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Oral Health

Interproximal Cavities: The Inside Story

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface. Done? Not quite! You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other. You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity. Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth. Preventing Interproximal Cavities Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality. But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach. When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge! The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment: Floss threaders are flexible hoops that help you thread floss behind your wires easily. Precut floss strands use a stiff tip at one end for threading floss through wires. Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning. Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces. During your next visit to our Wallingford, CT office, Dr. Sheeba Zaidi can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces. Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

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Avoid Brushing After Every Single Meal!

Here is some surprising yet worthwhile advice you might be hearing for the first time: Brushing after a meal can be incredibly bad for your teeth if you do it after eating certain foods. Enamel is an extremely hard mineral on the exterior of each of your teeth. It’s actually the hardest substance in the human body: It’s even stronger than your bones! Its only weakness is that acids in the food we eat can easily destroy enamel. Healthy teeth thrive in an environment that has the proper pH balance. That ensures your mouth doesn’t start the process of demineralization. That’s what happens when alkaline turns into acid, which attacks and softens the enamel on the surface of your teeth. Pores and fissures form, and that’s when the harmful bacteria go to work. Our mouth’s pH level fluctuates depending on what we eat throughout the day. Examples of the most common highly acidic foods include citrus fruits, soda, and sugary foods. Highly acidic foods tip the balance of pH in your mouth from a healthy alkaline to a dangerous acid. Can brushing your teeth immediately after a meal lead to even more damage? The answer is yes! Eating highly acidic foods causes your teeth to be more susceptible. If you brush your teeth when they have been weakened by acids, even more destruction can happen to your enamel. Your toothbrush’s bristles will actually wear away some of your enamel. So it’s healthier to wait at least an hour after eating or snacking to brush. Good preventive measures to take instead of brushing after you eat include: Rinsing or drinking water Chewing sugarless gum Consuming dairy or non-acidic foods to conclude your meal These practices help produce saliva, which in turn restores a healthy pH level in your mouth and coats the teeth with minerals they need. Once you’ve allowed time for your mouth to be restored to a healthy pH level, you may brush your teeth as you normally would. Keep in mind that acidic foods can weaken the enamel on your teeth and take the right measures to prevent spiking pH levels. Most important, don’t forget to wait to brush at least one hour after you eat! Still have questions? Call our Wallingford, CT office and schedule an appointment with Dr. Sheeba Zaidi.

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Tube Talk

The topic is tubes. No, we’re not talking about TV shows, or sports socks, or British subway systems. We’re talking toothpaste! With so many options out there, which toothpaste should you be looking for to keep your teeth their cleanest and healthiest during orthodontic treatment? Fantastic Fluoride The last thing you want while you’re wearing braces is a cavity. Cavities develop when plaque sticks to a tooth. The oral bacteria found in plaque produce acids that weaken your enamel. Over time, these acid attacks lead to the breakdown of the enamel and a cavity forms. But you have a way to stop this process. Fluoride provides protection against cavities. Fluoride toothpastes contain minerals that actually strengthen your enamel, and can even repair early damage before a cavity has a chance to form. Whichever toothpaste you choose, fluoride is the most important ingredient. Terrific Tartar-Control What is tartar, anyway? Tartar, or calculus, is hardened plaque. It’s so hard, it can’t be removed by brushing alone—that’s why your dental hygienist uses special tools to remove it when you have a cleaning. Tartar buildup can lead to receding gums and gum disease, so prevent this buildup before it starts by using a toothpaste especially formulated to remove plaque. Desensitizing Decisions There are many causes for tooth sensitivity. If painful sensitivity is caused by hot or cold drinks, it could mean a dental issue such as decay or a damaged tooth, and your dentist can help diagnose and treat the problem. Sensitivity be a sign that you’re not cleaning around your braces well enough, leading to sore and inflamed gums. Sometimes sensitivity can actually be caused by over-enthusiastic brushing. Remember, massage, don’t scrub! For some extra-sensitive teeth, a desensitizing toothpaste or even a prescription toothpaste can help. If you find that your teeth are more sensitive only after an adjustment, give us a call. This is usually temporary. What about Whitening? Whitening toothpastes do a good job of taking care of some surface stains, so why not use them? Because they take care of some surface stains. When your braces are in place, your brackets cover a small portion of your enamel—a portion that won’t be whitened as you brush. Generally, because whitening toothpastes don’t make a huge difference in tooth color, this might not be a problem. Talk to Dr. Sheeba Zaidi before you decide to whiten, and we’ll have suggestions just for you. In fact, if you have any questions about the best toothpastes for orthodontic patients, contact our Wallingford, CT office! Getting your braces is a great step forward on your way to a beautiful smile. Let us help you choose the right toothpaste to make sure that beautiful smile is a healthy and lasting one.

