Uncategorized

Help! My gums hurt when I floss!

July 17th, 2024

By no stretch is it rare for your gums to hurt during and after flossing. Even some bleeding is to be expected. This is especially true if you have not flossed in a long time. However, if your gums do indeed hurt when you floss, and unbearably so, there are some things you can do.

Be Gentle

Perhaps the most obvious way to combat gum soreness and bleeding is to be gentle. One of the most common occurrences of these gum problems is over-aggressive flossing. In other words, if you are too rough on your gums while flossing, either because you are out of practice or because you are in a hurry, soreness and hurting is to be expected. Instead, try taking your time and be gentle. Also, if you are just starting out, be patient and consistent, your gums will become more conditioned over time.

Use an Alternative Method

If being consistent and gentle does not work, there are other alternative methods of flossing that you can try. You can also try a water floss machine, or what is sometimes called a water pick. The device essentially shoots water into the crevasses between your teeth, and in other areas of your mouth, in order to dislodge food and plaque. These oral instruments also come with different attachments that allow you to reach many of the hard to see and reach areas of your mouth. And lastly, you can always buy floss that is not as abrasive to your gums. There is floss that comes with soft and gentle coatings that will do less harm to your gums while they are adjusting to the good oral hygiene habit you are creating.

Flossing is one of the easiest parts of oral hygiene to overlook. When you first start out, it is common that you may want to stop because of the pain it can initially cause. However, if you try one, or all, of the above mentioned methods, you will give yourself the best chance of being success with your flossing, and it won't hurt as much.

For more flossing tips, schedule an appointment at our Mount Vernon, WA office and askDr. Andrew Nalin or a member of our team!

What is a water pick and do I need one?

July 10th, 2024

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Dr. Andrew Nalin and our team at Nalin Orthodontics want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Mount Vernon, WA office if you have any questions about water picks, or ask Dr. Andrew Nalin during your next visit!

Happy Fourth of July

July 3rd, 2024

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

  • The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
  • Americans eat over 150 million hot dogs on July 4th.
  • Imports of fireworks each year totals over $211 million.
  • The first “official” Fourth of July party took place at the White House in 1801.
  • Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Dr. Andrew Nalin and our team at Nalin Orthodontics wish you a safe and happy Fourth of July!

Braces-Friendly Recipe: Lunch

June 26th, 2024

Getting braces comes with a lot of rules. No sticky candies, watch out for popcorn, and steer clear of chips. These rules leave many braces-wearers wondering what they can still eat without hurting their teeth or their expensive orthodontic appliances. Fortunately, constructing a braces-friendly lunch is straightforward once you know which foods to avoid.

Foods to Avoid When Wearing Braces

There are a few food categories to avoid when you have braces. Sticky foods also stick to the metal in your braces, and can potentially break wires or individual braces. For example: bubblegum, candy bars, caramel, licorice, fruit roll-ups, and Starbursts should be avoided. Many of these foods also contain high levels of sugar, which can cause plaque build-up if not brushed away properly.

Also, be wary of hard foods that can harm your orthodontic appliances. Avoid eating hard taco shells, chips, Rice Crispy treats, hard candy, beef jerky, and popcorn. Some healthy foods, such as carrots, apples, corn on the cob, and nuts, are hard on braces. To eat these foods safely, cut them into smaller pieces before eating.

Remember that certain habits may be harmful to your braces. For example, crunching on ice cubes may be a reflexive response when you’re enjoying a cold beverage, but this can significantly harm your braces and extend treatment time. To stay on the safe side, Dr. Andrew Nalin and our team at Nalin Orthodontics recommend you drink beverages without ice or add crushed ice whenever possible.

Lunch Recipe

Even with braces, it’s easy to enjoy a healthy, nutritious lunch. For example, make a panini on whole wheat bread with slices of turkey deli meat, a piece of Swiss cheese, and tomato slices. Spread 1 tbsp. of mustard or mayonnaise on the bread before toasting the sandwich in a panini grill. Serve the panini with ½ c. low-fat cottage cheese and a sliced pear or apple for a balanced meal. Then grab a pudding cup or some JELLO for dessert. Wash it all down with water containing a lemon wedge or all-natural fruit juice. Make sure to brush your teeth or rinse with mouthwash after lunch to wash away sugars and food residue that can get trapped in braces and cause decay.

If you have any questions about what you can and can’t eat with braces during your treatment at Nalin Orthodontics, be sure to ask our team during your next appointment at our Mount Vernon, WA office!

I have halitosis. What can I do?

June 19th, 2024

Halitosis is the fancy, scientific word for “bad breath.” Dr. Andrew Nalin and our team know there are several reasons why you may have halitosis; let’s look at a few:

  • Gum disease (also known as periodontal disease) – There are five main types of gum disease, and each one can range from mild to severe. For example the most common one is gingivitis; it is caused by bacteria in the plaque that has been allowed to build up, usually as a result of poor oral hygiene. A more serious and uncommon type of gum disease is called necrotizing periodontal disease. It is most common in people who have a suppressed immune system.
  • Smoking
  • Dry Mouth – This can be caused by something as simple as a medication you take.
  • Food – Of course, if you eat something that is potent like garlic, it is going to give you bad breath.
  • Diseases of the Body – Some diseases such as sinus infections and diabetes, among a few other types of infections, can also cause you to have halitosis.

How to Get Rid of Halitosis

The most obvious answer to how to get rid of halitosis is to practice good oral hygiene, although, depending on the cause of halitosis it may not be that simple. If you have an infection that is causing the halitosis then you may need an antibiotic to clear up the infection and then the bad breath will go away. Here are more tips:

  • Brush your teeth after every meal and before bed.
  • Floss your teeth. The more plaque you get out of your teeth, the better chance you have of not getting cavities or bad breath.
  • Address any medical conditions that are not related to your teeth that can be causing the halitosis.
  • Ask Dr. Andrew Nalin for a prescription mouthwash that kills bacteria.

Halitosis (bad breath) can be an embarrassing condition to live with, but there are plenty of ways to get rid of it permanently. Start by talking to a member of our team at our Mount Vernon, WA office.

When Clear Aligners aren’t the Answer

June 12th, 2024

Clear aligners like Invisalign® have become increasingly popular over the past several years and rightly so. They’re removable, easier to clean than braces, and hardly anyone knows you're wearing them. They are great in treating many cases, but they aren't for everyone.

Below, Dr. Andrew Nalin and our team cover some of the instances where clear aligners just aren't the answer:

  • If drastic tooth movement is required – Fixed appliances deliver much more significant tooth movement. So if your case is a drastic one, clear aligners may not be the best choice.
  • If you need to move molars – Molars have much stronger roots than your other teeth and would require significantly longer to move with clear aligners. A fixed appliance is the best choice in this instance, especially if you have a substantial overbite or underbite that needs to be dealt with.
  • If you're the type who often forgets or loses things –If you would forget to wear your aligners for the prescribed amount of time (usually at least 22 hours per day), clear aligners are probably not the best choice for you. Forgetting to wear them can delay treatment and even make it so you need to regress to the previous set of aligners to be able to move forward with treatment. And let's face it, if you're not careful, removable aligners are easy to lose. Losing aligners delays treatment and is expensive since you need to buy replacements to stay on course. Replacing a lost set of aligners usually takes between seven and ten days—a definite setback in treatment.
  • If you're looking for the fastest treatment possible – Clear aligners usually can't move teeth as quickly as fixed appliances. So if you're looking for the fastest way to achieve your desired result, clear aligners may not be the best bet.

Feel free to talk with Dr. Andrew Nalin about your options regarding braces and clear aligners. We know there are pros and cons to both, so let’s find the option that works best in your life and for your specific needs in terms of treatment. Schedule an appointment at our Mount Vernon, WA office today!

Going on vacation? Remember these simple tips!

June 5th, 2024

If you are wearing braces and are planning a vacation, our team at Nalin Orthodontics would suggest that you be prepared. We put together a list of items that will be handy to have with you at all times while you are out of town. They include:

  • Toothpick, flosspick, or other interdental cleaners
  • Travel toothbrush
  • A water bottle or a mini bottle of mouth rinse
  • Orthodontic wax to help with discomfort from protruding wires
  • A small mirror for examining any possible issues in your mouth

Putting these items together in a “braces/oral hygiene kit” may be wise. You may even buy pre-made braces kits. Please ask us for more information.

If you happen to be on vacation and experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get him or her out of pain or discomfort.

We also suggest avoiding the following foods to prevent broken brackets and/or wire distortion while you are on vacation:

  • Chewy, sticky, or gummy food
  • Apples, pears, and other whole fruits (cut fruit into wedges before consuming)
  • Bagels and hard rolls
  • Corn on the cob
  • Hard candies
  • Hard cookies or pretzels
  • All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you are wearing clear aligners and happen to lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation! Please give us a call if you have any questions!

What’s so great about an orthodontist?

May 29th, 2024

A lot of our patients are curious about the difference between an orthodontist and a dentist. In fact, one of the most common questions we hear at Nalin Orthodontics is, “Dentists and orthodontists are all the same, right?”

A general dentist is your primary dental care provider. Dentists diagnose, treat, and manage your overall oral healthcare needs, including gum care, root canals, fillings, crowns, veneers, and bridges.

Orthodontists, such as Dr. Andrew Nalin, are more concerned with diagnosis, prevention, interception, and treatment of malocclusion, or what we call “bad bite,” of the teeth. Orthodontists focus on tooth and jaw alignment and bite problems such as overbites and underbites, and are responsible for straightening teeth via bands, wires, braces, and other fixed or removable corrective treatment options, like braces and clear aligners. Orthodontists treat children as well as adults who wish to improve the function of their bite and appearance of their smile.

Before becoming an orthodontist, doctors such as Dr. Andrew Nalin start out in dental school and earn a dental degree, just like your general dentist. After dental school, those doctors who decide they are interested in the orthodontic field, stay in school for a few more years and become experts in orthodontia, which is one of nine specialties within the dental field.

Isn’t it nice to know we have orthodontic experts here at Nalin Orthodontics to help you through any type of treatment your teeth and jaw might need? To schedule your initial appointment at our Mount Vernon, WA office, please give us a call today!

What Your Braces Rubber Band Color Says About You

May 27th, 2024

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. Andrew Nalin or a member of our team. We can let you in on all the trends our other patents are sporting at our Mount Vernon, WA office!

What causes crooked teeth?

May 27th, 2024

Teeth erupt crookedly for a number of reasons that range from genetics to mouth deformities and serious oral diseases. When extra teeth or abnormally large teeth create a malocclusion (crookedness or misplacement of teeth), the culprit is usually genetic in nature. Other inherited traits involve jaws that are too small to accommodate a full set of teeth and misaligned jaws that did not form properly in the womb.

Can crooked teeth be prevented?

In most cases, underbites, overbites, and crooked teeth are genetically derived and can’t be avoided. Orthodontic treatment with braces will be necessary to correct the condition once the child is old enough to wear them. However, certain early childhood behaviors may also contribute to the development of crooked teeth that can be avoided. These include:

  • Thumb sucking and tongue thrusting
  • Losing baby teeth to decay before permanent teeth have naturally pushed them out of their sockets
  • Allowing pacifier use to continue after front teeth have erupted

Permanent teeth underneath baby teeth are directly affected by the health of baby teeth. If baby teeth are prematurely lost due to decay or trauma, permanent teeth will shift when they start moving upward. Baby teeth are like anchors for permanent teeth that help guide them as they erupt through the gums.

In addition, excellent care of baby teeth is vital to having healthy permanent teeth free of discoloration or decay. Harmful oral bacteria can spread into the gums and reach permanent teeth still buried in the gums. Once attached to a tooth’s enamel, bacteria will begin eroding the tooth even before it has a chance to take its first bite!

When to Start Orthodontic Treatment for Crooked Teeth

Dr. Andrew Nalin and our staff suggest that parents bring your child to Nalin Orthodontics around age seven to rule out potential issues with permanent teeth eruption. If problems are discovered, it is not unusual to begin orthodontic treatment at that age. In fact, specific conditions such as crowding and gaps between teeth are easier to correct at an early age.

Early treatment also benefits from the growth process of the jaw, which helps move teeth to normal positions.

Does smoking affect oral health?

May 8th, 2024

By now, everyone knows that smoking is bad for you. But the truth is its broad-reaching health effects are not all known by everyone. This is especially true of oral health. Smoking can have serious repercussions in this regard. To give you a better idea of how smoking can affect your oral health, Dr. Andrew Nalin and our team have listed some issues that can arise.

Oral Cancer

Oral cancer can have steep ramifications for anyone that gets it. Surgery can be required to eliminate the cancer before it spreads to more vital parts of your body. Any type of cancer is about the worst health effect you can get, and this especially holds true to the affects that smoking has on your mouth. The type of mouth surgery required with oral cancer can leave your face deconstructed in certain areas, and it is all due to smoking or use of other tobacco products.

Tooth Discoloration and Bad Breath

At the very least, it is fair to say that as a smoker you will often have bad breath, and while you may try to cover it up with gum or mints, tooth discoloration is a whole other story. The chemicals and substances in cigarettes stick to your teeth staining them brown and yellow colors that are increasingly difficult to disguise.

Gum Disease and Loss of Bone

Another effect of smoking is the increased risk of gum disease. Your gums may start to recede, which can eventually lead to the loss of teeth. Smoking can also increase bone loss and density in your jaw which is vital to the health of your mouth. Gum disease and bone loss are two signs that smoking is definitely bad for your mouth.

When it comes to the health of your mouth, the question is not whether smoking affects your health, it's how does it affect your health and to what degree. If for no other reason than because smoking involves your mouth as its entry point, it is safe to say that it can have long-lasting and detrimental consequences on your oral health.

To learn more about smoking and your oral health, contact our Mount Vernon, WA office to schedule an appointment with Dr. Andrew Nalin.

May is National Teen Self-Esteem Month!

May 1st, 2024

The month of May has the unique distinction of being National Teen Self-Esteem Month. What does that mean?

National Teen Self-Esteem Month was created to raise public awareness about how low self-esteem can negatively affect teens. Especially during May, parents and guardians of teens are asked to be positive role models. If teens can receive positive re-enforcement and their negative images of themselves are improved, then their self-esteem has a better chance of developing in a positive direction.

Dr. Andrew Nalin and our team at Nalin Orthodontics know there are a lot of young adults living in America are struggling with depressed self-images. These can affect all aspects of their everyday lives. Some evidence shows learning abilities and increased risk of eating disorders can originate in a teen’s low self-esteem. It can also lead to abuse of drugs and thoughts of suicide. Dating violence among high school teens is now more common than previously thought.

What can be done to help?

So what can adults do specifically to help their teens? The National Teen Self-Esteem Facebook page offers a variety of suggestions and positive messages for teens and parents alike. Of all the pages your teen “likes” on social media, perhaps he or she should include this page. Some of the tips offered include:

  1. When you stumble, get right back up.
  2. Don’t compare yourself to anyone else.
  3. Do things that make you feel good about yourself.
  4. Open yourself up to compliments.

Another great way to build self-esteem is to have a beautiful, health smile, and that’s where our team at Nalin Orthodontics come in! Whether your teen is due for a simple cleaning, could benefit from cosmetic treatments, or needs orthodontic care, we can help bestow a confident smile he or she will be proud to show off.

Overall, a more positive approach to life will help us all. It is a very important trait to instill in our teens. As parents, a big part of our responsibility is to show our children there is always another day and bumps in the road are just that. We need to help guide their self-esteem and reinforce their positive traits. We can help them recognize the value of who they are.

We should make our children’s self esteem a priority — not just in May, but throughout the year. Let National Teen Self-Esteem Month serve as the impetus for new levels of self-esteem.

For more information on this topic, or to schedule an appointment with Dr. Andrew Nalin, please give us a call at our convenient Mount Vernon, WA office!

The Hazards of Smokeless Tobacco

April 24th, 2024

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Dr. Andrew Nalin and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Dr. Andrew Nalin for help quitting. But there are many other resources available today for those who'd like to quit. The National Cancer Institute offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit. They offer live online chat with cessation counselors Monday through Friday and even have a smartphone application available to help people who are serious about quitting.

You can take a look at their website at smokefree.gov or call them toll-free at 1–877–44U–QUIT (1-877-448-7848). There is also help available from your state's quit line at 1-800-QUIT-NOW (1-800-784-8669).

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Mount Vernon, WA staff members.

Do I really need to wear my rubber bands with my braces?

April 17th, 2024

Most of our patients at Nalin Orthodontics will need to wear rubber bands at some point during their orthodontic treatment. The main reason our patients are instructed to wear rubber bands is to correct their bite. If your teeth do not fit together properly, Dr. Andrew Nalin will recommend that rubber bands be used. Dr. Andrew Nalin may also recommend using rubber bands to close or open spaces.

Rubber bands are a critical part of your treatment, and wearing them as Dr. Andrew Nalin and our team recommend will help move your teeth into the desired position. Dr. Andrew Nalin may ask you to wear your rubber bands full time, meaning that they should only be taken out when you brush and floss your teeth three times a day. Other times, you may be asked to only wear them part-time, like only during the day or only during sleep.

If you still have any questions about orthodontic rubber bands, we invite you to give us a call or ask us during your next adjustment appointment. Remember, wearing rubber bands as prescribed by Dr. Andrew Nalin is an important step during your treatment, and can reduce the time you have your braces. If you lose your rubber bands or run out, stop by our Mount Vernon, WA office and pick up more!

Tips to Avoid Common Problems Associated with Braces

April 11th, 2024

While braces play an important part in helping to create a healthy mouth and teeth, you might experience a few side effects while wearing them that are common and can be easily treated.

Even with the best of care, braces can cause soreness to your mouth. As your teeth begin to move, it is natural for your teeth to feel aches and your jaw to develop soreness.

If there are broken wires or loose bands on your braces, a sore tongue, mouth, or canker sore will occur. Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. We urge those who experience a sore mouth or any of the following problems to call our office to schedule an appointment.

  • Loose brackets: Apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth.
  • Loose bands: These must be secured in place by your orthodontist. Try to save the band for repair.
  • Protruding or broken wires: The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse.
  • Loose spacers: These will need to be repositioned and sometimes replaced.

Foods to Avoid

Some foods can also help or hurt you while you’re wearing braces. Remember to cut your food into small pieces that can be easily chewed. You will want to avoid hard and chewy foods that can break your hardware. Foods such as corn on the cob, nuts, carrots, apples, ice, and bubble gum should be avoided.

Braces, rubber bands, springs, and other mouth appliances associated with braces will normally attract food particles and plaque. Without the proper care, this could cause staining of your teeth.

Our staff at Nalin Orthodontics recommends brushing after every meal or snack and carefully removing any food that might be lodged in the braces. A fluoride mouthwash might be helpful as well as flossing. At your next appointment, Dr. Andrew Nalin can advise you how to floss with a brush specially designed for braces!

Snowball Effect

April 3rd, 2024

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 Mount Vernon, WA 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.

TMD Problems and How You Can Prevent Them

March 27th, 2024

Temporomandibular joint disorders (TMD) describe a set of conditions that involve trouble with your jaw and face muscles. They result from a problem in the temporomandibular joint (TMJ), which is a hinge that connects the temporal bones, in your skull in front of each ear, to your jaw. The joint enables you to talk, yawn, and chew by letting your mouth move.

TMD can be very painful and interfere with functions such as eating and speaking. This what to watch for and how to try to prevent TMD.

Risk Factors for TMD

You are at higher risk for TMD if you are a women than if you are male. The disorder is most common among adults between the ages of 20 and 40 years. Other risk factors for TMJ disorders include the following.

  • Arthritis in the area, making movement more difficult
  • Excessive tooth grinding, because it increases stress on the joint
  • General stress, which can lead you to clench your teeth and strain facial muscles

Symptoms of TMD

Symptoms of TMD can last for just a short while, or for several years. Seeing Dr. Andrew Nalin is important if your symptoms make it impossible for you to eat regularly or if you have unbearable pain or discomfort. The following symptoms can occur on both or one side of your face.

  • Aching or very tired facial muscles
  • Jaws that are fixed open or shut without you being able to unlock them
  • Grating or popping sounds when you chew or close or open your mouth
  • Pain in the entire area, including the mouth, jaw, neck, or shoulders, that comes on when you chew or yawn

Preventing TMD

You can try to prevent TMD by focusing on reducing risk factors. If you grind your teeth at night, ask Dr. Andrew Nalin about wearing a mouthguard. If you are overly stressed, look into ways to better manage your stress and relax your muscles. Another strategy for trying to prevent the development of TMD is to avoid chewing gum, since that puts stress on your jaw.

If you have questions about TMD, don’t hesitate to contact our Mount Vernon, WA office.

What role do elastics (rubber bands) play in orthodontics?

March 20th, 2024

Wearing orthodontic braces may be the best choice for correcting your teeth and improving your smile, and that's why you've come to see Dr. Andrew Nalin at Nalin Orthodontics. Braces, which consist of brackets and wires, work by gently applying pressure to the teeth, and that pressure causes them to move into the correct position. In some cases elastics, or rubber bands, are used to apply additional pressure needed to move your teeth.

The Purpose of Elastics

Customized for each patient, the rubber bands typically stretch over tiny loops on the top and bottom brackets. If worn consistently, and every day, these tiny elastics will apply the steady pressure needed to guide your teeth into the correct position.

These elastics are crafted from medical-grade latex, which is safe to be in contact with your mouth. It's common to remove the elastics during meals if opening your mouth wide enough to eat is difficult. Our staff will demonstrate how to affix the elastics so it will soon become second nature to replace them.

The Do’s and the Don'ts

DO - Get in the habit of carrying around extra rubber bands and replace them as soon as one breaks. By consistently wearing the elastics, you may shorten the overall time needed to wear braces.

DON'T - Double up on elastics as this will cause too much pressure on the tooth or teeth and can actually harm the root of the tooth.

DO - Always wash your hands before removing or replacing the rubber bands.

DON'T - Overstretch the rubber band or it will lose its strength and it will be ineffective.

DO - Call us if you run out of rubber bands.

DO - Have fun with your braces and elastics. There are many different colors available that can let you show off your soon-to-be perfect smile.

Rubber bands are a key part of your orthodontic treatment, and learning how to remove and replace them is an important part to maintaining your braces. Before we set you on your journey to a perfect smile, we'll make sure you understand all there is to know about how to take care of your braces. Of course, if you have any questions about your orthodontic treatment, or orthodontics in general, be sure to contact our Mount Vernon, WA office, and our staff will be happy to assist you!

What's in my mouth? A Rundown of Orthodontic Appliances

March 6th, 2024

Dr. Andrew Nalin and our team correct the alignment of your teeth and jaws so that you can speak clearly, chew food effectively, and look attractive when you smile. We do this by putting sophisticated gadgets in your mouth. While many of these dental devices look similar, we use a wide variety of orthodontic appliances to straighten your teeth and repair jaw problems.

Orthodontic appliances are devices that move your teeth, change the position of your jaw, or hold your teeth in their finished positions after your braces are removed. These devices may be attached to your teeth or removable.

Braces straighten your teeth. Brackets, bands, and wires characterize traditional braces. Braces are attached to the teeth, so they are not easily removable.

Spacers are small plastic rings fitted between your back teeth before your braces are placed by Dr. Andrew Nalin. These spacers create space between your teeth to optimize the alignment your braces provide.

Retainers hold teeth in their finished position after your braces come off. A Hawley retainer is the most common type of retainer; it features an acrylic plate that rests against the roof of your mouth and a wire crossing in front of your teeth. Essex retainers are quite popular, as they are durable and nearly invisible.

Bite plates correct a deep bite, where the upper front teeth come down too far over the lower front teeth to cause bite problems.

Holding arches prevent the back teeth from moving forward to crowd the front teeth. A lower lingual holding arch prevents your permanent molars from migrating forward. The Nance holding arch maintains space between teeth after you lose baby teeth and before the permanent teeth come in.

A palatal expander widens your upper jaw by separating the bones of your palate. This appliance helps your top and bottom teeth fit together better. The Quad Helix widens your jaws to create more room for crowded teeth.

Contact our Mount Vernon, WA office today to learn more about the ways we can improve the appeal and function of your smile.

Proper Diet while Undergoing Orthodontics

February 28th, 2024

Many people undergo orthodontic treatment during childhood, adolescence, and even into adulthood. Wearing orthodontic appliances like braces is sure to produce a beautiful smile. Though orthodontic treatments at Nalin Orthodontics are designed to accommodate your lifestyle, chances are you will need to make some dietary modifications to prevent damage to your braces and prolong orthodontic treatment.

The First Few Days with Braces

The first few days wearing braces may be the most restrictive. During this time, the adhesive is still curing, which means you will need to consume only soft foods. This probably will not be a problem, however, as your teeth may be tender or sensitive while adjusting to the appliances.

Orthodontic Dietary Restrictions

You can eat most foods normally the way you did without braces. However, some foods can damage orthodontic appliances or cause them to come loose. Examples of foods you will need to avoid include:

  • Chewy foods like taffy, chewing gum, beef jerky, and bagels
  • Hard foods like peanuts, ice chips, and hard candy
  • Crunchy foods like chips, apples, and carrots

How to Continue to Eat the Foods You Love Most

Keep in mind that you may still be able to enjoy some of the foods you love by making certain modifications to the way you eat them. For example, steaming or roasting carrots makes them softer and easier to consume with braces. Similarly, you can remove corn from the cob, or cut up produce like apples and pears to avoid biting into them. Other tips include grinding nuts into your yogurt or dipping hard cookies into milk to soften them. If you must eat hard candies, simply suck on them instead of biting into them.

If you have any question whether a food is safe to eat during your treatment with Nalin Orthodontics, we encourage you to err on the side of caution. Of course, you can always contact our Mount Vernon, WA office with any questions you have about your diet and the foods that should be avoided during treatment. By following our dietary instructions and protecting your orthodontic appliances from damage, you will be back to chewing gum in no time.

Making Your Life Better with Orthodontics

February 21st, 2024

The number one goal of orthodontic treatment is to give you or your child a beautiful, healthy smile that will last a lifetime. One of the first things people notice about others is their smiles so take the first step towards getting the smile you’ve always wanted and make your initial consultation at Nalin Orthodontics

A good bite not only makes it easier to eat and speak, but will enhance your dental and overall health as well. Straight teeth aren’t just pretty, they’re healthy as well. Teeth that are properly aligned are easier to clean reducing the risk of gingivitis and periodontal disease. 

Let your smile express yourself! Give us a call at our convenient Mount Vernon, WA office to schedule your consultation today!

 

The Transformation of Valentine's Day

February 14th, 2024

Did you know the actions leading to the beginnings of Valentine's Day were actually centered on the avoidance of war? A Catholic priest named Valentine defied the orders of the Emperor Claudius II and secretly married young men and their brides after the emperor had declared it illegal because only single, young men could be sent to war. Rather than lose potential soldiers to fight his war, Claudius attempted to hoard them by proclaiming marriage illegal.

Valentine continued to marry young couples anyway and, eventually, was put to death for it in 270 AD. Before his death, he sent a letter to a secret love and signed it “From your Valentine”. Nearly 1,800 years later, people are still signing letters and cards in this manner. This year, carry on the tradition started long ago, while adding your own twist. Here are a few suggestions.

Simple and Creative Valentine's Day Ideas

  • Memorialize it with a Photo. Couples often have photos taken around Christmas, but Valentine's Day photos allow you to capitalize on romance. Famous couple Julia Child and her husband, Paul, had their picture taken together every Valentine's Day and included their sense of humor with silly props.
  • Return to Your First Date Location. Even if your first date together was at a local hotdog stand, its sentimental value can make it a fun part of your Valentine's Day agenda. Be creative and make a treasure hunt with clues that lead your partner to the original date location, where you can express your love with flowers or a gift.
  • “From Your Valentine” Messages. Deliver your message in a creative way to make this Valentine's Day stand out from the others. Bake your partner's favorite treat and write a message on it with a tube of icing, or draw a note on the steamed up mirror so it shows up when your partner takes a shower.

Although Valentine's Day is a day to celebrate love, it doesn't have to be a special day only for couples. If you're single, use this special day to shower yourself with love, because you're worth it! After all, the priest Valentine believed so strongly in the sanctity of love that he was willing to risk his life for it. Whether you're in a relationship or single, young or old, romantic or not, Valentine's Day is for you. Happy Valentine’s Day from the orthodontic office of Dr. Andrew Nalin.

What is dentofacial orthopedics?

February 7th, 2024

You may have noticed that we specialize in orthodontics and dentofacial orthopedics. And while most people we talk to have heard of orthodontics, many are confused by the dentofacial orthopedics part of the title. Today, Dr. Andrew Nalin and our team thought we would explain the difference.

While orthodontics entails the management of tooth movement, dentofacial orthopedics involves the guidance of facial growth and facial development, which occurs for the most part during childhood, and is a reason why kids are often the best candidates for receiving dentofacial orthopedic therapy. Dr. Andrew Nalin will examine and monitor your child’s growth to determine when starting treatment will be most effective. If your child begins orthodontic treatment before his or her adult teeth have erupted, it is known as Phase-One treatment. During this phase, Dr. Andrew Nalin will use treatments designed to correct your child’s jaw growth and make sure that the jaw bone is properly aligned before beginning the next phase of treatment, which usually involves placing braces to straighten your child's teeth.

Dentofacial orthopedics is also used to treat adult patients at Nalin Orthodontics, however, this process may involve surgery. With our younger patients, we know the jaw bones are still forming, making it easier for our team at Nalin Orthodontics to control bone growth and tooth movement. Adults, however, are a different story; their bones are no longer growing, and their jaw bones have hardened, so it is more difficult to adjust the bite and move teeth into proper alignment. Dr. Andrew Nalin may recommend surgery to adjust the jaw bone and establish the proper bite alignment before beginning treatment.

Because our team at Nalin Orthodontics is skilled in both areas, we are able to diagnose any misalignments in the teeth and jaw as well as the facial structure, and can devise a treatment plan that integrates both orthodontic and dentofacial orthopedic treatments.

We hope that helps! To learn more about dentofacial orthopedics, and to find out if this type of treatment is right for you, please contact our Mount Vernon, WA office and schedule an initial consultation for you or your child. It’s never too late to get a great smile, and we can’t wait to help you or your child get started.

Brushing with Braces: How to Keep a Clean Mouth

January 24th, 2024

A clean mouth is a happy mouth. And when Dr. Andrew Nalin and our staff see you have a clean mouth, we are happy too. Of course, all of this should make you happy because you’re the one preventing sneaky little food bits from getting trapped under the wires of your braces.

Still, you need to be thorough with your brushing. When you have braces, you’re playing a game of hide-and-go-seek with everything you eat. Here are five tips to keep your mouth (and us) happy.

  1. How is brushing with braces like geometry? It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down. Brush the bottom of your teeth with the brush angled up. Pointy brushes, aka interproximal brushes, are good for reaching the tiny spots around braces.
  2. Brush after every meal. If those sneaky little food bits hide in your mouth for very long, they’ll turn into plaque. And plaque is a sign of a very unhappy mouth.
  3. Brush one tooth at a time for at least ten seconds, and pay close attention to the spots where your braces touch your teeth.
  4. Fluoride is your new BFF. Make sure your toothpaste and mouthwash contain this cavity-fighting ingredient.
  5. Braces are no excuse not to floss. In fact, saying you can’t floss because you have braces is like saying the dog ate your homework. Dr. Andrew Nalin and our staff, like your geometry teacher, aren’t going to buy it. Be sure to floss after every meal.

Love your new smile? Tell us about it!

January 17th, 2024

At Nalin Orthodontics, we proudly treat adults, teens, and children; no matter what your age, we believe you deserve a great smile. Our warm and welcoming team is known for their for their exceptional orthodontic skills. Dr. Andrew Nalin and our talented team have been creating beautiful smiles for years, and today would like to ask: what do you love about your new smile? How has your smile improved your life?

Whether you’ve just come in for an initial orthodontic consultation with Dr. Andrew Nalin or your family has been visiting office for years, we would love to hear your thoughts about your treatment. In fact, we encourage you to leave a few words for us below or on our Facebook page!

We look forward to reading your feedback!

Orthodontic Emergency Care

January 10th, 2024

Although major orthodontic emergencies are relatively rare, when they do happen it is important to seek immediate attention. By comparison, a minor orthodontic issue is something you can usually take care of yourself, or wait until your next scheduled appointment for care. Here are some guidelines to help you understand the difference between an orthodontic emergency and a minor issue.

Orthodontic Emergencies

Acute, Direct Injury to the Mouth, Jaw, or Teeth

Whether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should see a doctor or dentist immediately. You may need an X-ray to determine the extent of your injury. If the injury affects the orthodontic appliances, they will need adjustment or possibly replacement, depending upon the extent of the injury.

Infected Teeth

It is possible for teeth to become infected following orthodontic treatment. This may or may not be related to your orthodontic appliances. If you experience pain or swelling around a tooth that gets progressively worse, seek professional care as soon as possible.

Minor Orthodontic Issues

While true orthodontic emergencies are rare, minor issues are much more common. Here are some examples of minor orthodontic issues that can be remedied on your own and/or fixed at your next office visit:

  • Poking wire
  • Loose bracket
  • Loose elastic band
  • Loose wire
  • Loose appliance
  • Headgear does not fit
  • Lost or broken elastic band
  • General soreness

Any of the above issues can happen as a result of normal usage, shifting, and wear of your braces. Eating unusually hard or sticky foods can cause or exacerbate these problems. Vigorous brushing of the teeth can also be a factor. None of these issues are emergencies unless they are accompanied by acute or prolonged pain or discomfort.

As for on-the-spot remedies, covering a loose bracket or wire with wax can be a quick fix to alleviate discomfort until your next orthodontist visit. Poking or protruding wires can be moved with a cotton swab or tweezers, or clipped down with nail clippers. Be sure to sterilize the tweezers or clippers in alcohol first. Cover any clipped wire ends with a small ball of wax.

Some soreness or small abrasions in the mouth are normal, especially with recent orthodontic work. Rinse your mouth with a saltwater solution comprised of eight ounces or warm water and one teaspoon of salt.

When in doubt, be sure to contact our Mount Vernon, WA office with any questions, or to schedule an appointment with Dr. Andrew Nalin at Nalin Orthodontics.

Worst Candy for Braces

December 20th, 2023

Most kids love candy; actually, most people in general love candy. So when it comes time for you to get braces there can often be a natural conflict between candy consumption and maintaining the integrity of your braces. For that reason, Dr. Andrew Nalin and our team know that it’s good to know which types of candy are not good for your braces. To better illustrate, here are some candies that you will want to avoid.

Caramel

Caramel is a sweet and often exceedingly sticky and chewy type of candy that just does not mix well with braces. Caramel can cause a mess in regular teeth, but teeth with braces are a whole other story. The sticky candy can very easily get lodged and stuck between the teeth, gums, and braces, making for a difficult task of cleaning your mouth. And if your teeth don't get cleaned properly, cavities can easily form. If you get cavities while you have braces, that could mean additional appointments at our Mount Vernon, WA office and an extended treatment time.

Salt Water Taffy

Another sticky and chewy candy to avoid with braces is salt water taffy. For many of the same reasons as caramel, it is best to avoid taffy until you get your braces removed. It may be a long wait, but when it comes to the health of your teeth, and the purpose of your braces, it really is best to avoid taffy.

Popcorn

Popcorn of any kind is best to avoid when you have braces. The kernels can easily do damage to the braces as you chomp on them, and they can get stuck between your teeth and the braces causing discomfort and further complications. In this sense it does not matter which flavor of candy popcorn you eat, all popcorn is bad news until you get your braces off.

Generally speaking, any candy that is chewy, crunchy, or sticky is not a good idea to eat with braces in your mouth. These types of candy will make life wearing braces much more difficult than if you were to just wait until your braces come off. With a little patience you will be back to eating all your favorite candy again, and with straightened teeth at that.

Top Five Best Foods for Oral Health

December 13th, 2023

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Dr. Andrew Nalin and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Mount Vernon, WA office!

Celebrate the Season with Braces-Friendly Treats

December 6th, 2023

It’s the most wonderful time of the year, with the holidays around the corner, and visions of sugarplums and other tasty desserts dancing in everyone’s head.

Except, this year you have braces. This means some of your favorites might be on the naughty list. What to avoid? The same kinds of foods that you avoid now: anything hard, crunchy, sticky, or chewy. This means some of the traditional holiday favorites will have to be postponed for a while:

  • Pecan Pies

A festive tradition! But, nuts in a sticky sugar filling? Time to create a new dessert tradition that will be less of a problem for wires and brackets.

  • Gum Drops, Caramels, & Toffees

These super-sticky, chewy treats are definitely hazardous for your braces. Find a soft candy alternative instead.

  • Candy Canes & Hard Candies

Hard, sticky, and crunchy? Let’s save these candies for decorating the gingerbread house this year.

So what can you eat?

Luckily, there are plenty of dessert options that are nice to wires and brackets! Let’s look at some festive treats that also easy on your braces.

  • Cupcakes & Cakes

Soft, moist cupcakes and cakes should be no problem. Fruitcake, with its sticky dried fruits and nuts, should be avoided—which is a perfect excuse if you’re not a fan!

  • Pudding

Puddings are a smooth easy-to-eat treat, so enjoy! But know your puddings. Some traditional holiday puddings are more cakelike and contain the same chewy ingredients as fruitcakes, so the same advice applies—if it contains dried fruits and nuts, this is not the dessert for you.

  • Soft Candies

The same soft chocolates that you could eat for Halloween are good now, too! If it’s just not the holidays without peppermint, smooth peppermint patties are the way to go.

  • Pies & Other Favorites

Pecan pies are a firm no, but velvety desserts like pumpkin pie, cream pies, and cheesecake should be fine. And be sure you pick only the soft cookies in the holiday cookie exchange!

When you visit our Mount Vernon, WA office, ask Dr. Andrew Nalin about these and other holiday treats to make sure they are safe for you and your braces. And one more word before we all dig in—too much sugar in your diet creates the perfect conditions for cavity-causing bacteria. But there’s no need to give up all your holiday treats.

Just as you would brush after any dessert without braces, be sure to brush now that you have them. Be especially careful to remove any sugary residue from around your brackets, between your teeth, and near your gum line. And it’s always best to eat sweet treats as part of a meal, to reduce the effect of sugars and acids on your teeth.

Oh, and about those sugarplums? These candies originally contained no soft, tender plums at all. They were actually tiny treats created by coating a seed or nut center with a hard sugar shell. But you don’t need to worry about missing out on Victorian treats—with all of your delicious and braces-safe dessert choices, you’ll be enjoying a very sweet holiday season!

I got my braces. Now what?

November 29th, 2023

You’ve taken the first step toward a healthier and more beautiful appearance by getting braces at Nalin Orthodontics, and you’re probably wondering what comes next. The first week is the period of biggest adjustment, and there’s a lot to learn in this short time. Don’t worry; in a few short days your braces will feel completely natural.

The first week

On the first day, your braces will probably feel very odd in your mouth; it will take time to get used to them. By the second day, you may feel some soreness or pain. If you are going to experience any pain, the second and third days are when it will happen. Most pain can be dealt with by taking an over-the-counter pain reliever, such as Tylenol.

What about sore spots?

Your cheeks and tongue are getting used to your new braces, just like your teeth are. You may develop sore spots where this soft tissue rubs against the harsh metal of your braces. The best way to avoid this and allow your mouth to heal is by covering the metal spot with orthodontic wax. Break off a small piece and roll it into a ball in your hands. Dry the metal of the braces with a cotton swab, then wrap the wax around the sharp spot to create a cushion.

What if they break?

Braces are held onto your teeth with special orthodontic glue. Once in a great while, part of your appliance may come loose from the surface of a tooth. This won’t harm anything; it will just be slightly inconvenient. Call our office right away and we will be able to glue the bracket back on.

Make sure you avoid hard items such as ice, brittle, and other hard candies, and don’t open packages with your teeth. These habits can contribute to braces popping off. Even fairly innocent-sounding items like popcorn or French bread can be a culprit, so avoid eating any hard foods, or cut them up into small pieces before consuming.

If you have questions about which foods to eat and avoid, or if your braces are more sore than expected, feel free to contact our Mount Vernon, WA office and ask Dr. Andrew Nalin and our team. We’re more than happy to help!

Thanksgiving Trivia

November 22nd, 2023

At Nalin Orthodontics we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Andrew Nalin wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

Teens and Gum Disease

October 18th, 2023

You have a lot going on. School. Sports. Activities. Family. Friends. Teens lead busy lives and have busy schedules, so you need to budget your time and energy. One thing you don’t want to spend any of your time and energy on? Dealing with gum disease.

Gum disease most often begins as a reaction to plaque and tartar. The bacteria in plaque produce acids which irritate gum tissue, causing inflammation, swelling, and bleeding. This is gingivitis, the early stage of gum disease.

Left untreated, early gum disease can become periodontitis. Periodontitis is a serious gum infection which can cause receding gums, loose teeth, and even tooth and bone loss.

We usually think about gum disease as something that only older adults worry about. But the unfortunate fact is that children and teens are also at risk for gum disease—and the teen years bring special risks. Why?

  • Braces

The teen years are the most common years for orthodontic treatment. Wearing traditional or lingual braces can make removing plaque from around brackets and wires, between the teeth, and near the gum line more challenging, and gum disease can be the result. When you’ve been working so hard to create a healthy attractive smile, you don’t want to delay your orthodontic progress to treat gum disease.

  • Less-than-Nutritious Snacking

When you have after school commitments like sports practices, play rehearsals, or work, you probably carry a snack to give you the energy you need until dinner. Popular snacks like energy drinks, chips, or candy bars are common go-to choices, but they contain acids, simple carbs, and sugars which are bad for both gums and tooth enamel.

  • Hormones

Increased hormone levels during puberty can make the gums more sensitive and more easily irritated.

  • Your Busy Life

Maybe you’re not getting enough sleep. Or eating as well as you could. Or you’re feeling anxious. Lack of sleep, poor nutrition, and stress can affect your body’s immune system and your ability to fight off infection. And if you’re also not brushing and flossing regularly, your gum health can really suffer.

How do you know if you have gum disease? Good question! Sometimes the early stages of gum disease aren’t obvious. Perhaps you’ve noticed changes in your gums, such as:

  • Redness
  • Swelling
  • Soreness
  • Bleeding
  • Bad breath even after brushing

Any of these changes can be symptoms of gum disease and are a good reason to give our Mount Vernon, WA office a call, since time is important when treating gum disease.

Caught early, gingivitis is usually very treatable—in fact, you can often reverse early gingivitis by paying more attention to your daily dental hygiene. If gingivitis is more advanced, or if periodontitis develops, you need professional dental care to prevent serious damage to your gums, teeth, and bone.

Preventing gum disease from ever developing is always best, though, so let’s look at what you can do to keep gum disease from becoming a problem.

  • Keep Up with Healthy Dental Habits

Even though you’re leading a busy life, take time for your dental care. Brushing twice a day for at least two minutes per session and flossing once a day take just a bit of your time and are the best way to keep your gums healthy. If you wear braces or have a tendency toward cavities and gum disease, Dr. Andrew Nalin might recommend brushing or flossing more often.

  • Use the Right Tools

Using the right tools makes a big difference. You should always choose a toothbrush with soft bristles to protect your delicate gum tissue—especially if it’s extra sensitive. Too-harsh brushing can damage even your super-hard tooth enamel, so you can imagine what it can do to your gums! Change out your brush every three to four months when it starts to get frayed and worn.

If you wear braces, ask Dr. Andrew Nalin to recommend the best kind of floss to clean between your teeth and around your brackets and wires. The right tools will make flossing a lot easier, and will help you keep your gums healthy and your orthodontic treatment on track.

  • No Matter How Busy You Are, Treat Yourself Well

Watch your diet. Drinking water to hydrate is a healthy (and inexpensive) alternative to sugary and acidic drinks. When you know you have after-school commitments, pack yourself a healthy snack. After snacking, it’s a good idea to rinse with water when you can’t brush to remove any food particles sticking around your teeth and gums.

And even though your schedule is demanding, caring for your mind and body should be a priority. If you have difficulties with sleep or stress, or questions about a nutritious diet, talk to your doctor for some valuable tips to make your daily life healthier and more enjoyable.

With so much going on in your active life, gum problems are problems you really don’t need. Make room in your schedule now for careful daily brushing and flossing, a healthy lifestyle, and regular visits to Nalin Orthodontics, and you’ll be living that active life with a beautiful, healthy smile!

Aftercare After Extraction

October 11th, 2023

Orthodontists do everything they can to save teeth, but sometimes, a tooth is so damaged by accident, injury, infection, or decay that extraction is the only option. Or perhaps your child’s wisdom teeth are starting to come in—and starting to cause problems. Or, when this is the healthiest alternative, an extraction might be necessary for orthodontic reasons.

While there are several possible reasons an extraction might be necessary, one thing is true for any extraction: you want to make sure that your child is as comfortable as possible and heals as quickly as possible after the procedure.

Aftercare and recovery time isn’t exactly the same for every extraction. Whether your child’s tooth is a baby tooth or a permanent one, whether it’s a single tooth or several, whether it’s erupted or impacted, whether a local anesthetic or sedation is recommended—these factors and more can make a difference in recovery time.

Dr. Andrew Nalin will provide you with clear, specific instructions for helping your child to a speedy recovery after an extraction. We’d also like to offer you some general aftercare ideas to make sure your child is as comfortable as possible while recovering.

  • Bleeding

Some bleeding is normal after an extraction. Follow your dentist or oral surgeon’s instructions carefully to minimize bleeding at the extraction site. Your child will probably need to keep a gauze pack in place for as long as directed to reduce bleeding and to help a clot form. If bleeding is heavier than expected or goes on longer than expected, call our Mount Vernon, WA office.

  • Swelling

Swelling is a normal response to extractions. Your dentist might suggest cold compresses to help reduce swelling immediately after the extraction. If you don’t have an ice pack, ask whether a bag of frozen peas or corn can substitute.

With any cold compress, it’s important to protect your child’s skin from injury. Follow your dentist’s suggestions for application and be sure not to exceed the time limits recommended. And don’t apply a compress directly to your child’s face—wrap a towel or cloth around the bag or pack to protect the skin.

  • Careful Cleaning

The area around the extraction shouldn’t be disturbed or touched. The blood clot that forms after an extraction protects the area from irritation and infection caused by food particles and bacteria. If a clot is dislodged accidentally, it can lead to a condition called dry socket, which can be very painful.

This means no brushing near the extraction site, and no heavy rinsing or spitting for as long as directed. If your child is younger, you might need to help with brushing over the days following to make sure those sturdy bristles don’t get close to the extraction site before it’s healed.

  • Soothing Foods

Have a supply of your child’s favorite comfort foods handy while healing, such as cream soups, mashed potatoes, scrambled eggs, gelatin, yogurt, and smoothies. Hot and cold foods can be irritating, so stick to cool or lukewarm foods for the first few days. Encourage your child to drink lots of liquids, but nothing carbonated. And do wait until any numbness wears off before giving your child chewable foods to avoid biting tongue or cheeks.

Remove spicy favorites from the menu, which can be irritating, as well as chewy, crunchy, or jagged foods like crackers, since tiny, sharp bits of food can make their way inside the site. Remind your child to chew on the side of the mouth opposite from the extraction site. And, since suction is an all-too-easy way to dislodge the clot over the extraction site, no straws!

  • Schedule Recovery Time

Make sure your child rests and takes it easy after the procedure. Exercise, lifting, even bending over can dislodge a protective clot, so re-schedule any physically demanding sports and activities until your child is given the dental all clear.

  • Medication

If your child has been given a prescription for pain medication or antibiotics, follow the instructions as directed. Dr. Andrew Nalin might recommend age-appropriate over the counter pain relievers to have on hand. For severe or continuing pain, call your orthodontist or oral surgeon right away.

  • Coordinate Dental Schedules

Orthodontic extractions, if needed, will be scheduled into your child’s orthodontic treatment plan. Treatment can begin or resume when the extraction site has healed.

If an emergency extraction is necessary, call our Mount Vernon, WA office so we can be aware of the situation and can coordinate with your child’s dentist or oral surgeon to keep treatment on track as much as possible.

An extraction can be worrying for both patient and parent, so talk to your orthodontist for the best ways to make this experience a positive one for your child before, during, and after treatment.

Fall Holiday Guide for Braces

October 4th, 2023

If this is your child’s first holiday season with braces, here are some tips on how to help children get the most enjoyment from these celebrations without compromising their braces or leaving them feeling left out of the festivities.

Halloween

When you think dental health, “Halloween” is not usually the first thing that comes to mind. Halloween can be tricky, but with some planning and intervention, you can make sure your child doesn’t miss out on the treats that make the holiday a favorite.

Braces present other challenges besides dealing with the scary amount of sugar in every trick-or-treat bag. Certain treats can be a challenge to clean from braces, and can even cause broken brackets and wires. How to avoid these frightful results?

  • Go through your child’s treat bag when you get home after neighborhood trick-or-treating. Anything which can damage braces, such as regular gum, candy with nuts or caramel, or hard or chewy candies should be discarded. Perhaps you and your child can choose a selection of soft candy such as plain chocolate and peanut butter cups to trade for those tricky treats. Your child’s favorite soft fruits, cupcakes, and cookies could also be safe substitutes.
  • Party time? Candy apples, bowls of candy corn, and popcorn balls are favorite treats at Halloween parties, but very bad for braces. Help your child recognize what should be avoided before attending, and suggest safe options like soft cupcakes.
  • Finally, even safe treats will leave more sugar than normal in your child’s mouth and therefore more potential for plaque build-up. Brush and floss more often, if needed, and rinse regularly with water.

Talk candy guidelines over in advance with your child. If you’d like, Dr. Andrew Nalin can recommend safe alternatives. With your help, Halloween won’t be a fearsome experience for you or your trick-or-treater.

Thanksgiving

Now, this is a holiday to be thankful for! Almost all of your traditional favorites are perfect for family members with braces.

  • Appetizers: Offer soft food options such as silky cheeses and deviled eggs instead of crunchy vegetables, chips, and nuts.
  • Dinner: Turkey is a required dish on many tables, and no need to miss out! Just make sure pieces are bite-size and off the bone. Creamy mashed potatoes and gravy and jellied cranberry sauce are also braces-friendly traditions. Any cooked vegetable should be fine, but do cut the corn from the cob first. Dressing is a great side dish if your child avoids any crunchy tops and edges, as are soft, nut-free rolls and muffins.
  • Dessert: Pumpkin pie, cheesecake, and apple pie with ice cream are all safe (and delicious) choices. Leave the pecan pie, caramel sauce, and anything nutty or chewy off your child’s menu. And remember to brush and floss carefully after the feast!

If you are concerned that following the usual food guidelines might be a little more difficult during this time of year, talk to us. Dr. Andrew Nalin and our team are happy to suggest ways to make your child’s first holidays with braces memorable for all the right reasons. The last thing you’ll want is an emergency visit to our Mount Vernon, WA office!

Your Child’s First Visit to the Orthodontist

September 27th, 2023

We often think of braces as a rite of passage for kids in middle and high school. So you might be surprised when your child’s dentist recommends a visit to see Dr. Andrew Nalin years earlier than you anticipated. In fact, dentists and orthodontists generally suggest a visit to the orthodontist by age seven at the latest.

Why see an orthodontist so early?

After all, your child is still growing, and many adult teeth haven’t come in at that age. And that’s the whole point.

Around this age, your child will probably have a mix of both baby and adult teeth, so your orthodontist will be able to assess whether there’s enough room for the permanent teeth to erupt without crowding or spacing problems. And malocclusions, or bad bites, caused by problems with jaw size or symmetry can be addressed while young bones are still forming and developing.

If your child has a first appointment coming up on the calendar, here’s a heads up on what often happens during a first visit, and potential problems your orthodontist will be on the lookout for.

What can you expect at a first visit?

The first visit is designed to evaluate how your child’s teeth and jaws work together now, and to look for potential future problems with tooth alignment and jaw structure and development.

First, Dr. Andrew Nalin will carefully examine your child’s teeth, jaws, and mouth. Your child will be asked to bite down several times to see how the teeth and jaws fit together, and if there’s any discomfort. Other helpful diagnostic tools could include:

  • Scans or X-rays to evaluate jaw structure and the position of teeth which haven’t erupted yet
  • Photos of your child’s teeth and face
  • An impression of your child’s teeth

If there’s no immediate need for treatment, we might recommend periodic checkups at our Mount Vernon, WA orthodontic office to follow the growth and development of your child’s teeth and jaws. If interceptive (early) treatment is your child’s best option for a healthy smile, your orthodontist will explain any immediate orthodontic issues and design a treatment plan tailored to your child’s specific needs.

What are the benefits of early treatment?

Interceptive treatment not only helps correct current orthodontic problems, it can help reduce the need for more complicated treatment in the future, when all of the adult teeth have arrived and bones are fully formed. Among its many benefits, early treatment can:

  • Prevent crowding

If your child has a small upper palate, it can be gently enlarged while the palate is still growing with the help of a palatal expander. This will give the upper teeth the space they need to come in without crowding.

  • Provide space

If primary teeth are lost too early, other teeth can shift out of alignment to fill the empty space. A space maintainer can be custom-made to keep the spot open until the right tooth is ready to erupt. If primary teeth are overstaying their welcome, Dr. Andrew Nalin might recommend extraction to allow the adult teeth to erupt in the proper place.

  • Create jaw symmetry

Malocclusions can develop because the upper or lower jaw is too narrow, too far forward, too far back, or the jawbones don’t fit together properly. Dr. Andrew Nalin might suggest the use of a functional appliance such as the Herbst® appliance or headgear to help guide symmetrical bone development while your child’s young bones are still growing and forming.

  • Protect teeth

Children with overjets, or protruding upper teeth, are more likely to suffer chips, cracks, and other trauma to those vulnerable front teeth. Functional appliances can help bring the upper and lower jaws into alignment as needed, and braces can move the teeth into alignment.

Every journey to a healthy smile begins with a first visit. And you don’t need to wait until your child is seven. Any time you’re concerned about an orthodontic issue is a good time for a consultation. Talk to Dr. Andrew Nalin about what to expect at your first visit to help create a comfortable experience for your child as you begin this journey together.               

Your Sunny Smile

September 20th, 2023

Your beaming smile makes a sunny day even brighter—and that sunny day can return the favor! How does the sun affect your dental health? Let’s shine some light on the subject.

You may have heard how important calcium is to your body. Over 99% of the calcium in our bodies is used to form teeth and bones, providing strength and structure to the hardest parts of the body. But that’s not the only task on the calcium to-do list. Calcium is also necessary for:

  • muscles to work
  • nerves to carry messages
  • blood to deliver nutrients and oxygen
  • the release of hormones

When we don’t get enough calcium in our diets, our bodies start to draw the calcium they need for these critical functions from our teeth and bones. Over time, a severe calcium deficiency can lead to teeth that are brittle, or more vulnerable to decay, or loose due to weakened bone density in the jaw.

Keeping up with your calcium is especially important when you’re wearing braces or aligners. Calcium helps protect you from tooth decay and gum disease, which could delay your treatment. And you want your jaw bones strong and healthy as the bone tissue reforms and then stabilizes around your teeth as they move to their new, ideal positions.

We can get the calcium we need from a balanced diet. Dairy products are our most common source of calcium, and several servings of milk, cheese, or yogurt each day supply most of our needs. If dairy’s not on your menu, though, you can get calcium from other foods like broccoli, kale, collard greens, canned salmon, or sardines. Because calcium is so essential to our health, many foods are fortified with it, including fortified juices, bread, cereals—even tofu!

But there’s a snag here, and it’s a big one. We can’t really benefit from our careful consumption of calcium without the help of vitamin D. If calcium is the doorway to strong teeth and bones, vitamin D is the key which unlocks all of calcium’s benefits.

Without enough vitamin D, our bodies can’t absorb and make use of calcium. However, getting enough of this essential vitamin can be a problem. While we can get most of the vitamins we need from a balanced diet, there aren’t a lot of foods which are naturally rich in vitamin D.

So, how do we get this vital vitamin? The original option comes from nature.

  • Sunlight

Vitamin D is called “the sunshine vitamin” because of the unique chemical reaction which creates it. When the ultraviolet B rays of the sun reach special cells in our skin, they convert cholesterol in these cells to a basic form of vitamin D. These vitamin molecules travel through the body, picking up hydrogen and oxygen molecules in the liver and kidneys to become active vitamin D.

Since sunlight exposure is easy, available, and free, it seems like a simple solution to getting the vitamin D we need.

But we’ve understandably moved away from the days of basking in the sun for hours at a time. Over-exposure to UV rays damages the skin, causing premature aging and, worse, a much greater risk of skin cancer. If you enjoy time in the sun, talk to your doctor about safe sun exposure, which can depend on the part of the country you live in, the time of year, and your individual skin type.

And, if you need to avoid sun exposure, there are other opportunities for getting the vitamin D you need.

  • Diet

While there aren’t a lot of foods which are naturally rich in vitamin D, there are still a few options on the menu. Oily fish like salmon, tuna, and herring—and old-fashioned cod liver oil—are good sources of the vitamin. But most of us don’t live on a strict fish diet!

Instead, we can get the vitamin D we need from fortified foods. Vitamin D is commonly added to cow’s milk, soy milk, orange juice, and cereals to make sure the calcium in our diet is working effectively to keep our teeth and bones strong. Check out nutritional labels to discover whether your favorite grocery products contain vitamin D. And don’t forget to choose foods that are braces-friendly, as well!

  • Supplements

For hundreds of years, people who lived in climates and cities without a lot of sunshine suffered from the effects of vitamin D deficiency. Diseases like rickets, where the teeth and bones don’t form properly, were common in children. Adults who couldn’t absorb enough calcium suffered from weak teeth and bones.

Today, depending on age, allergies to sun or food products, dietary choices, and health conditions, some people are still at risk for vitamin D deficiency. If you’ve been diagnosed with this deficiency, your doctor might recommend a vitamin D supplement. (It’s important to take any supplement as directed, because taking too much vitamin D can be harmful, too.)

So, which form of vitamin D is best? Fortified foods? Supplements? Or is it that radiant original source—the sun? No need to worry. With any form of vitamin D, you’re getting the key you need to unlock the benefits of the calcium in your diet—for healthy teeth and bones before, during, and after your treatment at our Mount Vernon, WA orthodontic office. Your sunny smile will thank you!

Ouch! Are You Biting Your Cheeks More Often?

September 13th, 2023

You’re biting into something delicious, and, Ouch! You bite into something you didn’t mean to—the inside of your tender cheek.

Painful moments like this happen every now and again. But if you find that more frequent cheek biting means that you’re extra-cautious when eating or speaking, if you wake up with sore cheeks in the morning, or if you catch yourself gnawing on your cheeks during the day, it’s time to see Dr. Andrew Nalin.

Causes of Cheek Biting

Many of us experience the occasional cheek chomp when we’re eating or talking. No fun! Besides the pain, a bite can cause broken skin, inflammation, a canker sore, or a cyst. Luckily, the discomfort from these accidental bites generally resolves after a few days.  

Sometimes, though, biting becomes a more frequent annoyance. Regular bites can be caused by several conditions. One of the most common?

  • Orthodontic Misalignment

If you notice that you seem to be biting your cheek a lot when eating or speaking, it could be an orthodontic problem. When your teeth or jaws don’t align properly, if your mouth is small in proportion to your teeth, or if your teeth have shifted over time, your cheeks can feel the consequences! Dr. Andrew Nalin can help you discover if a misaligned bite is the source of your biting problems.

But it’s not just orthodontic problems which can cause painful cheek bites. Other causes can include:

  • Bruxism

Bruxism is a medical term for tooth grinding. If you clench or grind your teeth as you sleep, it’s hard on your teeth and on your jaws. And for some people, that nightly gnashing causes cheek biting as well.

  • Wisdom Teeth

Most of us don’t have the room to welcome four new—and large—teeth. As the wisdom teeth come in, they can cause bites, especially if they erupt leaning outward toward your cheeks. They can also push your other teeth out of place.

Treatment Options

Why visit our Mount Vernon, WA orthodontic office? A one-time bite can be extremely uncomfortable, and might lead to inflammation or a sore spot inside your mouth. Usually, these reactions fade in a short while.

But what about continuous biting? Regular biting injuries can lead to bigger problems. Tissue can get thicker or erode. Scar tissue can build up inside the mouth. Ulcers and other sores can become larger and more painful.

If you’ve been biting your cheeks more often, your orthodontist can diagnose the cause and offer you treatment options depending on the reason for this frequent biting:

  • Orthodontic Treatment

Orthodontic treatment can improve tooth and bite alignment—and can eliminate those painful cheek bites if misalignment is what’s causing them. Today’s orthodontics offers more options than ever before, for both adults and kids.

  • Traditional braces are more effective—and more subtle—than ever, with brackets which are smaller or come in clear and ceramic styles.
  • Clear aligners are a convenient, almost invisible way to treat misalignment with a series of trays which gradually improve alignment with each new set.
  • Lingual braces are attached to the back of the teeth, so there are no visible brackets and wires.
  • Functional appliances can improve and correct bite issues which braces or aligners alone can’t treat as effectively.

Whatever the reason for painful cheek biting, you deserve to eat and speak and enjoy your day without constant “Ouch!” moments affecting your comfort and health. If these moments are happening all too often, visit our Mount Vernon, WA office for the answers to your biting problems.

Going Back to School with Braces

September 6th, 2023

Going back to school is already an exciting (and sometimes nerve-racking) time so we don't want your braces adding to that. Our Mount Vernon, WA team has compiled some helpful tips to make the process as easy and fun as possible.

1. Make sure you pack or purchase braces-friendly lunches

Try to avoid overly crunchy foods (think carrots, celery, hard crackers) especially if your teeth are sore from having your braces tightened. But you shouldn't stop eating healthful foods that fall in this category. For instance apples can be sliced into wedges or carrots can be cut into coins.

You should also avoid sticky foods like candy or gum that can and will stick in your braces like glue! Softer foods are easier on your teeth and braces, so aim to make a good portion of your lunch on the softer side.

2. Have a braces kit in your backpack or locker

Having some useful items on hand at school when you need them is one of the most helpful things you can do. Pack some wax for sores or tenderness, floss and/or flossing tools made for braces, a toothbrush and toothpaste, a small cup for rinsing, a small mirror to check for trapped food, and some lip balm if your lips tend to chap. With these tools on hand, you'll avoid most if not all braces-related nuisances!

3. Know that you're not alone

If you're feeling self-conscious about your braces, don't. Be proud of them! There are many other people your age who have braces, and if they don't have them now, they probably will in the future. Relax and know that you're on the path to a straighter and healthier smile.

If you have any questions about making your transition into "braceshood," just ask Dr. Andrew Nalin or any member of our Mount Vernon, WA team! We're here to help make your braces experience (and your smile) the best it can be.

What’s the Function of Functional Appliances?

August 30th, 2023

Whenever we bite down, we’re applying force with our jaw muscles. Functional appliances direct these forces to create healthier tooth and jaw alignment. They’re used to help correct bite problems and to encourage symmetrical jaw growth.

Functional appliances aren’t always necessary. Because every child’s teeth and bite are different, orthodontic treatment at our Mount Vernon, WA office is carefully tailored to your child’s individual needs.

  • For the child with minor tooth misalignment, traditional braces or aligners might be all that’s needed.
  • For the child with a minor malocclusion, or bite problem, an orthodontist might use elastics (rubber bands) to bring teeth into healthy alignment.
  • For the child who has a more serious malocclusion, involving both tooth and jaw alignment, an orthodontist might recommend a functional appliance.

A severe Class II malocclusion can be caused when the upper jaw or teeth are positioned too far forward, and/or the lower jaw is too small or positioned too far back. Common Class II malocclusions include:

  • Open bite—the front teeth don’t touch when the back teeth bite down, or the back teeth don’t touch when the front teeth close.
  • Overbite—some overbite is normal. A deep overbite occurs when the upper teeth significantly overlap the lower teeth.
  • Overjet—the upper front teeth protrude further horizontally than they should.

Today’s functional appliances come in a variety of designs to treat Class II malocclusions. They can be fixed or removable. They can be used with or without braces. Some are designed to expand the upper palate to make sure there’s room for all the permanent teeth. What they all do is advance the position of the lower teeth and jaw to create a healthier, more comfortable bite.

Fixed devices are attached to the teeth and meant to be used full-time. These include the Forsus™ device, the Herbst® appliance, and the MARA appliance.

  • Forsus Device

This appliance works with braces. A spring coil rod is most often attached to bands on the first molars on the upper jaw. It’s then connected to the arch wire on the lower jaw. Just like elastics—but more effective!—these spring coil rods provide gentle forward pressure that encourages the lower jaw and teeth forward.  

  • Herbst Appliance

The Herbst appliance also applies forward pressure to the lower jaw using telescoping rods connecting the upper and lower teeth. The rods expand as the mouth opens, and telescope together as it closes, positioning the lower jaw further forward while the upper jaw is held back. The Herbst can be worn alone or with braces, and can also be used to expand the upper palate.

  • MARA Appliance

The MARA (Mandibular Anterior Repositioning Appliance) uses an adjustable “elbow” piece connecting bands on upper and lower molars to guide the lower jaw and teeth forward when the jaw closes.

Removable appliances such as Bionator and Twin Block appliances can also improve Class II malocclusions. They are meant to be worn for a specific number of hours each day, and can be taken out for sports or other activities as needed. Because it’s essential to get all the necessary hours in, removable appliances require commitment!

  • Bionators

A bionator is made of wire and acrylic, and it looks a lot like a retainer. The wire fits around the upper front teeth. It’s attached to a smooth piece of acrylic that sits behind the upper teeth and is shaped to guide the lower jaw forward when biting down. The bionator can also be adjusted to expand the upper palate.

  • Twin Block Appliance

The twin block appliance uses two separate pieces made of wire and smooth acrylic. Both pieces are modeled to fit precisely over the upper and lower arches. The acrylic “blocks” fit over the biting surfaces of the teeth, working together like a 3D puzzle. When your child bites down, the upper blocks slide into place behind the lower blocks, pushing the lower jaw and teeth forward. The top plate can also be adjusted to expand the upper palate if needed.

Because these appliances are best used while a child’s bones are still growing and developing, dentists and orthodontists recommend an orthodontic evaluation by age seven. Early treatment with a functional appliance can help correct serious bite problems before or together with braces. In some cases, functional appliances may reduce the need for headgear or surgery.

Todays’ orthodontic technology has made functional appliances more comfortable and efficient than ever before. Talk to Dr. Andrew Nalin to discover how an individualized treatment plan and a custom appliance can give your child a healthy bite and a lasting smile.

Welcome to the Office!

August 24th, 2023

What do you imagine when you picture an orthodontic office? Do you see a steady stream of teenagers walking through the doors? Teen magazines in the reception room? Backpacks stowed under every chair? If so, we have an update for you.

In today’s office, you’ll find grade school kids, teens, and adults (and children’s books and games, and even the occasional golf magazine). Today’s orthodontic patients are more diverse than ever before!

Why? Because today, more than ever, more of us can benefit from orthodontic treatment.

Young Children

Even before a child’s adult teeth come in, a visit to Nalin Orthodontics is a good idea. In fact, dentists and orthodontists recommend an orthodontic exam around the age of seven for every child.

Early intervention can make sure that there’s enough space for those incoming permanent teeth and can help correct jaw alignment problems for a healthy bite.

  • Palatal expanders can gently enlarge a small upper dental arch to make room for adult teeth.
  • Space maintainers will save room for an adult tooth to erupt in just the right spot if a baby tooth is lost too early.
  • Treatment for malocclusions like overbites, open bites, and underbites while young bones are still growing helps create a more comfortable, healthy bite and may prevent more complicated treatment in the future.

Older Adults

If you’ve always wanted straighter teeth or a pain-free bite, don’t let an imaginary age limit prevent you from getting orthodontic treatment! As long as your teeth and gums are healthy, orthodontic treatment is a terrific way to keep them healthy.

  • If you have painful bite issues which have never been treated,
  • If you’ve always wanted straighter teeth,
  • If your teeth have become more crowded over time,

there’s no time like the present to start working toward the smile you’ve always wanted.

Bonus: new technology in braces and aligners makes orthodontic treatment more subtle and discreet than ever before.

  • Traditional braces—brackets are smaller than ever, and come in a choice of several materials and colors, including ceramic brackets and tooth-colored and clear brackets.
  • Lingual braces—the least visible treatment, because brackets and wires are attached behind the teeth.
  • Clear aligners—a removable and almost invisible way to straighten teeth.

Tweens & Teens

Teenagers still make up the majority of patients in orthodontic treatment. Orthodontists often recommend starting treatment between the ages of ten to 14, because:

  • Most of the adult teeth have come in, so problems with crowding, spacing, or crooked tooth alignment can be diagnosed and corrected.
  • The jawbone is still growing, and the bone is not as dense, so it can be easier to realign teeth and jaws for straighter teeth and a symmetrical bite.

Today’s treatment choices offer more options and are more effective than ever before. Depending on a teen’s orthodontic needs, Dr. Andrew Nalin might suggest:

  • Traditional braces or aligners
  • Elastics (rubber bands) used with braces to bring the upper and lower teeth into alignment.
  • Functional appliances—together with braces or aligners, appliances like the Herbst® appliance, the Forsus™ device, the twin-block appliance, and headgear can work inside and/or outside the mouth to help correct problems with tooth and jaw alignment.

It’s no longer just the middle school and high school crowd you might meet in your orthodontist’s waiting room. Children, teenagers, and adults can all benefit from orthodontic treatment at our Mount Vernon, WA office. If someone in your family is one of those people, give your orthodontist a call to see just what orthodontic treatment can offer. Welcome in!

Three Reasons We're Fans of Fluoride

August 16th, 2023

Why all the fuss about fluoride? Your dentist recommends it, your toothpaste is formulated with it, most of our drinking water contains it. Just what is it about this mineral that makes dental professionals sing its praises? Read on for three good reasons why fluoride is a healthy choice for healthier teeth.

  1. Fluoride Works!

Fluoride is an attractive option for protecting your teeth—and we mean that literally. Fluoride protects the surface of your teeth by working on a molecular level to attract minerals which strengthen enamel and help prevent cavities.

Our tooth enamel is mostly made from calcium and phosphate ions. These elements combine to form hydroxyapatite, strong crystals which make up about 95% of our enamel. Hydroxyapatite is so strong, in fact, that tooth enamel is the hardest part of our bodies. What can go wrong?

Acids. Acids created by the bacteria in plaque and the acids in our diet strip away the calcium and phosphate ions in enamel, weakening the surface of the tooth. This process is called demineralization. Over time, weak spots become bigger as acids eat through enamel to the inner tooth, causing decay and cavities.

So, what can fluoride do?

First, fluoride helps remineralize tooth enamel. Fluoride is attracted to the tooth’s surface and bonds with its minerals. It also attracts the calcium and phosphate ions that are found in our saliva to restore any minerals that have been lost. This process helps repair any weak spots that might have begun to form.

But fluoride does more than restore and repair tooth strength—it improves it! Fluoride ions join with calcium and phosphate to form fluorapatite crystals, which are larger and stronger than hydroxyapatite crystals. Even better? These new crystals are more resistant to acids.

  1. Fluoride Is Doubly Effective

Fluoride works both externally and internally. We just looked at how fluoride helps keep teeth strong when applied to the outside of the teeth. This is called a topical application. Systemic benefits come the fluoride we consume in our diets.

Fluoride isn’t found in many foods, but it is found naturally in lakes, rivers, and other water sources. When the local water’s fluoride level is low, many communities add fluoride for its proven ability to prevent cavities. Water fluoridation is safe, has been studied for decades, and has been shown to reduce the risk of cavities by 25% or more for both children and adults.

Systemic fluoride was important when you were younger and still had your baby teeth. This is because fluoride joined with minerals in your adult teeth while they were growing and developing, creating stronger, more cavity-resistant teeth even before they erupted.

And now that your permanent teeth are here, you’re still in luck! When you drink fluoridated water, you’re increasing the amount of fluoride in your saliva. Just like fluoride toothpaste, saliva bathes your teeth with fluoride ions, remineralizing and strengthening the tooth surface and helping repair weak spots in your enamel.

