners. Why be proactive? Because if you need dental work during your orthodontic treatment, it can cause delays in your treatment plan.

• Cavities

Cavities grow over time and can eventually reach the inside of the tooth, causing infection and damaging the pulp. For this reason alone, it’s best to find and treat cavities before you get braces or aligners.

If you’re wearing braces when a cavity’s discovered, the situation gets a bit more complicated. Your dentist might be able to work around your braces if the cavity is easy to reach. But if a cavity’s near your brackets, Dr. Razavi might have to remove a wire or bracket before treatment can start. This means scheduling different appointments to a) remove a section of your braces, b) repair your cavity, and c) replace your bracket and/or wire. See what we mean? Definitely more complicated.

• Gum Disease

While serious gum disease is most common in adults, children and teens can suffer from early-stage gum disease. Your gum health affects your orthodontic treatment—and can be affected by it, too—so your gums need to be healthy before you begin wearing braces or aligners.

Early gum disease can frequently be reversed with careful brushing and flossing habits. Because advanced gum disease weakens the bone under the teeth, patients with this kind of gum disease will need dental or periodontal treatment before any orthodontic work.

• A Clean Start

Once you’ve made sure your teeth and gums are healthy, there’s one more proactive step you can take for a better orthodontic experience. Whenever you’re at the dentist for an exam, it’s always a good idea to get a professional cleaning. It’s especially important when you’re getting—or wearing—braces.

Even with the most dedicated everyday brushing and flossing, plaque and tartar can build up, especially between and behind the teeth. A professional cleaning by an expert is just what you need to remove any plaque or tartar that you’ve missed before you start wearing braces or aligners.

And keep up with professional cleanings while you’re in treatment. It can be difficult to clean around brackets and underneath wires. Your dental team knows how to gently and thoroughly clean plaque from these hard-to-reach spots. In fact, Dr. Razavi and your dentist might recommend that you have your teeth cleaned more often while you’re wearing braces.

• Your Best Bonding Experience

If you’re getting metal brackets, ceramic brackets, or lingual braces, your brackets will be applied to your tooth enamel with a special bonding glue. Applying brackets to teeth that are their cleanest will start you off with the best possible bond.

If you need dental work while you wear braces, we can certainly accommodate that. But why make life more difficult? See your dentist for a cleaning and an exam and get any necessary dental treatment before you get your braces at our Kanata, Ontario orthodontic office. The easiest journey to a lifetime of beautiful, healthy smiles begins with a good start!

Your smile is just about perfect. There’s just that one tooth that’s out of place. So, do you really need to see an orthodontist?

Absolutely! Why? There are several good reasons.

First, let’s check to make sure there is no physical problem causing that turned tooth. A crooked tooth might result from an early oral trauma while the tooth is developing, or a baby tooth lost too early, or the loss of a nearby adult tooth. But a sudden change in a tooth’s orientation might also be caused by a cyst or a tumor. If you notice any changes in your tooth’s position, it’s a good idea to talk to Dr. Razavi.

Second, we want to make sure your bite is aligned properly. If your tooth is crooked due to crowding by your other teeth, or if it has rotated a bit because there is too much space between your teeth, your bite might be affected as well. Malocclusions, or bad bites, can lead to a number of unpleasant consequences, including headaches, jaw pain, and increased pressure and stress on the teeth.

Third, a crooked tooth can lead to more difficulty brushing and flossing between and around the teeth, which increases the chance of tooth decay.

Fourth, we provide the professional medical care you need. Some people with a turned tooth attempt self-help with rubber bands, dental floss, or other home remedies. Not only is this unlikely to work, it can actually lead to infection, root problems, and even tooth loss.

Maybe there are no health concerns causing, or caused by, your crooked tooth. Your bite is strong, and you like your unique smile just the way it is. In that case, smile on!

But if you are interested in aligning that one crooked tooth with the rest, give our Kanata, Ontario office a call, and we’ll get to the root (literally!) of the problem. Depending on the reason your tooth is twisted, we’ll suggest the braces or clear aligners that will provide your most effective orthodontic treatment, and give you safe and lasting options for achieving the smile you’ve always wanted. Perfect!

Now that you’re entering the working world, or heading off to college, or pursuing any of the many adventures awaiting you in adult life, you’re ready to take on more adult responsibilities. And one of those responsibilities is making sure you maintain your dental health.  

Luckily, it’s not that hard! Successful adulting often means simply making small proactive choices which add up to big long-term benefits. So, let’s look at a few of the everyday habits of dentally successful adults.

Choose a Healthy Lifestyle

• Eat well.

Just like the rest of our bodies, our teeth and gums need a healthy diet to thrive. Sugar-fueled study sessions and energy drink-filled work hours should be the rare exception, not the norm. A diet rich in vitamins and minerals keeps gums healthy and enamel strong.

• Don’t use tobacco products. 

Cigarettes, cigars, pipe smoking, chewing tobacco—any form of tobacco products, especially combined with alcohol use, can greatly increase your chances of developing mouth and throat cancers.

• Talk to your doctor about the HPV vaccine.

HPV (human papillomavirus) can also cause mouth and throat cancers. The American Academy of Pediatrics recommends the HPV vaccine for kids ages 9 through 12. If you haven’t been vaccinated yet, talk to Dr. Razavi about the potential benefits of the HPV vaccine. 

