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There are many great reasons to see an orthodontist. For a healthier bite. For straighter teeth. For a more confident smile. So why are you hesitating? If the visibility of traditional braces is what’s holding you back, ask Dr. Neil Oliveira and Dr. Derek Wolkowicz about lingual braces.

With regular braces, brackets are bonded to the front of each tooth with a special adhesive. Ligatures around each bracket or bracket clips grip an archwire, which does the work of moving the teeth. The gentle pressure from the wire guides the teeth into alignment in gradual stages. Every adjustment moves the teeth to their perfect positions. These braces are quite effective—and they are usually quite visible.

Lingual braces, on the other hand, are virtually invisible. Lingual means “toward the tongue,” and this placement is the difference between lingual braces and more traditional types of orthodontic braces.

Lingual braces are custom designed to be applied to the inside of your teeth. Specially designed brackets are attached to the backs of the teeth. Individually crafted archwires are used to guide your teeth to their best alignment.

Lingual braces can be the solution to many orthodontic concerns:

• If you need or want invisible braces for personal or professional reasons, lingual braces are a great option. Because they are behind your teeth, they are even less noticeable than clear aligners—and you don’t need to keep track of your hours wearing them.
• Lingual braces keep the front of your teeth braces-free for playing a brass or reed instrument, or for participating in sports. (Just remember, a mouthguard is always a good idea for athletic activities, and especially when you wear braces.)
• Both brackets and wires can be customized to fit your teeth perfectly, and new lingual brackets and wires are more comfortable than ever.

You might be a good candidate for lingual braces if:

• You have a large enough tooth surface to place a bracket. Adults with small teeth—or children—might not be have enough room on the back of each tooth to hold a bracket.
• You don’t have a major malocclusion (bite problem) which would make lingual braces impractical. A deep overbite, for example, could cause the wires and brackets behind the upper teeth to come loose or detach as they come in contact with lower teeth.
• You are dedicated to keeping up with your oral hygiene. Because wires and brackets are behind the teeth, it can be harder to keep them free from food particles and plaque.

Finally, even if lingual braces aren’t the perfect match for your orthodontic needs, there are other options that can work for you. Smaller metal brackets, ceramic brackets that blend in with your enamel, and clear aligners mean today’s orthodontic work is more subtle and discreet than ever before.

For a healthier bite, for straighter teeth, for a more confident smile—don’t hesitate. Contact our New Bedford or Mattapoisett, MA office to discuss the many great options you have available to give you the smile you’ve always wanted—front and center.

However you may feel about having to wear braces, choosing the color of your rubber bands is sure to bring a smile to your face. Whether you want to express your creativity, coordinate your braces with your outfits, or show some serious school spirit, decorating your mouth with colorful bands takes some of the stress and self-consciousness out of wearing braces. So what do your rubber band colors say about you? Look no further than our rubber band horoscope.

Red. You’re intense and forward thinking, and that you won’t back down no matter how big the challenge. Red is also the color of the heart, so red rubber bands indicate that you’re a caring, loving person.

Blue. Blue means you’re chill – as cool as a cucumber. You’re one cool customer, as the saying goes. You’re relaxed and calm, even when your mom says you can’t chew any gum or eat popcorn because of your braces.

Green. Look at a traffic light and green means go, right? So you’re the type of person who’s always on the move. Go, go, go! It also means you’re generous and kind. Green is the color of nature and spring, so it says you love Mother Earth. Perhaps you even recycle. Green is the color of good luck.

Orange. You’re daring and wild, flamboyant and fun. Orange may indicate you’re an artist or a drama student. It says you have a big personality and that you don’t care what other people think about you. However, orange is also the color of balance and energy. And being flamboyant and fun takes a lot of energy!

Purple. You’re the creative type, for sure. You beat to a different drummer and think outside the box. It says you're mysterious. Purple is the color of royalty, and when you wear your purple rubber bands you are royally cool.

Color Combinations

What if you can’t choose just one color? Well, you can decorate your teeth with alternating colors. You can choose the colors of your favorite sports team or holiday colors like red and green. If you’re still stumped as to what colors to choose, ask Dr. Neil Oliveira and Dr. Derek Wolkowicz or a member of our team. We can let you in on all the trends our other patents are sporting at our New Bedford or Mattapoisett, MA office!

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Proper oral hygiene techniques are always worthwhile, but they are especially crucial when you’re wearing orthodontic appliances such as braces. When you don’t maintain an effective oral hygiene routine, you can be more susceptible to gum disease as well as tooth decay, cavities, decalcification, discoloration, and/or staining of the teeth.

Braces themselves don’t cause these issues, but since they create spaces that are difficult to clean, they provide extra sources of food (dental plaque and food debris) for the bacteria that do. Bacteria create a biofilm on the surface of a tooth that can spread if not addressed. That bacteria food can only be removed by a mechanical action: brushing and flossing your teeth!

Here’s a list of smart hygiene steps to follow for the duration of your braces treatment:

Proper tooth brushing technique: Make sure to brush your teeth thoroughly (for a total of about two minutes), but not too hard. Point the head of the toothbrush at the gum line and brush just hard enough so that you feel slight pressure against the gums. Use a soft, small-headed toothbrush or an electric toothbrush if you’d like. Try your best always to clean on and around every tooth, bracket, and wire in your mouth!

Flossing: Braces can make flossing a chore, but it’s an essential adjunct to proper tooth brushing. Make sure to floss between all your teeth and brackets. Dr. Neil Oliveira and Dr. Derek Wolkowicz can provide you with braces floss threaders and interproximal toothbrushes (small brushes used to clean areas under wires and between brackets) to make the task easier. You might also consider purchasing an oral irrigator that uses a stream of water to blast food particles and debris from between teeth and gums.

Rinse with water: This may sound slight, but it’s a good idea, especially if you aren’t able to brush. Rinsing your mouth with water throughout the day helps to dislodge the decay-causing food particles that become lodged in braces.

Hygiene away from home: It’s a good idea to have a kit with a toothbrush, floss, floss threaders, mirror, and small water cup on hand at school or work. That way, you’ll be sure to have all the tools you need to keep your mouth clean.

Regular professional cleanings: As always, it’s best to visit your dentist regularly to verify everything in your mouth is in order and your oral hygiene routine is effective. Twice a year is sufficient, unless the dentist recommends more frequent visits.

It's vital to keep your teeth and gums clean during your braces treatment, and that requires your care and attention. If feel like you need help with any of the techniques above, a member of our New Bedford or Mattapoisett, MA team can demonstrate them for you!

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 New Bedford or Mattapoisett, MA office, Dr. Neil Oliveira and Dr. Derek Wolkowicz 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.