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Take Me Out to the Ball Game

You’re going to the game! And no matter which sport you follow, there’s so much to enjoy—the best athletes, exciting play, hometown pride—and those delicious concession stands! But if you’re wearing braces, your team spirit might be flagging. Here are a few ideas to help keep your food choices out of foul territory. You know that you should avoid the foods that can damage braces or stick around your wires and brackets. This means any snacks that are sticky, chewy, hard, or crunchy are benched. So most of the traditional game foods—peanuts, popcorn, nachos, licorice—are just not safe for traditional metal or ceramic braces. Let’s save those for next season. So what is on the program? You still have many great choices. Ice Cream. A favorite that’s easy on your braces (no nuts or caramel, please). If you want a healthier option, try frozen yogurt or a smoothie. Hearty Snacks. Pretzels and pizza can be too thick and chewy. Go for the mac and cheese, chili, or deli meats on soft bread. And remember, small bites! Check with us to see if hamburgers and hot dogs are safe for your braces. Soft Candies and Cookies. Licorice, caramels, and crunchy cookies are out, but soft chocolate bars and moist, tender cookies are still on the menu. Sodas and sports drinks can create a sugary and/or acidic environment which can damage enamel over time. If you do indulge, try to rinse with water ASAP. Stadium and arena menus contain a lot of starches and sugars, which stick to braces and fuel cavity-causing bacteria. So it’s best to go easy on the snacks. But you don’t have to give up a half-time treat entirely—just enjoy in moderation and be sure to brush thoroughly when you get home. If you wear clear aligners, your choices are simpler. You can remove your aligners, eat normally, and clean your teeth thoroughly before replacing them. But one flag on this play—remember that you’re supposed to wear your aligners for a set number of hours each day. You don’t want to be putting your treatment behind schedule if the game goes into triple overtime. Keep your eye on the clock, and you should be fine. Dr. Sheeba Zaidi and our Wallingford, CT team are always happy to recommend the best food options for your individual orthodontic treatment, and we can help you select a roster of safe and healthy choices. You might miss out on a few of your favorite sports snacks right now, but let’s remember the true fan’s motto: There’s always next year! Taking care of your braces and teeth means faster treatment and healthier teeth. Your All-Star smile will be worth it!

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Tell us about your summer!

The dog days of summer are upon us, and what better time for Dr. Sheeba Zaidi and our team to ask our patients about their summer! Whether you visited our nation’s capital, went on a camping trip, or just stayed in Wallingford, CT and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

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Happy Fourth of July

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area. The Beginnings of Fourth of July Celebrations Although it wasn’t officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson’s famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies. First States to Recognize the Fourth of July In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country’s independence. Two years later, Boston became the first city to make an official designation to honor the country’s birth with a holiday on July 4th. In that same year, North Carolina’s governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country’s independence. Fun Facts About the Fourth of July The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal. Americans eat over 150 million hot dogs on July 4th. Imports of fireworks each year totals over $211 million. The first “official” Fourth of July party took place at the White House in 1801. Benjamin Franklin didn’t want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States. For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country. Dr. Sheeba Zaidi and our team at Zaidi Orthodontics wish you a safe and happy Fourth of July!

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Questions, questions…

When beginning orthodontic treatment, most patients ask Dr. Sheeba Zaidi and our team a lot of questions about what to expect, while others choose to just “go with the flow” and leave it to us to build for them a beautiful smile. And for our team at Zaidi Orthodontics, that’s understandable. But for those who do ask questions, two of the ones we frequently hear are “Will my braces hurt?” and “How long will these be on?” We explain to our patients that despite what they’ve heard, braces do not hurt when they’re initially put on. Yes, you will experience soreness after your braces are placed and when your teeth start to move. Too often, our patients hear horror stories about how much it hurts to get the braces on, so they tend to over-worry. The truth is, after their braces are on, almost all patients say “that’s it?” because it’s actually easy and painless! At Zaidi Orthodontics, we answer most of your other questions during your initial exam. When a patient visits our office for the first time, we give him or her a time estimate of how long it will take to achieve their ideal smile. All other questions are answered at the bonding appointment when the braces are placed. We cover all the topics, everything from eating to brushing with braces, but we also know that after your initial appointment, it’s natural for you to have questions about your or your child’s treatment. And we are always here for you; we are thorough and always try to answer any questions or concerns you may have. As a patient, that’s one thing you never have to worry about. You will always know what’s going on throughout your orthodontic experience.

