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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.

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!

Taking care of your oral health involves a daily regimen of brushing, flossing, and rinsing to prevent tooth decay and bacterial infections. Though you may have asked us which toothbrush to use, few patients at Nalin Orthodontics ask about mouthwash.

However, different mouthwashes you might choose will have varying effects on your oral health. So which type is best for you?

Gum Health

Antiseptic mouthwashes are designed to reduce the majority of bacteria on and near the gum line. Using an antiseptic mouthwash can help decrease your chances of developing gingivitis. If possible, look for a mouthwash with antibacterial or antimicrobial ingredients.

Fluoride

Fluoride is beneficial for oral health and can help prevent tooth decay. If you drink a lot of bottled water without fluoride, we may recommend that you purchase a rinse with fluoride in it.

Bad Breath

Although mouthwash is designed to prevent bacterial build-up within the mouth, many people use it to combat bad breath. Most mouthwashes will help eliminate the bacteria that cause bad breath, and some are specifically designed to do so.

However, if bad breath is a chronic problem that requires daily treatment with a mouth rinse, contact Nalin Orthodontics to discuss your symptoms.

American Dental Association Approval

The ADA reviews mouth rinses for safety and effectiveness. A mouthwash with the ADA Seal of Approval will meet strict criteria, and will have scientific evidence or clinical studies that support the claims of the manufacturer. If possible, select a mouthwash that bears the ADA Seal of Approval to ensure you are using a quality rinse.

Considerations

If you are unsure as to which mouthwash is right for you, contact our Mount Vernon, WA office or ask Dr. Andrew Nalin during your next visit. Also, be sure to keep mouthwash out of the reach of children, as it contains alcohol and other substances that could be harmful to them. Avoid letting children under age six use a mouth rinse, and discontinue use if you experience a burning sensation in the soft tissues of your mouth.

The community health awareness group Oral Health America has reported that 82 percent of adults are unaware of the role that infectious bacteria can play in tooth decay or cavities, and almost three out of five children aged 12 to 19 have tooth decay. Since June is National Smile Month, Dr. Andrew Nalin and our team at Nalin Orthodontics thought we’d remind our patients about the importance of good oral hygiene visits between office visits.

To keep your family’s smiles healthy and beautiful for years to come, be sure to:

• Brush at least twice a day with fluoride toothpaste
• Floss every day to clean between your teeth
• Eat a healthy, well-balanced diet
• Reduce your intake of sugary foods and drinks
• Visit Dr. Andrew Nalin for scheduled appointments

If you want to know more about healthy home care habits, feel free to ask our team at your next appointment, or ask us on Facebook!