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Although major orthodontic emergencies are relatively rare, when they do happen it is important to seek immediate attention. By comparison, a minor orthodontic issue is something you can usually take care of yourself, or wait until your next scheduled appointment for care. Here are some guidelines to help you understand the difference between an orthodontic emergency and a minor issue.

Orthodontic Emergencies

Acute, Direct Injury to the Mouth, Jaw, or Teeth

Whether undergoing orthodontic care or not, if you injure your mouth, jaw, or teeth, you should see a doctor or dentist immediately. You may need an X-ray to determine the extent of your injury. If the injury affects the orthodontic appliances, they will need adjustment or possibly replacement, depending upon the extent of the injury.

Infected Teeth

It is possible for teeth to become infected following orthodontic treatment. This may or may not be related to your orthodontic appliances. If you experience pain or swelling around a tooth that gets progressively worse, seek professional care as soon as possible.

Minor Orthodontic Issues

While true orthodontic emergencies are rare, minor issues are much more common. Here are some examples of minor orthodontic issues that can be remedied on your own and/or fixed at your next office visit:

• Poking wire
• Loose bracket
• Loose elastic band
• Loose wire
• Loose appliance
• Headgear does not fit
• Lost or broken elastic band
• General soreness

Any of the above issues can happen as a result of normal usage, shifting, and wear of your braces. Eating unusually hard or sticky foods can cause or exacerbate these problems. Vigorous brushing of the teeth can also be a factor. None of these issues are emergencies unless they are accompanied by acute or prolonged pain or discomfort.

As for on-the-spot remedies, covering a loose bracket or wire with wax can be a quick fix to alleviate discomfort until your next orthodontist visit. Poking or protruding wires can be moved with a cotton swab or tweezers, or clipped down with nail clippers. Be sure to sterilize the tweezers or clippers in alcohol first. Cover any clipped wire ends with a small ball of wax.

Some soreness or small abrasions in the mouth are normal, especially with recent orthodontic work. Rinse your mouth with a saltwater solution comprised of eight ounces or warm water and one teaspoon of salt.

When in doubt, be sure to contact our Fresno, CA office with any questions, or to schedule an appointment with Dr. Robert Kubo and Dr. James Kubo at Kubo Orthodontic Group.

Just like that, it’s Spring, and the world looks brighter! The skies are sunnier. Daylight in Fresno, CA lasts longer. And your smile can be brighter, too—with a little bit of spring cleaning.

After all, sometimes dental habits become so automatic that we don’t pay them as much attention as we should. Without careful daily brushing and flossing, you could start to see surface staining on your enamel. Or red and swollen gums. Or plaque buildup around your brackets. Or tartar deposits along your gumline and behind your teeth.

The start of the season is a good time to spring ahead with a plan for better oral health, and we have some simple ideas to help you clean and protect your smile all through the year.

Assemble the right tools.

• Use a soft-bristled toothbrush, because anything firmer can be hard on your tooth enamel and gums. If you’re having trouble removing food particles and plaque, especially around brackets and wires, an electric toothbrush might be a game changer.
• Find the right floss. If you’ve been neglecting flossing because it’s difficult, especially with braces, there are lots of options available for better, easier cleaning. Whether it’s floss threaders, floss picks, interproximal brushes, or water flossers, Dr. Robert Kubo and Dr. James Kubo can recommend the best products for cleaning around your brackets and wires.
• Choose fluoride toothpaste. Fluoride not only helps prevent cavities by creating an unfavorable environment for cavity-causing bacteria, it also actually strengthens tooth enamel as well. Win/win!

Use those tools!

• Brush all the surfaces of your teeth carefully (no need to scrub) and brush along the gumline at a 45˚ angle. This will help prevent plaque from accumulating above and below the gumline, where it can harden into tartar.
• Brush often enough and long enough. Dentists generally recommend brushing twice a day, for two minutes each time, but you might need to increase your brushing schedule when you wear braces. 
• Brush before replacing aligners or wearing your retainer. You don’t want to trap food particles or bacteria in your appliance!
• Floss at least once a day, or more often as recommended. Proper flossing can be tricky sometimes, especially with braces, so ask your orthodontist, dentist, or the care team at Kubo Orthodontic Group for the best techniques for your teeth.

