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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. Allen 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 San Diego 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!

We mark special times throughout the year to encourage better oral health, like Dental Hygiene Month, and Children’s Dental Health Month, and National Align Your Teeth Day. This July 21st is National Junk Food Day, and we couldn’t let it pass without some healthy ideas to help you make the best of this not-so-dentally-healthy day.

What makes junk food unhealthy? Most of the foods in this category have high levels of sugars, starches, salts, or fats, which aren’t good for your body in large quantities. When it comes to your dental health in particular, some junk foods are worse than others because they are actively destructive to your tooth enamel.

Foods like candy, cookies, doughnuts, chips, energy drinks, sports drinks, and sodas can have large amounts of sugar, starch, and acid. And a diet filled with sugars, starches, and acids puts your tooth enamel under constant attack. 

The bacteria in plaque make acids from the sugars and starches (which break down into sugars) in our diets. These acids then erode the mineral crystals which give our enamel its strength, leaving weak spots which can deepen and become cavities. A steady diet of sweet and starchy foods for you creates a steady diet of sugar for cavity-causing bacteria. 

Just like the acids produced by bacteria can erode tooth enamel, acids in food can also strip away the minerals which keep your enamel strong. Sodas, sports drinks, energy drinks, and many fruit juices are often both sugary and highly acidic, making them very damaging to tooth enamel.

So, let’s spend a few moments today to discuss how you can enjoy a bit of junk food every now and then and still take good care of your teeth.

• Limit Sugars, Starches, and Acids

We don’t just mean limiting the number of treats you eat in a day. It’s also a good idea to limit treats to certain times as well. Eat desserts with meals, when saliva production is higher, to help wash away sugary and starchy food particles. Acidic drinks, when sipped throughout the day, are like bathing your teeth in acids. Better to drink a soda or sports drink in one sitting and drink or rinse with water after! 

• Brush and Floss after Eating Sticky Sugary and Starchy Foods

Sticky foods filled with sugars and starches are double jeopardy for your tooth enamel. Not only are they the foods of choice for plaque bacteria, they also tend to stick to your enamel, between your teeth, and around your brackets and wires, giving cavity-causing bacteria more time to work. Brushing and flossing as needed will get rid of any sugary or starchy leftovers as well as removing built up plaque.

• --- But Don’t Brush Too Soon After Acidic Foods and Drinks

When you eat or drink something acidic, your enamel is more vulnerable to damage immediately afterward because acids remove minerals from tooth enamel. If you brush right away, even soft bristles can be abrasive. Wait about 60 minutes to brush, which gives your tooth surface time to get strong again with the enamel-building minerals found in saliva. 

• Make Water Part of Your Healthy Diet

Easy, available, inexpensive—what’s not to like about water? Oh, and it’s also healthy for your teeth! Rinsing with water after a treat helps remove lingering food particles and acids from your enamel and your braces. And drinking water when you’re thirsty helps you produce saliva. Saliva not only rinses our teeth, it helps neutralize acids and helps replace calcium and phosphate minerals which may have been stripped away by acids.

• Some Foods Are Always Off-Limits

Junk Food Day or not, while you’re in braces there are some foods you should always say no to. Sticky, hard, crunchy treats like caramels, hard candies, and chips are not only bad for your enamel, they’re an accident waiting to happen for your brackets and wires! Stick to the foods your orthodontist recommends, and you’ll be out of braces and back to your old diet as soon as possible.

This July 21st, we’re not really celebrating junk food—we’re celebrating all the things you do to protect your oral health. So, whether you’re indulging today or not, keep your teeth their healthiest by making junk food a rare treat, following your orthodontist’s recommendations for brushing and flossing, eating a braces-friendly diet, and seeing your dentist regularly for checkups and cleanings. Let’s make National Junk Food Day just another day in a year filled with healthy smiles!

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 San Diego office and askDr. Allen or a member of our team!

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. Allen 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 San Diego orthodontic team! You might discover that clear braces are the clear choice to create your healthy, beautiful smile.