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Q. Jacqueline Kennedy Onassis, Phil Collins, LeBron James, Eva Mendes, Britney Spears, and Casey Affleck. What have these famous people had in common?

A. Nail biting.

Nail biting is one of the most common ‘nervous habits.’ It can be triggered by stress, excitement, boredom or inactivity. It can also be a learned behavior from family members. About half of all children between the ages of 10 and 18 have been nail biters at one time or another. Most people stop biting their nails by age 30. Here’s why nail biting is unhealthy:

• It’s unsanitary. Fingernails are home to bacteria and germs. Nails are almost twice as dirty as fingers. And swallowing dirty nails can lead to stomach problems.
• It wears teeth down, putting added stress on your front teeth that can lead to malocclusion.
• Braces hate nail biting. During orthodontic treatment, nail biting puts additional pressure on teeth and weakens roots.
• It can be costly. Nail biting can result in up to $4,000 in additional dental bills over a lifetime.

Here’s how you can break the nail biting habit:

• Try to be conscious of your fingernails. Keep them looking good.
• Apply clear, bitter-tasting nail polish to the nails.
• Mouth guards can help prevent nail biting.
• Think about when and why you chew your nails. Understanding the triggers can help you find a solution and stop the habit.
• Some nail biters have found behavioral therapy an effective means to stop nail biting.

Everyone wants a naturally aligned and beautiful smile, and it is no secret that orthodontic braces can help deliver one. However, there are greater benefits to wearing braces than just having straight teeth. You’ll gain many oral health benefits in addition to the cosmetic ones.

Tooth Decay and Gum Disease
Crooked or crowded teeth may overlap each other and create tight spaces in between. These can make it very difficult to brush and floss effectively, allowing bacteria and plaque to build up, and eventually leading to tooth decay and gum disease. With orthodontic treatment, your teeth will become properly aligned and spaced, which allows for more effective brushing.

Difficulties with Speech
Your teeth play an essential role in speech. When they are out of line or lean too far forward or backward, this can affect your speaking patterns, and possibly cause embarrassment and frustration. Braces can readjust the positioning of the teeth to allow for clearer, more professional speech.

Bone Erosion
Bone and gum tissues begin to erode when there are no teeth to support. This is also true for poorly aligned teeth that leave gaps and spaces or place too much pressure on the jawbone due to a bad bite. With braces, the bones and tissues are less likely to erode and can continue to support the teeth in their new alignment.

Digestion
Your teeth play an important role in digestion. Before food ever enters your stomach, it has been partially digested by the teeth. If teeth are severely out of line, however, they may not play their role in breaking down food as effectively as they should. With braces, your teeth will be straightened into optimal alignment for eating and chewing.

Did you know that even in ancient times, people wanted to improve the look and function of their smiles? We think of modern orthodontic appliances as sleek, efficient technology, but this was not always so! Take a look at the highlights in the evolution of braces.

Ancient Times: From Greece to Rome
• According to The Angle Orthodontist, Aristotle and Hippocrates first thought about methods for straightening teeth between 400 and 300 BC.
• The Etruscans, in what we now know as Italy, buried their dead with appliances that maintained spaces and prevented collapse of their teeth and jaws during life. Archaeologists have discovered mummified remains in various locations that have metal bands wrapped around the teeth.
• A Roman tomb has also been discovered in which the teeth were bound with gold wire, including documentation on the wire’s use as a dental device.

18th Century: A French Development
• The French dentist Pierre Fauchard is acknowledged as the father of modern dentistry. In 1728 he published a book that described various methods for straightening teeth. Fauchard also used a device known as a “blandeau” to widen the upper palate.
• Louis Bourdet was another French dentist who published a book in 1754 that discussed tooth alignment. Bourdet further refined the blandeau and was the first dentist to extract bicuspids, or the premolar teeth between canines and molars, for the purpose of reducing tooth crowding.

19th Century: Orthodontics Defined
• Orthodontics started to become a separate dental specialty during the early 19th century. The first wire crib was used in 1819, marking the beginning of modern orthodontics.
• During this period, gold, platinum, silver, steel, gum rubber, vulcanite, and occasionally wood, ivory, zinc, and copper were used — as was brass in the form of loops, hooks, spurs, and ligatures.
• Edward Maynard first used gum elastics in 1843 and E. J. Tucker began making rubber bands for braces in 1850.
• Norman W. Kingsley published the first paper on modern orthodontics in 1858 and J. N. Farrar was the first dentist to recommend the use of force over timed intervals to straighten teeth.
20th Century: New Materials Abound
• Edward Angle developed the first classification systems for malocclusions (misaligned teeth) during the early 20th century in the United States, and it is still in use today. Angle founded the American Society of Orthodontia in 1901, which was renamed the American Association of Orthodontists in the 1930s.
• By the 1960s, gold was universally abandoned in favor of stainless steel.
• Lingual braces were the “invisible” braces of choice until the early 1980s, when tooth-colored aesthetic brackets made from single-crystal sapphire and ceramics became popular.