  1. It’s Easy to Get Fluoride Protection

Because so much of our drinking water is fluoridated, most of us really don’t have to think about how to get the recommended amount of fluoride in our diet each day. If your community’s water is low in fluoride, Dr. Andrew Nalin can help you. Prescription fluoride rinses, gels, supplements, and other treatments are available at our Mount Vernon, WA orthodontic office to make sure that your teeth are well-protected, wherever you may live. We will let you know which products are best for you and how often to use them.

Most toothpastes are formulated with fluoride, so you’re getting the enamel-strengthening benefits of this mineral every time you brush. Keeping up with your brushing is especially important while you’re in orthodontic treatment.

Because wearing traditional braces can mean it’s harder to reach all the plaque on your teeth, especially behind wires and around your brackets, that demineralization we talked about earlier is a common problem during treatment. Demineralization often leads to discolored white spots on enamel and, eventually, cavities. If you need more protection than toothpaste alone provides, Dr. Andrew Nalin will suggest fluoride treatments to reduce the risk of demineralization and even reverse some of its effects.

Fluoride isn’t, of course, the only way to look out for your dental health. Proper brushing and flossing are still essential for removing plaque. And sealants for both kids and adults provide long-lasting protection for chewing surfaces. But when it comes to a proven cavity-fighter that’s simple to use, effective, and easily available—is it any wonder we’re big fans of fluoride?

Get Your Orthodontic Journey Off to a Good Start

August 9th, 2023

Whether you’ve chosen traditional braces or invisible aligners, congratulations! You’ve taken the first step on your way to a beautiful, healthy smile. Of course, like every other journey, a good start helps you get where you’re going as quickly and easily as possible. And the best way to start your orthodontic journey at Nalin Orthodontics is with a visit to your dentist for a checkup and a cleaning.

Dr. Andrew Nalin and our team will want you to make sure your teeth and gums are healthy before you begin. A complete dental exam will let you know if you have any dental conditions that need to be addressed before you get braces or aligners. Why be proactive? Because if you need dental work during your orthodontic treatment, it can cause delays in your treatment plan.

  • Cavities

Cavities grow over time and can eventually reach the inside of the tooth, causing infection and damaging the pulp. For this reason alone, it’s best to find and treat cavities before you get braces or aligners.

If you’re wearing braces when a cavity’s discovered, the situation gets a bit more complicated. Your dentist might be able to work around your braces if the cavity is easy to reach. But if a cavity’s near your brackets, Dr. Andrew Nalin might have to remove a wire or bracket before treatment can start. This means scheduling different appointments to a) remove a section of your braces, b) repair your cavity, and c) replace your bracket and/or wire. See what we mean? Definitely more complicated.

  • Gum Disease

While serious gum disease is most common in adults, children and teens can suffer from early-stage gum disease. Your gum health affects your orthodontic treatment—and can be affected by it, too—so your gums need to be healthy before you begin wearing braces or aligners.

Early gum disease can frequently be reversed with careful brushing and flossing habits. Because advanced gum disease weakens the bone under the teeth, patients with this kind of gum disease will need dental or periodontal treatment before any orthodontic work.

  • A Clean Start

Once you’ve made sure your teeth and gums are healthy, there’s one more proactive step you can take for a better orthodontic experience. Whenever you’re at the dentist for an exam, it’s always a good idea to get a professional cleaning. It’s especially important when you’re getting—or wearing—braces.

Even with the most dedicated everyday brushing and flossing, plaque and tartar can build up, especially between and behind the teeth. A professional cleaning by an expert is just what you need to remove any plaque or tartar that you’ve missed before you start wearing braces or aligners.

And keep up with professional cleanings while you’re in treatment. It can be difficult to clean around brackets and underneath wires. Your dental team knows how to gently and thoroughly clean plaque from these hard-to-reach spots. In fact, Dr. Andrew Nalin and your dentist might recommend that you have your teeth cleaned more often while you’re wearing braces.

  • Your Best Bonding Experience

If you’re getting metal brackets, ceramic brackets, or lingual braces, your brackets will be applied to your tooth enamel with a special bonding glue. Applying brackets to teeth that are their cleanest will start you off with the best possible bond.

If you need dental work while you wear braces, we can certainly accommodate that. But why make life more difficult? See your dentist for a cleaning and an exam and get any necessary dental treatment before you get your braces at our Mount Vernon, WA orthodontic office. The easiest journey to a lifetime of beautiful, healthy smiles begins with a good start!

Heading Back to School? Save Some Room in Your Backpack!

August 2nd, 2023

If you’re heading back to classes in the next few weeks, you’re probably getting your gear together now. So let’s talk about some of the items you can pack to make orthodontic care easier during school hours.

  • Dental-Healthy Food

Watching what foods you eat is especially important now. If you’re carrying your lunch or snacks in your pack, you want to be sure that they’re approved for braces and aligners.

If you wear braces, avoid foods which are sticky, chewy, or crunchy. They can stick to your teeth (making it easier for cavities to develop) or cause damage to your brackets and wires (making repairs necessary). Your orthodontist will give you a list of braces-friendly foods.

If you have clear aligners, even though you’ll remove them to eat, that sticky rule still applies. You don’t want food trapped in your aligners if you can’t brush right after eating, because that food is also food for the oral bacteria which cause cavities.

Bringing a water bottle with you is a great idea if it’s hard to brush after eating. Rinsing with water is a good way to get rid of loose food particles, and staying hydrated helps maintain normal saliva production—which also helps wash away food debris.

  • Toothbrush, Toothpaste, and Floss

It’s best to clean your teeth after every snack and meal if at all possible. A travel-sized brush, toothpaste, and dental floss or picks designed for braces will help you get rid of any unwanted dental leftovers. And a small mirror can help you discover any lingering food particles.

It’s especially important now to practice careful hygiene, so be sure to wash your hands before and after cleaning your teeth or appliances.

  • Your Aligner or Retainer Case

Whenever you take off your retainer or aligners to eat, you should always have your case handy. Cases make sure your appliances stay off germy desk and table surfaces—or worse, floors—and protect them from breakage. A case is also a good way to make sure your retainer doesn’t accidentally end up in a trash bin after lunch.

Again, before and after you handle your braces, aligners, or retainer, be sure to wash your hands carefully.

  • Dental Wax & Extra Bands

Sometimes a wire comes loose or a bracket irritates the inside of your cheeks or mouth. In this case, dental wax is a great way to protect yourself from irritation and injury. And if a band is lost or breaks, it’s always good to have a spare (or two) handy. As always, handwashing rules apply!

  • Your Mouth Guard

If your afterschool activities involve contact sports, a mouthguard is always a good idea, and especially when you wear braces. Dr. Andrew Nalin can create a custom guard which will protect your teeth, your delicate mouth tissue, and your braces from many impact injuries.

  • Your Orthodontist’s Phone Number

One important item that takes up almost no space in your backpack, locker, or phone is the phone number for our Mount Vernon, WA office. If your braces are damaged, or if your aligner or retainer is lost or broken, we will let you know what to do until you can safely visit the office in person.

Talk to our team about how to care for your braces or aligners while you’re at school, and talk to your school about how you can manage your dental care safely during school hours.

Bracing for the Heat? Try These Braces-Friendly Summer Treats!

July 26th, 2023

Summer means sun and heat and delicious, frosty treats to keep you cool while you’re enjoying the sun and heat. If you’re wearing braces this summer, not to worry! Dr. Andrew Nalin and our team have plenty of ideas for icy treats to help you beat the heat.

  • Fruit Smoothies

Low on refined sugars, high on vitamins and minerals, refreshing, delicious, easy on brackets and wires—what’s not to like about fruit smoothies? And if you want to up the nutritional value by adding some green vegetables to the blender, even better!

If you’re buying your smoothie instead of making it yourself, watch out for added sugars in ingredients like ice cream, sherbet, frozen yogurt, and sweetened fruit juice. It can be more challenging to keep your teeth clean with braces, so watching your sugar intake is more important than ever. Try a smoothie made with low-fat yogurt, fruits and/or vegetables, and 100% fruit juice instead. Just as delicious, without extra tablespoons of added sugar.

  • Iced (Herbal, Green, or White) Tea & Frozen Coffee Treats

Coffee and black tea contain compounds called tannins, which can stain tooth enamel and braces. Using a straw can help you limit your enamel’s exposure. If you enjoy a cold, iced beverage occasionally, consider green, white, or herbal iced teas. They don’t stain as much, and many contain healthy antioxidants and other health benefits.

And if you can’t resist that creamy iced coffee beverage? Use a straw to avoid bathing your teeth in the stain-causing tannins and enamel-weakening acids found in coffee. Because these drinks can be full of added sugars, consider reduced-sugar options and skip the toppings.

  • Frozen Treats

When you hear that familiar tune coming from the neighborhood ice cream truck, do you have to stand on the sidewalk, sadly watching it disappear into the distance? Not necessarily!

Milk shakes, ice cream, and frozen yogurt are a refreshing choice in a braces-friendly form—and they contain calcium. Popsicles and fruit bars can be a safe choice if you don’t bite into solid ice. You wouldn’t chew on ice because it could damage your braces, so make sure your frozen bar softens a bit before you enjoy it.

What kinds of frozen treats to avoid? If your favorite flavor of ice cream or your go-to ice cream bar contains hard or chewy additions like nuts and pieces of candy, choose another item from the menu. Surrounding nuts and candies with ice cream doesn’t actually make them any safer for your brackets and wires, and may lead to an unplanned visit to our Mount Vernon, WA orthodontic office to fix a broken bracket.

We don’t recommend a steady diet of sweet treats, because you want a cavity-free smile when your braces come off. And water is always an excellent summertime choice for both hydration and health. But an occasional frosty dessert is cool and tasty and soothing, especially if you’ve just had an adjustment. Just be sure to brush—or rinse with water if you can’t brush—after indulging. Now, what’s on the menu for fall?

Five “Don’ts” When You Wear Aligners

July 19th, 2023

Choosing clear aligners was a great decision on your part! Straight teeth and a healthy bite? Subtle, almost invisible aligners? 3D technology custom-designed just for you? All the positives we’ve come to expect from your choice of orthodontic treatment.

So, don’t sabotage your good work! Here are five negative habits that will prevent you from getting the most out of your aligners:

  1. Don’t forget to keep them clean

One of the reasons you chose clear aligners is because they are nearly invisible. But careless cleaning habits can leave them discolored, scratched, or cloudy. Soaking in colored mouthwash can stain aligners. Using abrasive cleaning products or brushing with a heavy hand can cause scratches. And failing to keep aligners clean can lead to a buildup of cloudy plaque. Talk to us! We know all the best products and practices to keep your aligners their most sanitary—and most invisible.

  1. Don’t eat with your aligners in place

Aligners are simply not meant to be used while you eat. Chewing puts too much stress and pressure on them, and can lead to aligner damage and even breakage. Because you will be wearing your aligners for most of the day, planning ahead for your meals is key. One bonus: it’s a great way to eliminate unconscious snacking.

  1. Don’t let foods or drinks stain your aligners

It’s great that you take your aligners out to eat, but do you remember to brush before you replace them? Foods like spaghetti sauce and blueberries that stick to your enamel can stain your aligners. And it’s always best to remove your aligners before drinking a beverage. If a drink can stain your teeth, it can stain your aligners. Red wines, dark juices, colas, and, of course, coffee and tea can cause discoloration. Another thing to consider? Food particles in the trays can not only stain your aligners (and your enamel), but keep your teeth in contact with the acids and sugars that lead to cavities.

  1. Don’t run hot

Aligners are formed using heat, so it makes sense that heat can de-form them as well. Drinking hot beverages with your aligners in place can change their shape—and even subtle changes will affect your progress. Since warped aligners might have to be replaced, save the piping hot beverages for those times you’re not wearing aligners. It’s best not to clean them with very hot water as well.

  1. Don’t forget to wear them

Aligners need to be worn approximately 20-22 hours each day. If you’re not putting in the required time, you’re delaying your progress. If you’re having trouble with scheduling meals or activities, talk to Dr. Andrew Nalin when you visit our Mount Vernon, WA office. We have suggestions.

But let’s not just dwell on the negatives. We like to focus on the positive, too, so here’s the one item on your “Do List” that will absolutely make your aligner experience the best it can be:

Do follow our recommendations!

Clean your aligners with the proper tools and products—and clean your teeth and aligners after every meal and snack. Remember that water is the only guaranteed problem-free beverage. Don’t expose aligners to heat or eat with them in place, because they can be warped or damaged. And be sure to wear them as long as you need to each day—this will keep your treatment on track and on schedule.

Enjoying a future filled with beautiful, healthy smiles? That’s not just a positive—it’s a happily-ever-after!

When Your Smile Isn’t Aging as Gracefully as You Are

July 12th, 2023

You might have been one of the lucky few born with perfectly straight teeth and a healthy bite. You might have spent months in orthodontic treatment as a teenager to achieve perfectly straight teeth and a healthy bite. But now that you’re growing older, you might be unhappily surprised to discover that your smile isn’t aging as gracefully as you are.  What’s changed?

That’s a trick question, because our bodies never stop changing, growing, and adapting. And these constant adjustments include the changes taking place in your teeth and mouth. You might begin to notice subtle differences in your smile when you’re in your thirties or forties. After young adulthood, several factors come into play which can cause shifting teeth and a misaligned bite:

  • Teeth naturally shift.

Shifting can be a result of the normal changes time brings. The periodontal ligaments which attach our teeth firmly to the jawbone lose some of their strength; the jawbones which hold our teeth in place lose some of their density and begin to narrow. Our teeth also have a natural tendency to move toward the front of the mouth, a phenomenon called “mesial drift.”

Add all of these elements together, and your once straight teeth start to crowd together and even overlap—especially the front bottom teeth.

  • Stressful habits stress your teeth.

If you habitually grind or clench your teeth, you’re putting pressure on them. Just like the gentle pressure of braces and aligners can shift teeth into alignment, the more uncontrolled force of grinding can push teeth out of alignment.  

  • Losing a tooth affects surrounding teeth.

Nature abhors a vacuum, and so does your smile. If you lose a tooth, your other teeth will automatically start to drift into the space left open by the missing tooth.

  • A neglected retainer is gathering dust in a drawer somewhere.

You might have spent time as a teenager in orthodontic treatment, with a beautiful smile to show for all your hard work. And, back in the day, your orthodontist no doubt let you know that you needed to keep wearing your retainer at night once your treatment was completed.

If that’s one healthy habit you abandoned as you got older, don’t be surprised if your teeth start to migrate back to their old, less-than-perfect positions.

Between normal biological changes and the wear and tear of daily life, you might find one day that your smile isn’t that same beaming smile you’re used to seeing in the mirror. And it’s not just an aesthetic concern.

Crooked teeth are harder to clean, and built-up plaque means more decay and gum disease. Shifting teeth can cause malocclusions, or bite problems, which can bring you jaw pain, headaches, and chipped or cracked teeth.

If your smile has changed over time, it’s time to give Dr. Andrew Nalin a call. There are many discreet options which can return your smile to you, including:

  • Clear aligners—comfortable, removable, and often unnoticeable.
  • Traditional braces—brackets are smaller than ever, and you can choose ceramic brackets which are color-matched to blend in with your enamel.
  • Lingual braces—these braces are attached to the inside of the teeth, for complete invisibility.

And what if you’ve never been as confident in your smile as you wanted to be? There’s good news here as well—it’s never too late to see an orthodontist. Make an appointment at our Mount Vernon, WA office to discover how you can make sure your smile looks just as young as you feel!

How to Protect Your Braces During Sports Activities

July 5th, 2023

Proper mouth protection is recommended by Nalin 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. Andrew Nalin 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.

Nalin 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.

Courting Disaster

June 28th, 2023

When we think of sports and dental damage, we naturally think of hockey and football. But when it comes to the actual number of dental injuries suffered each year, vying for top seed is the game of basketball.

How is this possible? After all, football and hockey are categorized as “collision sports”! But along with the helmets, shin guards, and padding, these teams quite often require mouthguards—and this makes all the difference. Studies have shown that an increase in the number of players wearing mouthguards means a decrease in the number of oral traumas.

And while basketball isn’t considered a collision sport, it is a contact sport. Basketball is a combination of running, jumping, hard surfaces, and solid bodies. And elbows. We can’t forget elbows. So a broken or even a knocked out tooth isn’t, unfortunately, all that unusual when bodies in motion meet hard surfaces—or other players. But there are other dental dangers as well. Besides tooth injuries, oral injuries can involve:

  • The ligaments and bone structures holding teeth in place
  • Bones in the upper and lower jaw
  • Delicate gum, tongue, and mouth tissue.

You need a solid defensive strategy to reduce the severity of oral injuries or to prevent them from happening altogether, especially when you wear braces. The best play in your playbook? Wearing a mouthguard!

Choosing the right guard is key. There are three common options, and you can choose the model which works best for you:

  • Stock guards, which are ready-made guards in pre-formed shapes and sizes. You can buy them over the counter in drug stores and sporting goods stores. Because these guards aren’t shaped to fit your teeth and mouth specifically, they can be less protective (and harder to speak around).
  • “Boil-and-bite” guards can also be purchased, and can provide a closer fit. After warming the guard in hot water as directed, you place it in your mouth and bite down firmly to mold it to your teeth.
  • Dr. Andrew Nalin can make you a mouthguard that is designed and crafted specifically for your use. Because this guard is custom-fitted, it provides better protection for your teeth and mouth. Patients often find custom guards much more comfortable and more durable as well.

Mouthguards are most effective when you wear them on the court and care for them off the court. This means avoiding a few flagrant fouls.

  • Dirty play

All those moist nooks and crannies inside your mouthguard are a perfect environment for bacteria, mold, and plaque buildup. You should clean your mouthguard carefully every time you wear it, and let it air dry before popping it back in the case. Ask Dr. Andrew Nalin for advice on getting your guard and its case their cleanest.

  • Failure to sub out in a timely fashion

Mouthguards don’t work if they’re damaged. If you notice any warping, breakage, or jagged or sharp edges, contact our Mount Vernon, WA office for a replacement. If a guard doesn’t fit you properly, it doesn’t protect you, and sharp edges can irritate or injure delicate mouth tissue.

  • Unnecessary roughness

Your mouthguard protects you, so don’t forget to protect it! Keep your guard in its case when you’re not wearing it to save it from dirt, damage, and disappearance.

If you know your basketball, you know your guard game can make all the difference. Even though a mouthguard might not be mandatory on your team, that doesn’t mean it’s not essential. Remember that basketball is a contact sport, and protect your teeth, your mouth, and your braces with a mouthguard whenever you play.

What’s on Your Orthodontic Calendar?

June 21st, 2023

Did you know that there’s a World Orthodontic Health Day in May? Or that National Orthodontic Health Month takes place in October? You may not have circled these days on the calendar—in fact, this might be the first time you’ve heard about them! But celebrating these special days is just one way that orthodontists share the health benefits of orthodontic treatment with us.

That’s because orthodontic treatment is about more than creating a beautiful smile. With the help of Dr. Andrew Nalin, you might also be creating:

  • Healthier Teeth and Gums

When your teeth are aligned, it’s easier to prevent tooth decay and gum disease. Crowded, crooked, or overlapping teeth make it harder to brush and floss as effectively. Plaque that builds up in those hard-to-reach places on the tooth enamel helps create cavities. And over time, built-up plaque turns into tartar, a leading cause of receding gums and gum disease. Straight, properly spaced teeth make efficient brushing and flossing a breeze!

  • A Comfortable, Functional Bite

A malocclusion, or bad bite, occurs when the teeth and jaws don’t align properly. In a healthy bite, teeth aren’t crowded, twisted, or spaced too widely apart. The top teeth should slightly overlap the lower teeth. And the ridges of your upper molars should fit smoothly with the grooves of the lower molars.

If your bite is off, you’ve probably noticed chewing pain, headaches, or jaw pain. Over time, malocclusions can lead to worn enamel, cracked teeth, and tooth grinding, and have been linked to mouth breathing, which dries out the mouth and isn’t good for your dental health. Braces or aligners, with other appliances if needed, can not only correct a malocclusion, but prevent the very uncomfortable side effects of a bad bite.

  • Improved Facial Symmetry

Malocclusions affect facial symmetry. Underbites occur when the lower jaw is too large, while small lower jaws can cause serious overbites. Bite problems can mean overjets (also called “buck teeth”), or open bites (where the front teeth don’t touch when the mouth is closed). Crossbites result in one or more upper teeth fitting inside the lower teeth. These conditions can affect both facial balance and profile.

With the use of braces and appliances like palatal expanders, Herbst® appliances, or headgear, Dr. Andrew Nalin can guide jawbone development while a child’s bones are still growing. For older patients, we can design a treatment plan to align teeth, correct malocclusion, and improve facial symmetry.

  • Psychological Benefits

We can’t forget the invisible benefit of orthodontic treatment: a happy, comfortable smile is a great confidence-booster! If you’re reluctant to share your smile with the world, a visit to Dr. Andrew Nalin can let you know just what to expect from treatment, and just how it can improve your life.

Because it’s so important to both our dental health and our overall well-being, we’re happy to celebrate orthodontic health on special days throughout the year. And let’s also celebrate the fact that there’s no calendar deadline when it comes to scheduling a healthier smile! Whether it’s early treatment for younger children to guide jaw growth, or the common orthodontic treatment window during the teen years, or adult treatment to create the smile you’ve always wanted, help is available at our Mount Vernon, WA office whenever you’re ready to set the date!

Electric Toothbrush: How do you choose?

June 15th, 2023

Since the introduction of the power toothbrush in the 1960s, this tool has undergone many technological advances, from design and bristle motions to rotation oscillation and sonic vibration.

What is rotation oscillation? That’s when the head of the toothbrush alternately rotates in one direction and then the other. Power toothbrushes can deliver up to 50,000 strokes per minute, which is much more effective than the average 300 strokes per minute with a manual toothbrush.

A smaller brush head is available for hard-to-reach areas, which is a good alternative for small mouths. The brush heads are replaceable and should be changed every three to six months. Each family member should have his or her own brush head while sharing the base motor. What a great deal! Check the handle size. A large handle is better for members of the household with arthritis, children, or family with other physical disabilities.

A rechargeable toothbrush is ideal. It should deliver enough power on a full charge for one week of brushing.

We recommend you brush for a minimum of two minutes. Some electric toothbrushes include a signal you can hear, such as a beep every 30 seconds, to indicate it's time to switch to a different area of the mouth. Others sound an alert after the full two minutes has elapsed.

Will an electric toothbrush harm the teeth or gums? Studies indicate that people tend to apply more damaging pressure to their teeth and gums during manual brushing than when they use an electric toothbrush. If you experience tooth sensitivity, choose a model with pressure sensors that stop the toothbrush any time you press too hard.

Who would benefit from an electric toothbrush? Everyone! Consumers with a physical disability may have specific needs that power toothbrushes can address. Children also tend to maintain better oral health hygiene when they use an automatic toothbrush. Plus, many of them find it fun to brush!

Automatic toothbrushes really do remove debris better than the old-fashioned way. You may have heard the term “biofilm.” Better known as plaque when it occurs in the mouth, biofilm is the debris and bacteria that cause infections to your teeth. It regenerates quickly, so healthy habits are the best defense for a healthier you! With a healthier mouth, you face a lower risk of gum disease and other conditions like heart disease: mouth health has been linked to heart health.

When you're ready to make your decisions, be a wise comparison shopper. Consult with Dr. Andrew Nalin at Nalin Orthodontics to decide what is best for you!

Overbite or Overjet?

June 7th, 2023

The words “overbite” and “overjet” certainly sound similar. Both conditions concern your front teeth. Both conditions fall under the same category of bite problems—Class II malocclusions, if you want to be technical. So it’s not surprising that they’re often used interchangeably. But while there are similarities, overbite and overjet are also distinctly different.

  • Overbite/Overjet Geometry

In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.” With a Class II malocclusion, the upper front teeth project further beyond the lower teeth than they should.

Of course, teeth and bites are as individual as we are, so there are variations in just how and just how much the overlap occurs. In diagnosing an overbite vs. an overjet, the difference comes down to a matter of vertical vs. horizontal.

An overbite, or deep bite, occurs when the top teeth vertically overlap the bottom teeth more than they should for a healthy bite. Generally, when a person’s top teeth cover more than a quarter of the bottom teeth when biting down, or more than two to three millimeters, that person is said to have an overbite.

An overjet, commonly known as protruding or buck teeth, is the result of a horizontal overlap that is broader than normal. This causes the top teeth to project outward toward the lips more than they do in a typical bite. An overjet is usually diagnosed when the horizontal distance between the top and bottom teeth exceeds two to three millimeters.

  • Overbite/Overjet Causes

The causes for both an overbite and an overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both. These bite problems can run in families. They are also affected by the size and position of the jaws and the shape and position of the teeth.

Early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to the development of a Class II malocclusion, particularly an overjet. Consistent pressure from thump or pacifier pushes the teeth outward as they erupt, which encourages them to protrude. These oral habits can affect the shape of the palate and jaw, too.

  • Overbite/Overjet Treatments

There are many types of treatment available to correct teeth and bite misalignments. Dr. Andrew Nalin will tailor your treatment to your specific malocclusion for the best orthodontic outcome.

If you have a mild malocclusion, and minor dental issues are the main cause of that malocclusion, either braces or clear aligners can be effective for an overjet or an overbite. Elastics (rubber bands) are often used as part of this treatment.

If the malocclusion is due to bite problems caused by uneven upper and lower jaw development, devices called functional appliances can be used with braces to help guide the growth of the jawbones while young patients’ bones are still forming. These include appliances that work inside the mouth to help the upper and lower jaws grow proportionally, and external appliances such as headgear.

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself. Orthodontic treatment is usually needed as well both before and after surgery.

  • Overbite/Overjet Consequences

Over time, a deep overbite can cause damaged gum tissue, worn enamel, and fractured teeth. When teeth protrude because of an overjet, they can lead to self-consciousness and are more at risk for injury. Both malocclusions share dental and medical consequences, including concerns about facial and jaw appearance, problems speaking or chewing, headaches, and face and jaw pain.

Class II malocclusions aren’t all the same, and orthodontic patients aren’t all the same either. You may have a minor malocclusion or a significant one. You may have an overbite, or an overjet, or a combination of different bite and alignment concerns. Your malocclusion may not bother you at all, or it may cause pain, discomfort, or self-consciousness.

That’s why every overbite or overjet should be evaluated by an orthodontist. When you visit our Mount Vernon, WA orthodontic office, Dr. Andrew Nalin will be able to diagnose the exact nature of your malocclusion, the reason for it, and your best individualized treatment plan. An overbite and an overjet are different malocclusions, but you and your orthodontist want the same outcome for each: a healthy, attractive, and confident smile!

A Helpful Site on Orthodontics

May 31st, 2023

As you are undergoing orthodontic treatment, our team at Nalin Orthodontics would like to point you to a helpful website. Our friends at the American Association of Orthodontists (AAO) have lots of important information about everything relating to braces, including myths and facts of orthodontics, tips for a better orthodontic experience, and cool webisodes about orthodontics.

Check out AAO today and feel free to contact us at our Mount Vernon, WA office if you have any questions.

Dr. Andrew Nalin and our team at Nalin Orthodontics hope this information helps you!

Orthodontics and Oral Piercings

May 24th, 2023

Traditional braces and oral piercings—does the inevitable meeting of metals pose any risks? Let’s look at some of the potential problems with oral piercings, and you and Dr. Andrew Nalin can decide if you should take a break from jewelry while you’re in treatment.

  • Tooth Damage

Enamel is the strongest substance in our bodies, but when up against constant contact with metal? It’s not a fair fight.

Tongue piercings, especially, cause problems for your teeth. Whenever you speak or eat—even while you’re sleeping!—your tongue is making contact with your teeth. This continual tapping of metal on enamel can chip and crack teeth and damage fillings. A serious fracture could mean a root canal.

You’re getting braces to create a more attractive, healthy smile, so keeping your teeth intact is a priority.

  • Gum Problems

Your gums are affected by orthodontic treatment. As the teeth move, the gums, ligaments, and bone around them adapt and even reshape over time. You might notice when you first get your braces, or when you go in for an adjustment, that you have a few days of swollen, sensitive gums afterward. You might also find that you are at greater risk of gingivitis, because it can be harder to keep plaque away from your gumline until you perfect your brushing and flossing skills.

Oral piercings bring their own gingival dangers. Jewelry in the tongue or lip can rub against gum tissue, especially around your lower front teeth. As the gum tissue continues to be irritated and inflamed, it pulls away from the teeth. This process is called gum recession.

Receding gums expose the tops of your roots to cavity-causing bacteria. They make you more sensitive to hot or cold foods. Pockets between gums and teeth can harbor infections that threaten the tooth itself.

Caring for your gums during braces is important for your dental health. Since people with oral piercings have a much higher rate of gum recession that those without, why add one more risk factor to your oral health?

  • Metal vs Metal

Lip and tongue piercings can make contact with traditional brackets and wires, especially if you have a habit of playing with them. And let’s not forget lingual braces! Lingual braces are almost invisible because their brackets and wires are custom fitted to the back of your teeth. Whenever you speak or eat, you’ll be taking the chance that a tongue piercing will damage these custom-made appliances.

Dr. Andrew Nalin can tell you if your piercings are in any danger of interfering with your braces, but even if you’re planning on aligners, there are additional reasons to consider retiring your oral jewelry. Dental associations and medical associations discourage oral piercings because they can damage teeth and gums. And there’s more. Oral piercings can lead to swelling, bleeding, allergic reactions, infection, and nerve damage.

The reason you’re considering braces is because you want a healthy, attractive smile. Don’t let a tiny piece of jewelry make your life and your treatment more difficult! Do some research and talk to our Mount Vernon, WA team about your oral piercings, and come up with a solution that’s best for your health and best for your smile.

What is hyperdontia?

May 17th, 2023

When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Nalin Orthodontics calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient Mount Vernon, WA office to be evaluated.

How Often Should You Brush?

May 10th, 2023

If you’ve been following your dentist’s advice, you know that you should be devoting two minutes twice a day to gentle, thorough brushing, and floss carefully at least once a day. It’s automatic. It’s habit. You’re in the zone. Now that you have braces or aligners, though, it’s time to step up your game!

Removing Food Particles

No one wants to worry about food particles stuck in braces right after lunch—or, worse, noticed hours after lunch! Because food tends to stick around brackets and wires, Dr. Andrew Nalin and our Mount Vernon, WA team recommend brushing after a meal. Not only will you be confident in your smile, you’ll be improving your dental health.

But why?

Better Plaque Removal

Plaque is a sticky film containing acid-producing bacteria. These acids lead to weakened enamel and, eventually, cavities. Careful brushing with a fluoride toothpaste helps eliminate plaque. But as you may have discovered, it can be more difficult to clean around brackets and wires. Brushing after eating will help keep plaque from forming on your enamel, and using the right tools (floss made for braces and interproximal brushes) will help clean plaque more effectively.

But what about aligners?

If you wear clear aligners, you take them out when you eat. This avoids the problem of food particles trapped in brackets and difficulty brushing around wires. But this doesn’t mean you are home free. Brushing after every meal is also a good idea when you wear aligners.

Our teeth have an organic way to help remove food particles, acids, and bacteria between brushings—saliva! Your aligners, while covering your teeth, decrease their exposure to saliva. It’s really important, then, to make sure you brush after eating. Otherwise, food particles and acids can remain on your teeth after you replace your aligners, increasing the risk of enamel erosion and decay.

Brushing helps keep your aligners clear as well. If you notice aligner discoloration, this could be the result of food residue such as tomato sauce or coffee that remained on the teeth after a meal. Anything that stains your enamel can stain your aligners. And don’t forget about plaque. Plaque can stick not only to your enamel but to your aligners as well. If you notice that your aligners are cloudy, or have an unpleasant odor, talk to us about the best way to keep them their cleanest.

Make a Plan

So, what can you do to make brushing more convenient during a busy day? Be prepared! Keep a small kit with you containing a travel brush, a small tube of toothpaste, floss, and an interproximal brush for quick cleanings when you’re out and about, and you’ll never have to worry about your smile.

Of course, there are occasions when it’s just not possible to brush. At times like this, whether you have traditional braces or aligners, it’s a good idea to rinse well with water after meals or snacks, and brush as soon as you can.

Start your new dental routine now, and soon it will be automatic. An everyday habit. Your new comfort zone. After all, taking a few extra minutes from your day to brush after every meal will be well worth it when you end your orthodontic treatment with a smile that is as healthy as it is beautiful!

Great Gifts for Grandparents

May 3rd, 2023

Our grandmothers and grandfathers, our moms and dads—we’ve known them our whole lives. So, why are they so hard to shop for?

If your older family members have all the sweaters, socks, and scents they need, consider a gift that can make life a bit easier and perhaps a lot healthier—an electric toothbrush!

  • Easy Efficiency

The most important reason to choose an electric toothbrush is its effectiveness. Several studies have shown that regular use of an electric toothbrush leads to a marked reduction in plaque, that bacteria-filled film which sticks to the teeth and leads to cavities and gingivitis. And it’s really no surprise that an electric brush can out-perform a manual brush.

Using a manual brush is not just a matter of applying toothpaste and scrubbing. Proper technique means short brush strokes at a 45-degree angle for the outer and inner surfaces of the tooth, thoroughly cleaning the uneven chewing surfaces of the molars, and brushing the inside of the front teeth with gentle vertical strokes. Meticulous cleaning of all these surfaces can be difficult, especially for people with dexterity issues.

Electric toothbrushes offer several options, from oscillating/rotating brushes to oscillating/rotating/pulsating models to brushes using sonic vibration technology. What they all have in common is the ability to remove plaque far more effectively than we can on our own, because they provide the equivalent of thousands and even tens of thousands of brushstrokes per minute, as opposed to the hundreds we can achieve by hand.

  • Comfortable Control

An electric toothbrush can be not only more efficient, but also more comfortable for older brushers. For those with arthritis, limited mobility, injuries, or other health conditions, the larger handles can be easier to control and much more grip-friendly. And, with the work being done by the brush head, users avoid repetitive hand and wrist motion.

Also, the pressure applied to teeth and gums with an electric brush is designed to clean thoroughly while protecting the mouth. Heavy-handed manual brushing can irritate delicate gum tissue and even damage enamel over time. With an electric brush, users only need to guide it along teeth and gums as it supplies all the power needed. There are even pressure sensors available to warn users that their brushing is too vigorous.

  • Apps, Anyone?

If your grandfather likes to keep things old school, a basic model with a convenient two-minute timer and several cleaning modes will offer all the bells and whistles he needs. But if your nana has more Instagram followers than you do, consider a more tech-savvy option.

Several of today’s electric brushes come with features designed to make brushing even more effective. They can let her know if she’s brushing long enough, alert her if she’s brushing too hard, and remind her that it’s time to replace the brush head. Some models link to handy apps that will map out just where she’s brushed, in case there are a few spots that get overlooked. Or choose a model which comes with a travel case that can recharge while she’s busy seeing the world.

Okay, all that being said, we’ll admit it—a toothbrush might not be the most glamorous gift your grandparent unwraps on that special day. But helping a favorite family member brush more effectively and comfortably while improving dental health? That’s a gift that keeps on giving!

Flossing Fact or Flossing Fiction?

April 26th, 2023

Somewhere in a bathroom drawer or medicine cabinet, we all have one—that little plastic dental floss dispenser. And whether you use your floss every day (yay!), or have completely forgotten it was in there (not so good), just how much do you know about that sturdy string? Let’s find out!

  • Flossing has been around for hundreds of years.

FACT: It’s been just over two hundred years since Dr. Levi Spear Parmly, a dentist in New Orleans, suggested his patients use waxed silk thread to clean between their teeth. This is considered the first “official” invention of dental floss, although using some form of tool to get rid of food particles between the teeth has been around since prehistoric times.

  • Brushing well is the same as flossing.

FICTION: It’s really not. While brushing does a great job of cleaning food particles, plaque, and bacteria from your enamel, there are some places those bristles can’t… quite… reach. Floss was designed to clean plaque and food from between the teeth and close to the gum line where your brush doesn’t fit.

  • There’s more than one way to clean between your teeth.

FACT: Indeed there is! Not only are there many varieties of dental floss (waxed, flavored, round, flat, thick, thin, in a dispenser, attached to miniature floss wands), but you have alternatives if using any kind of floss is difficult for you. Water-flossers direct a pulsing stream of water between and around the teeth and gum line to remove food particles and plaque. Another useful alternative is the interproximal brush, a tiny little cone-shaped brush designed to remove food and plaque from those hard-to-reach spots.

  • It’s impossible to floss with braces.

FICTION: Untrue—but it can be more challenging! That’s why there are any number of flossing products designed to work with and around your braces. Stiff strands of floss which work like dental picks, floss threaders, water flossers, and interproximal/interdental brushes can both clean between your teeth and remove food particles and plaque where they collect around your braces. Dr. Andrew Nalin can suggest some great options to work with your individual orthodontic treatment.

  • Flossing helps prevent gum disease.

FACT: Scientific studies haven’t provided definitive answers. But dental and periodontal associations strongly recommend daily flossing as one of the most important things you can do to prevent gum disease. Gingivitis, or mild gum disease, is caused by irritated, inflamed gum tissue. Gum tissue becomes irritated and inflamed as a response to the bacteria, plaque, and tartar that stick to your teeth. Anything you can do to help remove these irritants will reduce your risk of gum disease.

  • Flossing helps prevent cavities.

FACT: Dentists strongly recommend daily flossing to remove the food particles and plaque that lead to cavities. Brushing removes cavity-causing plaque from the outer surfaces of your teeth. But there’s a lot of enamel between your teeth as well. Flossing removes plaque from these hidden spots, helping to prevent interproximal (“between the teeth”) cavities from forming.

  • Bleeding when you floss is normal.

FICTION: Bleeding isn’t a typical reaction to flossing. Bleeding gums could be an early sign of gum disease caused by plaque and tartar buildup. On the other hand, if you floss too hard, or go too deeply below the gum line, you can make delicate gum tissue bleed. Ask Dr. Andrew Nalin for tips on perfect flossing technique.

  • You need to floss after every meal.

FICTION: Dental professionals generally recommend brushing twice a day and flossing at least once each day. But this suggestion comes with some exceptions. Since you have braces, Dr. Andrew Nalin might recommend flossing whenever you have a meal or snack.

  • Your dentist will never know that you haven’t been flossing.

FICTION: Nope. Sure, you can miss flossing a few times and catch up before your appointment at our Mount Vernon, WA office. But built-up plaque between the teeth, red, swollen, or bleeding gums, and gingivitis and interproximal cavities let both you and your dentist know that you’ve been neglecting good dental habits.

  • It’s never too late to start flossing!

FACT: Flossing is a simple, quick, and inexpensive way to maintain tooth and gum health. If you haven’t had much luck flossing in the past, ask Dr. Andrew Nalin for flossing tools and techniques that will work for your specific needs. Start now, and see what a difference it will make at your next checkup!

If you had all these flossing facts at your fingertips, congratulations! But if you didn’t, no need to worry, because the real test of your knowledge is in its application. Flossing properly at least once each day will give you something far more rewarding than blog-quiz kudos—you’ll see that regular flossing rewarded with healthier teeth and gums!

How Your Pearly Whites Can Help You in Life

April 25th, 2023

At Nalin Orthodontics, Dr. Andrew Nalin and our staff have found that patients who like their smiles have better self-esteem. People who don’t like their smiles are often skittish about talking to other people. According to the National Women’s Health Resource Center, when women are asked about what they’d most like to change about themselves, many point to their smile. Despite wanting to change their smiles, quite a few of the people who are unhappy about that part of themselves won’t consider getting braces.

Most Americans Don’t Have Straight Teeth

The American Association of Orthodontics estimates that 4.5 million Americans wear braces or other orthodontic equipment to straighten their teeth and to get a healthier mouth. One in five of those braces wearers are women. The organization’s statistics also show that about 75 percent of the population doesn’t have straight teeth, and those people would benefit from getting braces.

While the main benefit of braces is straight teeth, and to improve the look of your smile, there are other benefits that make braces even more useful, including:

  • Straighter teeth help people chew better.
  • Straighter teeth give people a proper bite.
  • People speak better when they have straighter teeth.
  • When people have straight teeth, they have better overall gum and mouth health. A healthier mouth means flossing and brushing are easier, and that means your entire mouth stays healthy.
  • A healthy mouth is also linked to a healthy body.

When you feel proud of those pearly whites, you feel better about your smile, and that contributes to a better self-image and improved self-esteem. Ultimately, that can lead to greater career success and a more fulfilling social life.

Positioned for Success

April 24th, 2023

As you near the end of your orthodontic treatment, you’re probably already imagining the day when your brackets and wires finally come off. Or the moment you’ve finished with your last set of aligners. That day might come just a bit sooner if Dr. Andrew Nalin and our team recommend a positioner.

While not as well-known as other orthodontic treatments, a positioner is an appliance that can shorten your time in traditional braces and aligners by weeks or even months. Curious? Read on!

  • What Exactly Is a Positioner?

A positioner resembles a clear mouthguard. Its arched shape is designed to fit snugly over your teeth. It’s sometimes called a finishing appliance, because it’s designed to make those last small adjustments to your alignment and bite. If you’re a good candidate for a positioner, it can replace your braces or aligners for your last several weeks or months of treatment.

  • How Are Positioners Made?

This appliance is custom fabricated to fit your very specific orthodontic needs. Commonly, a mold is made of your teeth. A model of your teeth is made from this mold. Precision instruments are used to move the model teeth into your ideal alignment.

Once this model of your future finished smile is complete, it is used to create the positioner. When the thermoplastic material is molded to the model, it creates an appliance with an indentation for each individual tooth in its desired final location.

Available in a variety of materials, a positioner is most often designed as a clear single piece, covering both your upper and lower teeth. This makes sure that your teeth are not only aligned properly, but that your upper and lower teeth are working together for a healthy bite. Openings in the positioner provide airways which allow you to breathe easily.

  • How Do Positioners Work?

Because your teeth haven’t settled firmly into place yet (this will happen as you wear your retainer), they’re still able to move. That’s why your positioner is shaped to fit your teeth in their future ideal placement, not where they are at present.

Positioners require your active participation. Your teeth move to the ideal spots molded into the positioner through “exercise”—biting down on your appliance for 15-20 seconds before relaxing your bite, usually every 10-15 minutes during your daily wear. The gentle force provided by your jaw muscles helps guide your teeth into position more quickly. Dr. Andrew Nalin will give you instructions on just how to—and how often to—do these exercises.

  • How Long Are They Worn?

Positioners are commonly worn at least four hours a day to start with and all night long, or Dr. Andrew Nalin might recommend 24 hour a day wear for the first week. As you progress, you’ll wear them for shorter periods during the day, gradually tapering off until your treatment is complete.

Depending on the amount of correction that’s still needed, positioner use ranges from several weeks to several months. One thing that will ensure that your time in a positioner is as short as it can be is your willingness to follow our instructions. The speed and effectiveness of your final tooth movements is largely up to you!

  • Caring for a Positioner

Gentle treatment is best. Clean your positioner before and after wearing it using a toothbrush and mild toothpaste. Never boil it or expose it to heat. We will give you instructions for how to clean it more thoroughly, if needed.

Like retainers, clear aligners, and mouthguards, a positioner needs to be protected when it’s not in your mouth. Your positioner will come with a case, so be sure to use it!

Positioners aren’t recommended for every orthodontic patient. But if you feel this might be an option worth pursuing, talk to us when you visit our Mount Vernon, WA office. A positioner could be an effective, time-saving step on your path to a lifetime of healthy smiles.

Shark Teeth

April 5th, 2023

It seems like sharks are everywhere these days—on land, sea, and air(waves). A halftime show meme gone viral. A week of summer TV devoted to our favorite apex predators. And who doesn’t have “Baby Shark” playing in their heads all day once they’ve heard it? But are we jumping the shark to discuss this topic in an orthodontic blog?

Not at all! Because today, we’re going to talk about shark teeth—just not the ones you might be expecting.

One of the expected sights when a shark opens its mouth are those rows and rows of shiny shark teeth. Sharks can grow from two to 15 rows of teeth at any one time (and some sharks have even more). This means sharp new teeth are always ready to replace any shark tooth which is lost, broken, or worn out.

An unexpected sight? When children point to their new adult tooth or teeth coming in—right behind their still-firmly rooted baby teeth! This double set of teeth is called “shark teeth,” and, while it certainly might come as a surprise, it’s not all that uncommon. But why do children develop shark teeth at all?

After all, baby, or primary, teeth have small roots, and are designed to come out easily when the adult teeth start arriving. When a permanent tooth starts to erupt, it pushes against the root of the baby tooth above it. This pressure gradually dissolves the root of the primary tooth, and with nothing to anchor it, it’s now loose, wiggly, and ready to fall out. That’s why baby teeth often look like they have no roots at all when they eventually wiggle free.

Sometimes, though, the roots of a primary tooth don’t break down, which means baby teeth stay right where they are. It also means that the permanent teeth have to erupt somewhere else—usually behind those stubborn little baby teeth.

Shark teeth can first appear around the ages of five to seven when the permanent front teeth start arriving, or several years later, when the adult molars begin to come in. Any extra teeth in one small jaw naturally raise concerns about tooth misalignment, especially when those extra teeth are molars. If double molars are causing crowding, it’s a good time for your child to have an orthodontic examination at our Mount Vernon, WA office to make sure the permanent teeth are properly positioned.

Unlike sharks, we don’t have an endless supply of replacement teeth, so it’s understandable to worry when you see anything unexpected. If you want to know more about shark teeth, or if you have any concerns, don’t hesitate to call Dr. Andrew Nalin for expert advice.

Interproximal Cavities: The Inside Story

March 29th, 2023

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 Mount Vernon, WA office, Dr. Andrew Nalin 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.

Fluoride and Your Orthodontic Treatment

March 22nd, 2023

Our team at Nalin Orthodontics knows that there are many ways you can protect your pearly whites throughout your orthodontic treatment. If you follow the rules and brush your teeth twice a day, floss often, and protect your appliances from damage, you should have a successful treatment.

But did you know there’s another way to keep your teeth sparkling and healthy during your time wearing braces?

Fluoride, the mineral that helps you prevent cavities and tooth decay, can also help keep your teeth strong. Fluoride comes in two varieties: topical and systemic. Depending on your oral health or the recommendation of Dr. Andrew Nalin, you may be required to have a fluoride treatment every three, six, or 12 months. We may also prescribe a fluoride product such as a mouthwash, gel, or antibacterial rinse for at-home treatment to keep your teeth happy in between visits.

If you have any other questions about fluoride or your treatment, please don’t hesitate to give us a call!

What's the difference between an orthodontist and a dentist?

March 15th, 2023

Orthodontists and dentists both help patients improve their oral health, but in different ways. Dentistry is a broad medical specialty that deals with the teeth, gum, nerves, and jaw, while orthodontics is a specialty within dentistry that focuses on correcting bites, occlusion, and the straightness of teeth. One important difference is that all orthodontists like Dr. Andrew Nalin are dentists, but not all dentists are licensed orthodontists.

How are they similar?

The main similarity between a dentist and orthodontist is that they both focus on oral care. An orthodontist can work in a dental office and provide the same care as a dentist. So in this respect, they are quite similar. They are both considered doctors, and deal with the teeth and gums.

How are they different?

There are more differences than similarities. An orthodontist requires additional schooling as a dental specialty; the situation is similar to a doctor who obtains additional schooling to become a surgeon. Another difference is that orthodontists specialize in helping patients with the alignment of their teeth, improving their bite, or fitting them for corrective braces and devices. If a patient has an overbite, a dentist will refer him or her to an orthodontist.

Dentists typically encourage good oral hygiene and provide services related to:

  • Tooth decay
  • Root canals
  • Gum disease
  • Crowns
  • Bridges
  • Veneers
  • Teeth whitening

Orthodontists are dentists that specialize in the alignment of teeth, and provide services related to:

  • Misaligned teeth
  • Crowded teeth
  • Overbite
  • Underbite

What an orthodontist can help with

Orthodontists help with crooked teeth, but they assist patients with other issues as well. These include overbites and underbites, crossbites, spaces between teeth, overcrowding of teeth, and the treatment of temporomandibular disorders (TMD). Additional problems with the jaw also need to be treated by an orthodontist.

While a dentist may be trained to provide orthodontic care in addition to extractions, TMJ treatments, and fillings, trusting your smile to an orthodontist can better balance the different procedures you require.

To learn more about the difference between dentists and orthodontists, or to schedule an initial consultation with Dr. Andrew Nalin, please give our team at Nalin Orthodontics a call at our convenient Mount Vernon, WA office.

Understanding Your Overjet

March 8th, 2023

Bite problems are so common that most of us know someone who’s worn braces. So perhaps you’re already familiar with the terms “overbite” and “underbite”—but if you’ve been diagnosed with an “overjet,” that just might be an orthodontic diagnosis that is new to you. If so, here are a few questions and answers to help promote overjet understanding.

Just what is an “overjet”?

An overjet is a type of malocclusion, which means that there’s a problem with your bite, the way your jaws and teeth fit together when you bite down. In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.”

An overjet is a Class II malocclusion, which means that the upper front teeth project further beyond the lower teeth than they should. Overjets and overbites are both Class II malocclusions, and the words are often used interchangeably, but there’s a notable difference between the two conditions.

An overbite occurs when the top teeth overlap the bottom teeth too far vertically, and you can’t see as much of the lower teeth as you should when you bite down.

An overjet is considered more horizontal in nature, where the top teeth project at an outward angle toward the lips instead of pointing straight down toward the bottom teeth. This condition is sometimes called protruding or buck teeth.

What causes an overjet?

The reason for your overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both.

Overjets can run in families. They can also be caused by the size and position of your jaws and the shape and position of your teeth, all of which affect your bite alignment. But early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to overjet development.

How do we treat an overjet?

There are many types of treatment available. Dr. Andrew Nalin will recommend a treatment plan based on the cause and severity of your overjet. Because some treatments are effective while bones are still growing, age plays a part as well.

  • Braces and Aligners

If you have a mild overjet, and minor dental issues are the main cause of the malocclusion, braces or clear aligners can effective.

  • Functional Appliances

If the overjet is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still forming.

For young patients, there are several appliances which can help correct an overjet. Some, such as the Twin Block and the Forsus Spring appliances, work inside the mouth, while others, like headgear, are worn externally. Your orthodontist will recommend the most effective appliance for your needs.

  • Surgical treatment

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself.

If we recommend surgery, oral and maxillofacial surgeons are experts in surgical procedures designed to create a healthy and symmetrical jaw alignment. Dr. Andrew Nalin will work with your surgeon to design a treatment plan, which will usually include braces or other appliances following surgery.

Why treat your overjet?

A serious, moderate, or even mild overjet can lead to many dental and medical problems, including:

  • Concerns about facial and dental appearance
  • Front teeth which are more at risk for injury
  • Difficulty closing the lips
  • Problems speaking or chewing
  • Headaches, facial, and temporomandibular (jaw) joint pain

When you work with our Mount Vernon, WA team to correct your overjet, you’re not just correcting a problem. You’re also creating something—a healthy, comfortable bite, and an attractive, confident smile. We can talk about general answers to your overjet questions, but when it comes to understanding your very individual smile, Dr. Andrew Nalin will have all the answers you need to make that healthy bite and that confident smile a reality! 

What’s the deal with bottled water?

March 1st, 2023

As more people turn to bottled water and away from the tap, they may be missing out on one important ingredient that most brands of bottled water fail to include: fluoride! Because fluoride helps strengthen teeth, it is an important component of maintaining good oral health. Our friends at the American Dental Association have endorsed both community water fluoridation and the use of fluoride-containing products as a safe means of preventing tooth decay.

In fact, the Centers for Disease Control and Prevention has also warned that “bottled water may not have a sufficient amount of fluoride, which is important for preventing tooth decay and promoting oral health.” If you are avoiding fluoridated tap water in favor of ever-more-popular bottled water, you could be missing out on the levels of fluoride necessary to make a difference in your oral health. One 2012 study in the Journal of Pediatric Dentistry found that more than 65 percent of parents using bottled water did not know what levels of fluoride it contained.

If bottled water happens to be your or your children’s beverage of choice, check the label to make sure your brand contains fluoride. Of course, simply drinking fluoridated water is not a magic ticket to perfect teeth. To keep your pearly whites in tip-top shape, it’s important to brush and floss daily and avoid sugary sweets, in addition to maintaining your fluoride intake.

Questions about fluoride? Give us a call at our convenient Mount Vernon, WA office! We look forward to hearing from you!

Bells and Whistles for Your Bristles?

February 22nd, 2023

Modern dentistry has made the most of today’s technological innovations. And we’ve come a long way from the fraying sticks our ancestors used as toothbrushes.

On the other hand, while it’s a lot better than a fraying stick, the manual toothbrush model you’ve used for years might be ready for an upgrade. Should you take this opportunity to try out some new technology offering all the bells and whistles? Let’s answer that question by asking a few more questions.

Happy with your manual brush?

If you like your manual toothbrush and it’s doing the job, by all means, stick with it. But even your old familiar brush can evolve:

  • There are lots of bristle options, but soft bristles are almost always the way to go. Medium and hard bristles can be too abrasive for your enamel.
  • Heads come in a variety of sizes, so make sure the head size is comfortable. You want to be able to maneuver to reach every tooth surface, which a too-large brush head just can’t do.
  • Try a different handle shape if you’re having trouble maneuvering and keeping a firm grip.
  • Change your brush regularly. Brushes are effective for about three months before the bristles start to fray and breakdown. This is a good opportunity to experiment with different brands and styles.

Does your old brush suit your current needs?

Different types of manual toothbrushes are available for effective and comfortable brushing when you need options that a typical brush doesn’t provide:

  • Special orthodontic toothbrushes are designed with bristles trimmed to fit around brackets and wires and smaller heads to reach into tight places.
  • For those with mobility issues, brushes with larger or easy-grip handles make cleaning more comfortable.
  • Brushes with extra-soft bristles are available if you have enamel erosion or sensitive gums.
  • Because many women find their gums become especially sensitive during pregnancy, there are brushes designed especially for moms-to-be.

Is it time to go electric?

If you haven’t tried an electric toothbrush before, you might find that getting braces is a great reason to give one a spin.

  • Electric toothbrushes can outperform manual models. A dedicated brusher might manage hundreds of brushstrokes for each minute of brushing, while an electric brush can provide thousands. If, despite your regular brushing, you have plaque build-up, an electric brush might be a good alternative to your manual brush.
  • Models are available which can alert you when you’re brushing too hard—which is important for your enamel if you’re a heavy-handed brusher.
  • If you tend to *think* you’ve brushed for the recommended two minutes, but have *actually* brushed 32 seconds, some electric brushes come with timers!
  • There are tapered electric orthodontic brush heads designed just for people with braces.
  • Electric brushes have bigger handles and can be easier to grip.

Is your current brush doing the job?

So, should you stick with the familiar toothbrush that’s worked for you all these years, or take this opportunity to try out some new technology that offers all the bells and whistles? The answer is clear: the right brush for you is the one that works!

If your regular checkups show that plaque is under control, you’re doing just fine with the brush in hand. If you or Dr. Andrew Nalin notice plaque buildup, it’s time to consider making some changes. Whether it’s a question of tools, techniques, or time spent brushing, your Mount Vernon, WA dental team has the answers you need for state-of-the-art dental hygiene.

The Twin Block Appliance

February 15th, 2023

Orthodontic treatment involves a lot more than just straightening your teeth. For a healthy smile, your bite must be healthy as well! This means that the upper and lower jaws need to fit together properly and comfortably.

If your bite is out of alignment because of jaw misalignment, orthodontic treatment can help correct the shape and position of your jaws with devices called functional appliances. These appliances are most often used for young patients whose bones are still growing, and are designed to treat malocclusions, or bite problems.

Common malocclusions such as overbites and overjets can occur when the upper teeth protrude further than they should, or the lower jaw is positioned too far back, or both. The Twin Block appliance can be used in such cases to help move your lower jaw and teeth into alignment with your upper jaw.

Why “Twin”? Because the Twin Block appliance is two separate pieces, each made of wire and smooth acrylic. Both pieces are crafted to fit precisely over your upper and lower arches and can be adjusted as your treatment progresses. The top plate can also be adjusted, if necessary, to widen the upper palate.

Why “Block”? Acrylic blocks cover the biting surfaces of several of your upper and lower teeth. These blocks fit together like a 3D puzzle. When you bite down, the upper blocks interlock with the lower blocks, pushing the lower blocks forward just a bit before you can bite down completely. Over time, bit by bit (and bite by bite), the Twin Block appliance advances your lower jaw and teeth to create a balanced, comfortable bite.

For the quickest and best results, you should wear your Twin Block appliance as directed. It’s made to be worn comfortably while you sleep, eat, and otherwise go about your day. (It’s a good idea to check with our Mount Vernon, WA orthodontic team to see about removing it when you’re active, especially for swimming and contact sports.) When it’s time to brush, the Twin Block appliance is removable. This means that you can clean your teeth and your appliance easily.

And, while it’s made to work hard for you, it’s not indestructible. Don’t expose your appliance to heat or hot water, as the plastic may warp. Use the cleaning methods we recommend. Finally, when your appliance is out of your mouth, keep it in its case! You don’t want your appliance to end up carefully wrapped in a napkin in the nearby recycling bin. Or, even worse, in your dog’s mouth instead of yours.

The Twin Block appliance might fit together like a puzzle, but there’s nothing puzzling about how to achieve your best and fastest results. Your success really depends on you. Follow Dr. Andrew Nalin and our team’s advice, wear your appliance as directed, and you’ll be on your way to a healthy, comfortable bite and an attractive, confident smile!

Does Your Valentine Wear Braces?

February 8th, 2023

The Valentine shopping list is traditional and simple: Flowers. Candy. But if your Valentine is in braces this year, suddenly your choices become more complicated. No need to worry! Dr. Andrew Nalin and our Mount Vernon, WA team have some sweet suggestions that are both braces-friendly and Valentine-approved.

First, let’s look at some options where Cupid’s arrow has missed the mark.

  • Caramels—these sticky treats are difficult to clean from orthodontic work, and sticky, chewy foods can even cause damage to wires and brackets.
  • Chocolate covered nuts—hard foods such as nuts can break or bend wires and brackets.
  • Assorted chocolates—a confectionary minefield! There are bound to be some caramels and nuts in there somewhere, hiding beneath an innocent coat of chocolate, just waiting to ruin your Valentine’s evening.
  • Other candies such as taffy, licorice, hard candy? No, no, and no. Remember, anything sticky, chewy, or hard is on the “Loves Me Not” list.

So, which chocolate treats won’t break hearts or braces?

  • Soft truffles—if it’s not Valentine’s Day without a be-ribboned box of chocolates, choose soft truffles to fill it.
  • Chocolate mousse—the perfect end to a romantic dinner.
  • Chocolate covered strawberries—it’s a special occasion treat that won’t mistreat braces.
  • Rich chocolate cake—always a delightful indulgence, and even better if it’s in the shape of a heart.

If your Valentine is not a chocolate fan, there are other sweet treats that are delicious alternatives.

  • Cheesecake can be topped with (pitted!) cherries to celebrate in holiday-appropriate color.
  • Soft heart-shaped cookies will be even more romantic with decorative icing—add your initials for a personal touch.
  • Select an array of frozen yogurt, ice cream, or gelato in different shades of pink.
  • Macarons also come in a variety of pink and red shades—but make sure this confection is on your Valentine’s braces-friendly list!

Of course, you can celebrate the day without sugary tributes. A single flower, watching your favorite movie together or, best of all, a heartfelt card or letter are all wonderful ways to show you care. But if it’s just not the same holiday without a sweet treat, try some of our suggestions. Your Valentine will appreciate your thoughtfulness.

Hot Day? Three Drinks to Leave Home When You’re Packing the Cooler

February 1st, 2023

Whew! It’s a hot one! And whenever the temperature soars, you need to stay hydrated, especially when you’re outside or exercising. But all cold drinks aren’t equal when it comes to healthy hydration. Which beverages shouldn’t have a prime spot in your cooler when you’re wearing braces or aligners?

  • Soft Drinks

You’re probably not surprised to find soft drinks at the top of the list. After all, sugar is a) a big part of what makes soda so popular, and b) not a healthy choice for your teeth.

Sugar is a favorite food source for the oral bacteria that make up plaque. These bacteria convert sugar into acids, and these acids attack the surface of your tooth enamel. Over time, the minerals which keep enamel strong begin to erode, and weakened, eroded enamel is a lot more susceptible to cavities.

So, what about sugar-free drinks? Does this make soft drinks a better choice? Unfortunately, you can take the sugar out of many sodas, but you can’t take the acids out. Most soft drinks are very acidic, even without sugar, and will cause enamel erosion just like the acids created by bacteria will.

  • Fruit Drinks

Fruit juice provides us with vitamins, which is great, but it’s also full of natural sugars and acids. And blended fruit drinks and fruit punches often contain added sugars and added citric acids. Best to choose 100% fruit content and check the labels before you buy. (And you can always get refreshing fruit flavor by adding a slice of fruit to a glass of water.)

  • Sports Drinks

You might be surprised to see these on the list—after all, they promise healthy hydration while you’re working out. And hydration is healthy—but sugars and acids aren’t. Even when the label tells you there’s no added sugar, that same label will often reveal high amounts of citric acid. In fact, some sports drinks are more acidic than sodas.

We’ll make an exception, though, for thirsty people who participate in sports or activities that require a lot of physical exercise and produce a lot of sweat. When we sweat, we lose electrolytes, those ionized minerals which help regulate many vital bodily functions. Talk to Dr. Andrew Nalin about which sports drinks are best for you if you need to replenish your electrolytes when working out.

So, what’s your best hydration choice on a hot day? Water! It not only hydrates you, it cleans your teeth, it helps you produce saliva, and it often contains tooth-strengthening fluoride. But if you only have sports drinks in the cooler, or if you just want to enjoy a soft drink or a bottle of juice from time to time, no need to go thirsty. We have some ways to make sure your teeth are safer, even with this tricky trio:

  • Rinse with water after you drink a sugary or acidic drink. And remember to brush when you get home.
  • Be choosy. Check labels for added sugars and acids.
  • Don’t sip your drinks all day long. Saliva actually helps neutralize acids in the mouth, but sipping acidic beverages throughout the day doesn’t give saliva a chance to work.
  • Use a straw to avoid washing your enamel in sugars and acids.

While sugar and acids are never good for your teeth, it’s especially important to reduce your exposure while you’re in braces or aligners.

  • Increased sugar means increased plaque and bacteria, which can collect around your brackets. When plaque isn’t cleaned away, bacterial acids cause mineral erosion, which shows up as white spots on your enamel. You don’t want to see a collection of white spots when those brackets come off!
  • Filling a cavity might require the (temporary) removal of part of your braces.
  • There’s a reason Dr. Andrew Nalin and our team recommend that you only drink water with your aligners on. If you wear them while you drink sugary and acidic beverages, the liquid collects in your aligner tray, literally bathing your teeth in sugar and acid—and speeding up the process of erosion and decay.

You need to keep hydrated when it’s hot. When you’re packing your cooler, choose drinks that are healthy for your entire body, including your teeth and gums. Ask our Mount Vernon, WA team for the best choices in cold drinks to make sure you’re getting the hydration you need—without the sugar and acids you don’t!

Double Duty

January 25th, 2023

If you play a contact sport, you know about mouthguards. You know about the cushioning protection they provide for your teeth. And not just your teeth—mouthguards also help protect your lips, tongue, and jaw, helping you avoid or minimize many of the injuries caused by collisions.

But you don’t have to be part of the defensive line or face off on center ice to wear a mouthguard. It pays to be proactive with your oral health in any activity where impact is a possibility. Whether you play a team sport, practice gymnastics, ride a bike, ski, skateboard, or participate in other athletic pastimes, there’s almost always the risk of impact—with a ball, with the mat, with the sidewalk, with another person.

So, how do mouthguards protect your teeth and mouth? It’s a combination of materials and design. Mouthguards are made of a strong, cushioning material such as plastic or silicone which helps absorb and distribute the force of impact, usually in the form of a horseshoe-shaped piece which fits over your upper teeth. The specific design can be tailored to the sport or activity you’ll be using it for.

And now that you’re wearing braces? Working toward an attractive, healthy smile doesn’t mean you can’t be active or find a mouthguard which will work for you. In fact, when you wear braces, mouthguards do double duty—they protect your mouth and teeth, and they protect your braces, too!

Even minor impacts can damage wires and brackets, and damaged braces means more time at the orthodontist and lost treatment time. More important, your guard not only helps protect your brackets and wires from impact injury, it protects your delicate mouth tissue from trauma caused by impact with your brackets and wires.

Because you probably have braces on both upper and lower teeth, the usual mouthguard design might not work for you. To make sure you’re completely protected, you may need a guard which covers both upper and lower arches.

There are over-the-counter mouth guards designed for braces, and even for covering both your upper and lower teeth. These might be one-size-fits-all or fit-it-yourself guards, or models which should be used only after a fitting at our Mount Vernon, WA orthodontic office. While some of these guards are better than others, the best option for your teeth—and your braces—might be a custom mouthguard.

What are the benefits of a custom guard for orthodontic patients? They:

  • Provide a perfect fit around teeth and braces
  • Protect better because they fit better
  • Are designed for easy breathing and speaking
  • Are less bulky
  • Are more durable
  • Fit more comfortably
  • Can accommodate orthodontic adjustments
  • Can be tailored to your specific sport or activity.

Custom mouthguards are more expensive, because they are individually crafted for your teeth and braces, but in terms of effectiveness, they are the best guards out there—because they are individually crafted for your teeth and braces. If cost is an issue, Dr. Andrew Nalin can let you know whether an over-the-counter option might work for you.

An active life should mean proactive dental care. Wearing a mouthguard when you’re wearing braces protects both your body and your orthodontics. Whichever guard option you choose, it’s a good idea to check out the fit with Dr. Andrew Nalin to make sure you’re getting all the protection you need for both when your mouthguard is doing double duty.

Keeping It Clean—Better for Your Retainer, Better for Your Oral Health!

January 18th, 2023

Now that you’ve graduated from your braces or aligners, you might think you’re finished with orthodontic cleaning tips. Not quite yet! Your retainer needs love, too—not just because it can look or smell “less than appealing” without your help, but because it’s good for your dental health.

Removable Retainers

If you have a Hawley retainer or a clear retainer, cleaning it whenever you remove it is a great idea. Unappetizing white patches mean plaque or mineral deposits from your saliva have dried and hardened on your retainer’s surface. And if you notice an unpleasant taste or odor, it probably means that germs and bacteria have made themselves at home and are growing in and on your appliance.

You don’t want old plaque or new bacteria in your mouth! Here are some ways to keep your retainer clean and fresh:

  • After wearing it, you can clean your retainer with a toothbrush, but don’t brush too vigorously. You might scratch it. Use a soft or even extra-soft brush to clean out all the nooks and crannies, and then rinse.
  • Use cleaning products which have been recommended by Dr. Andrew Nalin if your retainer needs a deeper clean. Denture cleaners, retainer cleaners, and even toothpastes can be too abrasive or cause discoloration, so use the products made for your specific retainer.
  • Let your retainer dry before storing it in a dry place after cleaning. Shutting a damp retainer into a closed case provides bacteria with the damp, dark environment they thrive in. (PS—clean your case regularly, too!)
  • One of the benefits of a clear retainer is that it’s almost invisible. And you can help keep it that way by removing it whenever you eat or drink. Your retainer can become stained from colored foods or liquids.

Fixed Retainers

A permanent retainer is a small piece of wire that is custom-fit and bonded to the inside of selected teeth to keep them from shifting. Because food particles and plaque can accumulate around a fixed retainer, brushing after meals and at least twice a day is recommended. Bacteria and plaque cause bad breath, cavities, and tartar buildup, and removing tartar might require removing your retainer.

While a fixed retainer can be tricky to clean, there are techniques and products that make cleaning easier and more effective:

  • An orthodontic toothbrush with a smaller head might reach behind your teeth more comfortably.
  • Don’t forget to floss! Using a floss threader will help you get that wriggly floss behind the retainer and between your teeth.
  • Try a water flosser. These handy devices direct a stream of water right into hard-to-reach places for more thorough cleaning.

If you’re having trouble keeping your retainer clean, our Mount Vernon, WA orthodontic team can teach you all you need to know about tools and techniques to keep your retainer—and your teeth and gums—healthy. An attractive smile is a great thing. A healthy, attractive smile is even better!

When It Come to Chewing Gum, Be Choosy!

January 11th, 2023

Why do you chew gum? Perhaps because it’s a habit that comes with some healthy benefits. Chewing a stick or two reduces the urge to snack between meals. It’s a substitute for behaviors like nail biting that you’d like to change. It might even give you fresher breath after those tuna sandwiches in the cafeteria.

And, as it happens, chewing sugarless gum actually offers a few dental benefits as well! The act of chewing increases saliva production. Saliva washes away food particles, neutralizes acids in the mouth that can damage enamel, and even bathes the teeth in essential minerals that help strengthen weakened enamel. We’re talking about sugar-free gum here, of course, because regular gum will just bathe your teeth in sugar—no one’s idea of a dental benefit!

So why not open that pack and enjoy? Because, despite the many positive reasons you can think of for chewing gum, sometimes gum can have a negative impact on your braces.

  • A Sticky Situation

Keeping your braces clean can be a bit of a challenge. That’s why you have special toothbrushes, flosses, and interproximal brushes to get rid of food particles that stick around after you eat. And, while any food can get caught in your braces, sugared gum, because it is so sticky, can stick to appliances much more easily and much more thoroughly than even sugar-free gum. You might be able to remove gum residue with regular brushing and flossing, but, worst case scenario, you might be looking at gum firmly stuck in the brackets or between the brackets and wires.

  • Gumming Up the Works

Chewing gum can also affect your treatment time if the action of chewing causes your arch wire to bend. When your wire isn’t providing the proper shape or the right amount of tension, your teeth won’t get to where they need to be as quickly and efficiently. No piece of gum is worth discovering at your next appointment that you haven’t made any progress for weeks due to a damaged wire. And since chewing gum can also lead to loose brackets and bands, you might wonder if this sticky habit is ever worth the trouble it can cause.

  • Something to Chew Over

Before you decide, talk to Dr. Andrew Nalin! Chewing sugarless gum increases saliva production, which can help wash away food particles from your mouth and your braces. As an added benefit, the action of chewing for a few minutes after an appointment has been shown to reduce the discomfort of an adjustment. Because today’s braces are stronger and more durable, and sugarless gum much less likely to stick to them, we can let you know if chewing gum might be acceptable or even desirable depending on your specific treatment plan and your appliance.

Talk to us at your next appointment at our Mount Vernon, WA office about gum chewing, and we’ll give you the very best recommendations for keeping your teeth healthy, your braces clean, your appliance intact, and your treatment plan on track. Even if gum needs to be off the menu for a while, what you’ll get in return—the best and fastest path to your beautiful smile—will be well worth it!

New Year’s Resolutions—Counting Down to a Beautiful Smile

January 4th, 2023

Traditionally, January is a great time to choose some bad habits you’d like to lose, and some good habits you’d like to develop. If one of your goals this year is to help make your orthodontic treatment as efficient and successful as possible, we have the perfect resolutions for your New Year.

  • Brush after every meal

If you’ve grown up brushing for two minutes twice each day and flossing regularly, you have been doing everything right! But now that you have braces or aligners, you should plan on brushing after every meal and each snack.

Food particles can stick to wires and brackets, which is nothing to smile about. Worse, plaque can be easy to miss around your braces, which can lead to enamel erosion and possible cavities. Brushing after eating is the best way to eliminate food particles and plaque from braces and enamel, but if you can’t brush, be sure to rinse well with water.

Patients with aligners benefit from brushing, too, to keep food particles and sugary or acidic beverages from remaining trapped around the teeth after the aligners are replaced. If you absolutely can’t brush, remember to rinse carefully with water after eating and drinking and before replacing your aligners.

  • Watch your diet

Changes to our diets are probably one of the most common resolutions, so it’s no surprise we have recommendations for your dental diet. Dr. Andrew Nalin and our team are happy to provide you with a comprehensive list of the foods that can harm your wires and brackets, or which are especially difficult to keep from sticking to your appliance and enamel. No tempting caramels or buttery ears of corn are worth damage to your braces! Follow the guidelines for braces-friendly foods, and you’ll help keep your treatment problem-free and on track.

