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“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 True Smile 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. Sutton !

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!

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. Sutton  about your options during your next visit to our Georgetown 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.

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. Sutton and our Georgetown 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!

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 Georgetown office.

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 True Smile 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 Georgetown office to schedule your consultation today!

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. Sutton 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 Georgetown office during your next appointment.

We all want to live our healthiest lives. We know that part of keeping ourselves healthy is regular visits to our Georgetown 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. Sutton 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.

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. Sutton!

• 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 Georgetown 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 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. Sutton and our team recommend an orthodontic assessment at our Georgetown 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. Sutton 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. Sutton will diagnose your malocclusion and create a personalized plan carefully tailored to your exact needs, for an uncommonly attractive, confident, and healthy smile.

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. Sutton 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.

Watching the clock tick down the final seconds until midnight, many of us- True Smile 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 Georgetown, 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!

Dr. Sutton 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. Sutton. 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 Georgetown office today to learn more about the ways we can improve the appeal and function of your smile.

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. Sutton 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 Georgetown office!

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 Georgetown office, ask Dr. Sutton 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!

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 Georgetown 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. Sutton 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!

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 Peter H Sutton Dentistry PLLC!

We all welcome the idea of braces adjustments at our Georgetown 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!

Many developing orthodontic problems can be intercepted and corrected if diagnosed and treated at an early age. Dr. Sutton and our team at Peter H Sutton Dentistry PLLC 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 Georgetown 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. Sutton, 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.

There's something special about customizing the elastics on your braces to fit your unique personality. Once you embrace your braces (no pun intended) you'll realize how many color options and combinations there are to choose from. Although you'll have a fantastic smile afterward, you won't have this level of customizability once your braces come off, that's for sure!

Adding flair to your braces isn't what all patients are looking to do (like those opting for clear aligners or ceramic braces), but it's part of the fun of traditional metal braces! Many of our patients ask Dr. Sutton to have their elastics match the colors of their favorite sports teams or their school, but how about changing your elastics to match holiday colors?

Here are some options to consider:

• Valentine’s Day – Red and pink
• Easter – Pink, blue, and violet
• Halloween – Orange and black
• Christmas – Red, green, and white
• Saint Patrick’s Day – Green and white

There are a few colors that some people choose to avoid. But if you’re trying to make your teeth stand out in a crowd, the following suggestions need not apply!

• Brown or Green – can be mistaken for food being stuck in your teeth
• Black – might look like a rotten tooth if someone isn't looking hard enough
• White – Some patients think it will make their teeth look whiter, but in fact it can make your teeth appear yellower than they actually are. White elastics can also stain easily.
• Yellow – accentuates the yellowness of your enamel

Since changing the color of your elastics has no effect on the actual orthodontic treatment process, the idea is to have fun and add a personal touch. So, next time you get your elastics changed at our Georgetown office, why not wear your braces boldly and opt for something festive?

Just like the rest of your body, your mouth and teeth need to be well-nourished and taken care of in order to keep your smile radiant. Orthodontist Dr. Peter Sutton at True Smile Orthodontics has four tips for keeping the beautiful and healthy smile you deserve!

Brush and Floss

The American Dental Association recommends brushing your teeth twice a day for two minutes with a soft-bristled brush. It also recommends flossing daily in between teeth to keep plaque at bay. Flossing, while boring and annoying, is pertinent to oral health. Did you know not flossing is linked to heart disease? YIKES!

Eat Healthy

Sweet treats are delicious, and you should treat yourself. However, eating too many sweets can lead to cavities and tooth decay. Eating a healthy, well-balanced diet complete with fruits and vegetables is the key to having healthy teeth and gums. When you do eat or drink something sweet, be sure to brush your teeth ASAP to remove any excess sugar.

Rinse and Repeat

No one wants to be caught with stinky breath! However, mouthwash offer benefits other than making your breath smell fresh. Mouthwash helps to protect your teeth and gums by killing bacteria that can lead to gum disease. Be sure to rinse at least once a day for 30-60 seconds!

Visit your Dentist and Dr. Peter Sutton

Routine oral health exams are essential for keeping your mouth healthy. It is recommended that you have a general dentist appointment every six months. At this appointment, they can examine your mouth and address any potential issues. A dental hygienist can then professionally clean your teeth and gums to remove any plaque and polish up your smile.

