In this article, expert orthodontists from AAO offer advice on what to include in your tooth-cleaning travel kit. Here are six must-haves for cleaning teeth on the go.

Tooth-Cleaning Essentials At a Glance

These are the six essential items you need to effectively take care of your teeth and braces on the go:

• Clean Water
• A Toothbrush
• Interproximal Brush
• Dental Floss
• A Mirror/Pocket Mirror
• Toothpaste

1. Water

When brushing isn’t an option, rinsing with water is a simple way to protect your teeth. After eating or drinking sugary or acidic beverages, swishing with plain water helps remove food particles and reduce acidity that can lead to tooth decay. While not a replacement for brushing, rinsing is a helpful step to maintain oral health during the day.

2. A Toothbrush

This one should be a no-brainer. Your toothbrush is the VIP of your oral care tool kit. Even without toothpaste, brushing removes food and plaque and will help you keep your teeth healthy. A travel toothbrush takes up about half the space of a regular toothbrush. But if you prefer a full-sized toothbrush, we won’t argue with you.

3. An Interproximal Brush

Remember how we said braces have a lot of nooks and crannies for nasty stuff to hide out in? This means brushing is a bit more difficult for people with braces. The interproximal brush fixes that. It’s small, very easy to carry along, and can help you brush all those hard-to-reach places so plaque and food have nowhere to hide. Use it to get at food that’s stuck around brackets, between the archwire and teeth, and in between teeth.

4. Floss

Flossing is essential during orthodontic treatment to remove food and plaque between teeth, under the gumline, and around braces. Use a floss threader or pre-threaded floss to clean around the archwire and tight spaces. For aligner wearers, flossers may be an easier option. Regular flossing helps prevent gum issues and keeps your breath fresh.

5. A Mirror

A pocket mirror is a convenient tool for checking your teeth after brushing, especially when you’re not near a bathroom. It helps spot leftover food or missed spots. Compact and portable, it’s ideal for a travel dental kit. A phone’s selfie camera works as a quick alternative in a pinch.

6. Toothpaste

As we’ve said before, making sure you brush your teeth after every meal is important. Brushing using toothpaste is the most ideal method of ensuring your teeth, gums, and orthodontic appliances are clean. The fluoride in most brands of toothpaste helps to strengthen the enamel and helps combat the effects of plaque. Luckily, travel-sized toothpaste tubes are convenient and easy to get from most major retailers.

Other On-The-Go Oral Hygiene Tools

The six items listed above are the essentials for your on-the-go teeth cleaning kit, but it’s by no means an exhaustive list. Consider these other nice-to-haves when packing your travel bag.

Orthodontic Wax

Sometimes braces can cause discomfort if they rub against a sensitive area inside your mouth. Orthodontic wax acts as a barrier to keep your orthodontic appliances from irritating your mouth. It pays to be prepared in case your braces start bothering you.

Over-the-Counter (OTC) Pain Relievers

While this is a great addition to your toothbrushing travel kit, it’s a good idea to get in the habit of keeping these somewhere on your person. Acetaminophen or ibuprofen can be used in a pinch to reduce swelling from bracket and archwire irritation. But they can also be used if you suddenly find yourself with a headache. OTC pain relievers should be part of any day bag you pack.

Visit an AAO Orthodontist for On-The-Go Teeth Cleaning Advice

Want to know what to pack in your on-the-go teeth cleaning kit? Schedule an appointment with your nearest AAO orthodontist! Not only do our orthodontists give great advice, but they can help you get your hands on interproximal brushes, orthodontic wax, and floss. Use the Find an Orthodontist tool to find your nearest AAO practice today!

The post The On-The-Go Teeth Cleaning Tool Kit for Braces Wearers appeared first on American Association of Orthodontists.

Why You Need Orthodontic X-Rays: An Overview

Getting an orthodontic X-ray is a prerequisite for treatment for a good reason.

X-Rays:

• Identify problems below the gums
• Help orthodontists plan your treatment

There are 5 types of X-rays your orthodontist may ask for:

1. Panoramic
2. Cephalometric
3. Cone-Beam Computed Tomography (CBCT)
4. Bitewing
5. Periapical

Each X-ray looks at different things within the mouth and helps orthodontists better understand what’s happening that’s not visible to the naked eye.

The Role of X-Rays in Orthodontics

X-rays provide critical insights into the health of the mouth and jaw that are not visible during a standard dental examination. These imaging techniques are essential for accurate diagnosis, treatment planning, and monitoring the progress of orthodontic care.

X-rays offer a detailed view of both dental and skeletal structures, allowing orthodontists to evaluate tooth positioning, analyze jawbone structure, and detect dental pathologies like:

• Cysts
• Tumors
• Infections

X-rays are used in orthodontics to detect issues such as:

• Impacted Teeth: Teeth that can’t grow properly and are trapped in your gums or jawbone
• Root Positioning and Length: Where the roots of your teeth are and how they can be positioned
• Jawbone Abnormalities: Any issues with how your jaw is growing, which can cause crowding as teeth don’t have enough space to come in

By detecting these problems early, your orthodontist can prevent more severe complications later on.

Orthodontists use X-ray imaging technology to enhance the accuracy of diagnosis and treatment planning. This precision ensures that orthodontic treatments are targeted and effective. With the comprehensive information gained from X-rays, orthodontists can also create personalized treatment plans that are tailored to each patient’s unique needs, monitoring progress and making necessary adjustments throughout treatment.

What Types of X-Rays Are Used in Orthodontics?