  • Do your part

Wearing braces or aligners can require some interactive work on your part. If you are supposed to wear your aligners for 22 hours a day, be sure to follow those instructions to keep your treatment plan on schedule. If you have bands that you need to wear with your traditional braces to help correct your bite, wear them as directed. And never try to make up for lost time by doubling your bands—this can actually be harmful to your teeth.

If we can help demonstrate or explain anything you need to do at home, don’t be afraid to ask!

  • Keep your retainer case handy

When you finish orthodontic treatment, you will probably have a retainer to help your teeth maintain their new, healthy alignment. Keep your retainer healthy by making sure to use your case whenever you’re not wearing it. Bent, broken, or lost retainers should be repaired or replaced as soon as possible to avoid changes in that smile you’ve worked so hard for.

  • Keep your appointments

The more you stay on schedule, the faster you will achieve your ideal smile. And if you have a problem between appointments, call our Mount Vernon, WA office! Broken braces and aligners aren’t effective and can delay your progress, so let us know if you think you might need to see us earlier than scheduled. Finally, don’t forget your regular exams and cleanings at your dentist’s office.

Traditionally, the beginning of the year is a great time to choose some bad habits you’d like to lose, and some good habits you’d like to develop. But you needn’t wait for that New Year’s Eve countdown clock.  Adopting these orthodontic resolutions at any time of year will keep you on track for a lifetime of beautiful, healthy smiles.

Does My Pre-Existing Dental Work Mean I Can’t Wear Traditional Braces?

December 28th, 2022

When you get braces as a child, you usually present the orthodontist with a blank canvas—newly erupted, perfect permanent teeth, just waiting to be aligned. But if you are a bit older, your canvas might already be a bit busy, with fillings, crowns, perhaps even a missing tooth. Can Dr. Andrew Nalin still work with that more complicated picture? Yes!

  • Fillings

Many of us have acquired a filling or two. Normally, an old filling shouldn’t interfere with new braces. Large fillings, however, might call for spacers. These small rubber bands are inserted between two teeth as needed to create enough room for bands and brackets, and are generally put in place a week or two before you get your braces. They frequently fall out on their own as the space between the teeth gets a bit wider.

  • Crowns

If you have had a root canal or any other dental treatment that left you with a crowned tooth, no need to be concerned. A special dental adhesive can be used to adhere brackets to crowns.

  • Implants

If you have or would like to get an implant, this is a time to coordinate with your orthodontist and dentist or oral surgeon. Sometimes an implant can anchor your appliance, and sometimes it’s best to keep the spot open until your orthodontic work is completed. Once in place, an implant will not have the mobility of a tooth, so it’s always best to make sure your doctors can create a schedule that will work for both the installation of the implant and the positioning of your braces.

  • Healthy Teeth and Gums

Before you begin orthodontic work, talk to your dentist. If you need a filling or crown, are considering a dental implant, have symptoms of gum disease, or are looking at any other dental concerns, you should work with your dentist first. Healthy teeth and gums are the very best foundation for orthodontic treatment at any age.

If you are wondering whether Dr. Andrew Nalin can help you achieve the smile you’ve always wanted, talk to us when you visit our Mount Vernon, WA office! Your past dental work will be just one of the many variables we take into consideration when we’re planning your future of picture-perfect smiles.

Retaining That New Smile

December 21st, 2022

For months and months, you’ve been dedicated to following your orthodontic treatment plan. Wearing your bands or putting in the hours with your aligners. Eating orthodontic-friendly foods. Seeing your orthodontist on a regular basis.

But that’s all in the past. Today, your braces are coming off! You’ve finished with your last set of clear aligners! Now it’s time to enjoy your accomplishment and celebrate this moment.

And after you’ve celebrated the moment, what’s next? Why, it’s time to look to the future! Because one thing we can predict for the years ahead is that you’ll want to keep your smile looking as wonderful as it does today. Let’s look at some of the simple steps you can take to retain that new smile.

Keep Up With Your Brushing and Flossing

Wearing braces or aligners meant learning a whole new way to take care of your teeth and gums. You used special tools to clean around your brackets and wires. You learned how to keep your aligners clean and stain-free. You brushed and flossed after every meal and snack break.

So returning to regular hygiene habits should be a cinch—two minutes of thorough brushing at least twice a day, with careful flossing at least once each day. And you’ll probably notice something else which makes your life easier—properly aligned teeth are easier to brush and floss effectively.

But just because it’s easier, doesn’t mean it’s not as important. Keeping your teeth clean and cavity-free and your gums healthy will keep your smile looking its best, so be sure to brush and floss just as consistently as you did when you were in treatment.

See Your Dentist Regularly

Even though you won’t be making regular visits to our Mount Vernon, WA office anymore, that doesn’t mean your dental calendar is clear! Cavities aren’t a good look for your new smile. Neither are tartar stains or red and swollen gums.

Checkups once or twice a year mean that you have a healthy smile as well as a beautifully aligned one. And a professional cleaning from your dentist’s office will make sure it’s a gum-healthy, bright, and stain-free smile as well.

Wear Your Retainer

Your teeth may have moved to their perfect positions, but they haven’t moved there permanently yet.

During orthodontic treatment, gentle pressure from your appliance causes steady, careful tooth movement. As teeth move in the jaw, old bone cells around the roots break down where they’re no longer needed, and new bone cells build up around the roots in their new position. It’s a gradual process which makes sure your teeth are held firmly in the jawbone.

Bu this isn’t the end of the process. When you stop wearing braces or aligners, teeth and ligaments may begin shifting back to their original location. The new bone tissue that holds your teeth in their ideal spots isn’t strong enough yet to stop this shifting, especially with the normal forces of biting, chewing, clenching, and all the other activities that put pressure on teeth.

Your retainer holds your teeth in just the right position while jawbone tissue has time to reshape, rebuild, and stabilize. This can take months or more to accomplish, especially when you’ve had a more serious misalignment or bite correction.

Which also means . . .

Wear Your Retainer as Long as Necessary

Dr. Andrew Nalin will recommend the best retainer for you. Three popular options include:

  • Hawley Retainers—the traditional removable retainer. This appliance uses wires embedded in a molded acrylic plate to keep your teeth properly aligned and to hold your retainer in place.
  • Clear Plastic Retainers—a removable custom retainer made of vacuum-formed plastic. This piece looks and fits over the teeth like a clear aligner.
  • Fixed Retainers—a small single wire bonded to the back of specific teeth to hold them in place and prevent any movement.

For the first few months, you might need to wear your removeable retainer both night and day, and then switch to nighttime wear. Dr. Andrew Nalin might recommend long-term nightly retainer use, or perhaps taper to a few nights a week. A fixed retainer can last for many years. We can’t tell you how long you’ll need to wear your retainer because that answer depends on your specific orthodontic needs.

If you do stop wearing your retainer and find that your teeth are shifting, see Dr. Andrew Nalin as soon as possible. Fixing a slight shift can be fairly uncomplicated, but waiting until your teeth and bite are more seriously out of alignment could require another session in braces or aligners.

The hard work you’ve put in to create your smile is past, and today you’re enjoying all the benefits of aligned teeth and a comfortable bite. Taking simple steps to maintain these benefits will help guarantee a future filled with healthy, confident smiles.

Be Prepared!

December 14th, 2022

When you’re busy at school or work, when you’re on vacation, when you’re on the road to adventure—preparation helps everything go smoothly. Especially when the unexpected happens! So, how can you be prepared for any orthodontic and dental situations which might arise? By creating these useful—and portable—travel kits.

Everyday Basics Kit

Dentists recommend brushing twice a day and flossing at least once each day for clean and healthy teeth. But after a long day at school or work with no time to head home before your date, or a garlic-heavy lunch in the cafeteria, or a dash from the classroom to after-school activities, you might feel like there’s no time like the present to give your smile a bit of a boost.

Be prepared with a small travel bag filled with these easy-to-carry basics to get you through your busy day with clean teeth, fresh breath, and a confident smile:

  • Toothbrush and case—and do make sure your case is ventilated so your brush can air dry. Bacteria love a closed, damp environment!
  • Toothpaste
  • Mini-bottle of mouthwash
  • Small mirror—to check for any lunch leftovers
  • Dental floss—to remove any lunch leftovers. Use braces-friendly dental floss if you have traditional braces.
  • Dental Wax—to cover any uncomfortable wires or brackets
  • Interproximal brushes—to remove food particles from around your braces and between your teeth
  • Extra rubber bands
  • Aligner/Retainer case—keep your aligner or retainer safe and clean while you’re eating

Flight Gear

Getting set to travel by air again after this long lay-over? Your basic kit will do the job with just a few minor additions and alterations.

  • A travel version of your manual or electric toothbrush and travel case
  • Plug adapter or voltage converter as needed for your electric brush if you’re visiting another country
  • Quart size, resealable plastic bag to hold your carry-on supplies. Toothpaste and mouthwash are included in the list of items which need to fit carry-on guidelines.
  • Travel-size toothpaste—3.4 oz (100 ml) or smaller tube size. (And an almost-empty regular size tube doesn’t count!)
  • Travel-size mouthwash—also in a 3.4 oz (100 ml) or smaller container
  • Our Mount Vernon, WA office’s phone number. In case of emergency, Dr. Andrew Nalin can give you advice on how to handle any problem which might arise when you’re far from home.

Looking for Adventure?

If you’re camping in the forest, leaving for the lake, going for a road trip, or heading out on any travel adventure, you’ll be bringing the dental care basics, of course. We’d also like to recommend some items to take along in the event of a dental emergency while you’re away from home:

  • Dental mirror
  • Cotton rolls
  • Over-the-counter pain relief—including a tube of oral pain relief gel
  • Ice pack
  • Dental wax—this handy item not only protects against sharp wires, it can cover the sharp edges of a broken bracket
  • Temporary fillings—to protect your sensitive tooth if a filling or crown is lost
  • Tooth preservation kit—to protect a dislodged tooth in case it can be reimplanted. (This means seeing a dentist very quickly, usually within 30 minutes of the accident.)

And, if you’ll be mountain biking, water skiing, or enjoying any activity where there’s potential for impact, don’t forget to pack your mouthguard!

Preparation is key to eliminating a lot of stress in our daily lives, and who couldn’t use a bit of stress-relief these days? Make room in your bag, locker, desk, luggage, or backpack for some portable, lightweight dental necessities. Be prepared to share your confident, healthy smile no matter what life has in store!

Orthodontics—Gift Yourself!

December 7th, 2022

It’s the season of giving and the start of a new year. What better time to gift yourself with the orthodontic treatment you’ve always wanted?

Orthodontic treatment isn’t just for children and teenagers. In fact, adults make up a significant—and growing—number of new patients looking forward to beautifully aligned teeth and a healthy bite.

And because today’s orthodontic treatments are more comfortable, take less time, and are less visible than ever before, they are a great fit for your busy adult life. You also have many more options from which to choose, including:

  • Traditional Braces

Traditional braces are a proven method of aligning your teeth and bite, can be more economical than other options, and are often most effective in treating complicated orthodontic issues.

If traditional braces are best for your needs, you’ll be happy to hear that today’s braces are better than ever. Brackets are smaller. Innovative wire technology makes the orthodontic process even more efficient. And with self-ligating brackets, there’s no need for those colorful little bands around each bracket to hold those wires.

  • Ceramic Braces

If you’re looking for something more inconspicuous, consider ceramic brackets. These ceramic or porcelain brackets are color-matched to your teeth, and, especially used with clear bands and lighter wires, create a less visible profile.

  • Lingual Braces

This is your most discreet option, because these braces are located on the inside of the teeth. Lingual braces are custom designed, so they can be more expensive, and treatment can take a bit longer, but they are perfect for those who want invisible braces for personal or professional reasons.

  • Clear Aligners

Clear aligners can treat many orthodontic conditions, including some complicated malocclusions. Your orthodontist can let you know if these removable, comfortable, and subtle aligners will work for you.

Adult orthodontics can give you the confident smile you’ve always wanted, which is reason enough to seek orthodontic treatment at our Mount Vernon, WA office. And perfectly aligned teeth and a healthy bite have dental benefits as well as mental benefits!

  • Reduce the Risk of Cavities and Gum Disease

Crooked and overlapping teeth are harder to keep clean. Getting in between the teeth to remove all the food particles and plaque can be difficult even with the most careful brushing and flossing. Built up plaque increases your risk of cavities, irritates delicate gum tissue, and causes gum disease.

  • Prevent Tooth and Jaw Injuries

If your jaws have never fit together properly, you’ve probably experienced at least some of the consequences of a malocclusion, or bad bite. Worn and cracked teeth, damaged fillings and crowns, jaw pain, headaches, difficulty breathing—all of these problems can be caused by a misaligned bite.

If you’ve always wanted orthodontic treatment, talk to Dr. Andrew Nalin to discover the possibilities. A more confident appearance, reduced risk of cavities and gum disease, a comfortable, pain-free bite—there’s no better gift to give yourself than a lifetime of healthy smiles!

Five Clues That It’s Time to Replace Your Toothbrush

November 30th, 2022

Your dashboard lights up when your car needs an oil change. Your family smoke detector beeps when you need to switch out the batteries. But when it’s time to replace your toothbrush, you’re on your own. Luckily, there are several not-too-subtle clues that you should be shopping for a new model.

  • Fraying

Is your toothbrush looking a bit scruffy? Do those once orderly bristles look like they have the toothbrush equivalent of bed head? Have some bristles vanished altogether? Time to retire that toothbrush. Once the bristles are frayed, you just can’t reach plaque as effectively, especially where it likes to hide between the teeth.

Are you prematurely fraying? You could be brushing too hard. Overbrushing can injure delicate gum tissue, cause wear and tear to tooth enamel, and even damage your braces. If you find your brush fraying after only a few weeks of use, you might be using too much force. Remember, plaque is a sticky film, but it’s a soft sticky film. Ask us for advice on just how hard you need—or don’t need—to brush.

  • Odor

This one really goes without saying—no one wants an aromatic toothbrush! How to make sure your toothbrush is fresh and clean?

Always rinse carefully after you brush. This will get rid of any toothpaste, bits of food, or other particles left on your brush.

Let your toothbrush air dry. It might seem more hygienic to keep your brush covered in a bathroom setting, but a closed, moist container is a perfect breeding ground for germs. Don’t let them make a home in your bristles!

  • Illness

A cold or a bacterial infection (like strep throat) is no fun. But now that you’re feeling better, it might be time to throw out your toothbrush. The chances of re-infection are very low, unless your immune system is compromised, but this is a perfect opportunity to replace your brush with a fresh, germ-free model.

And if you share your toothbrush, or if you store it right next to a family member’s (which you really shouldn’t do, for this very reason), germs get shared, too. Quarantine your brush while you’re ill, and replace it once you’re out and about.

  • Discomfort

Bigger isn’t necessarily better. A brush with a head that’s too big won’t allow you to get into those small spaces in your mouth where plaque likes to collect. And when you are trying to clean around brackets and wires, a regular brush might be a problem. Ask Dr. Andrew Nalin for suggestions for the best tools for clean and comfortable brushing.

Also, harder doesn’t mean more effective. A brush with hard bristles can cause damage to your gums and enamel. We almost always recommend soft-bristled brushes for this every reason.

There are so many styles of brush out there, you’re bound to find the perfect fit with a little trial and error. Or ask us for suggestions the next time you’re at our Mount Vernon, WA office for an adjustment!

  • You’ve Passed the “Best By” Date

Because of its durable construction, your toothbrush can last a long, long time. But no matter how comfortable and effective your toothbrush is right now, it was never meant to go through life with you. Bristles break down over a period of a few months, and just don’t clean as effectively. Your brush should be changed every three months, and this includes changing the head on your electric toothbrush. And because you wear braces, you’re brushing more often, so that three month lifespan might be stretching it.

Unfortunately, you don’t have a flashing light or annoying beep to remind you when it’s time to change brushes, so you’ll have to devise your own reminders. Reminder apps, calendar notes, the first day of a new season—use whatever works best for you. 

Don’t ignore the clues your toothbrush is leaving you. Replacing your brush whenever it’s necessary helps guarantee that the time you spend cleaning your teeth and gums will lead to confident, healthy smiles. Case closed!

Are you too sensitive?

November 23rd, 2022

We’re not talking about tearing up at the end of a sad movie, or that uncomfortable scratchy feeling you get from a coarse wool sweater—no shame in that kind of sensitivity! But it is a shame if you’re feeling unpleasant tooth sensitivity, especially while you’re wearing braces. No fear—we have some helpful ideas to make you more comfortable as you create your healthy, confident smile.

What do we mean by tooth sensitivity? You know it if you’ve felt it. Pain when you have a cold drink. Or a hot one. Or a sweet treat. Wincing when a light breeze hits your smile. Discomfort after an adjustment.

Fortunately, these annoying twinges can be avoided or eased with some proactive practices.

Keep Up with Your Brushing and Flossing

The oral bacteria in plaque break down enamel when they’re left on the teeth for too long. The result is a cavity, which leaves your sensitive dentin, the layer of the tooth between the enamel and the inner pulp chamber, exposed to elements which can trigger pain. These all-too-common elements include heat, cold, air, or sweet foods. If you suspect you have a cavity, a visit to the dentist will make sure your tooth is cleaned and filled to prevent further damage.

Better yet, prevent cavities before they cause tooth sensitivity. It can be harder to keep your teeth their cleanest while you’re in braces, but it’s more important than ever. You don’t want to have brackets and wires removed, even temporarily, to treat a cavity! You can keep decay at bay by:

  • Brushing after every meal and snack.
  • Flossing whenever necessary, making sure to clean around your brackets and wires.
  • Using cleaning tools made for braces for the easiest and most effective dental hygiene.

Avoid Aggressive Brushing

If you’re using anything other than a soft toothbrush, time for a shopping trip! Using a stiff bristled brush is almost always too abrasive for even the strongest enamel. And vigorous brushing is more harmful than helpful. Poor tools and poor technique can wear away enamel, and, when enamel is worn away, the more sensitive dentin is exposed. Your gums can also be injured, exposing the tops of your roots—which are more sensitive than the enameled crowns.

If your teeth are sensitive because of abrasive brushing, talk to Dr. Andrew Nalin about possible solutions for keeping your teeth both clean and strong.

  • Use a softer-bristled brush.
  • Try toothpaste designed for sensitive teeth.
  • Practice proper brushing technique. Gently rub, don’t scrub!

Care for Yourself after Adjustments

Your teeth might be sensitive after an adjustment. This discomfort is normal, and should pass in a few days. In the meantime, treat yourself kindly.

  • Brush as usual, taking special care to brush gently.
  • Fill your menu with soft and soothing foods. Cool treats like classic ice cream and pudding, or healthier choices like frozen yogurt and fruit smoothies. Comfort foods like cream soups and mashed potatoes. Or all-day breakfasts of oatmeal, pillowy pancakes, or scrambled eggs.
  • Take over the counter medication as recommended and as necessary.

Be sensitive to your needs while you’re in braces. If you’re feeling any kind of tooth sensitivity, talk to Dr. Andrew Nalin at our Mount Vernon, WA office. We have solutions which will make sure you’re both comfortable and twinge-free on your journey to a healthy, attractive smile!

Just What Is Plaque?

November 16th, 2022

From the time you were small, you’ve been warned about the dangers of plaque. Why? Because:

  • It’s an unpleasant film that sticks to your teeth
  • It causes cavities
  • It causes gum disease
  • It can cause extra problems when you wear braces

And really, do we need to know much more than this to motivate us to brush? But if you’re in a curious mood, you might be wondering just how this soft, fuzzy film accomplishes all that damage. Let’s take a closer look at the sticky problem of plaque.

How does plaque form?

We live with hundreds of species of oral bacteria, most of which are harmless, and some of which are actually beneficial. But when our oral ecosystem gets out of balance, problems can occur. For example, without regular and thorough brushing and flossing, we start to build up plaque.

Plaque starts forming within hours of your last brushing. And even though plaque fits the very definition of “seems to appear overnight,” this biofilm is actually a complex microbial community with several different stages of development.

  • It starts with saliva.

Saliva is vital to our oral health, because it keeps us hydrated, washes away food particles, neutralizes acids in the mouth, and provides minerals which keep our enamel strong. Saliva also contains proteins, which help form a healthy, protective film on the tooth surface. This film is called a pellicle.

  • Bacteria attach to the pellicle.

There are species of oral bacteria that are able to attach themselves to the pellicle film within hours of its formation. As they become more firmly attached, they begin to grow and divide to form colonies, and are known as the early colonizers of the plaque biofilm.

  • A complex biofilm forms.

If you’ve skipped brushing for a few days (please don’t!), you’ll notice a fuzzy, sometimes discolored film on your enamel—that’s a thriving plaque community, and it only takes a matter of days to go from invisible to unpleasant.

If you’re not removing plaque regularly, it can harden further and become tartar. And once you have tartar buildup, you’ll need the care of a dental professional to remove it.

  • What happens if we ignore plaque and tartar?

We get cavities and gum disease.

How does plaque cause cavities?

  • The bacteria in plaque, like all organisms, need nutrients.

Our normal oral environment and the food in our everyday diets provide the nutrients plaque needs. And, as we mentioned above, certain types of oral bacteria convert these nutrients into acids. Foods such as carbohydrates, starches, and sugars are most easily converted into acids, which is why we recommend that you enjoy them in moderation.

  • The biofilm promotes acid production.

Within the plaque film, anaerobic bacteria (bacteria which don’t use oxygen) convert sugars and starches into acids. As the plaque film becomes denser, it blocks acid-neutralizing saliva and oxygen from reaching these bacteria close to the tooth’s surface, creating an ideal environment for the bacteria to produce their acid waste products.

  • Acids attack enamel.

The sticky nature of plaque keeps these acids in contact with tooth enamel, where, over time, acids dissolve minerals in enamel, weakening the mineral structure of the tooth.

How does plaque cause gum disease?

  • Bacteria cause inflammation and gingivitis.

The bacteria in plaque irritate the delicate tissue of the gums, which causes an inflammation response which can leave your gums swollen, red, bleeding, or tender. This early form of gum disease is gingivitis. Fortunately, good dental care and careful brushing and flossing can usually prevent and even eliminate gingivitis.

  • Plaque and tartar can lead to periodontitis.

When plaque and tartar build up around and below the gumline, the gums pull away from the teeth, leaving pockets where bacteria collect, leading to infection as well as inflammation. Infections and constant inflammation not only harm gum tissue, they can destroy the bone supporting the teeth. This serious gum condition is periodontitis, and should be treated immediately to avoid further infection and even tooth loss.

How does plaque affect orthodontic patients?

  • Plaque collects around your braces.

Braces provide plenty of spots for plaque to hide from your brush. If you aren’t extremely diligent with your brushing and flossing, plaque collects near brackets, wires, and bands—all those spots that a brush and floss find difficult to reach.

  • Plaque promotes demineralization

The demineralization process we mentioned above can cause white spots on teeth (decalcification), where minerals have dissolved. Sometimes these spots can be treated, and sometimes they are permanent. They can become quite sensitive, and may lead to cavities.

Careful brushing and flossing around your braces will help eliminate the plaque that can cause demineralization near brackets. Ask Dr. Andrew Nalin about the tools and the brushing and flossing techniques which will give you the best results.

How do we fight plaque?

From the time you were small, you’ve learned how to fight plaque:

  • Brush at least twice a day for two minutes, and be sure to brush all of your tooth surfaces and around the gumline.
  • Floss to remove plaque from between the teeth and near the gumline.
  • See your dentist as recommended for a thorough professional cleaning.

Be proactive. If you have any questions, talk to us at our Mount Vernon, WA office about the best way to keep plaque at bay. We can show you the most effective ways to brush and floss, recommend anti-plaque toothpastes and rinses, even suggest plaque-revealing tablets if you’re missing some trouble spots.

We’ve only brushed up on some plaque basics, because there is a lot more to discover about this complex biofilm. Happily, even with all there is to learn about plaque’s growth and development, it’s reassuring to know that getting rid of it is quite simple—with just a soft-bristled brush, some dental floss, and a few minutes of your time each day, you’re on the way to a healthy, happy, plaque-free smile.

Wearing Braces? Make Cavities a Remote Possibility

November 9th, 2022

Press Pause

If you are getting braces in the near future, it’s very important to see your regular dentist first. That way, any cavities or other dental problems can be treated before your first orthodontic appointment at our Mount Vernon, WA office.

Play it Safe

Once you have your braces, you’ll hearing a lot about how you need to be especially careful with your dental hygiene. Why? Because wires and brackets are obstacles to getting your teeth and gum area their cleanest. Plaque and food particles tend to stick to braces, and all too often can be missed while brushing. Plaque builds up around your gum line and brackets, and, in a very short time, can lead to sensitivity, demineralization, and cavities.

What can you do to prevent tooth decay?

  • Increase Your Brushing Time

Instead of brushing twice a day, start brushing for two minutes after every meal. Put together a travel bag with a small toothbrush, toothpaste, floss, and interproximal brushes to clean your teeth when you’re on the go. If you absolutely can’t brush, rinse carefully with water, and then brush as soon as you can.

  • Flossing—More Important than Ever

Use the flossing tools designed just for braces to make sure you’ve removed food particles and plaque from around your braces and gums. A water flosser can be helpful if manual flossing isn’t effective.

  • Keep Up with Your Regular Dental Care

Schedule regular checkups and professional cleanings at your dentist’s office. They will be able to remove plaque you might miss at home.  

  • Follow Our Advice

We’ll give you instructions on how to brush and floss, what products to use, and diet suggestions (such as keeping sugary and sticky foods off the menu and away from your braces). If we notice plaque building up around your gums and brackets, we’ll let you know that you need to step up your hygiene habits. We can also suggest rinses and toothpastes that help fight plaque.

But if, despite all your efforts, you do get a cavity? There are options!

  • Ignoring Your Cavity?

Not an option. You shouldn’t wait until you are out of braces to get a cavity treated. This just gives decay a chance to spread further.

  • Working With Your Braces

Repairing a cavity means removing the decay in the tooth, cleaning the area, and then filling the tooth. If your cavity isn’t located near your bands, brackets, or wires, your dentist might be able to work around your braces, and you can get your cavity treated during a regular dental appointment.

  • Removing Parts of Your Braces for Treatment

Sometimes a cavity is located in a spot that your dentist can’t reach because of your braces. In that case, we’re able to coordinate with your dentist and remove a wire or bracket temporarily so you can have your tooth filled. Make an appointment to replace your bracket and re-attach your wire, and you’ll be back on schedule as soon as possible.

Fast Forward

Keep your eyes on your goal--you’re in braces because you want a beautiful smile. Keeping on top of your dental health is an essential part of creating that smile. Talk to Dr. Andrew Nalin about tips for getting your teeth their cleanest. If you do develop a cavity, we’ll help you figure out the best way to treat it without causing too much delay in your orthodontic treatment. Taking care of your teeth now is the best way to create a future of beautiful smiles!

When You Need Immediate Care, We are Here for You

November 2nd, 2022

At Nalin Orthodontics, we know orthodontic emergencies are neither convenient nor timely. If you are a patient of record, Dr. Andrew Nalin and our team are more than willing to see you after hours or over the weekend. As a general rule, you should call our Mount Vernon, WA office when you experience severe pain or when you have a painful appliance problem that you can’t take care of yourself. We’ll be able to schedule an appointment to resolve the problem. If you have an orthodontic emergency after regular office hours, please give us a call and follow the emergency prompts to contact one of our doctors.

A Fun Halloween with Braces

October 26th, 2022

Having teeth encased in braces can be discouraging during Halloween. If you or your child has braces, there are certain candies to avoid this holiday season—and in general—while you have braces. Candy can be tempting, especially for children.

But don’t worry; other sweet treat options can readily take their place. Take a look at the American Association of Orthodontists’ tips on how to keep your braces safe.

Treats to avoid because they can cause damage to your braces include:

  • Hard candies
  • Chewy candies
  • Nuts
  • Caramel
  • Licorice
  • Jelly beans
  • Taffy
  • Bubblegum
  • Hard pretzels
  • Popcorn

These goodies should be avoided because they have the potential to bend or break your braces. Broken brackets and loose wires can waste time and money.

Switch out hard, chewy, and sticky candies for these options in the mean time:

  • Soft chocolate
  • Peanut butter cups
  • Gelatin treats
  • Ice cream
  • Smoothies
  • Root beer floats
  • Apple cider

Encouraging your child to stay with alternative, braces-friendly treats may prevent her from trying to eat candies that could break or damage braces. Halloween can still be fun, especially if your youngster (or you) don’t have to visit our Mount Vernon, WA office get braces fixed.

Make sure to remind your child to avoid harmful candies, and encourage him to exchange treats with friends to make it more fun. Only passing out candies that children can eat safely, such as soft chocolates, can make them feel included.

Dr. Andrew Nalin and our team hope you enjoy your Halloween season, regardless of whether you are wearing braces.

Clearing Up Your Questions About Clear Braces

October 19th, 2022

First, let’s clarify what we mean about clear braces. We’re not talking about clear aligners, which can be a great option if you want treatment that is a) removable and b) almost invisible. But sometimes only traditional brackets-and-wires braces will do when it comes to your orthodontic treatment. Does this mean you can’t opt for a more subtle, less visible treatment plan?

No! Orthodontic advances in materials and design mean that you have more options than ever before when it comes to selecting brackets and wires. If you prefer more inconspicuous braces for professional or personal reasons, some of the current options in clear braces might be just the (inconspicuous) look for you.

“Clear braces” can refer to several styles of brackets and wires:

  • Brackets themselves can be crafted in porcelain, ceramic, or plastic. High quality materials make them strong and stain-resistant.
  • Brackets can be transparent or can be carefully tinted to blend in with your enamel.
  • Some of these brackets require the usual ligatures (those tiny rubber bands holding the wire to the brackets), so it’s important to choose a band color to coordinate for a monochromatic look.
  • Some of these brackets are self-ligating, designed to hold the archwire with built-in clips and needing no ligatures at all.
  • Finally, there are coated and even non-metallic archwires that are designed to blend in with your enamel color and work without calling attention to themselves. Depending on your individual bite and tooth alignment, these wires might be an option.

Some of the common questions about clear braces include:

  • Can everyone use clear braces?

While clear braces generally function just as traditional metal braces do, there are some cases where they might not be ideal depending on the amount and type of alignment and bite correction you need. Dr. Andrew Nalin will let you know the best options to treat your orthodontic problems as effectively as possible.

  • Are they as strong as typical metal braces?

Clear brackets are quite strong, but they’re not as durable as metal brackets. If you choose porcelain, ceramic, or plastic brackets, we’ll give you all the information you need for their care.

  • Do clear braces take longer to work?

They might take a bit more time to bring your teeth into alignment, or they could work just as quickly as traditional braces. They often take less time than aligners. Today’s orthodontic treatments work more efficiently and therefore more quickly than ever before, so if there are any differences in wear-time, they probably won’t be significant.

Your individual orthodontic needs will dictate how long any treatment plan will take, and if different treatment options will add or save you time. Before you choose any orthodontic plan, we’ll go over all your options and give you an estimate for treatment time for each of them.

  • Any notable differences from metal brackets?

Clear brackets can be larger than metal versions. Because they can also be somewhat abrasive, they might be suggested only for your upper teeth. We’ll let you know if these brackets are a good fit for you.

  • Do clear braces stain?

Today’s clear brackets aren’t prone to staining—that would certainly defeat the purpose of choosing them! We’ll give you instructions on keeping them as clean and clear as possible. Do remember, if you use ligatures, that these little bands can stain if your diet is big on coffee, tea, cola, blueberries, or any other colorful food.

  • Are clear braces more expensive?

Cost of treatment is based on several factors, including the type of braces you select. We’ll be happy to compare the costs of your various treatment options.

If you want the benefits of traditional braces, but don’t necessarily want the visibility of regular metal brackets, consider the many transparent and tinted options available. Want more clarity? Talk to a member of our Mount Vernon, WA orthodontic team! You might discover that clear braces are the clear choice to create your healthy, beautiful smile.

Midline Misalignment

October 12th, 2022

By and large, the human body is a marvel of symmetry. But, of course, no one is perfect. You might have noticed one ear is a bit higher than the other. That you wear a shoe a half-size bigger on your left foot. That one shirtsleeve always looks longer.

Or that your smile looks off-center. This dental asymmetry could be caused by a condition known as “midline misalignment,” and, unlike that left foot, you can do something about it!

The dividing line between our center teeth, upper and lower, is called the midline. If we draw an imaginary line down the middle of a face, from the forehead to the nose to the midpoint of the chin, that line should go right between the front teeth. When it doesn’t, because the teeth have shifted past the midpoint, it’s often due to a condition called midline misalignment.

This kind of misalignment, also known as a deviated midline, can have several causes:

  • Baby teeth that are lost too early

Baby teeth do more than promote healthy eating and speech development. They also reserve space for permanent teeth. If a primary tooth is lost too early, permanent teeth might “drift” to fill the empty space, causing the midline to move as well.

  • Thumb sucking that goes on too long

As a child gets older, and certainly when by the time permanent teeth start to arrive, aggressive thumb sucking can lead to numerous orthodontic problems, including a deviated midline, as the teeth shift in response to that continuous pressure.

  • Missing adult teeth

When you lose a tooth through decay or trauma, or when an adult tooth simply never develops, the remaining teeth can shift over to fill the open spot.

  • Spacing issues

Crowded teeth, teeth with significant gaps between them, very large teeth, very small teeth—all of these issues can affect spacing and midline alignment.

  • Crossbite

A crossbite is a kind of malocclusion, or bite problem. When you have a crossbite, the teeth don’t fit together properly, with upper teeth fitting inside lower teeth, instead of aligning on the outside where they belong. A deviated midline can indicate a posterior crossbite, where the top back teeth slant inwards or fit inside the bottom back teeth.

A tiny bit of midline shift one way or the other might be nothing to worry about, but if one front tooth is literally the center of attention, or if your teeth are noticeably out of alignment, it’s a good idea to talk to our Mount Vernon, WA orthodontic team.

Because there are several potential causes for midline misalignment, Dr. Andrew Nalin will carefully analyze your individual situation to determine where the problem lies: with the teeth, the bite, or, rarely, the jaw itself.

Dr. Andrew Nalin will also offer you your best dental treatment options. A shift of a few millimeters might be treated with clear aligners or traditional braces. A crossbite could require braces or aligners coupled with elastics (rubber bands) to bring your bite into alignment. A palatal expander can help correct a serious crossbite.

Why visit Nalin Orthodontics because of a little asymmetry? Because a deviated midline is more than a cosmetic concern. If you have a malocclusion to begin with, or if your misalignment leads to changes in chewing habits, which cause new bite problems, you might be facing jaw pain, chipped and cracked teeth, headaches, and all the other unpleasant consequences of malocclusion.

By and large, perfect symmetry in life is unattainable. But if you want a smile that is well-balanced and healthy, talk to us about all the treatments available to make sure your smile—and not a single tooth—is the center of attention.

What's on your fall reading list?

October 5th, 2022

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Dr. Andrew Nalin and our team at Nalin Orthodontics encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Mount Vernon, WA for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

Orthodontic Treatment—The Sequel

September 28th, 2022

Some experiences are great, and we look forward to enjoying them again and again. Others have wonderful outcomes, but you feel no need for a sequel. If you’re wondering whether you need to revisit orthodontic treatment, you’re probably in this second group.

After all, you put in your time as a teenager. All those days in bands and braces, all the adjustments, all that cleaning with little tiny tools in little tiny places. That was a lot of work, and you reaped the rewards of your conscientious orthodontic habits with beautifully aligned teeth and a healthy, comfortable bite.

But now you’ve started to notice that your teeth aren’t quite as beautifully aligned, or your bite’s not quite as comfortable. So, what’s happened? Let’s look at some possibilities, and whether a return to the orthodontist’s office is in order.

  • You’ve Lost a Tooth

If you’ve lost a tooth because of injury or decay, that gap is an open invitation for surrounding teeth to move in to fill the void. Whenever you lose a tooth, consider an implant. Implants function, look, and maintain healthy spacing just like natural teeth.

One thing implants can’t do? Move like our own teeth will during orthodontic treatment. Your natural teeth can move because they are held in place within the bone by flexible periodontal ligaments. Implants, on the other hand, are anchored directly to the bone for stability.

If you’re considering new or further orthodontic work and want to replace a lost tooth with an implant, it’s a good idea to talk to Dr. Andrew Nalin to discover the best timing and scheduling for your procedures.

  • You’ve Gained a Tooth

Problems with your alignment can also arise if you add a tooth or teeth. If you’re in your late teens or early twenties, wisdom teeth could be in your near future. And a new tooth can throw off the spacing and alignment of your existing teeth.

Talk to Dr. Andrew Nalin about your options if your wisdom teeth are about to make an appearance, and if it looks like your tooth and bite alignment might be affected.

  • You’re Getting Older

Our teeth naturally tend to shift as we age. Teeth move forward, causing crowded or crooked front teeth—especially on the lower jaw. There’s even a medical term for this phenomenon: mesial drift. While we don’t know exactly why this drifting occurs, we can treat it.

Adults make up a large—and growing—segment of orthodontic patients. If your teeth have lost their ideal alignment over time, a visit to our Mount Vernon, WA office is a great way to bring your youthful smile back. And you’ll probably find your treatment much shorter and more comfortable than it was decades earlier!

  • You Haven’t Been Wearing Your Retainer

Remember that word “conscientious” in the second paragraph? You need to wear your retainer conscientiously, for as often and for as long as recommended by Dr. Andrew Nalin.

If you’ve been ignoring a damaged retainer, or you keep forgetting to look for your lost retainer, or you have a perfect, undamaged retainer sitting unworn on your dresser, your teeth can start to shift out of their hard-won alignment within a short time.

Does this mean it’s back to months of bands and adjustments and appointments? Maybe not! See us as soon as you notice any changes in your teeth or bite. When caught early, shifting teeth can be treated much more easily.

What can we do to help you regain your best smile? A lot!

  • Treatment Planning

When you need to accommodate implants, wisdom teeth, or other dental work which could affect your tooth alignment, Dr. Andrew Nalin can work with your dentist to make sure your alignment isn’t disturbed in the process. They can also map out a treatment schedule which coordinates your other procedures with any orthodontic treatment.

  • Retainer Evaluation/Adjustment

Your retainer is probably a passive retainer, meaning it keeps your teeth in place instead of moving them. If you notice your alignment shifting, or if your retainer is uncomfortable when you try to put it on after a lapse in nightly wear, ask us about a replacement.

  • Active Retainers

An active retainer helps move teeth into alignment rather than simply keeping them in place. A new active retainer might be just what you need to correct a slight shift.

  • Aligners or Braces

If you have some serious shifting going on, we might recommend a second round of treatment with clear aligners or braces. But there’s good news here, as well! Treatment to correct an orthodontic relapse usually takes less time than it did originally, and treatment options are more comfortable and less noticeable than ever before.

Talk to Dr. Andrew Nalin about an orthodontic sequel if you have any concerns about changes in your bite or alignment. You might need only a simple retainer adjustment or a short time in clear aligners or traditional braces to make your smile its best and healthiest once again. And this time, remember to wear your retainer to make sure there’s no need for Orthodontics—Part III!

Water Flossers and Braces

September 21st, 2022

You devote a lot of energy to your orthodontic treatment. Appointments, rubber bands, adjustments, cleaning (so much cleaning)—and why? Because you know that your attractive, healthy smile will be well worth the effort.

But if you find that keeping your teeth and braces clean requires more time and energy than it should, and you’re still not getting the results you’d like, a water flosser might be just the tool you need to help make your cleaning routine easier and more effective.

Plaque and tartar can be a real problem when you wear braces. Cleaning around braces and wires can be a challenge, and it can be difficult to get floss between your teeth and close to your gums, even with special threaders or floss designed to slip behind your wires.

But ignoring bacteria and plaque build-up can lead to cavities, weakened or discolored enamel, and gum problems. Fortunately, a water flosser can help wash away food particles, bacteria, and plaque even in tight, hard-to-reach spaces, while providing gentle cleaning along sensitive gums.

Water flossers use a pulsing stream of water to remove food particles and plaque between and around teeth. You can adjust the water pressure to apply just the right amount of cleaning power, and then direct the flow to your gum line, between your teeth, around your brackets, or anywhere else you need. Some models even offer tapered heads with brushes designed specifically for cleaning braces.

You might consider investing in a water flosser if you have:

  • Mobility issues. If you have joint or mobility issues, a water flosser will let you clean those hard-to-reach areas more easily.
  • Lingual braces. Because lingual braces are on the inside of the teeth, they can be more difficult to clean effectively with regular brushing and flossing.
  • Problems removing plaque. If you find that you are brushing and flossing regularly, but still have plaque build-up around your braces, give water flossing a try.

A beautiful smile is well worth all the time and effort you are devoting to it. If you think a water flosser might save you a bit of that time and effort, and provide better cleaning power, talk to Dr. Andrew Nalin  about your options during your next visit to our Mount Vernon, WA office. We’ll let you know if traditional flossing, a water flosser, or a combination of the two will give you your cleanest, healthiest smile.

Planning Your Vegetarian Diet with Your Oral Health in Mind

September 14th, 2022

If you’ve been following a vegetarian or vegan diet, you know that there’s much more to living a healthy life than simply avoiding meat products. Making sure your diet includes enough protein, as well as any nutrients that are primarily available in animal products, takes planning, and there’s no one-menu-fits-all solution.

Why? Because there’s no one menu that will suit all vegetarians. Specific vegetarian diets can allow for many different options:

  • Vegan—a plant-based diet which excludes meat, fish, dairy, and egg products
  • Ovo-vegetarian—includes eggs as a dietary option, but no dairy
  • Lacto-vegetarian— includes dairy as a dietary option, but no eggs
  • Lacto-ovo-vegetarian—a meat-free diet which allows both dairy products and eggs

If you are a pescatarian, who eats fish on occasion, or a flexitarian, who sometimes includes meat in a meal, your menu options are even broader.

So let’s look at the big picture—a healthy vegetarian diet is really more concerned with the foods you do eat for nutrition rather than the foods you don’t. You can create a meal plan rich in all your essential nutrients with a little research, no matter which type of vegetarian diet is your go-to choice.

And while you’re constructing your ideal menu guidelines, don’t forget about your dental nutrition!

In terms of keeping your teeth and gums their healthiest, what important vitamins and minerals are often missing from vegetarian and vegan diets? Let’s look at three of them.

  • Calcium

Calcium is essential for maintaining strong bones and tooth enamel. Without enough calcium, a weakened jawbone leads to loose, and even lost, teeth. The acids in our food and the acids created by oral bacteria also weaken the minerals in enamel, including calcium. These weak spots can eventually become cavities. A diet rich in calcium not only supports the bones holding our teeth, but can even help repair, or remineralize, enamel which has been weakened by acidic erosion.

For vegetarians who include dairy in their diets, dairy products are a great way to include calcium. Milk, cheese, and yogurt are traditional and rich sources of this mineral.

For vegans, it’s a bit more challenging, but still doable! Non-dairy foods providing calcium include dark green vegetables (kale, broccoli, spinach), certain types of tofu, and fortified cereals, juices, and non-dairy milks.

  • Vitamin D

Now you’re ready to put that calcium to work by making sure you have enough vitamin D in your diet. Vitamin D not only helps keep our bones healthy, it also enables our bodies to absorb calcium. Bonus—it’s been linked to better gum health in several studies.

So how to get more vitamin D? If you eat dairy, most dairy products have been fortified with vitamin D. If eggs are a part of your diet, egg yolks are a great source. Pescatarians can enjoy the benefits of vitamin D from fatty fish such as tuna and salmon.

Because we get most of our vitamin D from sun exposure or foods derived from animals, plant-based foods are not a practical way to obtain the vitamin D you need. But, just as non-vegetarians can get plentiful vitamin D from fortified dairy products, vegans also have options. Try adding cereals, juices, and non-dairy milks fortified with this essential nutrient to your diet, or take a vegan vitamin D supplement.

  • Vitamin B12

Vitamin B12 is essential for healthy red blood cells, nerve cell development, brain function, and DNA production. (This is why it’s especially important for pregnant and nursing women.) Vitamin B12 can also impact your oral health. A B12 deficiency can cause a swollen, sore, or inflamed tongue, loss of taste, and gum, tongue, and mouth ulcers.

Unfortunately, vitamin B12 is reliably found only in animal foods and nutritional yeasts. If you would prefer an egg-free and dairy-free diet, look to B12 supplements or B12-fortified cereals, plant-based milks, energy bars, and other vegan options. This is a good subject to discuss with your physician, because even supplements and fortified foods might not provide enough B12.

In fact, Dr. Andrew Nalin can be vital resources when you’re planning your healthiest vegetarian diet. The next time you visit our Mount Vernon, WA office, ask for recommendations for supplements if you’re concerned that diet alone can’t provide for all of your nutrition essentials. Finally, care should be taken to ensure that, even with supplements, you get the proper amount of the vitamins and minerals you need.

As a vegetarian, you are used to the concept of care. Whether it was concern for nutrition, the planet, the animal world, or another reason that drew you to a vegetarian diet, be sure to care for your body as well as your dietary choices. Careful planning can ensure a diet which supports not only your general health, but your oral health, for a lifetime of nourishing—and well-nourished—smiles.

What was your favorite part of summer?

September 7th, 2022

It's the end of summer, and fall is just around the corner. Soon the temperatures will cool down, the leaves will start to change, and Dr. Andrew Nalin and our team at Nalin Orthodontics are sure that you’ll soon be thinking about Halloween costumes and Thanksgiving plans in no time. But wait! First, we want to know about your favorite parts of the summer! Did you go on a wonderful family trip? Did you pick up a new hobby? Did you try to spend as much time outside and in the sun as possible?

Share your favorite memories, stories, or photos with us by leaving a comment below or on our Facebook page.

Celebrate Labor Day by Getting Away

August 31st, 2022

Labor Day honors the contributions that workers have made to this country, and for many Americans, the holiday is a great time to relax at home with family and friends. But there are quite a few people who celebrate the holiday by getting out of town, with an estimated 33 million people traveling more than 50 miles over Labor Day weekend each year. If you’re dreaming of a great Labor Day escape but you’re not quite sure where to go, here are a few ideas from our team at Nalin Orthodontics to give you some travel inspiration.

Explore a National Park

On a national holiday like Labor Day, it’s only fitting to experience the beauty of America’s landscapes by heading to the nearest national park. If you’re confined to an office most days of the year, national parks can provide a relaxing and scenic escape, whether you’re by yourself, traveling with a group of friends, or bringing the whole family along. Depending on how close you live to the nearest park, you can stay for an afternoon or for longer than a week. With 58 parks located in 27 states, there are plenty of beautiful areas to choose from.

Chow Down in a BBQ Haven

Barbecuing is a popular Labor Day activity, but instead of sweating over your own grill or oven, try visiting one of the country’s BBQ capitals. U.S. News and World Report names Memphis as the top BBQ destination, with more than 80 BBQ restaurants in the city, most notably Corky’s BBQ and Central BBQ. Kansas City is also known for the sweet taste of its sauces, while central Texas is said to have perfected the technique of smoking tender and flavorful brisket.

Relax on the Beach

Many people think of Labor Day as the unofficial start of fall, which brings cooler temperatures, more rain, and for many people, an end to lazy days at the beach. End your beach days with a bang by taking a trip to one of the coasts or to a lakeside beach. For an added dose of festivity, find a city or town that celebrates the occasion with a fireworks display over the water.

Whether you’re looking to turn your getaway into a full week affair or you simply want to experience a quick escape, make the most of your holiday by changing your surrounding scenery. Happy Labor Day from the orthodontic practice of Dr. Andrew Nalin!

Overbite Overview

August 24th, 2022

An overbite is one of the most common malocclusions. If Dr. Andrew Nalin and our team have diagnosed you with an overbite, you probably have lots of questions. Let’s try to answer some of them!

Just what is an “overbite”?

A malocclusion is another way of saying that you have a problem with your bite, which is the way your jaws and teeth fit together when you bite down. In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. A normal overlap is generally considered one or two millimeters.

An overbite is a Class II malocclusion, and means that the upper front teeth cover more of the lower teeth than they should. But that’s a very general definition, and we will diagnose and treat your own, very specific, bite and teeth alignment.

Because overbites aren’t all alike. They might be barely noticeable. Upper teeth might overlap lowers by an extra millimeter or two. In more severe overbites, the upper teeth might cover the lower teeth completely. The amount of overlap and the cause of the overbite will determine your treatment.

What causes an overbite?

Overbites can be dental, caused by tooth alignment, or skeletal, caused by bone development, or a combination of both. They are usually hereditary, so, most often, an overbite is something you’re born with.

The size and position of your jaws, the shape and position of your teeth, all affect your bite alignment. But early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use can contribute to overbite development. Missing teeth and bruxism, or tooth grinding, can also affect the alignment of your bite.

How do we treat an overbite?

There are many types of treatment available. Dr. Andrew Nalin will recommend a treatment plan based on the type and severity of your overbite. Because some treatments are effective while bones are still growing, your age plays a part as well.

  • Braces and Aligners

If dental issues are the main reason for your overbite, braces or clear aligners can be very effective. Rubber bands are commonly used to help bring teeth and jaw into alignment.

  • Functional Appliances

If the overbite is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still forming.

For young patients, there are several appliances that can help correct an overbite. Some, like the Herbst appliance, work inside the mouth, while others, like headgear, are worn externally. Your orthodontist will recommend the most effective appliance for your needs.

  • Surgical treatment

In some cases, where the problem is skeletal rather than dental, surgical treatment might be necessary to reshape the jawbone itself. This is especially true for adults, whose bones have finished forming.

If we recommend surgery, oral and maxillofacial surgeons are experts in surgical procedures designed to create a healthy and symmetrical jaw alignment. Dr. Andrew Nalin will work with your surgeon to design a treatment plan, which will usually include braces or other appliances following surgery.

Why treat your overbite?

Sometimes, a very slight overbite won’t require treatment. A serious, moderate, or even mild overbite, though, can lead to many dental and medical problems, including:

  • Crooked, crowded teeth
  • Worn teeth and enamel
  • Problems speaking or chewing
  • Difficulty sleeping
  • Headaches, facial, and temporomandibular (jaw) joint pain

When you work with our Mount Vernon, WA team to correct your overbite, you’ll not only prevent these unpleasant consequences, but you’ll achieve major benefits as well—a healthy, comfortable bite, and an attractive, confident smile. If you’d like more than an overbite overview, Dr. Andrew Nalin can provide the specific information and treatment plan you need to make that healthy bite and that confident smile a reality!  

Are you ready for orthodontic treatment?

August 17th, 2022

If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment with Dr. Andrew Nalin. Preparing for treatment is an important part of getting the smile you want.

Basic exams

The first step of preparation is the examination. An oral exam and X-rays taken at our office are necessary to identify potential problems and ensure the right steps are taken to prepare for orthodontic treatment at Nalin Orthodontics.

Dr. Andrew Nalin will first examine your teeth and take X-rays to determine if it is necessary to extract any teeth or additional work is necessary before braces are possible. You will be prepared for the next step of treatment after your exam is complete and potential problems are identified.

Model for bite

The next step in preparing for orthodontic is taking a plaster model of the mouth. With the model, Dr. Andrew Nalin will be able to determine how the jaw is aligned so that appropriate adjustments can be made to the mouth and jaw with braces.

Depending on the situation, the model may be used to help evaluate your jaw and make decisions about appropriate treatment for your specific needs. Dr. Andrew Nalin can create a model of your mouth with the bite indentation that is taken during preparation.

Extracting teeth

If it is determined that a tooth extraction is necessary, then the final step of preparing for orthodontic treatment is the removal of teeth. Only Dr. Andrew Nalin can determine if it is necessary to remove any teeth before moving forward with the procedure to put on braces.

When your teeth are crooked, have a gap, or otherwise make you unhappy, orthodontic treatment at Nalin Orthodontics may be an appropriate solution. Although it may take time to prepare for the actual procedure, making the decision to seek treatment can provide the opportunity to show the world a beautiful smile.

For more information about orthodontic treatment and its benefits, or to schedule a consultation with Dr. Andrew Nalin, please give us a call at our convenient Mount Vernon, WA office!

Straight Talk about Braces and Oral Health

August 10th, 2022

We’ll give it to you straight: it can be harder to keep your teeth their cleanest while you’re wearing braces. Food particles play hide-and-seek, plaque builds up around brackets, flossing is harder when you need to maneuver around wires. But keeping your teeth and gums healthy is even more important now that you’re wearing braces.

Why? Because when your braces come off, you want to enjoy the beautiful smile you’ve worked so hard for without worrying about discolored enamel, cavities, or swollen gums. Let’s look at some of the possible consequences when brushing and flossing are more challenging.

Decalcification

If you’ve noticed white spots around your brackets, you’re seeing the signs of decalcification, a common problem for those who wear braces.

Decalcification begins when plaque collects on the enamel around your brackets. The bacteria in plaque produce acids. These acids eat away at the minerals which keep your enamel strong, minerals like calcium and phosphorous. Places on the enamel where erosion takes place are left weakened and discolored.  Eventually, these weak spots can lead to . . .

Cavities

When plaque sticks around, whether near your brackets or anywhere on your teeth, it provides the perfect conditions for decay to develop. Left untreated, bacterial acids continue working away at decalcified spots in your enamel. This continuing erosion causes these surface spots to expand, grow deeper, and become cavities.

If you’re having trouble with built up plaque, and brushing isn’t doing the job for you, your dentist can remove it with a professional cleaning. Getting rid of plaque is healthy not only for your enamel, but your gums as well.

Gum disease

When plaque and tartar collect around the gumline, they irritate delicate gum tissue. This irritation causes gingivitis, or early gum disease. And, while young people rarely suffer from serious gum disease, the pain, redness, bleeding, swelling, and bad breath caused by gingivitis are not anyone’s life goals!

Brushing and flossing are essential to keeping your enamel and gums plaque-free. But even if you brush more often, it’s not as easy as it once was now that you have to work around and between brackets and wires. Luckily, there are lots of tools out there to help you get your teeth, gums, and braces their cleanest.

  • Orthodontic toothbrushes

Special brushes designed just for braces can help you work around brackets and wires. V- or U-shaped bristle formations let you brush around and over your braces. Curved bristles can fit under wires. Smaller brush heads let you reach those hard-to-reach places.

  • Electric toothbrushes

Many people find these brushes can clean more easily and effectively, especially when wearing braces. Tapered orthodontic brush heads are available, and, if you’re a heavy-handed brusher, there are models which alert you if you’re brushing too hard—protecting your braces and your enamel.

  • Orthodontic floss

Special orthodontic flosses can help you do the tricky job of fitting floss behind your wires and between your teeth, or use a floss threader, which helps guide uncooperative floss into tight spaces.

  • Water flossers

With their pulsing streams of water, water flossers can reach spots where regular brushes and flosses just can’t comfortably fit. There are even flossers available with special orthodontic tips.

Straight teeth are great. Straight and healthy teeth? Even better! You, Dr. Andrew Nalin, and our Mount Vernon, WA orthodontic staff make a great team. Take advantage of our advice and tips for the best tools and techniques to make sure your smile is both perfectly aligned and perfectly healthy once those braces come off!

Talking Over Your Underbite

August 3rd, 2022

You’ve been told that you have a malocclusion called an “underbite.” Let’s look at just what this diagnosis means, and what it means for you.

Just what is an “underbite”?

A malocclusion is another way of saying that you have a problem with your bite, which is the way your jaws and teeth fit together when you bite down. In a typical bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth.

An underbite, on the other hand, results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

What causes an underbite?

Underbites tend to be genetic, and run in families, so, most often, an underbite is something you’re born with. The size of your jaws, the shape of your teeth, or both will affect your bite.

A smaller number of underbites develop because of injuries or early oral habits, such as prolonged and vigorous thumb sucking or tongue thrusting.

How do we treat an underbite?

Your treatment will depend on the type and severity of your underbite, and your age when treatment occurs.

  • Braces and Aligners

If your underbite is a slight one, caused, for example, by crowded or overly large teeth, braces or clear aligners can help move the teeth into proper alignment.

  • Functional Appliances

If the underbite is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still growing and forming.

If you’re a young patient, two appliances commonly used to help correct an underbite are palatal expanders, which gradually widen the upper jaw if it’s too narrow, and reverse pull headgear, which fits both inside the mouth and outside on the face, and provides a steady, gentle pull to encourage the forward growth of the upper jaw.

  • Surgical treatment

In some severe cases, surgical treatment can correct an underbite by reshaping the jawbone itself and positioning it further back to align properly with the upper jaw.

Why treat your underbite?

A serious underbite can cause damaged teeth and enamel, painful problems with the temporomandibular joint, headaches and facial pain, sleep apnea, difficulty chewing, eating, and speaking, and can affect confidence and self-esteem.

By following your treatment plan, you’ll not only prevent these consequences, but you’ll achieve major benefits—a healthy, comfortable bite, and an attractive, confident smile. Want to know more? Talk it over with Dr. Andrew Nalin at our Mount Vernon, WA office for all the information you’ll need!

The Best Treats in the House

July 27th, 2022

You waited for this movie all year. You got your tickets early, and you’ve got the best seats in the theater. Whether you paid to see the latest action flick or the most romantic comedy in the history of romcoms, it’s not as nearly as much fun if the trip to the snack bar is a horror story. Perhaps Dr. Andrew Nalin can help!

If you’re wearing traditional braces, the usual suspects, chewy, sticky, hard, and crunchy foods, are still off limits even when the lights go down. Let’s look at some alternative casting.

  • The Candy Counter

Licorice, caramels, taffy, and candy with nuts can make any film a disaster movie—and can make your next visit to our Mount Vernon, WA office an emergency one. Stick with soft chocolates, chocolates with creamy fillings, ice cream, and ice cream bars (without nuts or caramel, of course).

  • The Soda Fountain

Sodas won’t break your braces, but they will damage your teeth, so try to brush as soon as you can or rinse with water after enjoying one of those titanic servings. And no crunching on ice! That can damage your braces.

  • The Popcorn Machine

Sorry, we can’t help you here. Popcorn, with or without that tempting flood of melted butter, is off limits. The kernels can get lodged between your teeth and braces, and can be very hard to remove. They can also cause breakage to wires and brackets.

If you still crave something salty, check with us to see if soft pretzels or baked potato chips might be an option for you.

Movie treats contain a lot of starches and sugars, which stick to braces and feed cavity-causing bacteria, so it’s always best to go easy on the snacks. But you don’t have to give up the concession counter completely—just enjoy in moderation and be sure to brush thoroughly when you get home.

And if you wear clear aligners? You can remove your aligners, eat what you like, and clean your teeth carefully before replacing them. But do remember—you’re supposed to wear your aligners for a set number of hours each day. If you’re looking forward to a four-hour epic, make sure to take into account your treatment schedule.

We don’t know if your movie was worth the wait. But we do know that the results of your orthodontic treatment will be! Take care of your teeth and braces, and you’ll be on the fastest, healthiest track to an award-winning, red carpet smile.

Retainer Hacks

July 20th, 2022

Even with the best of care, accidents can happen, and your retainer, unfortunately, is not immune. Of course, you need to visit our Mount Vernon, WA office ASAP if your retainer is damaged, but, in the meantime, there are some strategies you can use to help your teeth—and your retainer—stay as healthy as possible while you wait.

For Removable Retainers

  • When you notice any damage to your removable retainer—remove it.

Don’t wear a damaged retainer, especially overnight. You don’t want to damage it further, and you do want to avoid the possibility of choking if a retainer breaks while you’re sleeping. Dr. Andrew Nalin and our orthodontic team are experts when it comes to deciding if your retainer is wearable, so always consult an expert before putting a suspect retainer back in your mouth.

  • Damaged Hawley retainer?

If you have a Hawley retainer—the traditional wire retainer—here’s some good news: a Hawley retainer can often be repaired if it’s not damaged too badly. Don’t try to fix your retainer yourself, and bring it into our office as soon as possible to see if it’s fixable.

  • Damaged clear retainer?

If you have a clear retainer, let’s start with the bad news: A clear retainer is not a repairable retainer. Cracks, breaks, warping—these injuries mean that a new retainer is in your future.

The good news is that materials for plastic retainers are available that are more durable than ever. This might be a good option for you to check out, especially if you suffer from bruxism, or tooth grinding, which can be very hard on clear retainers.

  • When you’ve just finished treatment with clear aligners . . .

It’s worth asking if your last tray can sub for your retainer until you have it repaired or replaced.

  • Ask us about over-the-counter mouthguards.

While you wait for a retainer repair/replacement, your teeth are at risk of shifting out of alignment. A customizable OTC mouthguard might reduce the chance of shifting, although it’s definitely not a long-term solution! We can let you know if this temporary fix is worth it.

For Fixed Retainers

If the wire retainer bonded to your teeth becomes loose, or if you notice your teeth shifting, you might need a repair or a replacement. This is a job for us. In the meantime,

  • When you have a broken wire . . .

If a broken wire is causing discomfort, check to see if you should flatten it or cover the wire tip with dental wax to protect soft tissues. Warm water rinses can ease irritation.

  • When your wire is broken or loose . . .

Stay away from chewy, sticky, and crunchy foods. You should be doing this anyway with a fixed retainer to keep it from becoming detached—and if it’s already loose, no need to make it more so!

  • Ask us about over-the-counter mouthguards.

Check to see if an OTC, customizable mouthguard is a good idea to keep your teeth from shifting if you can’t visit Nalin Orthodontics right away.

We started off by saying that accidents can happen even with the best of care. So you can imagine what can happen without the best of care. Keep your retainer in its case, keep it away from heat, don’t eat foods that can harm your retainer—all the precautions that make accidents unlikely to happen.

But if something awful befalls your retainer, call our Mount Vernon, WA office right away. Why aren’t we suggesting ways to fix your broken retainer with the supplies you have in your home toolbox? Because the best life hack of all for someone with a damaged retainer is to leave the fixing to a dental professional.

Tooth Extraction and Braces

July 13th, 2022

Perhaps you’ve heard from parents or older relatives what braces used to be like years ago—obvious, uncomfortable, hard to clean, and with inevitable tooth extractions to start off the whole lengthy process.

Today, brackets are much smaller and wires are more pliable. You can even choose ceramic brackets or clear aligners for an almost invisible effect. New tools make cleaning your braces easier than ever. And new braces technology means that treatment is often shorter. But what about extractions? Are they still inevitable?

For orthodontists like Dr. Andrew Nalin, the objective is saving teeth. And modern practices and technology have made this goal more attainable than ever before. There are several ways that modern treatment procedures can help avoid extractions.

  • Early Intervention

We recommend that children visit our Mount Vernon, WA office for an orthodontic evaluation by age seven. Because a child’s jaw is still forming at this age, early intervention can lead to orthodontic treatment that expands the jaw in order to make room for permanent teeth, or starts correcting bite problems before they become more serious.

  • High-Tech Planning

Today’s technology allows us to map out the progression of your treatment before we begin. Scanners, X-rays, and computer programs help us to design a treatment plan which will accurately predict how best to move your teeth and correct your bite, taking into account the size and development of your teeth and jaw.

  • Surgical Options

By the time you reach your late teen years, the jaw bones have stopped growing and it’s no longer possible to expand them without surgery. Oral surgery can treat serious jaw problems that impact your teeth and bite, usually as part of a combined treatment plan designed by your orthodontist and your oral surgeon.

Because we always work to keep teeth intact—using these methods and others—you can be sure that, if we recommend extraction, it is absolutely necessary. What could make an extraction necessary?

  • Severe overcrowding. Sometimes, there’s just not enough room in the jaw for all of your teeth.
  • A tooth or teeth that prevent us from correcting a problem with your bite.
  • Wisdom teeth. Usually, orthodontic work takes place before a patient’s wisdom teeth start to erupt. If yours do make an appearance before or during treatment, we can adapt our treatment plan accordingly.
  • An extra tooth. It’s rare, but an extra, or supernumerary, tooth sometimes develops, and your jaw is not designed to accommodate extras!

It’s important that you talk to Dr. Andrew Nalin about every step of your treatment, including extractions. We want you to understand the treatment plan which will give you your best outcome. If we recommend extraction, it is because this decision is the best way to achieve a healthy bite and alignment, creating your beautiful smile—and protecting it—for a lifetime.

Five Ways You Won’t—And One Way You Will—Get Your Braces Off Faster

July 6th, 2022

It’s only natural when you’re waiting for something good—you count down the weeks until your birthday, or until the summer holidays, or until your braces come off. But while your birthday and your vacation won’t come any faster no matter what you do, you can help determine just how fast that happy day arrives when you’re done with your orthodontic treatment.

When you first got your appliance, Dr. Andrew Nalin gave you an estimate of how long your treatment would take. Of course, that estimate is based on everything going according to plan. What are some detours that can delay your progress?

  • Missing Appointments

With every adjustment at our Mount Vernon, WA office, you are moving closer to the ideal positioning for your teeth. If you miss or postpone appointments, it can take just that much longer to complete your orthodontic work.

  • Eating the Wrong Foods

You have a list of foods that are on the do-not-eat list. Hard, chewy, sticky bites are famous braces-breakers, but don’t forget that size also matters! Biting into a juicy apple or a buttery ear of corn can damage your brackets and wires just as much as chewy candy can. Be sure everything you eat is size-appropriate and braces-friendly. Obviously, damaged braces can’t straighten teeth as effectively as intact appliances!

  • Sticking with Bad Habits

Pressure from nail biting, chewing pencils, or crunching on ice can cause chips and cracks in your teeth, so just think what they can do to your appliance. Ask us for tips for quitting if you’ve picked up any of these habits. We know habits can be hard to break, but they are harder on your teeth and braces. If you bend or break a wire or loosen a bracket, you might be delaying your orthodontic progress. Which leads us to . . .

  • Ignoring Appliance Accidents

Accidents happen. Brackets or metal bands can become loose; wires can bend or break; spacers can fall out. If you notice a problem, call our office right away. Sometimes a minor problem can wait, but if your appliance is damaged, your teeth aren’t moving into position on schedule.

  • Blowing Off Bands

If you have bands to help correct your bite, be sure that you wear them as directed. If you skip hours or days of band-wear, you are adding to the time it will take to correct the bite problems they are meant to fix. And don’t double band to speed things up—that might put too much pressure on your teeth. Just follow our recommendations, and you will be done with those bands—and those braces—as soon as possible.

But, wait! We promised you one sure way to keep your orthodontic progress on track:

  • Follow Your Treatment Plan

If you keep your appointments, take care of your braces, call us promptly if they are damaged, and wear your appliance as directed, you will be doing your part to keep your treatment on track. And that happy day when your braces come off? It will arrive right on schedule!

Five Ways You Won’t—And One Way You Will—Get Your Braces Off Faster

July 6th, 2022

It’s only natural when you’re waiting for something good—you count down the weeks until your birthday, or until the summer holidays, or until your braces come off. But while your birthday and your vacation won’t come any faster no matter what you do, you can help determine just how fast that happy day arrives when you’re done with your orthodontic treatment.

When you first got your appliance, Dr. Andrew Nalin gave you an estimate of how long your treatment would take. Of course, that estimate is based on everything going according to plan. What are some detours that can delay your progress?

  • Missing Appointments

With every adjustment at our Mount Vernon, WA office, you are moving closer to the ideal positioning for your teeth. If you miss or postpone appointments, it can take just that much longer to complete your orthodontic work.

  • Eating the Wrong Foods

You have a list of foods that are on the do-not-eat list. Hard, chewy, sticky bites are famous braces-breakers, but don’t forget that size also matters! Biting into a juicy apple or a buttery ear of corn can damage your brackets and wires just as much as chewy candy can. Be sure everything you eat is size-appropriate and braces-friendly. Obviously, damaged braces can’t straighten teeth as effectively as intact appliances!

  • Sticking with Bad Habits

Pressure from nail biting, chewing pencils, or crunching on ice can cause chips and cracks in your teeth, so just think what they can do to your appliance. Ask us for tips for quitting if you’ve picked up any of these habits. We know habits can be hard to break, but they are harder on your teeth and braces. If you bend or break a wire or loosen a bracket, you might be delaying your orthodontic progress. Which leads us to . . .

  • Ignoring Appliance Accidents

Accidents happen. Brackets or metal bands can become loose; wires can bend or break; spacers can fall out. If you notice a problem, call our office right away. Sometimes a minor problem can wait, but if your appliance is damaged, your teeth aren’t moving into position on schedule.

  • Blowing Off Bands

If you have bands to help correct your bite, be sure that you wear them as directed. If you skip hours or days of band-wear, you are adding to the time it will take to correct the bite problems they are meant to fix. And don’t double band to speed things up—that might put too much pressure on your teeth. Just follow our recommendations, and you will be done with those bands—and those braces—as soon as possible.

But, wait! We promised you one sure way to keep your orthodontic progress on track:

  • Follow Your Treatment Plan

If you keep your appointments, take care of your braces, call us promptly if they are damaged, and wear your appliance as directed, you will be doing your part to keep your treatment on track. And that happy day when your braces come off? It will arrive right on schedule!

Five Ways You Won’t—And One Way You Will—Get Your Braces Off Faster

July 6th, 2022

It’s only natural when you’re waiting for something good—you count down the weeks until your birthday, or until the summer holidays, or until your braces come off. But while your birthday and your vacation won’t come any faster no matter what you do, you can help determine just how fast that happy day arrives when you’re done with your orthodontic treatment.

When you first got your appliance, Dr. Andrew Nalin gave you an estimate of how long your treatment would take. Of course, that estimate is based on everything going according to plan. What are some detours that can delay your progress?

  • Missing Appointments

With every adjustment at our Mount Vernon, WA office, you are moving closer to the ideal positioning for your teeth. If you miss or postpone appointments, it can take just that much longer to complete your orthodontic work.

  • Eating the Wrong Foods

You have a list of foods that are on the do-not-eat list. Hard, chewy, sticky bites are famous braces-breakers, but don’t forget that size also matters! Biting into a juicy apple or a buttery ear of corn can damage your brackets and wires just as much as chewy candy can. Be sure everything you eat is size-appropriate and braces-friendly. Obviously, damaged braces can’t straighten teeth as effectively as intact appliances!

  • Sticking with Bad Habits

Pressure from nail biting, chewing pencils, or crunching on ice can cause chips and cracks in your teeth, so just think what they can do to your appliance. Ask us for tips for quitting if you’ve picked up any of these habits. We know habits can be hard to break, but they are harder on your teeth and braces. If you bend or break a wire or loosen a bracket, you might be delaying your orthodontic progress. Which leads us to . . .

  • Ignoring Appliance Accidents

Accidents happen. Brackets or metal bands can become loose; wires can bend or break; spacers can fall out. If you notice a problem, call our office right away. Sometimes a minor problem can wait, but if your appliance is damaged, your teeth aren’t moving into position on schedule.

  • Blowing Off Bands

If you have bands to help correct your bite, be sure that you wear them as directed. If you skip hours or days of band-wear, you are adding to the time it will take to correct the bite problems they are meant to fix. And don’t double band to speed things up—that might put too much pressure on your teeth. Just follow our recommendations, and you will be done with those bands—and those braces—as soon as possible.

But, wait! We promised you one sure way to keep your orthodontic progress on track:

  • Follow Your Treatment Plan

If you keep your appointments, take care of your braces, call us promptly if they are damaged, and wear your appliance as directed, you will be doing your part to keep your treatment on track. And that happy day when your braces come off? It will arrive right on schedule!

The Best Brush of the Day

June 29th, 2022

Imagine that you’re only going to brush your teeth once tomorrow. Don’t worry, we know you would never skimp on your dental hygiene like that, but let’s just pretend for a moment. When would be the best time to brush? When you wake up? During the day? Or perhaps before you go to bed?

Actually, whenever you choose to brush, you’ll receive important overall dental benefits as well as specific benefits tied to the time of day. Let’s explore your daily schedule to see why.

Brushing in the Morning

Brushing when you first jump out of bed produces several positive results.

  • Cleaning plaque from your teeth

Plaque is a sticky film made up of oral bacteria, food particles, and saliva. As you sleep, these oral bacteria multiply and produce acids which attack the minerals in your enamel, leaving weak spots which, over time, can become cavities. Brushing removes these bacteria and acids from your enamel before they cause serious harm.

Moreover, plaque hardens if it’s left undisturbed, turning into tartar in a relatively short time. And once plaque becomes tartar, it must be removed by a dental professional. Brushing first thing in the morning removes this plaque buildup and helps prevent tartar from forming.