Make sure your dental products are in top shape.

• Replace your toothbrush as often as necessary. After three months or so, bristles start to fray. They don’t clean as effectively, and they could be abrasive to gum tissue. Change out your brush every three to four months, including the head on your electric brush. A good way to remember is to change your brush with the change of seasons. 
• Check the date(s)! Many toothpastes, mouthwashes, and other oral supplies come with a “best used by” date, ensuring that your products remain safe and effective.
• Choose the right toothbrush holder. Your brush should air-dry upright, because germs thrive in closed, damp environments. And your holder shouldn’t allow your brush to touch other people’s brushes to avoid transfer of bacteria and viruses. Clean your brush holder regularly to remove toothpaste residue and germs.
• Clean your aligners, retainer, mouthguard, night guard, and/or cases for your appliances as recommended. Bits of food, bacteria, viruses, and other germs collect there as well.

Work with the experts for your brightest smile.

• See your dentist regularly. You’ll discover any problems which might be dimming your smile, and you’ll discover them early.
• Schedule cleanings with your exams. Your hygienist uses tools such as ultrasonic or hand scalers and polishers to remove stubborn plaque, tartar deposits, and surface stains that brushing can’t.
• If you want brighter teeth, talk to Dr. Robert Kubo and Dr. James Kubo or your dentist to discover the best time for whitening treatment. And when the time is right, consider professional whitening. While whitening kits are available in almost any drug store or supermarket, office treatments or kits provided by your dentist use stronger ingredients and are more effective.

Easy steps, yes? Step up your cleaning routine, and you’ll have a springtime filled with not just brighter smiles, but healthier smiles, too!

Despite the common assumption that braces are for kids, more and more adults are choosing to pursue orthodontics to correct their smiles. Just hearing the word “braces” and picturing a mouth full of metal can cause many grownups to hesitate about getting treatment for a straighter smile.

We’re here to give you the information you need to evaluate your treatment options and make the right choice for yourself. Whatever your personal history, wearing braces as an adult is an excellent way to create the straight, confident smile you’ve always desired.

What are my options?

Recent advances in orthodontic medicine have created numerous options for adults who need braces.

These are best for individuals who have severely crooked teeth or a significant bite problem, or who require other major orthodontic changes. The greatest drawback to wearing metal braces as an adult is the visible appearance of metal and wires.

Clear ceramic braces offer a solution to that, though they cost more. They’re are a good alternative for correcting highly crooked teeth or bite issues. Smoking or drinking red wine, soda, and other dark beverages may stain the adhesive that binds the brackets to your teeth, so you have to commit to being mindful and taking good care of them.

Another popular option for adults who need braces is a clear-aligner treatment, such as with Invisalign®. This system works in a different way from traditional braces by using a series of clear, retainer-like aligners.

In general, the Invisalign process lasts anywhere from three to 18 months. Keep in mind, however, that Invisalign is not as effective as traditional braces in treating bite problems or severe overcrowding.

The prospect of getting braces as an adult can be intimidating, but you should not let your fears prevent you from obtaining the smile of your dreams. A consultation at our Fresno, CA office with Dr. Robert Kubo and Dr. James Kubo will address your concerns and provide more information about the best course of treatment!

Dr. Robert Kubo and Dr. James Kubo and our team hear this question a lot. Some of the common reasons for crooked teeth include:

• Thumb sucking
• Tongue thrusting or improper use of the tongue during speaking and swallowing
• Premature loss of baby teeth, which causes teeth to drift and shift
• Poor breathing airway caused by enlarged adenoids or tonsils

There are also hereditary factors we get from our parents, like:

• Extra teeth
• Large teeth
• Missing teeth
• Wide spaces between teeth
• Small jaws

Dr. Robert Kubo and Dr. James Kubo and our team know that having crooked teeth isn’t just a cosmetic issue; it can lead to serious health problems as well. Crooked teeth can:

• Interfere with proper chewing
• Make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis
• Strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth

There are several treatment options we offer at Kubo Orthodontic Group that can help correct crooked teeth. Please give us a call at our convenient Fresno, CA office to learn more or to schedule an initial consultation.