Today
As we arrive in the present, you need only look at your own braces to see how far we’ve come. Your treatment plan was probably created with a 3D digital model, and we’ve likely used a computerized process to customize your archwires. Perhaps you have clear aligners, self-ligating brackets, or highly resilient ceramic brackets with heat-activated wires.

Orthodontics has come a long way from the days of Aristotle, and even the bulky wrap-around braces of just 60 years ago. Regardless of your specific treatment plan, the development of high-tech materials and methods has made it possible for your orthodontic experience to be as effective, efficient, and comfortable as possible.

One exciting part about wearing braces is getting to choose the colors of your rubber bands. Orthodontists place elastic bands, or ligatures, over each bracket to secure the archwire in place. These rubber bands may be individual or connected, depending on your mouth’s needs. You have the option of choosing the color of your elastics, which are changed about once every month at every visit. Our offices keep a color wheel handy to help you choose which ones suit you best!

Children and teens often enjoy picking different colors each month to express their creativity and coordinate their braces with outfits. Decorating your mouth with your favorite colors is fun for kids and takes some of the stress out of wearing braces. Adults who wish for subtlety have color options that blend in with the metal brackets and archwire. Common choices for adults include silver, clear, and gray tones.

Common Color Combinations for Rubber Bands

With individual ligatures for each bracket, you may choose different color combinations for special events. You can have alternating colors or place an entire rainbow over your teeth. Here are a few options to consider:

• School spirit colors
• Favorite sports team colors
• Patriotic colors
•Holiday themes

Some patients choose only one color to match their mood, personality, or favorite outfits. The palette of choices allows you to make bold statements with your braces or go for subtler tones that blend in with the metal structures. Keep in mind that bright colors make your teeth look whiter, while lighter shades, such as yellow and white, may cause your teeth to appear less bright.

What Your Rubber Band Color Says About You

• Red tones indicate that you are ready for action and take charge of your life with aggressive, forward-thinking steps.
• Blue tones are calm and relaxing. You are conservative and exhibit integrity when dealing with situations.
• Green tones represent growth and balance. You are level-headed and look for opportunities to grow emotionally and spiritually.
• Purple tones attract creative energies. You like to have fun and use your imagination in every aspect of your life.
• Orange tones indicate that you are optimistic and thrive in social situations where communication is open.
• Pink is a romantic color that represents a caring personality. You also enjoy having fun with silly games and endless laughter.

Bad breath can be a real downer, especially when you are out on a date with that girl or boy you’ve had a crush on all semester - or while in that important business meeting, for which you've been preparing all week. However, bad breath can be prevented!

Bad breath, or as your doctor may call it “halitosis,” is caused by odor-producing bacteria that grows in your mouth. This bacteria gathers on bits of food in your mouth and between your teeth and release sulfur compounds making your breath smell. Some foods, like garlic and onions, may contribute more to bad breath because of oils the food the food releases, and smoking is also a major cause of bad breath.

There are several myths around bad breath. Here are some common myths and the truth behind it all:

Myth #1: Mouthwash will make my breath smell better

Mouthwash will make your breath smell better, but it is only a temporary fix. If you use mouthwash, just know that you will still need to brush and floss when you get the chance as mouthwash alone will not kill all of the bacteria producing germs in your mouth. When choosing a mouthwash, pick an antiseptic with plaque-reducing compounds. Also make sure any dental products you choose comes with the American Dental Association’s (ADA) seal of approval!

Myth #2: I brush my teeth; I will never have bad breath

Brushing your teeth will save you from having breath, but the truth is most people only brush their teeth for about 30-45 seconds! You need to brush your teeth for at least 2 minutes, twice a day to give your teeth a thorough cleansing. It’s also important to brush your tongue, which is where a majority of odor causing bacteria like to hang out. Lastly, flossing to remove food and plaque between the teeth will also help reduce your chances of having bad breath!

