Our Blog

Orthodontic emergencies can be stressful and painful, especially when you are at home or traveling and don't have access to your usual orthodontic care. However, there are steps you can take to minimize the discomfort and damage to your teeth and braces. Here is what you can do in an orthodontic emergency at home and while traveling:

1. Loose or broken braces: If one of your braces comes loose or breaks, try to put it back in place or cover the sharp edges with wax or orthodontic adhesive. If the brace is completely detached, keep it in a safe place and bring it with you to your next appointment. In the meantime, use wax or adhesive to keep the loose wire from poking or scratching your cheek or tongue.
2. Loose or missing bands: If a band comes loose or falls off, try to put it back in place using wax or adhesive. If the band is missing or cannot be reattached, contact your orthodontist as soon as possible to have it replaced.
3. Wire irritation: If a wire is poking out of your braces and causing irritation, try using the back of a spoon or a pencil eraser to gently push the wire back into place. If this doesn't work, cover the wire with wax or a small piece of gauze until you can see your orthodontist.
4. Lost or broken retainers: If you lose or break your retainer, contact your orthodontist as soon as possible to have it replaced. In the meantime, try to avoid eating hard or sticky foods that could damage your teeth.
5. Toothache or jaw pain: If you have a toothache or jaw pain, rinse your mouth with warm salt water and take over-the-counter pain medication as needed. Avoid biting down on hard or chewy foods and contact your orthodontist for further treatment.
6. Broken rubber bands: Every once in a while, the tiny elastic bands or little wire ties that hold your brackets and wires together, known as elastomeric ligatures or "o-ties", can rip, tear, or break off. If it’s a rubber band, sterilize your tweezers and use them to gently try to put the wire back in place. If the o-tie becomes completely disloged or broken, let us know so we can add a new one. If it’s a wire ligature and it’s just sticking out, use a cotton swab or a pencil eraser to push it back to where it belongs. If it’s really loose, take it out with tweezers.
7. Sensitive Teeth: When you first get your braces put on and after your visit with an orthodontist and the wire is changed or tightened, or whenever you pop in a new set of Invisalign or Invisalign Teen aligners, your teeth can be a little sensitive for a few days. This is normal and not a concern. If possible, try to schedule your orthodontic appoints so they’re not right before you leave for vacation since, of course, you don’t want sore teeth while you’re enjoying your time on vacation. Regardless, stick to soft foods and cold drinks for the first day or two if necessary. You can also try swishing with salt water or taking an over-the-counter pain reliever.
8. Lost Separator: There aren’t really any DIY remedies for a lost separator and it just happens sometimes. Contact our office and we’ll let you know if you should come in to have it replaced before your next scheduled appointment. Generally speaking, if your next visit is within 1-2 days it shouldn't be too much of an issue. However, its better to be safe than sorry and call us as soon as possible.
9. Lost Invisalign Aligner: Always carry your case with you and put your aligners in it when you take them out. If you accidentally lose the current aligner and you still have aligners remaining in your set scheduled to be worn later, its generally okay to jump to the next aligner. Try in the next aligner and if it appears that it fits well with no spaces in between the teeth and the plastic, then continue wearing until your next visit. If you’re traveling, you’ll also want to call us so we can determine the best course of action. If you don't have any next set of aligners, then try to go back to your previous set of aligners until you can be seen in the office for evaluation. Regardless, whenever you lose an aligner you should call our office to best determine how to proceed.

While traveling, it is a good idea to pack a small emergency kit with supplies such as wax, adhesive, and a small pair of scissors or pliers in case you need to make any temporary repairs to your braces. It is also a good idea to have the contact information for your orthodontist and a nearby emergency dental clinic in case of a more serious problem.

Remember to always follow your orthodontist's instructions for caring for your braces and teeth, and don't hesitate to contact them if you have any questions or concerns. By taking care of your braces and seeking proper treatment when needed, you can minimize the risk of orthodontic emergencies and keep your teeth and braces in good condition.