Your general dentist may also recommend that you see your orthodontist if you might be a good candidate or benefit from braces treatment. It is recommended that children receive an orthodontic evaluation around age 7.

If you follow these 4 simple tips, you are already on your way to having a healthy, glowing smile. As always, never hesitate to contact our office with any questions you may have!

Getting braces doesn’t mean giving up the sports you love! Luckily, braces will not keep you from any sport or physical activity. However, the price you pay for a beautiful smile is taking a little extra care of your mouth while undergoing orthodontic treatment.

Play Safe, Play All Season

In general, it is not uncommon for an athlete to experience injuries to the mouth and jaw area. Ever taken a soccer ball to the face? A fixed orthodontic appliance, such as braces, does increase your risk of oral injuries. Common oral injuries include lacerations to the cheeks, lips, and tongue, chipped or broken teeth, TMJ, and root fractures.

Have no fear, you can easily protect your teeth, mouth, and braces while playing sports by investing in a mouthguard. While it is suggested that braces patients invest in an orthodontic model, a basic mouthguard will provide more protection than nothing at all.

The Game Plan for Mouthguards

Here is the low-down on mouthguards – they are easily accessible, simple to use, and highly effective at preventing damage and injury to your braces and mouth. While they should really be worn for all sports, they are vitally important for those playing high-contact sports like football, hockey, and boxing.

If you are an avid athlete and plan to play sports throughout the duration of your treatment, Dr. Peter Sutton of True Smile Orthodontics strongly suggests investing in an orthodontic mouthguard. These mouthguards are designed specifically to be used with braces and may protect your mouth and teeth better than the simple version that you buy at the store.

Keep in Mind

Whether you have braces or not, if you ever happen to receive an injury to your teeth or mouth, get in touch with your general dentist’s office ASAP. They can diagnose any tooth damage, including root or jaw bone fractures. After you’ve been assessed by your dentist, also have Dr. Peter Sutton take a look to see if anything needs to be repaired or replaced.

As always, if you have any questions about sports and braces, contact our office with any questions or concerns.

You’re in between meals and craving something sweet, but you just started orthodontic treatment and know that many of your favorite foods should now be avoided. Is there anything sweet you can eat? The short answer is yes! Dr. Peter Sutton and the staff at True Smile Orthodontics are here to explain the truth about sugar and how to satisfy your sweet tooth without damaging your braces.

The Truth About Sugar

Sugar is one of the leading causes of tooth decay and is off-limits during orthodontic treatment to keep the teeth healthy and strong. Whether you’re in braces or not, it is important to note that candy made of lots of sugar should always be avoided, especially during orthodontic treatment. Failure to do so could mean more dental work after your braces come off.

There is a common misconception that the type of sugar that you consume makes a difference in the overall effect on the teeth. This idea is false - texture and concentration matter immensely. The stickier the candy the more minutes it sits on your teeth the more likely the teeth are to decay or decal off, causing permanent stains. If eating a high sugar content food, the faster they are cleaned off the teeth by saliva, water or a toothbrush, the less risk there is. Once braces are on, sugar has many places to hide and the longer it’s left to sit on the teeth and braces, the more damage it causes.

Satisfy Your Sweet Tooth, Consciously

While you may not be able to enjoy some of your favorite candies as before, don’t worry. There are still many ways to satisfy your sweet tooth while wearing braces that won’t compromise your orthodontic treatment. Some of the sweets you can still enjoy include:

• Dark chocolate
• Sugar-free gum
• Soft-baked cookies
• Smoothies or milkshakes
• Ice cream
• Fruit
• Thin-sliced apples
• Brownies

Just as you would after any meal, it is important to remember to brush after eating to remove any leftover food from your teeth that could cause damage.

Trust the Orthodontic Staff of True Smile Orthodontics

Trust the Orthodontic Staff of True Smile Orthodontics

We understand that it can be hard to resist the temptation of satisfying your sweet tooth, but you still have many tasty options. Choosing one of the above foods can help you make healthier choices when you do decide to give in to that temptation. For more information on eating with braces or to schedule an appointment, contact us. Your smile is our priority.

