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As the school year gets under way in Vienna, VA & Great Falls VA, you’ve got a lot going on. New classes. New teachers. New activities. New books and supplies and . . . well, it’s a lot! Luckily, you have some familiar skills you can rely on to help you enjoy all these new experiences with a healthy, confident smile.

You may not have realized it, but the skill sets you’ve developed for school are useful beyond the classroom. Let’s put those skills to use with our dental study guide:

Do Your Homework

Dental care begins at home! Brush for two minutes twice each day and floss once a day to remove cavity-causing plaque.

If you’re in orthodontic treatment, you might need to brush and floss more often, whether several times a day or after each meal or snack. Follow your orthodontist’s recommendations and use orthodontic friendly tools like interproximal brushes and floss designed for braces.

If you have trouble with getting your teeth their cleanest, electric toothbrushes and water flossers can be a game changer when it comes to removing plaque and food particles from tricky spaces. Talk to Dr. Allen Garai & Dr. Karen Tratensek to see if these tools are right for you.

Essential Supplies

Put together a kit for your backpack or locker so you’ll always have the smile-approved supplies you need on hand. These tools will help you manage any expected—and unexpected—dental challenges while you’re away from home. Your bag might include:

• Travel toothbrush in a ventilated case (bacteria aren’t fans of fresh air!)
• Travel size toothpaste
• Small mirror to make sure your smile is food-free
• If you wear braces, add orthodontic floss and interproximal brushes, dental wax to prevent irritation from loose wires or brackets, and extra rubber bands as needed
• If you have a retainer or aligners, bring your appliance case to prevent damaging or losing them
• Your dentist’s and orthodontist’s phone numbers for emergencies

Add any other items you think will be helpful, and you’ll be prepared to handle any dental-related issues throughout the day.

Follow Directions

Your dental team at Garai Orthodontic Specialist has the best recommendations for a healthy smile—but these recommendations only work if you follow them!

• See Dr. Allen Garai & Dr. Karen Tratensek for regular checkups. These appointments are the time to learn about better brushing techniques, a dental-healthy diet, and other ways to help prevent cavities. Bonus: Regular cleanings will keep your smile sparkling!
• If you’re an orthodontic patient, wear your aligners, appliances, or elastics for the recommended number of hours each day. If you don’t, your treatment could take longer.
• If you wear aligners, it’s important to change your trays on schedule. Changing to a new set of aligners too soon can cause stressful pressure on your teeth and jaws. Changing trays later than recommended can delay your progress.

Any Questions? Ask!

Asking questions is one of the best ways to learn. Your dental team at Garai Orthodontic Specialist has years of education and experience to help you answer some of the questions you have about navigating your school day.

How can you keep your smile clean and fresh throughout a long day of school? Which cafeteria foods are orthodontic-friendly? Why are mouthguards so important when you play sports?

Your dental team has the answers—or knows how to help you find them. Work with your team to make sure that you’re able to enjoy all the possibilities of the school year, from classroom to lunchroom to extracurriculars, with a healthy confident smile!

It might seem like you’ve gotten a great night’s sleep—but why aren’t you well rested? Worse, why are you waking up with:

• A headache
• Ringing in your ears or an earache
• Pain in your jaw
• Worn or sensitive teeth
• Dry mouth or mouth and cheek injuries
• An unhappy partner who’s been kept awake all night?

If you suffer from any or all of these symptoms, you might be one of the millions of people who have a sleep-related disorder called bruxism, better known as teeth grinding.

There are any number of causes that have been linked to bruxism. Stress and other negative emotions seem to trigger episodes, as can lifestyle habits such as smoking and drinking alcohol or caffeine. Sleep apnea can lead to grinding your teeth, or you could have bite or tooth alignment problems. Certain medications might set off this disorder, and some studies have shown a hereditary tendency in families. Whatever the reason you grind your teeth, there are many important reasons to stop as soon as you can.

As bad as the nagging headaches and earaches that can accompany bruxism can be, long-term damage to your teeth can develop over time. With continuing grinding pressure on the teeth, enamel is worn away prematurely. Teeth can crack or chip. They may loosen or develop sensitivity to heat, cold, and pressure. Gum tissue can recede or become inflamed. Dental restorations can be cracked or broken.

If you—or someone in your house—suspects that you are grinding your teeth at night, give our Vienna, VA & Great Falls VA office a call! We can recommend relaxation techniques, diet changes, or tips to help you relax your jaw. Dr. Allen Garai & Dr. Karen Tratensek might suggest a nightguard, a custom-fitted appliance worn while you sleep, to reduce the impact of grinding. There are options available. Let’s work together to make every night’s sleep a restful, healthy one.

Two-phase orthodontic treatment involves two separate and distinct periods that your child receives orthodontic treatment. It allows your son or daughter to begin early treatment of bite and jaw problems, in order to reduce the dental issues he or she experiences later on.

Two-phase orthodontic treatment with Dr. Allen Garai & Dr. Karen Tratensek can improve how well the second phase of the treatment works and helps to make room for permanent teeth. Overall, two-phase treatment helps to position the teeth and the jaw for an attractive profile. Our team at Garai Orthodontic Specialist recommends that you bring your child to our Vienna, VA & Great Falls VA office at the age of seven or eight, so that Dr. Allen Garai & Dr. Karen Tratensek can determine if early (Phase-One) treatment is necessary.