NOTE: The author, Dr. Graydon Carr, is a board-certified orthodontist who is in the private practice of orthodontics in Chico, California with his partner Dr. B. Scott Hood. Dr. Graydon Carr was trained at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California, and the University of Nevada at Las Vegas School of Orthodontics and Dentofacial Orthopedics. Dr. Graydon Carr & Dr. B. Scott Hood’s are experts in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems. This blog is for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. B. Scott Hood & Dr. Graydon Carr are licensed to diagnose and treat patients in the state of California. They cannot diagnose cases described in comments nor can they select treatment plans for readers. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.

Orthodontics is a branch of dentistry that focuses on the correction of misaligned teeth and jaws. It has a long history dating back to ancient civilizations, where various methods were used to straighten teeth and improve dental health. However, modern orthodontics as we know it today can be traced back to the work of several influential figures in the field.

One of the pioneers of modern orthodontics was Dr. William Proffit, who is known for his contributions to the understanding of craniofacial growth and development. He was a professor at the University of North Carolina School of Dentistry and is considered one of the foremost experts on orthodontics. Dr. Proffit's research helped to shape the way we understand and treat orthodontic conditions today.

Another influential figure in the history of orthodontics is Dr. Edward Angle. Dr. Angle is considered the "father of modern orthodontics," and is credited with developing the first system for classifying malocclusions (improper bites). He also introduced the use of orthodontic brackets and wires to move teeth into their proper positions, which is still a common treatment method today.

Dr. Calvin Case is another notable figure in the field of orthodontics. He is known for his contributions to the understanding of facial growth and development, as well as his development of the Case System, which is a system for classifying different types of malocclusions. Dr. Case's work helped to shape the way we understand and treat orthodontic conditions today. Dr. James McNamara is another influential figure in the field of orthodontics. He is known for his research on the use of orthodontic appliances to treat malocclusions, as well as his contributions to the understanding of facial growth and development.

Orthodontics has come a long way since the days of ancient Egypt. Today, orthodontic treatment is much more precise and efficient thanks to advances in technology and techniques. Modern orthodontics utilizes a wide range of treatments to correct misaligned teeth, including traditional braces, clear aligners, and retainers.

One of the most popular treatments in modern orthodontics is Invisalign. Invisalign is a clear aligner system that is virtually invisible and can be easily removed for eating, brushing, and flossing. Invisalign has become popular among adults who are self-conscious about wearing traditional braces and want a more discreet treatment option.

Overall, the history of orthodontics is a fascinating one that has evolved significantly over the years. Thanks to the contributions of Dr. Proffit, Dr. Angle, Dr. Case, and Dr. McNammara, orthodontics is now a highly effective and efficient way to correct misaligned teeth and improve oral health. Modern orthodontics utilizes a wide range of treatments and technologies to achieve the best possible results for patients. Today, orthodontics plays a vital role in improving dental health and the overall appearance of smiles, and it continues to evolve as new technologies and treatments are developed.

NOTE: The author, Dr. Graydon Carr, is a board-certified orthodontist who is in the private practice of orthodontics in Chico, California with his partner Dr. B. Scott Hood. Dr. Graydon Carr was trained at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California, and the University of Nevada at Las Vegas School of Orthodontics and Dentofacial Orthopedics. Dr. Graydon Carr & Dr. B. Scott Hood’s are experts in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems. This blog is for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. B. Scott Hood & Dr. Graydon Carr are licensed to diagnose and treat patients in the state of California. They cannot diagnose cases described in comments nor can they select treatment plans for readers. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.

Orthodontic retainers are an essential part of the orthodontic treatment process. They help to hold the teeth in their newly aligned position after the braces are removed, ensuring that the desired results of treatment are maintained long-term.

There are several different types of orthodontic retainers, each with its own unique benefits and drawbacks.

1. Fixed retainers: These are thin wires that are bonded to the back of the front teeth, similar to braces. They provide a high level of stability, but they can be difficult to clean if not done so following your orthodontists instructions.
2. Removable retainers: These are made of a clear plastic material that fits over the teeth and can be removed for cleaning. They are more comfortable than fixed retainers, but they may not provide as much stability.
3. Hawley retainers: These are an "older" style of removable retainer. They are made of an acrylic body with a wire that wraps around the front teeth. They can be adjusted to fit the wearer's mouth, but they may be more noticeable than other types of retainers.
4. Essix retainers: These are the most common types of removable retainers. These are similar to Hawley retainers, but they are made of a clear plastic material that covers the entire teeth. They are virtually invisible, but they may not provide as much stability as other types of retainers.

