September 17th, 2015

You have done a lot of work to get the perfect smile. You wore your Invisalign aligner trays and cared for your teeth, and now your treatment is done. You still need to take care of your teeth to keep your beautiful smile. Keeps these things in mind when you think about your oral care routine.
Retainers
Many patients do require a retainer after Invisalign treatment. This will be based on your unique situation. If a retainer is recommended by Dr. Sanjay Kuruvadi, use it as directed. Retainers prevent your teeth from shifting back into their original position. You should also avoid hard, crunchy foods for the first couple of weeks as your teeth adjust. For younger patients, retainers are normally used until the wisdom teeth come in or are extracted.
Brushing and Flossing
Brushing and flossing must be part of your daily oral care. Flossing helps remove the plaque, which becomes tartar or calculus. This build up can lead to gingivitis and gum disease. Your gums may be more sensitive for a week or two after your orthodontic work is completed. A warm salt water rinse may relieve discomfort.
Your teeth may be slightly sensitive for a short time. They have been protected by your Invisalign aligner trays and now are fully exposed. You might want to try a sensitive toothpaste to get through the transition. Just ask; we will be glad to recommend the best type for your needs. If your teeth are stained, a professional whitening treatment can be considered.
Regular Dental Checkups
You still need to have regular dental exams. Professional cleanings and X-rays make sure that both your teeth and gums stay healthy so you can keep your teeth for life. If cavities or other problems are found, they can be taken care of quickly.
If you have any questions about how to care for your teeth after your Invisalign program, please ask our Chula Vista or El Cajon, CA team. We want you to keep your healthy smile and enjoy the results of your Invisalign treatment.
September 10th, 2015

Great question! Tooth movement is your body’s natural response to light pressure applied by braces over a period of time (usually two years). Braces work by using brackets that are glued onto your teeth; these brackets have small slots, and that is where Dr. Sanjay Kuruvadi and our team insert orthodontic wires. These wires are held in place by small elastic ties that fit around the brackets. As time passes during your treatment, these wires apply pressure on your teeth, which sets in motion the movement of your teeth into their desired positions. Each of your teeth has a different size and shape to them, as do the brackets. Each bracket is custom-made for the particular tooth on which it’s supposed to fit.
Not long ago, orthodontists had stainless steel wires and that was about it. Today, however, we have a number of different high-tech wires at our disposal to move your teeth faster and more comfortably.
When you first get your braces on, the first wire or two will typically be very flexible, but still strong enough to apply a constant force on your teeth. As your teeth straighten out over time, however, Dr. Sanjay Kuruvadi will use progressively thicker and firmer wires to help move your teeth in place for an ideal bite.
Every time you visit our office for an adjustment, we will swap out the wires in order to keep putting pressure on your teeth, which is why it’s so important for you to keep your adjustment visits during your treatment. Most adjustment appointments are scheduled four to eight weeks apart to give your teeth time to move.
As for rubber bands and elastics, most of our patients will need to wear elastics or rubber bands at some point during their treatments. These elastics typically go from one or more of the upper braces to one or more of the lower braces, and pull on your teeth to move them in the direction they need to move in order to achieve an optimal bite.
If you have any questions about wires, brackets, or elastics, or have any general questions about your treatment, please give us a call at our Chula Vista or El Cajon, CA office.
September 3rd, 2015

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Chula Vista or El Cajon, CA community, head to the lake, and wear your favorite pair of white pants.
About Labor Day
Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.
Interesting Facts About Labor Day
- Every year, more than 30 million Americans travel over Labor Day weekend.
- Canada was the first to celebrate Labor Day, and the US soon followed.
- President Cleveland made Labor Day and official US holiday in 1894.
- Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
- Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.
Thanks for being a valued patient of our orthodontic office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!
August 27th, 2015

Although teeth seem to be solidly fixed in their sockets (at least they don’t wobble when we chew!), all teeth can easily be moved if Dr. Sanjay Kuruvadi and our staff attach brackets and wires to them called braces. In the past, all braces were made of stainless steel, but today’s advanced dental technology gives people the option of wearing transparent, acrylic mouth trays called Invisalign®, or relying on traditional metal braces for correcting malocclusions.
Brackets, Slots, and Arch Wires – Oh My!
When light pressure is consistently exerted on teeth, they will gradually move in the direction of the force. For example, affixing brackets to front teeth and threading a flexible, metal wire through tiny slots on the front of the brackets allows the orthodontist to tighten this arch wire enough to initiate desired movement of teeth. Generally, orthodontic patients visit Orthodontics Unlimited by Dr. Kuruvadi & Associates once a month to have this wire tightened to keep teeth moving in the desired direction.
Tissues surrounding the teeth that experience pressure from arch wires will slowly (and, for the most part, painlessly) stretch, and allow the socket to enlarge so the tooth and its root become looser temporarily. This allows the root to move without causing bleeding or pain. Once Dr. Sanjay Kuruvadi and our staff are satisfied with the repositioning of teeth, we will remove the braces and let bone material fill in the socket so that teeth are solidified into their new (and straighter) positions.
Clear Braces vs. Traditional Braces
Both types of orthodontic corrective devices move teeth in the same manner: by applying a continual force against teeth. Clear aligners, like Invisalign, are mouth trays made of hard acrylic material that people wear for at least 23 hours a day. Unlike metal braces, Invisalign can be removed for eating and brushing purposes and the aligners are nearly invisible because of their transparency.
Invisalign aligners are usually reserved for people with gaps between their teeth or whose teeth are only slightly crooked. Traditional metal braces are often necessary when severe malocclusion exists and requires more pressure than Invisalign offers.