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Your feedback is very important to us at Orthodontic Specialists of Southeastern Massachusetts. We always want to make sure that our practice is meeting its full potential, so whether you’ve visited Dr. Neil Oliveira and Dr. Derek Wolkowicz once or been a loyal patient throughout the years, we encourage you to share your thoughts about your experience with us!

You can do this easily by giving us a review on our Facebook page or writing down your comments below. If you feel more comfortable, you’re always welcome to give our New Bedford or Mattapoisett, MA office a call, too! We feel fortunate to have you all as patients and look forward to reading all your feedback!

Winter and its snowball fights are behind us, true, but there might be another kind of snowball heading your way. When you neglect the small steps involved in your everyday orthodontic routines, little problems can start to snowball into bigger ones, affecting your dental health and delaying your orthodontic progress.

Here are three areas where letting the small steps in your routine slide can have consequences:

Dental Hygiene

It can be harder to get your teeth their cleanest while you’re wearing braces. After all, there are wires to get behind and brackets to brush around, and you still need to get that floss in between your teeth. But neglecting your dental hygiene can have big consequences:

• Demineralization

The bacteria in plaque create acids that strip the minerals from tooth enamel. This process is called demineralization. Wherever plaque is allowed to build up, you’ll start to see white spots in the enamel. This discoloration is a sign that minerals are missing, and is often found around brackets, where it’s harder to brush. White spots can be treated cosmetically, but better to avoid them as much as possible, because eventually they can become . . .

• Cavities

As demineralization continues, the enamel becomes weaker and weaker, until a hole forms in the tooth—a cavity. Besides damaging your tooth, a cavity can put you behind your orthodontic schedule if you need parts of your braces removed for treatment.

• Gum Disease

When plaque builds up around the gums, gum tissue becomes inflamed and irritated—this is gingivitis, or early-stage gum disease. Symptoms often include puffy gums, redness, bleeding, and bad breath. Mild gum disease becomes more serious over time, so treat gingivitis early—or, even better, prevent gum disease with careful brushing and flossing.

Looking After Your Appliances

• Follow Care Instructions

Orthodontic appliances need love, too! Any instructions you get for their care are for a good reason. Brackets can become loose when you bite down on chewy foods. Wires can break when you eat hard candy. Aligners can warp if you leave them on a hot dashboard. If you follow instructions carefully, you won’t need to postpone your progress while you wait for repairs.

• Use Your Protective Case

If you wear aligners, or a removable appliance, or a retainer, don’t forget to protect these items when you’re not wearing them. This means placing them in their cases, not wrapped in a napkin on your lunch tray, or in the bottom of your gym bag, or anywhere your dog can reach them!

• Be Proactive If Accidents Happen

Unfortunately, accidents do happen, and loose brackets, broken wires, lost ligatures, and cracked or warped aligners can interrupt orthodontic progress and cause you pain and discomfort. Give our New Bedford or Mattapoisett, MA orthodontic office a call to see if minor damage to an appliance can be handled at home, or whether you should be seen before your next regular appointment for repairs.

Following Your Orthodontic Plan

There’s more to following your orthodontic schedule than arriving on time for appointments. Depending on your treatment, you might be responsible for keeping track of the time you spend wearing:

• Elastics

Elastic bands can be used to help align your upper and lower jaws. If you don’t wear your bands as directed, you won’t make progress as quickly as you could. And remember to replace your elastics as often as recommended, because after hours of s-t-r-e-t-c-h-i-n-g they lose their effectiveness.

• Aligners

Most aligners are worn for around 22 hours each day. If you don’t follow your orthodontist’s instructions and wear your aligners for the recommend hours each day, your teeth won’t be in the proper alignment when your next set of trays is ready to begin work.

• Retainers

If you have a retainer and don’t wear it, your teeth will start to shift position. Skip wearing your retainer long enough, and you might need a return to your braces or aligners to repair any new misalignment.

Don’t ignore what seem like little dental and orthodontic responsibilities. Keep up with daily cleaning and brushing, take care of your appliances, and follow your orthodontic plan, and you’ll finish your treatment with a beautiful and healthy smile—right on schedule.