Regardless of the type of retainer chosen, it is important to wear the retainer as directed by the orthodontist. In the early stages of treatment, the retainer should be worn full-time, and then gradually reduced to nighttime wear as the teeth become more stable.

Failing to wear the retainer as directed can lead to the teeth shifting back to their original position, negating the benefits of treatment. It is also important to clean the retainer regularly to prevent the buildup of bacteria and plaque.

In conclusion, orthodontic retainers are an important part of the treatment process and play a crucial role in maintaining the results of treatment. It is essential to wear the retainer as directed and to clean it regularly to ensure the best possible outcome.

NOTE: The author, Dr. Graydon Carr, is a board-certified orthodontist who is in the private practice of orthodontics in Chico, California with his partner Dr. B. Scott Hood. Dr. Graydon Carr was trained at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California, and the University of Nevada at Las Vegas School of Orthodontics and Dentofacial Orthopedics. Dr. Graydon Carr & Dr. B. Scott Hood’s are experts in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems. This blog is for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. B. Scott Hood & Dr. Graydon Carr are licensed to diagnose and treat patients in the state of California. They cannot diagnose cases described in comments nor can they select treatment plans for readers. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.

Rapid palatal expansion (RPE) is a common orthodontic treatment that is used to widen the upper jaw (maxilla) in order to create more space for the teeth. This treatment is often recommended for children and adolescents who have a narrow upper jaw or a crossbite, which is a condition in which the upper and lower jaws are misaligned and the upper teeth bite inside the lower teeth.

Palatal expansion involves the use of a special appliance, called a rapid palatal expander, which is placed on the roof of the mouth (palate). The expander consists of a central screw that can be turned by the orthodontist or the patient using a special key, which gradually widens the upper jaw over time. The expansion process typically takes place over the course of several weeks, and the amount of expansion is carefully controlled to ensure that it is gradual and comfortable for the patient.

One of the key reasons why RPE is so important at a young age is that the bones in the upper jaw are more flexible and easier to move during childhood and adolescence. As we age, our bones become more rigid and it becomes more difficult to make changes to the jaw structure without surgical intervention. This means that RPE is typically more effective and less uncomfortable for younger patients.

In addition to correcting misalignment and creating more space for the teeth, palatal expanders can also have a number of other benefits. It can help to improve the appearance of the smile, make it easier to clean the teeth, and improve the overall function of the mouth. Expanders can also help to reduce the risk of future dental problems, such as tooth decay and gum disease, by ensuring that the teeth are properly aligned. If a crossbite is present, expanders can help to avoid future jaw instability, joint issues such as TMD (temporomandibular joint disfunction), and excessive wear and enamel breakdown.

Overall, palatal expansion is an important treatment that can help to improve the dental health and function of children and adolescents. If your child is experiencing problems with the alignment of their jaws or teeth, it is worth discussing the possibility of expansion with your orthodontist.

NOTE: The author, Dr. Graydon Carr, is a board-certified orthodontist who is in the private practice of orthodontics in Chico, California with his partner Dr. B. Scott Hood. Dr. Graydon Carr was trained at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco, California, and the University of Nevada at Las Vegas School of Orthodontics and Dentofacial Orthopedics. Dr. Graydon Carr & Dr. B. Scott Hood’s are experts in two-phase treatment, extraction and non-extraction therapy, functional orthodontics, clear aligners (Invisalign), and multiple bracket systems. This blog is for informational purposes only and is designed to help consumers understand currently accepted orthodontic concepts. It is not a venue for debating alternative treatment theories. Dr. B. Scott Hood & Dr. Graydon Carr are licensed to diagnose and treat patients in the state of California. They cannot diagnose cases described in comments nor can they select treatment plans for readers. The opinions expressed here are protected by copyright laws and can only be used with written permission from the author.