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Post-Orthodontic Care

FAQ 1. Is Flossing REALLY Important?

Honesty is the best policy! Here at Clatskanie Dental, we won't judge you. We're here to educate you & help you reach your oral health goals!

So...is flossing REALLY important?

Flossing cleans the surfaces in between the teeth that you can't reach with a toothbrush. The American Dental Association recommends people clean in between their teeth daily, but flossing is just one modality. When used correctly, people can achieve the same oral hygiene using small interdental brushes or oral irrigators (aka 'water flossers").

Cleaning between the teeth can reduce harmful inflammation and therefore lower your risk of PERIODONTAL DISEASE, which is said to affect at least 50% of Americans.

Still unsure? Ask your Dentist before implementing any new oral hygiene regimen.

Learn more here:
http://www.ada.org/en/science-research/science-in-the-news/the-medical-benefit-of-daily-flossing-called-into-question

 


FAQ 2. How Can I Make Dental Care More Affordable?

How a Health Savings Account (HSA) May Reduce Your Dental Costs*

WHY open a HSA?

To help save you money on dental or medical care!

WHAT is a HSA?

A Health Savings Account is a separate account you or your employer can put money into before taxes are taken out, which may save you money on your dental care.

WHO can open a HSA?

You may ask your employer if they offer HSA to employees or you may apply for your own HSA through your financial institution or bank.

Interested in opening a HSA? Contact your employer or financial institution/bank for more information!

To learn more, see article: click here


FAQ 3. Painless Dental Injections: Fact or Myth?

Can getting a dental injection really be a 'painless' experience?

At Clatskanie Dental Clinic, we think it can! Let's explore why we believe this and why you should care.

What do most people dread about going to the dentist: the injection! However, there are actually quite a few techniques your dentist can implement to make the injection 'painless.' Here at Clatskanie Dental, Dr. Ross uses 3 distinct methods to ensure you have the most comfortable injection possible:

  • We Warm It Up: We warm the dental anesthetic so that it is near body temperature. Your body can interpret cold substances as pain, so this helps the body absorb the anesthetic more comfortably.
  • We Go Slow: We administer the anesthetic very slowly, which gives the body more time to adjust and therefore reduces the chance of it feeling painful.
  • Remember To Breath: Most people forget to breathe during dental injections because they're afraid. We gently remind you to breathe during the injection, which calms our patients. Also, the body interprets pain less during exhalation so you don't feel it as much.
  • Topical Agent: Our topical agent is very effective at "pre-numbing" the area, making the injection even more painless!

We strive to make our patients feel as comfortable as possible and we know dental fear is real. If you're suffering from dental pain and are avoiding going to the dentist because you're afraid, you're not alone!

We want to help you in any way we can. Let us help you by calling us today to schedule a complimentary DENTIST MEET AND GREET so you can get to know us!

FAQ 5. Can a Dental cleaning really lower my risk of heart disease?

For decades, medical researchers have hypothesized the link between oral health and whole-body systemic health. Is this link still considered ambiguous in the medical community or is there hard evidence to prove that poor oral health leads to systemic deterioration? Recent studies published in the Journal of Clinical Periodontology (2013), Journal of Oral Science (2016) and Journal of Cardiology (2010) suggest the answer is clear in regards to the link between oral health and cardiovascular disease (CVD).

Oral Disease

Have you or a family member ever been told by your dentist that you need a “deep cleaning?” According to the CDC (2010), 1 in 2 Americans (47.2%) have moderate to severe periodontitis. Once you hit age 65 your odds of developing periodontitis skyrocket to 70%. Periodontitis is caused by harmful bacteria such as Porphyromonas gingivalis that, through multiple complex processes, illicit production of host immune and inflammatory chemicals that lead to the deterioration of the endothelial cells of the gums and subsequent bone supporting the teeth, similar to the way termites eat and destroy wood, potentially leading to serious acute infections and eventual tooth loss. Although periodontitis is an incurable condition, treatment modalities have shown to be effective long-term in slowing the progression and stabilizing the condition. The traditional treatment for periodontitis is non-surgical periodontal therapy, aka a “deep cleaning”, performed at your dentist’s office. Periodontal therapy, depending on the severity and presence of co-morbidities such as diabetes, may include adjunctive treatments such as local antibiotics that help treat the diseased tissue directly or even laser therapy.

