Our Blog

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

• Let Dr. Allen Garai & Dr. Karen Tratensek know about your desire to get braces
• Get an exam to make sure you're in good periodontal health and a good candidate for braces
• If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Vienna, VA & Great Falls VA office.

If you’ve visited Garai Orthodontic Specialist, then there’s a good chance you’re looking to perfect your smile by straightening your teeth with braces. At some point during your treatment, you may need to use elastics, otherwise known as rubber bands, for a certain period. These are used to apply additional pressure that will move your teeth in the right direction.

Placement of the elastics is specific to each patient’s teeth. These small rubber bands stretch over the tiny loops on both the top and bottom brackets. At first, Dr. Allen Garai & Dr. Karen Tratensek may recommend you wear the elastics both day and night for an extended time.

You may be told to switch only to nighttime wear once the teeth are set in the correct position. By consistently wearing the elastics, you can shorten the overall time your braces will have to be on.

The elastics are made from medical-grade latex. If you have an allergy to latex, make sure to let Dr. Allen Garai & Dr. Karen Tratensek know, so you can be given an alternate material. We will show you how to take elastics on and off when they’re given to you at your appointment.

You should remove them when you eat so they don’t become overstretched or break. It’s important not to overstretch the bands, and always to replace them if they break. Eventually it will become a familiar habit to carry the bands around with you for times when this might happen.

The Do’s and the Don’ts

• DO … always wash your hands before removing or replacing the rubber bands.
• DO … call us if you run out of elastics.
• DO … get in the habit of carrying around extra rubber bands as replacements.
• DON’T … double up on elastics because this can exert too much pressure on your teeth and could actually harm the roots.
• DON’T … overstretch the rubber bands or they will lose strength and become ineffective.

If you were recently given elastics as well as your braces, feel free to ask any questions during your appointment, or call our Vienna, VA & Great Falls VA office any time. Using elastics correctly is one more step in your journey to a perfect smile!

The dog days of summer are upon us, and what better time for Dr. Allen Garai & Dr. Karen Tratensek and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Vienna, VA & Great Falls VA and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

It’s vital to understand the difference between an orthodontic emergency and minor orthodontic issues. Minor issues can be handled the next day, or at your next scheduled appointment. When a real orthodontic emergency occurs, however, you will need to see a doctor immediately.

Emergencies can include injuries to your teeth, jaw, mouth, or face. Whether you have braces or oral appliances in your mouth at the time or not, it’s crucial to fix the problem before it gets worse. If you have an injury that affects an orthodontic appliance, that may need to be replaced or adjusted, depending on the extent of the injury.

You can watch for and address some common minor issues on your own, or wait to have them fixed at your next appointment with Dr. Allen Garai & Dr. Karen Tratensek:

• Poking wire
• Loose bracket
• Loose elastic band
• Loose wire
• Loose appliance
• Headgear does not fit
• Lost or broken elastic band
• General soreness

These minor issues may arise if you eat hard or sticky foods that damage your braces or other orthodontic appliances. Make sure to be extra careful, and avoid brushing your teeth too aggressively to avoid causing damage.

These problems should not be treated as emergencies unless they begin to cause prolonged pain and discomfort. If you notice this happening, contact our Vienna, VA & Great Falls VA office and we can provide a solution.

Some at-home remedies you can try can include covering loose brackets or wires with wax. Wax can prevent canker sores from forming by covering sharp metal pieces that poke into your gums. If you have wires that have poked out into your gums, you can use tweezers to push the wires gently away from the direction of the sore area. Always make sure you use alcohol to sterilize anything you intend to put into your mouth.

When you get braces initially, you may notice some soreness of the jaw or small abrasions from your mouth getting accustomed to foreign materials. You should not worry too much about this temporary pain.

A warm salt-water solution can be used to alleviate any swelling or discomfort you’re experiencing. Many drug stores have ointment for canker sores that will numb the area if they continue to bother you. If you notice that your pain or swelling doesn’t get better, schedule an appointment with a medical professional as soon as you can.

When in doubt, contact our Vienna, VA & Great Falls VA office if you are unsure or still have questions about an orthodontic problem you’re facing. If the situation becomes an emergency, don’t hesitate to make an appointment with our team, so we can help provide you with a solution.

Orthodontic emergencies should be taken care of promptly whenever they arise.