Whether you’ve had orthodontic treatment or not, you’ve seen people wearing elastics or rubber bands as part of the process. But do you know what they’re used for? To help give you a better idea of why rubber bands are used with metal or clear braces, we’ll explain what they are, why they’re used, and how to take care of them during treatment. 

What are Rubber Bands? 

In short, rubber bands are used to help move your teeth along the archwire to aid in tooth movement for your particular treatment plan. There are many different ways to wear rubber bands and how long you wear them is determined by your orthodontist. Dr. Peter Sutton at True Smile Orthodontics will instruct you on exactly how to wear your rubber bands and when and how often to change them based on your personalized treatment plan. Since your rubber bands lose their elasticity with use, patients are normally instructed to replace them at least once a day, especially after eating and brushing. 

Who Needs Rubber Bands?

Not everyone with braces needs to wear rubber bands. It all depends upon your particular problem and treatment plan. Rubber bands come in different sizes and strengths and are typically used to help correct poor bites such as underbites, overbites, and crossbites. Even though your teeth may look straight, if the upper and lower teeth and/or jaws do not line up correctly, it can result in malocclusion (poor bite). Rubber bands are used together with brackets and archwires to correct these types of issues.

Taking Care of Rubber Bands

If you are instructed to wear rubber bands, they are a very important part of your treatment to achieve a better smile and finished result. You can remove your rubber bands while eating, brushing, and flossing. And don't forget to put them back on after you are done!

Forgetting to replace them or failing to wear them as directed could delay your progress and extend your treatment time. So make sure you always have plenty of rubber bands on hand in your pocket or backpack should you need to change them. Packets of replacement rubber bands are given in-office at your appointments, once prescribed. Feel free to contact our office if you notice you are running low in between appointments or lose them. 

If you have questions about how to wear your elastics, contact our office today. Your new smile will thank you later!

You’ve been patiently waiting for your orthodontic treatment to come to an end and your braces to come off. You followed all the oral hygiene instructions during and after treatment, but now your wisdom teeth are starting to come in. Will they ruin your new smile? 

At True Smile Orthodontics, we get this question a lot and rightfully so. With the typical timeline for orthodontic treatment being between about 18 and 36 months, we understand that it would be very disappointing for all that hard work to go to waste. In some very rare cases, the eruption of wisdom teeth can shift the teeth and ruin past orthodontic treatment, but again, this is rare. This is why it is important to maintain a relationship with an orthodontist, like Dr. Peter Sutton, even after treatment has ended. Once your wisdom teeth do come in, it can be determined if they need to be removed or not. 

About Wisdom Teeth

Wisdom teeth are the last of the permanent teeth to erupt and typically occur between the ages of 17 and 25 for most people. While most people have them removed, it is not always necessary. In some cases, many people have plenty of room for their wisdom teeth to develop just fine. In other cases, there isn’t enough room in the mouth for wisdom teeth to grow - causing them to partially erupt or become impacted. In situations like this, the wisdom teeth should be removed to avoid causing further issues to the rest of the teeth. 

It is important to note that as we age, our teeth begin to shift. Wisdom teeth are often the blame for these shifts, but research at the University of Iowa found that “wisdom teeth do not exert the amount of pressure needed to move the teeth in front of them to cause them to shift.” To find this, researchers placed sensors between patients’ teeth and observed the pressure on them. They did this in patients with and without wisdom teeth present. It was concluded that there was no noticeable difference in either case. 

How True Smile Orthodontics Can Help 

Immediately following orthodontic treatment, we highly recommend wearing your retainer as prescribed after getting your braces removed. It is the best way to keep the teeth in their intended places after orthodontic treatment. For more information on wisdom teeth and braces or to schedule a complimentary consultation, contact our office.

You’re getting your braces put on for the first time and you’re not sure what to expect. One thing is for sure; your oral hygiene practices will definitely change. To help prepare you for what’s in store and make the most of your orthodontic treatment, we at True Smile Orthodontics explain what you can expect from your first week in braces:

Placement Day

On the day your braces are put on, the process should be relatively painless. In the hours following placement, you may notice that it will take you longer than usual to finish meals as you get used to wearing and chewing with braces. Stick to softer foods (like soups, mac and cheese, mashed potatoes, shakes, etc.) for the first few days while your teeth and mouth adjust. You may also experience slight discomfort or soreness as the teeth begin to move.