  • Fresh breath

That bacterial growth we mentioned? It’s also responsible for morning breath. If nothing else, brushing when you wake up means greeting a fresh day with fresh breath, and that’s reason enough to pick up your brush in the morning.

Brushing During the Day

Brushing after meals and snacks also has a lot to recommend it.

  • “Leftovers” lead to cavities

Foods, especially foods rich in sugar and carbohydrates, are converted by oral bacteria into acids which weaken enamel and lead to cavities. When food particles remain in the mouth after a meal, bacteria have more time and more fuel to manufacture these acids.

  • Acidic foods also affect your teeth

If you have eaten something acidic, such as citrus fruits, sodas, or pickled anything, the acids from these foods can temporarily weaken the mineral strength of your enamel. But brushing immediately after eating or drinking acidic foods can damage weakened enamel. Better to rinse well with water and brush after half an hour or so.

  • When you wear braces

One of the first things you discover when you get your braces is that you might need to brush more often. In fact, it’s best to brush after every meal and even every snack while you’re in braces.

Why? First, because no one wants to smile with food particles sticking to brackets and wires. Even more important, though, the filmy plaque which sticks to your enamel can be harder to remove with those brackets and wires in the way. Since plaque causes weakened enamel and cavities, brushing thoroughly is more important than ever when you wear braces.

  • When you wear aligners

Wearing clear aligners means you don’t need to worry about food trapped in brackets or cleaning around wires. After all, you take them out when you eat. But this doesn’t mean you are home free. Brushing after every meal is also a good idea when you wear aligners.

Our teeth have an organic way to help wash away food particles, acids, and bacteria between brushings—saliva! Your aligners, while covering your teeth, decrease their exposure to saliva. It’s really important, then, to make sure you brush after eating. Otherwise, food particles and acids which remain on your teeth after eating are trapped in your aligners, increasing the risk of enamel erosion and decay.

Whether you wear braces or aligners, you’re especially at risk for food particles sticking around your teeth and in your orthodontic appliances. Talk to Dr. Andrew Nalin about when to brush your teeth after eating and how to keep your braces or aligners clean throughout the day.

Brushing at Night

Growing up, you probably received regular reminders to brush before bedtime—for several really good reasons:

  • Saliva production slows while you sleep

During the day, saliva helps to wash away food particles and neutralize acidity in our mouths. It also contains proteins and minerals which help keep tooth enamel strong. But as we sleep, saliva production slows dramatically, and our bodies can’t remove bacteria and acids as effectively.

  • Food particles fuel bacterial growth

If you haven’t brushed since morning, you’ve accumulated a whole day’s worth of food particles from meals and snacks. Remember, oral bacteria use the sugars and carbs we eat as fuel to produce the acids which attack our tooth enamel throughout the night.

  • Brushing helps prevent both of these problems

Brushing your teeth before bed not only cleans away the accumulated food particles of the day, but also eliminates the plaque and bacteria which would have a much easier time sticking to your teeth without that daytime saliva flow to wash them away.

So, When’s the Best Time to Brush?

In the morning, during the day, at night—there are solid advantages to brushing any time of day. The question isn’t so much when to brush as how often you should brush.

While many dental professionals consider brushing before bedtime as the most important brush of the day, brushing at least two full minutes, at least twice during a 24 hour period, is a necessity for basic dental hygiene, along with flossing at least once a day.

When you’ve been eating sugary snacks, when you’re showing signs of gingivitis or getting more than your share of cavities, when you want to reduce the chance of plaque and tartar buildup, or when you simply want to make sure you’re doing everything you can to maintain your overall dental health, brushing after meals is also highly recommended.

And when you wear braces or aligners, frequent brushing (and flossing) is the very best way to make sure your teeth stay clean and cavity-free.

Talk to Dr. Andrew Nalin about your brushing habits at your next appointment at our Mount Vernon, WA office. No need to use your imagination to plan your best brushing schedule. We have all the answers you need to help you brush your way to your best—and healthiest—smile!

Common Malocclusions

June 22nd, 2022

When we think orthodontics, we commonly think teeth. Naturally! Straight teeth and a beaming smile are everyone’s orthodontic goal. But orthodontics is a field which specializes in more than misaligned teeth. While your beautifully aligned teeth are the visible outcome of your orthodontic work, a properly aligned bite is the foundation for your healthy smile.

A malocclusion occurs when the teeth and jaws aren’t properly aligned—they don’t fit together the way they should when the mouth is closed. A malocclusion, or bad bite, affects many people to some degree, but not always in exactly the same way. Some of the different types of malocclusion include:

  • Crossbite

A crossbite occurs when upper teeth fit inside lower teeth. An anterior crossbite refers to the front teeth, with one or more upper front teeth, or incisors, fitting behind lower front teeth. A posterior crossbite affects the back teeth, with upper teeth fitting inside the lower teeth on one or both sides of the jaw.

  • Crowding

When the jaw is small and/or the teeth are large, lack of space can result in crowded, twisted, or crooked teeth.

  • Open bite

An anterior open bite means that the front teeth don’t close when biting down, leaving an open space between the upper and lower teeth. A posterior open bite occurs when the back teeth don’t make contact when the front teeth close.

  • Overbite

Our upper front teeth naturally overlap the lower ones a small bit when the teeth are closed. An overbite occurs when the upper teeth significantly overlap the lower teeth.

  • Overjet

When the upper front teeth protrude too far forward over the bottom teeth, it’s called an overjet, or, sometimes, buck teeth. Where an overbite causes a vertical overlap, an overjet takes into account the horizontal relationship of the teeth.

  • Spacing

A jaw that is large, teeth that are small, missing teeth—these conditions can lead to gaps between the teeth.

  • Underbite

An underbite results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

If you have a malocclusion, what comes next? This depends.

Some malocclusions are so minor that no treatment is necessary. Some are the result of misaligned teeth. Some occur because the upper and lower jaws are growing at different rates. Some are a combination of teeth and jaw misalignments. Some are caused by genetics, while others are caused by injuries or habits like prolonged thumb sucking or tongue thrusting.

Because malocclusions are so varied, your treatment plan will be designed for your specific needs. Braces, aligners, appliances like the Herbst® appliance or the palatal expander, surgery for severe malocclusions—there is a larger variety of treatment options than ever before to help you achieve a healthy bite.

When teeth and jaws don’t fit together as they should, the consequences can be damaged teeth and enamel, problems with the temporomandibular joint, headaches and facial pain, and difficulty chewing, eating, and speaking.

The good news is that early intervention for children can help correct teeth and jaw problems before they become more serious, leading to easier orthodontic care in the teen years, and helping to avoid the possibility of surgery or extractions. This is why Dr. Andrew Nalin and our team recommend an orthodontic assessment at our Mount Vernon, WA office for children around the age of seven.

If you’re an adult with concerns about your teeth or bite, there’s good news for you, too. Dr. Andrew Nalin can devise a treatment plan to improve your bite and your smile no matter what your age.

Of course, despite our title, there’s really no such thing as a “common malocclusion” when we’re talking about your dental health. Each person—and each smile—is unique. Dr. Andrew Nalin will diagnose your malocclusion and create a personalized plan carefully tailored to your exact needs, for an uncommonly attractive, confident, and healthy smile.

What if I miss an appointment over the summer?

June 1st, 2022

If you are planning on taking a vacation this summer, we ask that you let us know ahead of time so that we may schedule your summer appointments more efficiently. We also encourage patients and their parents to be proactive in determining when they make their summer appointments.

If you will be gone for an extended period (more than six weeks), we recommend you visit Nalin Orthodontics prior to leaving and schedule another visit shortly after your return. Lastly, please remember not to indulge in hard, sticky, and chewy treats while enjoying your vacation. We look forward to seeing you soon and hearing about your adventures!

Memorial Day and Getting Ready for Summer

May 25th, 2022

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

  • Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
  • Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
  • Visit Dr. Andrew Nalin Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Nalin Orthodontics wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

Looking Back at the Old Days of Braces

May 18th, 2022

Braces can be painful, but if you are a teen who loves being social, the worst part about them can be their look. They show up in your photos, and you will not be able to take braces-free photos for several months, or even years. The time will pass, though, and your teeth will be the better for it. In the meantime, consider the other people who have survived braces.

Plenty of People Get Braces

There are many reasons for getting braces:

  • Correct an overbite or underbite
  • Straighten teeth
  • Fix poorly-spaced teeth

With so many possible ways to get braces, it’s no surprise that they are so common.

Find Out Who Had Braces

The long lists of celebrities who had braces as teenagers or even adults can give you the comfort of knowing you are in good company. Even better, these lists provide visible proof that there is life on the other side of braces. Actors and actresses on the Cosby Show, Scrubs, and Ugly Betty, as well as tennis star Martina Hingis and Miss America 1975, Shirley Cothran, had braces. Ask your parents. If they didn’t have braces, there is a good chance that some of their siblings did.

Benefits of Braces

Wearing braces can make your life a lot better in the future. Your teeth will be more attractive, and your smile will shine through in photos of you. Straight teeth are not just about looks, though. They can prevent a variety of health problems, such as caries, gum disease, speech impairments, and trouble chewing. Be patient, and the benefits of braces will come.

Bracketology

May 11th, 2022

Analyzing strong points, looking for potential problems, making comparisons—it’s bracketology time! Nope, not basketball (although we hear they have something similar), but a brief analysis of your orthodontic options when it comes to choosing a winning bracket.

If you’re getting braces, you’re probably already familiar with how they work—brackets are bonded to the teeth to hold an archwire, which provides gentle, controlled pressure to move the teeth into alignment. But within that basic bracket-and-wire system, there are several different bracket designs available to you at our Mount Vernon, WA orthodontic office. Let’s see what the scouting report has turned up on our final four, pointing out their distinct advantages as well as some potential mismatches.

Traditional metal brackets

Advantages:

  • Traditional braces with metal brackets are effective for more than just straightening teeth. They can be used to correct rotated teeth, differences in tooth height, and bite problems. For severe bite and alignment problems, traditional braces are most often the right choice.
  • Metal construction makes these brackets able to handle the controlled pressure needed to treat serious malocclusions.
  • Cost-effective. These are usually the least expensive option.

Potential Disadvantage:

Clear/Ceramic Brackets

Advantages:

  • Lack of visibility! Whether you go for clear brackets or brackets tinted to match your enamel, you’ll be keeping a low-profile with this choice.
  • Stronger and more stain-resistant than ever before, using the latest in ceramic, porcelain, or plastic materials.

Potential Disadvantages:

  • Not as durable. Unlike metal, these clear brackets can crack or break. If you play a contact sport, these might not be for you.
  • Some ceramic brackets are larger than other choices, so might be recommended only for the top teeth.
  • Clear or tinted brackets can be more expensive.

Self-Ligating Brackets

Advantages:

  • These brackets use a clip or trapdoor mechanism to hold your archwire without the need of bands. Ceramic options are available if you want an even more discreet appearance.
  • Can be more comfortable with less friction between wire and bracket.

Potential Disadvantages:

  • Self-ligating braces are generally more expensive.

Lingual Braces

Advantages:

  • Lingual braces use metal brackets, but they attach to the back of each tooth for almost invisible bite correction.
  • Custom-made. Lingual brackets can be designed and fabricated to fit your individual teeth perfectly.

Potential Disadvantages:

  • Trickier to clean because of their placement behind teeth.
  • Might not be suitable for a deep bite if there’s not enough clearance between top and bottom teeth.
  • Initial discomfort caused by the tongue’s contact with the braces when you speak and eat.
  • Custom-made brackets are more expensive.

So that’s a brief rundown of your bracket choices. But, unlike sports bracketology, there are no losers here! Dr. Andrew Nalin can give you the pros and cons of each bracket design, so you can make an informed decision based on the kind of braces which will work best for you. With coaching like that, no matter which bracket option you choose, the final result is the same—a winning smile!

Heading Off to College? Maybe It’s Time to Graduate to an Electric Toothbrush!

May 4th, 2022

Your trusty manual toothbrush has been with you from pre-school through high school—well, obviously not the same manual toothbrush, because that would be seriously unhygienic—but it’s the kind of toothbrush you’re used to and comfortable with.

Now, though, you’re off to college, and your lifestyle will be changing. Late night study sessions complete with study session snacks. Getting caught up in a project and making dinner from dorm vending machines. Grabbing fast food on the way to the practice field, or work-study job, or evening class. You get the point—meals can be hectic, unscheduled, and less than tooth friendly.

And if you’re wearing braces or aligners, you know you need to keep on top of brushing more than ever. It’s challenging to brush away cavity-causing plaque when it sticks around brackets and wires. And with aligners, teeth don’t benefit as much from the constant cleansing action of saliva, so it’s really important to brush away plaque and food particles before you replace the aligners after eating.

Maybe it’s time to consider an electric toothbrush. After all, anything that can make your life easier and more efficient during busy college days deserves a spot in your dorm room.

  • Electric Brushes Are Effective

The most important reason to switch to an electric toothbrush is its effectiveness. Several studies have shown that regular use of an electric toothbrush leads to a marked reduction in plaque, that bacteria-filled film which sticks to the teeth and leads to cavities and gingivitis. And it’s really no surprise that an electric brush can out-perform a manual brush.

Electric toothbrushes offer several design options, from oscillating/rotating brushes to oscillating/rotating/pulsating models to brushes using sonic vibration technology. What these technologies all have in common is the ability to remove plaque far more efficiently than we can on our own, because electric brushes provide the equivalent of thousands and even tens of thousands of brushstrokes per minute, compared to the hundreds we can achieve by hand.

There might be a bit of a learning curve to discover how to use your brush around wires and brackets. Ask us for the best method of using an electric brush with your braces, and check out brush heads specifically designed for orthodontic work.

If you use buttons with aligners, electric toothbrushes should be safe to gently clean around the buttons to remove built-up plaque. It’s usually best to stick with a manual brush for cleaning your aligners themselves—we’re happy to give you your best cleaning options, no matter which brush you choose.

You know by now what your brushing habits are like. If you tend to be a bit cavalier with your brushing and flossing, make sure you set yourself up for success. Because you have better things to do during semester breaks and summer vacations than visiting Dr. Andrew Nalin!

  • Electric Brushes Can Make Life Easier

Several of today’s electric brushes come with options designed to do more than simply remove plaque. They can let you know if you’ve brushed for the recommended two minutes and remind you when it’s time to replace the brush head. They can even alert you if you’re brushing too hard, which is especially important when you’re wearing braces.

Want more from your electric brush? Some models offer apps that can map out just where you’ve brushed, in case there are a few spots that often get overlooked. Or provide different brushing modes for daily cleaning, deep cleaning, whitening, and more. Or come with a travel case that can recharge while you’re busy exploring the world—or going home for a visit.

In the end, it’s up to you. Do some independent study and research the toothbrushes that will give you the best results for your individual brushing habits. You might not need or want a brush with all the technological bells and whistles.

If you’re comfortable with your manual brush and you get good grades when you visit our Mount Vernon, WA office, stick with it. But if you think you might benefit from the ease and efficiency of an electric toothbrush, if an electric toothbrush makes your teeth and gums healthier and your smile brighter, that’s extra credit worth pursuing.

When Your Permanent Retainer—Isn’t

April 27th, 2022

Even though it’s called a “permanent retainer,” your fixed retainer isn’t necessarily meant to last a lifetime. But with care, it should last just as long as you need it, keeping your teeth perfectly aligned after your orthodontic treatment is complete. Why is this retainer the one to choose for challenging alignments?

A fixed retainer is often used for teeth which were very crowded or had large gaps before treatment, especially along the bottom teeth, which tend to shift more. With a permanent retainer, a custom fitted wire is attached with a bonding adhesive to the back of each of the selected teeth. This design makes sure that the teeth can’t shift out of place while your bones and ligaments strengthen around them.

Occasionally, though, your permanent retainer isn’t quite as permanent as it should be. If you think your fixed retainer is becoming “unfixed,” what clues should you look for?

  • Broken wire

A clearly broken wire can be obvious, or you might discover it when you notice pain or irritation caused by the end of a wire poking around your tongue or mouth.

  • Loose bond

The orthodontic adhesive used to bond the wire to each tooth can come loose as the result of an accident, an unfortunately chewy treat, or simply with the passage of time.

  • Shifting teeth

You might not notice anything wrong with your retainer, but what you do notice is that your once-straight teeth have started shifting back to their old positions. If you see any movement in your teeth, your retainer might need repair.

What should you do?

  • Give our Mount Vernon, WA orthodontic office a call! It’s important to act promptly to prevent further retainer damage, oral discomfort, and tooth misalignment.
  • Rinse with warm water if your mouth is irritated.
  • If a wire is poking you, call us for advice on gently pushing it back into place.
  • Orthodontic wax can protect your teeth and tissue from detached wires.
  • If you have a clear retainer, wear it until you can come in. If you don’t have one, and you can’t see us immediately, ask if an over the counter moldable retainer is a good idea to help keep your teeth aligned in the meantime.

One benefit of a fixed retainer is that it’s almost invisible because it’s behind your teeth. But this hidden location can also make it difficult to notice potential problems. Fortunately, there are some proactive steps you can take to help your permanent retainer—and your bite—stay healthy:

  • Avoid foods which are sticky, hard, or chewy. If a food can damage traditional braces, it can damage your retainer.
  • Wear protective gear like mouthguards and helmets when you’re active—they protect more than just your retainer!
  • Ask your dentist to examine your retainer adhesive’s staying power whenever you have a checkup.

If you notice a detached wire or loose adhesive or see your teeth shifting, give Dr. Andrew Nalin a call. It’s important to act promptly to fix a fixed retainer, because your teeth and bite alignment are in jeopardy when you delay. And always bring your retainer (or retainer pieces) with you in case we can repair it.

Permanent retainers don’t necessarily last forever. But whether your fixed retainer is going to be with you long-term, or whether you’re going to transition to a removable retainer in the future, let’s make sure your permanent retainer is just as “permanent” as it needs to be!

Working Behind the Scenes—Lingual Braces

April 20th, 2022

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. Andrew Nalin 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 Mount Vernon, WA office to discuss the many great options you have available to give you the smile you’ve always wanted—front and center.

Orthodontics and Implants

April 13th, 2022

Maybe you’ve wanted braces since childhood. Maybe you had them, but your teeth have shifted over time. Maybe you’re tired of living with an uncomfortable bite. Good news! If you’re not happy with your adult smile, that doesn’t mean you’ve missed the opportunity to have the healthy, attractive smile you’ve always dreamed of.

While there are many benefits to having orthodontic work done as a child, there’s a lot to be said for orthodontic treatment as an adult. After all, you know exactly what you want. You’re dedicated to following your treatment plan. You have plenty of discreet orthodontic options available now, from clear aligners to lingual braces, to make your treatment as inconspicuous as possible.

But, on occasion, adult treatment does come with some adult baggage. Worried about your crowns, fillings, or veneers? If these restorations are part of your dental history, we can generally work with them. Dental implants? Those might fall into a slightly different category.

Implants are a great way to restore your smile because they function like your natural teeth. They are designed to look just like natural teeth, and they allow you to speak, chew, and bite with confidence. Implants even stimulate the jawbone when we chew just as natural teeth do, helping to prevent bone loss in the jaw as we age.

But there is one important difference between implants and natural teeth: implants are firmly anchored in the jaw, while your natural teeth can change position.

Why is this a concern? Because tooth movement is one of the basics of orthodontic treatment. Unlike implants, our teeth aren’t firmly anchored in our jaws. They are held in their sockets by a ligament which cushions them and connects the tooth to the bone.

When braces or aligners gently apply consistent pressure to the teeth, the ligaments and eventually the bones holding the teeth reshape themselves in response to this pressure, and then become stable again during the retainer phase of treatment.

Implants, on the other hand, are crowns attached to a metal cylinder or screw that is surgically implanted into the jawbone. After several months, osseointegration takes place—which is a technical way of saying that the metal base fuses with the bone. This means that there won’t be any movement taking place—good when you’re chewing, but not helpful for realignment!

If you haven’t yet replaced a missing tooth with an implant, it’s often best to wait before starting orthodontic work. We can design treatment around a missing tooth, leaving room to accommodate an implant in just the right spot when your orthodontic treatment is finished.

If you have an implant already, the placement of your implant will help determine your treatment:

  • If your implant is already perfectly placed for your future alignment, braces or aligners can be designed to work with and around your implant.
  • If the placement is almost ideal, you might find a very small degree of misalignment acceptable, and we can plan your treatment around your existing implant.
  • If it’s not possible to work with your implant where it’s presently located, it is possible to remove an implant. You would then have the implant procedure redone after your orthodontic work is complete.

Talk to Dr. Andrew Nalin about your treatment possibilities. By analyzing your orthodontic goals and working with your dental history, we can let you know exactly what can be done for your teeth and bite—even if you have an implant.

True, there are many benefits to having orthodontic work done in your childhood, but there’s a lot to be said for orthodontic treatment as an adult. And the greatest benefit of all? You’ll finally have the healthy, self-confident smile you’ve always dreamed of. Talk to our Mount Vernon, WA team about making that smile a reality.

This April, Let’s Celebrate National Facial Protection Month!

April 6th, 2022

Poor April. While other months celebrate romance, or giving thanks, or costumes and candy, April has—April Fool’s Day and a tax deadline. We might be forgiven for thinking these two dates seem more like warnings than celebrations.

So here’s a new topic for the April calendar: National Facial Protection Month! Take the opportunity this month to review your safety practices while you’re enjoying your favorite activities.

  • Mouthguards

If you have a mouthguard for sports or athletic activities, wear it! In any activity or sport where humans come into contact with solid objects (including other humans) tooth injury is possible. A mouthguard will help protect you from dental injuries caused by falls, physical contact, or other accidents that might happen in your active life. And it’s not just your teeth—mouthguards protect your lips, tongue, and jaw as well.

You can buy mouthguards in stock sizes or shape-to-fit models, or you can have a guard made especially for you at our Mount Vernon, WA office. Custom mouthguards fit perfectly and are designed to make breathing and speaking easy and comfortable. If you wear braces, a custom mouthguard can be designed to protect your smile and your appliance. Just talk to Dr. Andrew Nalin for suggestions!

After all the time and work you’ve put into your orthodontic care, don’t let a sports injury set you back. What else should you consider for your facial protection?

  • Helmets

If there’s a helmet available for your sport, use it! Helmets are especially important for protecting athletes from brain injury and concussion, and they help protect the face and jaw as well.

  • Face Guards

If you’ve experienced a puck speeding toward you, or a defensive tackle hurtling your way, or a fast ball coming in at 90 miles an hour, you know the importance of wearing a face guard. These guards can help protect your eyes, face, teeth, and jaws. Many sports now recommend using face guards—it’s worth checking to see if your sport is one of them.

  • Eye Protection

And let’s not forget eye protection. Whether it’s safety glasses or a visor, protecting your eyes and the bones around them is extremely important. You can even get sports goggles or protective sports glasses with prescription lenses to keep you safe and seeing clearly.

So here are a few suggestions for your calendar this month:

  • If you haven’t gotten a mouthguard yet, now’s the time. Tooth and mouth injuries occur in sports beyond hockey and football. If you play basketball, ski, skateboard, ride a bike—in fact, almost any sport where you can fall or make contact with a person or object—a mouthguard is a must.
  • If you need to replace an ill-fitting or damaged helmet and face guard, do it before your next game. And do replace a bike helmet if you’ve been in a crash—most likely it won’t be as protective, even if damage isn’t visible.
  • Talk to your eye doctor about protective eyewear if off-the-rack products don’t work for you.
  • If you are a parent or caregiver, make sure your child athlete has the proper facial protection—and uses it.
  • If you are a coach, make sure your athletes have the right protective gear—and wear it.
  • It’s also a great time to commit to using your protective gear every single time you’re active.

But, wait—these reminders are helpful and important, but weren’t we promised something to celebrate this April? Good catch! The great news is, using facial protection for sports and athletic activities gives you rewards you can celebrate all year: fewer injuries, fewer visits to the emergency room, and a beautiful, healthy, intact smile. Suit up!

I Only Have One Crooked Tooth. Should I See an Orthodontist?

March 30th, 2022

Your smile is just about perfect. There’s just that one tooth that’s out of place. So, do you really need to see an orthodontist?

Absolutely! Why? There are several good reasons.

First, let’s check to make sure there is no physical problem causing that turned tooth. A crooked tooth might result from an early oral trauma while the tooth is developing, or a baby tooth lost too early, or the loss of a nearby adult tooth. But a sudden change in a tooth’s orientation might also be caused by a cyst or a tumor. If you notice any changes in your tooth’s position, it’s a good idea to talk to Dr. Andrew Nalin.

Second, we want to make sure your bite is aligned properly. If your tooth is crooked due to crowding by your other teeth, or if it has rotated a bit because there is too much space between your teeth, your bite might be affected as well. Malocclusions, or bad bites, can lead to a number of unpleasant consequences, including headaches, jaw pain, and increased pressure and stress on the teeth.

Third, a crooked tooth can lead to more difficulty brushing and flossing between and around the teeth, which increases the chance of tooth decay.

Fourth, we provide the professional medical care you need. Some people with a turned tooth attempt self-help with rubber bands, dental floss, or other home remedies. Not only is this unlikely to work, it can actually lead to infection, root problems, and even tooth loss.

Maybe there are no health concerns causing, or caused by, your crooked tooth. Your bite is strong, and you like your unique smile just the way it is. In that case, smile on!

But if you are interested in aligning that one crooked tooth with the rest, give our Mount Vernon, WA office a call, and we’ll get to the root (literally!) of the problem. Depending on the reason your tooth is twisted, we’ll suggest the braces or clear aligners that will provide your most effective orthodontic treatment, and give you safe and lasting options for achieving the smile you’ve always wanted. Perfect!

Keep that candy at bay during your treatment!

March 23rd, 2022

Now that you have braces, it is more important than ever to maintain good oral hygiene during your treatment, as Dr. Andrew Nalin will tell you. While we trust you will continue brushing and flossing on a regular basis throughout your treatment at Nalin Orthodontics, you also have to mindful of what you eat. While all those sweet, sour, and sticky candies may taste great, these treats can actually damage your teeth and braces!

Sour candies  can be acidic to your teeth, and actually wear down the enamel that protects them, resulting in tooth decay and cavities. If you do indulge in eating these candies at some point during your treatment, be sure to wash your mouth out with water, drink milk or eat a few slices of cheese. These foods will help neutralize the acid in your mouth.

Besides cavities and tooth decay, many people do not realize that good oral health and hygiene are important to your overall health, too; researchers have discovered the connection between periodontal disease and other major health concerns, such as heart disease. Therefore, it is important to maintain a good oral hygiene routine just as you did before your braces. This includes visiting your dentist here in Mount Vernon, WA every six months, brushing and flossing daily, and using an antibacterial mouthwash, as well as visiting Dr. Andrew Nalin for your regular adjustment appointments.

For more questions about foods you should avoid while wearing braces, or if you have any general questions about your treatment, we encourage you to give us a call, ask us at your next adjustment appointment or ask us on Facebook!

How Long Will My Retainer Last?

March 16th, 2022

You’ve worked hard for your attractive, healthy smile, and now you’re making sure it stays attractive and healthy by wearing your retainer. Since wearing a retainer is usually a matter of years, not months, it’s natural to wonder just how long you can count on that retainer to help you maintain your smile.

That answer depends on the type of retainer you get at our Mount Vernon, WA office. A Hawley retainer, a clear retainer, and a fixed wire retainer have different lifespans. Because they each have their own advantages, Dr. Andrew Nalin will recommend the retainer that’s right for protecting your individual smile.

So let’s look at the average lifespan for different retainers, and, equally important, some of the common mishaps that can shorten that working life.

The Hawley Retainer

This is the retainer most people picture when they think “retainer.” Made of wire securely attached to an acrylic base, the Hawley retainer keeps the teeth in place, and can even be adjusted, if needed, to improve alignment. They generally last anywhere from three to ten years.

How can you make sure your Hawley retainer keeps working for you as long as possible?

  • Keep it in its case. While some damages to these retainers can be repaired, why take a chance? And it’s much harder to lose a retainer if it’s in its case as opposed to, say, a cafeteria napkin.
  • Keep it away from your pet. Dogs, especially, are tempted by the taste and smell of saliva, but there are safer, less expensive chew toys out there.
  • Keep wearing it. Without your retainer, your teeth can shift. Over time, not only will your retainer fail to fit anymore, but you might need to return for further orthodontic treatment. If you notice your retainer is starting to feel uncomfortable, give your orthodontist a call.

The Clear Retainer

Clear retainers look like clear aligners, and, like clear aligners, are almost invisible. Made of vacuum-formed plastic, they’re designed for a close, comfortable fit, often around the entire arch of your teeth. Also like clear aligners, these retainers aren’t made to last forever. If they become loose, warped, or cracked, they should be replaced. With care, they can last from six months to several years. How to protect them?

  • Protect your retainer from damage. Keep it in its case when you’re not wearing it. You’ll avoid losing it, and you’ll avoid damaging it.
  • Protect it from teeth. And we don’t just mean pets, although they find clear retainers yummy, too. If you grind your teeth, your retainer can suffer. Clear retainers are not the same thing as night guards, so talk to your orthodontist for recommendations.
  • Protect it from heat. Hot surfaces like ovens or heaters, hot dashboards, washers and dryers, even very hot drinks can be a problem. (You should only be drinking water while you wear your clear retainer, so that particular issue shouldn’t arise!)

The Fixed Retainer

A fixed retainer is a small piece of wire that is custom-fit and bonded to the back of specific teeth to prevent any movement from occurring. Because it’s bonded to the inside of the teeth, a fixed retainer is completely invisible when you speak or smile. It can last five years, ten years, and in some cases, even longer. Even though you won’t be exposing this retainer to external dangers like hungry pups or the wash-and-rinse cycle, there are still some situations to watch for:

  • Watch your diet. The same sticky, crunchy, or hard foods that can damage brackets and wires can also loosen a fixed retainer.
  • Watch your dental hygiene. While cleaning around a bonded retainer can be a bit challenging, not cleaning around it can result in plaque and tartar buildup—and your retainer might have to be removed to clean your teeth.
  • Watch for changes. If your teeth start to shift, it could mean your retainer has detached from one or more teeth. Ask your dentist to check the retainer’s bond whenever you have a checkup.

So, how long will that retainer last? Depending on the kind of retainer you have, if you don’t keep it in its case, or if you don’t watch your diet, or if you expose it to heat, the answer is—not nearly long enough. Dr. Andrew Nalin will give you the very best tips to keep your retainer clean, safe, and working for as long as possible. Now, it’s up to you!

The Herbst® Appliance

March 9th, 2022

Maybe you’ve known people with braces and aligners—maybe you’ve worn them yourself!—so if braces or aligners are in your teen’s future, you have some idea what to expect and when to expect it.

But quite often, orthodontic issues require more treatment than braces alone can provide. When misalignment affects not only the teeth but the jaw as well, treatment can be more effective when it begins earlier and makes use of a different kind of appliance—the “functional appliance.”

During the years your child’s bones are still rapidly growing and forming, around the ages of eight to 14, functional appliances can help guide tooth movement and encourage jaw growth and development. One of the most widely used of these devices is the Herbst® appliance.

What does the Herbst appliance do?

There are several types of malocclusions, or “bad bites” treated by Dr. Andrew Nalin. A common condition called a Class II malocclusion occurs when the upper jaw and teeth project too far forward over the lower jaw and teeth. Signs of a Class II malocclusion might include an overjet (protruding upper teeth), and/or a small or recessive lower jaw.

While correcting this malocclusion often enhances facial symmetry, which can be very important for a child’s confidence, correcting a Class II malocclusion also promotes jaw and dental health. Misaligned teeth are more difficult to clean, which can lead to decay and gum disease. Bite problems can cause persistent jaw pain and damage to the teeth. And, with an overjet, a child’s upper teeth are more at risk for injury.

The Herbst appliance was developed to treat this kind of malocclusion. It moves the lower jaw and teeth forward to create a balanced, healthy smile.

How does the Herbst appliance work?

The Herbst appliance is fixed in place with stainless steel bands or crowns that are secured to four teeth in the rear of the mouth, often the first molars on each side of the upper and lower jaws. The band or crown on each lower tooth is equipped with a small bar that extends toward the front of the mouth.

An arm on each side links the bands or crowns on the upper teeth to the front of the bar assemblies on the lower teeth. Each arm consists of a rod that fits smoothly into a tube. The telescoping action of the rod and tube allows the mouth to open and close normally. When the mouth is closed, the arms on both sides telescope shut, forming compact cylinders that hold the jaw forward.

While a child’s bones are still growing, the lower jaw’s new forward position can stimulate further bone growth and remodeling to maintain the jaw in that forward position. The Herbst appliance also has a restraining effect on the forward movement of the upper jaw. The result is a steady, noticeable improvement in the relationship between the upper teeth and jaw and the lower teeth and jaw.

Is the Herbst appliance hard to take care of?

The Herbst appliance is fairly low maintenance, but, like any orthodontic gear, it should be treated with care.

  • It’s important to watch your child’s diet, because sticky, crunchy, and chewy foods can damage the appliance. Save the caramels for a post-treatment celebration!
  • Carefully cleaning around the appliance is necessary, because a buildup of bacteria and plaque leads to consequences like bad breath, gum disease, and tooth decay. A water flosser can make reaching and cleaning tight spots easier if a brush alone isn’t effective.
  • If the Herbst appliance is damaged, some minor fixes might be doable at home with instructions from your treatment team. But if a band or crown comes loose, or if there’s a problem you’re unfamiliar with, call our Mount Vernon, WA office right away.
  • To help avoid the need for minor (or major) fixes, playing with the appliance with fingers or tongue, nibbling on pens and pencils, chewing on ice, or any other risky habits should be strictly off limits.

When it comes to your child’s health, you always have high expectations. Dr. Andrew Nalin and our team have all the answers you’ll need about what to expect from this phase of your child’s orthodontic treatment, and just why the Herbst appliance is the very best option to create a future of attractive, healthy smiles.

Why Am I Getting Cavities?

March 2nd, 2022

Now that you’re in orthodontic treatment, you’re probably spending more time taking care of your teeth than ever before. So, why did your dentist find a cavity at your last checkup? Let’s look at some of the potential culprits.

  • Brushing More Doesn’t Always Mean Brushing Well

Even for adults with decades of experience, proper brushing technique is often overlooked. Brushing’s not as effective without covering all the tooth surfaces (inside, outside, and molar tops), holding the brush at a 45-degree angle, gently brushing the teeth with small strokes, brushing for at least two minutes, and flossing between the teeth at least once a day.

If you wear braces, you must also take care to reach all the spots between and around your wires and brackets. Which leads us to . . .

  • Are You Using the Right Tools?

Even with perfect brushing form, your braces will be a challenge for a regular toothbrush and floss. The right tools make any job easier, and that includes cleaning your teeth while you’re wearing braces.

Specially designed brushes with bristles designed to work with your brackets, floss made to fit behind wires, tiny cone-shaped interproximal brushes that fit between your teeth and around your brackets—all these tools are made specifically to remove plaque and food particles from your teeth and your braces.

  • Crunchy, Hard, and Sugary Aren’t the Only Problem Foods

You know sugary foods should be limited because sugars are the favorite food of cavity-causing bacteria. And hard and crunchy foods are off limits altogether because they can damage your braces. But what about treats which look soft and harmless? Well, looks can be deceiving!

Starches in soft, carb-rich foods like potato chips and white bread quickly break down into sugars. What’s more, they tend to stick around brackets and in between the teeth, giving those cavity-creating bacteria plenty of nourishment.

This isn’t to say that you must eliminate all sugars and carbs from your diet. But when you wear braces, be especially mindful about brushing or at least rinsing thoroughly whenever you have a snack.

  • Biology

Some people are biologically more prone to cavities, even with attentive brushing and flossing, so you shouldn’t feel guilty if you don’t have a perfect checkup every time. Instead, be proactive. Ask Dr. Andrew Nalin for brushing and cleaning advice the next time you visit our Mount Vernon, WA office—and then follow it!

It’s not just spending more time taking care of your teeth—it’s using your valuable time the best way possible. It’s always time well-spent brushing properly, eating mindfully, and working with your orthodontist and your dentist to create a beautiful, healthy, cavity-free smile.

Why Do I Need a Retainer?

February 23rd, 2022

Congratulations! You’ve done the hard work necessary to create your beautiful smile! You’ve carefully completed all the steps needed to reach the end of your orthodontic journey. Well, nearly all the steps. We can’t forget that last step which will ensure that all your hard work is rewarded.

When you first began orthodontic treatment, Dr. Andrew Nalin decided on the best plan for straightening your teeth and perfecting your bite, whether you wore traditional braces, lingual braces, aligners, or other orthodontic appliances. And now that you’re finishing treatment, there’s one more option to consider—your retainer.

Why do I need a retainer?

While you’ve spent time in treatment, more has changed than just the position of your teeth. The periodontal ligament, the connective tissue that connects the teeth to the jawbone, is stretched as the teeth shift. The bone in your jaw changes, too, reforming and rebuilding around the roots of your teeth as they move to their ideal locations.

These changes happen because your braces or aligners apply gentle, constant pressure to move your teeth. When you’ve finished wearing these appliances, the pressure stops. Ligaments will try to return to their original shape, which can shift teeth back toward their old positions. And the rebuilding bone isn’t dense enough yet to stop teeth from shifting due to the normal, everyday pressures of eating, chewing, and smiling.

A retainer prevents your teeth from moving back, or “relapsing,” by giving your bones and ligaments time to stabilize and rebuild. The process takes months, so keeping your teeth in place as bones rebuild and grow denser is crucial. This is especially important for patients with more serious misalignments. Dr. Andrew Nalin will let you know which kind of retainer will be best for you and just how long you’ll need to wear your retainer.

Are there different kinds of retainers?

There are! Retainers can be removable or fixed, visible or nearly invisible, metal, plastic, or metal and plastic. Three of the most popular retainer options include:

  • Hawley Retainers—the traditional removable retainer, which uses a molded acrylic plate with wires attached to keep your teeth properly aligned and to hold your retainer in place.
  • Clear Plastic Retainers—a removable retainer made of custom vacuum-formed plastic, which fits over the teeth like a clear aligner.
  • Fixed Retainers—a small single wire bonded to the back of specific teeth, which holds them in place and prevents any movement.

Dr. Andrew Nalin will let you know whether a removable or fixed retainer is best for making sure your teeth don’t start to relapse, and fill you in on the benefits and care of each type of retainer.

How long do I need to wear a retainer?

There’s no standard answer to this question. Just like your retainer is custom-built to fit your individual teeth, the amount of time you’ll spend in that retainer depends on your individual needs. Retainers might be worn fulltime for months or years, be worn only at night after several months of daily wear, or be worn long-term to make sure your orthodontic work lasts.

Because you’ve done the hard work already, and your beautiful, healthy smile is the result. Talk to a member of our Mount Vernon, WA team about which retainer option will be best for making sure that this smile lasts a lifetime.

Forget Something? It’s on the Tip of Your Tongue!

February 16th, 2022

Let’s see…

Toothbrush? Check.

Fluoride toothpaste? Check.

Floss? Check.

Two minutes of thorough brushing? Check.

Careful cleaning around your brackets and wires? Check.

Wait… there’s something else… it’s right on the tip of your…

Ah! Your tongue! Whenever you brush, morning, evening, or any time in between, if you want the freshest breath and cleanest teeth, don’t forget your tongue.

Why your tongue? Because the tongue is one of the most common sources of bad breath. Let’s examine just why this occurs.

The tongue is made up of a group of muscles that help us speak and chew and swallow. But there’s more to this remarkable organ than mere muscle. The surface of the tongue is covered with mucous membrane, like the smooth tissue which lines our mouths. But the tongue isn’t completely smooth—it’s textured with thousands of tiny bumps called papillae.

These little elevated surfaces have several shapes and functions. Some make the tongue’s surface a bit rough, which helps move food through your mouth. Some are temperature sensitive, letting you know that your slice of pizza is much too hot. And some are covered with thousands of the taste buds, which make eating that pizza so enjoyable.

All of these papillae with their various functions combine to create a textured surface, filled with miniscule nooks and crannies. And if there’s a nook or a cranny where bacteria can collect, no matter how miniscule, it’s a good bet that they will, and the surface of the tongue is no exception. But bacteria aren’t alone—the tongue’s surface can also hide food particles and dead cells.

How does this unappealing accumulation affect you? These elements work together to cause bad breath, especially the bacteria that break down food particles and cell debris to produce volatile sulfur compounds—compounds which create a particularly unpleasant odor. Including your tongue in your brushing routine helps remove one of the main causes of bad breath.

And that’s not the only benefit! Cleaning the tongue helps eliminate the white coating caused by bacterial film, and might even improve the sense of taste. Most important, studies show that regular cleaning noticeably lowers the levels of decay-causing plaque throughout the mouth.

So, how to get rid of that unwanted, unpleasant, and unhealthy debris?

  • When you’re done brushing your teeth, use your toothbrush to brush your tongue.

Clean your tongue by brushing gently front to back and then side to side. Rinse your mouth when you’re through. Simple as that! And just like a soft-bristled toothbrush helps protect tooth enamel and gum tissue, we also recommend soft bristles when you brush your tongue. Firm bristles can be too hard on tongue tissue.

  • Use a tongue scraper.

Some people find tongue scrapers more effective than brushing. Available in different shapes and materials, these tools are used to gently scrape the surface of the tongue clean of bacteria and debris. Always apply this tool from back to front, and rinse the scraper clean after every stroke. Wash and dry it when you’re through.

  • Add a mouthwash or rinse.

As part of your oral hygiene routine, antibacterial mouthwashes and rinses can assist in preventing bad breath. Ask Dr. Andrew Nalin for a recommendation.

  • Don’t brush or scrape too vigorously.

Your tongue is a sturdy, hard-working organ, but tongue tissue is still delicate enough to be injured with over-vigorous cleaning.

Taking a few extra seconds to clean your tongue helps eliminate the bacteria and food particles which contribute to bad breath and plaque formation. Make this practice part of your daily brushing routine—it’s a healthy habit well worth remembering!

Valentine Candy: Is It 4 U?

February 9th, 2022

It’s Valentine’s Day. Love and friendship are in the air, and candy is on the gift list. Are there tasty Valentine treats that are safe to eat even with your braces? We have some sweet news for you!

Safe Valentine candy, like the rest of your braces-friendly diet, won’t stick to your braces (potentially causing cavities) or damage them (potentially causing emergency visits to the orthodontist). In other words, foods that aren’t sticky, chewy, hard, or crunchy.

So, which candy treats are on the “Loves Me Not” list?

  • Chewy Candies

Love heart-shaped gummies? Or spicy cinnamon jellies? Or Valentine-pink taffy? These sweet confections might be delicious, but, no matter how delicious, all that sugar sticking to your brackets and wires is not healthy for your teeth and it’s especially hard to brush off. And the chewy nature of these treats can break wires and pull brackets loose from your enamel.

  • Hard Valentine Candies

Do U luv these? R they UR favorites? Whether or not they come in the shape of colorful hearts with clever stamped messages, as crunchy nuts surrounded by chocolate, or as gleaming red hearts on a lollipop stick, hard candies R not 4 U when you wear braces. Biting down on hard foods can damage wires and loosen brackets.

  • Boxes of Assorted Chocolates

The beauty of a heart-shaped box filled with chocolates is its variety. The problem with a heart-shaped box filled with chocolates is its variety. Any pieces with nuts, toffee, or caramel should be left in their little paper cups. Sticky, chewy, and crunchy foods are some of the worst offenders when it comes to damaging your braces. If your candy doesn’t come with descriptions, break open the piece before you indulge to see just what you’re biting into.

Is this list a bit depressing? Take heart! There are several Valentine’s options that are safe for your braces.

  • Soft Chocolates

Any kind of soft chocolate should leave your braces intact—and if you choose dark chocolate, you’ll be enjoying less sugar and more minerals and antioxidants.

  • Chocolate-Covered Peanut Butter Candies

These treats are also soft enough to be harmless to your brackets and wires. And if they’re molded into hearts? Bonus!

  • Boxes of Assorted Candies

The problem with a heart-shaped box filled with chocolates is its variety. The beauty of a heart-shaped box filled with chocolates is its variety. Nestled among all the sticky, chewy, and crunchy chocolates are the safer soft cream centers. Choose the braces-friendly options and share the rest.

Whether you’re buying a candy gift for someone in braces, or you’re the lucky giftee, choose candies that will make Valentine’s Day memorable for all the right reasons! Don’t be afraid to think out of the (heart-shaped) box—pink milkshakes or smoothies, sweetly decorated cupcakes, and creamy pastel ice creams and frozen yogurts are soft, smooth, and safe holiday treats.

Of course, after indulging in any Valentine treat, be sure to clean your teeth and braces carefully. Cavities are never fun, and especially not when you’re in braces. Brush and floss after eating, and make sure your brackets and wires are clear of any sticky, sugary souvenirs. If you do have a problem with damaged wires or brackets, be sure to call our Mount Vernon, WA office right away to keep your treatment plan on track. Valentine’s Day comes once a year, but your beautiful, healthy smile? You want it to last 4ever!

Dental X-rays: The Inside Story

February 2nd, 2022

We’re all friends here, so if you sometimes feel a bit nervous before your orthodontic appointments, no judging! Ask us about any worries you might have. We are happy to explain procedures, equipment, and your orthodontic options so you know exactly what is going on during treatment. And if X-rays are a concern, we can put your mind at ease here as well.

What Exactly Are X-rays?

Sometimes patients feel reluctant about the process of imaging because X-rays are a kind of radiation. But the fact is, radiation is all around us. We are exposed to radiation naturally from our soil and water, sun and air, as well as from modern inventions such as cell phones, Wi-Fi, and air travel.

Why is radiation so common? Because matter throughout the universe constantly gives off energy, and the energy that is emitted is called radiation. This radiation takes two forms—as particles (which we don’t need to consider!) and as traveling rays. This second type is known as electromagnetic radiation, created by photons traveling in regular waves at the speed of light.

We are exposed to electromagnetic radiation every day, because, whether we can see them or not, these different wavelengths and frequencies create various forms of light. Radio waves, microwaves, infrared, visible, and ultraviolet light, X-rays, and gamma rays are all part of the electromagnetic light spectrum.

Different types of radiation on this spectrum have different wavelengths and different frequencies, and produce different amounts of energy. Longer wavelengths mean lower frequencies and less energy. Because X-rays have shorter wavelengths and higher frequencies than, for example, radio waves and visible light, they have more energy.

How Do Dental X-rays Work?

An X-ray machine produces a very narrow beam of X-ray photons. This beam passes through the body and captures images of our teeth and jaws on special film or digital sensors inside the mouth (intraoral X-rays), or on film or sensors located outside the mouth (extraoral X-rays). These X-ray images are also known as radiographs.

Why are X-rays able to take pictures inside our bodies? Remember that higher energy we talked about earlier? This energy enables X-rays to pass through the softer, less dense parts of our bodies, which are seen as gray background in a radiograph. But some substances in our bodies absorb X-rays, such as the calcium found in our bones and teeth. This is why they show up as sharp white images in radiographs. 

There are many different types of dental X-rays used in orthodontics, including:

  • Occlusal X-rays, which show the entire arch of teeth in the upper or lower jaw.
  • Panoramic X-rays, which use a special machine to rotate around the head to create a complete two-dimensional picture of teeth and jaws.
  • Cephalometric X-rays, which show the patient’s entire profile, and the position and development of the teeth and jaws.
  • Cone Beam Computed Tomography, an external device which uses digital images to create a three-dimensional picture of the teeth and jaws.

Why Do We Need X-rays?

You might have noticed that these X-rays, unlike, for example, typical bitewing X-rays, don’t take images of individual teeth. That is because orthodontists deal with the teeth in relationship to each other and to the structures around them.

Beautifully aligned teeth and a healthy bite are the visible result of your orthodontic work, but there’s a lot going on above and below the surface that needs to be discovered and taken into account before your treatment even begins. X-rays help us evaluate:

  • The size, shape, and position of your teeth, including impacted teeth and wisdom teeth
  • The size, position, and health of your roots throughout treatment
  • The size and shape of your jaw bones, and how they affect your teeth alignment and bite
  • Your progress during different phases of treatment

How Do Orthodontists Make Sure Your X-rays Are As Safe As They Can Be?

First of all, the amount of radiation you are exposed to with a dental X-ray is very small. In fact, a typical panoramic X-ray provides roughly the same amount of radiation we are exposed to through our natural surroundings in just one day. Even so, Dr. Andrew Nalin and our team are committed to making sure patients are exposed to as little radiation as possible.

Radiologists, the physicians who specialize in imaging procedures and diagnoses, recommend that all dentists and doctors follow the safety principal known as ALARA: “As Low As Reasonably Achievable.” This means using the lowest X-ray exposure necessary to achieve precise diagnostic results for all dental and medical patients.

The guidelines recommended for X-rays and other imaging have been designed to make sure all patients have the safest experience possible whenever they visit the dentist or the doctor. We ensure that imaging is safe and effective in a number of ways:

  • We take X-rays only when they are necessary.
  • We provide protective gear, such as apron shields and thyroid collars, whenever needed.
  • We make use of modern X-ray equipment, for both traditional X-rays and digital X-rays, which exposes patients to a lower amount of radiation than ever before.
  • When treating children, we set exposure times based on each child’s size and age.

And now that we’ve talked about some things you might like to know,

Please Let Us Know If . . .

  • You are changing orthodontists and have had previous orthodontic X-rays taken. Ask to have your older X-rays sent to our office so we have a complete record of your orthodontic history. (With digital X-ray technology, this transfer can be accomplished with e-mail!)
  • You’re pregnant, or think you might be pregnant. Even though radiation exposure is very low with dental radiographs, unless there is a dental emergency, dentists and doctors recommend against X-rays for pregnant patients.

X-rays play an important part in helping us make sure your orthodontic treatment provides you with a lifetime of beautiful and healthy smiles. If you have any concerns, contact our Mount Vernon, WA office. When it comes to making sure you’re comfortable with all of our procedures, including any X-rays that might be necessary, we’re happy to give you all the inside information!

Foods that are Safe for Braces

January 19th, 2022

Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So, what types of foods should you or your kids eat to protect dental appliances?

The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.

A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!

Post-Tightening Foods

As braces begin to adjust the alignment of the teeth, our team at Nalin Orthodontics will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:

  • Pudding
  • Mashed potatoes
  • Soup
  • Ice cream
  • Cottage cheese
  • Peas
  • Pancakes
  • Pasta

Foods to Avoid

Anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:

  • Hard candies
  • Gum
  • Nuts
  • Popcorn
  • Certain raw vegetables (for example, carrots)

Considerations

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

Have more questions about orthodontic treatment? The Nalin Orthodontics staff is always ready to answer all of your questions and help you get the most out of the treatment plan prescribed for you by Dr. Andrew Nalin!

Are braces right for me?

January 12th, 2022

According to Preferred Consumer, it's estimated that 50 percent of people around the world have teeth that are crooked, not aligned properly, or irregular. Fortunately today, orthodontics has advanced to the point where corrective devices, such as braces and retainers, are less obvious, more comfortable, and can be worn for shorter periods of time.

So, with that being said, how do you know if braces are right for you? Typically your dentist will be able to point out any issues with your teeth at your regular six-month cleanings and recommend you to an orthodontist. But here are some other things to keep in mind when deciding whether or not braces could be in your future:

Crooked Teeth

As children grow, so do their teeth. And more often than not, certain teeth will grow in crooked. This isn't uncommon, as the majority of children will require some sort of teeth correction, whether that’s braces or retainers. Retainers are custom-made devices that either work to hold teeth in place or correct tooth alignment. They're often worn all day, aside from meals, at the start of the treatment period and then eventually are rolled back so they're just worn at night. Braces on the other hand are worn for at least a year and work to help straighten or position teeth.

Overbite or Underbite

The other main oral issue that orthodontics helps correct is uneven alignment, such as an underbite or an overbite. You might hear Dr. Andrew Nalin refer to this as a "malocclusion," which means "bad bite." Braces can help rearrange your alignment so an overbite or underbite is less of a problem. Typically after the braces come off for this sort of treatment, patients need to wear a retainer from Nalin Orthodontics to finish the treatment.

While braces are typically associated with dental issues in children, more adults are wearing the devices as well. About one in every five braces wearers are adults; a sign that it's never too late to correct any oral issues. Part of this is due to the technological advancements in orthodontics. For instance, new braces feel much better and come in a variety of styles — including clear — so they're far less obvious. Plus, the wires on braces are now made from advanced metals, which are stronger and lighter, so they get the job done much more efficiently. With so many people wearing braces these days, nicknames like "metal mouth" and "brace face" are almost a thing of the past. What's more, is that insurance plans are increasingly covering orthodontic treatment, making braces a much more feasible option for families on a budget.

When weighing whether or not braces are in your future, it's important to study all of your options about the styles of braces and what treatment option is best for you. Also be sure to contact your insurance provider to see what is covered and what will have to be paid out of pocket. It might take a few years of treatment, but braces can give you that winning smile for the rest of your life. Call our Mount Vernon, WA office with any questions you might have!

Make this the Year You Stop Smoking

January 5th, 2022

It’s a new year, and it couldn’t come fast enough for many of us! Let’s do our part to make this a better year in every way—and you can start by making this the year you quit smoking once and for all.

You know that smoking is very damaging to your body. Smokers are more likely to suffer from lung disease, heart attacks, and strokes. You’re at greater risk for cancer, high blood pressure, blood clots, and blood vessel disorders. With far-reaching consequences like this, it’s no surprise that your oral health suffers when you smoke as well.

How does smoking affect your teeth and mouth?

  • Appearance

While this is possibly the least harmful side effect of smoking, it’s a very visible one. Tar and nicotine start staining teeth right away. After months and years of smoking, your teeth can take on an unappealing dark yellow, orange, or brown color. Tobacco staining might require professional whitening treatments because it penetrates the enamel over time.

  • Plaque and Tartar

Bacterial plaque and tartar cause cavities and gum disease, and smokers suffer from plaque and tartar buildup more than non-smokers. Tartar, hardened plaque which can only be removed by a dental professional, is especially hard on delicate gum tissue.

  • Bad Breath

The chemicals in cigarettes linger on the surfaces of your mouth causing an unpleasant odor, but that’s not the only source of smoker’s breath. Smoking also dries out the mouth, and, without the normal flow of saliva to wash away food particles and bacteria, bad breath results. Another common cause of bad breath? Gum disease—which is also found more frequently among smokers.

  • Gum Disease

Smoking has been linked to greater numbers of harmful oral bacteria in the mouth and a greater risk of gingivitis (early gum disease). Periodontitis, or severe gum disease, is much more common among smokers, and can lead to bone and tooth loss. Unsurprisingly, tooth loss is also more common among smokers.  

  • Implant Failure

Tooth implants look and function like our original teeth, and are one of the best solutions for tooth loss. While implant failure isn’t common, it does occur significantly more often among smokers. Studies suggest that there are multiple factors at work, which may include a smoker’s bone quality and density, gum tissue affected by constricted blood vessels, and compromised healing.

  • Healing Ability

Smoking has been linked to weakened immune systems, so it’s harder to fight off an infection and to heal after injury. Because smoking affects the immune system’s response to inflammation and infection, smokers suffering from gum disease don’t respond as well to treatment. Smokers experience a higher rate of root infections, and smoking also slows the healing process after oral surgeries or trauma.

  • Dry Socket

Smoking following a tooth extraction can cause a painful condition called “dry socket.” After extraction, a clot forms to protect the tooth socket. Just as this clot can be dislodged by sucking through a straw or spitting, it can also be dislodged by the force of inhaling and exhaling while smoking.

  • Oral Cancer

Research has shown again and again that smoking is the single most serious risk factor for oral cancer. Studies have also shown that you reduce your risk of oral cancer significantly when you quit smoking.

  • Consequences for Orthodontic Treatment

Finally, if this is the year that you’re investing the time and effort needed to create an attractive, healthy smile with orthodontic treatment, don’t sabotage yourself by smoking!

Cosmetically, smoking doesn’t just discolor your tooth enamel—tar and nicotine discolor your aligners and braces as well. If one of the reasons you chose clear aligners or ceramic brackets is for their invisible appearance, the last thing you want is yellow aligners and brackets.

More important, smoking, it’s been suggested, can interfere with your orthodontic progress. When blood vessels are constricted, your gums, periodontal ligaments, and bones can’t function at their healthy best, moving your teeth where they need to be steadily and efficiently. This means that your treatment could take longer. And if your smoking has caused gum disease, you might have to put any orthodontic treatment on hold completely until it’s under control.

Quitting smoking is a major accomplishment that will improve your life on every level. It’s always a good idea to talk to Dr. Andrew Nalin for strategies to help you achieve your wellness goals for the new year. Make this the year you stop smoking, and the year your health improves in countless ways because you did.

How much do braces cost?

December 29th, 2021

This is one of the most common questions that is asked at Nalin Orthodontics and, unfortunately, it does not have a simple answer. Just as every patient we see is unique, so is their treatment plan. Some patients have very simple problems which require less appliances and time, while other cases are much more complicated and may require multiple appliances and phases.

The treatment fee usually reflects the amount of orthodontic work required to complete the treatment plan. The only way to find out how much braces will cost is to schedule a consultation with Dr. Andrew Nalin. During your consultation, we will perform a complete oral examination, listen to your concerns, and explain how we will address your needs.

Our findings will include the cost of orthodontics and how long the treatment will take to complete. Give us a call today at our convenient location in Mount Vernon, WA for a consultation and discover how quickly we can make you smile!

Five Braces-Friendly Dinner Recipes

December 22nd, 2021

Did you know that more than four million children throughout the US and Canada have braces? At Nalin Orthodontics, Dr. Andrew Nalin and our staff know that kids can be picky and meticulous eaters. If cooking for children without braces is difficult, preparing meals for children with braces is especially daunting.

“Comfort food takes on a whole new meaning when cooking for children with braces,” says Pamela Waterman, author of The Braces Cookbook: Recipes You and Your Orthodontist Will Love. “Whether you have new brackets, elastics, headgear, or more, there are great foods you can eat; it just takes some thought.”

These five braces-friendly dinner recipes will be sure to keep your kids smiling!

  1. Macaroni and cheese is the ultimate comfort food. Pasta is soft, so it’s easy for children with braces to eat. The warm, gooey cheese melts in the mouth and doesn’t get stuck in the braces like hard or sticky foods. Chances are good that even the pickiest eater has a soft spot for this homespun classic.
  2. The key to braces-friendly cooking is to replace hard, crunchy foods with softer substitutes. In other words, burritos are a better option than tacos, and lasagna is a better choice than pizza. At the same time, if you have the culinary skills to whip up a pizza with a soft crust, you’re going to win the Best Mom (or Dad) of the Year award.
  3. Your child may not like fruits and vegetables. In fact, he or she may even try to convince you that with new braces, fruits and vegetables are off limits. Nice try, kids. While your child is wearing braces, prepare meals with cooked vegetables instead of raw vegetables. A vegetable stir-fry is a healthy and soft dinner choice for kids with braces.
  4. Whether it’s beef or chicken, meat is a good source of protein. However, meat, even when it’s carefully taken off the bone (kids with braces should never eat meat from a bone), can easily get caught in braces. Sloppy Joes are a good alternative. The beef is softened by the addition of the sauce and less likely to get strung in the wires and brackets of the braces. Serve the Sloppy Joes with a side of mashed potatoes.
  5. Ask any child and he or she will tell you that the best part of dinner is dessert. While hard candy, licorice, taffy, caramel, popcorn, and all other chewy candies should be avoided, ice cream and cake are braces-friendly treats that keep kids smiling.

Need more braces-friendly food ideas? Feel free to ask any member of our team.

Spacing Out

December 15th, 2021

One of the most common reasons for getting braces is because there’s just not enough room for all your teeth to fit next to each other evenly. The result is overlapping and crooked teeth. What’s the first step in creating the space you need? Well, that depends on just how much room you need to align your teeth and bite properly.

When there is going to be a serious need for space, there are orthodontic solutions that can help, including palatal expanders, surgical options, and extractions. But if you only need a tiny bit of room so that regular braces will fit properly, we have a tiny solution—orthodontic spacers!

Why do you need to make space before you get braces? Because Dr. Andrew Nalin might need to make some room around crowded molars so your braces can be installed properly.

For example, you might need orthodontic bands to anchor your braces. An orthodontic band is a slim, custom-fitted ring of metal which fits snugly around a molar. It is durable, provides a place to attach bands and springs to help correct malocclusions (bite problems), and can securely surround a tooth that might be weak because of a large filling. Spacers can separate crowded teeth just enough to allow a band to be fitted around a molar.

Even if you don’t need bands, sometimes separators are necessary to provide enough space between the teeth for your braces to work effectively. The back teeth tend to move even closer together with braces, and, without adequate space, bite problems, risk of decay, and other difficulties can arise.

And while you might think that some serious equipment is in order to make room between those sturdy molars, the typical spacer, or separator, is actually extremely simple--usually a tiny, round elastic band, often made of rubber. Spacers can be placed between tight teeth in a matter of minutes. Each ring is stretched and positioned between your teeth with a special tool. As it returns to its original shape, the spacer’s width provides just enough pressure on the teeth it touches to make a bit of space between them. And a bit of space is usually all you’ll need.

What do spacers feel like? For some people, they can be uncomfortable. You might feel soreness, some pressure, or as though a piece of food is stuck between your teeth. Ask us for suggestions on making you more comfortable, whether it’s dining on ice cream and cold drinks, eating soft foods, or taking over-the-counter pain relief. Separators are only designed to be in place for a very short period (usually under two weeks), but if they are causing you pain, give us a call.

What do you need to do to help the process along? Actually, it’s more what you need not to do. Don’t use dental picks or floss on your separators, avoid chewing gum, and take chewy and sticky foods off the menu. And don’t be tempted to touch or play with your spacers!

Spacers can create space between the teeth so quickly and efficiently that they often fall out on their own after a few days. If your separators fall out, give our Mount Vernon, WA office a call. It could mean that you are ready for your braces, and on the way to a lifetime of healthy, beautiful smiles. And it’s a journey that begins with a tiny, springy step.

Start Your Day Off with a (Healthy) Smile!

December 8th, 2021

If there’s one meal that can claim the title of “Sweetest Meal of the Day,” it’s almost certainly breakfast. Sugary cereals, syrup-covered waffles, oatmeal with honey, cinnamon toast (which is literally sugar poured on toast)—it’s hard to imagine another menu even coming close. But you’re trying to keep your diet as healthy as possible. What to do?

First, no need to deprive yourself of the occasional pastry or stack of pancakes. The real problem with breakfast isn’t so much sugar as it is added sugar.

  • Just a Spoonful of Sugar? What’s So Bad About That?

Nothing! Many healthy foods have natural sugars. Milk contains lactose sugar, and it also contains calcium and is enriched with vitamin D—both of which are essential for strong bones and teeth. Fruits get their sweetness from a sugar called fructose, and deliciously provide vitamins, minerals, antioxidants, and fiber to our diets.

Even processed sugar is surprisingly low in calories. In fact, a teaspoon of white sugar has only about 15 calories. But this teaspoon is also rich in nutrients for cavity-causing bacteria. The oral bacteria in plaque use sugars and carbohydrates from food particles as a fuel source to produce acids. These acids erode enamel and lead to cavities.

Choosing breakfast foods without additional sugars, then, is an easy way to reduce the number of empty calories in your diet while safeguarding the health of your teeth. We have a few suggestions.

  • Be Selective with Cereals

If the word “sugar” or “honey” or appears on the box, that’s a hint that your favorite cereal is heavy on the sugar. But there’s a more scientific way to tell just how much sugar is in that spoonful.

While the colorful packaging and playful mascots are eye-catching, check the black-and-white panel with nutritional facts found on every box. If one serving equals 27 grams, and the sugar in that serving equals 15 grams, you know you have a problem. And cereals marketed to children are especially “rich” in added sugar.

But luckily, you don’t need to give up your morning bowl. Many cold cereals are available that offer whole grains, protein, and fiber without a lot of added sugar. Spend some time in the cereal aisle comparing, or, to make life easier, there are many online sites which recommend the best (and worst) cereals in terms of sugar content.

  • Use Your Judgment with Juices

Fruits are packed with important nutrients. Not only do they provide essential vitamins and minerals, they’re a great source of water and fiber. If you drink 100% fruit juice, you are getting the benefit of most of the vitamins and minerals found in fruit. (You’re also getting less of the fruit’s natural fiber, and more of the fruit’s natural sugar, so consider fresh fruit as an option occasionally.)

But when fruit juice comes with “cocktail,” or “punch,” or “ade” attached to the end of it, there’s often something else attached—added sugar. For natural fruit flavor and the least amount of sugar, stay with 100% unsweetened fruit juice.

  • Search Out “Surprise” Sugars

Remember the childhood excitement of searching through your cereal box for the prize inside? Fun! What’s not so much fun? The surprises you might find when you search through the labels on your favorite breakfast items—because added sugars make their stealthy way into many of our morning favorites.

When you compare plain, Greek, and low-fat yogurts, for example, the low-fat options are often higher in added sugar. A container of low-fat yogurt can provide 19 grams of sugar—that’s a tablespoon and a half!

And while you’re at it, be sure to compare the sugar content in granola bars. Some are full of nuts and grains, and some are full of added sugar.

Going out for a breakfast smoothie? Those can contain 70 grams of sugar and more. Making your own at home might be a little more time-consuming, but if you use fresh fruit as your sweetener, you can make sure that what you’re not consuming is added sugar. If you’re on the go, check out all-fruit options at your favorite smoothie shop.

Dr. Andrew Nalin and our team aren’t asking you to eliminate sugar from your breakfast diet altogether. (Everyone loves a doughnut now and again.) But substituting some alternatives for your regular menu choices can reduce the amount of added sugars by tablespoons every meal. That’s another great reason to greet the morning with a smile!

Your First Winter in Braces? Tips for a Warm and Wonderful Holiday

December 1st, 2021

If this is your first winter with braces, you might be wondering how to make the best of the holiday season. Dr. Andrew Nalin and our team have some suggestions for happy and healthy holiday smiles.

Treat Yourself

Winter means tasty holiday treats, and just because you wear braces doesn’t mean you need to step away from the holiday table! You can enjoy your favorites if you remember to check your list for the usual problem foods. Hard, crunchy, chewy, and sticky items? Naughty list.

  • Crunchy vegetables on the appetizer plate
  • Nuts
  • Hard rolls
  • Candy canes and other hard sugar treats
  • Caramels, Toffee and other sticky candies
  • Pecan pie
  • Fruit cake

Luckily, there are plenty of nice alternatives.

  • Turkey and ham—remember, small pieces are best
  • Dressing and stuffing
  • Mashed potatoes
  • Soft breads and rolls
  • Pumpkin pie—but skip a tough crust!
  • Cheesecake
  • Soft cookies and cakes
  • Soft chocolates

We’re happy to provide recommendations for braces-friendly holiday foods. And we don’t expect you to turn down every sweet treat this season.  Just be sure that if you enjoy something sugary, brush carefully after indulging.

Express Yourself

While you’re decking the halls, or pinning up the New Year’s balloons and streamers, or even choosing a great holiday outfit, don't forget that your ligatures can be decorative as well as functional.

  • Celebrating Christmas? Red and green bands around your brackets are jolly and traditional.
  • How about Hanukkah? Try blue and white!
  • Love the season? Icy silvers and pale blues are a frosty statement—and can have the benefit of making your teeth look whiter, as well. Snowy white? The arctic idea is great, but white bands can sometimes make teeth look more yellow, or become stained themselves.
  • Glam New Year? Gold adds sparkle to your smile, but can bring out any yellow tones in your teeth. Silver might be the perfect choice, because it is generally neutral with enamel shades.

Check out our ligature colors for the best possible choices for your teeth and coloring. Take advantage of these options to create a fresh, confident look for the season. Give others the gift of your smile!

Look After Yourself

Winter comes with some special reminders about your dental health.

  • Winter sports are a great way to celebrate the snow and ice, but be sure to protect your teeth and braces. If you enjoy skiing, snowboarding, ice skating, hockey, or any other winter activities, talk to us about why a mouth guard is so important.
  • While you enjoy your winter break, don’t forget to keep up with your dental routine. And because ‘tis the season for holiday treats, be especially careful to clean your teeth and braces after sweet desserts and snacks. Don’t forget to floss!
  • What do cold breezes and hot chocolate have in common? They can both trigger tooth sensitivity! While some sensitivity is normal after an adjustment, if you find you are experiencing tooth sensitivity more often or more strongly than you usually do, give us a call. It might be something as simple as brushing habits, or you might need to see your dentist.

If you have any questions about your braces, in this season or any other, just ask when you visit our Mount Vernon, WA office. Your beautiful, healthy, and confident smile can make this the most wonderful time of the year!

Braces-Friendly Recipe: Breakfast

November 24th, 2021

Kids can be picky eaters. How many times have you seen your child try to hide the peas under a mound of mashed potatoes?

At Nalin Orthodontics, Dr. Andrew Nalin and our team understand how hard it can be to get your child to eat the recommended daily allowance of fruits and vegetables. The task of providing fun, nutritious meals becomes even more challenging if he or she wears braces. It's an age-old saying that breakfast is the most important meal of the day. These five braces-friendly recipes are not only nutritious, but they will have little Jimmy flashing his “tin grin” when he sits down at the kitchen table in the morning.

  1. Scrambled eggs are soft and easy to eat if you have braces. If you drown them in ketchup (which many kids love to do), eggs become even mushier. Minimal chewing is required, and that’s the key to a braces-friendly recipe.
  2. A healthy breakfast provides energy and jump-starts metabolism. A smoothie is not only a good source of fruit, but it’s also gentle on braces. More importantly, smoothies are fun to create. You can toss anything in the blender (bananas, mangoes, strawberries, spinach) and create a drink that’s loaded with vitamins and antioxidants.
  3. If you wear braces, eating crunchy cereals or granola for breakfast is out of the question: Bite down the wrong way and you might snap the wires or dislodge the brackets. However, you can get your grains and oats by substituting oatmeal for cereal. This mushy breakfast treat has a host of health benefits.
  4. Pancakes are not the healthiest breakfast choice. Still, this Sunday morning favorite is braces-friendly. The idea is to make it healthier by hiding blueberries in the pancake batter just like your child hides peas in the mashed potatoes.
  5. Toast with jam is ok, but skip slathering peanut butter on the bread. If you have braces, the general rule of thumb is to steer clear of foods that are hard or chewy. These types of foods can break wires. Of course, most kids will agree that toast isn’t the most exciting breakfast recipe. Make it a Pop-Tart instead!

For more braces-friendly recipes, please give us a call at our convenient Mount Vernon, WA office!

At what age should my child have an orthodontic evaluation?

November 17th, 2021

You may have noticed that kids seem to be getting braces and other orthodontic care a lot earlier these days. There was a time, only a decade or two ago, when braces were mainly seen on teenagers, but that is beginning to change. If you’re wondering when to bring your child to our Mount Vernon, WA office for an orthodontic evaluation, the answer actually has several parts.

The Telltale Signs

If your child has a very crowded set of adult teeth coming in, or if the permanent front teeth came in very early, these are signs that your child should see Dr. Andrew Nalin, regardless of age.

The Dental Age

Barring signs of trouble or early adult teeth as mentioned above, the time that your child needs to be seen for initial orthodontic evaluation depends not so much upon your child’s actual age, but on what is known as a “dental age.”

The dental age of the patient might be entirely different from his or her actual chronological age; for example, an eight-year-old could have a dental age of 13. It is part of Dr. Andrew Nalin and our staff’s job to determine the dental age and then make appropriate recommendations for the resolution of orthodontic issues if they are emerging.

The Official Recommended Age

The American Association of Orthodontists officially recommends that kids should see an orthodontist for the first time between the ages of seven and nine. Even if the child does not have all his or her permanent teeth, the teeth growth pattern can usually be predicted quite effectively by an orthodontist.

This allows for a proactive response to emerging problems, and this is the reason that some younger children are now getting orthodontic devices earlier in life. If a young child has serious orthodontic issues emerging, Dr. Andrew Nalin can usually address the problems immediately and then follow up with another round of treatment when the child has all the adult teeth.

What is early intervention?