Myth #3: If I don’t smell it, then my breath is fresh

This is a false assumption in every sense of the word! The truth is that the breath you breathe out is not the same breath coming out when you talk to someone. When you breathe you are not using your throat as you do when you are talking; and when you talk more breath moves over the back of your mouth where bacteria is causing bad breath.

#1 TRUTH: Brush your teeth twice a day (for at least 2 minutes), floss at least once and visit your dentist every six months…this way your breath will always be fresh! Not letting your nerves get the best of you on your date, or your meeting? That’s up to you!!!

For most children, summer break is over, and the school year is in full swing! After they're done with their homework, you may be running out of ideas to keep them occupied. Why not use a fun and simple science experiment to focus their attention for a while? This one includes a lesson about why it’s important to brush teeth to make plaque go away.

Gather the items you will need for this experiment:

* 1 hard-boiled egg with the shell on
* 12 ounces of Coke, Pepsi or other dark-colored cola
* 1 container large enough to hold the cola and egg
* 1 plastic bowl
* 1 toothbrush
* 1 drop of fluoride toothpaste
* Clean-up supplies

Explain to your child that plaque is a sticky layer of germs that collects on her teeth. If she doesn’t brush, plaque can cause serious problems for her teeth, for example holes in the teeth (cavities) or swollen gums (gingivitis). Tell her that you are going to do an experiment to see how plaque coats her teeth, and why brushing twice a day is important for healthy teeth and gums.

Conduct the experiment:

1. Make the comparison between the white color of the egg and the white color of your child's teeth.

2. Place the egg into the container and pour the cola over it, so that it completely covers the egg.

3. Let the egg sit in the cola for 24 hours.

4. Remove the egg from the cola. The egg will be stained and yellowish.

5. Explain to your child that the colored layer that has appeared on top of the eggshell is just like the layer of plaque that occurs on her teeth.

6. Place the egg in the plastic bowl and give your child the toothbrush with the drop of toothpaste on it.

7. Let her brush the "plaque" off of the egg. The yellowish film will disappear, exposing the white eggshell. Explain that the same thing happens when she brushes her teeth.

Cold and flu season is here yet again. The folks at Centers for Disease Control and Prevention say that a common cold usually includes sneezing, runny nose, sore throat and coughing. Symptoms can last for up to two weeks.

To promote a healthy and clean environment, our entire staff give a great deal of attention to sanitation and sterilization in our office at all times, as well as following all requirements for sterilizing instruments and work surfaces. For the protection of other patients and our staff, we always ask that patients reschedule their appointments if they have any type of cold or illness that can infect others.

And remember to constantly wash your hands and avoid contact with those who are ill! Stay Healthy!

People have been brushing their teeth for thousands of years! In fact, the first “toothbrush” was created around 3000BC! Ancient civilizations used a thin twig with a frayed edge to rub against their teeth for cleaning.

The first toothbrush with bristles – similar to today’s toothbrushes – was invented in 1498 in China. Brushes were made out of bone or bamboo with bristles made from the hairs on the back of a hog’s neck.

It wasn’t until 1938 that the first nylon bristle toothbrush was introduced and people quickly became aware of practicing good oral hygiene.

Here are some other interesting facts about your toothbrush (and toothpaste):
• Most people are said to use blue toothbrushes over any other color
• The first toothpaste was used in 500 BC in China and India
• On average, children smile about 400 times per day
• Your toothbrush should be replaced every two months
• The first known toothpaste was used in 1780, Crest was introduced in 1955 and Colgate in 1873

Orthodontic treatments are used to correct malocclusion, a condition more commonly known as a bad bite. The length of treatment time varies depending on the severity of the bite problem.

What is a "bad bite"?
A bad bite occurs when spacing or alignment problems are present. This often includes teeth that are protruding, crowded, or crooked. Sometimes teeth appear straight, but have an uneven bite because the upper and lower jaws do not align properly. Teeth that are irregularly spaced — either too far apart or too close together — can also cause bite problems.
Frequent causes of bite problems:
• Heredity
• Thumb-sucking
• Premature tooth loss
• Accidents

Benefits of orthodontic treatment:
Appearance -
Correcting a bad bite often creates a more attractive smile, which frequently raises the patient's self esteem.

Preventing Decay -
It also results in a healthier mouth. It is much more difficult to thoroughly clean teeth that are crooked, protruding, overlapped, or crowed. This may allow plaque to build up, which can lead to gum disease, tooth decay, and even tooth loss. Orthodontic treatment corrects these conditions, so cleaning can be more efficient.