Three Days After Placement

The first few days after getting braces are the most uncomfortable due to the teeth beginning to align and the mouth adjusts to the pressure of the wires and elastic ties. We recommend taking over-the-counter pain medication (ibuprofen, for example) to relieve any discomfort. If your wires cause irritation inside your cheeks or lips, a member of our staff will show you how to apply wax or silicone over the braces to reduce soreness.

One Week After Placement

The discomfort you experienced in the first couple days should stop within five to seven days after placement. The teeth will have mostly adjusted and eating with braces will become much easier than before. Don’t rush into trying out harder foods just yet. Give your mouth more time to get used to the braces and stay away from sticky and sugary foods. Foods high in sugar can lead to tooth decay and sticky foods can get caught between wires and brackets.

Orthodontic Appointments

It is important to schedule and attend regular appointments with an orthodontist Dr. Peter Sutton during the course of your orthodontic treatment. During these appointments, the doctor may make adjustments to the braces, change the elastic ties, and monitor progress to ensure you are on schedule with your treatment plan. The first few days after an adjustment can cause aches in the mouth and on the teeth, but will not last long. Our staff can advise options for remedies to reduce pain.

For questions about orthodontic treatment or braces, contact our office. Your smile is our priority

It’s the start of a new day and you’re going through the motions of your morning routine. As you begin flossing, you notice your gums start to bleed in some areas. Is this normal?

While bleeding gums from flossing does not mean your mouth isn’t clean, it can be a sign that you aren’t flossing enough. According to Colgate, “It's fairly common for gums to bleed when you first begin flossing between teeth, and as long as the bleeding stops quickly, it's not usually considered a problem.” In other words, continue to floss daily and the bleeding should stop over time.

Causes of Bleeding Gums

Several factors can cause gums to bleed. To help narrow down why you may be experiencing bleeding gums, consider the following reasons:

• Gingivitis

Plaque buildup along the gumline and in between the teeth that is not removed by daily brushing and flossing can lead to gingivitis - which can cause gums to bleed. Symptoms of gingivitis include gums that are swollen, tender and sometimes bleed during brushing. Regular dental checkups and daily brushing and flossing are the best ways to combat this early stage of gum disease.

• Medications

According to The American Dental Association, blood thinning medications can cause bleeding gums. Blood thinners reduce the blood’s ability to clot, which can cause a patient to bleed very easily. Contact your dentist or doctor if you are currently prescribed blood thinners and experience bleeding gums when brushing or flossing.

• New Flossing Routine

Haven’t flossed in a few days? Going back to a regular routine of flossing after not having done so in a while can cause gums to bleed once you’re back into the swing of things. Flossing more frequently than usual to remove food and plaque from between your teeth can also cause bleeding gums. If it doesn’t clear up within a week, contact your dentist.

• Vitamin Deficiency

If your body is lacking enough vitamin C or K, you could be more prone to bleeding gums. Contact your doctor to have your vitamin C and K levels checked to see if you are getting the nutrients your body needs.

For more information on gum disease or if you’re experiencing bleeding gums for more than a week, contact our office to schedule an appointment. Your smile is our priority.

In a previous post, we discussed some of the drinks that have a negative effect on the teeth. This included soda, fruit juices, and coffee. While it may seem like water is your only beverage option, fear not. There are a few drinks still available to quench your thirst without affecting your orthodontic treatment.

Milk 

Not only can it help build strong bones, but milk is a great source of calcium. Calcium helps to repair and maintain tooth enamel to keep your teeth strong. Lactose intolerant? Don’t worry. Calcium-fortified soy milk is a great alternative to getting the same benefits as regular milk. However, it is important to keep in mind that milk also contains sugar which, if left on the teeth for too long, can cause tooth decay. 

Green and Herbal Teas 

Black tea is very similar to coffee and red wine and can leave stains on the teeth. Green and herbal teas, on the other hand, do not. In fact, they can actually be beneficial to your oral health. Tea can help fight the bacteria found on teeth due to the compounds called polyphenols they are made of. The best way to drink tea while wearing braces is to drink it as is - no sugar or honey added. For those who prefer a sweeter taste, use sugar-free sweeteners instead. 