If Dr. Neil Oliveira and Dr. Derek Wolkowicz and our team recommend a Hawley retainer to complete your orthodontic treatment, you’re getting a classic. This retainer, invented by Dr. Charles Hawley, has been in use since the early decades of the twentieth century.

But this isn’t your great grandmother’s pink plastic retainer! The look of today’s Hawley retainer has really evolved from its early days as the “Hawley bite plate”—and pink is now a choice instead of an inevitability. In fact, you can choose from any number of colors, patterns, and designs to create a retainer that is uniquely you.

Each Hawley retainer is customized to fit your mouth and teeth perfectly. Wire clasps and a labial bow wire are securely attached to an acrylic base based on a model made from your teeth and mouth.

Your retainer is designed for function—the bow wire makes sure your teeth stay in the perfect position while your bones and ligaments get strong enough to hold them in place. The acrylic base, of course, is also functional—but that doesn’t mean you can’t have fun with it!

Retainer bases can be formed in different ways.  One type of retainer model uses pre-formed acrylic discs for the base, and these are available in many pre-formed colors and patterns. Another type of retainer builds the base by alternating several applications of liquid and powder acrylics, layer after layer. This process allows the retainer technician to create one-of-a-kind designs.

What are some of the ways to make your retainer uniquely yours?

• Color—whether deep tones, pastels, electrics, neon, or metallic, you can find an appealing shade in the color chart. Or, if you want your retainer to keep a low profile, choose a clear or a color-coordinated pink tone.
• Glow in the Dark—if you don’t want your retainer to keep a low profile, this might be just the look for you!
• Glitter—accessorize your sparkling smile with a sparkling retainer.
• Patterns—stripes, polka dots, geometric shapes—even animal patterns are possible.
• Color Combinations—why choose one color when you can have a marbled swirl of your favorites? Or a tie-dye look? Or team colors?
• Acrylic Designs—a colorful design that captures your personality is available with some creative acrylic artistry. Rainbows and flags, hearts and flowers, ladybugs, and spider webs are just some of the options on hand.
• Picture Perfect—for that special hobby, pet, team, or other personal favorite, decals or pictures can be applied under a layer of clear acrylic.

Hawley retainers are made to last, so choose your design with years of use in mind. Talk to our New Bedford or Mattapoisett, MA team about the custom looks which are available to celebrate your unique personality. After all, there’s nothing more personal than your smile!

X-rays have been a function of dental healthcare for a long time. That in and of itself should be good news, because it means we've had plenty of time to improve them. While there is always some risk in exposure to radiation, dental X-ray exposure has decreased significantly due to all the advances in technology. So there’s risk, but X-rays are quite safe.

Think of X-rays as you would about a car. Automobiles these days have all kinds of technology to make them as safe as possible. There's still a chance that you’ll suffer an accident. Would you stop using a car because of that risk? When it comes to dental X-rays, Dr. Neil Oliveira and Dr. Derek Wolkowicz and our team believe the positives clearly outweigh the negatives.

X-rays can be done digitally or with film. For film, X-rays require different exposures at different speeds to produce the image. Digital X-rays have software that automatically adjusts the exposure and produces the X-ray in a digital file. Since they substantially reduce your exposure to radiation, digital X-rays are the current standard in dental offices.

In addition to digital X-rays, lead aprons are an essential piece of X-ray safety. They help protect internal organs from X-rays by acting as a shield. They usually come with a thyroid collar as well, since that is one of the most vulnerable areas to X-rays in the body. Lead aprons can absorb up to 95% of any scatter rays that result from an X-ray. Not bad, right?

Although dental X-rays involve some radiation exposure (not all of it can be eliminated), so does everyday life. Getting too much sun, for example, can be dangerous. The truth is, we accumulate radiation in our bodies over a lifetime, so it’s worthwhile to be aware and avoid as much unnecessary exposure as possible. When it comes to your dental health, though, getting an X-ray — especially when your doctor says you need it — offers more benefits than risks.

Ask us about the type of dental X-rays we use during your next visit to our New Bedford or Mattapoisett, MA office!