Avoiding Alignment Issues -
An uneven bite can interfere with the motions of chewing and speaking. This can cause abnormal wear to tooth enamel, which may require pricey cosmetic restorative treatments, such as crowns or veneers, to correct. It can also lead to problems with the jaws. Orthodontic treatment lessens the likelihood of those issues, as well.

Types of orthodontic treatment:
Braces: Metal or ceramic brackets are bonded to the front of teeth. Wires and elastics are attached to the brackets to straighten teeth.

Invisalign®: Advanced 3D computer images of the patients' mouth are used to create clear, custom aligners that slowly move teeth. They are nearly invisible and are more comfortable than traditional braces. They are also removable, which makes it possible to continue with normal brushing and flossing.

Retainers: A retainer is a removable piece worn inside the mouth that uses pressure to force teeth to move into proper alignment. They are used after braces are removed.

Length of orthodontic treatment: Treatment typically ranges from 12 to 36 months. Factors include the age, cooperation level, and growth occurrence of the patient. The complexity of the case also impacts the treatment time.

Adults who need orthodontic care often share the misconception that they are too old for braces and would rather not deal with the embarrassment. You are probably familiar with horror stories about rubber bands snapping, mishaps with kissing, and unsightly food sticking in metal braces. Many adults believe that braces are just for children, but they are neglecting all the benefits of correcting misaligned teeth. Braces may cause you to feel self-conscious, but they are temporary. Along with straightening your teeth, braces also provide the following benefits:

• Better oral hygiene
• Easier to clean aligned teeth
• Less complicated dental procedures
• Eliminate the embarrassment of crooked teeth

One common reason for not correcting misaligned teeth is the appearance of metal braces. Adults do not want to face co-workers and friends with colored rubber bands and metal laced throughout their mouths. The expert healthcare professionals at SingHealth suggest several alternatives that are just as effective as metal braces. You have three options for correcting your misaligned teeth without the embarrassment, and they include:

• Ceramic braces
• Lingual braces
• Invisalign®

Ceramic braces are like metal ones except that they match the natural color of your teeth. This option is less noticeable and will usually not show up in photographs. Lingual braces are attached to your back teeth only, so no one will know that you have a corrective device. Invisalign consists of clear plastic coverings that you can remove for eating and teeth brushing. All of these options lead to a more attractive smile that you do not have to feel embarrassed about.

If you do choose metal braces to correct your teeth, you should consider the following suggestions for limiting embarrassing moments. The rubber bands holding the brackets in place come in silver, which will draw less attention to your mouth. Changing the removable rubber bands on a regular basis will help prevent the material from wearing down and snapping. If you chew with your back molars and cut your food into manageable bites, you are less likely to get particles stuck in your braces. Following our treatment advice and instructions will limit the time you have to wear corrective devices. Focus on the end result of straighter teeth whenever you feel particularly self-conscious about your braces.

When coming to our office to have braces put on, you may find yourself feeling a bit intimated and nervous about the experience. We hope to help you feel more at ease by explaining exactly what the different parts of braces are, and what they do.
Parts of Braces
• Elastic Tie — This is a very small rubber band, and it holds the archwire in place.
• Archwire — This is the main part of the braces. It is a wire guide that tracks the teeth. The wire may be moved from time to time during treatment to continue straightening a patient's teeth.
• Loop in Archwire — This is not in all braces. If it is used, it is to close a gap left from a tooth extraction.
• Bracket — This piece of equipment holds the archwire in place. Formerly, many patients used colored rubber bands to keep the brackets in place, but now since most brackets are cemented on, this is no longer necessary.
• Headgear Tube — This is a hollow area near the back bands, which allows the headgear to fit into the braces. This is only used on patients who require headgear.
• Coil Spring — If needed, this would fit between a bracket and the main archwire. Its purpose is to open up the space between the teeth. This is not necessarily used on all patients.
• Tie Wire — This is another piece of equipment that is used to keep the archwire in place. It is a thin wire that wraps around the bracket.
• Band — This is a metal band that fits completely around a tooth. It is used to help adhere brackets to the tooth.
• Hook — This is the piece of equipment that is used to attach the elastics, also known as rubber bands, around the bracket.
• Elastic — These elastics are used to connect one point of the appliance to another. The purpose is to apply pressure, and encourage the teeth to move into the proper positioning.
By defining each appliance we hope you or your child will be less apprehensive about getting braces put on. At the end of your treatment, you will have a bright, straight smile to show off to all of your friends.