November 10th, 2021

Many developing orthodontic problems can be intercepted and corrected if diagnosed and treated at an early age. Dr. Andrew Nalin and our team at Nalin Orthodontics recommend children have their first orthodontic evaluation no later than age seven, or younger if the front four permanent teeth have replaced the baby teeth. Early treatment, also known as interceptive treatment or Phase I treatment, provides both timely detection of problems and greater opportunity for more effective treatment. Early intervention guides growth and development, preventing serious problems later.

If your child is showing these signs, it may be time to think about early orthodontic treatment:

  • Early or late loss of baby teeth (your child should typically start losing teeth around age five or six, and will have all their permanent teeth in around age 12 to 13)
  • Difficulty chewing and/or biting
  • Mouth breathing
  • Sucking his or her thumb
  • Speech impediment
  • Protruding teeth (the top teeth and the bottom teeth extend away from each other)
  • Crowded front teeth
  • Teeth that don't come together in a normal manner or even at all

Early intervention will greatly reduce the severity of your child’s case, and therefore reduce the length of treatment time and cost for a second phase of treatment when all of his or her permanent teeth have erupted. An evaluation at our Mount Vernon, WA office will determine if your child’s dental and skeletal growth is proceeding properly or if interceptive treatment is needed. Many times, a more severe problem can be corrected using sophisticated removable appliances instead of traditional orthodontic treatment.

To schedule a consultation for your child to visit with Dr. Andrew Nalin, please give us a call! We will provide your child with an initial exam, and discuss with you the best steps to take toward caring for your child's smile.

Early Orthodontics

November 3rd, 2021

The average age of individuals who get braces is between nine and 14, although it is appropriate for younger children to visit Nalin Orthodontics for a consultation with Dr. Andrew Nalin. While parents may be concerned about the efficacy of early orthodontics, research suggests that early intervention can prevent greater dental health problems later in life.

What types of conditions require early intervention?

According to the American Association of Orthodontists, 3.7 million children under the age of 17 receive orthodontic treatment each year. Early intervention may be appropriate for younger children with crooked teeth, jaw misalignment, and other common issues. Early orthodontic treatment may be of use for several types of problems:

  • Class I malocclusion. This condition is very common. It features crooked teeth or those that protrude at abnormal angles. In general, early treatment for Class I malocclusion occurs in two phases, each two years long.
  • Class III malocclusion. Known as an underbite, in which the lower jaw is too big or the upper jaw too small, Class III malocclusion requires early intervention. Because treatment involves changing growth patterns, starting as early as age seven is a smart choice for this dental problem.
  • Crossbite. Crossbite occurs when the upper and lower jaws are not properly aligned. An orthodontic device called a palatal expander widens the upper jaw, allowing teeth to align properly. Research suggests that early treatment may be beneficial in crossbite cases, especially when the jaw must shift laterally to correct the problem.
  • Tooth extraction. That mouthful of crooked baby teeth can cause problems when your child’s permanent teeth erupt. For kids with especially full mouths, extracting baby teeth and even permanent premolars can help adult teeth grow in straight.

Considerations when thinking about early intervention

Early intervention isn’t helpful for all conditions. For example, research suggests that there is little benefit to early orthodontics for Class II malocclusion (commonly known as an overbite). Instead, your child should wait until adolescence to begin treatment. Scheduling a visit to our Mount Vernon, WA office when your child is around age seven is a smart way to create an individualized treatment plan that addresses unique orthodontic needs.

Don’t let braces ruin your Halloween

October 27th, 2021

Halloween is a time to enjoy delicious candies you might avoid the rest of the year. Youngsters who get to dress up and ask for sweet treats out trick-or-treating cherish this holiday.

If you have braces on, Dr. Andrew Nalin would like you still to have fun and celebrate Halloween this year!

It’s easy to get carried away on Halloween by eating too much candy at once. Most parents try to prevent the all-too-common sugar high their kids experience on Halloween night. While there are certain candies that should be avoided, not all candy will cause problems for kids with braces. After trick-or-treating, you could trade unsafe candies with siblings and/or friends so they don’t miss out on the sugar buzz.

Dr. Andrew Nalin and our team have come up with a list of teeth-friendly treats that should keep you from worrying about breaking your braces. We also came up with a list of candies to avoid, so as to save you a trip to our Mount Vernon, WA office. Remember to be extra careful when you indulge this Halloween!

Braces-Friendly Sweets

  • Solid chocolate: Milk, white, or dark
  • Nougat-filled candy bars: Three Musketeers
  • Powdery candy: Sweet Tarts, Pixie Stix
  • Mint-flavored candy
  • Malted milk balls
  • Soft cookies
  • Peanut butter crackers

Avoid These Treats

  • Sticky candy: Starbursts, toffee, Tootsie Rolls
  • Hard candy: Suckers, Jolly Ranchers
  • Taffy
  • Caramels
  • Fruit chews
  • Gum
  • Caramel apples
  • Skittles
  • M&Ms

When in doubt, ask Dr. Andrew Nalin if a particular candy is safe to eat when you have braces. We hope you enjoy your Halloween sweets, and look forward to seeing you at your next appointment! Happy Halloween!

Just Add Water

October 20th, 2021

One of the many benefits of your clear aligners is that you can remove them to eat. You should brush after every meal, just like you would with traditional braces, but cleaning your teeth is much easier without having to work around and between brackets and wires.

But when you wear your aligners 22 hours a day, you might be tempted to leave them in when you’re just having a sip of something when you’re thirsty. Unless you’re drinking water, please don’t.

What’s the problem with a can of cola or a cup of coffee?

  • Staining

The virtue of your clear aligners is that they are, well, clear! Probably one of the reasons you decided on this method of treatment was because you liked the idea of an inconspicuous appliance.  Unfortunately, dark beverages such as colas, coffee, tea, and red wine can stain your aligner, making it more visible.

  • Warping

Very hot beverages might actually affect the shape of your aligners. Since they are formed using heat, it makes sense that heat can also de-form them. If hot teas and coffee drinks cause a change in the shape of your aligners, they will not move your teeth the way they were meant to.

  • Affecting Tooth Health

Even though our enamel is very strong, sugary and acidic drinks can damage it. Acidic foods can erode enamel, and the sugars in our diet provide food for cavity-causing bacteria, which then produce acids that erode enamel.

Normally, saliva provides some protection from acids and sugars by diluting them and washing them away from the teeth. When you drink a cola or an orange juice with your aligners on, some of the liquid will get in them, and can stay in them until the aligners are removed. You will actually give these problem beverages the opportunity to bathe your teeth in sugar and acid over a longer period of time, without exposure to saliva to help offset potential harm. And after all your work to create a beautiful smile, you certainly don’t want new cavities!

How to protect your aligners and keep them their cleanest—and most invisible?

  • Take your aligners out before drinking beverages that can stain them, or, if you can’t, try using a straw. Clean your aligners according to Dr. Andrew Nalin and our team’s instructions to keep them as clear as possible.
  • Don’t drink very hot beverages with your aligners in place. Try icing your coffee and tea if you can’t remove your aligners. And if you think your aligners have changed shape, please give us a call.
  • Drink water! Water hydrates you, doesn’t damage enamel, and keeps your aligners clean. Tap water is your best option, as even bottled waters can be acidic.

If your aligners should become stained, remember that you change them frequently, so the staining can be a temporary problem. If you do have a drink of something hot and your aligners feel “off,” give our Mount Vernon, WA office a call. We’ll let you know if you need to replace them.

But prevention is always best! Avoid staining from the start by removing your aligners before you drink dark beverages. Don’t expose your aligners to heat. Think about replacing unhealthy drinks with water. And certainly brush right away, or rinse with water if that’s not possible, if you drink a sugary or acidic beverage. These simple precautions will help keep your aligners, and, most important, your teeth, looking their best.

Orthodontics and Whole Body Health

October 13th, 2021

In recent years, many links have been established between orthodontic treatments and whole body health. According to the National Institute of Dental and Craniofacial Research, researchers have observed that people with gum disease are more likely to develop heart disease or experience difficulty controlling blood sugar than people without gum disease. While researchers continue to find associations between oral health and the overall health of the body, as of yet it hasn’t been determined whether gum disease is the sole cause of these health conditions. What can be determined, however, is that good oral health isn't just about maintaining a healthy smile; it has an impact on the health of your entire body.

The associations between gum disease and whole body health

The links between the health of your mouth and the health of your body are too many to ignore. Is it a coincidence that gum disease and other health problems occur together? Researchers don’t think so, despite the lack of definitive proof.

Here are four possible connections between the health of your mouth and the health of your body.

  • Excessive oral inflammation has been linked to a greater incidence of clogged arteries.
  • The American Society of Microbiology has revealed that certain types of oral bacteria can infect the arterial cells and weaken the wall of the heart.
  • Loose teeth are often believed to be a warning sign for osteoporosis, a disease that causes the bones to become less dense.
  • Some studies suggest women with gum disease are more likely than those without gum disease to deliver preterm, low-weight babies.

Orthodontics and gum disease

So what does undergoing orthodontic treatment at Nalin Orthodontics have to do with gum disease? Braces do so much more than give you a nice-looking smile. Quite simply, straight teeth are easier to keep clean than crooked teeth. Your toothbrush is able to remove more plaque-causing bacteria, and your floss is more effective at ridding tiny particles between your teeth.

Despite the lack of hard facts in these findings, the message is clear: If you improve your oral health, you will also have a greater chance of maintaining the health of your entire body. And that’s a chance Dr. Andrew Nalin and our team at Nalin Orthodontics believe is worth taking. For more information about this topic, please give us a call at our convenient Mount Vernon, WA office or ask Dr. Andrew Nalin during your next visit!

October is National Orthodontic Health Month

October 6th, 2021

What does the month of October mean to you? For people in the northern hemisphere, October is when the weather starts to get a little chilly: heavy jackets might come out of storage and the summer clothing gets packed away. You might start making plans for the upcoming holidays or looking at the beautiful and changing autumn scenery. October means something a little different to our team at Nalin Orthodontics because this is National Orthodontic Health Month. During October, orthodontic clinics all over the country work together to promote their services and inform the community about the important work we do.

National Orthodontic Health Month is an awareness campaign created cooperatively by orthodontists and other dental health professionals. During this month, we make a special effort to promote dental health and orthodontic health in particular. This is a great time to get your questions answered by dental professionals in your community and to learn more about exactly what an orthodontist can do for you and your family. Events held in connection with National Orthodontic Health Month are also an opportunity for us orthodontists to come out and meet community members. If you have never been to an orthodontist before, you might not know what to expect. Meeting one of us in person before your checkup is a great way to find out what kind of person you’ll be seeing during your appointment.

Meeting Dr. Andrew Nalin in a relaxed “meet and greet” atmosphere can be especially helpful for any young orthodontic patients in your family. Kids of all ages–and their parents!–can feel anxiety about going to the dentist. Getting to know the person you have an appointment with can make the experience a lot less stressful for everyone. We don't want anyone to avoid seeing a dental professional for regular checkups just because they don't know who we are. Just meeting and talking with the orthodontist you'll be seeing may be enough to make you feel more comfortable about your upcoming appointment.

Dental health is something that affects everyone; healthy teeth and gums contribute to a healthy smile and a lifetime of comfort and well-being. Orthodontists are just one of the various dental practitioners you could visit at some point in your life, so taking a little time to learn who we are and what we do is certain to be a helpful experience. We look forward to seeing you and your family this October at our Mount Vernon, WA location!

Time to Brush Up on Brushing and Flossing

September 29th, 2021

If your child has just gotten braces, chances are it’s a good time to brush up on dental hygiene! Why now? What’s different? And how can you help? Let’s take a few minutes and explore these timely questions.

Brushing and Flossing Are Especially Important with Braces

There’s no getting around it, it’s harder to clean teeth with brackets and wires. But it’s essential to pay attention to dental hygiene. When bacteria and plaque start building up, your child is at risk for gum disease, cavities, and tooth discoloration.

  • Gingivitis

This early stage of gum disease is the result of gum irritation caused by plaque. The gums become red, swollen, sore, and can bleed or start to recede. With proper brushing and flossing, gingivitis can be eliminated, along with the risk of developing more serious gum disease.

  • Tooth Decay

One of the major reasons for cavities is the erosion of enamel caused by oral bacteria. These bacteria feed on sugars from our diet and produce acids that attack the tooth’s surface. Plaque, formed by a mass of these bacteria, sticks around brackets and the gum line, putting your child at risk for cavities near his orthodontic work—which might require removing wires and brackets to treat.

  • Demineralization

When acids attack teeth, they remove the minerals from our enamel. This demineralization eventually leads to cavities, but in its early stages can cause white spots to appear where the mineral structure has been weakened. Braces wearers are at special risk for demineralization, especially around brackets and near the gums, where plaque can be missed while brushing.

Time for New Brushing and Flossing Techniques

Even if your child has always done a wonderful job of brushing and flossing, braces provide a new challenge for getting teeth their cleanest. Unfortunately, plaque buildup around the brackets and the gum line is all too common in orthodontic patients. Dr. Andrew Nalin can recommend some tools that make the cleaning process easier and more effective.

  • Toothbrushes

Manual brushes are available with small, soft-bristled heads designed especially for braces wearers. If your child still has problems getting rid of plaque and food debris, an electric toothbrush might be helpful. And remember, encourage your child to be thorough but gentle for the sake of both braces and gums.

  • Flossing with Braces

Flossing can be challenging for children at any time, but especially with braces. We’ll show you how floss threaders work, and how special flosses designed just for braces can fit under wires. This might also be a good time to invest in a water flosser. Your help demonstrating how to floss even with brackets and wires blocking the way will be appreciated by your child and your dentist!

  • Products Just for Braces

Interproximal brushes are tiny cone-shaped brushes designed to fit around brackets and wires and between teeth. We can also suggest special toothpastes and rinses to help fight plaque and prevent cavities from developing. Ask us about what to shop for to make both of your lives easier.

You Can Help!

  • Teamwork—Works!

When your child first gets braces, practice brushing and flossing together. Our Mount Vernon, WA team will be happy to show you both the very best techniques for keeping teeth their cleanest and healthiest. Especially for young children, your help will make sure those techniques are learned and used.

  • Make Time for Cleaning

Your child’s before-braces routine might have meant brushing two minutes each morning and two minutes at night. But thorough cleaning around brackets and wires might take a bit longer. (And, with braces, it’s best to brush after every meal rather than the common twice-a-day routine). Be available, at least at first, for a quick check to make sure braces and teeth are their cleanest. And you may have to help with removing and replacing bands until your child gets the hang of it.

  • Be Prepared!

Whether it’s a day at school or an overnighter with friends, be sure your child has a kit filled with cleaning supplies ready to take along. A toothbrush, floss, an interproximal brush, toothpaste, a mirror—with these necessities, your child can keep on top of any cleaning emergencies.

For younger children especially, learning how to keep teeth and braces their cleanest can take some time. Be patient, be prepared, and be willing to help, and you and your child will have a new routine mastered—in no time at all!

Braces-Friendly Recipe: Dinner

September 22nd, 2021

Wearing braces during your treatment at Nalin Orthodontics presents some unique challenges in the types of food you can safely eat. The wrong items can be difficult to remove from between your teeth and the appliance. Other foods may even break or loosen your braces.

Dinner recipe ideas

Lasagna is a great dinner choice because it provides you with several food groups in one easy dish.

  • 1 ½ pounds ground hamburger
  • 1 garlic clove
  • 1 tsp. basil
  • 1 pound diced tomatoes — canned is fine
  • 12 oz. tomato paste
  • 1 package of dry spaghetti sauce mix for seasoning
  • 10 oz. box dry lasagna
  • 3 cups ricotta or cottage cheese or 1 ½ cups each mixed
  • ½-cup Parmesan cheese
  • 2 eggs
  • 1 pound sliced or shredded Mozzarella cheese

Brown and drain your hamburger meat. Dice the garlic and simmer the hamburger, garlic, basil, diced tomatoes, tomato paste and powdered sauce mix for ½ hour.

Cook the lasagna noodles as directed on the package and drain.

Beat the eggs and combine them with your ricotta or cottage cheese.

Layer ½ of the noodles in a 13 x 9 pan. Spread ½ of your cottage cheese mix on top of the noodles, then layer ½ of the mozzarella on top. Finish this layer with ½ of your hamburger mix. Repeat the layering with the other half of your ingredients. Bake at 350 F for 30 minutes.

Meats

You can enjoy ribs and chicken wings as long as you cut the meat from the bone before you eat. The same rule applies to turkey legs; do not gnaw on bones, because this can damage your braces.

Vegetables and fruits

You still need to include fruits and vegetables in your daily meals. Skip corn on the bob, whole apples, and raw carrots. Broccoli is soft but particles can become stuck in your braces, so be sure to brush and floss after your meal.

Desserts

Avoid caramel, taffy, and hard candies for dessert. Pudding and ice cream are fine, but low-sugar versions are best.

Remember that your mouth will be sore after adjustments with Dr. Andrew Nalin. Stick to softer foods until the sensitivity is reduced. Please do not hesitate to ask our team for recipe and meal ideas. We will be happy to take the time to explain which foods items are the best choices and why.

If you have any questions about these recipes, or if you have any questions about eating with braces, please give us a call at our Mount Vernon, WA office!

Spot Check

September 15th, 2021

After all your hard work, and months of orthodontic treatment, the big day is finally here—your braces are coming off! What you want to see: beautiful, straight teeth perfectly aligned to create a comfortable, healthy bite. What you don’t want to see: a collection of whitish spots dotting the enamel around your gum line or outlining the spot where your brackets used to be.

What are these spots? Can they be removed? And, most important, how do you avoid them?

Decalcification

Those white spots are caused by decalcification, or the removal of the minerals, especially calcium and phosphorus, that strengthen our enamel. How does this removal take place? When bacteria and plaque remain on the teeth, they produce acids that eat away at these minerals. The result is a weakened, discolored white spot in the enamel. Unfortunately, because many orthodontic patients don’t brush thoroughly around their braces, decalcification is an all-too-common problem.

Treating Decalcification

You might need cosmetic dentistry to eliminate or reduce white spots on the enamel. In some cases, they will fade over time, or teeth whitening can help. In more stubborn cases, tooth bonding or veneers can cover the affected enamel.

Preventing Decalcification

But, obviously, prevention is always better than treatment. Here are some of the ways to keep your enamel healthy and looking its best:

  • Brush thoroughly after every meal.

Getting rid of the bacteria and plaque on your enamel and around your gum line will greatly reduce your chances of decalcification—and cavities. Brush after every meal, and talk to us about the best products and techniques for cleaning your teeth and appliances. And be sure to spend the extra time you’ll need for brushing around your braces.

  • Floss

Even though it can be more difficult to floss with brackets and wires, it’s essential for removing plaque. We have suggestions for special flosses designed for braces wearers, and how best to use them. A water flosser can be helpful for reducing plaque if other flossing methods aren’t working.

  • Use fluoride toothpaste

Fluoride actually helps remineralize our teeth, replacing the important minerals that have been lost to acid attacks. We might also suggest remineralizing toothpastes or a fluoride rinse.

  • Watch your diet

Acidic foods increase the acidity levels in your mouth, sugars give bacteria the fuel they need to produce acids, and sticky foods allow bacteria to remain on teeth and braces longer. We’ll give you suggestions on the best foods to keep your teeth healthy (and your braces intact) while you’re undergoing treatment.

  • Have your teeth cleaned regularly

Your dental professional will be able to remove plaque and tartar that home brushing has missed.

  • Work with us!

If we let you know that you need to spend more time on your cleaning routine, or that you need to be more thorough when you brush and floss, take our suggestions to heart. We are happy to show you the most effective way to clean around your braces. Dr. Andrew Nalin can recommend the best dental products for your specific needs. We can suggest rinses and toothpastes that will help. We’ll let you know how much time you should spend brushing and how often.

If you have any questions at all about keeping your teeth and braces their cleanest, we are here to help. Always feel free to talk to our Mount Vernon, WA team about concerns you might have about decalcification, discoloration, or any other potential problems. We are want to make sure that when your braces come off, you have every reason to smile!

Misconceptions About Orthodontics

September 8th, 2021

While everyone understands that a dentist takes care of teeth, not everyone is aware of what an orthodontist does. This confusion sometimes leads to misunderstandings about what Nalin Orthodontics does for our patients and how exactly Dr. Andrew Nalin can help them. Let’s take a closer look at a couple of the myths and misconceptions about orthodontists.

Perhaps the biggest misconception about the orthodontist is that they’re just like your family dentist. The truth is, they’re actually very different. While it’s true that both orthodontists and dentists care about helping you enjoy a lifetime of good dental and oral health, orthodontists go about achieving this goal in different ways. For instance, if you need to have a cavity filled, you probably won’t make an appointment to see an orthodontist. Dentists are the health professionals to see if you’re concerned about a cavity or need a filling. A dentist can also treat gum disease, tooth decay, toothaches, and other common oral health problems.

People see an orthodontist for very particular services. Most of the patients we see on a daily basis are here because they have braces, or they need to be fitted with braces or another form of tooth-straightening device. In other words, they consult an orthodontist when they are concerned about the alignment of their teeth. As a child grows up, his or her teeth may come in crooked. This can happen for a number of reasons, so it’s important for an orthodontist to take a look at a child’s teeth at about seven years of age. At that age, it’s possible to detect any problems that have not become too advanced to treat easily. Your family dentist may also refer your child to an orthodontist once the adult teeth have fully grown in.

Another common misconception about orthodontists is that they only treat children. It’s true that when you visit an orthodontic clinic you’re apt to see a lot of young kids, but you’ll also see teenagers, college students, and adults. Because crooked teeth can be caused by a number of different factors, it’s entirely possible for someone to require orthodontic treatment at any age.

If you want to know more about the practice of orthodontics or what your orthodontist can do for you, then simply ask Dr. Andrew Nalin. It’s best to get answers to your specific questions directly from the person who will be treating you. While you’re sure to find Internet resources helpful, there really is no substitute for the personal attention you’ll get during your appointment at our Mount Vernon, WA office.

Happy Labor Day!

September 1st, 2021

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Mount Vernon, WA community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

  • Every year, more than 30 million Americans travel over Labor Day weekend.
  • Canada was the first to celebrate Labor Day, and the US soon followed.
  • President Cleveland made Labor Day and official US holiday in 1894.
  • Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
  • Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our orthodontic office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

Toothbrush Science

August 25th, 2021

Let’s talk science! From the vastness of the cosmos to sub-atomic particles, science helps us understand the world around us and how it works. So, let’s take some familiar scientific fields of study and apply them to your toothbrush.

My toothbrush?

Yes, indeed! When it comes to your oral health, your toothbrush is the first line of defense, so understanding how and why it works so well might help us use this handy tool even more effectively.

Biology—the study of living organisms

Unfortunately for your toothbrush, the living organisms we’re talking about here are the bacteria which cause tooth decay and those which can lead to illness. How do these problems arise, and how do we prevent them?

Fight Plaque

Plaque is the sticky film that builds up on teeth, and millions of oral bacteria help make up this biofilm. These bacteria convert sugars and other carbohydrates in the foods we eat into acids. And these acids erode our tooth enamel, leading to tooth decay. (More on this when we get to Chemistry.) The best ways to get rid of plaque?

  • Brush often. The recommended minimum is two minutes of brushing twice a day, but when you’re having orthodontic work done, it’s even more important to banish the plaque that can stick to your braces or inside aligners. Ask us what brushing schedule is best for you.
  • Try an electric toothbrush. For some people with braces, cleaning the teeth is easier and more thorough with an electric brush.
  • Replace your brush regularly. Brushes become worn and frayed after three or four months, and you won’t be brushing as effectively.

Stop Germs from Spreading

  • Don’t share. Sharing toothbrushes can lead to an increased risk of colds and infections.
  • Rinse thoroughly after brushing, making sure you remove any toothpaste or debris left after you brush.
  • Store the brush upright and let it air-dry. Covering the brush or keeping it in a closed container can promote the growth of bacteria more easily.
  • Keep different brushes separate when they’re drying to avoid cross-contamination.
  • Replace your brush regularly!

Chemistry—the study of what makes up substances, their properties, and how they interact

When it comes to improving your brushing chemistry, the best thing you can do for your toothbrush is to put a dab of fluoride toothpaste on it! Why fluoride? Let’s look at the chemistry of tooth enamel.

Tooth enamel is the strongest substance in our bodies—even stronger than bone. But it is not indestructible, and acidic substances can dissolve the mineral bonds which give our enamel its strength, whether they come from the bacteria in plaque or are found in our favorite foods and drinks (sodas, coffee, tomatoes, and citrus are among the tasty, but acidic, culprits).

The enamel in our teeth contains calcium and phosphate ions, minerals which help make it the strongest substance in our bodies. But when the level of acidity in our mouths becomes too high, these minerals begin to dissolve. Eventually, teeth become pitted, bacteria can penetrate more deeply, and decay is the result.

So what can we do? While our saliva helps neutralize acidity naturally, and we can cut back on acidic foods in our diets, using fluoride toothpaste actually helps restore the strength of our enamel in a process known as “remineralization.”

Fluoride works on the surface of enamel to both attract and anchor calcium ions, reducing mineral loss and strengthening the weakened enamel. Fluoride also interacts with the calcium and phosphate compound to create a new compound that is even stronger and more acid-resistant.

When you brush with fluoride toothpaste, you help replace and restore the mineral composition of your enamel—and there’s evidence that fluoride might even interfere with oral bacteria’s ability to produce acid. Now that’s good chemistry!

Physics—the study of matter and energy and their interactions

The matter here is your tooth enamel, and the energy is the force you use when brushing. And this is one time the force should not be with you.

  • Over-vigorous brushing can not only damage your brackets, but can also irritate delicate gum tissue and wear down enamel. A “sawing” back-and-forth motion is both hard on your enamel and misses plaque and debris between the teeth. We’ll be happy to show you the safest and most effective way to brush with braces. Just remember, “Massage, don’t scrub.”
  • A soft toothbrush is almost always your best option when you use a manual brush, but if you’re still a heavy-handed brusher, or have sensitive teeth and gums, consider an electric model. An electric toothbrush should provide a continuous brushing motion without needing any heavy pressure from the brusher. Some models will even let you know when you are brushing too hard.

Brushing harder is not brushing better, and your teeth, gums, and braces will be heathier with careful brushing habits. If you need tips on brushing with braces, contact our Mount Vernon, WA office and ask!

There’s a lot of science in the simple act of brushing, but we don’t need to spend hours studying to get a passing grade in dental health. The things you do normally—brushing at least two minutes twice a day, using fluoride toothpaste, and applying proper brushing technique—will help create a smile which will earn you top marks from Dr. Andrew Nalin for a lifetime!

Digital X-rays

August 18th, 2021

Modern orthodontic technology has changed the way you wear braces. Brackets are smaller and come in a variety of shapes and colors. Wires are more efficient. Clear aligners can eliminate the need for brackets and wires altogether. And your high-tech advantages don’t stop there—today’s digital X-rays make creating your treatment plan even more convenient and efficient.

Why Are X-rays Necessary?

Beautifully aligned teeth and a healthy bite are the visible result of your orthodontic work, but there’s a lot going on above and below the surface that needs to be discovered and taken into account before your treatment even begins. X-rays help Dr. Andrew Nalin evaluate:

  • The size, shape, and position of your teeth, including impacted teeth and wisdom teeth
  • The size, position, and health of your roots throughout treatment
  • The size and shape of your jaw bones, and how they affect your teeth alignment and bite
  • Your progress during different phases of treatment
  • The most effective type of retainer for protecting your beautiful smile after treatment.

How Do X-rays Work?

Traditional X-rays, or radiographs, make use of film just like traditional cameras. When you have an intraoral X-ray, for example, the film is sealed in a moisture- and light-proof packet, and placed inside the mouth to capture images of specific teeth and the bone around them.

The X-ray machine is aligned precisely with the film and an exposure is taken. The image at this point is latent, and won’t show on the film, because, just like photo film, traditional radiographs need to be chemically processed before they produce a visible image.

Digital technology, on the other hand, uses an electronic sensor instead of film. For an intraoral digital X-ray, a small sensor is positioned in the mouth just like a film. When the X-ray is taken, a digital image capture device produces an image which is formed by a matrix of pixels instead of a photo-like film exposure. This format allows the image to be sent directly to a computer for immediate display without requiring processing.

Even though these methods seem very similar, digital X-rays offer some significant advantages over traditional films. Let’s look at how they compare, more or less.

  • More Diagnostic Advantages

A traditional X-ray is a fixed image. It cannot be modified or enhanced. Here the digital X-ray offers a clear advantage in evaluating your teeth and the bone structure surrounding them.

Just as you can enlarge certain types of images on your computer without blurring or losing detail, a digital X-ray uses computer software to magnify images while keeping their details sharp. They can also be enhanced through brightness and contrast applications to make details stand out even more.

There is even digital subtraction radiography software available that can be used to compare recent images to older ones, removing (“subtracting”) all the similarities in the two images to display only the changes in the two—even small changes—that have taken place over time.

  • Less Exposure to Radiation

Modern technology means traditional X-rays expose patients to less radiation than ever before, but digital X-rays have significant advantages here as well. Radiation exposure can be reduced by an additional 10%, 20%, or more with a digital radiograph.

And while all types of dental X-rays expose you to very little radiation, it’s always best to reduce exposure whenever possible.

  • More Convenient for Sharing and Transmitting

If you need to share your X-rays with another dentist or physician, digital technology allows you to simply have them e-mailed to another office or multiple offices. You no longer need to worry about preserving physical copies, either.

  • Less Waste

Unlike traditional X-rays, digital X-rays don’t need to be processed, so you save time in the office. And while the processing time is not significant (usually several minutes), if you need to repeat some X-rays for a clearer picture, or require different images for several teeth, this time can add up.

Digital X-rays are also more eco-friendly.  The fact that they don’t need to be developed means that the chemicals used to process traditional films are no longer necessary—which also means that there is no need to dispose of chemical waste products afterward.

Our goal is to provide you with the safest, most efficient, and most effective treatment possible. Digital X-rays are an important tool for orthodontists, helping us to provide you with the best treatment plan possible. If you have any questions about digital X-ray technology, contact our Mount Vernon, WA office. We’re happy to explain the science—and the benefits—behind this high-tech diagnostic tool.

When Does an Underbite Need Surgery?

August 11th, 2021

When does an underbite need surgery? The short answer is: when Dr. Andrew Nalin and our team recommend surgery as the best way to give you a healthy, functional bite. But let’s take a longer look, and see just why your doctors might come to that conclusion.

  • First, what exactly is an underbite?

In a perfect bite, the upper and lower jaws align, well, perfectly. Upper teeth overlap lower teeth very slightly, upper and lower teeth meet comfortably, and jawbones and joints function smoothly. When the alignment is off, it causes a malocclusion, or “bad bite.”

When we talk about an underbite, or Class 3 malocclusion, it means that the lower jaw protrudes further than the upper jaw. This protrusion causes the bottom teeth and jaw to overlap the upper teeth and jaw.

  • What causes an underbite?

Sometimes an underbite is caused by childhood behaviors while the teeth and jaw are developing, including tongue thrusting or prolonged thumb-sucking and pacifier use. (Working to stop these behaviors before they affect tooth and jaw formation is one of the many good reasons children should have regular visits with their dentists and pediatricians.)

Most underbites are genetic, however, and tend to run in families. It’s estimated that from five to ten percent of the population has some form of underbite. The lower jawbone (mandible) might be overdeveloped, the upper jawbone (maxilla) might be underdeveloped, both bones could be affected, or, sometimes, tooth size and placement might cause an underbite. These irregularities in jaw shape and size and/or tooth crowding are not something that can be prevented, and require professional treatment.

  • Why? What’s the problem with an underbite?

Even a minor underbite can cause difficulties with biting and chewing. A more severe underbite can lead to speech problems, decay and loss of enamel where the teeth overlap, mouth breathing and sleep apnea, persistent jaw and temporomandibular joint pain, and self-confidence issues.

  • Can’t my dentist treat my underbite?

Most probably not. A very mild underbite can be camouflaged cosmetically with veneers, but this does not address the cause of the underbite, and will not work for moderate or severe underbites.

  • Can my orthodontist treat my underbite?

Dr. Andrew Nalin will create an underbite treatment plan after a detailed study of each patient’s individual dental and skeletal structure. Treatment options will vary depending on the cause of the underbite, its severity, and even the patient’s age.

Early intervention is especially important for children who show signs of an underbite. That’s why we recommend that children visit our Mount Vernon, WA office by the age of seven.

If an underbite is caused by tooth misalignment or crowding, braces can reposition the lower teeth. Sometimes extractions are necessary to make room for proper alignment.

If the cause is due to jaw structure, children’s bones are still forming, so treatment can actually help correct bone development. Palatal expanders, headgear, and other appliances are various methods of encouraging and guiding bone development.

But braces and appliances aren’t effective for every patient with an underbite, and especially in patients (usually those in their late teens and older) when the jawbones are already fully formed. In this case, we might suggest coordinating treatment with an oral and maxillofacial surgeon.

  • What does an oral and maxillofacial surgeon do?

An oral surgeon has the training, experience, and skill to help correct an underbite by surgically reshaping and repositioning the jawbone. This corrective jaw surgery is called orthognathic surgery.

  • What will happen during orthognathic surgery?

Your treatment will be tailored to your specific needs. Two of the common surgical procedures for treating an underbite involve repositioning the upper jaw to lengthen it and/or reshaping the lower jaw to shorten it.

Bone is sometimes removed or added, small bone plates or screws are sometimes used to stabilize the bone after surgery—your surgeon will let you know exactly which procedures will give you a healthy, functional bite. The surgery itself is most often performed under general anesthesia and requires a brief stay in the hospital.

  • How will my orthodontist and oral surgeon coordinate my treatment?

Correcting a Class 3 malocclusion can take time. Your oral surgeon will work together with Dr. Andrew Nalin to analyze the interrelationship of teeth, bones, and joints to determine dental and skeletal problems, and will develop the best treatment plan possible to create a healthy alignment.

  • So, when does an underbite need surgery?

Sometimes, a minor underbite can be corrected with braces and appliances alone. A serious underbite, however, will often require the specialized skills of both Dr. Andrew Nalin and an oral surgeon.

And, while it’s not the primary purpose of surgery, corrective jaw surgery and orthodontics can also make you happier with your appearance and boost your self-confidence. Achieving a lifetime of beautiful, comfortable, and healthy smiles—that’s the answer to your question.

Sugar and Your Orthodontic Treatment

August 4th, 2021

One word no one likes to hear is “cavity!”

For those patients of ours wearing braces, hearing that word is especially problematic, considering that delaying any dental work may result in delaying treatment time.

We often blame candy as the culprit behind tooth decay, but other foods and drinks that kids consume can be just as harmful to their teeth, and can lead to cavities and tooth decay. Keeping your teeth or your child’s teeth from decay during treatment starts with a proper diet, and today, our team at Nalin Orthodontics will explain the negative effects that candy and other treats, including peanut butter, raisins, fruit juice, and chewy fruit snacks, have on your child’s teeth as he or she undergoes orthodontic treatment. Keep in mind that half of your child’s sugar intake may be coming from beverages that he or she drinks. A major offender is soda, but be mindful of fruit juices as well.

While sugar is known to sit in your child’s teeth and in between and under brackets and wires after consumption, it is important to know sugar is not the only cavity-causing culprit. Carbohydrates, starches, acids, and any food that is chewy or sticks break down into sugars, and can promote tooth decay.

So, what are the alternatives?

Candy such as dark chocolate, sugar-free gum, or anything that contains xylitol, a sugar substitute, is not as harmful for your teeth as hard, chewy, or sticky sweets. Sugar-free gum or gum that contains xylitol are known to reduce levels of bacteria on teeth.

And if you’re still looking for something to snack on, we recommend cutting up easy-to-eat fruits and vegetables. You would also be surprised how much eating a banana or sipping on a glass of water helps you curb snack cravings.

If you’re one of those folks who just can’t stay away from sweets, we encourage you to brush your teeth immediately afterward and swish water in your mouth.

Whatever you eat, Dr. Andrew Nalin and our team want you to remember to brush often, floss regularly, and visit your general dentist as your treatment progresses. If you have any questions about sugary foods or drinks, please give us a call or ask us during your next adjustment visit!

What are the benefits of early orthodontic treatment?

July 28th, 2021

Parents usually have numerous questions about orthodontic treatment for their children. According to the American Association of Orthodontists, orthodontic treatment for children should start at around seven years of age. This allows Dr. Andrew Nalin to evaluate the child’s existing and incoming teeth to determine whether or not early treatment might be necessary.

What is early orthodontic treatment?

Early orthodontic treatment, known as Phase One, usually begins when the child is eight or nine years old. The goal is to correct bite problems such as an underbite as well as guide the jaw’s growth pattern. It also helps to make room in the mouth for the permanent teeth to be properly placed as they come in. This will greatly reduce the risk of the child needing extractions later in life due to his or her teeth getting crowded.

Does your child need early orthodontic treatment?

There are several ways that you can determine whether your child needs early treatment. If you observe any of these characteristics or behaviors, you should talk to Dr. Andrew Nalin.

  • Early loss of baby teeth (before age five)
  • Late loss of baby teeth (after age five or six)
  • The child’s teeth do not meet properly or at all
  • The child is a mouth breather
  • Front teeth are crowded (you won’t see this until the child is about seven or eight)
  • Protruding teeth, typically in the front
  • Biting or chewing difficulties
  • A speech impediment
  • The child’s jaw shifts when he or she opens or closes the mouth
  • The child is older than five years and still sucks a thumb

What are the benefits of seeking orthodontic treatment early?

Early orthodontic treatment is begun while the child’s jaw bones are still soft. They do not harden until the children reach their late teens. Because the bones are still pliable, corrective procedures such as braces work faster than they do for adults.

In short, early treatment at our Mount Vernon, WA office often allows your child to avoid lengthy procedures, extraction, and surgery in adulthood. Early treatment is an effective preventive measure that lays the foundation for a healthy, stable mouth in adulthood.

Mouthguard Protection

July 21st, 2021

Let’s talk about mouthguards.

We could talk about how important wearing a mouthguard is when you lead an active life. If you play sports, ride bikes, skateboard, or participate in many other kinds of exercise, mouthguards protect your teeth, mouth tissue, and jaws from accidents. 

Or we could talk about how wearing a mouthguard while you’re wearing braces has extra benefits. Besides its normal protection, your guard helps protect your brackets and wires from damaging contact, and your delicate mouth tissue from impact with your braces.

But we’re not going to talk about any of these important topics today. Instead of looking at how your mouthguard protects you, today we’re going to look at how you can protect your mouthguard.

If you want your guard to last longer, work better, and stay (and smell!) cleaner, some basic tips make all the difference.

  • Keep your guard clean.

This can’t be stressed enough. Without a good cleaning routine, your guard can become discolored, develop an unpleasant odor, and even cause illness. Not very appealing, right? Happily, keeping your mouthguard clean isn’t difficult.

When you wear your guard, the same plaque that is present in your mouth makes itself at home in your appliance. And when your guard is in its case, that dark, moist environment makes it a perfect breeding ground for all kinds of bacteria, viruses, and fungi.

As soon as you take your mouthguard out, rinse it off. Brush with a soft toothbrush to remove all the plaque, saliva, or food debris that might be lingering in your appliance. (If you are on the playing field, in the park, or at some other inconvenient location, rinse it and brush as soon as you can.) Toothpaste can help get your guard its cleanest, but can be too abrasive for some appliances.

Once you’ve cleaned it, let your guard air dry in a clean spot for about 30 minutes. Air drying helps prevent bacterial growth. After your guard has dried, return it to its case.

Once a week, you might need to give your mouthguard a good soak in a mouthwash or other dental cleaning solution.

Since cleaning instructions can be different depending on which type of mouthguard you have, be sure to follow our instructions if you have a custom guard, or clean as directed by the manufacturer if you have a store guard.

  • Keep it safe.

When your mouthguard isn’t in your mouth, it should be in its case. Floating loose in your locker or tumbling around in your gym bag puts your guard at risk for breakage and bacteria.

And don’t forget to clean your case thoroughly every few days and air dry it as well. Bacteria, viruses, fungi, mold, and other unwelcome guests can collect in your case, too.

  • Keep it only as long as it’s in good condition.

You can purchase mouthguards from sporting or drug stores, or Dr. Andrew Nalin can make you a mouthguard designed to fit your teeth and braces perfectly. These appliances are made to be strong and durable, but they’re not indestructible. Over time they can wear down or become damaged, especially if you treat them carelessly.

Bacteria can lurk in dents and cracks, and you can cut your mouth on rough, sharp, or broken edges. But if your mouthguard isn’t fitting properly, don’t resort to self-help! Trying to repair, reshape, or trim your appliance yourself is not a good idea, because it might affect its fit and protective ability.

Any sign that your guard isn’t fitting properly or shows signs of wear and tear could mean it’s time for a replacement. You can replace a store model, or see Dr. Andrew Nalin about replacing or repairing your custom guard. A mouthguard that doesn’t fit, doesn’t keep you safe.

Take care of your guard, and it will take care of you. The reward for the small amount of time and effort you put into caring for your mouthguard is braces that will last through your treatment at our Mount Vernon, WA office and a smile that will last you for a lifetime. Those are benefits we can talk about all day!

Rubber Band Horoscopes: What your color says about you

July 14th, 2021

One exciting part about wearing braces from Nalin Orthodontics 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. From Dr. Andrew Nalin, 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.

Take Me Out to the Ball Game

July 7th, 2021

You’re going to the game! And no matter which sport you follow, there’s so much to enjoy—the best athletes, exciting play, hometown pride—and those delicious concession stands! But if you’re wearing braces, your team spirit might be flagging. Here are a few ideas to help keep your food choices out of foul territory.

You know that you should avoid the foods that can damage braces or stick around your wires and brackets. This means any snacks that are sticky, chewy, hard, or crunchy are benched. So most of the traditional game foods—peanuts, popcorn, nachos, licorice—are just not safe for traditional metal or ceramic braces. Let’s save those for next season.

So what is on the program? You still have many great choices.

  • Ice Cream. A favorite that’s easy on your braces (no nuts or caramel, please). If you want a healthier option, try frozen yogurt or a smoothie.
  • Hearty Snacks. Pretzels and pizza can be too thick and chewy. Go for the mac and cheese, chili, or deli meats on soft bread. And remember, small bites! Check with us to see if hamburgers and hot dogs are safe for your braces.
  • Soft Candies and Cookies. Licorice, caramels, and crunchy cookies are out, but soft chocolate bars and moist, tender cookies are still on the menu.
  • Sodas and sports drinks can create a sugary and/or acidic environment which can damage enamel over time. If you do indulge, try to rinse with water ASAP.

Stadium and arena menus contain a lot of starches and sugars, which stick to braces and fuel cavity-causing bacteria. So it’s best to go easy on the snacks. But you don’t have to give up a half-time treat entirely—just enjoy in moderation and be sure to brush thoroughly when you get home.

If you wear clear aligners, your choices are simpler. You can remove your aligners, eat normally, and clean your teeth thoroughly before replacing them. But one flag on this play—remember that you’re supposed to wear your aligners for a set number of hours each day. You don’t want to be putting your treatment behind schedule if the game goes into triple overtime. Keep your eye on the clock, and you should be fine.

Dr. Andrew Nalin and our Mount Vernon, WA team are always happy to recommend the best food options for your individual orthodontic treatment, and we can help you select a roster of safe and healthy choices. You might miss out on a few of your favorite sports snacks right now, but let’s remember the true fan’s motto: There’s always next year! Taking care of your braces and teeth means faster treatment and healthier teeth. Your All-Star smile will be worth it!

Happy Fourth of July!

July 1st, 2021

Happy Independence Day from Dr. Andrew Nalin and team! The Fourth of July celebrations in America may have changed a lot over the years, but there is no doubt that we Americans love to celebrate the anniversary of our country's independence! Today we're devoting the Nalin Orthodontics blog to some fun facts about the Fourth!

  • My, how we have grown! This year the United States Census Bureau estimates that our country has 313.9 million residents celebrating the Fourth of July this year, but back in 1776 there were just 2.5 million members of the country.
  • Our country loves to show how proud that we are of our independence. Did you know that there are 31 United States places with the word “Liberty” in their names? The state of Iowa actually has four towns with the word Liberty in the name: Libertyville, New Liberty, North Liberty, and West Liberty.
  • The United States loves Fourth of July food! It is expected that around 150 million hot dogs are eaten on the Fourth each year. One of the Fourth's most popular sides, potato salad, goes just perfectly with the hotdogs and hamburgers that are standard Fourth of July fare. Some people choose potato chips instead, but we wouldn't have such a plethora of potatoes if not for the prodigious production of the states of Idaho and Washington -- they provide about half of all the potatoes in the United States today!
  • Americans love celebrating the Fourth outdoors: About 74 million Americans fire up their BBQ grill every Fourth of July.
  • The Chinese contribution: Did you know that Americans have spent more than $211 million on fireworks that were imported from China?

No matter how your family chooses to celebrate the Fourth, stay safe, take precautions, and don't forget to brush after your fabulous Fourth feast!

Five Tips in Caring for Your Braces During Orthodontic Treatment

June 23rd, 2021

After getting your braces, it is important to know how to take care of your teeth in order to ensure that your braces stay intact and do their job so that your teeth are in top-notch condition after you complete your orthodontic treatment. Today, our team at Nalin Orthodontics thought we would provide you with five tips you need to know to ensure you undergo successful treatment at our Mount Vernon, WA office.

Flossing
Flossing twice a day or after every meal can help you clean areas between teeth and other places a toothbrush can miss. We also recommend using a floss threader, which can be used to help you navigate safely around your braces and brackets. It is vital to floss twice a day, preferably after lunch and before bedtime to keep gum disease and tooth decay at bay.

Brushing
Teeth and appliances should be brushed after every meal and before bedtime using fluoride toothpaste and gentle, soft strokes. We recommend using an interdental toothbrush, which can help you clean the hard-to-reach areas under wires better than an ordinary toothbrush.

Using Elastics
This phase of orthodontic treatment requires cooperation and consistency on your part. If your orthodontist has prescribed elastics, make sure they are worn at all times, except when eating meals or brushing teeth. It’s important that you wear the correct size elastics and have extras in case they are misplaced. By failing to wear your elastics for even one day, you run the risk your teeth moving back toward their original position.

Addressing Damage to Your Braces
In case your appliances are damaged, we ask that you call our team at Nalin Orthodontics immediately to set up an appointment.

Eat Friendly Foods
When undergoing treatment, there are certain foods you must avoid. Foods that are hard, sticky, chewy or sour can add months to your treatment time. These includes gum, caramels, taco shells, nuts, ice, chips or hard candies.

We hope that helps! If you have any questions, please give us a call at our Mount Vernon, WA office or ask us during your next adjustment appointment!

I Have Gum Disease. Can I Still Get Braces?

June 16th, 2021

Gum disease is one of our most common dental diseases, affecting both children and adults. If you are considering getting braces or aligners, make sure your gums are their healthiest before beginning orthodontic treatment.

  • Gingivitis

For both younger and older patients, gingivitis (mild gum disease) can be the result of poor brushing and flossing habits. When plaque builds up around the teeth and gums, it irritates delicate gum tissue. The gums become inflamed, and symptoms such as redness, swelling, tenderness, bleeding, and bad breath can result. Usually, your dentist can treat early stages of gingivitis with tips on more efficient brushing and flossing, a professional cleaning, and suggestions for mouth rinses if needed.

Because brushing and flossing with braces can be more difficult, you need to devote special attention to your cleaning routine to prevent gingivitis from developing after you start treatment. Talk to us any time about how to brush and floss most effectively when you wear braces. Dr. Andrew Nalin can also recommend tools designed especially for braces wearers to get your teeth and gums as clean and plaque-free as possible. If you are a candidate for clear aligners, this option can make it easier to keep your teeth their cleanest. We’ll work with you to keep your gums healthy as your orthodontic work takes place.

  • Periodontitis

For older patients, gingivitis, left untreated, can eventually lead to periodontitis (severe gum disease). This chronic infection can lead to the formation of pockets between your gums and teeth that become home to bacteria and infection. Over time, periodontitis can lead to the destruction of gum, ligament, and bone tissue. Left untreated, it can lead to loose teeth and even bone and tooth loss.

Making sure you schedule regular dental exams will allow your dentist or periodontist to detect and treat any signs of periodontitis as early as possible. If you have any of the symptoms of gum disease, it’s important to treat the cause of these symptoms as soon as possible to protect your gums, bone, and teeth. Deep cleaning procedures such as scaling and root planing, topical and oral antibiotics, and oral surgeries such as flap surgery or bone and tissue grafting can help reverse the effects of periodontitis.

Because orthodontic treatment involves moving the teeth and re-forming the ligament and bone tissue, which hold them in place, you need healthy periodontal ligaments and bones to begin treatment. If you have suffered shifting teeth or bone loss due to periodontitis, talk to us. We will let you know at your visit to our Mount Vernon, WA office if you are a good candidate for orthodontic work, and which type of appliance is best for your periodontal health.

We are happy to talk to you about the best way to achieve an attractive smile and a healthy bite if gum disease has been a problem in the past. Most important, we want to make sure that your teeth and gums are their healthiest even before you begin orthodontic treatment. Preventing and treating gum disease will provide the foundation you need for a lifetime of beautiful smiles.

Should I use a water pick during my treatment?

June 9th, 2021

Dr. Andrew Nalin and our team at Nalin Orthodontics know that for some of our patients wearing braces, it can be difficult to weave through those wires and brackets as you brush and floss during your treatment.

Some of our patients use a water pick to flush out food and other particles and bacteria stuck between their teeth as the water can reach behind the metal wires and hit spots where your floss simply cannot reach. People suffering from gum disease also find water picks quite effective because of their ability to flush out bacteria from inside the deep pockets.

Water picks are friendly to braces and are also gentle on the gums. They are less likely to cause bleeding for people with sensitive teeth or gums. But as many benefits as they may have, Dr. Andrew Nalin and our team want you to know that water picks should never be used as a substitute for flossing. Though they are great tools for helping improve oral health while you are in treatment, they are just not a good enough tool on their own to keep your mouth and gums gingivitis- and decay-free. Water picks are also incapable of removing plaque from teeth as effectively as floss can. While water picks rinse the sticky bacteria off your teeth, flossing is actually more effective as it actually scrapes the bacteria off of your pearly whites.

If you have any questions about water picks or any general questions or concerns about your orthodontic treatment, we encourage you to please ask us below or give us a call!

What Did You Do on Your Summer Vacation?

June 2nd, 2021

The best part of summer vacation is time. Time to hang with friends, time to travel, time to get a summer job, time to catch your breath after a busy school year. And if Dr. Andrew Nalin and our team have recommended braces, summer is also a great time to start orthodontic treatment!

  • Time for Office Visits

It can be easier to get an appointment in the summer because many patients and their families are on vacation. And, because your earliest visits are generally the longest, you won’t have to disrupt your school schedule as much or work around after-school activities.

  • Time to Get Used to Your Appliance

There can be some discomfort in the first few days after you get your braces, so you might find it’s more convenient and comfortable to be at home. You’ll have time to get used to choosing and eating braces-friendly foods, to practice speaking clearly with new braces or aligners, to appreciate your new look. And your friends will have time to get used to your braces, too!

  • Time to Establish New Dental Routines

Over the years, you’ve gotten used to brushing at least twice a day for two minutes and flossing at least one a day. Now it’s time to add some new moves. Brackets and wires can trap food particles and lead to a greater risk of cavities, so you’ll need some new tools to keep your braces their cleanest.

There are toothbrushes that have heads designed especially for cleaning around brackets. Floss threaders get floss in between wire and brackets, or use a floss specifically designed for braces. Little cone-shaped brushes called interproximal brushes fit around your braces and under your wires to remove hard-to-reach food particles and plaque.

Getting your cleaning routine down during the summer will help you take care of any clinging food particles quickly during your lunch hour or before after-school activities. And, you’ll know exactly what dental supplies you’ll need in your locker.

  • Time to Make Adjustments to Your Extra-Curricular Activities

Braces or aligners will provide you with a future filled with beautiful smiles, but they might require some present-day adjustments in your normal activities.

If you play a sport, especially where contact is possible, a custom mouthguard is the best way to protect your teeth, your jaw, and your braces in case of collision or a fall. Let us know what sports you play as soon as you get your braces.

If you play a reed or wind instrument, you might have to adjust the way you use your lips and teeth to produce your sound. Learning to use dental wax to cover brackets and protect your lips and mouth is well worth it. If you take lessons, talk to your instructor about the best way to adapt to your braces if you think your tone has been affected.

If you are in speech or drama, it could take a while to be comfortable with your articulation. Talk to us if you find you are having problems with your regular pronunciation for some great suggestions on getting back to normal as quickly as possible.

Summer certainly offers some advantages in giving you the time you need to get comfortable with your braces or aligners. But, there’s really no bad time to begin your orthodontic treatment. Spring, summer, fall, or winter, we’re here to help make sure your treatment experience at our Mount Vernon, WA office is a positive one. After all, working toward a lifetime of beautiful smiles is always in season.

Memorial Day: Parades, remembrance, and the unofficial start of summer!

May 26th, 2021

“The purpose of all war is peace.” - Saint Augustine

Fire truck sirens, baton twirlers, marching bands covering patriotic tunes, colorful floats, costumes, and millions of red, white, and blue American flags being waved in the air on a beautiful day in late May, that is what Memorial Day is all about. It is a federal holiday celebrated with town parades, remembrance, and a sense of unity and community togetherness.

Our team at Nalin Orthodontics wants to take this time to wish you and your family a happy Memorial Day, as well as pause for a moment to reflect on what this holiday means and how it has changed over time. No, this is not a history lesson, but just a couple of thoughts and observances for you to take with you on your way to the next barbecue.

On the last Monday in May, America observes Memorial Day as a time to remember and celebrate the men and women who have lost their lives while serving our country in the Armed Forces. The holiday originated after the Civil War; at that time it was known as Decoration Day. While holidays like Thanksgiving, Christmas, and Easter remain the same from year to year, Memorial Day has changed over time, and in the 21st century we observe a far different holiday than what Americans did after the Civil War, or even the World Wars.

While many people place flags at cemeteries and visit national memorials in order to honor those who have passed away serving the country, Memorial Day is also a time for family barbecues, pool parties, trips to the beach, blockbuster movies, long weekend getaways, and fireworks. In America, Memorial Day has come to represent the unofficial start of the summer – a long, sunny, warm weekend devoted to family togetherness, outdoor events, and community.

It is time to load up the potato salad and the apple pie and head over to the neighbor’s house for their annual barbecue. And yes, contrary to popular belief, we do eat sweets, especially homemade apple pie! Everything in moderation, of course.

So whether you’re in the Mount Vernon, WA area or beyond, Happy Memorial Day to you and yours from Dr. Andrew Nalin!

Power Chains

May 19th, 2021

By now, you’re very familiar with the basic building blocks of your braces. Brackets, wires, and ligatures are no mystery to you. But suddenly, you’re hearing a brand new term—“power chains.” What exactly are these power chains, and why does your orthodontist think you need them? Let’s see how power chains are *linked* to your orthodontic treatment.

  • First, why power chains?

They’re not really chains in the necklace or bike chain sense—in fact, they’re only very rarely made with metal. These chains are most often a string of O ring loops just like your elastic ligatures, attached in a row to resemble a chain.

Chain lengths are tailored to your specific needs. Dr. Andrew Nalin will attach each individual loop in the chain around a single bracket, linking selected teeth together. Chains might stretch across a few teeth, several teeth, or your entire upper or lower arch.

  • Second, why power chains?

Because these chains are usually made of the same elastics that your ligatures, or bands, are made from, they want to hold their original shape. They will try to return to that original shape even as they are stretched between your brackets. As they contract, they help move your teeth together. 

Over time, just like an over-stretched rubber band, they lose their elasticity, and won’t work as effectively. That’s why you’ll probably get a new power chain whenever you come in to our Mount Vernon, WA office for an adjustment.

  • Third, why power chains?

This is the most important question. How can a power chain improve your smile?

Usually, power chains become part of your treatment after the first phase of alignment. They can be used to help align your teeth or correct your bite, but are most often used to close gaps between the teeth.

You might have a gap after a tooth has been extracted. Or, as your teeth move into their new positions, you might suddenly see noticeable spaces between them. Power chains move the teeth closer together to eliminate these gaps, and do it more quickly than brackets and wires alone can do.

  • How long will you need them?

This is something Dr. Andrew Nalin will discuss with you. Whether it’s a matter of weeks or months, your treatment plan is designed to move your teeth into their best positions, and to do it carefully for a lasting, healthy alignment.

  • Power chain options

Depending on the size and spacing of your teeth and your treatment plan, these chains usually take one of three forms: closed/continuous, short, and long. The only difference is the distance between the rings.

We will choose the type of chain that’s best for your treatment. Your contribution is to personalize your power chain. Power chains come in a rainbow of colors, allowing you to mix and match. You can even coordinate with your ligatures if you have ties as well as chains. If your goal is to have your braces blend in, various shades of white, silver, or clear colors are available. Want to mix things up? Choose a different color with every adjustment.

  • Anything else?

You might experience some discomfort for the first few days with a new power chain, just as you might with any adjustment. Dr. Andrew Nalin will have suggestions for making those first days as comfortable as possible.

Also, like brackets and ligatures, power chains can trap food particles, so be sure to follow our instructions for keeping your teeth and your braces their cleanest.

Now that you’re all caught up on what power chains are and what they can do for you, let’s mention one more benefit. This is a process where you can actually see the gaps between your teeth closing over the weeks you wear your power chains. Keep a selfie record of your progress as you create your beautiful, healthy smile. That’s an em*power*ing experience!

Tips for Keeping Your Breath Fresh While You’re in Braces

May 12th, 2021

You’ve got a lot going on in your busy life, and whether it’s school, practice, or simply socializing, you want to put a confident face forward. And part of that confidence comes from knowing your breath is its freshest!

Too often, though, this time of your life makes that goal seem difficult. Let’s look at ways to keep you smiling your brightest and feeling your freshest in any social setting.

  • Watch Your Diet

Sure, garlic, onions, and other pungent food choices are obvious culprits when it comes to bad breath, but did you know that sugars and simple carbs are the food of choice for the bacteria that cause decay, gingivitis, and bad breath? Eating a nutritious, braces-friendly diet will help keep your mouth, your braces, and your breath healthy.

And it’s not just what you eat. Dehydration also causes bad breath. But those caffeinated drinks and sodas that keep you going through the day are the source of acids and sugars that contribute to tooth decay, gum disease, and less-than-fresh breath. Water, milk, and healthy smoothies are a great way to stay hydrated, add vitamins and minerals to your diet, and go easy on your braces.          

  • Keep Up with Oral Hygiene

It’s hard to keep your teeth and gums their cleanest when it seems like you’re always on the go, but good oral habits are just as important now as they were when you were younger.

Brushing after every meal and snack and flossing daily will help get rid of the bacteria and plaque, which lead to cavities. Our tongues also harbor the bacteria that cause bad breath, so finish off your routine with a gentle brush of the tongue, or try a tongue scraper.

Flossing helps keep gums healthy, which, in turns, keeps your breath healthy as well. Dentists generally suggest flossing once a day, but wearing braces could require flossing more often to make sure you’re getting rid of all those food particles that can become trapped in brackets and wires. Studies have suggested that hormonal changes in teenagers can mean your gums are more at risk for periodontal problems, which can also lead to bad breath, so don’t neglect your gum health!

And be sure to make room in your schedule for regular checkups and cleanings. Your dentist and hygienist will let you know if you’re on track for healthy teeth and gums and fresh breath.

  • Wearing Braces?

Part of careful brushing and flossing means getting to all those places in your braces which trap food particles. Besides being a source of unpleasant odors, food particles lead to plaque buildup and tooth decay, another cause of bad breath.

Dr. Andrew Nalin can suggest the best methods for keeping your braces their cleanest—even in hard to reach spots—with suggestions for brushing and flossing techniques. We can also suggest the best and easiest-to-use products for your particular braces, and recommend or prescribe antibacterial mouthwashes.

  • Wearing Aligners?

Aligners are removed before you eat, so it’s easy to forget that they also need attention. Follow instructions given at our Mount Vernon, WA office for daily cleaning to prevent saliva and plaque from sticking to your aligners and causing odors. And always remember to brush before you replace aligners after eating a meal or even snacking—otherwise, you’re just trapping the food particles that cause cavities or odors next to your teeth.

You’ve got a lot going on in your busy life, and the last thing you need to worry about is fresh breath. Keep up with your solid dental routines, make sure your braces or aligners are clean and plaque-free, and show the world your healthiest, freshest, most confident smile.

Your Five-Step Guide to Preventing Tooth Decay While Wearing Braces

April 28th, 2021

If you’re wearing braces, then you know they are working hard to straighten your teeth. However, those hard-working braces are also preventing you from easily cleaning your teeth. It is essential that you put some extra attention into preventing tooth decay while wearing your braces. When your braces are finally removed by Dr. Andrew Nalin, you want a beautiful, white smile, not decayed or stained teeth. Here, we’ve listed the five best ways to ensure you have the smile you’ve always dreamed of once your braces are gone.

Use a Special Toothbrush

A regular toothbrush just doesn’t cut it when you are wearing braces. You also need to use an interdental toothbrush so that you can effectively clean behind the braces. This type of brush has bristles that are shaped like a Christmas tree that can remove food residue in the braces and on the teeth. We also recommend using a WaterPik, with its highly pressurized pulsating water, to help get all of those hard-to-reach places.

Brush after Every Meal

Since braces block food from naturally escaping your teeth after eating, it’s important that you take the time to brush and floss after every meal. The less time food has to sit on your teeth, the less likely it is to cause decay. This may seem like an inconvenience, but trust us, when you get your braces off, you will be very glad you brushed after every meal.

Don't Forget the Mouth Rinse

Even after properly brushing and flossing, there are probably some food particles in your braces. A fluoride mouth rinse is the best way to ensure that every bit of food is removed after meals. If you do not have a mouth rinse available, we suggest using water — it’s better than nothing.

Avoid Sweets

Prevention is definitely the best medicine when it comes to avoiding tooth decay. If you can nix decay-causing sugary foods from the outset, we promise you’ll spend less time trying to treat problems in the future.

Get Regular Checkups

Visit your dentist regularly while you are wearing braces. Our office recommends a thorough cleaning every three to six months. Let our Mount Vernon, WA office know if you have questions about your oral health while in braces - our entire team at Nalin Orthodontics is here to make sure your teeth are as beautifully straight as they are healthy!

Every Day is Earth Day

April 21st, 2021

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

  • Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
  • Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
  • Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
  • Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Nalin Orthodontics wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

Common Issues with Braces: How to avoid bad breath

April 14th, 2021

A bright, beautiful smile is often achieved with braces. The time you spend wearing braces is an investment in the good health and appearance of your smile. However, Dr. Andrew Nalin and our staff know that having braces on your teeth can pose challenges. Many of these challenges are commonly faced by all who wear braces, such as flossing, getting food stuck in your braces, and bad breath.

Today, let’s address bad breath and what to do about it. There’s no reason you have to shy away from conversation for fear that you’ve got bad breath.

Fresh Breath Tips for Braces Wearers

  • Eat a Healthy Diet. Unhealthy foods that are laden with sugar can contribute to bad breath. Stick with healthy produce, protein, grains, and dairy found on the list of foods your orthodontist says are safe to eat with braces.
  • Drink Non-Sugary Beverages. Likewise, steer clear of sugary sodas and juices for the same reason. They contribute to bad breath.
  • Stay Hydrated. A mouth that’s continually dry can lead to bad breath by inhibiting your production of saliva. Regular production of saliva removes bacteria and excess food from your mouth, both of which cause bad breath.
  • Brush Often. Brush your teeth and tongue first thing in the morning, after each meal and snack, and before you go to bed, to remove food particles and bacteria that cause bad breath.
  • Don’t Forget to Floss. Flossing with braces might seem tricky, but it is a necessity. Ask Dr. Andrew Nalin to show you the best way to floss effectively with braces.
  • Mouthwash Use. Use the mouthwash recommended by Dr. Andrew Nalin. For the best results, swish the mouthwash around in your mouth for 30 seconds.
  • Get Regular Cleanings. Regular dental exams and cleanings are more important when you have braces. Cavities can delay your treatment progress, so be sure to visit your dentist every six months.

Practice Good Hygiene Daily

Good oral hygiene practices are important every day, whether you wear braces or not. But they become even more important during the months you wear braces. In addition to your regular orthodontic checkups, see your general dentist for cleanings and exams.

Together, you and our Mount Vernon, WA team will keep your mouth healthy and fresh during and after your orthodontic treatment.

Play it Safe this Spring

April 7th, 2021

It's springtime and it's again time to remind our patients at Nalin Orthodontics to protect their faces and pearly whites while out on the field playing sports. According to the National Youth Sports Safety Foundation, children, high-school athletes and adults have more than 5,000,000 teeth knocked out in sporting events annually.

If you are planning on participating in spring sports, it’s imperative to have a proper-fitting mouthguard. Mouthguards can prevent chipped or broken teeth, lip and cheek injuries, jaw fractures, mouth lacerations and even concussions.

Having a mouthguard can make the difference between losing your teeth or not, and because many of our patients who play high school sports have jaws that are still growing, last year’s mouthguard may no longer fit as it should. Dr. Andrew Nalin and our team at Nalin Orthodontics can fit you for a new guard.

To learn more about mouthguards or for general questions about your treatment at our Mount Vernon, WA office, please give us a call!

Gums and Braces

March 31st, 2021

“Yes,” you’re thinking, “I shouldn’t be chewing sugary, sticky gum while I’m wearing my braces.” Or perhaps, “I should check with my orthodontist to see if this sugar-free gum is safe for my braces.” And these are both great thoughts—but today, we’re thinking about gums of a different sort!

While you’ve been taking care of your teeth with regular brushing and flossing, you’ve also been taking care of your gums. And now that you’re wearing braces, your gums need a bit of special attention to keep them their healthiest.

We tend to think of gum disease as an adult problem. In fact, periodontitis, or serious gum disease, is one of the most common chronic infections in the adult population. But young gums need care, too! Gingivitis, a milder form of gum disease, is unfortunately a common problem for both children and adults.

Gingivitis is an inflammation of the gums caused by the build-up of plaque and tartar. When plaque builds up, it irritates delicate gum tissue. And while gingivitis is not as serious as periodontitis, the symptoms caused by this disease are nothing to smile about:

  • Redness
  • Tenderness and soreness
  • Swelling
  • Bleeding
  • Bad Breath

If you’re already feeling a little tender or swollen after an adjustment, the added discomfort caused by gingivitis is the last thing you want. But even worse, neglected gingivitis can lead to more serious infections of gum and even bone tissue. Luckily, gingivitis is both preventable and treatable with proper dental care.

So, how to protect your gums? We have some suggestions.

  • Brushing Better with Braces

It can be hard to brush around your brackets and wires, but keeping these areas free of food particles and plaque makes for healthy gums—and fewer cavities! There are specially designed manual toothbrushes made for braces wearers, and tiny interproximal brushes that can reach tight spaces. Or, perhaps an electric toothbrush will do a better job for you. Just be sure to brush after each meal for the most complete removal of bacteria and plaque.

  • Learn New Flossing Techniques

You might wonder how on earth you’ll get in between your teeth with your wires and brackets in the way. We have the answers! We know the best techniques for flossing your specific braces, and we’ll recommend specially designed flossing tools to make the job easier. Water flossers can also be a great help for cleaning in tight spots. Be sure to make flossing part of your daily routine—you’ll be able to remove plaque from places brushing just can’t reach.

  • Rinsing? Recommended.

Talk to Dr. Andrew Nalin about the best dental rinses for reducing plaque and tartar, or how gargling can help prevent irritation. And drink water! Water helps wash away plaque and bacteria, and is a great way to rinse teeth and braces if you absolutely can’t brush after eating.

  • Keep up with Professional Cleanings

Be sure to keep up with your regular dental exams and cleanings. Your dentist or hygienist will be able to remove any plaque or tartar build up that home brushing can’t handle.

We want your time in braces to be as healthy—and comfortable—as possible. If you have any gum discomfort, swelling, or sensitivity, give our Mount Vernon, WA office a call. With prompt action, gingivitis can be treated, and with careful attention to your cleaning routine, gingivitis can be prevented altogether. Something to think about!

Looking—and Feeling—Your Best in Braces

March 24th, 2021

It’s normal to be a little self-conscious when you first get your braces. Even though you really want to straighten any crooked teeth, or correct a bad bite, you might still be a bit hesitant about sharing your new orthodontic work with the world. What are some ways to get over those under-confident feelings?

  • Keep It Clean

Make sure you brush after every meal to reduce the chance of food particles and plaque sticking to your enamel and brackets. Brushing and flossing is particularly important now, not only to prevent cavities, but because nobody wants to see food stuck in your braces—especially you! If you absolutely can’t brush, rinse with water right after eating.

And carry a small bag filled with all the essentials for gleaming braces: a travel toothbrush, floss, a small tube of toothpaste, an interproximal brush, and a handy mirror to make sure you’re good to go. When you know your teeth and braces are their cleanest, you can’t help but feel more confident.

  • Express Yourself

Braces are no longer the one-style-fits-all appliances of the past. Traditional metal braces at our Mount Vernon, WA office are more compact, and now come in different colors and shapes. Metal brackets are typical, but ceramic brackets are an option for an almost unnoticeable look. And don’t forget to accessorize!

You can choose from a rainbow of band colors to make a fashion statement that’s uniquely you. Show your spirit with school colors, celebrate the holidays with festive tones, or choose shades that do wonders for your coloring. Whether you go for bold contrast, mono-chromatic subtlety, or “just because I’m in the mood” quirky combinations, let your braces showcase your style. And remember—you can change that style with every adjustment!

  • Smile with Confidence

Nothing looks better on you than a confident smile. If you’re a little unsure, practice! Some mirror or selfie time will get you used to seeing yourself in braces. Break them in with friends and family before you go public. Remember that any difficulties with talking or eating should only last a little while.

Above all, you’re still your unique and valued self. You can wear braces and be a good friend, a student, an athlete, a lovestruck Juliet on the theater balcony, a star at your after-school job. Don’t let wearing braces hold you back from the activities you love.  Act like your old self, and you’ll soon feel like your old self!

It’s normal to feel a little self-conscious when you first get your braces. But when you care for yourself and your braces, good things happen! If you’re having difficulty adjusting, talk to Dr. Andrew Nalin. We want to help make sure your journey to a beautiful, healthy smile is as rewarding and as positive as it can be.

St. Patrick's Day: Celtic pride, green shamrocks, and lucky charms!

March 17th, 2021

“St. Patrick's Day is an enchanted time -- a day to begin transforming winter's dreams into summer's magic.” Adrienne Cook

Lucky green shamrocks, leprechauns, and pots of gold – it must be St. Patrick’s Day! If you’re not Irish, how do you go about celebrating St. Patrick’s Day? It’s easy: You just put on one of those tall leprechauns hats, dress in green from head to toe, and wear one of those carefree pins that say “Kiss Me, I’m Irish”. On St. Patrick’s Day, everyone is Irish, and that is the universal beauty of the holiday. Celtic pride does not discriminate.

Wondering what our team at Nalin Orthodontics is doing to celebrate March 17th? Well, we’ve thought about doing everything from handing out lucky gold coins (you know, the fake ones that are made of chocolate) to shamrock stickers. Maybe we’ll even give away green toothbrushes and floss! You’ll never know unless you come in to see Dr. Andrew Nalin !

All kidding aside, St. Patrick’s Day is an important cultural and religious holiday. There are lavish parades and church services across Ireland on March 17th. Over time, however, the holiday has developed into a day to observe Irish culture in general. In places like England and the United States, where there is a large Irish Diaspora, the holiday has greater significance than other countries. From the streets of Boston to St. Patrick’s Cathedral in New York, it is a day of celebration, and many Americans of Irish descent will cook up a traditional meal of corned beef and cabbage.

So, to all of you with Irish ancestry, and to all of you who have decided to be Irish for the day, our office wishes you a Happy St. Patrick’s Day. Good luck looking for a pot of leprechaun gold, which is said to exist at the end of the rainbow. However, keep away from those sugary Lucky Charms; sweet cereals might taste good, but your kids’ teeth might not be feeling too lucky if they eat it for breakfast every day. Have a great St. Paddy’s Day!

What is malocclusion?

