As you near the end of your orthodontic treatment, you’re probably already imagining the day when your brackets and wires finally come off. Or the moment you’ve finished with your last set of aligners. That day might come just a bit sooner if Dr. Cassy Wiggins and our team recommend a positioner.

While not as well-known as other orthodontic treatments, a positioner is an appliance that can shorten your time in traditional braces and aligners by weeks or even months. Curious? Read on!

• What Exactly Is a Positioner?

A positioner resembles a clear mouthguard. Its arched shape is designed to fit snugly over your teeth. It’s sometimes called a finishing appliance, because it’s designed to make those last small adjustments to your alignment and bite. If you’re a good candidate for a positioner, it can replace your braces or aligners for your last several weeks or months of treatment.

• How Are Positioners Made?

This appliance is custom fabricated to fit your very specific orthodontic needs. Commonly, a mold is made of your teeth. A model of your teeth is made from this mold. Precision instruments are used to move the model teeth into your ideal alignment.

Once this model of your future finished smile is complete, it is used to create the positioner. When the thermoplastic material is molded to the model, it creates an appliance with an indentation for each individual tooth in its desired final location.

Available in a variety of materials, a positioner is most often designed as a clear single piece, covering both your upper and lower teeth. This makes sure that your teeth are not only aligned properly, but that your upper and lower teeth are working together for a healthy bite. Openings in the positioner provide airways which allow you to breathe easily.

• How Do Positioners Work?

Because your teeth haven’t settled firmly into place yet (this will happen as you wear your retainer), they’re still able to move. That’s why your positioner is shaped to fit your teeth in their future ideal placement, not where they are at present.

Positioners require your active participation. Your teeth move to the ideal spots molded into the positioner through “exercise”—biting down on your appliance for 15-20 seconds before relaxing your bite, usually every 10-15 minutes during your daily wear. The gentle force provided by your jaw muscles helps guide your teeth into position more quickly. Dr. Cassy Wiggins will give you instructions on just how to—and how often to—do these exercises.

• How Long Are They Worn?

Positioners are commonly worn at least four hours a day to start with and all night long, or Dr. Cassy Wiggins might recommend 24 hour a day wear for the first week. As you progress, you’ll wear them for shorter periods during the day, gradually tapering off until your treatment is complete.

Depending on the amount of correction that’s still needed, positioner use ranges from several weeks to several months. One thing that will ensure that your time in a positioner is as short as it can be is your willingness to follow our instructions. The speed and effectiveness of your final tooth movements is largely up to you!

• Caring for a Positioner

Gentle treatment is best. Clean your positioner before and after wearing it using a toothbrush and mild toothpaste. Never boil it or expose it to heat. We will give you instructions for how to clean it more thoroughly, if needed.

Like retainers, clear aligners, and mouthguards, a positioner needs to be protected when it’s not in your mouth. Your positioner will come with a case, so be sure to use it!

Positioners aren’t recommended for every orthodontic patient. But if you feel this might be an option worth pursuing, talk to us when you visit our Parker, CO office. A positioner could be an effective, time-saving step on your path to a lifetime of healthy smiles.

Whether you’re using the latest note-taking app or old-school pen and paper, it’s a good time to start jotting down your resolutions for a healthier, happier New Year. To help the process along, we have some suggestions for traditional tooth-friendly resolutions—and also some ideas which might surprise you!

The Classics

• Brush and Floss Regularly

If you’re brushing for two minutes each time you brush, great work! Often, though, that two-minute window starts to shrink as our brushing routine becomes *too* routine. Try timing yourself while you brush normally. If you’re falling quite a bit short of two minutes, taking just a bit more time will be lots more effective in removing plaque from your teeth. And flossing is essential to remove irritating plaque and bacteria from between teeth and around the gumline.

Typically, dentists recommend brushing twice a day and flossing once daily. If the team at Summit Orthodontics recommends brushing and flossing more often to keep your brackets and wires free from food particles and built-up plaque, be sure to stick to this new schedule for a beautiful, cavity-free smile when your orthodontic treatment is complete.

• Use Fluoride Toothpaste

Fluoride toothpaste doesn’t just help prevent cavities by cleaning away plaque and food particles. It also helps make our enamel stronger. 

