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How does wisdom tooth removal affect orthodontic care?

November 30th, 2018

The purpose of braces and other forms of orthodontic treatment at Carolina Dental Specialists 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. Robee Bailey Jr., DMD 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. Robee Bailey Jr., DMD, please give us a call at our convenient Concord, NC office!

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

November 23rd, 2018

Dr. Robee Bailey Jr., DMD 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. Robee Bailey Jr., DMD. 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 Concord, NC office today to learn more about the ways we can improve the appeal and function of your smile.

Thanksgiving Trivia

November 16th, 2018

At Carolina Dental Specialists we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Robee Bailey Jr., DMD 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.

Post-Braces Care: Wear your retainer!

November 9th, 2018

Many patients underestimate the importance of wearing their retainers after their braces come off, but it is one of the most critical post care practices to keep your teeth in alignment. Why spend all that time, energy, and money to straighten your teeth when you don't plan to keep them straightened after treatment?

What is a retainer?

As the name implies, a retainer keeps teeth from moving back to the positions in which they started before treatment was administered; they "retain" your smile and bite. There are many different types of retainers—some are removable and some are permanent. Some retainers are made of plastic and metal (known as Hawley retainers) and others are all plastic or all metal. Some retainers can even be bonded to the back of your teeth!

How long do I need to wear it?

If you've been given a removable retainer by Dr. Robee Bailey Jr., DMD, you may be wondering how long you need to wear it. It takes time for the tissues and bones around your teeth to reorganize and set into place after braces treatment.

The amount of time you’ll need to wear your retainer depends on your unique situation, but typically, retainers should be worn at least as long as the time you spent in braces. You might need to wear them full-time for a while, and then transition to wearing them only at night. Dr. Robee Bailey Jr., DMD will have a treatment plan especially for you, and if you stick to it, you'll always have a straight smile.

Nothing is forever (at least without retainers!)

Research has shown that there is no “permanent” position for your teeth to remain in. In fact, some studies say upward of 70% of patients will see a change to their bite and tooth alignment as they get older. This applies to people who have had orthodontic treatment and those who have not. Of course, some people's teeth never seem to shift—you can consider them the lucky ones, as most people's teeth do.

And this is precisely where retainers come in. The only way to ensure your teeth stay in alignment long-term is by wearing your retainers. If you have any questions about retainers or your treatment plan, please ask any member of our Concord, NC staff.

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