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Interproximal Cavities: The Inside Story

April 24th, 2023

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth.

  • Preventing Interproximal Cavities

Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach.

When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge!

The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment:

  • Floss threaders are flexible hoops that help you thread floss behind your wires easily.
  • Precut floss strands use a stiff tip at one end for threading floss through wires.
  • Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning.
  • Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces.

During your next visit to our Vienna, VA & Great Falls VA office, Dr. Allen Garai & Dr. Karen Tratensek can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

How a High-Tech Office Helps Your Orthodontic Treatment

April 5th, 2023

Our office strives to bring you the latest and greatest in orthodontic techniques and technologies. Being on the cutting edge of the industry is important—it ensures you, as our patient, are getting the best orthodontic treatment you possibly can while keeping costs down!

The goal of a high-tech office is three fold: to have effective treatment, to have efficient treatment, and to make the whole process easy, painless, and cost-effective for you.

Here are some of the technologies being implemented by Dr. Allen Garai & Dr. Karen Tratensek to do just that:

3D oral scanners: If you've ever experienced getting impressions the traditional way, it isn't very fun! Having a gag reflex is common and it takes several minutes on both the top and bottom of the mouth to get a successful impression.

With 3D oral scanners, we create a perfect digital scan of your teeth without radiation. We then use the results of the scan to create accurate braces, retainers, and other appliances for your unique teeth and mouth.

Digital Imaging: New digital imaging provides us with accurate, panoramic, and cephalometric views of your teeth and their supporting structures. This lets us plan and implement treatment with the utmost precision.

Not only does this kind of imaging expose patients to far less radiation than traditional X-rays but it also gives us immediate access to the images, whereas X-rays had to be developed. This expedites treatment time and means fewer trips to our Vienna, VA & Great Falls VA office for you.

New, high-tech braces options: There are so many more choices when it comes to braces these days! Advances in the industry like Invisalign®, self-ligating braces, and lingual braces, allow patients to not only get highly accurate and precise treatment, but do so discreetly without anyone else even knowing.

Digital scanning and imaging takes the guesswork out of braces. Instead of the orthodontist estimating tooth movement and treatment progression, these days it's all computer modeled with exacting detail. The result? Your braces do exactly what they're intended to do in less time with a picture-perfect outcome.

These are just some of the advances in the orthodontic industry. Needless to say, they all make the entire process that much easier and effective for you. If you have any questions or are interested in treatment, please don't hesitate to contact our Vienna, VA & Great Falls VA office!

Keeping It Clean—Better for Your Retainer, Better for Your Oral Health!

April 5th, 2023

Now that you’ve graduated from your braces or aligners, you might think you’re finished with orthodontic cleaning tips. Not quite yet! Your retainer needs love, too—not just because it can look or smell “less than appealing” without your help, but because it’s good for your dental health.

Removable Retainers

If you have a Hawley retainer or a clear retainer, cleaning it whenever you remove it is a great idea. Unappetizing white patches mean plaque or mineral deposits from your saliva have dried and hardened on your retainer’s surface. And if you notice an unpleasant taste or odor, it probably means that germs and bacteria have made themselves at home and are growing in and on your appliance.

You don’t want old plaque or new bacteria in your mouth! Here are some ways to keep your retainer clean and fresh:

  • After wearing it, you can clean your retainer with a toothbrush, but don’t brush too vigorously. You might scratch it. Use a soft or even extra-soft brush to clean out all the nooks and crannies, and then rinse.
  • Use cleaning products which have been recommended by Dr. Allen Garai & Dr. Karen Tratensek if your retainer needs a deeper clean. Denture cleaners, retainer cleaners, and even toothpastes can be too abrasive or cause discoloration, so use the products made for your specific retainer.
  • Let your retainer dry before storing it in a dry place after cleaning. Shutting a damp retainer into a closed case provides bacteria with the damp, dark environment they thrive in. (PS—clean your case regularly, too!)
  • One of the benefits of a clear retainer is that it’s almost invisible. And you can help keep it that way by removing it whenever you eat or drink. Your retainer can become stained from colored foods or liquids.

Fixed Retainers

A permanent retainer is a small piece of wire that is custom-fit and bonded to the inside of selected teeth to keep them from shifting. Because food particles and plaque can accumulate around a fixed retainer, brushing after meals and at least twice a day is recommended. Bacteria and plaque cause bad breath, cavities, and tartar buildup, and removing tartar might require removing your retainer.

While a fixed retainer can be tricky to clean, there are techniques and products that make cleaning easier and more effective:

  • An orthodontic toothbrush with a smaller head might reach behind your teeth more comfortably.
  • Don’t forget to floss! Using a floss threader will help you get that wriggly floss behind the retainer and between your teeth.
  • Try a water flosser. These handy devices direct a stream of water right into hard-to-reach places for more thorough cleaning.

If you’re having trouble keeping your retainer clean, our Vienna, VA & Great Falls VA orthodontic team can teach you all you need to know about tools and techniques to keep your retainer—and your teeth and gums—healthy. An attractive smile is a great thing. A healthy, attractive smile is even better!

The Importance of Wearing Your Retainer after Orthodontic Treatment

March 29th, 2023

It's the big day and your braces are finally coming off! Does that mean you are completely done? Not so fast! After you complete your treatment here at Garai Orthodontic Specialist, Dr. Allen Garai & Dr. Karen Tratensek and our team will recommend you wear a retainer, which must be worn routinely after treatment in order to hold your teeth in their proper, new position while your gums, ligaments and bones adapt. Most patients are required to wear their retainer every night at first, with many also being directed to wear them during the day. It's important to know there are different kinds of retainers, and today we thought we would explain the differences between them.

Hawley Retainers

The Hawley retainer is one of the most common types of retainers. It is a removable retainer made of a combination of a metal wire that typically surrounds the six anterior teeth and is designed to keep your teeth in place. This retainer is made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while the wire and acrylic framing keeps your teeth in an ideal position. The acrylic can also be personalized with a large number of colors or patterns.

Essix (Clear) Retainers

The Essix retainer is a transparent removable retainer that fits over the entire arch of your teeth. This clear or transparent retainer fits over the entire arch of teeth and is produced from a mold. Similar to Invisalign’s clear aligner trays, Essix retainers have no metal or wires. They can also be used to produce minor tooth movements and can be helpful in prevention of tooth wear due to tooth grinding at night.

Bonded Retainers

Bonded lingual retainers are cemented directly to the inside surface of your lower canines. Dr. Allen Garai & Dr. Karen Tratensek and our team at Garai Orthodontic Specialist encourage our patients with bonded lingual retainers to be careful with their bite as the bonding material may break due to incorrect biting and cause your teeth to shift. As with removable retainers, it is important to keep your bonded retainers clean. When brushing, make sure to carefully clean the inside of your lower teeth, as well as the wire itself.

The retention phase of treatment begins when the patient’s braces are removed. Retainers are worn full time, typically for the first nine months, except while eating. Retainers should also be removed before brushing your teeth.

If you have any questions about the retainers we offer or to learn more about post-orthodontic treatment, please feel free to contact us at our convenient Vienna, VA & Great Falls VA office and we will be happy to answer any of your questions!

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