Our Blog

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 Merced, CA 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. Clifton Lauritzen and our team at Lauritzen Orthodontics have recommended a palatal expander, you might be wondering what it is and how it will help you. A palatal expander is a small appliance fitted in your mouth to create a wider space in the upper jaw. It is often used when there is a problem with overcrowding of the teeth or when the upper and lower molars don’t fit together correctly. While it is most commonly used in children, some teens and adults may also need a palatal expander.

Reasons to get a palatal expander

There are several reasons you might need to get a palatal expander:

• Insufficient room for permanent teeth currently erupting
• Insufficient space for permanent teeth still developing which might need extraction in the future
• A back crossbite with a narrow upper arch
• A front crossbite with a narrow upper arch

How long will you need the palatal expander?

On average, patients have the palatal expander for four to seven months, although this is based on the individual and the amount of correction needed. Several months are needed to allow the bone to form and move to the desired width. It is not removable and must remain in the mouth for the entire time.

Does it prevent the necessity for braces?

The palatal expander doesn’t necessarily remove the need for braces in the future, but it can in some cases. Some people only need braces because of a crossbite or overcrowding of the teeth, which a palatal expander can help correct during childhood, when teeth are just beginning to erupt. However, others may eventually need braces if, once all their permanent teeth come in, they have grown in crookedly or with additional spaces between.

If you think your child could benefit from a palatal expander, or want to learn about your own orthodontic treatment options, please feel free to contact our Merced, CA office!

Orthognathic surgery is surgery to correct a wide variety of abnormalities of our patients' jaw and teeth. The surgery is often done in conjunction with orthodontic treatment. While the patient’s appearance may be significantly improved as a result, the primary purpose of the surgery is to correct functional problems including but not limited to:

• Unbalanced facial appearance
• Protruding jaw
• Open bite (upper and lower teeth don’t overlap properly
• Excessive wearing down of the teeth
• Difficulty with chewing or biting
• Chronic mouth breathing
• Sleeping problems such as sleep apnea
• TMJ pain (jaw joint pain)
• Restoring facial injuries

Knowing when to start the orthodontic treatment in preparation for orthognathic surgery can also be tricky if our team at Lauritzen Orthodontics is treating a teenager. It is important to know when to get started. If orthodontic treatment is initiated too soon and the teenager is still growing, the patient will either need to hold in braces until his or her growth is complete and they are ready for surgery or the braces will have to be removed and then placed again when growth is complete. Neither of these options is attractive since it requires longer time in treatment, which is something all our patients want to avoid. Our team at Lauritzen Orthodontics strives to get all patients finished with treatment as quickly as possible because it is healthier for the teeth and gums and gives them a beautiful smile to enjoy for a lifetime.

If you are considering orthognathic surgery or you have been told that you need jaw surgery, give us a call to schedule your initial consultation today. Dr. Clifton Lauritzen and our team at Lauritzen Orthodontics will explain our treatment plan in a way you will understand and we will keep you informed every step of the way.

Proper mouth protection is recommended by Lauritzen Orthodontics when you participate in any sports activities. If you wear braces, this protection becomes essential. Injuries to your mouth can not only damage your teeth, but your braces could break and cut open your lip.

Full Facial Guards

Full facial guards are often used in football and offer protection to your mouth from most injuries. Even with full facial protection, you may benefit from additional mouth protection. While your face is protected from outside impact, you could still suffer from cuts or damage to your braces from internal impact.

Mouthguards

Mouthguards referred to as boil-and-bites can be purchased at many retail stores. As the name implies, these guards are boiled in water to heat and soften the material. While the guard is still warm, you place it in your mouth and bite down gently. This causes the guard to form to the shape of your mouth. Unfortunately, these guards do not necessarily offer the best protection or fit.

Dr. Clifton Lauritzen can make custom mouthguards specifically for you. The custom fitting ensures you of better protection and a comfortable fit. Custom guards are also built in layers for durability. The American Dental Association recommends custom guards for orthodontic patients. Your mouthguard will be designed to provide proper protection for both your teeth and your braces.

No matter what type of sport you participate in, a mouthguard can protect your braces. Even an activity as seemingly harmless as table tennis can result in a contact injury. The Academy for Sports Dentistry states that a properly fitted mouthguard should not interfere with any athletic activity.

Lauritzen Orthodontics will provide you with properly-fitting mouth protection to ensure the safety of your braces and your teeth. We will be glad to answer any questions you have so you can continue the activities you enjoy with little concern. If you do suffer any injuries to your mouth or braces during sporting activities, please contact us immediately. The sooner we can care for your mouth, the better the results will be.