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TMD Problems and How You Can Prevent Them

Temporomandibular joint disorders (TMD) describe a set of conditions that involve trouble with your jaw and face muscles. They result from a problem in the temporomandibular joint (TMJ), which is a hinge that connects the temporal bones, in your skull in front of each ear, to your jaw. The joint enables you to talk, yawn, and chew by letting your mouth move. TMD can be very painful and interfere with functions such as eating and speaking. This what to watch for and how to try to prevent TMD. Risk Factors for TMD You are at higher risk for TMD if you are a women than if you are male. The disorder is most common among adults between the ages of 20 and 40 years. Other risk factors for TMJ disorders include the following. Arthritis in the area, making movement more difficult Excessive tooth grinding, because it increases stress on the joint General stress, which can lead you to clench your teeth and strain facial muscles Symptoms of TMD Symptoms of TMD can last for just a short while, or for several years. Seeing Dr. Sheeba Zaidi is important if your symptoms make it impossible for you to eat regularly or if you have unbearable pain or discomfort. The following symptoms can occur on both or one side of your face. Aching or very tired facial muscles Jaws that are fixed open or shut without you being able to unlock them Grating or popping sounds when you chew or close or open your mouth Pain in the entire area, including the mouth, jaw, neck, or shoulders, that comes on when you chew or yawn Preventing TMD You can try to prevent TMD by focusing on reducing risk factors. If you grind your teeth at night, ask Dr. Sheeba Zaidi about wearing a mouthguard. If you are overly stressed, look into ways to better manage your stress and relax your muscles. Another strategy for trying to prevent the development of TMD is to avoid chewing gum, since that puts stress on your jaw. If you have questions about TMD, don’t hesitate to contact our Wallingford, CT office.

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Going on vacation? Remember these simple tips!

If you are wearing braces and are planning a vacation, our team at Zaidi Orthodontics would suggest that you be prepared. We put together a list of items that will be handy to have with you at all times while you are out of town. They include: Toothpick, flosspick, or other interdental cleaners Travel toothbrush A water bottle or a mini bottle of mouth rinse Orthodontic wax to help with discomfort from protruding wires A small mirror for examining any possible issues in your mouth Putting these items together in a “braces/oral hygiene kit” may be wise. You may even buy pre-made braces kits. Please ask us for more information. If you happen to be on vacation and experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get him or her out of pain or discomfort. We also suggest avoiding the following foods to prevent broken brackets and/or wire distortion while you are on vacation: Chewy, sticky, or gummy food Apples, pears, and other whole fruits (cut fruit into wedges before consuming) Bagels and hard rolls Corn on the cob Hard candies Hard cookies or pretzels All varieties of nuts, including peanuts, almonds, and cashews Finally, if you are wearing clear aligners and happen to lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home! Follow these tips and you can have a worry-free vacation! Please give us a call if you have any questions!

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Barbecues and Braces

One of the sure signs that summer has arrived is the unmistakable aroma of barbecue drifting over backyards across the country. If you’re new to braces, you might be wondering just how many of your favorite outdoor treats can still go on your plate. Good news! You have a lot of braces-friendly options available—with a little extra planning on your part. Two things to remember: tools and textures. BBQ Tools We’re not talking about spatulas and tongs and skewers—the barbecue tools we’re talking about here are your knife and fork. Sure, many classic BBQ dishes are finger foods, but those are the very dishes which can cause problems for your braces. Eating savory ribs or chicken legs, juicy burgers or hot dogs, or delicious corn on the cob the traditional way means biting into these foods with your front teeth. That biting puts a lot of pressure on your braces and can lead to bent wires and loose or broken brackets. But there’s a way to get around this without giving up on your tasty favorites! There’s no rule against using your knife and fork at a BBQ, and there’s no need to bite into foods when you can cut them up into small, manageable pieces. If you remove meat from bones before eating, if you deconstruct your grilled burger or brat by cutting it up into smaller pieces, if you slice the kernels off your corn on the cob, you can chew with your back teeth and avoid any damage to your brackets and wires. Cut grilled foods into manageable bites just like you do with your regular meals, and you won’t be leaving the party early!   BBQ Textures Now let’s talk texture. Crunchy, hard, and sticky foods should never be on the menu when you’re wearing braces. These foods can damage your wires and brackets or get stuck between your braces and your teeth. This is a time for clever substitutions. Exchange the corn chips for soft potato or pasta salad. Trade crusty and seeded buns for softer, seedless versions. Skip the grilled sticky s’mores and enjoy creamy, soft ice cream instead—but without nuts or other crunchy, sticky additions, please! Dr. Sheeba Zaidi and our team are happy to offer suggestions for what to eat and how to eat it safely while you’re in braces at our Wallingford, CT orthodontic office. There are unavoidable events that can put a damper on outdoor activities. Pouring rain and insect pests—not much we can do about those. But taking simple precautions with your braces means no bent wires and broken brackets to ruin your BBQ fun. Now, dig in!

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