Water 

Although it may be the most obvious choice, water is an essential part of maintaining a healthy lifestyle and staying hydrated. Water is an important part of oral health because it helps produce saliva, the mouth’s first defense against sugars, acids and bacteria left over from food we’ve eaten. Drinking water after every meal can be the best solution until you are able to brush your teeth.

Good Drinks are Just the Beginning 

Consuming healthy drinks is only one part of maintaining good oral health while undergoing orthodontic treatment. Keep in mind to continue daily brushing, flossing and attending appointments as scheduled with Dr. Peter Sutton at True Smile Orthodontics as well. Your beautiful, straight smile at the end of treatment will thank you later.

Orthodontic consultations are oftentimes a complimentary introduction for orthodontists, like Dr. Peter Sutton, to get to know you and your oral health concerns. The best thing you can do to make the most of your consultation is to prepare a list of questions beforehand. To help you get started, we’ve come up with a list of common questions answered during our complimentary smile exams.

How Long Will My Treatment Take?

It is important to first note that orthodontic treatment is not a “one size fits all” approach to straightening teeth. At True Smile Orthodontics, we develop orthodontic treatment plans based on the individual needs of each patient to ensure they get the best results. Be sure to ask the orthodontist for an estimate of how long your treatment will take as the length may vary depending on how complex your situation is.

How Do I Brush and Floss With Braces?

Maintaining good oral hygiene is a crucial part of making sure your orthodontic treatment produces the results you want. Food can often times get stuck between wires and, if not removed quickly, can lead to more serious oral health problems. That being said, we are often asked how to brush and floss around braces to get the best clean. Ask your orthodontist what they recommend for keeping your braces clean throughout treatment.

What Foods Should I Avoid?

If you know anyone that had braces or are currently in braces, you probably understand that your diet will change once you begin orthodontic treatment. Braces can make it difficult, if not impossible, to enjoy certain types of food. During your consultation, ask which foods you should avoid to prevent complications during treatment.

What Happens if Something Breaks?

Accidents happen. When they do, it is important to discuss what you are to do in case a bracket becomes loose or breaks, a wire snaps, and any other scenarios. It is best to learn what to do in these situations ahead of time so that if and when they do occur, you’re prepared.

We Can Answer Your Questions Too!

Your smile is important to us and we’re always here to answer any questions you may have about orthodontics. Contact our office to schedule your complimentary consultation to find out the best treatment options will work best for you. We make your smile our priority.

Did you know that orthodontic treatment is not just for teens and adults? In fact, the American Association of Orthodontics (AAO) recommends that by the age of 7, children should have an initial orthodontic consultation. These comprehensive consultations determine whether or not a child’s teeth are developing properly or if early orthodontic treatment is or will be needed in the future.

Phase 1 vs Phase 2 Orthodontics

The typical process for Phase 1 orthodontic treatment involves a patient being fitted for their appliance (braces for example) which is worn until their teeth move into their proper positions. Some patients may require extractions or surgery prior to beginning treatment. Once the teeth are properly aligned, the patient wears a retainer to keep the teeth from shifting back. 

Two-phase orthodontic treatment differs from Phase 1 in that the first part of treatment is done while the patient still has most of their baby teeth. The goal of two-phase orthodontic treatment is to minimize development problems early so that treatment in their teens will be faster.

Who Benefits From Two Phases?

It is important to note that not everyone requires two-phase orthodontic treatment. Certain types of orthodontic problems respond well to two-phase orthodontic treatment while others may require additional work. Common oral problems two-phase orthodontic treatment can be used to correct include:

• Crossbites - early correction for a cross-bite can help stop lower jaw problems from becoming worse.
• Extreme Crowding - starting with phase 1 treatment can create more room in the mouth, reducing or eliminating the need for future tooth extraction.
• Protrusive Front Teeth (teeth that stick out) - are at higher risk of being damaged, particularly for very active children, and moving them back could prevent an injury.