March 10th, 2021

The term malocclusion refers to misalignment of teeth. You may have been born with malocclusion, so your teeth simply grew in crooked, or the misalignment and crowding of your teeth occurred over a period of time. Either way, not only can malocclusion pose cosmetic issues, but it can have a negative effect on your speaking and eating abilities as well.

Types of Malocclusion

Malocclusion encompasses multiple types and classifications of misalignment issues, including twisting or rotation of the teeth and molars that do not meet when you bite down. In some cases, the top front teeth are pushed outward in an upper protrusion.

In other cases, a misplaced midline results when the front top teeth don’t meet with the front bottom teeth. Transposition occurs when teeth protrude through the gums in a position where another tooth is supposed to be.

Practically any type of crowding or spacing issues, rotation or twisting of the teeth, or bite problem – including overbite, underbite, open bite, or crossbite – is included under the umbrella of malocclusion.

Malocclusion Classifications

There are three classifications of bite or misalignment problem.

  • Class 1 malocclusion: While the bite may be normal, the upper teeth overlap the lower teeth slightly. This is the most common type.
  • Class 2 malocclusion: Known as overbite or retrognathism, class 2 involves a severe overlap of the upper teeth and jaw over the bottom teeth and jaw.
  • Class 3 malocclusion: Known as underbite or prognathism, class 3 occurs when the lower teeth and jaw overlap the upper teeth and jaw. Thus, the lower jaw juts forward.

Causes of Malocclusion

The most common cause of malocclusion is genetics. However, there may be other causes, including the development of abnormally-shaped teeth, lost teeth, or impacted teeth; thumb sucking or overuse of a pacifier as a small child; having fillings or crowns that do not fit correctly; a serious injury that causes misalignment of the jaw; or developing a tumor of the mouth or jaw.

Treating Malocclusion

Orthodontic care at Nalin Orthodontics with Dr. Andrew Nalin is the main treatment available for malocclusion, which includes getting braces, Invisalign, or other corrective treatments. Treatment is ideal not just to have your smile improved, but because it makes the teeth easier to clean and maintain, lowers the risk of gum disease and tooth decay, and can even take pressure off the jaw and teeth.

Think about orthodontic treatment if you (or your child) display any signs of malocclusion. Early treatment of malocclusion during childhood can lessen expensive treatment later on.

The Importance of Wearing Your Retainer after Orthodontic Treatment

March 3rd, 2021

It's the big day and your braces are finally coming off! Does that mean you are completely done? Not so fast! After you complete your treatment here at Nalin Orthodontics, Dr. Andrew Nalin and our team will recommend you wear a retainer, which must be worn routinely after treatment in order to hold your teeth in their proper, new position while your gums, ligaments and bones adapt. Most patients are required to wear their retainer every night at first, with many also being directed to wear them during the day. It's important to know there are different kinds of retainers, and today we thought we would explain the differences between them.

Hawley Retainers

The Hawley retainer is one of the most common types of retainers. It is a removable retainer made of a combination of a metal wire that typically surrounds the six anterior teeth and is designed to keep your teeth in place. This retainer is made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while the wire and acrylic framing keeps your teeth in an ideal position. The acrylic can also be personalized with a large number of colors or patterns.

Essix (Clear) Retainers

The Essix retainer is a transparent removable retainer that fits over the entire arch of your teeth. This clear or transparent retainer fits over the entire arch of teeth and is produced from a mold. Similar to Invisalign’s clear aligner trays, Essix retainers have no metal or wires. They can also be used to produce minor tooth movements and can be helpful in prevention of tooth wear due to tooth grinding at night.

Bonded Retainers

Bonded lingual retainers are cemented directly to the inside surface of your lower canines. Dr. Andrew Nalin and our team at Nalin Orthodontics encourage our patients with bonded lingual retainers to be careful with their bite as the bonding material may break due to incorrect biting and cause your teeth to shift. As with removable retainers, it is important to keep your bonded retainers clean. When brushing, make sure to carefully clean the inside of your lower teeth, as well as the wire itself.

The retention phase of treatment begins when the patient’s braces are removed. Retainers are worn full time, typically for the first nine months, except while eating. Retainers should also be removed before brushing your teeth.

If you have any questions about the retainers we offer or to learn more about post-orthodontic treatment, please feel free to contact us at our convenient Mount Vernon, WA office and we will be happy to answer any of your questions!

How to Floss with Braces

February 24th, 2021

The Nalin Orthodontics team knows that oral hygiene is important, whether you have braces on your teeth or not. But if you are a person who wears braces, caring for your teeth and gums can become somewhat challenging. Without daily oral hygiene practices, you may become prone to cavities and tooth decay during your time in braces.

Naturally, you know that brushing your teeth each morning and night, as well as after you eat, will help keep your mouth healthy and clean during the months you wear braces. But flossing is also an important part of your hygiene routine. Flossing with braces can be tricky, but it’s not impossible. Dr. Andrew Nalin, your general dentist, or your dental hygienist can help you become more comfortable and adept at flossing your teeth during the months you wear braces.

Flossing Tips for Those with Braces

  • Use Tools Provided by Our Office. A floss threader is a small, plastic needle that will help you floss between the wires and your teeth. Thread a 12-to-18-inch piece of floss onto the needle, and use the needle to get the floss easily behind the wires.
  • Flossing Under the Wires. Once the floss is behind the wires, use your hands to manipulate the floss. Move it up and down along the wires to remove food particles.
  • Flossing Between Your Teeth. Floss between your teeth as you normally would without braces. Move the floss up and down between your teeth, using a clean section of floss for each tooth.
  • After You Finish Flossing. Your orthodontist may have suggested that you use a water pik or proxy brush after you finish brushing. Either of these tools will help remove any loosened food particles to ensure that your teeth and braces are clean.

Continue Good Oral Hygiene Habits

Good oral hygiene habits you use while wearing braces will help you achieve the beautiful smile you and the Nalin Orthodontics team have been working toward. Once your braces are off, it may be tempting to slack off on the brushing and flossing. Don’t let yourself fall into any habits that will have a negative impact on your oral health or the attractive smile you waited for throughout the months you wore braces. See your general dentist for regular cleanings, and continue to brush and floss your teeth each day.

Orthodontic Treatment: Does a Missing Tooth Mean Missing Out?

February 17th, 2021

You’ve decided—now’s the time to talk to Dr. Andrew Nalin about straighter teeth and a better bite. So what’s holding you back? If you are concerned because you have a missing tooth, don’t let that stop you from making that first appointment. Orthodontists today have many options to help you achieve the benefits of a more attractive, and even healthier, smile.

How can we accommodate a patient with a missing tooth or teeth? Because each patient is different, our approach will be tailored to your specific needs.

A Lost or Missing Permanent Tooth

There are a number of treatment options available, depending on the position of your other teeth.

  • If your teeth are already crowded, it might be possible to close a small gap left by a missing tooth with braces.
  • If the space between your teeth is the perfect size for a replacement tooth, your orthodontic appliance will keep that spot open as your braces move the rest of the teeth into alignment.
  • If you need more space for a replacement tooth, braces can help widen the space between your surrounding teeth for an ideal fit.

Tooth loss can occur for a number of reasons. Accidents, decay, and gum disease can lead to tooth loss.  Congenitally missing teeth, teeth that simple never developed, are also a fairly common condition. But missing teeth are not merely a cosmetic issue, and should not be ignored. A gap in your smile can lead to shifting of the teeth around it, bite problems, difficulty chewing, and gradual loss of bone tissue beneath the missing tooth.

Today’s implants are a permanent, natural-looking replacement for a lost tooth. If you decide that an implant is your best option for tooth replacement, you are still a candidate for orthodontic treatment. Dr. Andrew Nalin and your oral surgeon can decide on a schedule that will provide the best timing for each phase of your treatment.

A Lost Baby Tooth

Finally, let’s not forget younger patients. Sometimes children benefit from orthodontic care before all of their adult teeth have erupted. If your child has lost a baby tooth too early, a space maintainer can be used to prevent shifting and misalignment of the remaining baby teeth and leave room for the adult tooth to erupt in its proper spot.

We recommend that your child have a first orthodontic assessment around age seven, but if your child has lost a primary tooth before its time, give our Mount Vernon, WA office a call. We can let you know if a space maintainer is the best way to prevent future dental and orthodontic problems.

If you have concerns about a missing tooth or teeth, talk to us! Orthodontic treatment is always custom-designed to fit the needs of each individual patient. We can discuss your specific goals, and how orthodontic treatment can help you achieve them. There is no reason to let a missing tooth keep you from a more attractive, healthier smile!

Valentine's Day History

February 10th, 2021

Valentine’s Day is best known as a celebration of love in all its forms. Pink hearts, red roses, and cute greeting cards adorn every surface you see. What many people don’t realize is that the modern Valentine’s Day celebration arose from a religious holiday.

St. Valentine’s Day was originally celebrated as a religious feast day in honor of early Christian martyrs. Three martyrs named Valentine were honored: a priest in Rome, the persecuted bishop of Interamna (a town in central Italy), and a saint martyred in Africa. This saint’s day was celebrated throughout Christendom, although it was removed from the Roman Catholic Calendar of Saints in 1969.

The origin of Valentine’s Day as a holiday for lovers began with Geoffrey Chaucer in his 1382 poem “Parlement of Foules.” Chaucer wrote, “For this was on Saint Valentine’s Day, when every bird cometh there to choose his mate,” and the modern romantic holiday was born. William Shakespeare and other writers mentioned Valentine’s Day as a day of love.

Valentine’s Day as we know it came about in the early 19th century. In Victorian England, printers began manufacturing small numbers of cards with romantic verses, lace, ribbons, and other frills. Anonymous Valentine’s Day card were a popular way for young lovers to exchange romantic sentiments in an otherwise prudish time. As the 19th century progressed, printers began mass manufacturing Valentine’s Day cards. People in the United States give an estimated 190 million valentines every year, and up to one billion if you count children exchanging cards at school! With the rise of the Internet, Valentine’s Day e-cards have become a popular mode of communication, with millions of e-cards sent each year.

The other items associated with Valentine’s Day include chocolate and flowers. The tradition of giving chocolates has been around for decades, and Richard Cadbury created the first box of Valentine’s Day chocolates nearly 150 years ago. Today, purchases of chocolate total over $1 billion in the United States alone, with 35 million heart-shaped boxes sold each year. Loved ones also exchange flowers, with red roses being associated with Aphrodite, the Greek goddess of love. On Valentine’s Day itself, florists sell nearly 200 million stems of roses.

Although many people dismiss Valentine’s Day as a commercialized “Hallmark holiday,” it is beloved to couples and romantics across the United States and other countries. The team at Nalin Orthodontics wants to remind all patients that no matter what your celebratory plans, February 14th can be a wonderful day to celebrate the loved ones in your life. Happy Valentine’s Day!

Tube Talk

February 3rd, 2021

The topic is tubes. No, we’re not talking about TV shows, or sports socks, or British subway systems. We’re talking toothpaste! With so many options out there, which toothpaste should you be looking for to keep your teeth their cleanest and healthiest during orthodontic treatment?

  • Fantastic Fluoride

The last thing you want while you’re wearing braces is a cavity. Cavities develop when plaque sticks to a tooth. The oral bacteria found in plaque produce acids that weaken your enamel. Over time, these acid attacks lead to the breakdown of the enamel and a cavity forms. But you have a way to stop this process. Fluoride provides protection against cavities. Fluoride toothpastes contain minerals that actually strengthen your enamel, and can even repair early damage before a cavity has a chance to form. Whichever toothpaste you choose, fluoride is the most important ingredient.

  • Terrific Tartar-Control

What is tartar, anyway? Tartar, or calculus, is hardened plaque. It’s so hard, it can’t be removed by brushing alone—that’s why your dental hygienist uses special tools to remove it when you have a cleaning. Tartar buildup can lead to receding gums and gum disease, so prevent this buildup before it starts by using a toothpaste especially formulated to remove plaque.

  • Desensitizing Decisions

There are many causes for tooth sensitivity. If painful sensitivity is caused by hot or cold drinks, it could mean a dental issue such as decay or a damaged tooth, and your dentist can help diagnose and treat the problem. Sensitivity be a sign that you’re not cleaning around your braces well enough, leading to sore and inflamed gums. Sometimes sensitivity can actually be caused by over-enthusiastic brushing. Remember, massage, don’t scrub! For some extra-sensitive teeth, a desensitizing toothpaste or even a prescription toothpaste can help. If you find that your teeth are more sensitive only after an adjustment, give us a call. This is usually temporary.

  • What about Whitening?

Whitening toothpastes do a good job of taking care of some surface stains, so why not use them? Because they take care of some surface stains. When your braces are in place, your brackets cover a small portion of your enamel—a portion that won’t be whitened as you brush. Generally, because whitening toothpastes don’t make a huge difference in tooth color, this might not be a problem. Talk to Dr. Andrew Nalin before you decide to whiten, and we’ll have suggestions just for you.

In fact, if you have any questions about the best toothpastes for orthodontic patients, contact our Mount Vernon, WA office! Getting your braces is a great step forward on your way to a beautiful smile. Let us help you choose the right toothpaste to make sure that beautiful smile is a healthy and lasting one.

There’s an App for That!

January 27th, 2021

Modern orthodontic technology has led to major changes in the world of braces. Brackets are smaller and come in both metal and ceramic materials. Wires are more efficient and more comfortable. Elastic bands come in a variety of vivid colors, or you can choose brackets which work without bands. You can even decide on clear aligners, with no brackets or wires at all.

And since modern software technology has given us a program for just about everything, it’s no surprise that you can install apps to help make your modern orthodontic treatment more convenient and more enjoyable. What can an orthodontic app do for you?

  • Keep Track of Your Appointments

There are many apps out there that are designed to help you keep your treatment on track with appointment reminders. This sounds pretty basic, but when you have school, work, sports, and activities filling your days, it doesn’t hurt to get a timely reminder that our Mount Vernon, WA office will be expecting you in the near future. And, since missed appointments delay your progress, you are making sure you achieve your beautiful, healthy smile in the shortest amount of time.

  • Mapping Out Your Routine

You know how important it is to keep track of the hours you wear your aligners. Apps can help remove the guesswork with a timer to make sure you’ve got the hours you need to progress to the next phase of treatment. Apps can also remind you when you’re ready for a new aligner, and let you track your progress in one convenient place with selfies after each aligner transition. After all, it’s really exciting to see just how far you’ve come.

If you wear traditional braces, there are apps with very helpful reminders for you, too. For example, forgetting to wear your elastics can really delay your progress. An app can let you know when it’s time to wear your rubber bands and keep track of your hours. It can also remind you to replace your bands regularly, because elastics become less elastic through the day. And take advantage of the countdown feature some apps offer to see just when you can expect to be done with your treatment when you keep on top of your routine.

  • Brushing and Flossing? Apply Yourself!

A big part of making your smile look its best after your orthodontic treatment is making sure you take care of your smile during your treatment. This means keeping up with daily brushing and flossing, and using proper technique. Two minutes brushing, twice each day, and flossing at least once a day are the basic recommendations for preventing cavities and gum disease. (During orthodontic treatment, you might need to increase your brushing and flossing—ask us how often is best for your needs.)

And to help you make sure you get a solid two minutes of brushing twice a day? Try an app that plays two minutes of your favorite music with a perfectly timed brushing playlist. Apps can also send you brushing and flossing reminders, let you know when it’s time to change your toothbrush (every three months, please!), and give you tips on better brushing and flossing techniques.

  • Have Fun with Your Appearance

Not sure just how you’ll look in braces? Get a preview with an app that uses one of your selfies to model different types and styles of braces, brackets, bands, and aligners. Metal brackets? Ceramic? Elastic bands in your favorite colors? No bands at all? Hardly visible aligners? Find the look that works for you!

  • When Problems Happen

Some apps will even guide you through common orthodontic problems, such as applying wax to an irritating bracket or relieving discomfort. Always remember, though, an app is not an orthodontist. If you have a serious problem or concern, call us immediately.

  • Orthodontist Approved

If you’ve checked out the orthodontic apps available for your operating system, you know that there are a lot of options out there. If you’re looking for an app providing information about your treatment, tips for dealing with your braces, or a convenient way to track your progress or even be part of a community, you want the best information, tips, and conveniences possible—and hopefully all in one place.

To help you find the best orthodontic app for you, talk to Dr. Andrew Nalin! We might know just the app for your specific needs. Whether you choose aligners or brackets and wires, consider all the wireless options that can make your life easier, your dental care more complete, and—just maybe—your orthodontic experience a little more fun.

Can You Chew Gum and Wear Braces?

January 20th, 2021

Well, of course you can chew gum and wear braces. But, should you chew gum and wear braces? That can be a sticky question.

For many years, the answer was a firm “No.” Not only did our favorite chewables literally gum up the (dental) works, but they were filled with loads of the sugar that cavity-causing bacteria love to feed on. The result? A much better chance of damage to your orthodontic work, and a higher risk of cavities near your brackets and wires.

But times, and gum recipes, change. Today’s sugar-free gum provides us with some new ideas to chew over.

  • Sugarless gum is much less sticky than regular gum, so it is much less likely to stick to your appliance. If there is any chance that gum will damage your wires or brackets, we’ll let you know that it’s best to wait until your braces are off to indulge.
  • Some orthodontic patients find that their jaws and ligaments are less sore if they chew gum for a few minutes after an adjustment.
  • Most important, studies suggest that chewing sugarless gum might actually help prevent cavities from forming. How is that possible?

Because chewing gum increases our production of saliva! Okay, we don’t normally find saliva an exciting, exclamation-point-worthy topic, but let’s look at the dental benefits:

  • Saliva washes away food particles and bacteria. And because braces can trap food when we eat, it’s great to have some help washing away any meal-time souvenirs.
  • Saliva helps neutralize acids in the mouth. The acids found in foods and produced by oral bacteria lead to cavities, so diluting and neutralizing their effects provide important protection for our enamel.
  • Saliva helps bathe the teeth in minerals that can actually rebuild weakened enamel. Acids in the mouth attack minerals in the enamel such as the calcium and phosphate that strengthen our teeth. Fortunately, saliva provides calcium, phosphate, and fluoride that can actually help rebuild weakened enamel.

So, should you chew gum and wear braces? The real question is, should you chew gum while you’re in braces? Dr. Andrew Nalin and our team are more than happy to provide the right answer for you! Talk to us at your next visit to our Mount Vernon, WA office about the potential benefits and drawbacks of dentist-approved sugarless gum. Depending on the kind of gum you choose and the kind of orthodontic work you are having done, the answer just might surprise you.

Braces Repairs—Should You Try This at Home?

January 13th, 2021

No matter how careful you are, accidents can happen. Perhaps it’s a slice of apple that was a little bit larger than it should have been. Or you were chewing on your pencil while you were trying to work out an algebra problem. Or you tried a piece of candy that your friend really, truly thought didn’t have a caramel center.

No matter the cause, when something‘s wrong with your braces, you know it. And you want to fix it as soon as possible. What can you do to make yourself more comfortable? And which repairs are best left to orthodontic professionals?

First things first. If you have been injured, and suffered a trauma to your mouth or jaw that has damaged your braces, we want to make sure that you get any medical attention you might need before we worry about your appliance. Call Dr. Andrew Nalin, and your doctor, immediately if you have suffered a medical or dental injury.

Even if your braces are the only injured party, you might need a special appointment if the damage is something that shouldn’t wait and can delay your orthodontic progress. Broken wires, brackets that have fallen off, and loose orthodontic bands, for example, need to be replaced in our office.

But what about minor problems? First, call us to see if it’s something that really is minor, and whether you can do some home repairs to keep you going until your next regular visit.

  • Wayward Wires

One of the most common—and most annoying—problems is a broken or out-of-place wire. If a wire end is poking you, dental wax can be applied to the loose end to protect your cheeks and gums. If that doesn’t work, we can let you know how to apply gentle pressure to move the wire away from delicate tissue. Don’t try to cut a broken wire or remove it without talking to us—small pieces can be swallowed accidentally. We’ll give you suggestions for how to handle a broken or loose wire and protect your mouth until you can see us.

  • Breakaway Brackets

If your bracket becomes loose, this is another good reason to give us a call. Brackets are specifically placed to let your archwire guide your teeth where they need to be. Without a firmly bonded bracket, the wire isn’t doing you much good! If a loose bracket is irritating your cheeks or gums, you can try a bit of dental wax to stick it in place and cover hard edges until we can re-bond it. If the bracket comes off all together, bring it with you to your next appointment.

  • Balky Bands

Spacers are little rubber bands we put between your teeth if we need to create some room between your molars before you get your braces. They have a tendency to fall out after several days. We’ll let you know if their work is done, and you’re ready to start your orthodontic treatment. If you lose one of your ligatures, those colorful bands around your brackets, give us a call and we’ll let you know if replacement can wait.

We’re happy to help you with any braces problems, large or small. It’s best to check with us for even small fixes to make sure you avoid injury. Larger repairs can be handled in our Mount Vernon, WA office—and we can give you tips on how to prevent future ones. Accidents happen, but they don’t need to delay your progress toward a beautiful, healthy smile.

Let It Snow!

January 6th, 2021

The weather out there might be frightful for most of us, but not for you! You’ve been waiting all year for a fresh coat of powder and all the outdoor sporting activities winter brings. But before you grab those ski poles, strap into that snowboard, lace up those skates, or dust off that sled, be sure to remember one more essential piece of gear—your mouthguard!

Mouthguards aren’t just for contact sports. While all that lovely new snow looks like powder, it doesn’t feel like it when you land hard. If there’s a chance of a fall or an impact in any sport, there’s a chance you can suffer dental injuries.

Falls or collisions can result in chipped, broken, or dislodged teeth. Your mouthguard will help protect your smile from these accidents, and also works to protect you from biting your tongue and mouth in case of impact. It can even reduce the chance of jaw injuries.

Luckily, finding a mouthguard that works for you is even easier than finding the perfect board or the best wax for your skis. You have several options to choose from:

  • Ready-made appliances. These are available in drugstores and sporting goods stores, but come in pre-formed sizes, so they might not provide the best fit.
  • The “boil-and-bite” model. This mouthguard form is placed in hot water. You then bite down while it is pliable to shape it to your mouth and teeth.
  • Custom mouthguards. These guards can be fabricated just for you. They are molded to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, a custom mouthguard can be your best option for preventing an injury to your mouth and your braces. Talk to Dr. Andrew Nalin if you are interested in a guard fitted specifically for you.

When you visit our Mount Vernon, WA office, let’s discuss all the best ways to keep your teeth and mouth protected before you set out for winter sports. And then when you’re ready to go? Let it snow!

How does wisdom tooth removal affect orthodontic care?

December 23rd, 2020

The purpose of braces and other forms of orthodontic treatment at Nalin Orthodontics is to correct malocclusion, also known as crooked or crowded teeth, or “bad bites.” Past orthodontic practice dictated that wisdom teeth be removed, especially in cases of crowding.

The wisdom teeth are the last teeth to come in, and are officially known as the third molars. The teeth typically erupt, or break the surface of the skin, in young people between the ages of 13 and 20.

Sometimes, wisdom teeth are impacted. That means they cannot break through the gum tissue. This typically happens when the mouth or jaw is too small to accommodate the teeth. Impacted wisdom teeth can become infected, and some dentists and orthodontists may want to remove them as prophylaxis to prevent possible future infection.

Justification for removing wisdom teeth

Dr. Andrew Nalin will tell you that in some cases, wisdom teeth attempt to come in the wrong way, either tilting in the jaw, or sideways. If the mouth is too small to accommodate these additional teeth, they inevitably become impacted. Swelling or infection of the gum flap above an impacted wisdom tooth may cause pain. The greatest danger is pericoronitis, a potentially dangerous infection that can occur in the gum area around an impacted wisdom tooth, or around a wisdom tooth that has erupted.

Orthodontists base their decision to remove wisdom teeth on each patient's individual circumstances. To learn more about the impact wisdom teeth have on orthodontic treatment, or to schedule a visit with Dr. Andrew Nalin, please give us a call at our convenient Mount Vernon, WA office!

‘Tis the Season—for Healthy Dental Choices!

December 2nd, 2020

It might be the most wonderful time of the year, but if you’re dashing through the snow to an emergency orthodontic appointment, you’re not feeling very jolly. And post-holiday, no one wants to start off their New Year’s Resolutions with “Get Cavities Filled.” How to survive the sweetest of seasons with braces and enamel intact?

Candies and sweets would normally be on the naughty list, but we’re not Scrooges! Indulging in a treat or two is part of the holiday fun, and we have some advice for how to enjoy them guilt-free. But first, some treats are definitely more naughty than nice. Which are the ones that are better as decorations than desserts?

  • Candy Canes

If you’ve ever suffered a broken bracket or a chipped tooth after an innocently biting down on a much-harder-than-expected piece of candy, you know that caution is in order. That’s why we tend to savor candy canes, letting them dissolve slowly in the mouth. Of course, the drawback to this strategy is that now we’re slowly bathing our teeth in sugar, encouraging the growth of plaque and cavity-causing bacteria.

Candy canes, peppermints, and other hard candies are potentially bad for your teeth and braces when you crunch away, and definitely bad for your teeth if you let them dissolve slowly.

  • Gumdrops

Glistening, colorful gumdrops. Roofing your gingerbread house, trimming a gumdrop tree, or simply sitting in a bowl, they are one of the sweetest ways to decorate for the holidays.  And when we say “sweet,” we mean that literally. Most gumdrops are basically made of corn syrup and sugar—and then rolled in more sugar.

But their sugar content isn’t the only problem. This is sugar in an extra-gummy form that sticks between our teeth and along our gums, and gets caught around brackets and wires.

  • Toffees, Caramels, Taffy

They might come in lovely ribboned boxes, but these extremely sticky foods are not a gift to your teeth.

Not only do chewy candies stick to enamel, they stick to fillings, crowns (especially temporary crowns), and orthodontic wires and brackets. No one wants an unexpected trip to the dentist or orthodontist because dental work has been damaged or dislodged!

  • Gingerbread Houses

Nothing says the holidays like a gingerbread house—chewy, sticky gingerbread covered with hard sugar icing, gumdrops, and peppermints. Great for your décor; not so great for your dental health. Eat one gingerbread man if you’re in a spicy mood and leave your architectural masterpiece intact.

Well, this list wasn’t very jolly. So as a little holiday gift for you, here are some suggestions to help you enjoy your desserts in the healthiest way possible.

  • Be choosy.

Just like you search for the perfect presents for your family and friends, take the time to choose the perfect holiday treats for yourself. If you are wear braces, or are worried about cavities, or are just generally concerned with your oral health, stay away from sticky, hard, and excessively sugary desserts.

What can you accept from your holiday hosts with a grateful (and relieved) smile? The occasional soft chocolate should be nothing to stress about—and if you make it dark chocolate, you’ll actually get nutritional bonuses like magnesium and antioxidants. Soft cakes, cupcakes, cookies, and pies should be braces-friendly—yes, they are made with lots of sugar, but it is the holidays after all. Just be sure to follow our next suggestions to make that slice of cheesecake guilt-free.

  • Eat sweets with a meal.

Saliva does more than keep our mouths from getting dry. It also helps prevent cavities by washing away food particles and neutralizing the acids from food and bacteria which damage enamel.

Eat dessert with a meal, and you benefit from increased mealtime saliva production. When you snack throughout the day, this acid-neutralizing ability is greatly reduced.

  • Rinse after eating.

Rinsing your mouth with water after a meal or a snack, especially a sugary one, also helps wash away the sugars and carbs which oral bacteria convert into cavity-causing acids.

  • Brush immediately. (Maybe.)

If you wear braces, you want to make sure there are no food particles stuck around your brackets and wires. If you wear aligners, you want to get rid of food particles on and around your teeth before you replace your aligners after eating.

But if you’ve eaten acidic foods like citrus or colas, the acids in the food can weaken your enamel just enough to cause some potential enamel damage if you scour your teeth immediately after eating. We often recommend waiting about 30 minutes to brush to give your enamel a chance to recover.

Since every mouth is different, especially when you wear braces, talk to Dr. Andrew Nalin for the best times and methods for holiday brushing.

You don’t want to ho-ho-hope that we can fit you in at our Mount Vernon, WA office for a bracket repair. Make your holiday dessert list and check it twice, and make sure you’re brushing and flossing more often if you’re indulging in seasonal treats—give yourself these two gifts, and you’ll be ringing in the New Year with a beautiful, healthy smile. Sweet!

Thanksgiving

November 25th, 2020

At Nalin Orthodontics, we love to celebrate the holidays with vigor! Dr. Andrew Nalin would love to share some unique ways of celebrating Thanksgiving from beyond the Mount Vernon, WA area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

Are braces ruining your photos?

November 18th, 2020

While it’s normal to feel self-conscious, there is no reason to avoid photos just because you wear braces. Many people wear braces and you do not need to be embarrassed about them. There are also ways you can enjoy your photos without hiding your smile.

Make it Fun

Dr. Andrew Nalin and our staff offer rubber bands for braces in a wide range of colors. Choose your favorite color and wear it with pride. You can mix and match your colors too. For Valentine’s Day, try alternating red and pink bands. For the Fourth of July, use red, white, and blue!

Bands are also available in neon colors and glow-in-the-dark designs. Your imagination is the only thing holding you back. You might want to avoid using dark green bands, though. It makes it look as though you have broccoli stuck in your teeth. Gross!

Make them Disappear

If your braces still really bother you in photos, technology can quickly solve the problem. A photo-editing program, or even a simple paint program, can easily erase your braces. Zoom in on your teeth, pick your natural tooth color with the dropper, and paint your braces away.

If you have a significant amount of metal in your braces, try to avoid close-ups with flash. The flash can reflect off the metal. The important thing to remember is how good your teeth will look and feel once your orthodontic work is complete. Dr. Andrew Nalin and our staff can also show you options for braces that are not as visible as the traditional style.

How long does orthodontic treatment take?

November 11th, 2020

The dental procedures that focus on the correction of alignment and bite are known as orthodontic care. With the aid of braces, aligners, retainers, brackets, and similar appliances, orthodontic treatment can correct oral disorders such as protruding teeth, crowding, difficulty biting or chewing, and speech issues. Seeking orthodontic treatment at Nalin Orthodontics can drastically improve your oral appearance, comfort, and health, while also encouraging proper oral hygiene and enhanced self-esteem. Both growing children and adults with oral alignment issues can benefit greatly from completing customized orthodontic treatment with Dr. Andrew Nalin.

Due to the uniqueness of each mouth and the severity of each malocclusion disorder, there is no one set timeframe for orthodontic treatment. The length of your treatment is determined by many factors, including the severity of your alignment issue, your age, the health of your teeth, and the specific orthodontic procedure you need to undergo. Nevertheless, typical treatment usually takes between 12 and 36 months.

Avoiding alignment issues

While some alignment issues are brought on by unavoidable matters such as accidents, genetics, and physical disorders, some issues arise out of certain actions you should not be doing. Finger sucking and improper oral hygiene are the two most common self-inflicted reasons for alignment issues. Constant finger sucking can alter the pattern in which your teeth grow, which in turn may cause bite issues. Improper oral hygiene such as infrequent dental visits and improper brushing and flossing can lead to decay and loss of teeth, which will interfere with the bite in your mouth.

To avoid advanced alignment issues, it is important to establish a relationship with a quality dentist when you’re young and seek orthodontic treatment at the first sign of alignment problems to encourage healthy and straight teeth for a lifetime.

For more information about orthodontic treatment, or to schedule a consultation with Dr. Andrew Nalin, please give us a call at our convenient Mount Vernon, WA office!

No Wooden Teeth, Please! Why Oral Health is So Important

November 4th, 2020

Your teeth are precious. Once your permanent teeth come in, they need to last you a lifetime. Extensive tooth decay can lead to dental caries and the need for fillings, crowns, bridges, and dentures.

While these fixes can go a long way toward maintaining your quality of life, they cannot compare to your natural teeth. Getting braces is no excuse to let up on your thorough oral health routine: You need to take good care of your teeth before, during, and after braces to benefit completely from the gains you get from newly straightened teeth.

Why You Should Maintain Good Oral Health for Life

Begin a complete oral health regimen as early as possible in life, and maintain this routine throughout your life. Keeping your (or your child’s baby) teeth clean establishes a routine. It preserves healthy baby teeth whose function is to save space for the permanent teeth when they are ready to come in. Care of your permanent teeth helps preserve the enamel and prevent decay.

Take Special Care with Braces

It is important to pay attention to oral health when you have braces. If you do not take special care of your teeth during the months or years that you have braces, you risk irreversible damage to your teeth. Care is more difficult with braces because food can easily get stuck. In addition to brushing twice daily and flossing each day, Dr. Andrew Nalin and our staff suggest avoiding sticky foods.

Top Ways to Ensure You and Your Braces Have a Good Relationship

October 28th, 2020

You and your braces will become good friends over the coming months or years, so it’s important to get your relationship off to a good start. Consider the following recommendations to prevent rocky times ahead:

  1. Floss, floss, floss. Yes, it’s a pain to floss around your braces, but it's the best way to prevent gum disease and other oral health problems. Ask Dr. Andrew Nalin and our staff for floss threaders to make the chore easier. Just a few minutes per day will ensure that you don’t face significant dental health issues when the braces come off.
  2. Avoid sticky or hard foods. It’s tough to forgo toffee, caramel, gum, and other favorite sticky treats, but your braces will thank you. Sticky or hard foods can break a bracket or wire, so it’s best to avoid them altogether.
  3. Chew with your back teeth. If you’re used to taking large bites with your front teeth, it might be time to switch your eating habits. Taking a large bite of food with your front teeth can leave your braces vulnerable to damage. Instead, cut large foods into pieces and use your back teeth to chew. This is especially important with corn on the cob, which should always be cut from the cob.
  4. Wear rubber bands and headgear. Rubber bands, headgear, and other orthodontic appliances may seem annoying, but failing to comply with wearing them can increase the length of your treatment by months. Wear them now to avoid problems in the future.

How do I know if I need braces?

October 21st, 2020

Perhaps you feel your teeth are not perfectly straight, or you think your bite could be adjusted. It’s quite possible that braces and other orthodontic treatments might be the right choice for you. As orthodontic professionals, our team at Nalin Orthodontics works with your general dentist in order to determine the best options for your oral health and cosmetic appearance.

You might need braces if ...

  • You lost your baby teeth relatively early in life. If your baby teeth fell out too early and your adult teeth did not come in for a while, this could have affected the way your adult teeth grew and developed.
  • Your teeth look crowded or crooked. If you are embarrassed to smile because your teeth are not straight, it might be time to consider the cosmetic options available to you.
  • Your jaw shifts or makes sounds. This can signify a developmental issue with your teeth and your jaw line, and orthodontic treatment may be able to help. Set up an appointment with Dr. Andrew Nalin if your jaw is recessed or protruding as well.
  • You are constantly biting the sides of your cheek or hitting the roof of your mouth. This could indicate that your teeth are not properly aligned. Braces can address an underbite or an overbite.
  • You have a difficult time chewing your food. This is not only an inconvenience, but it can also be detrimental for your health. Braces can help fix the alignment of your teeth.
  • You have to breathe through your mouth on a regular basis. You may not attribute this to an issue with the development of your teeth or jaw, but orthodontic treatment might be able to help.

The ideal age for a child to be seen by an orthodontist is age seven. However, there are many orthodontic treatment options available to adults. It is becoming increasingly common for adults to wear braces and other orthodontic devices. We recommend that people who are interested in braces and other orthodontic treatment options set up a consultation appointment with Dr. Andrew Nalin today.

Are you visiting the dentist during your orthodontic treatment?

October 14th, 2020

If you’re brushing your teeth twice a day during your orthodontic treatment, Dr. Andrew Nalin and our team think that’s wonderful! But, don’t forget that it’s also important for you to visit your general dentist every six months, or as recommended, in addition to brushing your teeth and flossing. (And visiting Nalin Orthodontics for regular adjustments, of course.)

Dental checkups are crucial for maintaining good oral health. Your general dentist can check for problems that might not be seen or felt, detect cavities and early signs of tooth decay, as well as catch and treat oral health problems early. During an oral exam, your dentist can also check the health of your mouth, teeth, gums, cheeks, and tongue. Checkups will also include a thorough teeth cleaning and polishing.

If you have not been to the dentist in the last six months, let us know during your next adjustment visit and we will provide a few great references in the Mount Vernon, WA area!

Halloween: Candy, costumes, and more!

October 7th, 2020

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the orthodontic office of Dr. Andrew Nalin hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

  • Limit the amount of candy they can consume each day
  • Have them brush their teeth after eating candy
  • Avoid hard, chewy candies as they can stick in hard to brush places
  • Keep candy out of sight to reduce temptation
  • Don't buy candy too far in advance to limit pre-Halloween consumption
  • Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Nalin Orthodontics!

What are the advantages of lingual braces?

September 30th, 2020

Dr. Andrew Nalin and our team get this question a lot. The word lingual means tongue, and lingual braces work in a similar fashion to regular braces, but with one important difference: Lingual braces are attached to the inside surfaces of the teeth facing the tongue, so they are practically invisible. Plus, they can align your teeth just as effectively as traditional braces. Treatment time with lingual braces at Nalin Orthodontics is similar, too. Of course, each patient’s treatment time depends on his or her unique case.

What are the advantages of lingual braces?

Besides being completely invisible while straightening your teeth, lingual braces are just as efficient as clear aligners when it comes to complex movements such as correcting rotations, closing extraction spaces, or changing the height of your teeth. Plus, any discoloration or white spots that occur from wearing braces will be on the inside of your teeth. Lingual braces are also custom fit to each patient, which ensures a higher level of comfort.

If you have been considering orthodontic treatment, or would like to learn more about how lingual braces work, we encourage you to give us a call at our convenient Mount Vernon, WA office. Dr. Andrew Nalin and our team at Nalin Orthodontics will be happy to answer all of your questions and help you determine if lingual braces are right for you.

Why is orthodontic treatment important?

September 23rd, 2020

The goal of orthodontic treatment at Nalin Orthodontics, which may include the use of braces, retainers, and aligners, is to straighten your teeth. Treatment often starts in the pre-teen or teenage years, but adults may also need orthodontic treatment. The treatment can feel like a chore that lasts for several months or a couple of years, but it can fix important problems. These include:

  • Crowded teeth spaced too close together
  • Gaps between your teeth
  • Crooked teeth
  • Overbite or underbite
  • Upper and lower teeth that do not meet

Straight Teeth are More Attractive

You are more likely to be proud of your smile when your teeth are straight and evenly spaced. Pride in your appearance can give you more confidence and encourage you to try new things. This can be particularly important for adolescents. In addition, people often judge others based on first impressions. A smile that shows straight teeth is more attractive.

Better Oral Health is Easier

Brushing and flossing your teeth are two basic components of an oral health routine to protect your teeth from conditions such as tooth decay, gingivitis, and plaque build-up. As Dr. Andrew Nalin and our staff know, caring for your mouth is easier when your teeth are straight. The American Dental Association says the following conditions are less likely to occur if you have the proper orthodontic treatment.

  • Dental caries
  • Gum disease or gingivitis
  • Tooth loss
  • Impaired speech
  • Worn tooth enamel

Orthodontic Treatment Improves Nutrition

Poorly aligned teeth can reduce your ability to chew properly or make certain foods more difficult to eat. Many of these more challenging foods are healthy, and avoiding them can cause you to limit your diet to softer, often less-nutritious foods, such as ice cream and canned soup. Straighter teeth and a better ability to chew let you eat crunchy foods, such as apples and carrots; stringy foods, such as asparagus and chicken; and chewy foods, such as raisins.

Not-So-Sweet Sweets: The five worst candies to eat during orthodontic treatment

September 16th, 2020

Sticky, hard, and gooey: these candies fill your dopamine receptors with spasms of sugar-filled joy, but if you’re undergoing orthodontic treatment at Nalin Orthodontics to straighten your teeth, then these sweets are not so sweet. While you may have a Willy-Wonka-sized sweet tooth, there are some candies you’re going to have to avoid while wearing braces.

Here are five bracket- and wire-destroying culprits that Dr. Andrew Nalin and our team recommend leaving on the candy aisle and not put in your mouth, no matter how tempting they may be.

  1. Gum is sticky and stringy. It can get tangled like fishing net in your braces. You don’t want to be that boy or girl trying to pull knots of Wrigley’s out of your braces without being seen.
  2. All chewy, gooey candies need to be avoided. When you’re wearing braces, don’t even think about putting a caramel candy in your mouth. Caramel will not only stick to your braces, making it look as if you haven’t brushed your teeth in a week, but the gooey texture can pull apart the wires, and trigger an emergency visit to Nalin Orthodontics.
  3. Hard candy may seem like a safe choice, but it’s not. What’s the problem? Nobody ever just sucks on hard candy; sooner or later, we bite down on it. Biting a hard candy may cause part of your braces to snap. Furthermore, once the candy is broken into a bunch of little pieces, it’s not uncommon for one of those sugary shards to get wedged between your braces and teeth … and that’s a cavity waiting to happen.
  4. The taffy you enjoy getting at a seaside boardwalk is going to have to go on the back burner. Like caramel, taffy can pull apart and damage your braces. You don’t want to have your expensive orthodontic gear replaced.
  5. Please, just one lollipop? Nope. A lollipop is nothing more than hard candy on a stick. If you can’t have hard candy during orthodontic treatment, then you shouldn't have hard candy on a stick either.

Have any more questions about what you can and can’t eat when you have braces? Please give us a call at our convenient Mount Vernon, WA office to learn more, or ask Dr. Andrew Nalin during your next adjustment visit!

Kristin Cavallari and Palatal Expanders

September 9th, 2020

It’s no easy feat to have one of the best smiles in Hollywood. The reality TV starlet Kristin Cavallari attributes her gorgeous smile to routine oral hygiene, the removal of two impacted wisdom teeth, and having undergone orthodontic treatment. Kristin’s treatment began in sixth grade when she was fitted with a device Dr. Andrew Nalin and our team call a palatal expander, which is used to guide upper jaw growth in our younger patients.

What is a palatal expander?

A palatal expander “expands” (or widens) your upper jaw by applying gentle pressure on your upper molars, and is used to make the bottom and upper teeth fit together better. In addition, palatal expanders work to create more room for teeth, as well as promote a broader, more appealing smile.

Do palatal expanders hurt?

Palatal expanders are usually not painful, however you may experience difficulty speaking and swallowing for the first few days. Adjusting your palatal expander as instructed by Dr. Andrew Nalin will ensure there are no delays in regards to your treatment plan.

Typically, it takes a few weeks to achieve the desired amount of expansion, after which you will keep wearing your expander for about six months, giving time for the new bone to form and stabilize. Dr. Andrew Nalin and our team at Nalin Orthodontics will give you detailed instructions about how to adjust your appliance and can answer any questions you may have about your palatal expander.

If you have any questions about your palatal expander or your treatment plan with Dr. Andrew Nalin, please give us a call at our Mount Vernon, WA office!

What are lingual braces?

August 26th, 2020

Patients who want corrective braces but don’t like the look of traditional braces with the metal showing on the front have an alternative in lingual braces. As opposed to metal braces visible across the front of the teeth, lingual braces are placed on the rear of the teeth. Most of the metal in lingual braces is not visible to other people, unless you have widely-spaced teeth. For those who make good candidates for lingual braces, Dr. Andrew Nalin and our team at Nalin Orthodontics will tell you it is a great alternative with a significant cosmetic benefit.

Benefits of Lingual Braces

The primary benefit of lingual braces is that the metal is on the back of the teeth, which is very rarely seen by anyone. Patients can comfortably talk and smile, without the added worry of someone noticing the metal braces on their teeth. Another advantage of lingual braces is that they are just as effective as traditional braces and are worn for the same amount of time. They are also helpful for people who play contact sports or play wind instruments because lingual braces don’t get in the way. Finally, lingual braces are a great option for patients who have are sensitive to plastic and can’t wear other types of clear or invisible braces.

Who can get lingual braces?

While many patients qualify for lingual braces, not everyone who needs corrective orthodontic treatment will be a good candidate. The best candidates are teenagers and adults with normal-sized teeth. Children who get braces often have smaller teeth, so lingual braces may not be suitable. A patient’s bite also makes a difference, because a deep vertical overbite makes lingual braces difficult to place.

Talk to Dr. Andrew Nalin the possibility of lingual braces if you’re thinking about correcting your smile but don’t like the idea of metal braces worn on the front. Lingual braces have the same basic benefits of straightening teeth, correcting misalignments, and fixing overbites and underbites that regular braces offer, but are a great aesthetic alternative.

For more information about lingual braces, or to schedule an initial consultation with Dr. Andrew Nalin, please give us a call at our convenient Mount Vernon, WA office!

Eating and ClearCorrect™

August 19th, 2020

You want to straighten your teeth because you know it’ll make your smile more appealing, be more comfortable, and improve your dental health. However, eating can be a big barrier to getting braces because of all the foods you need to give up for the months or years that treatment lasts. ClearCorrect is an alternative tooth-straightening option that doesn’t make you dread your new diet while you straighten your teeth. Here’s what you need to know about eating and ClearCorrect.

Eat What You Want

All kinds of foods are forbidden when you have metal braces because they can get stuck in the wires or cause brackets to pop off. That’s not a problem with ClearCorrect because you remove your clear aligners whenever you eat a meal or snack. That way, you can eat anything you want. You don’t need to avoid the following foods the way you do when you have metal braces.

  • Popcorn
  • Peanuts, nuts, and seeds
  • Meat on the bone, such as chicken wings and ribs
  • Sticky foods, such as toffee and raisins
  • Crunchy foods, such as apples and carrots
  • Stringy foods, such as celery and pineapple

Since you can eat whatever you want, you don’t need to avoid your friends and coworkers because of your ClearCorrect aligners. You can hang out with friends and go to business lunches without worrying about embarrassment.

Maintain Healthy Eating Habits

You can eat whatever you want without fear of wrecking your ClearCorrect aligners, but that doesn’t mean you should toss out your healthy eating habits. Dr. Andrew Nalin and our team recommend that you:

  • Eat high-calcium foods, such as low-fat yogurt and cheese, to support strong teeth.
  • Rinse your mouth with water after eating to get rid of excess carbohydrates on your teeth.
  • Limit consumption of sugary beverages and foods, such as candy, to keep sugar from settling on your teeth and feeding bacteria.

ClearCorrect treatment can straighten your teeth without making you give up your favorite foods or become a social outcast. Just take the aligners out of your mouth for meals and snacks and select healthy foods whenever possible, and you can enjoy yourself while your teeth get straighter.

How NOT to Forget Your Retainer

August 12th, 2020

The alarm sounds in the morning, you wake up and realize "I forgot to wear my retainer!"

If this only happened once, don't panic. Missing one night with a retainer is unlikely to cause significant teeth movement. However, if it has happened often, give our Mount Vernon, WA office a call to make sure your teeth haven’t shifted position.

Here are some tips from Dr. Andrew Nalin to help you remember your retainer:

1. Write down the instructions we give you for wearing the retainer, whether you should wear it all day or at night, or just a few times a week. Writing things out like this helps set the schedule in your memory.

2. Clean the retainer when you take it out each time. If you don’t you may not have time when you’re rushing to get to work or school to clean it properly and may be tempted not to wear it.

3. Put a note on your mirror or in your purse or wallet reminding you to wear your retainer.

4. Set an alarm on your mobile phone to remind you when it’s time to put the retainer in. If you have email with a calendar you can set up daily reminders, too.

5. Always put the retainer in its case when you take it out to eat or sleep. You’ll reduce your risk for losing it or accidentally throwing it away.

6. If you don’t have to wear the retainer every day, you can use some recurring events to help you remember. With this system for example, watching your favorite weekly TV show, laundry day, or family pizza night can all serve as reminders that you should put in your retainer.

7. Don’t be shy about asking for help if you’re forgetful. Assure your spouse, parents, siblings, or roommates that you won’t consider if nagging if they remind you to wear your retainer.

8. Surf online for examples of how teeth can shift when retainers are not properly used. Those stories can serve as timely warning not to let the same thing happen to you!

Remember, you can always call our Mount Vernon, WA office if you feel your retainer is uncomfortable or painful. We'll work with you to protect your smile!

What are lingual braces?

August 5th, 2020

Patients who want corrective braces but don’t like the look of traditional braces with the metal showing on the front have an alternative in lingual braces. As opposed to metal braces visible across the front of the teeth, lingual braces are placed on the rear of the teeth. Most of the metal in lingual braces is not visible to other people, unless you have widely-spaced teeth. For those who make good candidates for lingual braces, Dr. Andrew Nalin and our team at Nalin Orthodontics will tell you it is a great alternative with a significant cosmetic benefit.

Benefits of lingual braces

The primary benefit of lingual braces is that the metal is on the back of the teeth, which is very rarely seen by anyone. Patients can comfortably talk and smile, without the added worry of someone noticing the metal braces on their teeth. Another advantage of lingual braces is that they are just as effective as traditional braces and are worn for the same amount of time. They are also helpful for people who play contact sports or play wind instruments because lingual braces don’t get in the way. Finally, lingual braces are a great option for patients who have are sensitive to plastic and can’t wear other types of clear or invisible braces.

Who can get lingual braces?

While many patients qualify for lingual braces, not everyone who needs corrective orthodontic treatment will be a good candidate. The best candidates are teenagers and adults with normal-sized teeth. Children who get braces often have smaller teeth, so lingual braces may not be suitable. A patient’s bite also makes a difference, because a deep vertical overbite makes lingual braces difficult to place.

Talk to Dr. Andrew Nalin the possibility of lingual braces if you’re thinking about correcting your smile but don’t like the idea of metal braces worn on the front. Lingual braces have the same basic benefits of straightening teeth, correcting misalignments, and fixing overbites and underbites that regular braces offer, but are a great aesthetic alternative.

For more information about lingual braces, or to schedule an initial consultation with Dr. Andrew Nalin, please give us a call at our convenient Mount Vernon, WA office!

Things You Should Never Use Your Braces For

July 29th, 2020

When you get your braces, Dr. Andrew Nalin and our staff will also give you a list of foods you should not eat and things you should not do. Pay particular attention to these items to keep your teeth and braces safe.

Charms belong on bracelets. While you can decorate your braces with colored bands, hanging a charm off them is a bad idea. If you bite down on the charm, you could damage your braces or your teeth. You could also swallow your jewelry.

Never use your teeth as a bottle opener. This is just as important when you are wearing braces. While braces straighten your teeth, your teeth are moving in the process. That makes them weaker, and the metal in the braces does not make them invincible. Invest in a bottle opener; you can buy one for a few dollars, which is much less expensive than having to replace your braces.

Contrary to what you might think, your braces are not designed to work as a radio. There are tales of people who have picked up radio signals from dental fillings or braces. While this is remotely possible, attaching an antenna to your mouth is just not a good idea. You will get better quality music from a radio.

On the other hand, you can still kiss someone while wearing braces. In fact, even if both of you wear braces, the chances of your getting locked together are almost negligible. However, to avoid cutting your partner’s lips, kiss with caution.

If you have any questions about taking care of your braces, please ask Dr. Andrew Nalin and our staff. We want you to get the best results from your treatment without needless delays.

Permanent or Removable Retainers: Which is right for you?

July 22nd, 2020

When the time comes for Dr. Andrew Nalin to remove your braces, it is very exciting. Unfortunately, it can be somewhat confusing, too, because you are faced with choosing between two kinds of retainers. Should you go with permanent, removable, or a combination of the two? It is always wise to follow Nalin Orthodontics recommendations, but knowing more about the two types of retainer beforehand can be helpful.

Removable Retainers

Removable retainers offer the advantage of easy use: you will generally put a removable retainer in at night and take it out in the morning. Regardless of your retainer schedule, you'll be able to enjoy some time with no retainer. However, a removable retainer can easily be forgotten at times, and this means you won't be taking full advantage of teeth retention.

Another potential advantage of a removable retainer is that you can take it out and brush and floss your teeth with ease, which is more of a challenge with a permanent retainer. Although removable retainers can be very effective, they don't tend to be as effective as permanent retainers, especially if they are not used as directed.

Permanent Retainers

Permanent retainers are the clear choice for patients who want to “get it and forget it.” Once your permanent retainer is placed in your mouth, you won’t need to worry about daily retainer schedules, since it is permanently affixed to your teeth.

Because teeth begin to shift naturally as we age, a permanent retainer typically offers better long-term results for teeth straightening than a removable one. You can't forget to put it in — it's already there! Temporary retainers get lost or are forgotten on trips, and often fail to get used as often as they should be.

One drawback to permanent retainers is flossing. Some patients find it more difficult to floss with a permanent retainer, but we can show you effective ways to floss fairly quickly with your permanent retainer.

Some orthodontists may recommend a combination of the two; for example, a removable retainer for the top teeth and a permanent one for the lower ones because the lower teeth are smaller and tend to shift more.

Ultimately, the most important thing to remember is that wearing your retainer as directed is extremely important. As long as you follow our orthodontist’s advice, you will get the best results from your retainer, regardless of its type. If you’re still not sure whether the choice you’ve made is truly right for you, get in touch with us at our Mount Vernon, WA location right away!

How Braces Can Work at Any Age

July 15th, 2020

Are you an adult who is considering getting braces? Perhaps you’ve had them before, but over the years that dental work has been reversed. Or maybe you’ve never had any orthodontic work done, but are considering braces for the first time. In either case, Nalin Orthodontics can help you enjoy straighter teeth, an improved bite, and a more beautiful smile. If you are considering getting braces, here is what you need to know about adult orthodontic work from Dr. Andrew Nalin.

Can braces work for adults?

Absolutely! Braces work for just about anyone. However, there are several different types of braces, and not all of them may work for you. Different types of orthodontic treatments include:

  • Ceramic braces
  • Metal braces
  • Self-ligating brackets
  • Lingual brackets (braces behind the teeth)
  • Invisible braces
  • Rubber bands for bite correction
  • Headgear and other appliances

By scheduling a consultation, we can determine which treatment or combination of treatments would be best for your specific needs.

How do I get started?

Getting braces can be a little bit daunting. At first glance, the process may appear expensive and time-consuming. However, if you take it step by step, getting braces can be a simple and relatively pain-free experience. Here are the first steps you need to take to get on the road to straight teeth:

First, you need information. If you are nervous about getting braces, or are having trouble getting started, learning more about the process can help ease your mind. Here are a few sample questions to ask:

  • What kind of braces do you recommend for my teeth?
  • How long will the treatment take?
  • How often will I need to come in for adjustments?
  • What is the total cost of the treatment? Do you accept insurance? Will you require the full amount up front, or do you have payment plans?

Asking these types of questions will help you understand what to expect during the entire process, which can aid your decision on the proper course of action.

The next step is to complete any prerequisite treatment. During your first meeting with Dr. Andrew Nalin, we’ll need to take some X-rays and molds of your teeth, and then help you determine an appropriate treatment plan. Recommendations may include some preliminary dental work before you get your braces, which can be an important step in making sure your orthodontic treatments are effective.

Once you have completed these steps, you are ready to get started! After you’ve chosen a treatment plan and undergone any necessary prerequisite dental work, you’ll be able to get your braces. Just like that, you’re on your way to a better smile! If you’d like to get started right away, call our Mount Vernon, WA location today!

Fun Facts for the Fourth

July 1st, 2020

The Fourth of July is a great time to get together with friends and family members for BBQ, games, fireworks, and other celebrations in honor of our country’s independence. While your fellow revelers eat hot dogs and wave flags, you can impress them by sharing these fascinating facts and historical tidbits about some of our country’s traditions and symbols from the team at Nalin Orthodontics.

The Statue of Liberty

With a torch in one hand and a tablet in the other, the Statue of Liberty is one of the most iconic and recognizable symbols of our country. However, as recognizable as certain parts of the statue are, not many people know that broken shackles, which represent oppression and tyranny, are lying at Lady Liberty’s feet. According to the Statue of Liberty-Ellis Island Foundation, the copper-plated lady weighs in at a whopping 450,000 tons and has been holding her torch up for more than 125 years, which must make for some impressive arm muscles.

Nathan’s Hot Dog Eating Contest

Since 1916, people have been flocking to Coney Island on the Fourth of July to witness what some people call the “superbowl of competitive eating.” Nathan’s Hot Dog Eating contest challenges competitors to devour as many hot dogs as they can in just ten minutes, with the current record holder swallowing a whopping 68 hot dogs! If you’d like to witness this bizarre and frenzied eating competition but you won’t be anywhere near Coney Island on the fourth, don’t worry. ESPN has been broadcasting this popular event for several years, so you can watch from the comfort of your couch while you eat a reasonably portioned meal.

The History Behind Fireworks

Viewing the nighttime fireworks display is exciting way to finish off the fourth. Many people know that these brilliant displays probably originated with the Chinese. However, many historians also believe that fireworks were stumbled upon when the Chinese roasted bamboo sticks over fires and watched them explode. After many years of roasting the sticks, a group of alchemists created an early form of gunpowder, which they stuffed into the bamboo sticks to create an even more powerful explosion, paving the way for the today’s modern fireworks.

Whether you’re planning on visiting the Statue of Liberty, watching fireworks in Mount Vernon, WA, or even participating in a hot dog eating contest, Dr. Andrew Nalin and our team hope you have a safe and fun-filled holiday. Happy Fourth of July!

My Mummy had Braces! Weird Facts about the History of Braces

June 24th, 2020

Sometimes real life is stranger and more interesting that any made-up story. These weird and interesting facts about braces will amuse you … and make you glad you didn’t have to get braces “way back when.”

Mummies with braces: Archaeologists have discovered mummies with crude bands of metal wrapped around their teeth. The metal was wrapped around each individual tooth, and it is believed that ancient dentists used catgut to guide the teeth and close the gaps.

First “official” braces: The first official braces were constructed in 1728 by Pierre Fauchard. They consisted of flat strips of metal. String was used to connect the metal to the teeth.

Early rubber bands: In 1850, Tucker began making rubber bands out of rubber tubing.

Brackets are better: Brackets were invented by Edward Angle in 1915. They were not bonded to the teeth directly, but instead were attached to bands that went around the teeth.

Wiring by NASA: As braces have become more modern, the technology has improved by leaps and bounds. You may know that some braces wire contains nickel titanium. What you may not know is that this metal was developed by NASA and has special shape memory that is activated by pressure or body heat.

Over 60 with braces: Actress Faye Dunaway got braces at the age of 61, which shows you are never too old to look more fabulous!

Oh, and one more thing that didn’t quite make our list, but is interesting all the same. Did you know that almost 25 percent of patients who get braces have to get them again because they wouldn’t wear their retainers? So suck it up, buttercup, and use that retainer!

What is a palatal expander?

June 17th, 2020

If Dr. Andrew Nalin and our team at Nalin 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 Mount Vernon, WA office!

Cosmetic Orthodontics: Lingual braces vs. clear aligners

June 10th, 2020

Orthodontic braces have been around for more than a century and have continually evolved over that time. Today’s braces are more discreet than ever, producing excellent results without being overly obvious during the corrective phase. If you are in search of an aesthetically appealing way of straightening your teeth, Dr. Andrew Nalin and our team at Nalin Orthodontics provide multiple options to choose from, including lingual braces and clear aligners.

Clear Aligners

Clear aligners are progressive-phase braces designed for patients who need mild-to-moderate correction of crowded or crooked teeth. This system includes a series of custom-made trays that gradually shift the teeth into their targeted positions. Instead of frequently returning to our Mount Vernon, WA office to have braces tightened, you simply swap the trays out every few weeks. Clear aligners are virtually undetectable and can be removed while eating or brushing your teeth. When worn as prescribed, these metal-free trays can straighten your teeth in as little as six to 12 months.

Lingual Braces

Lingual braces are similar to traditional metal braces in that they are fixed to the teeth. However, lingual braces differ in that they are attached to back of the teeth rather than the front. This type of treatment is preferred over clear aligners among patients with moderate to severe orthodontic correction needs. Lingual braces are non-removable and must be adjusted periodically during scheduled orthodontic visits. However, lingual braces are capable of producing much more controlled force during treatment, which can yield highly successful results.

If you think you may be a candidate for braces, but aren’t sure whether lingual braces or clear aligners are right for you, Dr. Andrew Nalin and our team can help you decide. Schedule a consultation today to find out more about your orthodontic options and start on the path to the beautiful, healthy smile you’ve always dreamed of.

ClearCorrect™ vs. Traditional Braces

May 27th, 2020

ClearCorrect treatment has become a very popular treatment for teens as well as adults in the past few years. There are many reasons why they are rated as one of the number-one options for realigning teeth, but some of the options may stand out more than others.

ClearCorrect is custom made with modern 3D technology to ensure the perfect fit. This means that each aligner that is provided to you by Dr. Andrew Nalin has been specifically made for you based on impressions and X-rays of your teeth. The aligners are conveniently replaced every few weeks to keep your teeth adjusting correctly.

Although traditional metal braces do the job they aren’t always comfortable. They have to be adjusted every month and can cause some soreness for several days after. The rubber bands and brackets can also be an aggravation while eating, not to mention the rubber bands have been known to come off and be swallowed while eating.

Visibility

ClearCorrect are clear, hence the name. They are literally unnoticeable and have a very smooth surface. Traditional braces are very obvious and usually metal colored. The option of having a clear or invisible form of treatment helps teens stay self-confident.

Convenience of Each Type of Treatment

Unlike traditional braces ClearCorrect is easily removable to be able to eat, drink as well as to brush and floss teeth. This helps greatly with oral hygiene.

Clear Correct also causes less soreness after changing to new aligners versus getting the traditional braces adjusted. There is also no mouth irritation due to not having wires or brackets to deal with.

Overall, ClearCorrect is more desired because of the many options as well as the convenience. Make an appointment at our Mount Vernon, WA office today to see if ClearCorrect will work for your individual orthodontic needs.

When is the best age to begin orthodontic treatment?

May 13th, 2020

Most parents know that routine dental care should begin during their child’s toddler years. And many assume they must wait until their child has all of his or her permanent teeth to visit Dr. Andrew Nalin for an initial orthodontic consultation.

The ideal age for an orthodontic evaluation is age seven. At that age, your child will have a mixture of adult and baby teeth for Dr. Andrew Nalin and our team at Nalin Orthodontics to make a determination about whether any problems are present. Typically the first molars have come in by the time your child turns seven, giving us an opportunity to check for malocclusion, also known as “bad bite.” Also, by the time your child reaches the age of seven, the incisors have begun to come in, and problems such as crowding, deep bites, and open bites can be detected.

When Dr. Andrew Nalin and our team perform an evaluation on your child at an early age, you get one of two positive outcomes. Although treatment usually will not begin until one to five years after the initial evaluation, it’s still helpful in determining whether your child has any problems with the jaw and teeth early when they are still easy to treat. Earlier treatment can also cost less to correct a potential problem than delayed treatment.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene.

If your child is approaching age seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination at Nalin Orthodontics.

Wishing all our moms a happy Mother’s Day!

May 6th, 2020

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Nalin Orthodontics. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Dr. Andrew Nalin and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

Why should I visit the dentist during my treatment?

April 29th, 2020

So, you just got your braces on, and you're wondering why you should continue visiting your general dentist since you’re seeing Dr. Andrew Nalin every other month. Patients always ask us if they should continue to see their dentist while in orthodontic treatment. In short, the answer is yes.

Today, we thought we would share a few reasons why it’s crucial to keep up with your regular visits with your dentist in addition to coming in for your regular adjustments at Nalin Orthodontics.

One of the best reasons to visit your dentist while you undergo orthodontic treatment is to remove plaque and tartar. Having braces provides additional nooks and crannies in which food particles and bacteria can hide. Eventually, plaque and tartar can form around your brackets, bands or other appliances which can lead to cavities. Having your teeth professionally cleaned can help ensure most, if not all, plaque and tartar is removed. Even if you are undergoing clear aligner treatment, dental checkups and cleanings are equally as important.

The next reason to visit a dentist is to help protect your teeth from decalcification, or the loss of calcium in your teeth. A potentially serious condition in which white spots on your tooth surfaces, decalcification is irreversible and if left untreated, can lead to cavities. Decalcification is preventable; patients who cut down on sugary sweets and acidic foods, practice good oral hygiene, and visit their dentist regularly can help prevent decalcification.

The final reason we recommend visiting your dentist while you have braces is this: cavities can prolong your treatment. If you are interested in completing your orthodontic treatment on time and without any delays, visiting your dentist every six months or as recommended can go a long way toward making that a realistic goal. Your dentist can provide fluoride treatments or other treatments that strengthen your teeth and protect them from cavities.

Making sure to visit your dentist will help ensure your teeth look their best once your braces come off. If you do not have a general dentist and would like a recommendation on finding one in the Mount Vernon, WA area, please give us a call or let us know at your next adjustment appointment!

Earth Day

April 22nd, 2020

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

  • Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
  • Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
  • Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
  • Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
  • Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Nalin Orthodontics wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Nalin Orthodontics.

Caring for Your Smile after ClearCorrect™ Treatment

April 15th, 2020

After patients complete their ClearCorrect treatment at our Mount Vernon, WA office, many will be given retainers to wear at night to prevent their teeth from moving. This is done after all treatment with any type of braces. There are two types of retainers available from Dr. Andrew Nalin: removable and permanent.

Removable Retainers

If you are given the option of having a clear removable retainer to use, it will most likely only need to be worn at bedtime. They are the easiest and most preferred and are able to be removed to brush your teeth, floss, eat, and drink.

Permanent Retainers

If you are not a good candidate for a clear removable retainer you will be given the option of having a permanent metal retainer placed behind your teeth. Permanent retainers are made from a thin metal wire that is attached to your teeth. This type of retainer is the perfect option for those who will not be disciplined enough to wear their removable retainer or keep track of where it is. Once this retainer is placed in the mouth it will provide protection from your teeth shifting for years.

In order to retain the alignment of your teeth and protect all of the orthodontic work you have had completed, speak with Dr. Andrew Nalin about which form of retainer would be best for your individual dental needs.

Caring for Your Smile While Wearing ClearCorrect™

April 8th, 2020

Straightening your teeth can have a world of benefits. It can give you more confidence in your smile, make it easier to keep your teeth clean, and improve the alignment of your front and back teeth so that chewing is easier.

ClearCorrect treatment can straighten your teeth without needing traditional metal braces that can be unsightly and inconvenient for eating. Teenagers and adults of all ages can wear the invisible trays to get their teeth straighter. ClearCorrect treatment can take over a year, so you need to know how to care for your smile during that time.

Maintain Your Regular Good Dental Hygiene

A significant benefit of ClearCorrect treatment compared to metal braces is that ClearCorrect aligners are removable. That means you can follow your regular routine when it comes to dental hygiene. Brush your teeth twice a day using a fluoride-containing toothpaste, and floss at least once a day. Use a mouthwash daily to kill germs.

Clean Your Aligners Regularly

Soak your aligners in warm water and brush them gently with a toothbrush. Don’t use mouthwash or denture cleaner, because these products can be too rough. Dr. Andrew Nalin may suggest using just warm water, or you might be directed to use toothpaste or another solution.

Eat a Mouth-Healthy Diet

Remove your ClearCorrect aligners when you eat so you don’t destroy them or let food build up on them. Limit sweets and sugar-sweetened beverages, such as soft drinks and fruit drinks, to avoid having sugar on your teeth and increasing your risk of tooth decay. Unlike with metal braces, you don’t need to avoid certain foods with ClearCorrect because they are too gummy or likely to get stuck in your braces.

ClearCorrect treatment or not, eating sticky, sugary foods is never healthy because they increase your risk of developing tooth decay. Instead, opt for nutritious choices such as fruits and vegetables, dairy products, and lean proteins.

ClearCorrect treatment can give you a better smile and the benefits that come with it. Make sure you take full advantage of your treatment by keeping your mouth clean so that your smile is white and gleaming when you’re done with your treatment.

April is National Facial Protection Month

April 1st, 2020

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Dr. Andrew Nalin and our team at Nalin Orthodontics want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at Nalin Orthodontics for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Dr. Andrew Nalin, please give us a call at our convenient Mount Vernon, WA office!

Feeling Confident at Your Orthodontic Consultation

February 26th, 2020

How You Can Start Preparing Now

When you first start thinking about going to the orthodontist, it is normal to feel apprehensive. What will your orthodontic experience bring? Whether you have been advised by a dentist or chosen to seek out orthodontic care from Dr. Andrew Nalin on your own, there are a few things you can do to prepare for your initial consultation at Nalin Orthodontics.

One of the best ways to prepare for an orthodontic consultation is to understand your options. With so many choices available today, orthodontic care is a lot more versatile than in the past. You can start preparing now by seeking out and understanding those options. With a few specific things in mind, you can be totally confident and prepared for your consultation.

Questions to Ask During the Consultation

As you consider orthodontic care, it is likely that a few questions may naturally arise. Don’t be afraid to ask any questions you might have. Our orthodontic team is here to help. Here are just a few examples of questions you may want to ask at your consultation.

  • Is there an estimated length of time that I will likely require braces?
  • How much should I expect to pay for my treatment? What are the payment options?
  • Does getting braces hurt? Is there anything I can do to prevent or minimize pain?
  • Is it likely that I will be wearing extra appliances in addition to braces to correct my overbite or other problems?
  • Are there specific foods I will need to avoid when I get braces?
  • Will braces prevent me from playing my favorite sport or musical instrument?
  • How can I keep my teeth clean with braces?
  • How often will I be expected to come in for checkups and other appointments?

Once your consultation is over, you don’t have to feel like your options are exhausted. If questions arise after the consultation, don’t be afraid to ask. Our orthodontic team will be here to help throughout the entire process.

Confidence throughout the Process

With answers to your questions, and an orthodontic team on your side, you can be confident about any necessary orthodontic treatments. From the initial consultation to the day your braces come off, your orthodontic treatment at Nalin Orthodontics can be a smooth and simple process. The moment you see that beautiful smile, you’ll know it was all worth it.

We love bringing nothing but the most amazing smiles to our patients!

Top Things to do BEFORE You Get Braces

February 19th, 2020

So you’re about to get braces. Congratulations! You are taking a very smart step to improve the health of your teeth as well as get that killer smile in shape. But, as with anything that is good for you, there are a few things you will have to avoid while you “do your time.”

Some foods don’t do so great with braces. The foods listed below should be avoided while you are wearing your braces because they can pop the brackets and bend the wires. In other words, these foods can really ruin your day, and send you back to Nalin Orthodontics to get your braces repaired.

So before you hit the chair, hit the grocery and candy store – one last time – for:

  • Beef jerky
  • Raw carrots
  • Taffy
  • Pizza crust
  • Bagels and other crusty bread
  • Popcorn
  • Hard candy
  • Nuts and seeds

Dr. Andrew Nalin and our staff will give you more information about eating with braces. Some foods, such as apples, are okay as long as you cut them in pieces first. Others, like pudding and pasta, are fine just as they are. But then there is “the list”: the foods that are a big no-no and should be avoided. It won’t be forever, so hang in there.

Your braces time will pass before you know it and you can resume more normal eating. But before the braces go on, enjoy these tasty treats. Go ahead and indulge!

Team Dark Chocolate

February 12th, 2020

Valentine’s Day is the holiday to celebrate all the treasured relationships in your life. It’s a time to honor love in all shapes and forms with cards, social gatherings, and sometimes even binge eating of sweets.

It's hard to look the other way when grocery stores and pharmacies are invaded with goodies connected to the Valentine’s Day theme, and especially if you’re on the receiving end of some of these sweets. We get it. In fact, we’re all for it!

However, we also support a cavity-free smile. So in the interest of your dental and general health, and because we think it’s genuinely tasty, Dr. Andrew Nalin recommends an alternative to the Valentine treats you may be accustomed to: dark chocolate. 

Yes, Healthy Chocolate Exists

Studies have shown that dark chocolate is high in flavonoids, an ingredient found in the cocoa beans used to make chocolate. Flavonoids can help protect the body against toxins, reduce blood pressure, and improve blood flow to the heart and brain.

By opting for dark chocolate rather than milk chocolate, you get to reap these benefits! Pretty sweet, right? Just make sure to stick to high-quality dark chocolates that have undergone minimal processing.

Dark Chocolate, AKA Protector of Teeth

Not only does dark chocolate provide some nice benefits for your overall health, it also helps protect your teeth against cavities! According to the Texas A&M Health Science Center, dark chocolate contains high amounts of tannins, another ingredient present in cocoa beans.

Tannins can actually help prevent cavities by interfering with the bacteria that causes them. Think of them as scarecrows for bacteria. They don’t always prevail, but isn’t it nice to have them there?