Cardiovascular Disease

Heart disease is the number one cause of death in Americans, killing over 600,000 people every single year (CDC 2017). Atherosclerosis, an immune and inflammatory disease that presents as dysfunctional thickening of blood vessels, presents in patients with cardiovascular disease (CVD). The process by which atherosclerosis, or blood vessel thickening, takes place is multifaceted. Basically, as plaques build up in the arteries, endothelial cell breakdown leads to foam cell formation that narrows the blood vessel leading to blood flow blockage. These atherosclerotic plaques may burst open, potentially causing a blood clot that can block the flow of blood causing a thrombotic stroke. The destructive inflammatory processes involved in CVD lead to increased cardiovascular risk markers such as destructive inflammatory blood markers (CRP, fibrinogen, interleukin-6), increased systolic and diastolic blood pressure, increased left ventricular mass (an enlarged heart), and arterial stiffness (thickened blood vessels). Biomarker interleukin-6 is especially correlated with cerebral ischemia (stroke).

Oral-systemic Link

So, what is the connection between periodontitis and the number one killer, heart disease? Both diseases exhibit a mechanism of endothelial (blood vessel wall) breakdown which leads to increased inflammatory biomarkers CRP, IL-6, haptoglobin and leukocytes, which present as bone and soft tissue destruction around teeth (periodontitis) and blood vessel thickening and subsequent heart blockage or stroke (atherosclerotic cardiovascular disease). The microbiological processes and components involved in both processes are analogous and the bacteria P gingivalis is present in most (64%) atherosclerotic plaques seen in patients with cardiovascular disease. Because research to find a causal relationship between oral bacteria and heart disease is extremely difficult and complex, as technologies improve medical researchers are finding more and more correlative and causative relationships between certain biomarkers. In a 6-month randomized clinical trial, non-surgical periodontal therapy was shown effective in reducing levels of systemic inflammatory markers such as ESR and triglycerides (significant reduction), as well as reduction in CRP and total cholesterol (moderate reduction). Periodontal therapy helps to stabilize these biomarkers up to 6-months post-operatively in patients with periodontitis.

In a 2013 study published by the Journal of Clinical Periodontology, non-surgical periodontal therapy (deep cleaning) was shown to significantly reduce all cardiovascular risk markers evaluated, including systemic inflammation plasma markers (CRP, fibrinogen and interleukin-6), systolic and diastolic blood pressure, left ventricular mass (heart enlargement) and arterial stiffness, which lead to a lower cardiovascular risk. Scaling and root planing, aka “deep cleaning”, was shown to produce an even greater systemic reduction of inflammatory markers seen in patients who receive adjunctive therapies such as local administration of antibiotics such as minocycline.

Rainier Dentist


Online Dental Education Library

Our goal here at Clatskanie Dental Clinic is to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Feel free to use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.  Call us today at (503) 728-2137

Have questions for Dr. Ross?  Call her at (503) 728-2137

 

One day in the not-too-distant future, your braces will come off. In a few moments, you'll be free of bands and brackets, able to eat what you want and run your tongue over smooth, clean teeth. But, even on this happy occasion, please remember that you're not quite done with orthodontic treatment yet: The next phase, called retention, is just beginning.

Family.

Retention is a critical follow-through stage that typically involves wearing an orthodontic appliance called a retainer. Several different kinds of retainers are available, all of which are custom-made.

But if your teeth are straight now, why do you need a retainer at all? Simply put, it's because if you don't wear one, your teeth will start moving right back to where they were!

