braces

While braces play an important part in helping to create a healthy mouth and teeth, you might experience a few side effects while wearing them that are common and can be easily treated.

Even with the best of care, braces can cause soreness to your mouth. As your teeth begin to move, it is natural for your teeth to feel aches and your jaw to develop soreness.

If there are broken wires or loose bands on your braces, a sore tongue, mouth, or canker sore will occur. Canker sores are a common occurrence when braces rub inside the mouth. There are ointments available to reduce the pain and irritation associated with mouth sores. If you experience a sore mouth or any of the following problems, call our office to schedule an appointment.

• Loose brackets: Apply a small amount of orthodontic wax to the bracket temporarily. You might also apply a little between the braces and the soft tissue of your mouth.
• Loose bands: These must be secured in place by our office. Try to save the band for repair.
• Protruding or broken wires: The eraser end of a pencil can be used to move the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, rinse with warm salt water or antiseptic rinse.
• Loose spacers: These will need to be repositioned and sometimes replaced.

Foods to Avoid
Some foods can also help or hurt you while you’re wearing braces. Remember to cut your food into small pieces that can be easily chewed. You will want to avoid hard and chewy foods that can break your hardware. Foods such as corn on the cob, nuts, carrots, apples, ice, and bubble gum should be avoided.

Braces, rubber bands, springs, and other mouth appliances associated with braces will normally attract food particles and plaque. Without the proper care, this could cause staining of your teeth.

We recommend brushing after every meal or snack and carefully removing any food that might be lodged in the braces. A fluoride mouthwash might be helpful as well as flossing. At your next appointment, we can advise you how to floss with a brush specially designed for braces!

One exciting part about wearing braces is getting to choose the colors of your rubber bands. Orthodontists place elastic bands, or ligatures, over each bracket to secure the archwire in place. These rubber bands may be individual or connected, depending on your mouth’s needs. You have the option of choosing the color of your elastics, which are changed about once every month at every visit. Our offices keep a color wheel handy to help you choose which ones suit you best!

Children and teens often enjoy picking different colors each month to express their creativity and coordinate their braces with outfits. Decorating your mouth with your favorite colors is fun for kids and takes some of the stress out of wearing braces. Adults who wish for subtlety have color options that blend in with the metal brackets and archwire. Common choices for adults include silver, clear, and gray tones.

Common Color Combinations for Rubber Bands
With individual ligatures for each bracket, you may choose different color combinations for special events. You can have alternating colors or place an entire rainbow over your teeth. Here are a few options to consider:
• School spirit colors
• Favorite sports team colors
• Patriotic colors
• Holiday themes

Some patients choose only one color to match their mood, personality, or favorite outfits. The palette of choices allows you to make bold statements with your braces or go for subtler tones that blend in with the metal structures. Keep in mind that bright colors make your teeth look whiter, while lighter shades, such as yellow and white, may cause your teeth to appear less bright.

What Your Rubber Band Color Says About You
• Red tones indicate that you are ready for action and take charge of your life with aggressive, forward-thinking steps.
• Blue tones are calm and relaxing. You are conservative and exhibit integrity when dealing with situations.
• Green tones represent growth and balance. You are level-headed and look for opportunities to grow emotionally and spiritually.
• Purple tones attract creative energies. You like to have fun and use your imagination in every aspect of your life.
• Orange tones indicate that you are optimistic and thrive in social situations where communication is open.
• Pink is a romantic color that represents a caring personality. You also enjoy having fun with silly games and endless laughter.

Did you know that even in ancient times, people wanted to improve the look and function of their smiles? We think of modern orthodontic appliances as sleek, efficient technology, but this was not always the case! Take a look at the highlights in the evolution of braces.

Ancient Times: From Greece to Rome
• According to The Angle Orthodontist, Aristotle and Hippocrates first thought about methods for straightening teeth between 400 and 300 BC.
• The Etruscans, in what we now know as Italy, buried their dead with appliances that maintained spaces and prevented collapse of their teeth and jaws during life. Archaeologists have discovered mummified remains in various locations that have metal bands wrapped around the teeth.
• A Roman tomb has also been discovered in which the teeth were bound with gold wire, including documentation on the wire’s use as a dental device.

