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Not-So-Sweet Sweets: The five worst candies to eat during orthodontic treatment

July 17th, 2019

Sticky, hard, and gooey: these candies fill your dopamine receptors with spasms of sugar-filled joy, but if you’re undergoing orthodontic treatment at Bloom and Reddy Orthodontics to straighten your teeth, then these sweets are not so sweet. While you may have a Willy-Wonka-sized sweet tooth, there are some candies you’re going to have to avoid while wearing braces.

Here are five bracket- and wire-destroying culprits that Drs. Bloom and Reddy and our team recommend leaving on the candy aisle and not put in your mouth, no matter how tempting they may be.

  1. Gum is sticky and stringy. It can get tangled like fishing net in your braces. You don’t want to be that boy or girl trying to pull knots of Wrigley’s out of your braces without being seen.
  2. All chewy, gooey candies need to be avoided. When you’re wearing braces, don’t even think about putting a caramel candy in your mouth. Caramel will not only stick to your braces, making it look as if you haven’t brushed your teeth in a week, but the gooey texture can pull apart the wires, and trigger an emergency visit to Bloom and Reddy Orthodontics.
  3. Hard candy may seem like a safe choice, but it’s not. What’s the problem? Nobody ever just sucks on hard candy; sooner or later, we bite down on it. Biting a hard candy may cause part of your braces to snap. Furthermore, once the candy is broken into a bunch of little pieces, it’s not uncommon for one of those sugary shards to get wedged between your braces and teeth … and that’s a cavity waiting to happen.
  4. The taffy you enjoy getting at a seaside boardwalk is going to have to go on the back burner. Like caramel, taffy can pull apart and damage your braces. You don’t want to have your expensive orthodontic gear replaced.
  5. Please, just one lollipop? Nope. A lollipop is nothing more than hard candy on a stick. If you can’t have hard candy during orthodontic treatment, then you shouldn't have hard candy on a stick either.

Have any more questions about what you can and can’t eat when you have braces? Please give us a call at our convenient Frederick office to learn more, or ask Drs. Bloom and Reddy during your next adjustment visit!

Braces and Band? Play On!

July 3rd, 2019

You’re in the band and you’re getting braces. Now what? If you are a member of the string or percussion sections, you can go back to rehearsal. You’re good to go. When your talents have seated you in the reed or brass sections, though, a little adjustment might be necessary to keep your instrument and your braces working in harmony.

If you play a wind instrument, you know the term embouchure—the way you position and use your lips, tongue, facial muscles, and teeth to produce the sound you want. Depending on the instrument you play, you might be completely unaffected when you get your braces, or you might need to develop a more comfortable embouchure to accommodate them.

Wires and Woodwinds?

If you play a wind instrument such as the flute or piccolo, you might find that your normal lip positioning or blowing angle is affected by your braces, but usually the adjustment time is fairly short. Reed instruments such as the saxophone, clarinet, oboe, and bassoon are considered some of the easiest to adjust to when you have braces, but even though the single and double reed mouthpieces don’t require as much pressure as brass instruments, there can still be an adjustment period. One thing you should look out for is more condensation in your mouthpiece or instrument—be sure to keep your instrument clean to keep your sound pure.

Brackets and Brass?

Brass instruments require mouthpiece pressure. This leaves your lips pressed between the mouthpiece and your braces. For this reason, many brass players have a more challenging adjustment when wearing braces. Smaller mouthpieces (trumpet, French horn) usually require more pressure than larger ones (tuba, trombone). It’s important to learn how to use technique to avoid cuts, irritation, and other injuries caused by the pressure of your braces against your lips. Learning to play with less pressure on the lips and more air control and breath support will help you to recover your tone and range of notes while protecting your lips and mouth.

How Can We Help?

Let Drs. Bloom and Reddy know if you play, or plan to play, a wind instrument. We might be able to offer some suggestions. For regular metal and ceramic braces, some musicians find extra wax is helpful in preventing lip and cheek injuries. There are brace guards available that can be applied over the braces to protect your lips and mouth if wax doesn’t do the trick.

There are also alternatives to regular bracket-and-wire braces, depending on your orthodontic needs, cost factors, and length of treatment. Invisalign® devices fit smoothly over your teeth and can even be removed when it is time to practice or play, as long as you get the necessary hours of wear in per day. In some cases, lingual braces, where the brackets and wires are placed behind the teeth, might be the best choice for you.