Smooth Never Sticky

Unlike many popular candies, dark chocolate is less likely to stick in the crevices of your teeth. Chewy, gooey sweets are more likely to hang around in your mouth for longer periods of time, which means they raise the odds of your harboring cavity-creating bacteria.

While some dark chocolates have additives like caramel or marshmallow, it’s best to opt for the plain varieties, which are just as delicious. If you’re feeling festive, though, a dark chocolate with caramel is still better than a milk chocolate with caramel, so that’s the way to go!

While dark chocolate has some pretty sweet benefits, the most important thing to remember (whether you go the dark chocolate route or not), is that moderation is key. That being said, we hope you have fun satisfying your sweet tooth and shopping for treats for your friends and loved ones. Happy Valentine’s Day from all of us at Nalin Orthodontics!

Going Beyond Braces

February 5th, 2020

At Nalin Orthodontics, we aren’t just concerned with straightening your teeth and giving you the beautiful smile you’ve always wanted. We are also committed improving the oral health and the well-being of all our patients. Dr. Andrew Nalin and our team strive to serve our patients by educating them about their treatments, as well as making them feel as comfortable as possible during their initial consultations up until the day they complete their treatments.

Making our patients more comfortable with taking care of their braces in between visits increases the likelihood that they will complete their treatments successfully. We want you to know that if you should ever have any questions about your orthodontic treatment, whether it’s during your adjustment appointment or after hours, we are always here for you and your family.

Please do not hesitate to give us a call at our Mount Vernon, WA office or ask us any questions you may have on our Facebook page! We can’t wait to hear from you!

How long after my braces come off should I wear my retainer?

January 22nd, 2020

Braces are an investment in your smile. When your teeth reach a desired straightness, you’ll have a beautiful smile, but it’s important to keep it that way! You can accomplish this with a retainer provided by Nalin Orthodontics.

A retainer is a small, custom-fit device that reinforces the new position of your teeth after your braces are removed. But for many patients, especially the youngest ones, wearing a retainer may seem like an annoyance. So exactly how long after your braces come off should you wear your retainer?

Graduation of Wear Time

When we remove your braces, Dr. Andrew Nalin will evaluate the condition of the bone structure surrounding your teeth and determine how well it is adjusting to the new position of your teeth. For the first few months, we may require you to wear your retainer both day and night, except during meal times and for brushing and flossing.

As the bone and gum tissues adjust to your new smile, we may determine that you need to wear your retainer only at night. After about one year of wearing the retainer every night, you may be able to take a couple of nights off each week.

However, we do not recommend ever stopping permanently. To best secure the position of the teeth, especially through future extractions and oral health changes, wearing your retainer a few nights a week will be necessary for many years.

Considerations

If you are concerned about your appearance when you wear a retainer, there are many that can be worn discreetly. You could choose a clear plastic one that is less obvious during the months immediately following removal of your braces. When you change to night wear only, clear wire retainers are available for minimal visibility as well.

Another option is a lingual retainer. It is placed on the back sides of your teeth so no one will ever know it is there! Lingual retainers are also permanent, so there’s no risk of losing them.

Remember, wearing your retainer is an investment in your smile. If you fail to wear it consistently, the tissues that support your teeth will be unsupported, and you may begin to experience noticeable shifting. You’ve worked hard to get that beautiful smile — your retainer will let you keep it! Remember to call our Mount Vernon, WA office if you have any questions about your retainer!

How do I take care of my lingual braces?

January 15th, 2020

Patients at Nalin Orthodontics often wonder if lingual braces require the same amount of care as regular braces. The only real difference between lingual braces and traditional braces is the location of the brackets: lingual brackets are mounted on the back of your teeth. This mounting technique means that your braces completely hidden! However, you need to take special care of your lingual braces to prevent damage to the brackets and wires.

General care

Wearing lingual braces requires more caution when you eat hard or crunchy foods, which should be avoided whenever necessary. Applying excess pressure when you chew can cause brackets to break loose. This is more likely to happen if your upper front teeth overhang your lower teeth. You should also avoid foods that become caught in the brackets.

Brushing and flossing

Flossing can be done with a combination of regular dental floss and an inter-dental or wire brush. Floss threaders can also be used to get floss under the wires of your braces; ask our team for one at your next appointment with Dr. Andrew Nalin. You should always brush and floss after every meal, because there is a greater chance of food particles becoming stuck in your braces. You can also use a mouthwash to reduce bacteria and fight plaque. As always, keep your regular dental hygiene appointments at our convenient Mount Vernon, WA office to make sure that no problems develop while you’re undergoing orthodontic treatment.

Many individuals have a natural habit of rubbing their tongue along the inside of their teeth, especially when a change has occurred in their mouth. This can cause soreness or small abrasions on your tongue. While they should subside within a few weeks, the use of dental wax can be helpful.

Please ask Dr. Andrew Nalin and our team any questions you may have about your new braces and how to care for them and your teeth. The better care you take of your teeth and braces now, the better your outcome will be when your orthodontic work is complete!

Stars Who Had Braces

January 8th, 2020

Not everyone is born with a million-dollar smile, not even some celebrities. The following stars have all had their moments as a “brace face,” either as a child, teenager, or adult. You might be surprised to learn about stars who had braces (including Gwen Stefani, who got braces just because she could!).

Take a look at some famous faces who sported braces!

Emma Watson: Emma admits to going through a rather awkward stage that included “terrible skin,” fluctuating weight, and braces. But look at the swan that emerged!

Tom Cruise: Who would have thought that one of the world’s most famous smiles could use an overhaul? Well, Mr. Cruise pulled it off … and most people didn’t even know. He wore “invisible” braces that had ceramic brackets for a few months just after his 40th birthday. And the results were pretty WOW!

Dakota Fanning: This lovely young actress had some troublesome teeth when she was younger. However, braces and dental work gave her that stunning star-quality smile we see now. Props to her, though, for staying real. She sported her headgear during an appearance on The Tonight Show and didn’t bat an eye.

Gwyneth Paltrow: The stunning Ms. Paltrow, who, in 2013 was named the Most Beautiful Woman by People Magazine, wore braces in high school. And she probably carried it off with the poise and grace for which she is so famous today.

Niall Horan: This member of One Direction, the boy band that’s currently tearing it up (and breaking some hearts along the way) wore his braces for several months. He got them removed in April 2013.

Other notable celebs who have had braces include Faye Dunaway, who got hers at the age of 61! Ryan Seacrest, Miley Cyrus, Justin Bieber, and Drew Barrymore also belonged to the metal mouth club at one time or another.

What is comes down to is this: It isn’t whether you wear braces that are fully hidden, ceramic brackets, or have the traditional metal train tracks running across your teeth. Nope, it’s all about how you work it!

New Year's Eve

January 1st, 2020

Watching the clock tick down the final seconds until midnight, many of us- Nalin Orthodontics included- feel nostalgic about the passing year and hopeful about the new one to come. New Year’s Eve is one of the most widely celebrated holidays in the world, with over-the-top celebrations taking place in dozens of countries. The Gregorian calendar, which is widely used in Western nations and around the world, was implemented in 1582. Since that time, December 31st has marked the final day of the year, with midnight heralding the beginning of a brand new year. In the United States, New Year’s Day is a public holiday; government offices, schools, public organizations, and many businesses are closed for the day. Ponder the following fun facts as you think about your plans for the holiday:

  • Approximately one billion people watch the New Year’s Eve ball drop in Times Square, New York City. This televised event is one of the most iconic New Year’s celebrations in the world. For many years, watching the ball drop meant tuning in to Dick Clark’s Rockin’ New Year’s Eve, an iconic television special dear to the hearts of many viewers.
  • The idea for the New Year’s Eve ball came about because of a citywide ban on fireworks. Before 1907, when fireworks became illegal in New York City, celebrations included an elaborate fireworks show. The large, glittering, illuminated ball was developed as an alternative. Although the first ball was heavy at 700 pounds, the modern New Year’s Eve ball is made of Waterford crystal and tips the scale at six tons!
  • The top five New Year’s resolutions are: to lose weight, quit smoking, get a new job, return to school, or increase personal savings. However, approximately 88% of New Year’s resolutions fail. But don’t let that discourage you! Resolutions are most likely to succeed when they are clear, achievable goals. Setting out a concrete plan to achieve your resolution also boosts your chances of success.
  • Eating black-eyed peas on New Year’s Day is said to bring good fortune in the new year. Collard greens, cabbage, and ham hocks are also considered lucky foods to enjoy. Just steer clear of the chicken or turkey dinners; eating poultry is a bad omen for the year to come.

Whether you plan to stay in Mount Vernon, WA, or head out into the crowds to watch the ball drop in Times Square, New Year’s Eve is a time to enjoy friends and family. Send your loved ones well wishes for the New Year, and look for that special someone to share a midnight kiss with for good luck!

The Effects of Biting Your Nails

December 25th, 2019

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Dr. Andrew Nalin and our team recommend the following to kick your nail biting habit:

  • Keep your nails trimmed short; you’ll have less of a nail to bite.
  • Coat your nails with a bitter-tasting nail polish.
  • Ask us about obtaining a mouthguard, which can help prevent nail biting.
  • Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
  • Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
  • If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Dr. Andrew Nalin and our team for a recommendation.

What makes teeth crooked?

December 18th, 2019

Dr. Andrew Nalin and our team hear this question a lot. Some of the common reasons for crooked teeth include:

  • Thumb sucking
  • Tongue thrusting or improper use of the tongue during speaking and swallowing
  • Premature loss of baby teeth, which causes teeth to drift and shift
  • Poor breathing airway caused by enlarged adenoids or tonsils

There are also hereditary factors we get from our parents, like:

  • Extra teeth
  • Large teeth
  • Missing teeth
  • Wide spaces between teeth
  • Small jaws

Dr. Andrew Nalin and our team know that having crooked teeth isn’t just a cosmetic issue; it can lead to serious health problems as well. Crooked teeth can:

  • Interfere with proper chewing
  • Make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis
  • Strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth

There are several treatment options we offer at Nalin Orthodontics that can help correct crooked teeth. Please give us a call at our convenient Mount Vernon, WA office to learn more or to schedule an initial consultation.

What happens if I have an orthodontic emergency while I'm on vacation?

December 11th, 2019

At Nalin Orthodontics, there are a few things we want to remind you of when you're on vacation, so that a day with friends and family won’t be spent dealing with an orthodontic emergency. Firstly, we are here for you whether you are in town or out of town on vacation. Give us a call and we may be able to address the problem over the phone. Second, if we are unable to help you fix the problem over the phone, we will help you find an orthodontic practice in your vacation area that can help you.

If you experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get them out of pain or discomfort.

If you have braces, whether they are metal, ceramic, or lingual, Dr. Andrew Nalin and our team suggest steering clear of the following foods to avoid broken brackets and/or wire distortion while you are on vacation:

  • Chewy, sticky, or gummy food
  • Apples, pears and other whole fruits (cut fruit into thin wedges before consuming)
  • Bagels and hard rolls
  • Bubble gum
  • Corn on the cob
  • Hard candies
  • Hard cookies
  • Pretzels
  • All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you have clear aligners and you lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation!

What causes crooked teeth?

December 4th, 2019

Crooked teeth, more correctly called malocclusions, have reached epidemic proportions in the late 20th and early 21st centuries. According to the American Association of Orthodontists, approximately 80 percent of American teenagers are currently undergoing orthodontic treatment. Although advances in orthodontic devices and increased availability of such devices explain part of this increase, it still means there are a lot of crooked teeth in the world.

The theories about what is causing so many crooked teeth range from the ridiculous to the scientific. For years, oral health professionals believed that crooked teeth were an evolutionary result of the change in Western diets from raw, wild foods to soft, processed foods. That theory has since been debunked.

The truth is that crooked teeth can be caused by a number of things. Crooked teeth can be an inherited trait. Parents with crooked teeth and malformed jaws are more likely to have children with malocclusions. Ill-fitting or poorly-executed dental restorations, such as fillings and crowns, can also cause teeth to become crooked. Baby teeth that fall out early, gingivitis, and even a jaw that is too small to accommodate all of a person’s adult teeth are additional causes of crooked teeth. In addition, thumb sucking and the use of a pacifier for too long can contribute to crooked teeth.

What to do about crooked teeth

Fortunately, modern orthodontics offers a number of solutions for crooked teeth. Traditional metal braces are the most popular, though our Mount Vernon, WA office provides a number of clear, aesthetic options as well. If you’re tired of hiding your smile because of crooked teeth, contact Dr. Andrew Nalin and our team at Nalin Orthodontics and set up an appointment. We’ll have you showing off your straight pearly whites in no time!

Thanksgiving in North America

November 27th, 2019

Thanksgiving marks the start to the holidays; a season filled with feasting, indulging, and spending time with family and friends are always special. Thanksgiving is a holiday meant for giving thanks, and while this may seem like such a natural celebration, the United States is only one of a handful of countries to officially celebrate with a holiday.

Unlike many holidays, Thanksgiving is a secular holiday, and it is celebrated on the fourth Thursday in November in the United States. In Canada, it is celebrated on the second Monday of October, which is, oddly enough, much closer to a time when harvests were likely gathered. In addition to the different dates, the origins of the celebration also share different roots.

Thanksgiving in the United States

Giving thanks for a bountiful harvest are not new, but the modern day holiday in the US can be traced to a celebration at Plymouth in Massachusetts in 1621. This feast of thanksgiving was inspired by a good harvest, and the tradition was simply continued on. At first, the colony at Plymouth didn't have enough food to feed everyone present, but the Native Americans helped by providing seeds and teaching them how to fish, and they soon began to be able to hold a feast worthy of the name. The tradition spread, and by the 1660s, most of New England was hosting a Thanksgiving feast in honor of the harvest.

Canadian Thanksgiving

An explorer of early Canada named Martin Frobisher is accredited for the first Canadian Thanksgiving. He survived the arduous journey from England through harsh weather conditions and rough terrain, and after his last voyage from Europe to present-day Nunavut, he held a formal ceremony to give thanks for his survival and good fortune. As time passed and more settlers arrived, a feast was added to what quickly became a yearly tradition. Another explorer, Samuel de Champlain, is linked to the first actual Thanksgiving celebration in honor of a successful harvest; settlers who arrived with him in New France celebrated the harvest with a bountiful feast.

A Modern Thanksgiving

Today, Thanksgiving is traditionally celebrated with the best of Americana. From feasts and football games to getting ready for the start of the Christmas shopping season, Thanksgiving means roasted turkey, pumpkin pie, and green bean casserole. No matter how you celebrate this momentous day, pause for a moment to give thanks for your friends, family, and all the bounties you’ve received. Happy Thanksgiving from Nalin Orthodontics!

The Importance of Orthodontic Treatment at a Young Age

November 20th, 2019

When you think of orthodontic treatment, you may automatically assume that it only relates to older children and teens with alignment and spacing issues. But this isn’t the case: Orthodontic treatment at Nalin Orthodontics offers many benefits when applied at a young age.

By considering orthodontic treatment at a younger age, Dr. Andrew Nalin and our staff are able to identify your child’s alignment issues early on, and are able to intervene in order to provide treatment as the teeth begin to develop. It is important to start dental care early, not only for proper dental health and the cosmetic benefits, but to improve a child’s overall health as well.

The Benefits of Straighter Teeth

Besides the cosmetic benefits, there are multiple advantages to starting orthodontic treatment at a young age:

  • It can reduce the extent of orthodontic treatment needed later.
  • With early treatment, the pediatric dentist helps guide the teeth into their right position to prevent the removal of teeth and improve an overbite, underbite, or crossbite.
  • Straighter teeth are easier to clean and better for preventing tooth decay.
  • As a benefit to you, the parent, your child’s orthodontic expenses will be much lower with early treatment.
  • Lastly, much early treatment is covered by dental insurance.

Stages of Orthodontic Treatment

Multiple stages are included in early orthodontic treatment, with three stages in all:

The first stage is early treatment that starts around age two or three, and continues until the child is around six years old. This stage deals with preventive measures, such as avoiding bad habits that lead to crooked teeth and creating a plan for the future based on how the teeth are growing in.

During stage two, when the child is six to 12 years old, the first permanent teeth erupt and the dentist looks at possible early treatment for misalignment or bite issues.

Finally, stage three occurs during adolescence to correct any further problems with permanent teeth.

Dr. Andrew Nalin and our staff are able to see how the teeth first erupt and know right away whether or not your child will need to have braces later on. Early treatment means fewer procedures, cleaner teeth, and less expense.

Orthodontic Myths

August 14th, 2019

Some myths never wear out their welcome. If the Tooth Fairy helps your child transition from baby teeth to adult teeth, more power to her! On the other hand, some myths we can do without. Here are five common misconceptions about orthodontics, and the reality behind the myth.

  • It’s Only Cosmetic

If you think orthodontists can make a crooked smile straight, you’re right! Creating a beautifully aligned smile is one of our specialties. And if your primary interest is in a straight, even smile for you or your child, that’s a good thing. You can’t underestimate the confidence a beautiful smile brings. But please don’t think that’s all we do. In orthodontics, aesthetics and function work together. An essential part of an orthodontist’s work is diagnosing and treating malocclusions, or bad bites. The correct alignment of teeth and jaw is what makes a beautiful smile a healthy one as well.

  • I Don’t Need an Orthodontist for Orthodontic Treatment

All dentists receive comprehensive training and experience in order to earn their dental degrees. But did you know orthodontists like Dr. Andrew Nalin receive two to three years of additional formal training, concentrating specifically in the field of orthodontics? An orthodontist is a specialist, and diagnoses and treats problems with tooth alignment while taking into account dental, jaw and facial development. That is why an orthodontic specialist is best qualified to create a unique, custom-tailored treatment plan for each patient in order to achieve a beautiful, balanced, and healthy smile.

  • My Child is Too Young for Orthodontic Treatment

We actually recommend that every child see an orthodontist for an evaluation by the age of seven. It’s important to be aware of any potential orthodontic problems that might affect your child’s later years, but we can also treat problems even before braces are on the horizon. If your child’s mouth is very small, we may recommend gently enlarging the upper dental arch with the use of a palatal expander to accommodate adult teeth as they erupt. If a baby tooth is lost too soon, we can provide a space maintainer so your child’s permanent tooth can erupt in the right place. We can even treat bite problems before all the adult teeth arrive. A visit when your child is young might help prevent the need for more complicated treatment in the future.

  • I’m Too Old for Orthodontic Treatment

You’re really not. As long as your teeth and gums are healthy, orthodontic treatment is a great way to keep them healthy. Crowded teeth and malocclusions can lead to problems like worn or cracked enamel, headaches, jaw problems, increased tooth decay, and periodontal disease, to name but a few. And today’s orthodontics offer a much wider variety of treatment options than the metal gear you remember from your high school days. Which leads us to our last myth of the day:

  • Those Metal Braces Aren’t for Me

In that case, it’s a good thing we have many other options to offer. Ceramic brackets and clear elastic ligatures make traditional braces much less visible. Lingual braces use brackets and wires placed behind the teeth, which are almost impossible to detect. And clear aligners allow you to subtly reposition your teeth with each new aligner tray—and are removable if need be. In fact, even those metal braces you might remember from your own high school days have gotten smaller and sleeker. Talk to us about the many discreet options available for older and younger patients.

If you are interested in what orthodontics might do for you, give our Mount Vernon, WA office a call! We are here to help you discover what’s possible and then to design the best possible treatment plan in order to achieve it.  Let’s make your beautiful, healthy smile a reality!

Adjusting Your Diet after a Braces Adjustment

August 7th, 2019

We all welcome the idea of braces adjustments at our Mount Vernon, WA office—an adjustment, after all, means you have taken another step on the way to your ideal smile! But sometimes the reality of an adjustment can be a little less welcome—you might have a few days of discomfort as you get used to new or different pressure on your teeth. Luckily, there are some menu options that will help you get through these days in a comfortable and tasty way.

Keep Your Cool

If you are feeling a bit sore after your braces have been tightened, a cool treat might be just the thing. Ice cream is the classic choice, but if you are looking for some healthier options, consider yogurt. It generally has less sugar, while still providing soothing, creamy sweetness. A fruit or vegetable smoothie is always a good (and nutritious) choice. Pudding and gelatin cups? Chilly, delicious, and easy to eat.

Comfort Food

Some of our favorite comfort foods mean literal comfort for newly adjusted braces. Creamy soups, soft pastas and noodles, mashed potatoes, and macaroni and cheese are warm, silky options that don’t require a lot of chewing. Just don’t go too hot or too spicy—that might irritate sensitive gum and mouth tissue.

Breakfast All Day Long

Most of our favorite braces-friendly breakfast foods are delicious any time of day. Eggs scrambled, fried, or in an omelet are easy on your braces and packed with protein. Are you an oatmeal fan? Try some oatmeal with mashed fruit for a more flavorful bowl. And you can’t beat the taste and texture of pillowy pancakes.

The discomfort that follows an adjustment is temporary, but treat your teeth—and yourself—gently over the next day or two. Take over-the-counter medication if needed for pain, brush carefully, and eat a comforting, comfortable diet. Soon you will be back to your normal, braces-friendly menu, and one step further on your way to a beautiful smile!

New Ligatures? Some Things to Consider When You Choose Your Hues

July 10th, 2019

Colorful elastic ligatures (the official name for those tiny bands around your brackets) are often replaced when you come in to have your braces adjusted. Which is great! Now you have the opportunity to go with your team colors, or your school colors, or tones that work with your skin and eyes, or shades that represent your favorite holiday season. Today’s bands come in a wide variety of colors, so you never need to worry about becoming bored with your choices.

But are there certain hues that can be a bit more challenging to work with. Let’s look at some of those trickier tones.

  • Lunch Look-Alikes

If you don’t want kind friends constantly informing you that you have something stuck in your teeth, you might want to leave certain colors off your list. Dark greens and browns can sometimes give the appearance of food trapped in your braces. Have a look at the shades available, and see what is least likely to send you running for a mirror and a toothbrush.

  • Smile Dimmers

A blazing white band might seem like a good match to your blazing white teeth, but for many people, really light colors can make teeth look more yellow. And often bands in shades of yellow can bring out any yellow in your enamel. If you’re looking for a brighter smile, try some darker, richer tones for a gleaming contrast.

  • You’re So Over the Rainbow

If you are someone who loves a monochromatic look, perhaps any colors will be, well, just too colorful. In that case, there are ligatures for you! Silver or grey braces will blend with your metal brackets, and clear or tooth-colored bands will be less obvious with metal or ceramic brackets. Light colored bands can be more prone to staining, so keep that in mind if you’re going for invisibility or a close bracket match.

Now with all that being said, you be you! If you like a color, give it a go. It might be the perfect accessory for your smile and your personality. And, if it doesn’t work . . . no big deal! You can explore another part of the color palette on your very next adjustment to our Mount Vernon, WA office.

Helpful Retainer Habits

June 5th, 2019

We’ve probably all seen that unhappy kid or frazzled parent sifting through trash for a lost retainer. If we’re really unlucky, we might have been that unhappy kid or frazzled parent sifting through the unpleasant remains of third period lunch hour. But getting tossed isn’t the only risk these appliances face. Read on for ways to keep your retainer (and your parent!) happy.

  • Keep Your Retainer With You

Always carry a retainer case. If you automatically put your retainer in its case when you’re eating, you are much more likely to remember it then if it has been wrapped up in a napkin on your lunch tray. And, if the worst happens, much more likely to recover it in one piece.

Choose the brightest colored case you can live with, so you will have an easier time locating it if need be, and discuss how to label the case to get it back safely to you--just in case.

  • Keep Your Retainer Intact

You might think if you put your retainer in your backpack, or purse, or saxophone case, or athletic bag, it will be safe. It will not. Retainers are designed to be tough enough for everyday wear, but being tossed on the floor while inside a backpack is not everyday wear. Always put your retainer back in its (brightly colored) case before packing it away.

Retainers can warp if they are exposed to heat, so keep them away from potential heat sources like stoves, microwaves, and washers and dryers. Even your car dashboard can become hot enough to warp your retainer. And never use boiling water to clean them.

Finally, your dog might find your retainer to be the #bestchewtoyever, so be sure to put it in a spot pets can’t reach when you’re not wearing it.

  • Keep Your Retainer Clean

Just like plaque can build up on your teeth, minerals and calcium can build up on your retainer. Different types of retainers require different cleaning methods, so talk to Dr. Andrew Nalin about how to keep your retainer clean and bacteria-free. We will be happy to give you instructions on the best way to take care of your particular appliance. And don’t forget to clean your case regularly!

Accidents will happen, of course. If your retainer is lost or damaged, call our Mount Vernon, WA office as soon as possible. We might be able to fix minor damage, and, if needed, we can replace a lost retainer quickly.

Your time in braces is over, but your teeth are still stabilizing in their new, healthy positions. Wearing your retainer regularly is the final step in producing the beautiful smile you’ve worked so hard for. Keep your retainer clean, keep it safe, and keep it with you, and you can enjoy that smile now and for years to come!

What Are Adjustments?

May 29th, 2019

If you’ve just gotten braces at our Mount Vernon, WA office, you’ve probably also learned a whole new vocabulary. Malocclusion, brackets, archwires, ligatures, elastics—you’ve got the definitions down. But now you’re scheduled for an “adjustment.” What exactly does that mean?

Why Do I Need an Adjustment?

After all, you’ve just gotten braces! But the fact is, moving your teeth to their ideal location is a process that involves many steps. The brackets and wires you have today are only a starting point. Wires, and rubber bands if you need them, put gentle pressure on the teeth, gradually moving them into a better position. Every time we see you, we check the progress you’ve made and adjust your braces to move the teeth into even better alignment. It’s a careful process to make sure your teeth and jaws fit together perfectly for straight teeth and a healthy bite.

What Will Happen at an Adjustment?

Because your braces are made specifically for you, there is no one answer for everyone or even every appointment. Usually, your ligatures (the colorful bands around your brackets) will be removed, and often the orthodontic wire that is attached to your brackets will be removed as well. We’ll check to make sure you are brushing and flossing properly around your wires and brackets, and check on the condition of your braces.

Your wire might be adjusted, or bent, or tightened, or replaced all together. In the beginning, the wire will probably be more flexible. Later in your treatment, you might get a thicker, firmer wire to move your teeth more effectively, or we might bend a wire to move specific teeth.

If you need rubber bands to make sure your bite is in alignment, we’ll show you how to attach and take care of those. We’ll also look for other adjustments that might need to be made to your brackets. If you have any concerns about brackets, wires, or any other part of your braces, let Dr. Andrew Nalin know! And once we’re done adjusting your braces, this is your chance to change the color of your ligatures for a new look.

Will It Hurt?

You might suffer some discomfort in the hours after an adjustment, so treat yourself gently! Stick to soft foods for a few days, and treat yourself to something cold and soothing like ice cream, yogurt, or a smoothie. Brush gently if your teeth are sensitive. Usually, over-the-counter pain relievers will take care of any soreness. You can even take a pain reliever 30 minutes to an hour before the adjustment if you are expecting some discomfort. We have more great ideas on how to reduce any tenderness you might feel—let us know if we can suggest some.

Within a day or two, you should be back to normal. If you ever suffer serious discomfort, or if the soreness lasts more than a few days, give us a call.

Remember, each adjustment brings you closer to your goal—straight teeth and a healthy bite. And that’s the definition of a beautiful smile!

Snacks that are Healthy for Your Body and Your Braces

April 3rd, 2019

You know the school day’s over when you hear these seven little words: “I’m home! Is there anything to eat?”

And before your child got braces, you had the answer: simple, tasty snacks that provided not only an energy boost, but nutritional elements to help build strong teeth and strong bodies. But now whole carrot sticks and unsliced apples are out. Nuts and crunchy peanut butter? Not in your pantry. Hard cheeses and crunchy whole grain crackers? Also off the shopping list.

Because any foods that are crunchy, chewy, or hard to bite into can damage brackets and wires, it’s time to freshen up your go-to snack list. Luckily, Dr. Andrew Nalin can recommend many healthy and braces-friendly choices when children need something to tide them over until dinner.

  • Fruits and Vegetables for Vitamins and Minerals

Soft fruits like berries, melon, and bananas provide essential vitamins and minerals while going easy on your child’s braces. Make it a blended smoothie for a cool treat—you can even add a healthy handful of spinach or kale without interfering with that fruity taste. If your child still loves apples and carrots best, keep them on hand—but remember that thin slices are the only way to go.

  • Dairy Delivers Calcium

Cottage cheese, string cheese, and other soft cheeses provide essential calcium and vitamin D. Yogurt in all its many flavors is another great option.

  • Meats Provides Protein

Lean meats such as thinly sliced ham, chicken, or turkey provide flavor and protein, and don’t require the chewing that bologna, roast beef, and salami do. And nothing packs a protein punch like eggs—hard boiled, deviled, or diced up in egg salad.

  • Grains, Legumes, and Vegetables for Complex Carbohydrates

Complex carbohydrates—the “good” carbs—are important sources of energy for our bodies. Snacks such as hummus with soft whole grain pita wedges or blended black bean dip and soft crackers are a delicious, energizing option.

You are constantly looking for ways to make your children’s lives better. Mix and match any of these foods for a snack that’s not only good for their braces, but good for their teeth and bodies! Let us know your child’s favorite snack the next time you visit our Mount Vernon, WA office!

Braces and Band? Play On!

March 20th, 2019

You’re in the band and you’re getting braces. Now what? If you are a member of the string or percussion sections, you can go back to rehearsal. You’re good to go. When your talents have seated you in the reed or brass sections, though, a little adjustment might be necessary to keep your instrument and your braces working in harmony.

If you play a wind instrument, you know the term embouchure—the way you position and use your lips, tongue, facial muscles, and teeth to produce the sound you want. Depending on the instrument you play, you might be completely unaffected when you get your braces, or you might need to develop a more comfortable embouchure to accommodate them.

Wires and Woodwinds?

If you play a wind instrument such as the flute or piccolo, you might find that your normal lip positioning or blowing angle is affected by your braces, but usually the adjustment time is fairly short. Reed instruments such as the saxophone, clarinet, oboe, and bassoon are considered some of the easiest to adjust to when you have braces, but even though the single and double reed mouthpieces don’t require as much pressure as brass instruments, there can still be an adjustment period. One thing you should look out for is more condensation in your mouthpiece or instrument—be sure to keep your instrument clean to keep your sound pure.

Brackets and Brass?

Brass instruments require mouthpiece pressure. This leaves your lips pressed between the mouthpiece and your braces. For this reason, many brass players have a more challenging adjustment when wearing braces. Smaller mouthpieces (trumpet, French horn) usually require more pressure than larger ones (tuba, trombone). It’s important to learn how to use technique to avoid cuts, irritation, and other injuries caused by the pressure of your braces against your lips. Learning to play with less pressure on the lips and more air control and breath support will help you to recover your tone and range of notes while protecting your lips and mouth.

How Can We Help?

Let Dr. Andrew Nalin know if you play, or plan to play, a wind instrument. We might be able to offer some suggestions. For regular metal and ceramic braces, some musicians find extra wax is helpful in preventing lip and cheek injuries. There are brace guards available that can be applied over the braces to protect your lips and mouth if wax doesn’t do the trick.

There are also alternatives to regular bracket-and-wire braces, depending on your orthodontic needs, cost factors, and length of treatment. Invisalign® devices fit smoothly over your teeth and can even be removed when it is time to practice or play, as long as you get the necessary hours of wear in per day. In some cases, lingual braces, where the brackets and wires are placed behind the teeth, might be the best choice for you.

Finally, don’t forget to talk to your music instructor. Don’t be dismayed if you find the quality of your playing has been affected. Your teacher might have valuable suggestions for adjusting your embouchure, playing with less pressure on the lips, and developing better air and breath support. You might need to shorten your practice time at first, and there might be another period of adjustment after your braces come off.

Above all, take care of yourself! If something is poking your lip or cheek, call our Mount Vernon, WA office immediately before it causes injury. It might be difficult at first, but finding an embouchure that works for your comfort and technique is worth it. And remember, these temporary fine-tunings will lead to a wonderful coda: skilled musicianship and a beautiful, healthy smile. Bravo!

 

Ceramic Braces

March 13th, 2019

Congratulations! You have made the decision to get orthodontic treatment at our Mount Vernon, WA office. Now it’s time to choose among your various appliance options. Traditional metal brackets and wires, lingual braces, a series of aligners—they all have positives to recommend them. And for some people, ceramic braces are the clear favorite.

Ceramic braces work like regular metal braces. Brackets are bonded to the front of each tooth, and rubber bands surrounding the brackets hold the arch wire that gradually moves the teeth into alignment.

Ceramic braces, however, use brackets made of clear or tooth-colored ceramic or porcelain which blend beautifully with the color of your tooth. The elastic ligatures, or rubber bands, can be chosen to match the brackets or your enamel. There are self-ligating ceramic brackets which don’t use bands at all. Technology is even working on ways to make the arch wire less visible! The end result is braces that are almost undetectable.

If you want a less obvious appliance for professional or personal reasons, talk to us about ceramic braces. As always, there are other factors to consider before you decide, which we will be happy to discuss with you.

  • Ceramic brackets are very strong, but they are still more brittle than the metal model. If you play a contact sport, these might not be for you. (But whatever braces you choose, please wear a mouthguard when playing sports.)
  • Ceramic braces might not be ideal depending on the amount of alignment and bite correction that is needed. They might also take a bit more time to bring your teeth into alignment. We will be able to tell you if ceramic braces will work for you and if they might require a longer period to move your teeth to their perfect position.
  • Brackets can sometimes be somewhat larger (though this isn’t always the case), and, because they can be abrasive, are often recommended for upper teeth only. This way, the lower teeth will not impact, or be impacted by, contact with the upper teeth.
  • Oral hygiene can trickier with ceramic braces. Although today’s brackets aren’t as prone to staining, you still need to be careful to brush away the plaque that can accumulate around the brackets. And the bands are susceptible to staining by the usual suspects—coffee, tea, colas, blueberries, or any strongly colored food or beverage.
  • Costs will differ depending on the treatment method you choose. Talk to us about cost comparisons with other orthodontic treatments.

Ceramic braces, because they are so much less visible, are a popular orthodontic option, especially for older teenagers and adults. If you are interested, talk to Dr. Andrew Nalin about this effective way to straighten your teeth—discreetly. Ceramic might be the clear solution for creating your lasting, beautiful smile.

Braces-Friendly School Lunches

March 6th, 2019

If your pre-teen or teenager is home for the summer, it’s easy to provide braces-friendly lunch options. The school lunchroom, though, presents another challenge altogether. What menu selections are most compatible with braces? And what can you put in that lunch box or brown bag to provide a tempting, healthy lunch during school hours? Let’s look at some options!

From the Cafeteria

Encourage your student to stick with soft foods that don’t require biting into. Some good choices include:

  • Soup, either creamy or with soft vegetables
  • Salads without crunchy vegetables or croutons
  • Soft, shredded chicken or beef
  • Egg or tuna salad
  • Tofu
  • Pasta
  • Meatloaf
  • Macaroni and cheese
  • Soft casseroles
  • Steamed vegetables
  • Mashed potatoes
  • Soft breads or tortillas

Bringing a Lunch?

There are many great options for packing a lunch bag! Just remember to keep foods at the proper temperature, with insulated containers for hot foods and two cold sources, such as two frozen gel packs, for cold foods.

  • Sandwiches with soft filling (no chunky peanut butter!) on soft bread. Thinly sliced, easy to chew cold cuts will work, but cold cuts like salami are too chewy. Cut the crusts off if necessary. Cutting sandwich wedges into smaller portions will also make them easier to eat.
  • Hard boiled eggs
  • Hummus and soft pita wedges
  • String cheese and soft crackers
  • Applesauce
  • Yogurt
  • Soft fruits such as berries or bananas
  • Jell-O or other gelatin dessert cups
  • Pudding cups

When to Say “No, Thank You”

If you have to bite into it, if it’s chewy, or if it’s crunchy, it’s best to choose something else! Here are some common culprits when it comes to broken brackets and wires:

  • Caramel
  • Hard candy
  • Popcorn
  • Whole carrots
  • Whole apples
  • Hard rolls
  • Pizza
  • Corn on the cob

And remember to send your child to school with a brush and floss to clean teeth and braces after lunch. Dental hygiene is very important now, because brackets and wires can both trap food particles and make brushing them away more difficult. This can lead to increased plaque, cavities, and staining around the area of the braces. If it’s impossible to brush, be sure to remind your student to rinse thoroughly with water after eating.

Lunch hour should be a time to relax, get together with friends, and recharge for the rest of the school day. Talk to us about the most (and least) braces-friendly foods and recipes. By learning what foods to avoid and adjusting some old favorites, your school-age child can continue to enjoy healthy, tasty lunches. Most important, visiting Dr. Andrew Nalin at our Mount Vernon, WA office for an emergency repair will not be on anyone’s list of afterschool activities!

Orthodontics: From Tooth Fairy to Retainer

February 27th, 2019

You might be surprised to learn that Dr. Andrew Nalin and our team recommend an orthodontic appointment even before your child has had that last visit from the Tooth Fairy. In fact, orthodontic assessments at our Mount Vernon, WA office can be beneficial at many stages of your child’s life. Let’s look at some of the reasons why.

The Right Spaces

There’s a reason why we recommend that every child see an orthodontist by the age of seven. If there’s room enough in your child’s mouth to accommodate all the permanent teeth that will be arriving soon, you’re good to go. But if it looks like there won’t be enough space for those adult teeth, there are solutions we can offer to make the transition from baby teeth to adult teeth a smoother one.

  • If your child’s mouth is small, the permanent teeth might have too little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time.
  • Too much space can also be a problem. If a child loses a baby tooth too soon, too much space between the remaining teeth can cause them to shift out of position, leaving the wrong spot open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth, and there is room for the adult tooth to erupt in its proper spot.
  • If there is a bite problem, early treatment can prevent more serious problems down the road.

If no treatment is necessary immediately, we can monitor the development of your child’s teeth and bite during periodic visits.

(Stay in) The Right Places

Once your child has achieved that perfect smile, it’s time to maintain it. Teeth actually move and shift throughout our lives, whether we have had orthodontic treatment or not. But with orthodontic treatment, the bone tissue and ligaments around the teeth remodel over time to hold the teeth in their new and improved positions. That’s why it’s often important to wear a retainer constantly for several months after the braces come off, as bone and ligament become a firm, strong anchor for the newly aligned teeth and bite.

But there’s no one expiration date on retainers! Worn nightly as needed, they help teeth stay securely in their new positions for a lifetime of beautiful smiles.

Healthy Smiles Mean Happy Faces

If you think your child is ready for any phase of orthodontic work, give us a call. We will be happy to make sure there is ample room for permanent teeth to erupt in their proper spots even during the baby teeth years. If braces are indicated at a later date, we will analyze any potential alignment and bite problems and present all of your treatment options. Finally, after the orthodontic work is completed, we want to make sure your child knows the best way to maintain that beautiful smile with conscientious retainer wear.

If you have any concerns about your child’s teeth or bite, even before the permanent teeth arrive, give our Mount Vernon, WA office a call. Early treatment can often prevent future problems and might even lead to faster orthodontic results. At each stage of your child’s growth, we are here to provide your best options for healthy, happy smiles.

Breakfast with Braces

February 20th, 2019

Breakfast is called the most important meal of the day for many reasons. Children need to refuel after a long night’s sleep, and studies suggest that school kids who eat a good breakfast have more energy, better attendance and behavior, and even higher test scores than kids who don’t.  

But sometimes, especially with new braces or braces that have just been adjusted, the last thing on your child’s mind is breakfast. Fortunately, Dr. Andrew Nalin can recommend many early morning options that will be both gentle on braces and healthy for growing bodies!

  • Yogurt

Soft, creamy, and filled with calcium and vitamin D, yogurt is an easy and nutritious choice. Try different fruit flavors or Greek yogurt for variety.

  • Eggs

Packed with protein, scrambled eggs are delicious on their own, or with the addition of cheese or soft veggies. If you’d like to add a bit of flair to the table, a cheese omelet is another great choice. Any egg option is a good one—just remember to skip the crunchy toast on the side.

  • Smoothies

Not only a great way to start your day, but a great way to get vitamins and minerals in one delicious meal. And with a flavor base of banana, mango, berries, or apple, no one will notice if some spinach or kale make their way into the blender!

  • Oatmeal

Unfortunately for the cereal lover, crunchy cereals and even granola are potentially damaging to wires and brackets. But oatmeal is a healthy alternative that can be made even tastier with the addition of soft fruits such as mangos, berries, and bananas.

  • Breads and Pastries

Crunchy and chewy breads and pastries can lead to broken brackets and wires. Soft breads, pancakes, non-crunchy French toast, and soft pastries are much kinder to braces. Because so many of these options are rich in sugar (especially with syrup!), it’s best to go lighter on foods like this and be sure to brush carefully afterward.

  • Fruit

Bananas, peaches, nectarines, berries—if it’s soft, it’s good to go! Cut larger fruits into bite-sized pieces. Dried fruits like raisins, dates, and cranberries can be chewy, sticky, and sugary, so best to take them off the shopping list for the time being.

It’s described as the most important meal of the day for many good reasons. With some of these easy-to-prepare breakfasts, you can add delicious, healthy, and braces-friendly to that description! If you stumble on a delicious recipe, don’t forget to share it the next time you visit our Mount Vernon, WA office!

The Origins of Valentine's Day

February 13th, 2019

When we think of Valentine’s Day, we think of cards, flowers, and chocolates. We think of girlfriends celebrating being single together and couples celebrating their relationship. We think of all things pink and red taking over every pharmacy and grocery store imaginable. But what Dr. Andrew Nalin and our team would like to think of is when and how this joyous, love-filled day began.

Several martyrs’ stories are associated with the origins of Valentine’s Day. One of the most widely known suggests that Valentine was a Roman priest who went against the law at a time when marriage had been banned for young men. He continued to perform marriage ceremonies for young lovers in secret and when he was discovered, he was sentenced to death.

Another tale claims that Valentine was killed for helping Christians escape from Roman prisons. Yet another says that Valentine himself sent the first valentine when he fell in love with a girl and sent her a letter and signed it, “From your Valentine.”

Other claims suggest that it all began when Geoffrey Chaucer, an Englishman often referred to as the father of English literature, wrote a poem that was the first to connect St. Valentine to romance. From there, it evolved into a day when lovers would express their feelings for each other. Cue the flowers, sweets, and cards!

Regardless of where the holiday came from, these stories all have one thing in common: They celebrate the love we are capable of as human beings. And though that’s largely in a romantic spirit these days, it doesn’t have to be. You could celebrate love for a sister, a friend, a parent, even a pet.

We hope all our patients know how much we love them! Wishing you all a very happy Valentine’s Day from the team at Nalin Orthodontics!

Wax Facts

February 6th, 2019

In the long run, wearing braces is so worth it. Whether you’re working toward straight teeth, an improved bite, or both, you’ll end up with a beautiful smile! But sometimes, in the short run, they can be really annoying. Braces can irritate your lips, tongue, and cheeks while you are getting used to them or after an adjustment. Or a problem wire can poke the inside of your mouth and you can’t see us immediately for a repair. At times like these, Dr. Andrew Nalin will recommend orthodontic wax to make your life more comfortable.

  • What is Orthodontic Wax?

Orthodontic wax is made from non-toxic products like beeswax, carnauba wax, and paraffin wax. Some products might contain extras like vitamin E, aloe, or flavorings. The soft wax covers the bracket or wire that is bothering you with a smooth surface that won’t irritate sensitive mouth tissue and will give sore areas a chance to heal.

  • What if I Swallow a Piece?

All dental wax is made of non-toxic ingredients. If you accidentally swallow a bit, no need to worry.

  • Is It Hard to Apply?

It’s not hard, but it takes a bit of practice. First, locate the wire or bracket that is causing the problem. You might know where it is right away, or be able to discover it by discovering which sharp bracket or wire is across from the sore spot in your mouth.

Always wash your hands first. Brush and floss, so you will have a clean surface to apply the wax. The drier the surface, the better the wax will stick, so let the area air dry or use something clean such as sterile gauze to dry around the bracket.  

The wax is actually quite easy to work with. Break off a small piece of wax (no bigger than the size of a popcorn kernel or a pea), roll it in your fingers to soften it, and press the wax firmly but carefully over the problem bracket or wire until it sticks. Rub until the wax is smooth. Don’t worry, we will be happy to show you just how it’s done.

  • Can I Eat with Wax in Place?

If you find that you can eat without much irritation, it’s better to eat without wax over your braces. Remove the wax before eating and brush carefully to remove any food particles from your braces before applying new wax. If you do snack while using wax, be sure to change it after you eat. Wax, after all, sticks easily to your braces—and food particles stick to wax! Not a good look, and not good for your teeth.

  • Brushing and Flossing

Take off any wax before you brush and floss. Your toothbrush will thank you!

You probably have lots of other questions. Can you sleep with wax on your braces? Will it help you be more comfortable at trumpet practice? That’s why we’re here! If you have any questions at all about orthodontic wax and how to use it, call our Mount Vernon, WA office. We want to make sure that the months you spend wearing braces are as comfortable as possible on your way to a lifetime of beautiful smiles. It’s so worth it!

What is lingual orthodontic treatment?

January 30th, 2019

This might be the year that you’ve absolutely decided to do something to improve your smile. Perhaps your teeth are not as straight as you would like. Perhaps your bite is a bit off. Perhaps you want the increased confidence that a beautiful smile brings. But, for any number of reasons, perhaps you don’t want to sport traditional braces for a year or two. In that case, talk to Dr. Andrew Nalin about lingual braces!

What are lingual braces?

In normal braces, brackets are attached to the front of each tooth with a special dental cement, and rubber bands or clips within the brackets grip an arch wire that moves the teeth into alignment through gradual adjustments. These braces are very effective, but, even with ceramic or clear brackets, they are visible.

Lingual means “toward the tongue,” and this is the key difference between lingual braces and traditional types of orthodontic braces. With this option, brackets are custom-designed to be applied to the inside of your teeth. A precise treatment plan is designed specifically for you, and individually crafted arch wires (again, on the inside of the teeth) guide your teeth to their best alignment. The resulting braces are almost impossible to detect.

Will lingual braces work for you?

You might be a good candidate for lingual braces if:

  • You want the least visible orthodontic treatment available.
  • You don’t have a major malocclusion (bite problem). A severe overbite might not leave room for the brackets.
  • Your tooth surface is large enough for lingual brackets. Children or adults with small teeth might not be ideal candidates.

Because lingual braces are more difficult to install and adjust, orthodontists require special training and education to provide them to patients. If you think that lingual braces might be a good fit for you, talk to a member of our Mount Vernon, WA team. We are happy to provide the information you will need to decide if lingual braces are the best option for you, and the expertise to design your custom treatment if you choose them. We want the best outcome for you and your smile, and there is absolutely no “perhaps” about that.

Safety of Dental X-Ray Radiation

January 23rd, 2019

We all want to live our healthiest lives. We know that part of keeping ourselves healthy is regular visits to our Mount Vernon, WA office for checkups and necessary dental work. And that dental work might require an X-ray. Should the amount of radiation in an X-ray concern us?

First, it is helpful to know that the radiation you are exposed to from a dental X-ray is very small. A set of most bitewing X-rays, for example, produces an amount of exposure about equal to the amount of background radiation we get from our normal surroundings in a typical day. We also take care to minimize your exposure even further by using specially designed equipment and protective shielding, and taking only necessary X-rays. If your child is very young, if you are pregnant, or if you have other health concerns, talk to us about the advisability of X-rays and whether they are essential to treatment.

Second, much of our careful general examination will be done visually. Dr. Andrew Nalin can check for cavities and other problems and assess tooth and gum health. But sometimes, there are conditions which can’t be detected without an X-ray.

  • Decay that isn’t visible in an oral exam—if a small cavity develops between teeth, or is hidden underneath a filling, an X-ray will catch it before more damage can take place.
  • Infection—An X-ray will reveal infections such as abscesses that can damage both bone and tooth, and gum disease that has harmed bone and connective tissue.
  • Orthodontic and periodontal issues—We might need an X-ray to determine the spacing and development of your child’s incoming teeth and maturing jaw structure, to properly create braces for adults or children, or to place an implant within the jawbone.
  • If you are a new patient, it is helpful to have complete X-rays taken as a baseline of your current dental health and previous dental work. This baseline allows us to track tooth and jaw development, if necessary, and to evaluate any future changes that might be a concern. (If you have had X-rays taken in another office, we can help you have them transferred so we have a background of your dental history.)

Even though the radiation from a dental X-ray is minimal, be assured that we will never request any unnecessary procedure. When we recommend an X-ray, we do so to make sure there is no decay or infection threatening the health of your gums and teeth, and that we have the essential knowledge we need to treat any dental, periodontal, or orthodontic condition. Because we all want to live our healthiest lives—and part of that healthy life is both active and proactive dental care.

Does my child need two-phase treatment?

January 16th, 2019

You might be surprised to see one of your second grader’s friends with a dental appliance. Isn’t orthodontic work just for teenagers? And, if not, should your seven-year-old be sporting braces right now? The answer to both of those questions is “Not necessarily.” Two-phase treatment is a process designed to correct issues that arise during different times in your child’s life.

First Phase Treatment

We recommend that every child have an orthodontic evaluation around the age of seven to determine if there is a problem that would benefit from early treatment. First phase orthodontics is not the same as orthodontics for older patients. The focus here is on the developing bone and muscle structures which form your child’s bite and provide space for the permanent teeth when they arrive.

There are some clear-cut orthodontic goals that are much easier to attain when children’s bones are still growing.

  • Reducing Crowding

If your child’s mouth is small, the permanent teeth will have little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time. Sometimes the extractions necessary to create more room for permanent teeth in later years can be avoided, as well as the possibility of an impacted tooth—one which doesn’t erupt because it is blocked by other teeth.

  • Dealing with Jaw and Bite Concerns

Bones and muscles do not always develop properly, leading to problems with jaw and facial structure. Your younger child still has growing bones, so this is a great time to gently re-form the jaw into a healthy shape. Problems caused by crossbites, underbites, open bites, and other malocclusions can be reduced with early treatment.  

  • Protecting Teeth

If your child has protruding front teeth, these teeth are more likely to be damaged in falls, at play, or while participating in sports. We can gently reposition them.

Second Phase Treatment

Second phase treatment is designed for your older child. After a resting period, when the permanent teeth finish erupting, we should see your child to evaluate any further orthodontic needs. This is the time to finish the process of straightening the teeth and making sure that each tooth fits together properly for a comfortable and healthy bite. This phase usually makes use of braces or aligners, and can take approximately 12-24 months.

Two-phase treatment is not necessary for every child. But there are some unique reasons that early orthodontics might be recommended for your child, even if it’s clear that more orthodontic work will be needed later. Make an appointment with Dr. Andrew Nalin at our Mount Vernon, WA office, and let’s evaluate your child’s orthodontic needs, whether now or in the future, for a lifetime of beautiful smiles.

What is a palatal expander?

January 9th, 2019

Orthodontists like Dr. Andrew Nalin recommend a first orthodontic visit and evaluation for your child around the age of seven. We will evaluate your child’s jaw and facial development and make sure that there is enough room in the mouth for the permanent teeth when they arrive. One of the recommendations we might make for early treatment is the use of a palatal expander. If you are unfamiliar with this device, let’s take a closer look at why it’s necessary and what exactly it does.

Why do we recommend the palatal expander?

There are two dental arches, composed of the upper and the lower teeth, in your child’s mouth. This arch-shaped design is meant to accommodate all the permanent teeth. Further, when the upper and lower teeth meet, they should result in a healthy occlusion, or bite.

Sometimes, the upper dental arch is simply too small to accommodate all of your child’s permanent teeth, leading to crowding, extractions, and impacted teeth. Also, a too-narrow arch can result in a crossbite, where some of the upper teeth bite inside the lower ones. An improper bite can lead to problems such as TMJ (temporomandibular joint) disorder, improper wear and stress on teeth, certain speech difficulties, and other potential complications. The palatal expander was designed to prevent these problems from occurring.

What is a palatal expander and how does it work?

The expander itself is a device that increases the size of the upper dental arch. Before your child’s bones are finished growing, the space between the two bones of the upper palate is filled with cartilage. This tissue is flexible when children are young, but gradually fuses solidly into place by the time they are finished growing (usually in the early to mid-teens). If the arch can be widened to accommodate the emerging permanent teeth, or to reduce malocclusions, this improvement can also affect the need for, and length of, future dental work.

There are several types of expanders available at our Mount Vernon, WA office. These are custom-made appliances, commonly attached between the upper teeth on each side of the jaw. The two halves of the device are connected with a screw-type mechanism that can be adjusted to widen the upper palate and dental arch with gentle pressure. This is a gradual process, with small adjustments usually made once or twice a day to slowly move the bones further apart. As weeks go by, you will notice a successful change in the spacing of the teeth. Your child might even develop a gap in the front teeth, which is normal and will generally close on its own.

If you would like more detailed information, talk to Dr. Andrew Nalin about the palate expander. We can tell you what to expect from this treatment if we think it is best for your child’s unique needs, and how to make it as easy as possible for your child. Our goal is to provide your child with the healthiest teeth and bite possible, always making use of treatments that are both gentle and effective.

Tooth Protection and Winter Sports

January 2nd, 2019

Just because it’s cold out there doesn’t mean you’ll give up keeping fit and active! Winter is the season for some of our favorite team sporting activities, and when you’re donning your protective gear, don’t forget to protect your teeth as well.

  • Basketball

This sport actually tallies one of the highest counts of dental injuries. Running, jumping, and diving for the ball on an unforgiving court can lead to tooth and jaw injuries.  And for every ten men on the floor, it seems like there at least 50 flailing elbows in the paint.

  • Hockey

Notorious for the toll it takes on teeth, hockey is a game of sticks, ice, and whizzing pucks. And when your sport’s penalties include the terms hooking, slashing, and tripping, the more protection, the better.

  • Skiing

When you are flying down the slopes, combining powdery snow and speed, mouth protection is a good idea. This also applies to snowboarding and other snow sports.

  • Wrestling

Grappling and pinning in close quarters can lead to unintended injuries after accidental contact with the mat or your opponent.

Different uniforms, different equipment, and different playing fields, but all these sports have one thing in common—the easiest way to protect your teeth while playing them is with a mouth guard.

Mouthguards generally come in three forms:

  • Over the counter, ready-made appliances. These are available in drugstores and sporting goods stores, but might not be a comfortable fit as they are pre-formed sizes.
  • The “boil-and-bite” option is a mouthguard form placed in hot water. You then bite down to shape it to your mouth and teeth.
  • Custom mouthguards can be fabricated just for you through our Mount Vernon, WA office. These appliances are designed to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, you definitely need a custom mouthguard to prevent an injury to your mouth or braces caused by an ill-fitting appliance.

Whether you play on a team or pursue individual athletic activities, keeping safe as you keep fit is your first priority. We would be happy to discuss your mouthguard options for any sport, any time of year.

Smile, the New Year is Almost Here!

December 26th, 2018

We’ve been celebrating the new year for a really, really long time. It goes way back, but it started formally in 1582, when Pope George XIII made January 1st the official holiday for ushering in the new year. The idea was to yell, cheer, and blow horns to scare away all the evil spirits of the previous year with the hope that the new one would be filled with happiness and opportunity.

While scaring away evil spirits isn’t what’s on our mind these days, we still ring in the New Year by cheering and hollering with friends and family. It’s a time to set new goals, refocus on old ones, and look forward to all the surprises the coming year will bring.

Whether you’re saying hello to the New Year snuggled up at home on your couch in the Mount Vernon, WA area or by gathering your friends for a social celebration, here are some tips to help ensure you welcome this new chapter with a smile.

Tips for a great New Year’s Eve celebration from Nalin Orthodontics

  • Stay safe. This one’s vital, because nothing puts a damper on your party like an emergency trip to the hospital. Stay responsible and try to plan ahead, whether that means taking a taxi, staying with a friend, or recruiting a designated driver. Do what you have to do to keep yourself and everyone around you safe.
  • Spend time with the people you love most. The way we see it, the whole point of the holiday season is to cherish your family and friends. Regardless of what you’re doing, make sure there’s something for everyone. It’s essential to do something the whole group will enjoy!
  • Smile! Whether you get all dressed to go out or have a quiet gathering with family and friends, make sure you accessorize with a smile. There’s always something to smile about!

We can all agree that change can be scary sometimes, but ringing in the New Year is an observance we all welcome with open arms. We hope you’ll enjoy this transitional holiday in a fun, healthy, and safe way. You have endless possibilities ahead of you!

From Dr. Andrew Nalin, have a fantastic New Year!

Toothbrush Arts and Crafts

December 19th, 2018

When you replace your old toothbrush every three or four months with a new model, you accomplish three things:

  • You keep your teeth cleaner (frayed brushes don’t clean as well)
  • You protect your gums (you won’t be scrubbing harder to get your teeth clean)
  • You add another toothbrush to your growing collection of used brushes

If creative recycling is one of your talents, you might have already discovered how handy repurposed brushes are for cleaning delicate or hard-to-reach spaces around the house. But those old brushes don’t have to spend their entire existence cleaning! Here are some ideas from Dr. Andrew Nalin to give a new, artistic life to your old, uninspired toothbrush.

  • Splatter Painting

As your bathroom mirror can confirm, toothbrushes are great for splattering. Why not put those bristles to creative use by adding color bursts to canvas, wooden picture frames or boxes, fabric, cards, gift wrap and more? Just dip the tips of the bristles into the paint, point them toward your surface, and brush your finger over the head. For more formal effects, splatter paint over your favorite stencils on paper or fabric. Or work your magic by splattering around a stencil for a dramatic silhouette.

  • Children’s Painting

Your child might find it great fun to use an old toothbrush to create new works of art. The easy-to-grip handle and wide bristles are perfect for painting those first masterpieces. Splatter painting is also a wonderful art activity for children—but be prepared for some clean-up!

Texturizing Clay Pieces

Whether you work in potter’s clay, polymer clay, or Play-Doh, an old toothbrush can provide any number of interesting textures to your piece. Press the bristles into the clay for a sophisticated stippled background, or brush long gentle strokes for a striated effect.

  • Carpentry

Wood glue creates strong bonds when you are joining edges, mitering corners, or fitting mortise and tenon joints. It also creates a sticky mess when you use your fingers, a wood or plastic spreader, or one of your good paint brushes. For any gluing jobs or joinery, try a toothbrush for greater control and easy application.

  • Jewelry Making

If you work with jewelry pieces, you know that sometimes there are nooks and crannies that are almost impossible to clean or polish. Try a gentle brush with an old toothbrush and the recommended polish for your piece—but do keep brushes away from the delicate surface of pearls. And for the boldly creative, why not use your toothbrush itself as jewelry? There are online instructions out there for transforming that old brush into a colorful bangle bracelet.

In turns out that there’s a second career waiting for your toothbrush after all! Make sure to clean your toothbrushes thoroughly before using them in another role. After that, let your creativity run wild—including your creative recycling! It’s just another way you are crafting a more beautiful environment for all of us.

Electric Toothbrushes vs. Regular Toothbrushes

December 12th, 2018

Convertible or sedan? Downtown or suburbs? Electric or manual toothbrush? As life decisions go, it’s certainly not choosing your next car, or deciding where you want to live. But, even when you are selecting a toothbrush, it helps to make a list of the pros and cons of the contenders before you make that final selection.

  • Efficiency

The most important factor in choosing a toothbrush is finding out which model works best to eliminate bacteria and plaque. And studies have shown that, used properly, both electric and manual toothbrushes do a great job of removing plaque. Some electric models can reach the backs of teeth and the gumline more easily, some manual head designs work better for your individual mouth and teeth, so your particular needs should dictate which style of toothbrush you use. Talk to us about the best methods to brush with your preferred toothbrush, and we’ll let you know if one type of toothbrush or the other might work better for you.

  • Health Considerations

Brushing too energetically can actually harm teeth and gums, causing sensitivity and damage to the enamel and gum tissue. An electric toothbrush should provide a continuous brushing motion without needing any pressure from the brusher. This might be the model for you if you have a too-vigorous approach to brushing, or sensitive teeth and gums.

An electric toothbrush can also be more efficient for older and younger brushers, those with limited mobility, and those with health conditions or injuries that make brushing with a regular toothbrush more difficult.

  • Cost

An electric toothbrush is not a one-time investment. You should change the removable head as often as you change your manual toothbrush (every three to four months, please). But this cost is offset if an electric toothbrush is more efficient in removing your plaque, easier to use, or even if you just prefer it to manual brushing. If you find that you brush better and more often with an electric toothbrush, the added expense is well worth it.

Whichever brush you decide on, the most important part of the brush is the person holding it! A regular appointment with your toothbrush for two minutes of thorough brushing in the morning and two in the evening, daily flossing, and regular visits to our office for checkups and cleanings will keep your teeth healthy and strong no matter which toothbrush you choose.

Questions about your toothbrush choices? Don’t hesitate to ask Dr. Andrew Nalin at our Mount Vernon, WA office.

Not-So-Sweet Sweets

December 5th, 2018

Birthdays. Valentine’s Day. Halloween. A trip to the movies. There are just some occasions where a sweet treat is on the menu. Now that you are getting braces, does that mean you have to give up desserts completely? Not at all! The trick to finding the right treat is to know which foods are safe for your braces and which should wait until your treatment is complete.

There are some foods which should always be avoided. They fall into three main categories:

  • Hard and Crunchy

Hard candies, peanut brittle, popcorn balls, nutty candy bars—anything that is hard to bite into is hard on your braces, and can damage brackets or even break them.

  • Chewy

Caramels, taffy, chewy squares and rolls, licorice and other super-chewy candies can break brackets and bend wires. Not to mention, they are really difficult to clean from the surface of teeth and braces.

  • Sticky

Soft foods are generally fine, but soft and sticky candies are another thing entirely. Gumdrops, jelly beans, most gum and other sticky treats stick to your braces, making it hard to clean all that sugar from around your brackets. And even soft sticky candies can bend wires or damage your brackets.

As you have probably noticed, almost all candy falls into one of these categories. Of course, while sugary treats shouldn’t be a major part of anyone’s diet, and careful brushing and flossing are always on the menu if you do indulge, wearing braces does not mean giving up on treats entirely. A better alternative when you are craving something sweet is to choose something that avoids crunchy, chewy and sticky hazards, such as soft puddings, cupcakes or cookies. There are even some candy brands that are safe for your braces.

Talk to Dr. Andrew Nalin the next time you visit our Mount Vernon, WA office about the dos and don’ts of desserts—we have tasty suggestions that will make those special occasions both sweet for you and safe for your orthodontic work!

Early Orthodontics

November 28th, 2018

Perhaps you are already planning for the years when your teenager will need orthodontic work. But hearing that your seven-year-old would benefit from orthodontic treatment? That might come as a complete surprise! It’s a recommendation with real benefits, though—early intervention can save children from tooth and bite problems now, and even simplify their future orthodontic care.

Treating young children for orthodontic problems is called “interceptive orthodontics.” When the permanent teeth start arriving, there might be problems with spacing, bite or protruding teeth. Often, treatment while the bones are still growing is the best way to prevent more serious problems later.

We recommend that your child have an orthodontic consultation with Dr. Andrew Nalin around the age of seven. This exam is especially important for children who may have been thumb suckers or used a pacifier after the age of three, or if you notice obvious teeth, speech or bite issues.

  • Crowding and Spacing Issues

Teeth are arranged in two crescent shapes called arches. When the arch of your child’s mouth is small, the permanent teeth can become very crowded as they erupt. Formerly, teeth were removed to make more room. Now, early use of a palatal expander can enlarge the upper dental arch in order to help the permanent teeth come in without crowding. The need for future tooth extraction is reduced, and there is a better chance for correct spacing and alignment with early treatment.

On the other hand, when a child loses a tooth too soon, too much space left between baby teeth can also be a problem. The remaining teeth can shift, leaving the wrong place open for the adult tooth to come in. We might recommend a space maintainer so that there is no shifting of the teeth and there is room for the proper adult tooth to erupt in its proper spot.

  • Malocclusions (Bite Problems)

Some malocclusions, like a crossbite, can be caused by problems with jaw and facial structure. Again, we might recommend a palatal expander to help the upper arch of the teeth to fit properly with the lower jaw. Problems with overbite, open bite and other bite issues can also be addressed at this age if necessary. Early care can discourage TMJ (temporomandibular joint) disorders, reduce speech problems, and improve facial symmetry. 

  • Protruding Front Teeth

Teeth that protrude are much more likely to be damaged when playing or after a fall. Methods such as braces or appliances can reposition them and protect them from breaking or fracturing.

Many children will not need early intervention, and many can wait until they are older for orthodontic work. But if your young child has orthodontic problems that should be addressed, early intervention can do more than set the stage for successful orthodontics in the teen years. Talk to our Mount Vernon, WA team about what we can do for your child. Interceptive orthodontics can protect teeth, guide jaw and speech development, modify harmful oral habits and help to adjust bite problems before they become serious—when it comes to your child’s dental health, the best solutions are early ones!

Are lingual braces for you?

November 21st, 2018

Lingual braces are one of the most subtle ways to transform your smile. Because the brackets and wires are attached to the inside of your teeth, there is almost no visible sign that you are wearing braces. If this is an important consideration for you for personal or professional reasons, this advantage might make lingual braces your best choice for orthodontic treatment.

Every method of straightening teeth also presents potential disadvantages to consider. In the case of lingual braces, patients should be aware of some issues both similar to and different from those posed by regular braces.

  • Tongue Sensitivity

Just as your lip and cheek areas need to get used to typical front-facing braces, your tongue might be sensitive at first to lingual braces. The same orthodontic wax that protects your lips and mouth from irritation caused by metal brackets and wires on the front of teeth can also be used to reduce the tongue irritation caused by brackets behind your teeth.

  • Speech Difficulties

Since your tongue will not be hitting the backs of your teeth in the usual way, you might find some initial difficulty pronouncing words properly. This problem usually disappears over time. Practicing speaking aloud will help your tongue adjust to your new braces. Talk to us if this is a special concern for you.

  • Eating/Cleaning Teeth

Just as with regular braces, you will need to avoid any foods that can damage your orthodontic work. All the usual culprits, such as caramel, hard candy, and popcorn, should be avoided with any type of braces. But because lingual braces are inside the teeth, they can be trickier to clean. Careful brushing and flossing are still vital, and we have suggestions for making sure your lingual braces are free from food particles and plaque.

  • Time

Lingual braces can require a slightly longer treatment schedule. We can let you know the approximate treatment times for whatever orthodontic plans you are considering.

  • Cost

Because lingual braces are customized to fit you, they can be somewhat pricier than other options.

We have the special training and skill needed to provide you with lingual braces if that is the option that you choose. We also have suggestions for adjusting to your lingual braces comfortably and making them work for you. Talk to Dr. Andrew Nalin at our Mount Vernon, WA office about all the possibilities for straightening your teeth, including any potential concerns or advantages each treatment method presents. If you would prefer that your braces be almost unnoticeable, that advantage might be the deciding factor in making lingual braces the ideal choice for you.

Caring for Your Dog’s Teeth

August 15th, 2018

It may come as a surprise to learn that dogs, like humans, have both baby and adult teeth. Most dogs, unlike humans, have all of their adult teeth by the time they are seven months old, so it’s time to start looking after their dental health when they are still puppies.

While dogs generally don’t develop cavities, periodontal disease is the one of the most common diseases affecting dogs. Periodontal disease starts when the bacteria in your pet’s mouth form plaque. The plaque can harden into tartar, and, if plaque and tartar spread under the gum line, can be responsible for a number of serious problems. Veterinarians warn that tooth loss, tissue damage, bone loss and infection can be the result of periodontal disease. Professional dental treatment is important if your dog is suffering from periodontal disease, and your vet can describe the options available to you. But the time to act is before disease develops. Let’s bone up on some preventative care!

Brushing

There are brushes and toothpastes designed especially for your dog. Train your puppy from an early age to open his mouth to allow you to examine his teeth and gums. (This will also come in handy if you ever need to give him medicine.) Most dogs will accept brushing, and toothpastes come in dog-friendly flavors. Human toothpaste should never be used because it contains cleaners and abrasives that should not be swallowed by your pet. There are also dental wipes available that can be used once and thrown away. Your vet can advise you how to ease your pet into a brushing routine.

Gels and Rinses

Whether you rub an antiseptic gel on your dog’s teeth or squirt an antiseptic rinse into his mouth, these formulas can reduce the build-up of plaque. Not all dogs take to the taste of these solutions, but in general they are safe and effective. Ask your vet for recommendations if you would like to try this method.

Diet

Several dietary products offer anti-plaque ingredients or a kibble shape designed to reduce the formation of plaque. Talk to your vet for the best possible diet and nutrition suggestions for your unique pet.

Chew Toys

Chewing can help reduce plaque build-up if done consistently, and chew toys should be chosen for tooth and digestive safety. Some animal-based products and hard plastic toys are so rigid that they can cause damage to teeth or gums, so be sure to look for safe toys.  Dogs shouldn’t be left alone with toys due to choking or swallowing hazards—if the chew toy becomes small enough to cause choking, or your dog is swallowing large chunks that might not be digestible, time to replace it.

Your veterinarian is the best resource for maintaining your dog’s health and developing a dental routine both you and your pet can live with. When your four-legged friend goes for his next check-up, ask your vet what you can do to keep him and his smile fetching for a long, long time.

Oral Health Tips: Travel Edition

August 8th, 2018

When you leave on a trip, you probably double-check that evrything’s ready: your clothes are packed, your ticket is handy, and your passport waits patiently on top of your bag or in a special pocket.

The same level of preparedness should apply with regard to caring for your oral health when you’re about to leave home for a while. Whether you’re jumping in the car for a weekend camping trip or flying halfway across the globe for a longer stint, the tips below will help you keep your teeth healthy whil you’re away.

Prepare Ahead of Time

The key to maintaining good oral hygiene during travel is preparation. Schedule a regular dental appointment so your teeth are freshly cleaned and ready before you leave. This can identify potential issues that might cause problems while you’re away.

If you have any items on a dental “to-do” list, such as wisdom tooth removal, replacement of a filling, or orthodontic adjustment, it’s a good idea to get those procedures completed before your trip.

En Route

If you’re stuck on a long flight or trekking far into the woods, you might find yourself where there’s no sink or even a toothbrush at hand. We speak for everyone when we say that nothing is worse than a mouth that feels, shall we say, less than fresh.

A lemon wedge or Granny Smith apple slice can help freshen up your breath when you’re in need of a quick fix. Rinsing your mouth thoroughly with water can help to wash away bacteria that causes cavities and reduce that gritty sensation. If you’ve got toothpaste, put a dot on your finger or a damp washcloth to serve as a makeshift toothbrush.

Nowadays, travel-sized dental products are available at most grocery stores and pharmacies. You can find travel toothbrushes, mini mouthwashes, and pocket-sized floss to slip into your travel bag.

Colgate makes disposable mini-toothbrushes called Wisps that can help you freshen up when you may not have access to a regular toothbrush. Packing a few extra dental supplies may also be a good idea in case one gets damaged or lost.

At Your Destination

Traveling abroad can expose you to unfamiliar conditions. Some countries have compromised water sources that will make you extremely ill if ingested, even from the tiny amount of water with which you wet your toothbrush.

Minimize that risk and keep bottles of water on hand instead for rinsing your mouth and toothbrush. If your toothbrush comes in contact with contaminated water, swapping it out for a new one is the safest option.

Storing your toothbrush properly is necessary to prevent bacteria from growing on it. Place your brush in a Ziploc bag when you’re on the go and allow it to breathe once you get to a temporary destination.

Traveling near or far should be an enjoyable experience. Dental issues shouldn’t be a source of worry on your vacation. As long as you’re prepared and take precautions, your teeth can stay healthy even when they’re out of the country!

Of course, if you have any questions, don’t hesitate to contact our Mount Vernon, WA office.

Benefits of Orthodontic Treatment at a Young Age

August 1st, 2018

Contrary to popular belief, orthodontic treatment is not just for older children and teens who have alignment and spacing issues. At our Mount Vernon, WA office, orthodontic treatment offers many benefits for children at a young age.

Dr. Andrew Nalin can identify your child’s alignment issues early, and provide treatment as the teeth begin to develop. It’s crucial to start dental care early, not only for proper dental health and cosmetic benefits, but to improve your child’s overall health.