Acids created by plaque bacteria and acids in our diet dissolve minerals from tooth enamel, making it softer and more vulnerable to cavities. Fluoride bonds with the minerals in enamel to create an even stronger protective enamel coating. Check with your dentist or the American Dental Association’s website for the best toothpaste choices for healthy, strong enamel.

• See Your Dentist Regularly

Dentists typically recommend a full dental exam and cleaning twice each year. Your dental team will take X-rays as needed, examine your teeth, gums, and general oral health, and screen for oral cancer. A professional cleaning will remove plaque and tartar, which is especially important for gum health and for protecting the enamel near your brackets and wires, where plaque tends to build up.

Being proactive with your dental care means you’ll be sharing your healthy smile all year long—as well as discovering any potential problems before they can develop into major problems!

The Surprises

• Chew (Sugarless) Gum

When you’re not producing enough saliva, you feel the effects of dry mouth, including sore throat, difficulty swallowing, and bad breath. Another side effect? Poorer dental health. 

Saliva helps neutralize the acidic foods we eat, washes away bacteria and food particles, and contains minerals like calcium and phosphorus which remineralize tooth enamel. Chewing sugarless gum encourages saliva production. Check with Dr. Cassy Wiggins to see if it’s okay to chew sugar-free gum if you wear braces, and, if you use aligners, be sure to remove them before chewing and brush before putting them on again.

• Don’t Brush Right After Eating

Brushing after a meal is great to remove food particles like sugars and carbs which stick to our teeth—and braces—and which the bacteria in plaque thrive on. But if you’ve been eating or drinking acidic foods, it’s best to wait about an hour before brushing. 

Acids in foods, like acids created by bacteria, weaken tooth enamel. Brushing right away can be abrasive and damage enamel, but if you wait for an hour, the minerals in saliva have a chance to remineralize and restore your enamel strength.

• Toss Your Toothbrush

Not that we mean give up brushing altogether! But your toothbrush bristles start to fray and fan out after several months, meaning that you won’t be getting the full cleaning effects of your great brushing technique. Put a note on your calendar to replace your brush every three to four months for the best in plaque removal.

If you’re already following all these suggestions for protecting your dental health, resolve to keep up the good work! If not, give these easy-to-follow recommendations a try. Protecting your dental health is essential to gift yourself a new year filled with happy, healthy smiles in Parker, CO.

It’s a new year! A blank calendar! A traditional time to make a few changes that could change your life for the better.

And while we applaud big goals like learning a new language, practicing more between lessons, or finally cleaning out that locker, Dr. Cassy Wiggins would like to start small with a few simple, proactive dental resolutions which will help keep your smile healthy and your orthodontic treatment right on schedule.

1. Floss Every Day

Yes, we know we talk a lot about flossing. That’s because flossing can be a game-changer when it comes to healthy teeth and gums.

Proper flossing removes the plaque from spots your brush often misses—between the teeth and near the gum line. When you floss, you accomplish two goals: you help prevent cavities and you help prevent gum disease. And once each day is all it takes—as long as you take your time and floss correctly.

If you’re having trouble flossing properly (a very common problem even without braces!), don’t hesitate to talk with Dr. Cassy Wiggins to discover the best techniques and products to make your flossing experience as effective as possible. Floss threaders, specially designed orthodontic floss, or a water flosser can help keep your teeth and braces free of plaque and food debris.

2. Retire Your Brush

Brushes work hard—that’s why they should be replaced after a few months of use. Bristles start to fray over weeks of brushing, which means you aren’t getting the full benefit of your great brushing technique.

Switch out your brush every three to four months, or earlier if you notice any bristle damage, and you’ll enjoy cleaner teeth without changing your normal brushing habits.

3. Protect Your Smile

Take some simple, everyday precautions to protect your teeth and your smile.

• If you haven’t already, be sure to buy a soft-bristled brush when you replace your old one. Soft bristles are strong enough to brush away plaque while protecting your tooth enamel and gum tissue from abrasion.
• Use a mouthguard when you enjoy any sports or activities where you might make contact with an object or person or the ground. If you wear braces, a custom mouthguard can be fabricated at our Parker, CO office to protect both your mouth and your braces.
• Protect and strengthen your tooth enamel with fluoride, a proven cavity-fighter. Fluoride toothpaste? Yes, please!

