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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. Rubin 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 Far Rockaway 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.

Let’s talk about mouthguards.

We could talk about how important wearing a mouthguard is when you lead an active life. If you play sports, ride bikes, skateboard, or participate in many other kinds of exercise, mouthguards protect your teeth, mouth tissue, and jaws from accidents. 

Or we could talk about how wearing a mouthguard while you’re wearing braces has extra benefits. Besides its normal protection, your guard helps protect your brackets and wires from damaging contact, and your delicate mouth tissue from impact with your braces.

But we’re not going to talk about any of these important topics today. Instead of looking at how your mouthguard protects you, today we’re going to look at how you can protect your mouthguard.

If you want your guard to last longer, work better, and stay (and smell!) cleaner, some basic tips make all the difference.

• Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping your mouthguard clean isn’t difficult.

When you wear your guard, the same plaque that is present in your mouth makes itself at home in your appliance. And when your guard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your mouthguard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your mouthguard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of mouthguard you have, be sure to follow our instructions if you have a custom guard, or clean as directed by the manufacturer if you have a store guard.

• Keep it safe.

When your mouthguard isn’t in your mouth, it should be in its case. Floating loose in your locker or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

• Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Dr. Rubin can make you a mouthguard designed to fit your teeth and braces perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your mouthguard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or see Dr. Rubin about replacing or repairing your custom guard. A mouthguard that doesn’t fit, doesn’t keep you safe.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard is braces that will last through your treatment at our Far Rockaway office and a smile that will last you for a lifetime. Those are benefits we can talk about all day!

Many developing orthodontic problems can be intercepted and corrected if diagnosed and treated at an early age. Dr. Rubin and our team at Rubin Orthodontics recommend children have their first orthodontic evaluation no later than age seven, or younger if the front four permanent teeth have replaced the baby teeth. Early treatment, also known as interceptive treatment or Phase I treatment, provides both timely detection of problems and greater opportunity for more effective treatment. Early intervention guides growth and development, preventing serious problems later.

If your child is showing these signs, it may be time to think about early orthodontic treatment:

• Early or late loss of baby teeth (your child should typically start losing teeth around age five or six, and will have all their permanent teeth in around age 12 to 13)
• Difficulty chewing and/or biting
• Mouth breathing
• Sucking his or her thumb
• Speech impediment
• Protruding teeth (the top teeth and the bottom teeth extend away from each other)
• Crowded front teeth
• Teeth that don't come together in a normal manner or even at all

Early intervention will greatly reduce the severity of your child’s case, and therefore reduce the length of treatment time and cost for a second phase of treatment when all of his or her permanent teeth have erupted. An evaluation at our Far Rockaway office will determine if your child’s dental and skeletal growth is proceeding properly or if interceptive treatment is needed. Many times, a more severe problem can be corrected using sophisticated removable appliances instead of traditional orthodontic treatment.

To schedule a consultation for your child to visit with Dr. Rubin, please give us a call! We will provide your child with an initial exam, and discuss with you the best steps to take toward caring for your child's smile.

Gum disease is one of our most common dental diseases, affecting both children and adults. If you are considering getting braces or aligners, make sure your gums are their healthiest before beginning orthodontic treatment.

• Gingivitis

For both younger and older patients, gingivitis (mild gum disease) can be the result of poor brushing and flossing habits. When plaque builds up around the teeth and gums, it irritates delicate gum tissue. The gums become inflamed, and symptoms such as redness, swelling, tenderness, bleeding, and bad breath can result. Usually, your dentist can treat early stages of gingivitis with tips on more efficient brushing and flossing, a professional cleaning, and suggestions for mouth rinses if needed.

Because brushing and flossing with braces can be more difficult, you need to devote special attention to your cleaning routine to prevent gingivitis from developing after you start treatment. Talk to us any time about how to brush and floss most effectively when you wear braces. Dr. Rubin can also recommend tools designed especially for braces wearers to get your teeth and gums as clean and plaque-free as possible. If you are a candidate for clear aligners, this option can make it easier to keep your teeth their cleanest. We’ll work with you to keep your gums healthy as your orthodontic work takes place.

• Periodontitis

For older patients, gingivitis, left untreated, can eventually lead to periodontitis (severe gum disease). This chronic infection can lead to the formation of pockets between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can lead to the destruction of gum, ligament, and bone tissue. Left untreated, it can lead to loose teeth and even bone and tooth loss.

Making sure you schedule regular dental exams will allow your dentist or periodontist to detect and treat any signs of periodontitis as early as possible. If you have any of the symptoms of gum disease, it’s important to treat the cause of these symptoms as soon as possible to protect your gums, bone, and teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis.

Because orthodontic treatment involves moving the teeth and re-forming the ligament and bone tissue, which hold them in place, you need healthy periodontal ligaments and bones to begin treatment. If you have suffered shifting teeth or bone loss due to periodontitis, talk to us. We will let you know at your visit to our Far Rockaway office if you are a good candidate for orthodontic work, and which type of appliance is best for your periodontal health.

We are happy to talk to you about the best way to achieve an attractive smile and a healthy bite if gum disease has been a problem in the past. Most important, we want to make sure that your teeth and gums are their healthiest even before you begin orthodontic treatment. Preventing and treating gum disease will provide the foundation you need for a lifetime of beautiful smiles.