The Benefits of Straighter Teeth

Aside from cosmetic benefits, starting orthodontic treatment at a young age offers many other advantages. A pediatric dentist can help guide the teeth into their proper position to prevent teeth extractions or bite problems, and even reduce the extent of orthodontic treatment later on.

Your youngster will enjoy the confidence of having straight teeth that, as an added bonus, will be easier to clean. Parents will be happy to hear the earlier your child gets treatment, the less your orthodontic expenses could be; plus, it is often covered by dental insurance.

Stages of Orthodontic Treatment

Multiple stages are included in early orthodontic treatment, but there are three main stages.

Stage 1: Treatment starts around age two or three until the child is around six. This stage includes preventive measures to avoid habits that lead to crooked teeth, and monitoring how the teeth grow in.

Stage 2: The first permanent teeth appear around age six to 12 years old and the dentist looks at possible early treatment for misalignment or bite issues.

Stage 3: Any further problems with permanent teeth are corrected during adolescence.

Dr. Andrew Nalin and our staff are able to see early on whether your child will need to have braces in adolescence. Early treatment means fewer procedures, cleaner teeth, and less expense for parents. It’s a win-win for everyone!

What are the benefits of early orthodontic treatment?

July 25th, 2018

Orthodontic treatment should begin earlier than most parents are apt to assume. According to the American Association of Orthodontists, orthodontic treatment should start at around seven years of age.

Dr. Andrew Nalin can evaluate your child’s existing and incoming teeth early on to determine whether treatment might be necessary or not.

What is early orthodontic treatment?

Early orthodontic treatment usually begins when a child is eight or nine years old. In stage one, bite problems such as underbites and the jaw’s growth pattern are corrected. It can also help to make room in the mouth for the permanent teeth to take their proper places as they come in, which reduces the chance that the patient will require extractions later, due to overcrowding.

Does your child need early orthodontic treatment?

If you notice any of the following characteristics in your son or daughter, you may want to have a chat with Dr. Andrew Nalin.

  • Early loss of baby teeth (before age five)
  • Late loss of baby teeth (after age five or six)
  • Your child’s teeth do not meet properly or at all
  • Your child is a mouth breather
  • Front teeth are crowded (you probably wouldn’t see this until your child is about seven or eight)
  • Protruding teeth, typically in the front
  • Biting or chewing difficulties
  • A speech impediment
  • Your child’s jaw shifts when he or she opens or closes the mouth
  • Your child is older than five years and still sucks a thumb

 

What are the benefits of seeking orthodontic treatment early?

There are many benefits to early orthodontic treatment. One of the biggest is that, because a child’s jaw and bones are soft and pliable, corrective procedures such as braces can work much faster than they do for adults.

Treatment at our Mount Vernon, WA office can enable your child to avoid lengthy procedures, extraction, or surgery in adulthood. Early orthodontic care will give your son or daughter a healthy, stable smile.

How Braces Can Work at Any Age

July 18th, 2018

The team at Nalin Orthodontics loves to help adults achieve straighter teeth and a beautiful smile. If you are considering getting braces, here are some things you’ll need to know.

Can braces work for adults?

The good news is that braces work for just about anyone. There are several different types of braces, howver, and not all of them may work for you. The different kinds of orthodontic treatments include:

  • Ceramic braces
  • Metal braces
  • Self-ligating brackets
  • Lingual brackets (braces behind the teeth)
  • Invisible braces
  • Rubber bands for bite correction
  • Headgear and other appliances

Schedule a consultation with Dr. Andrew Nalin, and we can help you determine the best option for your needs.

How do I get started?

We understand that braces can be a daunting prospect for many individuals. They may appear expensive and time-consuming; however, the process can be relatively pain-free! Here are the first steps you need to take on the road to straight teeth.

You will probably have a lot of questions and concerns before starting. Here are a few questions you should ask:

  • What kind of braces do you recommend for my teeth?
  • How long will the treatment take?
  • How often will I need to come in for adjustments?
  • What is the total cost of the treatment? Do you accept insurance? Will you require the full amount up front, or do you have payment plans?

During your first meeting with Dr. Andrew Nalin, we’ll take some X-rays and molds of your teeth to help you determine your best treatment plan. To ensure your treatment is as effective as possible, we may include preliminary dental work before your braces are placed.

After you’ve chosen a treatment plan and undergone any necessary prerequisite dental work, you’ll be on your way to a better smile! Call our Mount Vernon, WA location so you can get started today!

Cosmetic Orthodontics: Lingual braces vs. clear aligners

July 11th, 2018

For more than a century, braces have helped patients achieve straighter teeth, and treatment methods continue to emerge. Today, braces have the potential to be discreet while still producing great results.

If you want straighter teeth without the look of traditional metal braces, Dr. Andrew Nalin can offer multiple options to give you the smile of your dreams.

Clear Aligners

Clear aligners use a series of custom-made trays that shift teeth gradually into place. For patients who need mild-to-moderate corrections, this can be a great option.

Aside from being clear, another benefit is that you can change these aligners at home instead of having to visit our Mount Vernon, WA office every few weeks. They can even be removed while you eat and clean your teeth!

If you wear the aligners as instructed, you could have straighter teeth in about six to 12 months.

Lingual Braces

Like traditional braces, Incognito™ lingual braces are attached to teeth. The difference is that they are attached to the back of your teeth so you won’t be able to see them.

This is an appealing option for patients who need moderate-to-severe corrections. The braces are non-removable and will be adjusted during your regular orthodontic visits. They yield highly successful results.

If you want a straighter smile but are not sure whether you are a candidate for either of these options, give Dr. Andrew Nalin a call today! Our Mount Vernon, WA team would be happy to identify the best treatment option for your needs.

Make Your Braces Bands Work for You!

July 4th, 2018

Well, of course, they already are working for you—as an essential part of the alignment process. Rubber bands, also known as elastic ligatures, are used to secure the wires inside your brackets. But bands can be more than functional. Since the ligatures around each bracket are replaced when you visit our office, why not use that opportunity to choose a new color scheme as well?

  • Make a Statement

Bands offer a chance to coordinate your braces to an interest, team, or event. Are you a swimmer? Maybe cool blues and turquoises appeal to you. Batman forever? Black and yellow. (That will work for beekeepers, too.) Have a favorite sports team? Choosing team colors will support your team with every smile. Love your school? Show your spirit by wearing bands in your school colors. Favorite time of year? Celebrate by selecting festive bands in holiday colors.

  • Suit Your Mood

Fiery reds and oranges, tranquil blues and greens, millennial purples and pinks, or exuberant neon—you know that there are just some colors that suit your personality. Showcase that personality with your choice of band color. And if your mood changes, choose shades that express a completely different side of you.

  • Coordinate Your Colors

Match your bands to your eye color, your makeup, or the clothing colors you choose most often. If there’s a color profile that works for you, make your bands a part of it. If you don’t want everything matching, complement your coloring or clothing with a different but coordinating shade for a cohesive effect.

  • Keep a Low Profile

Most adults will stick with a monochromatic set of bands, and this might be a look that appeals to you as well. Grey and silver bands will blend nicely with silver braces. If you have clear or white brackets, you might want to test out which bands will be least noticeable. Clear bands can become discolored, and white bands can make teeth look darker. If there’s a band which mimics your own tooth color, this will be the choice for you.

  • Make Color Theory Work for You

Certain colors and tints bring out the best in your tooth color and work with your skin tones. White and yellow bands might make teeth appear duller, and any shade combination that resembles food particles (greens, browns, and black) is probably not a look you’re going for. Have fun with a color wheel and decide which colors you find most flattering.

Make your bands more than a tool—make them an accessory. There are so many colorful options available that you are bound to happen on a color scheme that just suits you. And if you change your mind? Change it up during your next visit to our Mount Vernon, WA office!

Will my child benefit from early orthodontic treatment?

June 27th, 2018

According to the American Association of Orthodontists, orthodontic treatment for children should start at around age seven. Dr. Andrew Nalin can evaluate your child’s orthodontic needs early on to see if orthodontic treatment is recommended for your son or daughter.

Below, we answer common questions parents may have about the benefits of early childhood orthodontics.

What does early orthodontic treatment mean?

Early orthodontic treatment usually begins when a child is eight or nine years old. Typically known as Phase One, the goal here is to correct bite problems such as an underbite, as well as guide the jaw’s growth pattern. This phase also helps make room in the mouth for teeth to grow properly, with the aim of preventing teeth crowding and extractions later on.

Does your child need early orthodontic treatment?

The characteristics and behavior below can help determine whether your little one needs early treatment.

  • Early loss of baby teeth (before age five)
  • Late loss of baby teeth (after age five or six)
  • The child’s teeth do not meet properly or at all
  • The child is a mouth breather
  • Front teeth are crowded (you won’t see this until the child is about seven or eight)
  • Protruding teeth, typically in the front
  • Biting or chewing difficulties
  • A speech impediment
  • The jaw shifts when the child opens or closes the mouth
  • The child is older than five years and still sucks a thumb

What are the benefits of seeking orthodontic treatment early?

Jaw bones do not harden until children reach their late teens. Because children’s bones are still pliable, corrective procedures such as braces are easier and often faster than they would be for adults.

Early treatment at our Mount Vernon, WA office can enable your child to avoid lengthy procedures, extraction, and surgery in adulthood. Talk with Dr. Andrew Nalin today to see if your child should receive early orthodontic treatment.

How Do I Care For My Pet’s Teeth?

June 20th, 2018

Our pets are a valued part of the family, but dogs and cats are not regularly known for their minty-fresh breath. Did you know that bad breath can be a sign of a more serious dental problem for your furry companion?

If you live with a pet or two, you’ll want to brush up on your animal dental knowledge and make sure everyone’s teeth stay healthy.

Proper dental care is essential to a pet’s overall well-being. About 80 percent of dogs and 70 percent of cats suffer from periodontal disease after the age of three.

Not only is this unhealthy for their mouth, it can lead to more serious health problems, including organ damage and heart failure. Toxins from periodontal disease seep into your pet’s bloodstream and have the potential to cause fatal organ damage.

Your veterinarian will check your pet’s teeth at an annual or six-month examination, but here are a few signs of periodontal disease you should watch for at home:

  • Yellow/brown tartar
  • Foul breath
  • Red, inflamed, or bleeding gums
  • Excessive drooling
  • Pawing at the mouth or rubbing one’s jaw against objects
  • Difficulty chewing

Aside from regular checkups at the vet, the best thing you can do for your pet is brush its teeth daily. Bacteria can recolonize onto the surface of teeth within 24 to 36 hours, so it’s essential to remove plaque before it turns into tartar. Ask your vet for a recommended toothbrush and pet toothpaste.

Dental hygiene chews can also help to reduce the effects of gingivitis, but some chews can actually make your pet’s oral health worse. Treats such as cow hooves, pig’s ears, and animal bones can damage teeth and cause other problems if ingested. Your vet can help you choose items that are healthiest for your pet.

Your dog’s favorite toys may also pose a threat to their oral health. Abrasive toys such as the popular green tennis balls can create wear and tear on the surface of pets’ teeth.

As with your own teeth, your dog or cat’s oral health plays a large role in its overall health. Remember to schedule regular checkups and ask your veterinarian for more tips on how to care for your pet’s teeth most effectively.

Whitening Teeth with Braces

June 13th, 2018

Now that you are working hard to improve your dental health and appearance with your braces, it might seem like a logical time to whiten your teeth as well. But should you go ahead with home kits or a professional whitening? The answer might be yes, but not quite yet!

Toothpaste

The easiest way to whiten teeth is regular use of a whitening toothpaste. But these do not make a major difference in tooth color and may also contain abrasives which can damage ceramic brackets and make them more likely to stain. And, whether you have metal or ceramic braces, the brackets used are bonded to your teeth. Any part of your tooth covered by a bracket will not be affected by the whitening paste. Ask our office if you are thinking of using one of these products. We will be happy to recommend the best toothpastes to use while your braces are in place.

Whitening Strips and Trays

Whiteners can be applied at home with strips or tray kits. Strips are coated with a whitening gel and then pressed around your teeth. Tray kits provide a mouthguard-like appliance, which is filled with whitening gel. But neither strips nor tray solutions will whiten any area covered by brackets. When your braces come off, there might be noticeable differences in color on each tooth. Strips are difficult to apply with braces, and trays need to be custom-designed to fit your braces and make sure they don’t disturb your orthodontic work. One size most definitely does not fit all! Finally, these whitening agents can cause tooth and gum sensitivity, especially around the time of adjustments. Many manufacturers do not recommend using their products while you have braces. Please talk to us if you are thinking of using them.

Professional Whitening

A dental professional can whiten your teeth in office for the best possible results. The most effective treatments for your unique teeth are combined with protective care of your gums and mouth. Whether this treatment is appropriate while you have braces is something we are happy to discuss.

The best way to keep your teeth bright is to keep up your regular dental routine! Brushing and flossing are more important than ever now, because plaque builds up around brackets. Avoid foods that stain teeth and rinse or brush after every meal and snack. Dr. Andrew Nalin will show you the best way to take care of your teeth while your braces are on—and that includes the best way to keep them white and bright. Talk to us about the perfect time to whiten your beautiful smile during your next visit to our Mount Vernon, WA office. And if you have to wait a few extra days for the smile you’ve been working toward, truly, the wait will be worth it!

Orthodontic Care on the Go!

June 6th, 2018

Whether you’re heading out for a day with friends or running from classroom to volleyball practice, you don’t always have the luxury of taking care of your braces or aligners in the comfort of your home. But don’t stress! Here are some suggestions for handy items you can take with you to handle most of the dental situations that might come up.

Basic Care Kit

  • Travel Toothbrush—the perfect size for quick cleanings after a meal on the go. You might want to bring a travel size tube of toothpaste as well.
  • Dental Floss, Threader, and Dental Picks—you don’t want something stuck in your teeth or braces through three hours of play rehearsal.
  • Water Bottle—if you don’t have time to brush, a good rinse will help keep teeth and appliances clean.
  • Small Mirror—to make sure your smile is picture perfect after eating.
  • Our office phone number—just in case. If something happens to your braces or aligners, or if you suffer a dental emergency, call our Mount Vernon, WA office immediately.

For Braces

  • Orthodontic Wax—if one of your brackets is irritating your mouth, you’ll be ready.
  • Braces-Friendly Snacks—soft, healthy foods that will help keep your energy up while keeping your braces intact.

For Aligners or a Retainer

  • Your case! If you need to take your aligners or retainer out, use your case to protect them and keep them from getting lost. You have better things to do after lunch than sifting through a garbage can full of used napkins. Much better things.

All of these items can fit easily in a case or bag in your glove compartment, locker, or backpack. Want more tips? Talk to Dr. Andrew Nalin and our team on your next visit, and let’s work together to make caring for your orthodontic appliances a quick and convenient addition to your busy schedule!

Famous Teeth throughout History

May 30th, 2018

We probably all remember sitting through history lessons during our schooling years. Revolutionary war heroes, English royals, and pop-culture icons filled the pages of our textbooks. Although you may recall a detail or two about their historical significance, how much do you know about their teeth?

Picture England in the mid 1500s. People wore frilly clothes as they hustled along the street, and talked about the latest import from the Indies: sugar. Wealthy Brits did not hesitate to indulge their sweet tooth, and it was no different for the monarch, Queen Elizabeth I.

The queen was especially fond of sweets, but not so fond of the dentist. Her teeth rotted; they turned black and gave off a foul odor. Eventually, Elizabeth lost so many teeth that people found it difficult to understand her when she spoke.

Flash forward to the Revolutionary-era colonies in the 1770s and we encounter the famous dentures of George Washington. They were not made of wood, but rather a combination of ivory and human teeth, some of which were his own pulled teeth and some he purchased from slaves.

Washington did not practice proper dental hygiene throughout his life. He began to suffer dental problems as early as age 24, when he had his first tooth pulled. By the time he was inaugurated in as the first president in 1789, he had only one tooth remaining in his mouth, which was pulled in 1796.

Washington’s dentures were made too wide and never quite fit his mouth properly. He complained that they were painful to wear and caused his jaw to protrude visibly outward.

If you’ve heard of Doc Holliday, you know him as the gun-toting, mustached criminal that ran the Wild West in the late 1800s. You might be surprised to learn that John Henry “Doc” Holliday actually had a career as a dentist.

He graduated from dental school in 1872 and began to practice in Griffin, Georgia. Holliday was later diagnosed with tuberculosis and his violent coughing fits during exams drove patients away. Jobless, he packed his bags for Texas and spent the rest of his days running from town to town as a criminal.

The Beatles brought pop music and British culture to their fans, as well as … teeth? In the mid-1960s, John Lennon had a molar removed that he presented as a gift to his housekeeper, Dorothy. Dorothy’s daughter was a huge fan of the Beatles and he thought she might like to a keepsake. Her family held onto the tooth until 2011, when they auctioned it off to a Canadian dentist for $31,000.

These historical figures had very different experiences with their teeth, but it’s safe to say a bit of extra brushing and flossing could’ve saved them a lot of trouble. Whether you’re queen, president, or an average citizen, it’s up to you to practice good dental hygiene!

Ask a member of our team at our Mount Vernon, WA office if you have any questions about how to keep your teeth in top shape!

Adults and Braces

May 23rd, 2018

Nowadays, many adults are taking advantage of getting straighter teeth with braces. Dr. Andrew Nalin and our team love to help patients create the dazzling, confident smile they’ve always wanted.

Our adult patients usually fall into two categories: some had braces in the past but didn’t wear their retainers, while others are brand-new to wearing braces. Either way, both groups want the same thing: straighter teeth and a beautiful smile!

You will have several options for getting braces, depending on your financial situation and how quickly you would like your treatment to finish. Traditional metal braces are a less-expensive option and can help people who have severely crooked teeth. But many adults may not prefer this option because they dislike the appearance of metal brackets.

If you’re concerned about how you’ll look, we offer clear ceramic braces that aren’t as visible. These are more expensive than metal braces, and patients need to be careful with colored drinks that can stain them, such as coffee or red wine.

Another popular option is a clear aligner treatment called Invisalign®. This type is practically invisible; it uses a series of aligners that are customized to fit your teeth. The process of straightening your teeth can last anywhere from three to 18 months. For people who have extreme bite problems or crowded teeth, a different method may work better.

Don’t hesitate to call our Mount Vernon, WA office today to set up a consultation. Dr. Andrew Nalin will help you choose the best option so you can be on your way to a straighter, more confident smile!

Brushing: Before or after breakfast?

May 16th, 2018

In a perfect world, we would all jump out of bed ready to greet the day with a big smile and a toothbrush close at hand to clean our teeth immediately. But if you can’t even find your toothbrush before you’ve had your first cup of coffee, does it really make a difference if you brush and floss after breakfast? Perhaps! Let’s talk biology.

Normal saliva production during the day benefits our teeth and mouths in surprising ways. Saliva washes away food particles to keep our teeth cleaner. It contains cells which combat bacteria and infection. It even provides proteins and minerals to help protect our teeth from decay. But saliva production slows dramatically as we sleep, and the amount of bacteria in our mouths increases. While one of the nasty—and obvious—side effects of bacterial growth is morning breath, there is an invisible effect, which is more harmful. Bacteria in plaque convert sugar and carbohydrates into acids which attack our gums and enamel and can lead to both gingivitis and cavities.

  • If You Brush Before Breakfast

Brushing and flossing first thing in the morning removes the plaque that has built up during the night and takes care of many of the bacteria who are ready to enjoy the sugar and carbs in that breakfast with you. If you brush before eating breakfast, rinse your mouth with water after your meal, floss if needed, and you are good to go.

  • If You Choose to Brush After Breakfast

But if you decide that doughnut simply can’t wait, you should ideally postpone brushing for 20-30 minutes after your meal. Of course, these are minutes in which bacteria can make use of those new sugars and carbohydrates. So why shouldn’t you brush immediately after eating? Many foods and beverages, especially acidic ones such as grapefruit and orange juice, can weaken the surface of your teeth. If you rinse with water after eating and wait at least 20-30 minutes before brushing, your enamel will be “remineralized” (another benefit of saliva) and ready for cleaning.

No matter if you take a “seize the day” approach and brush first thing in the morning, or a “seize the doughnut” approach and brush soon after eating, the important word here is “brushing.” Dr. Andrew Nalin and our Mount Vernon, WA team are happy to make suggestions as to the best morning routine for you. One thing is certain: if you give your teeth and gums two minutes of careful brushing and flossing in the morning, you can’t help but start your day off right!

What band color is right for your astrological sign?

May 9th, 2018

For centuries, many have believed in messages written in the stars and constellations. Some people look to their astrological sign to understand their personalities and preferences better, and even to foresee their destiny.

Whether you’re a firm believer in astrology or just read your horoscope for fun now and then, your perfect band color according to the zodiac awaits below.

Aries – Red

You’re passionate, enthusiastic, and full of energy the world needs. You have an ability to light an inspirational flame in yourself and others.

Taurus – Green

You value growth and are filled with earth energy. Close relationships with family and friends are the foundation of your life.

Gemini – Orange

Orange is the color of diversity and inspiration. You have a knack for readily socializing with other people and value a close-knit community.

Cancer – Violet

Cancers have the ability to look deep within themselves for guidance and inspiration. Your thoughts dwell in the realm of dreams and emotion, and fill you with a deep understanding of those around you.

Leo – Yellow

Your humor, intelligence, and courage light up your surroundings like the sun. Use your charisma and positivity to help you achieve great things.

Virgo – Blue

Blue reflects your calm and peaceful personality. People come to you when they need guidance and your caring instinct for others runs strong.

Libra – Green

Your personality is both enchanting and delightful. Your ability to find a solution and heal is uplifting to those around you.

Scorpio – Red

You are full of passion and knowledge. You know your true value, and feeling accepted is important to keep your flame ignited.

Sagittarius – Violet

Violet reflects your electric enthusiasm for life. With your wisdom and passion for truth, you are always striving to reach your next goal.

Capricorn – Blue

Your perception is unmatched, and you’re able to see through the confusion to identify what truly matters. Your confidence and clarity will help you accomplish what you need to do.

Aquarius – Violet

Aquarians are sensitive, creative, and love to share their understanding with the world. You find joy in art, music, and writing to show others your special view of things.

Pisces – Indigo

You have powerful perception and your instincts are often correct. Your ability to understand emotions helps those around you to stay connected and present in the moment.

Next time you visit our Mount Vernon, WA office, ask Dr. Andrew Nalin for the band color that goes with your sign!

What are lingual braces?

May 2nd, 2018

Incognito™ lingual braces offer the effectiveness of traditional braces minus the look of a mouth full of metal. They’re placed on the back of your teeth and won’t be visible to others unless you have widely spaced teeth. Dr. Andrew Nalin would love to help you determine if this would be a good treatment option for you.

Benefits of Incognito Lingual Braces

For many patients, the biggest benefit of Incognito lingual braces is that they are rarely perceived by anyone. Patients are able to talk and smile without feeling self-conscious about wearing braces.

Another perk is that they are just as effective as standard braces. Patients enjoy the pleasing aesthetic aspect without compromising on time or results! Lingual braces are also a great option for patients who have plastic sensitivities or can’t wear other types of clear braces.

Who can get lingual braces?

Although many patients qualify for lingual braces, not everyone is a good candidate. The best candidates are teenagers and adults with normal-sized teeth and no bite issues. Children often have smaller teeth, so lingual braces may not be suitable.

If you’re thinking about correcting your smile but don’t want traditional braces, talk to Dr. Andrew Nalin or visit our Mount Vernon, WA office today. We can determine whether lingual braces are the right choice for you, so you can have the smile you’ve always wanted!

Taking Care of Your Toothbrush

April 25th, 2018

Did you know your toothbrush could be covered with almost ten million germs? We know … it’s gross! That’s why you should know how to store your toothbrush properly, and when it’s time to replace it.

If you need to brush up on your toothbrush care knowledge, we’ve got you covered so brushing will always leave you feeling squeaky clean.

Keeping a Clean Toothbrush

Your mouth is home to hundreds of types of microorganisms, so it’s normal for some of them to hang onto your toothbrush after you’ve used it. Rinsing your brush thoroughly with water after each use can get rid of leftover toothpaste and food particles that cling to the bristles. Some dentists suggest soaking your toothbrush in mouthwash every now and then can help reduce the amount of bacteria further.

Store your toothbrush in a cool, open environment away from the toilet or trash bin to avoid airborne germs. Closed containers should be avoided because they provide a warm, wet habitat that bacteria love to grow in.

If you have multiple people sharing one sink, an upright holder with different sections will keep everyone’s brushes separated and avoid cross contamination. In addition, we would hope this is a no-brainer, but please don’t share toothbrushes!

Microwaves and dishwashers are not suitable tools for cleaning a toothbrush, because brushes aren’t built to last through this kind of treatment. If you want a really clean toothbrush, your best option is simply to buy a new one.

Replacing Your Toothbrush

The American Dental Association recommends you replace your toothbrush every three to four months, or sooner depending on individual circumstances. Dr. Andrew Nalin and our team agree. If you have braces, tend to brush too strongly, or the bristles become frayed, it’s time for a new brush.

Children will also need replacement brushes more frequently than adults. If you or your child has been sick, you should replace the toothbrush immediately to avoid re-exposing yourself to illness.

Worn-out brushes are not only unsanitary, they don’t do a good job cleaning teeth. Bristles that are worn out and dull won’t scrape away plaque and bacteria as well as a fresh toothbrush can.

 

Though the idea of ten million germs can be worrisome, if you take a few small precautions, you may ensure your toothbrush stays in good shape. And the cleaner the toothbrush, the cleaner the smile!

Toothbrush Care

April 18th, 2018

You found the perfect toothbrush! The bristles are soft, to avoid irritating your delicate gum tissue. The angle of the bristles is perfect for removing plaque. The handle is durable and comfortable when you spend at least two minutes brushing in the morning and two at night. Why, you love this toothbrush and you’ll never let it go… for the next three or four months.

The life of a toothbrush is naturally a short one. Dr. Andrew Nalin and our team recommend replacement every three to four months because the bristles become frayed and worn with daily use. They cannot clean as effectively when the bristles begin to break down, and, depending on your brushing style, may wear out even more rapidly. (Children will probably need to replace toothbrushes at least every three months.) But even in the short time you have your toothbrush, there are ways to keep it ready for healthy brushing.

  • Don’t share. While sharing is normally a virtue, sharing toothbrushes can lead to an increased risk of infections, especially for those with compromised immune systems or existing infectious diseases. Similarly, keep different brushes separate when drying to avoid cross-contamination.
  • Rinse thoroughly after brushing. Make sure to remove any toothpaste or debris left after you brush.
  • Store the brush upright. Air-drying is the preferred way to dry your brush, as covering the brush or keeping it in a closed container can promote the growth of bacteria more easily.

There are several products on the market that promise to sanitize your brush. The verdict is still out on its success, but if you or someone in your home has a compromised immune system, call our Mount Vernon, WA office to see if it might be worth your while to check them out.

Even though your toothbrush won’t be with you long, make its stay as effective and hygienic as possible. And if you find a brush you love—stock up!

Play Sports? Use Mouthguards.

March 14th, 2018

Dr. Andrew Nalin and our team recommend always wearing a protective mouthguard to participate in most physical sports. We especially encourage this if you have braces that can potentially cut your mouth or cause damage to your teeth. You have various choices to consider when you’re looking for a protective mouthguard.

One option is a full facial guard, which is often used for contact sports, such as football or hockey. This type offers full protection of the face from external impact. You should also consider an additional mouthguard to protect yourself from cuts inside your mouth, and avoid possible damage to your braces.

Boil-and-bites are another version of mouthguard that can be used for more physical sports. This type is used just the way its name implies: You warm the mouthguard in water to soften the material, then bite down gently once it’s at the correct temperature to form it into the shape of your mouth. These are fine to use temporarily, but they don’t always provide the best protection if they don’t fit properly.

Another option is to have Dr. Andrew Nalin make a custom mouthguard for you. The mouthguard will be designed with built-in layers to protect both your teeth and braces when it’s worn. Having Dr. Andrew Nalin create a custom-fitted mouthguard will ensure optimal protection and a comfortable fit whenever you participate in physical activities.

Protecting your teeth and braces is essential when you compete in sports. Accidents happen, and having a preventive mouthguard can potentially save you from oral pain and damaged braces. Our Mount Vernon, WA office is happy to assist you in creating a custom-made mouthguard for any sports activities you want to pursue.

If you’ve experienced a mouth injury that has caused damage to your braces, please contact us immediately so we can fix the problem right away. Remember, prevention is key when it comes to your oral health!

Emergency Care for Orthodontics

March 7th, 2018

It’s vital to understand the difference between an orthodontic emergency and minor orthodontic issues. Minor issues can be handled the next day, or at your next scheduled appointment. When a real orthodontic emergency occurs, however, you will need to see a doctor immediately.

Emergencies can include injuries to your teeth, jaw, mouth, or face. Whether you have braces or oral appliances in your mouth at the time or not, it’s crucial to fix the problem before it gets worse. If you have an injury that affects an orthodontic appliance, that may need to be replaced or adjusted, depending on the extent of the injury.

You can watch for and address some common minor issues on your own, or wait to have them fixed at your next appointment with Dr. Andrew Nalin:

  • Poking wire
  • Loose bracket
  • Loose elastic band
  • Loose wire
  • Loose appliance
  • Headgear does not fit
  • Lost or broken elastic band
  • General soreness

These minor issues may arise if you eat hard or sticky foods that damage your braces or other orthodontic appliances. Make sure to be extra careful, and avoid brushing your teeth too aggressively to avoid causing damage.

These problems should not be treated as emergencies unless they begin to cause prolonged pain and discomfort. If you notice this happening, contact our Mount Vernon, WA office and we can provide a solution.

Some at-home remedies you can try can include covering loose brackets or wires with wax. Wax can prevent canker sores from forming by covering sharp metal pieces that poke into your gums. If you have wires that have poked out into your gums, you can use tweezers to push the wires gently away from the direction of the sore area. Always make sure you use alcohol to sterilize anything you intend to put into your mouth.

When you get braces initially, you may notice some soreness of the jaw or small abrasions from your mouth getting accustomed to foreign materials. You should not worry too much about this temporary pain.

A warm salt-water solution can be used to alleviate any swelling or discomfort you’re experiencing. Many drug stores have ointment for canker sores that will numb the area if they continue to bother you. If you notice that your pain or swelling doesn’t get better, schedule an appointment with a medical professional as soon as you can.

When in doubt, contact our Mount Vernon, WA office if you are unsure or still have questions about an orthodontic problem you’re facing. If the situation becomes an emergency, don’t hesitate to make an appointment with our team, so we can help provide you with a solution.

Orthodontic emergencies should be taken care of promptly whenever they arise.

The Many Benefits of Braces

February 28th, 2018

It’s true that orthodontic braces can give you a beautiful smile. But did you know there are other benefits of having braces than just getting perfectly straight teeth? Dr. Andrew Nalin and our team want you to understand the other positives that can come out of having braces and relate to your oral health.

When teeth are crooked or crowded, it’s hard to brush and floss effectively. When there isn’t enough space in your mouth, bacteria and plaque can build up between these teeth. This can lead to serious issues like tooth decay and gum disease. When braces correct the spacing between teeth, and get rid of the tight spaces, patients are able to brush and floss more effectively and not miss essential areas of the mouth.

Surprisingly, braces can also address speech problems. They can shift problem teeth that may be causing embarrassing speech impediments. When an overbite or underbite gets adjusted, patients can pronounce certain words more clearly.

Spaces between teeth may also cause whistling, which braces can fix by closing off the gaps. Word slurring can also be improved with the help of braces by realignment of the jaw or teeth, which opens room for your tongue to move with greater ease.

Braces can also be helpful in supporting the bones and tissues in your mouth. Braces move periodontal ligaments by stretching the connective tissues and nerves. The bones naturally rebuild once they’re settled in their new spot.

Without support from poorly aligned teeth, gum tissue can erode. Braces help prevent erosion of the gums, and will alleviate pressure from the jawbone by fixing a bad bite over time.

If teeth are misplaced, they may not break down food effectively before it enters your stomach. Teeth aid with digestion when you can thoroughly chew your food. If your teeth are badly placed, braces can straighten them for optimal alignment. Once you can chew properly with the help of braces, your food will be more easily and fully digested.

If you have questions regarding braces and how they can help you, contact our Mount Vernon, WA office and set up a consultation appointment. Braces can help with many oral health problems, and may save you a lot of money and time in the future.

If you’re not sure whether braces would be worth your time or money, consider the benefits above, and how they add to the value of this treatment. You’ll be getting more than just a beautiful smile!

 

Braces-Friendly Foods

February 21st, 2018

Having braces can be frustrating when you have to be cautious about eating certain foods or having to avoid them altogether. Making sure your braces don’t bend or break is vital when you’re trying to straighten your teeth quickly and properly. Dr. Andrew Nalin and our team have come up with a list of foods to avoid, and which foods you can enjoy while you have braces.

No matter how careful you are, excessive chewing of hard-to-eat foods will eventually cause problems for you and your braces. Knowing what you can and cannot eat at a meal may be helpful when you first get your braces on.

Some foods are too hard for braces, because they can break wires or create damage that will have to be fixed by Dr. Andrew Nalin. Avoiding the following snacks will prevent this from occurring:

  • Hard candies
  • Gum
  • Nuts
  • Popcorn
  • Some hard raw vegetables or fruits (carrots, apples)
  • Ice
  • Chips

There are plenty of safe options for breakfast. They include eggs, yogurt, pancakes, oatmeal, soft toast, bananas, and even bacon.

For lunch, avoid hard or abrasive foods, undercooked vegetables, or apples. Safer options include a delicious stew, soft-breaded deli sandwich, or a mixed salad. Always be careful when biting into foods, and try to cut solid meal items into small chewable portions whenever possible.

A healthy braces-friendly dinner can come in many forms. Soft, steamed vegetables paired with a lean protein make a great option. The addition of rice or quinoa can complete the meal. Just remember to brush and floss after, because these small grains are likely to get stuck between braces and teeth.

During your treatment, Dr. Andrew Nalin will tighten your braces at each checkup. Braces tightening can sometimes leave your teeth feeling sore afterward. During this time, we recommend picking soft food options until the pain goes away, such as:

  • Pudding
  • Mashed potatoes
  • Soup
  • Ice cream
  • Cottage cheese
  • Peas
  • Pasta
  • Yogurt
  • Muffins

It’s also essential to pay close attention to your oral health routine. When food is stuck between braces, you’re more likely to experience plaque and decay buildup. If you want to keep your teeth from appearing discolored when your braces come off, keep up with brushing and flossing after every meal!

If you notice your braces are damaged after you’ve eaten a meal, contact our Mount Vernon, WA office to schedule an appointment right away. Our team is here to help with any issues that come up while you are in braces, and to answer any questions you may have about which foods you can and cannot eat.

The Start of Valentine’s Day

February 14th, 2018

Valentine’s Day, also known as Saint Valentine’s Day, has been said to originate with a Catholic priest named Valentine several thousand year ago. Valentine defied the emperor at the time by secretly marrying men and their brides after the emperor had made it illegal to marry. Emperor Claudius II did this because he wanted as many single young men to fight in his war as he could get.

Valentine disobeyed the emperor’s edict by continuing to marry couples until he was sentenced to death. Before his execution, he sent a letter to a secret love and signed it “From your Valentine.” Dr. Andrew Nalin and our team have come up with some suggestions on how you can celebrate this Valentine’s Day, whether you have a valentine of your own or not.

Valentine's Day Ideas

  • Enjoy a tasty treat. There are plenty of options when it comes to cooking and/or baking on Valentine’s Day. Make your significant other his or her favorite meal or sweet treat, or make your own favorite dish to enjoy on this day. Oh, and be sure to make enough for leftovers!
  • Make a personalized card. Instead of buying a card from the grocery store, take the time to make your own for a loved one. People love handwritten notes, especially when it’s from someone special. If you’re single this Valentine’s Day, make a card for fellow single friend to brighten the day and remind the person that he or she is also loved.
  • Watch a movie. We all know there are plenty of romance movies out there. Put on your favorite romantic comedy, or pick up your significant other’s favorite movie to watch together. Even better, if you’re single, pick up your own favorite movies to watch to pass the time this Valentine’s Day.
  • Do nothing! We all know Valentine’s Day can sometimes get a lot of hype. If you’re worried about not making a reservation in time, don’t feel like planning an extravagant night out, or simply not in the holiday mood this year, spend your day sitting back and relaxing.

Valentine’s Day is a time to celebrate love and spend quality hours with the people you care about the most. Whether you’re in a relationship or single, take some time today to appreciate those you love in your life.

We wish you a happy Valentine’s Day celebration and look forward to seeing you at our Mount Vernon, WA office during your next appointment.

Prevent Tooth Decay With Braces

February 7th, 2018

When you start wearing braces, it can become a challenge to clean certain areas of your mouth. If these areas are neglected for long periods of time, though, decay and stains can form on your teeth.

Your mouth will require extra attention while you have your braces on. This can include using a special toothbrush to reach those spots, flossing every day, getting fluoride treatments, avoiding certain foods, and making sure to visit your dentist. Let’s take a closer look at what you can do to prevent decay during treatment.

When you get your braces on, Dr. Andrew Nalin will give you an interdental toothbrush that can be used to get to those hard-to-reach spots in your mouth. The brush has bristles that can easily remove food residue stuck between the wires in your mouth. We may also suggest using a WaterPik, which pulses a pressurized stream of water to remove excess food particles.

Brushing and flossing every day should always be a part of your oral health regimen, but this becomes especially crucial when you have braces. If food gets stuck between braces and sits on your teeth, decay and staining will start to occur. Dr. Andrew Nalin and our team recommend flossing at least once a day, and brushing and using mouthwash after every meal as long as you have braces.

If you don’t have the time, make sure at least to swish your mouth really well with water after you eat. It’s especially important to follow these steps after consuming sugary foods or beverages. It’s best to avoid sweets altogether when you have braces.

Making sure to visit your dentist at least twice a year for a routine cleaning can also help to prevent any decay from damaging your teeth while your teeth are encased in braces. Your dentist will remove any plaque or tartar that’s built up since your last cleaning.

Prevention is key when it comes to keeping your mouth healthy during orthodontic care with braces. Follow these tips and you’ll keep your teeth beautiful and healthy for the day your new smile is finally revealed!

Your First Orthodontist Visit

January 31st, 2018

If you’ve never been to an orthodontist before, you might be wary of what to expect during your first visit. Your dentist may have recommended an orthodontic appliance if it could improve the state of your oral health. More often, you may suspect that you or your child should have orthodontic work done if the time is right financially.

Understanding the various options your orthodontist can perform will be helpful to know before your appointment.

Your initial appointment usually lasts at least an hour. It’s common that diagnostic work will need to be done. This might include getting X-rays so Dr. Andrew Nalin can better understand the overall structure of your mouth. A quick mold of the mouth may also be taken if braces are a possibility.

Your first appointment is intended to find out how we can efficiently give you a great smile! Here’s a list of common questions you might ask during your first visit:

  • Is now the right time for treatment, or should it wait?
  • What is the estimated length of time for the treatment?
  • How much should I expect to pay? What are the payment options?
  • What can I do to prevent or minimize pain?
  • Is it likely that I will wear extra appliances in addition to braces to correct my overbite, underbite, or other problems?
  • Are there specific foods I will need to avoid?
  • Will braces prevent me from playing my favorite sport or musical instrument?
  • How can I keep my teeth clean with braces?
  • How often will I be expected to come in for checkups and other appointments?

Don’t be afraid to ask these and other questions before you or your child commits to getting braces. Dr. Andrew Nalin and our team are happy to answer any of them before or after your visit.

Once you’ve had your initial consultation, our team will be here throughout the entire process if any problems arise. We look forward to seeing you at your first appointment in our Mount Vernon, WA office!

Orthodontic Treatments

January 24th, 2018

It’s not unusual for a patient to be unaware of the range of services that orthodontists can provide for their patients. Knowing which services Dr. Andrew Nalin and our team perform can help you better understand your options and why we might select a particular method of treatment.

Both orthodontists and dentists care about good oral health, but they approach treatment in differing ways. You know that dentists clean teeth and treat gum disease, tooth decay, toothaches, and other oral health problems.

But what does your orthodontist do besides help straighten teeth with the help of braces? Orthodontists are commonly known to help fix or realign crooked teeth. Many of the patients at Nalin Orthodontics come in for appointments that relate to their braces.

Dr. Andrew Nalin and our team recommend that children be seen around the age of seven to evaluate their potential orthodontic needs. Common problems may include overcrowding of teeth, large gaps or spaces, and overbites or underbites, among other things.

In order to address these common problems, we offer several methods of treatment besides standard braces and retainers:

  • Space maintainers can be used to fill the spaces left by missing baby teeth so other teeth don’t shift and occupy the adult tooth’s location.
  • Jaw repositioning appliances, sometimes known as splints, are used to reposition the upper and lower jaw bones correctly.
  • Lip and cheek bumpers can also be used to avoid having to pull teeth. These bumpers are placed in the mouth so the patient’s lips or cheeks don’t put pressure on specific teeth.
  • A more common appliance that orthodontists use is expanders. If your mouth is crowded, expanders will be placed on the curve of the upper and/or lower jaw(s) in order to make room for teeth to be properly aligned.
  • As a last resort, an orthodontist may turn to headgear. This is normally provided to slow down the growth of the jaw. It must be worn a number of hours each day.

When you visit our Mount Vernon, WA office, we will go over these options with you and pick the best course of treatment, depending on the current state of your oral health.

No matter which oral appliances you end up with, Dr. Andrew Nalin and our team will go over all the available options with you to give you a beautiful smile. If you have questions regarding your treatment method, don’t hesitate to call our office and we can provide you with some insight.

Understanding the different options your orthodontist can provide should make matters less confusing if you should need to select a method of treatment.

Elastics and Braces

January 17th, 2018

If you’ve visited Nalin Orthodontics, then there’s a good chance you’re looking to perfect your smile by straightening your teeth with braces. At some point during your treatment, you may need to use elastics, otherwise known as rubber bands, for a certain period. These are used to apply additional pressure that will move your teeth in the right direction.

Placement of the elastics is specific to each patient’s teeth. These small rubber bands stretch over the tiny loops on both the top and bottom brackets. At first, Dr. Andrew Nalin may recommend you wear the elastics both day and night for an extended time.

You may be told to switch only to nighttime wear once the teeth are set in the correct position. By consistently wearing the elastics, you can shorten the overall time your braces will have to be on.

The elastics are made from medical-grade latex. If you have an allergy to latex, make sure to let Dr. Andrew Nalin know, so you can be given an alternate material. We will show you how to take elastics on and off when they’re given to you at your appointment.

You should remove them when you eat so they don’t become overstretched or break. It’s important not to overstretch the bands, and always to replace them if they break. Eventually it will become a familiar habit to carry the bands around with you for times when this might happen.

The Do’s and the Don’ts

  • DO … always wash your hands before removing or replacing the rubber bands.
  • DO … call us if you run out of elastics.
  • DO … get in the habit of carrying around extra rubber bands as replacements.
  • DON’T … double up on elastics because this can exert too much pressure on your teeth and could actually harm the roots.
  • DON’T … overstretch the rubber bands or they will lose strength and become ineffective.

If you were recently given elastics as well as your braces, feel free to ask any questions during your appointment, or call our Mount Vernon, WA office any time. Using elastics correctly is one more step in your journey to a perfect smile!

How Long Do I Need To Wear Retainers?

January 10th, 2018

Once you get your braces off, you want to make sure your smile remains straight! This is where retainers come in.

Once your braces come off, you’ll be fitted for a retainer provided by Dr. Andrew Nalin to keep those teeth in place. A retainer is a custom-fit device that sits in the mouth and reinforces the new position of your teeth. Wearing it may be annoying at first, but it’s an essential part of the process of keeping your teeth in place over the long term.

For the first few months after your braces are gone, Dr. Andrew Nalin will tell you to wear your custom retainers all the time, except when you’re eating, drinking, or brushing. You have the option of having a clear plastic retainer made if you’re concerned about your appearance.

Eventually, we will recommend that you only have to wear the retainer during each night for a full year. After that, you may take a couple nights off from wearing them each week. In order to preserve the position of your teeth for as long as possible, we don’t recommend that you ever fully stop wearing your retainers.

If you’re concerned about forgetting to wear your retainer, and worried that your teeth may shift, a lingual retainer could be a good option for you. This gets placed on the back of your teeth and is not readily visible.

These retainers are permanent, but they could cause issues for you down the road if you don’t maintain good oral hygiene. Plaque and tartar can build up around these lingual bars, which is why we don’t usually recommend this as a primary choice.

Wearing your retainer is extremely vital after your braces come off. Without your retainer to keep them in place, the teeth you’ve taken so long to fix may begin to shift again. Getting braces is quite an investment, which is why you should keep wearing your retainer long after the braces have come off.

If you have questions or concerns regarding your retainers, contact our Mount Vernon, WA office and we can address any problems you may have.

Common Braces Problems

January 5th, 2018

It’s useful to know some of the common problems that can arise when you get braces. Even if you take great care of your braces and teeth, you might not be able to avoid certain issues or side effects that accompany braces. But don’t worry: These are all common problems that can be taken care of by following some simple advice.

If you just had your braces put on, you may notice some general soreness in your mouth. Your teeth are starting to adjust to having to shift, so they may ache, and your jaw might feel tender at first. This will subside once your mouth becomes used to the new appliance in residence.

You may experience soreness on your tongue or mouth, which may be a sign of a canker sore. Canker sores are common when braces rub against your mouth. You can use ointments to relieve pain and numb the area that’s been irritated. Canker sores are commonly caused by broken wires or loose bands on your braces.

Common Issues

  • Loose brackets: Apply a small amount of orthodontic wax to the bracket. You might also apply a little between the braces and the soft tissue of your mouth.
  • Loose bands: These must be secured in place by Dr. Andrew Nalin. Try to save the band for repair.
  • Protruding or broken wires: Use the eraser end of a pencil to push the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, clean your mouth with warm salt water or antiseptic rinse.
  • Loose spacers: These will need to be repositioned by Dr. Andrew Nalin and possibly replaced.

Avoiding Issues

You should avoid certain foods that could cause major damage to your braces. No matter what you eat, make the effort to cut your food into small pieces that can be chewed easily. This will prevent chunks of it from getting lodged between brackets.

Avoiding hard and chewy foods is also wise. Some foods can break your hardware: for example, popcorn, nuts, apples, gum, taffy, and hard candies. Avoiding any foods that easily got stuck in your teeth when you didn’t have braces is a good rule to follow.

The appliances in your mouth are bound to attract food particles and make it easier for plaque to build up. By making sure you brush and floss carefully every day, you can prevent stains and cavities from developing over time. Dr. Andrew Nalin and our team recommend brushing and making sure that food isn’t lodged between your braces after every meal.

Having braces can be very exciting, but it can also be challenging at first. Watching for these common issues during your first few weeks can prevent problems down the road. If you experience a lot of pain from your braces, contact our Mount Vernon, WA office and we can try to resolve any issues.

Braces can sometimes be a pain, but they’re well worth it once your new smile gets revealed!

Common Braces Problems

January 5th, 2018

It’s useful to know some of the common problems that can arise when you get braces. Even if you take great care of your braces and teeth, you might not be able to avoid certain issues or side effects that accompany braces. But don’t worry: These are all common problems that can be taken care of by following some simple advice.

If you just had your braces put on, you may notice some general soreness in your mouth. Your teeth are starting to adjust to having to shift, so they may ache, and your jaw might feel tender at first. This will subside once your mouth becomes used to the new appliance in residence.

You may experience soreness on your tongue or mouth, which may be a sign of a canker sore. Canker sores are common when braces rub against your mouth. You can use ointments to relieve pain and numb the area that’s been irritated. Canker sores are commonly caused by broken wires or loose bands on your braces.

Common Issues

  • Loose brackets: Apply a small amount of orthodontic wax to the bracket. You might also apply a little between the braces and the soft tissue of your mouth.
  • Loose bands: These must be secured in place by Dr. Andrew Nalin. Try to save the band for repair.
  • Protruding or broken wires: Use the eraser end of a pencil to push the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, clean your mouth with warm salt water or antiseptic rinse.
  • Loose spacers: These will need to be repositioned by Dr. Andrew Nalin and possibly replaced.

Avoiding Issues

You should avoid certain foods that could cause major damage to your braces. No matter what you eat, make the effort to cut your food into small pieces that can be chewed easily. This will prevent chunks of it from getting lodged between brackets.

Avoiding hard and chewy foods is also wise. Some foods can break your hardware: for example, popcorn, nuts, apples, gum, taffy, and hard candies. Avoiding any foods that easily got stuck in your teeth when you didn’t have braces is a good rule to follow.

The appliances in your mouth are bound to attract food particles and make it easier for plaque to build up. By making sure you brush and floss carefully every day, you can prevent stains and cavities from developing over time. Dr. Andrew Nalin and our team recommend brushing and making sure that food isn’t lodged between your braces after every meal.

Having braces can be very exciting, but it can also be challenging at first. Watching for these common issues during your first few weeks can prevent problems down the road. If you experience a lot of pain from your braces, contact our Mount Vernon, WA office and we can try to resolve any issues.

Braces can sometimes be a pain, but they’re well worth it once your new smile gets revealed!

Things You Probably Didn’t Know About New Year's Eve

December 27th, 2017

It’s no secret that New Year’s Eve is one of the most widely celebrated holidays in the world. Dr. Andrew Nalin and our team love it too. It’s a fresh start, another year of surviving the crazy world we live in, a time to refocus on the things we want for ourselves, a celebration with those we love … the list goes on.

Dozens of countries welcome the New Year with over-the-top parties and celebrations. Because it’s a public holiday, many offices, businesses, and schools close for the day. As you think about your plans for this holiday, here are some fun facts about New Year’s that might surprise you!

Can you guess what the most common New Year’s resolutions are? You may already have one or two of these on your own personal list. The top five New Year’s resolutions are: to quit smoking, get a new job, lose weight, increase personal savings, and return to school. Just remember that coming up with a concrete plan to reach your goals is the surest way to achieve your resolutions!

About one million people brave the cold to watch the New Year’s Eve ball drop in New York City’s Times Square in person. Yes, that’s one million! This event is one of the most iconic celebrations in the world. People travel from all over just to experience it, but you can watch from the warmth and comfort of your living room.

If you’re not a fan of cabbage, collard greens, black-eyed peas, or ham hocks, you might want to revise your tastes. All these foods are all regarded as lucky fare on New Year’s Day. Unless you’re allergic, of course!

For many people in Mexico and Latin America, eating 12 grapes at midnight is a tradition that brings good luck in the 12 coming months. Most people even make a wish per grape!

Whether you’re celebrating in Mount Vernon, WA or traveling elsewhere to observe the holiday, New Year’s Eve is a time to enjoy the company of your friends and family. Don’t forget to send warm wishes to your loved ones, and snag a midnight kiss with that special someone if you can!

Avoid Brushing After Every Single Meal!

September 27th, 2017

Here is some surprising yet worthwhile advice you might be hearing for the first time: Brushing after a meal can be incredibly bad for your teeth if you do it after eating certain foods.

Enamel is an extremely hard mineral on the exterior of each of your teeth. It’s actually the hardest substance in the human body: It’s even stronger than your bones! Its only weakness is that acids in the food we eat can easily destroy enamel.

Healthy teeth thrive in an environment that has the proper pH balance. That ensures your mouth doesn’t start the process of demineralization. That’s what happens when alkaline turns into acid, which attacks and softens the enamel on the surface of your teeth. Pores and fissures form, and that’s when the harmful bacteria go to work.

Our mouth’s pH level fluctuates depending on what we eat throughout the day. Examples of the most common highly acidic foods include citrus fruits, soda, and sugary foods. Highly acidic foods tip the balance of pH in your mouth from a healthy alkaline to a dangerous acid.

Can brushing your teeth immediately after a meal lead to even more damage? The answer is yes!

Eating highly acidic foods causes your teeth to be more susceptible. If you brush your teeth when they have been weakened by acids, even more destruction can happen to your enamel. Your toothbrush’s bristles will actually wear away some of your enamel. So it’s healthier to wait at least an hour after eating or snacking to brush.

Good preventive measures to take instead of brushing after you eat include:

  • Rinsing or drinking water
  • Chewing sugarless gum
  • Consuming dairy or non-acidic foods to conclude your meal

These practices help produce saliva, which in turn restores a healthy pH level in your mouth and coats the teeth with minerals they need.

Once you’ve allowed time for your mouth to be restored to a healthy pH level, you may brush your teeth as you normally would. Keep in mind that acidic foods can weaken the enamel on your teeth and take the right measures to prevent spiking pH levels.

Most important, don’t forget to wait to brush at least one hour after you eat!

Still have questions? Call our Mount Vernon, WA office and schedule an appointment with Dr. Andrew Nalin.

Orthodontic Treatment through the Internet

September 20th, 2017

You can learn just about anything on the Internet these days. You can also order just about anything on the Internet these days.

But would you order your braces on the Internet? There’s a new trend involving websites that claim to offer a solution for straightening teeth, without your ever seeing a dentist or orthodontist in person.

These companies usually have patients take an impression of their teeth using putty and a tray. Then you mail the impressions back to the company where a dentist reportedly examines them and suggests a course of treatment using 3D modeling software.

A series of clear aligners are made, to be worn by the patient in order to attain the desired result. Although this form of orthodontic treatment may cost less than seeing an orthodontist in person, there are several reasons why you should avoid it:

  • Potential health hazards are missed: If your oral health is not up to par (e.g., you have cavities, gingivitis, chipped teeth, etc.), an orthodontist would not suggest orthodontic treatment. Only after these issues are addressed would treatment be considered as an option. Whether this is the case with a person can’t be known when all the doctor sees is a set of impressions.
  • Lack of information about the patient: Before you receive any orthodontic treatment, an orthodontist will have X-rays taken to make sure you are a good candidate. If the bones or teeth do not look like they would align properly with treatment, another course of care may be suggested, even necessary. None of this background is available to over-the-net orthodontic providers.
  • No regular checkups: The purpose of regular checkups with Dr. Andrew Nalin is to ensure that everything is moving properly, on schedule, and most important, safely. This lack of hands-on care with Internet orthodontics could be a hazard for you as a patient and has the potential to do more harm than good.

It’s not worth the risk of getting orthodontic treatment over the net just to save some money. Our Mount Vernon, WA office is committed to working with you, whatever your financial situation may be.

Let’s work together to give you the smile you deserve!

Protecting Your Smile with Mouthguards

September 13th, 2017

If you participate in sports or other physical activities, it’s wise to consider getting a mouthguard. Also known as mouth protectors, mouthguards are a device worn over the teeth to lessen the impact of a blow to the face.

This reduces the chance that you might lose teeth or sustain other serious oral injuries. We recommend that all patients involved in a contact sport such as wrestling, football, or hockey wear a mouthguard because of the high risk of such injuries.

However, anyone involved in a physically demanding sport or activity should wear a mouthguard as well.

Can you imagine what it would be like to lose a few of your front teeth? The way you talk, eat, and smile would all change. Potential injuries when you don’t wear a mouthguard include chipped and broken teeth, fractured jaws, root damage, damage to crowns and bridgework, concussions, and/or injury to the lips, cheeks, or gums.

Types of Mouthguards

There are three different types of mouthguards — typically made of a soft plastic material or laminate. You can decide which works best for you in terms of budget, fit, and comfort.

  • Stock mouthguards are prefabricated to a standard size. They offer adequate protection, but you need to make sure you find one that fits properly and comfortably. Stock mouthguards are readily available at department stores, sporting goods stores, and online.
  • Boil-and-bite mouthguards are placed in boiling water to soften them, then into the mouth so they can conform to the shape of the teeth. Boil-and-bite mouthguards are more expensive, but offer a more customized fit than stock ones. You can find these in department stores, pharmacies, sporting goods stores, and online.
  • Custom-made mouthguards are created just for you by Dr. Andrew Nalin. These offer the best fit and comfort of all the options, but they are also the most expensive. Ask a member of our Mount Vernon, WA team for more information.

The American Dental Association says a good mouthguard should be easy to clean, fit properly, be comfortable, and resist tearing or damage. It shouldn’t restrict speech or breathing.

Still not sure if you need a mouthguard or which kind is right for you? Ask Dr. Andrew Nalin or one of our staff members for more information.

Tips for Caring for Your Braces at School

September 6th, 2017

School can present a few issues when it comes to caring for your braces and mouth, since you won't have the luxury of the time and tools you have at your disposal while you're at home. But if you head to school prepared, you shouldn't have any trouble keeping your braces and mouth in great shape. Below is a list of helpful tips to care for your braces throughout the entire school year.

  • Bring a kit that includes all of your oral health care items. This is a seriously smart thing to do and probably the most important of all the tips. Pack things like a toothbrush, floss, wax, retainer case (if needed), a mirror, a small cup for rinsing, a small bottle of water (if you don't already have some water with you), and some OTC pain medicine or a natural pain remedy. Keep the kit in your locker or backpack. Having all these items on hand will save you a lot of trouble and discomfort, and also ensure you don't have anything unsightly stuck in your braces or teeth!
  • Take advantage of breaks and lunchtime. After eating lunch is a great time to pop into the restroom and give your braces and teeth a once over to make sure you don't have any food debris caught in them and to tend to any sore spots. If you've just had your braces adjusted, you may have soreness on your gums or cheeks. This is where the wax you packed will come in handy.
  • Eat the right food for your braces. Avoid all the foods that wreak havoc on your braces like gum, candy, popcorn, hard chips, apples which aren't cut into wedges, nuts, beef jerky, ice, etc. You know the foods we're talking about; you've heard it enough already. Steering clear of these foods will help you prevent any possible mishaps with your braces, like breaking a bracket or wire, which is the last thing you want happening at school.

If you follow these tips and also keep up on your oral health routine at home, you'll be maximizing the effectiveness of your braces and making them as comfortable as possible. Do you have questions about caring for your braces during the school day? Ask Dr. Andrew Nalin or anyone in our Mount Vernon, WA office and we'll gladly help you out!

Which mouthwash should you use?

August 30th, 2017

Although using mouthwash is certainly not the equal of brushing and flossing, it does have benefits for your dental hygiene. If you use mouthwash regularly, you should find out which type is best suited for your needs. Here are some things to think about the next time you’re at the store.

The first item to weigh is why you want to use mouthwash. If the reason involves a high risk for cavities, you should focus on a mouthwash that contains fluoride. Make sure to double-check the label, because some mouthwashes do not necessarily include fluoride.

If you’re looking for a mouthwash to fight gingivitis, select an oral rinse with antibacterial properties. Make sure to read labels and avoid picking one that contains alcohol. Antibacterial mouthwash would also be best for a patient who has periodontal disease.

Another option is prescription mouthwash. These should be discussed with Dr. Andrew Nalin and/or your pharmacist in order to avoid negative side effects. Pay close attention to the directions regarding how much to use and for how long. Keep in mind that some brands may lose their effectiveness if you use them on an ongoing basis.

For children, you can find a mouthwash that changes the color of plaque on their teeth. This is a fun way to help them understand how well they are brushing, and what areas they need to focus on. It can even be a tool for adults who have trouble reaching certain areas of their mouth.

While mouthwash is generally considered as a safe means to improve your oral health, you need to keep certain things in mind. Avoid using any mouthwash that has alcohol in it. If you are using a strong one, it can reduce your sense of taste over time. Be wary of a mouthwash that claims it can loosen plaque; this is not accurate and can mislead consumers.

We hope these simple suggestions will help you the next time you’re at the store. Make sure you pick the right mouthwash to keep that healthy smile! Feel free to contact Dr. Andrew Nalin at our Mount Vernon, WA with any questions you may have.

Find Out how Your Diet can Cause Cavities

August 23rd, 2017

Sometimes food that’s good for your body isn’t necessarily the best for your teeth. Dr. Andrew Nalin and our team want you to know which healthy foods can harm your teeth and gums, and what steps you can take to continue enjoying these foods, even when you’re dieting.

When you begin to substitute empty calories with whole foods, make sure you also remember to focus on your dental health. The majority of people tend to switch out sugary foods in favor of fruits and vegetables when they diet.

It’s worth knowing that most fruits are highly acidic and composed of natural sugars. Some of the highly acidic fruits to watch out for include apples, grapes, strawberries, pineapples, blueberries, oranges, and grapefruit. Moderation is key here, as with all other things. Fruits can be a great source of energy to help you through your day, but try not to overdo them.

Often, people also incorporate more leafy greens into their diets, which mean plenty of salads. Salad dressing is another item you’ll want to watch out for. Many dressings are filled with vinegars and sweeteners that include harmful acids, which change the pH of your mouth. When your mouth shifts from alkaline to acidic, your smile also turns to a higher risk for erosion and decay.

Rather than get rid of these foods altogether, simply change what you do after you eat them. Rinse your mouth out with water, brush your teeth, or eat alkalizing foods after consuming these acidic foods. Healthy alkalizing foods include dairy products such as eggs and yogurt, or any type of vegetable.

If you have questions regarding your current diet and its effect on your oral health, please contact our Mount Vernon, WA office and speak with a member of our staff. If you’ve begun to make changes in your diet toward a healthier lifestyle, we hope these tips can help your make positive changes to your oral health. Our team at Nalin Orthodontics wants a healthy lifestyle to be a top priority in your life.

Pick the right electric toothbrush!

August 16th, 2017

The electronic toothbrush has undergone several technological advances since the 1960s. Everything from design and bristle motions to rotation, oscillation, and sonic vibration has led to dramatic changes in this necessary tool over time.

Rotation oscillation happens when the head of the toothbrush rotates from one direction to the other. The benefit of powered toothbrushes is that they can produce 50,000 strokes per minute, compared to 300 strokes with a manual toothbrush.

When you’re thinking about brush head size, smaller brush heads are best for hard-to-reach areas and small mouths. Brush heads should be replaced every three to six months as needed. A good way to save money is to designate a brush head for each family member which can be taken on and off a shared base motor.

Having a base motor or rechargeable toothbrush can deliver enough power on a full charge for a week of brushing, which makes it convenient for travel or when life gets busy. Some toothbrushes include audible signals that let you know when to switch the area of your mouth you’re brushing or when a full two minutes has gone by.

Do you have sensitive teeth? Studies have indicated that people tend to apply more pressure on their teeth when they use a manual toothbrush. This makes an electric toothbrush a preferable option if you’re having issues with sensitive teeth or gums.

There are even electric models with pressure sensors that will stop the brush from spinning when you press too hard against your teeth!

Everyone can benefit from having an electric toothbrush. A large handle size can be taken into consideration if a member of the household is young, or has a physical disability or arthritis. They’re even recommended for children in order to maintain good oral hygiene from a young age.

Biofilm is a term used for plaque or debris that builds up in your mouth. If not properly addressed, this can cause serious bacterial infections to your gums and teeth. If you want to remove biofilm in the most efficient way, an automatic toothbrush is the way to go.

When you're ready to make your decision, make sure to consult with Dr. Andrew Nalin at our Mount Vernon, WA office to decide which electric toothbrush is right for you!

If You Love Us, Let Us Know!

August 9th, 2017

Your feedback is very important to us at Nalin Orthodontics. We always want to make sure that our practice is meeting its full potential, so whether you’ve visited Dr. Andrew Nalin 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 Mount Vernon, WA office a call, too! We feel fortunate to have you all as patients and look forward to reading all your feedback!

Foods can Wreak Havoc on Your Enamel

August 2nd, 2017

It’s possible to develop tooth decay even when you take great care of your teeth. Brushing and flossing may not be enough to keep your teeth healthy, depending on your diet. Cavities, discoloration, and decay are still possible when certain foods feature in your daily intake. Keep an eye out for foods that will damage your enamel and cause the very issues you’ve been trying to avoid.

What causes enamel damage?

Tooth enamel is the hard outer layer of your teeth that is made of various minerals. Tooth decay results when the acids in your food react with the minerals in your enamel. Strongly pigmented foods may also cause unsightly discoloration on the surface of your teeth. Avoid wreaking havoc on your beautiful smile by identifying the foods that can harm your enamel.

Acid

Acidic food is your teeth’s worst nightmare! This is the greatest cause of enamel damage, even if you brush and floss regularly. To avoid damaging your teeth, make sure you can determine whether a food is acidic or not.

The pH levels are a way to determine acidity on a one-to-seven scale. This defines the relative acidity or alkalinity of a food or substance. Foods with high pH levels are not as likely to harm your enamel.

It’s wise to avoid or minimize foods that are high in acids. Highly acidic food can include fruits such as lemons, grapefruit, strawberries, grapes, and apples. Moderately acid foods may surprise you; they include tomatoes, maple syrup, pickles, and honey.

Not surprisingly, eggs and dairy products such as milk and cheese contain the least amount of acid. Red wine and coffee can also discolor your enamel if they’re drunk in excessive amounts.

What can I do to prevent enamel damage?

There are plenty of ways to avoid discoloration and decay of your enamel. The best thing to do is limit the amount of high-acid foods, including sugary juices and soda, in your diet.

Another way is to brush and floss regularly, an hour after each meal. If you can’t make time to brush, an easy solution is to swish your mouth with water or mouthwash to rinse away any leftover acidic particles.

Damaged tooth enamel may be common, but is avoidable when you know which foods to stay away from and the steps to take after you do eat highly acidic foods. Take our advice and you’ll be sure to slow down any future discoloration and decay that happens in your mouth.

For more advice on protecting your enamel, give our Mount Vernon, WA a call to learn more!

Positive Aging with Orthodontics

July 26th, 2017

Crooked or crowded teeth aren’t always just a cosmetic issue; they also are more difficult to clean, which can lead to tooth decay and gum disease. Likewise, if your teeth don’t align properly when you bite (known as malocclusion), this can cause chewing, swallowing, and speaking problems.

You can put these risks to rest and look amazing, however, with well-thought-out orthodontic treatment from Dr. Andrew Nalin. More and more adults are opting for orthodontic treatment and changing their lives in the process.

Childhood is of course the ideal time to get treatment, since the mouth and jaws are still growing, but many adults still can get beautiful and lasting results which can be achieved discreetly and effectively with modern orthodontic appliances and technologies.

Traditional braces used to be the only thing going, and many adults understandably don’t like the way they look. There are so many other options for braces these days that it’s possible for almost any patient to be treated effectively and efficiently — usually in one to two years.

Here are some of the technologies being implemented in our modern Mount Vernon, WA orthodontic office:

  • Clear aligners: Practically invisible clear plastic aligners are great for less severe cases.
  • Lingual braces: These are placed on the back of your teeth instead of the front, and can handle anything that traditional braces can.
  • Ceramic braces: Translucent ceramic brackets make for effective and more discreet treatment.
  • Self-ligating braces: These require less manipulation by the orthodontist, which means fewer appointments and quicker results.

It should also be noted that the goal of orthodontic treatment (especially in adults) isn’t always limited to straightening teeth and/or correcting a bite. Teeth provide support for the lips and cheeks and help define your face.

The relationship between the jaws, teeth, face, soft tissues, and underlying skeleton of the face are important, and an orthodontist takes this into account when designing a smile.

In short, getting orthodontic treatment won’t just give you a good-looking and healthy smile; it can help define and enhance the entire appearance of your face. Knowing just how crucial your teeth are in determining how you look and live will help you age positively and confidently.

Dental X-Rays: Are They Safe?

July 19th, 2017

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. Andrew Nalin 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 Mount Vernon, WA office!

Why choose an orthodontic specialist over a general dentist?

July 12th, 2017

Patients have so many choices for straightening their teeth nowadays — clear aligners, ceramic braces, lingual braces, self-ligating braces — but who is best suited to guide them through orthodontic treatment? Well, an orthodontist like Dr. Andrew Nalin in Mount Vernon, WA of course!

This may seem obvious, but there’s misinformation circulating with regard to the roles dentists and orthodontists play in treating patients’ oral health.

Dentists are trained to clean teeth, fill cavities, perform certain dental surgeries, and examine overall oral health. Many dentists now offer braces to their patients, but according to the American Association of Orthodontists, it’s better to consult an orthodontist if you need to straighten teeth or fix a bite.

Why an orthodontist? Because they are...

  • Specialists in straightening teeth and aligning jaws, even advanced cases
  • Required to study an additional two to three years after dental school
  • Trained to choose the correct treatment option because they have worked with all the available options
  • Trained to recognize the potential pitfalls with certain treatments and cases, which means there’s less chance of problems after treatment has started or been completed
  • Familiar with emerging treatments and technologies so they can make the best choice for a patient’s case

Some dentists claim to have taken enough continuing education or additional training to offer braces to their patients. But this can't compare to the advanced training an orthodontist receives during his or her education.

Ideally, dentists and orthodontists work hand in hand to make sure oral health and the alignment of teeth and jaws are the best they can be. Think of a dentist as the one who is there for a lifetime, to make sure teeth and gums are healthy.

In contrast, an orthodontist is the highly skilled teammate who helps the dentist by straightening teeth and aligning the jaws over the course of a few years. Instead of one replacing the other, they work together for the health and benefit of their patients.

Tell us about your summer!

July 5th, 2017

The dog days of summer are upon us, and what better time for Dr. Andrew Nalin and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Mount Vernon, WA and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

How to Choose the Best Mouthwash

June 28th, 2017

As we all know, or should by now, the key to maintaining great oral health is keeping up with a daily plan of flossing, brushing, and using mouthwash. These three practices in combination will help you avoid tooth decay and keep bacterial infections at bay.

At Nalin Orthodontics, we’ve noticed that it’s usually not the toothbrush or floss that people have trouble picking, but the mouthwash.

Depending on the ingredients, different mouthwashes will have different effects on your oral health. Here are some ideas to take under consideration when you’re trying to decide which type of mouthwash will best fit your needs.

  • If gum health is your concern, antiseptic mouthwashes are designed to reduce bacteria near the gum line.
  • If you drink a lot of bottled water, you may want to consider a fluoride rinse to make sure your teeth develop the level of strength they need.
  • Generally, any mouthwash will combat bad breath, but some are especially designed to do so.
  • Opt for products that are ADA approved, to ensure you aren’t exposing your teeth to harmful chemicals.
  • If you experience an uncomfortable, burning sensation when you use a wash, stop it and try another!

Still have questions about mouthwash? Feel free to ask Dr. Andrew Nalin during your next visit to our Mount Vernon, WA office! We’re always happy to answer your questions. Happy rinsing!

Blog Suggestions? Let’s Hear Them!

June 21st, 2017

Your opinions matter to Dr. Andrew Nalin and our team! Our blog is meant to be an educational channel, but we always want to know what things you’re interested in learning more about. After all, our blog is here for you to enjoy!

We’d like to encourage you to send us any ideas about what you want to see more of. No idea is too small! Whether it involves a specific treatment or advice on what kind of toothpaste you should use, we’d love to hear from you about it.

To share your thoughts with us, simply leave your comments below or on our Facebook page! You can also fill out a comment card the next time you visit our Mount Vernon, WA office!

When should I floss during the day?

June 14th, 2017

A vital step in your oral health routine is flossing. We hope our patients at Nalin Orthodontics maintain good oral hygiene, including daily flossing between each visit to our Mount Vernon, WA office. A toothbrush is not always enough to get to the hard-to-reach areas of your mouth. When food remains between your teeth, bacteria starts to grow and will break down your enamel. This is where flossing comes in!

Should you floss before or after brushing?

Whatever your personal preference, you may floss before or after you brush your teeth. When you floss first, you can brush away any leftover dislodged food debris from your teeth. On the other hand, when you brush first, you will loosen the plaque between your teeth, which makes flossing more effective.

The essential aspect is that you floss thoroughly by using a fresh strand of floss and make sure to get between every tooth. Even if your teeth look and feel clean, don’t skip flossing or plaque will begin to build up on your teeth.

When is the best time to floss?

Although you should brush your teeth at least twice a day, Dr. Andrew Nalin and our team recommend flossing your teeth thoroughly once a day. Many people prefer to floss before bed, so that plaque doesn’t sit between their teeth all night.

What kind of floss should I use?

You may choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you.

Do you need help flossing?

If you’re having trouble flossing or have questions about which floss is best for your teeth, contact our Mount Vernon, WA office and we can provide you with support. Be sure to keep up with your daily flossing routine, and we will see you at your next appointment!

Importance of Oral Hygiene with Braces

June 7th, 2017