4. Keep Up the Good Work

Your orthodontic treatment will go smoothly when you do your part! This means:

• Eating a braces friendly diet. Avoid all those difficult crunchy, sticky, chewy foods that can dislodge your brackets or wires.
• If you’re supposed to wear bands, headgear, or other appliances, be sure to follow your orthodontist’s instructions on how and how long to wear them each day.
• If you wear aligners, wear them for the hours required so you’ll be ready for your next set right on schedule.
• If you have a retainer, wear it as directed. These first months with your retainer are especially important while your teeth grow stable in their new positions. And wearing your retainer after your treatment is complete will keep that beautiful smile picture-perfect for years to come.

5. See Your Dentist Regularly

Most people benefit from seeing their dentists twice a year for a complete oral examination and a professional cleaning. Regular visits to your dentist are especially important now.

Your dentist and hygienist will let you know if you’ve been doing a good job cleaning around your braces, and where and how you might do more. You’ve been doing a great job with your orthodontic schedule, and you don’t want to delay your treatment with a cavity!

Start the new year off right. These five small adjustments to your daily routine can have a big impact on your oral health while helping to keep your orthodontic treatment right on track. Be proactive now, and enjoy a new year filled with healthy smiles.

“Yes,” you’re thinking, “I shouldn’t be chewing sugary, sticky gum while I’m wearing my braces.” Or perhaps, “I should check with my orthodontist to see if this sugar-free gum is safe for my braces.” And these are both great thoughts—but today, we’re thinking about gums of a different sort!

While you’ve been taking care of your teeth with regular brushing and flossing, you’ve also been taking care of your gums. And now that you’re wearing braces, your gums need a bit of special attention to keep them their healthiest.

We tend to think of gum disease as an adult problem. In fact, periodontitis, or serious gum disease, is one of the most common chronic infections in the adult population. But young gums need care, too! Gingivitis, a milder form of gum disease, is unfortunately a common problem for both children and adults.

Gingivitis is an inflammation of the gums caused by the build-up of plaque and tartar. When plaque builds up, it irritates delicate gum tissue. And while gingivitis is not as serious as periodontitis, the symptoms caused by this disease are nothing to smile about:

• Redness
• Tenderness and soreness
• Swelling
• Bleeding
• Bad Breath

If you’re already feeling a little tender or swollen after an adjustment, the added discomfort caused by gingivitis is the last thing you want. But even worse, neglected gingivitis can lead to more serious infections of gum and even bone tissue. Luckily, gingivitis is both preventable and treatable with proper dental care.

So, how to protect your gums? We have some suggestions.

• Brushing Better with Braces

It can be hard to brush around your brackets and wires, but keeping these areas free of food particles and plaque makes for healthy gums—and fewer cavities! There are specially designed manual toothbrushes made for braces wearers, and tiny interproximal brushes that can reach tight spaces. Or, perhaps an electric toothbrush will do a better job for you. Just be sure to brush after each meal for the most complete removal of bacteria and plaque.

• Learn New Flossing Techniques

You might wonder how on earth you’ll get in between your teeth with your wires and brackets in the way. We have the answers! We know the best techniques for flossing your specific braces, and we’ll recommend specially designed flossing tools to make the job easier. Water flossers can also be a great help for cleaning in tight spots. Be sure to make flossing part of your daily routine—you’ll be able to remove plaque from places brushing just can’t reach.

• Rinsing? Recommended.

Talk to Dr. Cassy Wiggins about the best dental rinses for reducing plaque and tartar, or how gargling can help prevent irritation. And drink water! Water helps wash away plaque and bacteria, and is a great way to rinse teeth and braces if you absolutely can’t brush after eating.

• Keep up with Professional Cleanings

Be sure to keep up with your regular dental exams and cleanings. Your dentist or hygienist will be able to remove any plaque or tartar build up that home brushing can’t handle.

We want your time in braces to be as healthy—and comfortable—as possible. If you have any gum discomfort, swelling, or sensitivity, give our Parker, CO office a call. With prompt action, gingivitis can be treated, and with careful attention to your cleaning routine, gingivitis can be prevented altogether. Something to think about!