When One Phase Is Enough

While some parents prefer the proactive approach of getting their child in for an orthodontic consultation sooner than later, it must be remembered that two-phase orthodontic treatment is not for everyone. Some patients are able to correct their oral issues after just one phase. In some cases, even if two-phase orthodontics is recommended, the child may not be able to begin treatment if they are too young.

Just Ask Us!

If you’re curious about the development of your child’s smile or wonder if they are old enough for orthodontic treatment, contact our office to schedule a complimentary consultation with orthodontist Dr. Peter Sutton. We make your child’s smile our priority.

When you think of braces, who do you picture wearing them? If you’re like most Americans, children and teens come to mind. If you’re unhappy with your smile, you probably think you missed your chance for straight teeth, but that couldn’t be further from the truth. Thanks to advances in technology, orthodontic treatment for adults has become more common while producing excellent results. So much so, The American Association of Orthodontists (AAO) found that one in five orthodontic patients is over the age of 18.

With Age Comes New Changes

As we age, our bodies change. This is especially true for our teeth. For a variety of reasons, including injury, tooth loss, teeth grinding, loss of enamel, or natural growth, our teeth begin to shift towards the front of our mouths as we age. As a result, our teeth can become crooked and overcrowded. In some cases, patients may experience jaw pain or have difficulty properly cleaning their teeth.

Daily Habits and Shifting Teeth

Did you know that your daily habits also have an influence on how your teeth shift over time? Simple things that we routinely do, like sleeping on our stomachs or resting our hands on our heads while asleep can influence our teeth to shift. The good news is that there are ways to combat and prevent some of these shifts. Good posture, sleeping on your side or back and good oral hygiene can help reduce the effect of shifting.

It’s Never Too Late to Straighten Your Smile

While getting rid of bad habits and starting positive ones is important to your oral health, it won’t reverse the dental shifting that has already happened. For this reason, Dr. Peter Sutton suggests adult orthodontic treatment. Unlike teens, most adults are able to self-govern themselves to follow directions for maintaining oral health best practices while undergoing orthodontic treatment. As a result, they typically experience better, faster results.

Schedule Your Consultation

Whether you’re familiar with adult orthodontics or not, we have a variety of orthodontic treatment options to fit the needs of every patient. From traditional metal and ceramic braces to lingual braces and clear aligners, contact our office to find out what treatment plan is best for you. Your smile is our priority!

Did you know that orthodontic treatment is more than just straightening teeth? The American Association of Orthodontists (AAO) states, “The goal of orthodontic treatment is a beautiful smile and a good bite—meaning straight teeth that mesh well with the teeth in the opposite jaw and look great.” A straighter smile isn’t only good for aesthetics, it can also make it easier for you to bite, chew and even speak.

Cost vs. Value

Compared to the drastic increase in the price of a house or car in the last 20 years, you will get more value with orthodontic treatment as it typically lasts longer than most people keep a car or even the same house. With proper oral hygiene, the beautiful new smile you achieve with Dr. Peter Sutton at True Smile Orthodontics can last a lifetime at an unbelievable value.

Speaking of value, let’s discuss the value of the orthodontic treatment process itself. No two smiles are alike and, for this reason, we spend an enormous amount of time and energy into the treatment of each one of our patients. Using the latest advances in orthodontic and dental technology, we are able to create custom orthodontic treatment plans based on your specific needs.

From your first visit, Dr. Peter Sutton performs a clinical exam to determine if orthodontic treatment is necessary or not. Next, your diagnostic records are taken and analyzed in order to diagnose potential orthodontic problems. A treatment plan is then created detailing step-by-step how these oral issues will be resolved. Depending on your plan, treatment can take anywhere from 18 to 24 months to complete with visits to our office every 6 to 10 weeks for adjustments.

Life After Treatment

Once treatment is complete and your teeth and jaws are in their proper position, the braces or other orthodontic appliances are removed. Retainers are provided the same day to ensure that the teeth stay in their proper positions. Retainers are worn nightly for a prescribed amount of time dependant on each patient’s unique situation. Wisdom teeth are also monitored so that they do not compromise the results of the treatment.

While orthodontic treatment may seem to like an investment, it is. It is an investment in your future and health that produces unlimited benefits throughout your lifetime. Trust that our years of experience and attention to detail will help you achieve the smile you’ve always wanted.