18th Century: A French Development
• The French dentist Pierre Fauchard is acknowledged as the father of modern dentistry. In 1728 he published a book that described various methods for straightening teeth. Fauchard also used a device known as a “blandeau” to widen the upper palate.
• Louis Bourdet was another French dentist who published a book in 1754 that discussed tooth alignment. Bourdet further refined the blandeau and was the first dentist to extract bicuspids, or the premolar teeth between canines and molars, for the purpose of reducing tooth crowding.

19th Century: Orthodontics Defined
• Orthodontics started to become a separate dental specialty during the early 19th century. The first wire crib was used in 1819, marking the beginning of modern orthodontics.
• During this period, gold, platinum, silver, steel, gum rubber, vulcanite, and occasionally wood, ivory, zinc, and copper were used — as was brass in the form of loops, hooks, spurs, and ligatures.
• Edward Maynard first used gum elastics in 1843 and E. J. Tucker began making rubber bands for braces in 1850.
• Norman W. Kingsley published the first paper on modern orthodontics in 1858 and J. N. Farrar was the first dentist to recommend the use of force over timed intervals to straighten teeth.

20th Century: New Materials Abound
• Edward Angle developed the first classification systems for malocclusions (misaligned teeth) during the early 20th century in the United States, and it is still in use today. Angle founded the American Society of Orthodontia in 1901, which was renamed the American Association of Orthodontists in the 1930s.
• By the 1960s, gold was universally abandoned in favor of stainless steel.
• Lingual braces were the “invisible” braces of choice until the early 1980s, when tooth-colored aesthetic brackets made from single-crystal sapphire and ceramics became popular.

Today
As we arrive in the present, you need only look at your own braces to see how far we’ve come. Your treatment plan was probably created with a 3D digital model, and we’ve likely used a computerized process to customize your archwires. Perhaps you have clear aligners, self-ligating brackets, or highly resilient ceramic brackets with heat-activated wires.

Orthodontics has come a long way from the days of Aristotle, and even the bulky wrap-around braces of just 60 years ago. Regardless of your specific treatment plan, the development of high-tech materials and methods has made it possible for your orthodontic experience to be as effective, efficient, and comfortable as possible.

Adults who need orthodontic care often share the misconception that they are too old for braces and would rather not deal with the embarrassment. You are probably familiar with horror stories about rubber bands snapping, mishaps with kissing, and unsightly food sticking in metal braces. Many adults believe that braces are just for children, but they are neglecting all the benefits of correcting misaligned teeth. Braces may cause you to feel self-conscious, but they are temporary. Along with straightening your teeth, braces also provide the following benefits:

• Better oral hygiene
• Easier to clean aligned teeth
• Less complicated dental procedures
• Eliminate the embarrassment of crooked teeth

One common reason for not correcting misaligned teeth is the appearance of metal braces. Adults do not want to face co-workers and friends with colored rubber bands and metal laced throughout their mouths. The expert healthcare professionals at SingHealth suggest several alternatives that are just as effective as metal braces. You have three options for correcting your misaligned teeth without the embarrassment, and they include:

• Ceramic braces
• Lingual braces
• Invisalign®

Ceramic braces are like metal ones except that they match the natural color of your teeth. This option is less noticeable and will usually not show up in photographs. Lingual braces are attached to your back teeth only, so no one will know that you have a corrective device. Invisalign consists of clear plastic coverings that you can remove for eating and teeth brushing. All of these options lead to a more attractive smile that you do not have to feel embarrassed about.

If you do choose metal braces to correct your teeth, you should consider the following suggestions for limiting embarrassing moments. The rubber bands holding the brackets in place come in silver, which will draw less attention to your mouth. Changing the removable rubber bands on a regular basis will help prevent the material from wearing down and snapping. If you chew with your back molars and cut your food into manageable bites, you are less likely to get particles stuck in your braces. Following our treatment advice and instructions will limit the time you have to wear corrective devices. Focus on the end result of straighter teeth whenever you feel particularly self-conscious about your braces.

