Our Blog

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 Indianapolis 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. Syrah Quraishi 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!

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. Syrah Quraishi 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 Indianapolis 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.

Do you ever find yourself gnawing at your nails? Nail-biting is a very common and difficult to break habit which usually has its beginnings in childhood. It can leave your fingers and nail beds red and swollen. But if you think that your nails are the only ones getting roughed up by nail-biting you'd be mistaken—so are your teeth!

According to a study by the Academy of General Dentistry, those who bite their nails, clench their teeth, or chew on pencils are at much higher risk to develop bruxism (unintentional grinding of the teeth). Bruxism can lead to tooth sensitivity, tooth loss, receding gums, headaches, and general facial pain.

Those are some nasty sounding side effects from chewing on your nails. Most nail-biting is a sign of stress or anxiety and its something you should deal with. So what steps can you take if you have a nail-biting habit?

There are several things you can do to ease up on nail-biting:

• Trim your nails shorter and/or get regular manicures – Trimming your nails shorter is an effective remedy. In so doing, they'll be less tempting and more difficult to bite on. If you also get regular manicures, you’ll be less likely to ruin the investment you’ve made in your hands and fingernails!
• Find a different kind of stress reduction – Try meditation, deep breathing, practicing qigong or yoga, or doing something that will keep your hands occupied like squeezing a stress ball or playing with a yo-yo.
• Wear a bitter-tasting nail polish – When your nails taste awful, you won't bite them! Clear or colored, it doesn't matter. This is also a helpful technique for helping children get over the habit.
• Figure out what triggers your nail-biting – Sometimes it's triggered by stress or anxiety and other times it can be a physical stressor, like having hang nails. Knowing what situations cause you to bite your nails will help you to avoid them and break the habit.
• Wear gloves or bandages on your fingers – If you've tried the steps above and they aren't working, this technique can prove effective since your fingernails won't be accessible to bite.

If you're still having trouble with nail-biting after trying these self-help steps, it's best to consult your doctor, dermatologist, or Dr. Syrah Quraishi. For some, it may also be the sign of a deeper psychological or emotional problem.

Whatever the cause, nail-biting is a habit you need to break for your physical and emotional well-being. If you have any questions about the effects it can have on your oral health, please don't hesitate to ask Dr. Syrah Quraishi during your next visit to our Indianapolis office.

“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. Syrah Quraishi 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 Indianapolis 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!