Curious about orthodontic treatment for you or your child? Contact our office to schedule your free consultation.

It’s 11 pm and, while you should be in bed, you’re standing in front of the fridge trying to decide a snack of choice before calling it a night. You know this isn’t the best life choice for your waistline, but did you know that it’s also bad for your oral health - especially your braces. Your orthodontic treatment increases the potential to leave food behind on the teeth after eating.

Late Night Snacking Can Lead to Tooth Loss

A 2010 study in Denmark discovered a relationship between midnight snacking and tooth loss. Over a six-year period, a group of over 2,000 adults (8% labeled “nocturnal eaters”) were found to have significantly increased their chances of tooth loss from repeated midnight snacking.

Nocturnal eaters were classified as those who eat a quarter or more of their daily calories after dinner several times per week. This also includes those who wake up in the middle of the night to eat a snack.

Less Saliva = Increased Bacteria

One theory researchers had about the relationship between tooth loss and late-night snacking is that it is due to a lack of saliva production. The body produces less saliva at night - meaning those who eat late won’t have enough saliva to remove food debris that is left on the teeth. Braces make the problem worse as food can easily get stuck between brackets and wires.

When you do have a late night craving, odds are the foods you often choose are high in sugar and starches. Sugar sticks to your teeth, becoming a feeding ground for bacteria. Bacteria eat the sugar left on your teeth and deposit acid directly onto the enamel, causing tooth decay if left for long periods of time.

What You Can Do

• Brush your teeth after dinner. You are less likely to want to eat again after already cleaning your teeth.
• Try not eating or drinking anything (with the exception of water) up to one hour before bed.
• When you’ve just gotta have a snack, reach for something healthier than your normal choice. For example, choose an apple instead of potato chips.

Come See Us!

At True Smile Orthodontics, we want to make sure you get the most out of your orthodontic treatment. If you have questions about how your eating habits are affecting your progress, contact us to schedule an appointment. We’ll examine your current progress and provide suggestions to help you curb your cravings or make smarter choices when they do come up. Our goal is to help maintain your healthy, beautiful smile!

Although diabetes has become a fairly common disease in recent years, it is still very serious and should be managed properly to avoid damaging effects to the body. These damaging effects include threats to your oral health that can greatly influence your orthodontic treatment.

Diabetes and Gum Disease

The connection between diabetes and periodontal disease is closer than most people think. Did you know that those with diabetes are two times more likely to develop gum disease? For this reason, it is important for people with diabetes to understand its effects and practice good oral hygiene before, during and after orthodontic treatment.

Simply put, gum disease (periodontal disease) is an infection of the soft tissue that holds the teeth in place. It is caused by a buildup of bacteria not removed with regular brushing and flossing. While diabetes can increase the chances of getting gum disease, it can also be affected by gum disease itself. Gum disease in those with diabetes raise their risk for developing things like kidney disease, heart disease and stroke.

Diabetes and Orthodontics

Periodontal disease puts added stress on the gums, which can complicate orthodontic treatment. Braces also cause stress on the gums due to the movement of teeth. In some cases, orthodontic treatment may have to end early due to gum disease. If you or someone you know is undergoing treatment with diabetes, consider the following tips:

• Inform our staff. We don’t judge, we’re here to help.
• Maintain your diabetes by eating healthy and staying active.
• Try to brush after every meal or twice daily at the minimum.
• Floss at least once each day,
• Avoid smoking.

Signs and Symptoms

If you suspect possible gum disease during orthodontic treatment, contact our office to schedule an appointment as soon as possible if you experience any of the following:

• A difference in your bite
• Sensitive teeth from receding gums
• Gums that are red, swollen or tender
• Bleeding gums when brushing or flossing

Dr. Peter Sutton and our experienced staff at True Smile Orthodontics will conduct a thorough evaluation of your teeth to determine if treatment should be stopped or another form of action needs to be taken. Gum disease is best fought when caught early so don’t wait until things get worse. Contact us to schedule an appointment. We’re here to help!

At the start of every new year, most of us begin to reevaluate our waistlines and opt for a healthier lifestyle. With the growing popularity of juicing in recent years, more of our patients have been turning to this diet as a means of increasing their fruit and vegetable intake. While blending veggies, fruits, and other nutrients together can be very beneficial for overall health, do you really know the effects on your oral health?