Practice Good Oral Hygiene

• Brush at least twice a day, for two minutes each time. 

Plaque begins to build up within hours after your last brushing. Removing plaque morning and evening also removes the cavity-causing bacteria which live in plaque. These bacteria erode enamel and lead to cavities.

• Floss at least once a day. 

Flossing helps remove plaque from your gumline. When plaque accumulates over time, it becomes tartar, a substance so hard that you’ll need a dental professional to remove it. The bacteria in plaque and tartar irritate your gums, and this irritation is the beginning of gum disease. Early stage gum disease (gingivitis) can often be reversed with better brushing and flossing habits—but, even better, help stop gum disease before it starts with daily flossing.

• See your dentist regularly. 

If you’ve had the same dentist since childhood, you’ve probably developed a great partnership, typically visiting your dentist twice each year for an exam and a professional cleaning. 

Make sure you make space in your busy adult life to keep your smile its healthy, sparkling best by continuing to schedule regular cleanings and exams. This is the best way to clean away any plaque or tartar you may have missed, and, most important, to catch any small problems before they become bigger ones. 

Keep Up with Your Orthodontic Care

If you’ve spent several of your teen years in braces or aligners creating a beautiful, healthy smile, you don’t want to see all your hard work go to waste. Retainers are designed to make sure your teeth stay just where they belong for a lifetime. 

When retainers aren’t worn as directed, especially when braces or aligners first come off, the teeth can shift back to their old positions. Sometimes going back to your regular retainer schedule can fix any minor movement, but sometimes patients need to go back for repeat orthodontic treatment.

How to avoid orthodontic do-overs?

• If you have a retainer, wear it as scheduled to maintain your alignment and healthy bite. 
• Put your retainer in a case when you’re not wearing it. A bent or broken retainer won’t keep your teeth aligned properly and can damage delicate oral tissues!
• If your retainer is damaged, see the dental team at Palladium Orthodontics in Kanata, Ontario ASAP for repair or replacement.

Not so difficult, right? In fact, you’ve probably adopted most of these healthy habits already. Take charge of your dental health now, make good habits a part of your daily routine, and you’ll be prepared to enjoy a lifetime of healthy, attractive, adult smiles!

Orthodontists and dentists use advanced procedures to treat and save teeth. But sometimes, a tooth just can’t be saved and needs to be extracted. Sometimes it’s due to extensive decay, or infection, or serious injury. Or sometimes, to create a healthy bite, an extraction is necessary during orthodontic treatment.

When does an orthodontist recommend an extraction? Conditions which call for extraction include:

• Incoming Wisdom Teeth

Not many people have enough space in their mouths for four wisdom teeth! And when there’s no room to erupt properly, wisdom teeth can become decayed or infected, push your other teeth out of place, and damage the roots of nearby molars. Extracting wisdom teeth protects your teeth and your bite alignment.

Usually, orthodontic treatment takes place before the wisdom teeth begin to erupt. But if yours start to make an appearance during treatment, your orthodontist and dentist will work together to schedule extraction without interfering too much with your orthodontic treatment plan.

• Tooth and Jaw Structure

Dr. Razavi and the team at Palladium Orthodontics carefully plan your treatment based on examinations, X-rays, and/or 3D imaging. The goal is to align your teeth and jaws for an attractive smile and a healthy, functional bite. When overcrowding is severe, or if there is a serious malocclusion (bite problem), or if a particular tooth is unusually large or misshapen, your orthodontist might recommend an extraction.

Sometimes more room can be made for teeth with appliances such as palatal expanders or, in other cases, with the help of oral surgery. Extractions are only recommended when they are absolutely necessary.

• Baby Teeth Which Aren’t Coming Out 

Baby teeth normally fall out in a predictable pattern. Front teeth first, canines and molars last. Baby teeth have small roots, and these roots begin to break down when the adult teeth underneath put pressure on them as they start to erupt. As the root gets smaller and smaller, the baby tooth gets looser and looser—until it falls out. 

Sometimes, though, the roots of primary teeth don’t break down, and the baby teeth stay right where they are. This means that the permanent teeth have to erupt someplace else—usually behind those baby teeth. This creates a double row of teeth, and your permanent teeth can become crooked or overlap as they try to fit in. Extracting stubborn baby teeth allows your adult teeth to come in just where they’re supposed to. Because of their small roots, extracting primary teeth is usually simple and straightforward, and can be done in your dentist’s office. 

• Too Many Teeth

Most of us have 32 adult teeth, including wisdom teeth. It’s rare, but sometimes an extra, or supernumerary, tooth develops. Your jaw is most probably not equipped to accommodate any extras, so, in this case, the extra tooth or teeth are removed to give the rest of the teeth the space they need to avoid overlapping or crowding.

When your orthodontist recommends an extraction, it’s because it’s important for your dental health. Dr. Razavi will refer you to a dentist or a specialist like a periodontist or oral surgeon, who will: 

• discuss the extraction procedure with you, including sedation options
• numb the area 
• gently loosen and then extract the tooth
• provide options for pain management after the procedure
• give you detailed instructions for aftercare
• work with your orthodontist to keep your treatment on schedule

Extraction is never your first choice, or your orthodontist’s! But when an extraction is necessary for tooth and bite alignment, everyone at Palladium Orthodontics in Kanata, Ontario will coordinate a treatment plan to create your best—and healthiest—smile.