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You’ve got a lot going on in your busy life, and whether it’s school, practice, or simply socializing, you want to put a confident face forward. And part of that confidence comes from knowing your breath is its freshest!

Too often, though, this time of your life makes that goal seem difficult. Let’s look at ways to keep you smiling your brightest and feeling your freshest in any social setting.

• Watch Your Diet

Sure, garlic, onions, and other pungent food choices are obvious culprits when it comes to bad breath, but did you know that sugars and simple carbs are the food of choice for the bacteria that cause decay, gingivitis, and bad breath? Eating a nutritious, braces-friendly diet will help keep your mouth, your braces, and your breath healthy.

And it’s not just what you eat. Dehydration also causes bad breath. But those caffeinated drinks and sodas that keep you going through the day are the source of acids and sugars that contribute to tooth decay, gum disease, and less-than-fresh breath. Water, milk, and healthy smoothies are a great way to stay hydrated, add vitamins and minerals to your diet, and go easy on your braces.          

• Keep Up with Oral Hygiene

It’s hard to keep your teeth and gums their cleanest when it seems like you’re always on the go, but good oral habits are just as important now as they were when you were younger.

Brushing after every meal and snack and flossing daily will help get rid of the bacteria and plaque, which lead to cavities. Our tongues also harbor the bacteria that cause bad breath, so finish off your routine with a gentle brush of the tongue, or try a tongue scraper.

Flossing helps keep gums healthy, which, in turns, keeps your breath healthy as well. Dentists generally suggest flossing once a day, but wearing braces could require flossing more often to make sure you’re getting rid of all those food particles that can become trapped in brackets and wires. Studies have suggested that hormonal changes in teenagers can mean your gums are more at risk for periodontal problems, which can also lead to bad breath, so don’t neglect your gum health!

And be sure to make room in your schedule for regular checkups and cleanings. Your dentist and hygienist will let you know if you’re on track for healthy teeth and gums and fresh breath.

• Wearing Braces?

Part of careful brushing and flossing means getting to all those places in your braces which trap food particles. Besides being a source of unpleasant odors, food particles lead to plaque buildup and tooth decay, another cause of bad breath.

Dr. Sanjay Kuruvadi can suggest the best methods for keeping your braces their cleanest—even in hard to reach spots—with suggestions for brushing and flossing techniques. We can also suggest the best and easiest-to-use products for your particular braces, and recommend or prescribe antibacterial mouthwashes.

• Wearing Aligners?

Aligners are removed before you eat, so it’s easy to forget that they also need attention. Follow instructions given at our Chula Vista or El Cajon, CA office for daily cleaning to prevent saliva and plaque from sticking to your aligners and causing odors. And always remember to brush before you replace aligners after eating a meal or even snacking—otherwise, you’re just trapping the food particles that cause cavities or odors next to your teeth.

You’ve got a lot going on in your busy life, and the last thing you need to worry about is fresh breath. Keep up with your solid dental routines, make sure your braces or aligners are clean and plaque-free, and show the world your healthiest, freshest, most confident smile.

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. Sanjay Kuruvadi 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 Orthodontics Unlimited by Dr. Kuruvadi & Associates recommends that you bring your child to our Chula Vista or El Cajon, CA office at the age of seven or eight, so that Dr. Sanjay Kuruvadi 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 Orthodontics Unlimited by Dr. Kuruvadi & Associates.

Some experiences are great, and we look forward to enjoying them again and again. Others have wonderful outcomes, but you feel no need for a sequel. If you’re wondering whether you need to revisit orthodontic treatment, you’re probably in this second group.

After all, you put in your time as a teenager. All those days in bands and braces, all the adjustments, all that cleaning with little tiny tools in little tiny places. That was a lot of work, and you reaped the rewards of your conscientious orthodontic habits with beautifully aligned teeth and a healthy, comfortable bite.

But now you’ve started to notice that your teeth aren’t quite as beautifully aligned, or your bite’s not quite as comfortable. So, what’s happened? Let’s look at some possibilities, and whether a return to the orthodontist’s office is in order.

• You’ve Lost a Tooth

If you’ve lost a tooth because of injury or decay, that gap is an open invitation for surrounding teeth to move in to fill the void. Whenever you lose a tooth, consider an implant. Implants function, look, and maintain healthy spacing just like natural teeth.

One thing implants can’t do? Move like our own teeth will during orthodontic treatment. Your natural teeth can move because they are held in place within the bone by flexible periodontal ligaments. Implants, on the other hand, are anchored directly to the bone for stability.

If you’re considering new or further orthodontic work and want to replace a lost tooth with an implant, it’s a good idea to talk to Dr. Sanjay Kuruvadi to discover the best timing and scheduling for your procedures.

• You’ve Gained a Tooth

Problems with your alignment can also arise if you add a tooth or teeth. If you’re in your late teens or early twenties, wisdom teeth could be in your near future. And a new tooth can throw off the spacing and alignment of your existing teeth.