The Effects of Juicing on the Teeth

When you consume a fruit and vegetable drink, you’re exposing your teeth to the acids that come from these foods as well. Over time, these acids can cause staining and erosion damage to your teeth. Many people notice that their teeth feel sticky or rough after juicing for more than a couple of days. Thankfully, Dr. Peter Sutton at True Smile Orthodontics has a few easy tips to help maintain great oral health while drinking yourself to a better you.

Always Drink Through a Straw

When drinking your choice of blended greatness, use a straw to keep most of the liquid from coming into contact with your teeth. Take it a step further and have different types of straws to compliment the consistency of what you’re drinking. For example, using a wide straw for thick juices and a narrow or regular-sized straw for normal densities. Metal straws seem great in theory but can actually chip your teeth if you’re not careful.

Wash it Down with Water

The longer acid has to sit on your teeth, the greater your chances of stains and erosion. To combat this, follow up each juice with a glass of water. Even if you used a straw to consume your juice. Not only will the water help to rinse away harmful acid, but it can also fill you up more - helping you lose weight.

Get the Right Toothpaste

Whitening toothpastes are the usual go-to for most households. However, when you’re juicing, the acid from those foods can sit on your teeth - causing the enamel to soften and teeth to become more sensitive. Combine that with the harsh chemicals found in most whitening toothpastes and you’ll find yourself in a lot of discomfort. Instead, use toothpaste that is made for sensitive teeth so you can clean the teeth well without hurting them.

Avoid Over-Brushing

If you’ve been paying attention so far, you may think it’s best to brush after juicing to rid your mouth of potentially harmful bacteria, but also beware of over-brushing. We strongly suggest waiting about 30 min after consuming juices to brush and swishing with water to neutralize the pH in the mouth. Keep your brushing to 2-3 times per day, otherwise, you may be brushing away gum tissue (causing recession at the gum line).

Have Questions?

Contact our office to schedule an appointment and find out if your new diet is having a positive or negative effect on your orthodontic treatment.

All of us here at True Smile Orthodontics have heard the expression “an ounce of prevention is worth a pound of cure”. Taking this to heart can make our teeth stronger and brighter if we eat the right foods to support that healthy smile.

Even though Veneers, crowns, and fillings, along with professional whitening can make your teeth stronger and brighter, it's best to avoid cavities and stains altogether with regular brushing, flossing, and just as important…eating the right foods.

Here is a list of 5 dental friendly foods to prevent and even reverse damage to your teeth.

1. Dairy Products – We all know milk and dairy products are our primary source of calcium, which builds strong tooth enamel and bones. Dairy products, contain casein, a type of protein found especially in cheese. Research reports that caseins, combined with calcium, contribute to stabilizing and repairing tooth enamel.
2. Leafy Vegetables and High Fiber Foods- Eating a salad or dish of beans requires a lot of chewing and a great way to wash your teeth. Biting into an apple scrubs your teeth also. Chewing generates saliva and the food scrubs your teeth as you chew it into little pieces. It’s like a tooth cleaning dog treat.
3. Strawberries for Whitening Teeth - Strawberries contain malic acid and are a natural whitening agent.
4. Sugarless Gum – helps clean teeth by stimulating saliva production when you chew. Saliva aids in washing away acids created by bacteria in your mouth. Also, many types of sugarless gum are sweetened with xylitol, an alcohol that reduces bacteria in the mouth as you chew. At True Smile Orthodontics we do not recommend chewing gum while wearing braces, but once removed, sugarless gum can help maintain your beautiful new smile!
5. Good Old Fashioned WATER – Water helps wash away food, sugar and acid after you eat. In most areas it also contains fluoride, a mineral that protects against tooth erosion. Did you know that fluoride occurs naturally in water, including some natural spring water? Across the United States, most communities fortify their water with fluoride also.

Changing our eating habits to reflect a healthier lifestyle is not easy but it is very much worth the effort. Leave a comment or suggestion that you may have below. Also, feel free to contact our office to schedule an initial complimentary consultation or if you have questions.

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about orthodontics and the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctors and staff - we hope this will be a valuable resource for our patients, their families, and friends!