Phase-One

Phase-One orthodontic treatment is known as early treatment. It begins shortly after your child’s first orthodontic examination, usually around age eight or nine. The main goal of Phase-One orthodontic treatment is to help make room for permanent teeth, which reduces crooked teeth as a result of overcrowding. It treats the jaw and bite growth, and issues like crossbite or underbite. This can reduce the need for your child to undergo extractions.

Phase-Two

Phase-Two orthodontic treatment is when braces are placed on the upper and/or lower teeth. The purpose is not just to correct spaces or misaligned teeth, but also to correct overbite or underbite concerns. Phase-Two usually begins around age 11 or 12, and the braces are worn for an average of two to three years, depending on your child’s unique needs. Some children have fewer issues and wear braces for little more than a year, while others need them for up to four years.

Signs your child needs two-phase orthodontic treatment

If your child exhibits the following signs, he or she may be a good candidate for two-phase orthodontic treatment:

• Losing baby teeth early, before five years of age
• Problems with biting or chewing
• Sucking the thumb after age five
• Evidence of a crossbite, where the teeth don’t come together when opening or closing of the mouth
• Teeth are crowded at age seven or eight
• Protruding teeth on the top or bottom

Not all children need to have early treatment, but if your child shows any of these signs, you should bring him or her to us for an evaluation at Garai Orthodontic Specialist.

Orthodontic treatment traditionally begins somewhere between the ages of 10 and 14—but there’s no need to stand on tradition where your family’s dental health is concerned! An orthodontic evaluation will let you know each family member’s best options for healthier, more confident smiles even before the tween years and even after reaching adulthood.

First Visit—By Age 7

Dentists recommend that you schedule a first orthodontic evaluation for your child by age seven (or earlier if any bite problems or jaw asymmetry are apparent). By this age, most children have a mix of both adult and baby teeth, and orthodontists can determine whether the position and development of the teeth and jaws are on track.

During this visit, Dr. Allen Garai & Dr. Karen Tratensek will also carefully assess how your child’s teeth and jaws fit together when biting down. Healthy occlusion, or bite, means that the teeth and jaws are aligned and work together comfortably. A malocclusion, or bad bite, means that there is a problem with this alignment.

Dr. Allen Garai & Dr. Karen Tratensek might discover:

• No issues for concern.
• A possibility for future orthodontic problems. In this case, follow-up appointments might be scheduled to determine whether and when treatment should occur.
• Orthodontic problems which are already evident, with a recommendation for early intervention.

Early Orthodontic Intervention—Ages 6-9

Some children can benefit from “interceptive orthodontics,” first stage orthodontic treatment begun around the ages of six to nine.

Early intervention can help prevent crowded teeth, protect protruding teeth, and correct jaw alignment problems.

• If a child has a small upper dental arch, palatal expanders can gently enlarge the arch to make room for the adult teeth to arrive without crowding.
• When a baby tooth is lost too soon, space maintainers save room for the adult tooth beneath it to erupt in just the right spot.
• Protruding front teeth have a higher risk of injury from falls or collisions, and treatment will help protect them.
• Treatment for malocclusions like overbites, underbites, and open bites helps create a more comfortable, symmetrical, and healthy bite while young bones are growing, and may prevent the necessity for more complicated treatment in the teen years.

Tween and Teen Years—Ages 10-14

It’s common to treat malocclusions during the tween/teen years. During this stage of development, it’s easier for teeth to move to their ideal positions, because most of the adult teeth have arrived and the jawbones haven’t completed their growth.

Today’s orthodontics offers teens a number of treatment options:

• Braces are smaller and more comfortable, and brackets come in a variety of colors and materials to blend in or stand out.
• Clear aligners are almost invisible, and can treat many types of mild to moderate malocclusions.
• Functional appliances like the Herbst® appliance, the Forsus™ device, the twin-block appliance, and headgear work with braces or aligners to help correct more complex malocclusions.

And there’s more—modern orthodontic options are more effective, taking less time to create a beautiful, healthy smile.

Older Patients of Any Age

As you’ve grown older, you may have noticed that your once-straight teeth are becoming a bit crowded. You may be suffering dental pain and injured teeth because of a long-term bite problem. You may have always wanted a more attractive, comfortable smile, but weren’t able to access treatment when you were younger.

Good news! As long as your teeth and gums are healthy, orthodontic treatment can be a great way to keep them healthy. And today’s orthodontics offer a much wider and less noticeable variety of treatment options than the larger metal braces you might remember from decades ago. Depending on your needs, the team at Garai Orthodontic Specialist could recommend:

• Traditional braces—brackets are smaller than ever and come in a choice of several materials and colors, including ceramic, tooth-colored, and clear brackets.
• Clear aligners—an almost invisible way to straighten teeth, and removeable when necessary (as long as they’re worn 20-22 hours each day).
• Lingual braces—the least visible treatment, because brackets and wires are attached behind the teeth.

Crowded teeth and malocclusions often lead to lifelong problems, including worn or cracked enamel, headaches, jaw problems, increased risk of tooth decay and periodontal disease, and decreased self-confidence. Whether you’re graduating high school or getting ready for your golden reunion, it’s not too late for an orthodontic assessment.

If you’re concerned about your own or your child’s orthodontic health, problems with alignment and bite are best treated as early as possible to prevent dental damage, improve self-confidence, and avoid more complicated treatment in the future. So, when’s the best time to schedule an orthodontic assessment in Vienna, VA & Great Falls VA? There’s no better time than today!