Finally, don’t forget to talk to your music instructor. Don’t be dismayed if you find the quality of your playing has been affected. Your teacher might have valuable suggestions for adjusting your embouchure, playing with less pressure on the lips, and developing better air and breath support. You might need to shorten your practice time at first, and there might be another period of adjustment after your braces come off.

Above all, take care of yourself! If something is poking your lip or cheek, call our Frederick office immediately before it causes injury. It might be difficult at first, but finding an embouchure that works for your comfort and technique is worth it. And remember, these temporary fine-tunings will lead to a wonderful coda: skilled musicianship and a beautiful, healthy smile. Bravo!

 

How Long Do I Need To Wear Retainers?

June 26th, 2019

Once you get your braces off, you want to make sure your smile remains straight! This is where retainers come in.

Once your braces come off, you’ll be fitted for a retainer provided by Drs. Bloom and Reddy to keep those teeth in place. A retainer is a custom-fit device that sits in the mouth and reinforces the new position of your teeth. Wearing it may be annoying at first, but it’s an essential part of the process of keeping your teeth in place over the long term.

For the first few months after your braces are gone, Drs. Bloom and Reddy will tell you to wear your custom retainers all the time, except when you’re eating, drinking, or brushing. You have the option of having a clear plastic retainer made if you’re concerned about your appearance.

Eventually, we will recommend that you only have to wear the retainer during each night for a full year. After that, you may take a couple nights off from wearing them each week. In order to preserve the position of your teeth for as long as possible, we don’t recommend that you ever fully stop wearing your retainers.

If you’re concerned about forgetting to wear your retainer, and worried that your teeth may shift, a lingual retainer could be a good option for you. This gets placed on the back of your teeth and is not readily visible.

These retainers are permanent, but they could cause issues for you down the road if you don’t maintain good oral hygiene. Plaque and tartar can build up around these lingual bars, which is why we don’t usually recommend this as a primary choice.

Wearing your retainer is extremely vital after your braces come off. Without your retainer to keep them in place, the teeth you’ve taken so long to fix may begin to shift again. Getting braces is quite an investment, which is why you should keep wearing your retainer long after the braces have come off.

If you have questions or concerns regarding your retainers, contact our Frederick office and we can address any problems you may have.

What is a palatal expander?

June 19th, 2019

Orthodontists like Drs. Bloom and Reddy recommend a first orthodontic visit and evaluation for your child around the age of seven. We will evaluate your child’s jaw and facial development and make sure that there is enough room in the mouth for the permanent teeth when they arrive. One of the recommendations we might make for early treatment is the use of a palatal expander. If you are unfamiliar with this device, let’s take a closer look at why it’s necessary and what exactly it does.

Why do we recommend the palatal expander?

There are two dental arches, composed of the upper and the lower teeth, in your child’s mouth. This arch-shaped design is meant to accommodate all the permanent teeth. Further, when the upper and lower teeth meet, they should result in a healthy occlusion, or bite.

Sometimes, the upper dental arch is simply too small to accommodate all of your child’s permanent teeth, leading to crowding, extractions, and impacted teeth. Also, a too-narrow arch can result in a crossbite, where some of the upper teeth bite inside the lower ones. An improper bite can lead to problems such as TMJ (temporomandibular joint) disorder, improper wear and stress on teeth, certain speech difficulties, and other potential complications. The palatal expander was designed to prevent these problems from occurring.

What is a palatal expander and how does it work?

The expander itself is a device that increases the size of the upper dental arch. Before your child’s bones are finished growing, the space between the two bones of the upper palate is filled with cartilage. This tissue is flexible when children are young, but gradually fuses solidly into place by the time they are finished growing (usually in the early to mid-teens). If the arch can be widened to accommodate the emerging permanent teeth, or to reduce malocclusions, this improvement can also affect the need for, and length of, future dental work.

There are several types of expanders available at our Frederick office. These are custom-made appliances, commonly attached between the upper teeth on each side of the jaw. The two halves of the device are connected with a screw-type mechanism that can be adjusted to widen the upper palate and dental arch with gentle pressure. This is a gradual process, with small adjustments usually made once or twice a day to slowly move the bones further apart. As weeks go by, you will notice a successful change in the spacing of the teeth. Your child might even develop a gap in the front teeth, which is normal and will generally close on its own.

If you would like more detailed information, talk to Drs. Bloom and Reddy about the palate expander. We can tell you what to expect from this treatment if we think it is best for your child’s unique needs, and how to make it as easy as possible for your child. Our goal is to provide your child with the healthiest teeth and bite possible, always making use of treatments that are both gentle and effective.

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