True orthodontic emergencies are very rare, but when they do occur we are available to you. As a general rule, you should call the office when you experience severe pain or when you have a painful appliance problem that you can't take care of yourself. We’ll be able to schedule an appointment with our office.

You might be surprised to learn that you may be able to temporarily solve many problems yourself until you get in to see us…

The following solutions may help you relieve your discomfort:
Poking Wire: Using a pencil eraser, push the poking wire down or place wax on it to alleviate the discomfort.
Loose Bracket or Band: If your bracket or band is still attached to the wire, you should leave it in place and put wax on it. If the wire comes out entirely, wrap the bracket with a tissue.
Loose Wire: Using a tweezers, try to place your wire back into place. If doing this and using wax does not help, as a last resort use a small fingernail clipper to clip the wire behind the last tooth to which it is securely fastened. If your discomfort continues, place wax on it.
Loose Appliance: If your appliance is poking you, place wax on the offending part of your appliance.
Headgear Does Not Fit: Sometimes headgear discomfort is caused by not wearing the headgear as instructed by your orthodontist. Please refer to the instructions provided by your orthodontist. If the facebow is bent, please call our office for assistance. Surprisingly, headgear becomes more comfortable the more it's worn, so be sure you’re getting in the prescribed hours.
General Soreness: When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for three to five days. This can be relieved by rinsing your mouth with a warm salt water mouthwash. Dissolve one teaspoonful of salt in 8 ounces of warm water, and rinse your mouth vigorously. If the tenderness is severe, take aspirin or whatever you normally take for headache or similar pain.
Remember, after alleviating your discomfort, it is still very important that you call our office as soon as possible to schedule a time to repair the problem.

In honor of June Dairy Month, our team would like to thank all of our hard working families in the Dairy Industry.
In fact, dairy is important to your overall health! Regular consumption of dairy products, such as milk, cheese and yogurt, have been found to lower your chances of contracting periodontal disease (also known as gum disease).
Results of the study show that adults who consume at least 55 grams of lactic acid a day are less at risk for gum disease. Eating dairy is not just healthy for building strong bones, but is essential for maintaining a strong, healthy mouth.
Questions about which foods you should steer clear of and which you should enjoy during orthodontic treatment? Give us a call or ask us on Facebook!

Great question! When you first come in for your initial consultation, Dr. Kuruvadi and team will conduct a comprehensive examination to assess your oral health. This will better enable us to determine the best treatment method for you.

Your orthodontic evaluation will consist of an oral and facial examination to assess your oral health. We will have you take intraoral and facial photographs as well as panoramic and cephalometric X-rays to help determine the proper orthodontic treatment method. Then, an impression of your teeth and bite will be taken to construct a model of your mouth. (This will help us when examining your diagnostic records).

Then, we will discuss your options with you. Our team feels it’s important to take the time to carefully examine your diagnostic records after your consultation so that we can more thoroughly prepare for your treatment at our office. This additional preparation will ensure that you receive the best orthodontic care possible. At this time, we encourage you to ask us any questions you may have about your treatment.

If you are seeking orthodontic treatment for your child, our staff asks that both you and your child attend the initial consultation. We feel it is important that both you and your child completely understand the doctor’s recommendations before we proceed with treatment.

Give us a call today and schedule a consultation! We look forward to hearing from you!

We are living in an age with a renewed commitment to conservation, and are frequently reminded to recycle, reduce and reuse. With Earth Day coming up on Sunday, we thought we would discuss some of the things we do to conserve our natural resources and the environment.

Our office is digitalized, which means we can operate without the use of large amounts of paper and printing materials. The information in our office can be sent and processed digitally, which is also more efficient. We take all of the steps possible to be a 'green' office, making us better for the planet and more convenient for our patients.

We would love to hear how you minimize your impact on the environment. Leave us a comment below or post on our Facebook page!

Spring is in the air! As you probably know, you can always connect with us on our Facebook page, but we invite you to please contact our office with any updates to phone numbers and addresses, so that we may be able to reach you.

We also encourage you to call us and let us know if you have any new phone numbers or if your contact information has changed!