Talk to Dr. Sanjay Kuruvadi about your options if your wisdom teeth are about to make an appearance, and if it looks like your tooth and bite alignment might be affected.

• You’re Getting Older

Our teeth naturally tend to shift as we age. Teeth move forward, causing crowded or crooked front teeth—especially on the lower jaw. There’s even a medical term for this phenomenon: mesial drift. While we don’t know exactly why this drifting occurs, we can treat it.

Adults make up a large—and growing—segment of orthodontic patients. If your teeth have lost their ideal alignment over time, a visit to our Chula Vista or El Cajon, CA office is a great way to bring your youthful smile back. And you’ll probably find your treatment much shorter and more comfortable than it was decades earlier!

• You Haven’t Been Wearing Your Retainer

Remember that word “conscientious” in the second paragraph? You need to wear your retainer conscientiously, for as often and for as long as recommended by Dr. Sanjay Kuruvadi.

If you’ve been ignoring a damaged retainer, or you keep forgetting to look for your lost retainer, or you have a perfect, undamaged retainer sitting unworn on your dresser, your teeth can start to shift out of their hard-won alignment within a short time.

Does this mean it’s back to months of bands and adjustments and appointments? Maybe not! See us as soon as you notice any changes in your teeth or bite. When caught early, shifting teeth can be treated much more easily.

What can we do to help you regain your best smile? A lot!

• Treatment Planning

When you need to accommodate implants, wisdom teeth, or other dental work which could affect your tooth alignment, Dr. Sanjay Kuruvadi can work with your dentist to make sure your alignment isn’t disturbed in the process. They can also map out a treatment schedule which coordinates your other procedures with any orthodontic treatment.

• Retainer Evaluation/Adjustment

Your retainer is probably a passive retainer, meaning it keeps your teeth in place instead of moving them. If you notice your alignment shifting, or if your retainer is uncomfortable when you try to put it on after a lapse in nightly wear, ask us about a replacement.

• Active Retainers

An active retainer helps move teeth into alignment rather than simply keeping them in place. A new active retainer might be just what you need to correct a slight shift.

• Aligners or Braces

If you have some serious shifting going on, we might recommend a second round of treatment with clear aligners or braces. But there’s good news here, as well! Treatment to correct an orthodontic relapse usually takes less time than it did originally, and treatment options are more comfortable and less noticeable than ever before.

Talk to Dr. Sanjay Kuruvadi about an orthodontic sequel if you have any concerns about changes in your bite or alignment. You might need only a simple retainer adjustment or a short time in clear aligners or traditional braces to make your smile its best and healthiest once again. And this time, remember to wear your retainer to make sure there’s no need for Orthodontics—Part III!

Halloween is a favorite holiday among children due to the festive games, imaginative costumes, and candy. Modern celebrations stem from a combination of traditions from Pagan and Christian traditions throughout the centuries. The original holiday was called Samhain and derived from the ancient Druids of Ireland. In their belief system, November 1st marked the beginning of winter, and Pagans began their Samhain celebrations at sunset on October 31st.

Modern Celebrations of Halloween

Children and adults love dressing up for Halloween, and this tradition comes from the ancient belief in spirits. From sunset on October 31st until sunrise on November 1st, the souls of the dead entered the physical world. Some spirits were benevolent and wanted only to cross over to the afterlife while others harbored malicious intents of revenge and trickery. Pagans wore masks and disguised themselves so that the malevolent souls would mistake them as fellow spirits.

Families left food and ale outside of their doors to appease the spirits. With the rise of Christianity in Europe, the church encouraged its members to offer food and money to beggars. In exchange, the beggars would agree to pray for the family's deceased loved ones. Eventually these traditions led to the development of today's customs where children dressed up and received candy from their neighbors while circling the community.

Teeth-Friendly Treats

With all of the excitement and free candy on Halloween, it is easy to get carried away on a sugar high. Parents warn their children not to eat too many pieces in one night to avoid tummy aches and cavities. Our team at Orthodontics Unlimited by Dr. Kuruvadi & Associates especially wants to remind children with braces to be extra cautious about the treats they eat because some varieties can get stuck in between the brackets and damage the devices. Sticky candy, such as caramels, fruit chews, and gum should be avoided when wearing braces. Children can trade with their friends and siblings to get only safe candies. The following list offers some alternative treats that children with braces can safely enjoy.

• Solid chocolate, including milk, white, or dark
• Nougat-filled candy bars, such as Three Musketeers
• Candy-coated chocolates like M&Ms
• Powdery candy, such as Sweet Tarts or Pixie Stix
• Mint-flavored candy
• Malted milk balls
• Cookies
• Peanut butter crackers or cookies

When in doubt, children should ask their parents or Dr. Sanjay Kuruvadi if a specific candy is safe. Halloween is a fun holiday for children, and having braces does not have to take away any of the excitement from tasty treats.