Posts for: September, 2014
Braces are certainly the most recognized means for moving misaligned teeth. But depending on your or your family member’s particular malocclusion (bad bite), your orthodontist may also include other “anchorage” appliances to achieve the best results.
We can move teeth because of a mechanism that already exists in the mouth. The periodontal ligament, which holds teeth in place by attaching the tooth surface to the jawbone, allows teeth to move if needed in response to biting forces or normal tooth wear. Using braces or similar appliances, orthodontists can apply gentle but constant pressure to move teeth to new and better positions.
This applied pressure, however, soon encounters an “equal and opposite reaction,” in accordance with Newton’s third law of motion. In a way, we’re playing tug-of-war with the periodontal ligament — and as in the playground game, the key to “winning” is having the stronger point of resistance, something we call anchorage.
We often use the teeth themselves to establish this anchorage with the help of elastics (rubber bands) attached at various locations in the braces. Sometimes, though, the situation requires a different form of anchorage. In a younger patient, for example, we may want to influence the facial structure’s growth and development along with tooth movement. In this case we might use the patient’s skull for additional anchorage by having a strap running around the back of the head that attaches to brackets affixed to the teeth.
Another method involves a temporary anchorage device (TAD) directly implanted into the jawbone. We use TADs to isolate teeth we want under pressure from teeth we don’t (as with moving front teeth back without causing the back teeth to move forward). Usually made of stainless steel that won’t fuse with bone, TADs are relatively simple to remove once treatment is complete. Another form of anchorage is a titanium micro-implant, a miniature version of a dental implant that’s also inserted into the bone; like its larger relative, micro-implants fuse with the bone to add greater stability. Their diminutive size, however, eases any difficulty in their eventual removal.
Though some of these appliances aren’t visually appealing, they are temporary in nature and only applied for as long as needed. The end result, though, is permanent — beautifully aligned teeth that perform well and look great.
As one of America's most beloved go-to guys for inspiration on the latest interior design trends, Nate Berkus has written a highly successful book, Home Rules: Transform the Place You Live Into a Place You'll Love; he is a contributing editor to O Magazine; and he is currently hosting his own television program, The Nate Berkus Show. He is also recognized for his eye-catching smile.
During a recent interview with Dear Doctor magazine, Berkus opened up about the facts behind his trademark smile. While his smile is all-natural — he never wore braces or had any cosmetic work done — he gives credit to his childhood dentist for the preventative healthcare he received as a young boy. “I'm grateful for having been given fluoride treatments and sealants as a child,” he said. Nate also shared the important flossing advice he learned from his dentist that he still follows today: “Floss the ones you want to keep.”
Why is flossing so important?
Flossing is crucial because it remains the most effective method for removing plaque from between teeth, where the toothbrush can't reach. It is also an important part of keeping your gums healthy so that you can avoid periodontitis (gum disease). You should floss at least once a day either before or after you brush your teeth. If you see blood after flossing, it may indicate that you have periodontitis, or it may mean that you are flossing too harshly. Remember, you need to use a delicate hand and a proper technique when brushing and flossing to avoid damaging your teeth and gums.
To learn more about flossing, including step-by-step instructions with photos, you can continue reading the Dear Doctor magazine article “Flossing — A Different Approach.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination, review your brushing and flossing techniques, and discuss any questions you have as well as treatment options. As needed, we will work with you to teach you the proper brushing and flossing techniques so that you feel confident before you leave our office. And to read the entire interview with Nate Berkus, please see the Dear Doctor magazine article “Nate Berkus.”