Thank you! Have a great week!

When you have braces, your wires will need to be replaced with new ones regularly. It is the slow, steady pressure placed on your teeth that move them into their desired positions, so these adjustments are a vital aspect of your treatment. We have set out a specific treatment plan to achieve your optimal results, and keeping up with your appointments will allow your treatment to be completed in the predicted amount of time.

Scheduling your adjustments sooner than planned may result in more pain and discomfort, because your teeth haven’t been allowed to settle into their new positions properly. Skipping appointments or scheduling them farther apart will result in a much longer treatment time. Visiting our office regularly will also allow us to answer any questions you may have, check for damaged appliances, and monitor your progress.

Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.

Some of the most common reasons our adult patients come to us considering orthodontic treatment include:

• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
• Pain or pressure from crooked teeth or a misaligned jaw
• A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.

As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.

If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

Our team at the office of Dr. Kuruvadi wants to know: Will you be wearing your green this Saturday?  Whether Irish or not, millions of people around the world celebrate St. Patrick’s Day with toasts, parades and “the wearing of the green.” Here are some fun facts about St. Patty’s Day we know you will enjoy:

• St. Patrick’s Day is observed on March 17th because that is the feast day of St. Patrick, the patron saint of Ireland. It is also a worldwide celebration of Irish culture and history.

• The name “lephrechaun” has several origins. It could be from the Irish Gaelic word “leipreachan,” which means “a kind of aqueous sprite.” Or, it could be from “leath bhrogan,” which simply means “shoemaker.”

• Some American towns have Irish names. They include: Shamrock Lakes, Indiana; Shamrock, Oklahoma; Shamrock, Texas; Dublin, California and Dublin, Ohio and Mount Gay-Shamrock, West Virginia

• Despite what you may have heard, St. Patrick never banished snakes from Ireland. In fact, no snakes exist or ever existed in Ireland. Ireland is surrounded by icy ocean waters, much too cold to allow snakes to migrate from Britain or anywhere else.

• St. Patrick’s Day was first celebrated in America in Boston, Massachusetts, in 1737. Approximately 34 million Americans claim Irish ancestry. That’s almost nine times the population of Ireland, which has 4.1 million people.

If you have something special planned for St. Patrick’s Day, let us know by posting a comment on our Facebook page.

Great question!
If you are brushing and flossing daily during your orthodontic treatment with, we think that’s great! But, don’t forget that it’s also important for you to visit your general dentist every 3-to-6 months in addition to brushing your teeth and flossing (and visiting our office, of course). Regular dental checkups are important for maintaining good oral health, especially during orthodontic treatment.
Tooth decay, which is caused by sugars left in your mouth, can turn into an acid, which in turn can break down your teeth. Children are at high risk for tooth decay because adolescents tend to be lax in their oral hygiene habits. Proper brushing and flossing routines, combined with regular dental visits, help keep tooth decay away.
If you have any questions, please be sure to ask our team during your next adjustment appointment, or ask us on Facebook!

If you recently completed treatment at Orthodontics by Dr. Kuruvadi and Associates, congratulations! Now that your braces have been removed, Dr. Sanjay Kuruvadi and our qualified staff will provide you with retainers. Here are some things to remember when you receiver your retainers:

* Wear your retainers full time, until the doctors instruct otherwise.

* Keep retainers away from hot water, hot car dashboards, pockets, the washing machine, and napkins.

Valentine’s Day was yesterday, and there is a lot of candy making the rounds this week. It’s once again time to remind all our patients to be extra careful when choosing those candies and treats!

All those sweet, sour and sticky candies may taste great, but these treats are known to damage teeth, as well as braces if you’re wearing them! Did you know sour candies can be acidic to your teeth, and actually wear down the enamel that protects them? This can cause tooth decay and cavities! Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.

We recommend softer treats, such as soft chocolate or peanut butter cups, or melt-in-your-mouth foods. Those who indulge should make sure they brush and floss between teeth, as well as at the gum line.

All of us at Orthodontics by Dr. Kuruvadi and Associates hope you had a great Valentine’s Day!