Teeth aren't set rigidly in the jawbone — instead, they're held in place by a network of fibers called the periodontal ligaments. After they have being moved, it takes several months for the periodontal ligament to adjust to the new position. So if you want to keep that new smile — and not waste all the time, effort, and money it took to get it — it's essential to wear your retainer as directed.

Being fitted for a retainer usually happens on the same day your braces are removed. After your teeth are thoroughly cleaned, another set of X-rays and/or bite impressions may be taken to check how well your braces worked and to see how much your wisdom teeth have developed. Then, a retainer will be prepared for you.

Three Types of Retainers

Types of orthodontic retainers.

There are three basic types of retainers available today; each works best in particular situations. The most common is the so-called “Hawley” retainer — a thin, tongue-shaped piece of acrylic molded to fit your mouth, with a wire that holds your teeth in position. The Hawley retainer is simple, durable and easily removed. It's even possible to personalize it by choosing different colors and designs for the plastic arch.

Another popular style of retainer is the clear aligner-type, which looks similar to the Invisalign® tray system. These retainers are custom-made of thin, transparent plastic designed to fit precisely over your teeth. Their main advantage is that they're invisible, with no wire to show. These retainers are also easy to remove, but they may be somewhat less durable than the Hawleys. They aren't recommended for patients with certain conditions, like teeth grinding.

Finally, fixed retainers may be an option for some people, especially on the lower front teeth. As their name implies, they aren't removable by the wearer — but they aren't visible either. Like lingual braces, this system uses a wire which is bonded to the tongue side of the teeth. It may remain in place for months, or longer. This type of retainer is sometimes recommended when there's a high risk that teeth could revert to their former position.

A Period of Adjustment

After a short time, most people adjust quite well to wearing a retainer. Some may find that they produce more saliva than usual for a day or so after first wearing any type of retainer — a normal reaction to a foreign object in the mouth. You may also find it a little harder to talk normally at first, but that problem will soon disappear. Of course, removable retainers should always be taken out when you eat or brush your teeth — a big change from braces!

At first, you will probably be told to wear your removable retainer all day, every day. This period of 24/7 retainer use generally lasts from several months to a year. Later, it may be OK to wear it only at night. Finally, you'll probably need to put it on just a few nights a week.

Maintaining — and Retaining — Your Retainer

How to Clean Removable Retainers

To stay fresh and germ-free, all retainers need proper cleaning. A Hawley-type retainer can be brushed gently with a regular toothbrush — but a brush may scratch the clear aligner types. Denture cleaners, in powder or tablet form, as well as special retainer cleaners, can be used to clean most removable retainers. Fixed retainers are cleaned by brushing and flossing; a floss threader or interproximal brush can also be a helpful cleaning tool when needed.

Finally, remember to always carry — and use — a retainer case. You'd be surprised how many retainers end up folded in a napkin and accidentally discarded! Also, don't expose your retainer to excess heat by washing it in very hot water or leaving it on a heater: That can cause the retainer to warp and make it unusable. With proper care and conscientious use, a retainer can help you transition from braces to a permanent, healthy smile.

Related Articles

Orthodontic Retainers - Dear Doctor Magazine

The Importance of Orthodontic Retainers Decades ago, orthodontists used to think that once teeth were moved into the “right” positions, they would stay there forever. Research over the past thirty years has shown that this is not true — there is no “right” position that can assure a permanent, unchanging result. The only way to be sure the alignment of your teeth and your bite remains stable after orthodontic treatment is to wear retainers as needed and as directed by your orthodontist or dentist... Read Article

Orthodontic Retainers - Dear Doctor Magazine

Why Orthodontic Retainers? It is common to wear retainers following orthodontic treatment or what people commonly refer to as braces, for good reason. Teeth must be “retained” or stabilized in their new position long enough for the gum tissue, bone and ligament to reform and mature around them, which can take several months. The teeth will tend to relapse into their old position quite rapidly if the retainers are not worn... Read Article


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