Did you know February is American Heart Month? It’s a great time to take notice of the health of your heart, says Dr. Sanjay Kuruvadi. Cardiovascular disease remains American's number one killer, according to the American Heart Association. Studies have shown a correlation between gum disease and heart disease, underscoring the importance of good oral health care.

Visiting our office on a regular basis can help prevent gum disease or at least catch it in its early stages. And because people with dental insurance are more likely to visit their dentist when they should, a healthy mouth begins with a visit to Orthodontics by Dr. Kuruvadi and Associates. In observance of Heart Month, Dr. Sanjay Kuruvadi says it’s also important to know your numbers: blood pressure (less than 120/80), cholesterol (less than 200) and BMI (less than 25). If you have any questions about heart health, or about your treatment at Orthodontics by Dr. Kuruvadi and Associates, please give us a call today.

At Orthodontics by Dr. Kuruvadi and Associates, February is National Children’s Dental Health Month, as well as National Dental Health Month, and we thought we’d promote good oral hygiene among our patients with a few tips and tricks, courtesy of the American Dental Association.

• Teeth brushing techniques: It takes only two minutes to properly brush using short, gentle strokes and devoting extra attention to the gumline, areas around fillings and hard-to-reach areas such as the back teeth.

• Regular dental visits: in addition to seeing our team at Orthodontics by Dr. Kuruvadi and Associates during your treatment, you should visit your dentist for professional check-ups and teeth cleaning appointments about every six months.

National Dental Health Month aims to increase awareness about the importance of our patients’ oral health. If you have any questions about keeping your mouth healthy, or about your treatment, please feel free to give us a call or ask us on Facebook!

Because Dr. Sanjay Kuruvadi can spot subtle problems with jaw growth or teeth while a child still has primary or “baby” teeth present, the American Association of Orthodontists recommends all children get a check-up with an orthodontic specialist no later than age seven.

Some problems are not so subtle, and you may notice them early on. If you see any of the following signs in your child, please make an appointment with Dr. Kuruvadi and our team immediately. (If your child is younger than seven, it is not necessary to wait till his or her seventh birthday to visit our office.) We want to identify any problems as early as possible so that we can implement the appropriate treatment at the appropriate time for your child’s individual needs.

1. Early or late loss of baby teeth
2. Difficulty in chewing or biting
3. Mouth breathing
4. Finger sucking or other oral habits
5. Crowding, misplaced, or blocked-out teeth
6. Speech difficulty
7. Jaws that shift or make sounds
8. Biting the cheek or biting into the roof of the mouth
9. Teeth that stick out too far
10. Teeth that meet in an abnormal way or don't meet at all
11. Upper and lower jaws that don’t line up
12. Grinding or clenching of teeth

If your child is displaying any of these signs, please contact us and set up an appointment!

We love when patients ask us that question! Now that you’re wearing braces, it’s just as important to maintain a good oral hygiene regimen as you did before before orthodontic treatment began.

Braces are known to trap food particles and make it difficult to brush or remove plaque, which is why Dr. Sanjay Kuruvadi and our team recommend that you brush and floss after every meal. We also encourage you to use a proxabrush to help with the smaller areas where your toothbrush doesn’t reach. We encourage the use of fluoride rinse is recommended as well; ask us for a recommendation.

When your braces are initially placed, your teeth are likely to be very sensitive. You may experience discomfort for up to 3 or 5 days, which is why we encourage you to eat soft foods during that time. Remember, the less pressure you put on your teeth, the less discomfort you will have.

You may also be thinking, “Okay, so what can I eat?” We would encourage you to avoid eating sticky, hard, crunchy or chewy snacks that can stick to your teeth.

Dr. Kuruvadi and team will tell you it’s crucial to regularly check your braces for bent or loose wires and brackets. In the event of a loose/broken wire or bracket, please give us a call immediately to schedule an appointment for repair.

Lastly, in addition to visiting one of our offices in Chula Vista, National City, and El Cajon during your orthodontic treatment for adjustments, you should visit your dentist for professional check-ups and teeth cleaning appointments about every six months, or as recommended by your dentist.

Questions? Please let us know below, on our Facebook page or by giving us a call!