Orthodontic treatment relies on various types of X-rays to provide comprehensive imaging of the teeth, jaw, and surrounding structures. Each type of X-ray serves a specific purpose and offers unique advantages that contribute to accurate diagnosis and effective treatment planning.

Panoramic X-Rays

Panoramic X-rays capture a wide view of the entire mouth, including teeth, jaws, and surrounding structures. They help orthodontists assess dental health, detect impacted teeth, evaluate development, and identify jawbone abnormalities, aiding in treatment planning and monitoring progress.

Cephalometric X-Rays

Cephalometric X-rays capture the side profile of the head, focusing on the teeth, jaw, and skull. They help orthodontists analyze skeletal structure, bite alignment, and jaw positioning, providing essential insights for developing effective treatment plans and ensuring balanced facial aesthetics.

Cone-Beam Computed Tomography (CBCT)

Cone-Beam Computed Tomography (CBCT) produces detailed 3D images of the teeth, jaws, and surrounding tissues. Unlike traditional X-rays, CBCT offers precise cross-sectional views, making it ideal for complex cases like impacted teeth and jaw abnormalities. It may improve diagnostic accuracy and aid in accurate treatment planning.

Bitewing X-Rays

Bitewing X-rays are used to detect cavities and monitor the alignment of back teeth. They capture detailed images of the upper and lower teeth where they touch, helping identify early signs of decay, bone loss, and other issues that may impact orthodontic treatment. Regular use ensures teeth are in good condition and potential problems are addressed promptly.

Periapical X-Rays

Periapical X-rays provide detailed images of individual teeth, including the root and surrounding bone. They are crucial for diagnosing root problems, infections, and bone abnormalities that may affect orthodontic treatment. These close-up images help orthodontists detect issues not visible on broader X-rays, aiding in treatment planning for tooth movement, extractions, or procedures involving the roots and supporting structures.

When Should You Visit an Orthodontist for X-Rays?

During your initial consultation, your orthodontist may take X-ray images to assess your specific needs fully. Suppose you do have an “invisible” orthodontic problem. In that case, your orthodontist will be able to diagnose it with X-ray imaging to help you avoid more costly, invasive treatments down the road. Additionally, it’s often easier for an orthodontist to identify and correct a problem when it is forming rather than waiting for it to develop fully.

Just like you wouldn’t skip a check-up at the pediatrician, you shouldn’t skip an early trip to the orthodontist. A visit to your orthodontist by age 7 will help keep your child’s oral health in check, and even if your dentist hasn’t referred you, you can still visit an orthodontist for a comprehensive exam. Many orthodontists offer free exams with X-rays to make sure your teeth are coming in properly or to let you know of any missing teeth.

Schedule Your First Orthodontic Visit with an AAO Orthodontist

X-rays are indispensable tools in orthodontics, providing the detailed insights necessary for accurate diagnosis, effective treatment planning, and successful outcomes. If you or your loved ones are considering orthodontic treatment, scheduling a consultation with an AAO orthodontist is a crucial first step. During your consultation, your orthodontist will conduct a thorough examination, discuss your treatment options, and use X-rays to create a tailored treatment plan. This personalized approach ensures that you or your child receives the most effective and efficient care, leading to a healthier, more beautiful smile.

You can work with an American Association of Orthodontists (AAO) orthodontist to achieve a healthy, beautiful smile at any age. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligned teeth and jaws – and possess the skills and experience to give you your best smile. To find an orthodontist near you and schedule your first visit, use our Find an Orthodontist tool today.

The post The Importance of Orthodontic X-Rays: A Comprehensive Guide appeared first on American Association of Orthodontists.

There’s a common misconception that after your teenage years, your teeth will stay put. After all, that’s usually when people get orthodontic treatment. But the truth is, our teeth never stop moving. Depending on how severe the movements are, they can seriously affect your oral health and your smile. That’s why the experts at the American Association of Orthodontists are here to discuss how teeth change as we age, and when you should see a doctor to do something about it.

How Teeth Change as We Get Older

There are five common ways your teeth can change as you age, and many people will experience these changes to some degree. These include:

• Teeth looking longer or shorter, or changing shape
• Teeth crowding
• Teeth gapping
• Bite deepening or misalignment
• Post-orthodontic treatment shifting

All these changes can cause serious health issues if the problem is severe enough, making it essential to keep an eye out for symptoms. If you’re not sure how severe your tooth problems are, make an appointment with an AAO orthodontist.

1. Teeth Looking Longer or Changing Shape

Lengthening teeth is a common issue reported by many people as they get older. However, this one is a bit of a misnomer. While it is true that your teeth will “look” longer as you age, the truth is that your permanent teeth do not grow after coming in. Instead, the gums around the teeth may recede over time, revealing more of the tooth and giving the appearance that your teeth are longer than they were before. Gum recession may be a perfectly normal part of aging, and in most cases, there is nothing to worry about. However, poor dental care, overbrushing, smoking, and genetics can all contribute to the severity of gum recession.

The opposite problem—teeth appearing shorter as you get older may be caused by normal wear and tear as you use your teeth over a lifetime. Essentially, your enamel (the material your teeth are made of) breaks down, causing your teeth to appear smaller. Teeth grinding, poor brushing habits, smoking, or a diet filled with acidic foods and beverages can also contribute to this by wearing away enamel faster.

2. Teeth Crowding

As we get older, our teeth naturally shift, which can lead to crowding in the lower front teeth or gaps in the upper teeth. Bite problems can also worsen over time, as they don’t resolve themselves.  If you are having trouble biting or swallowing, are experiencing tooth or jaw pain, or notice teeth protruding, it’s time to see an orthodontist.

3. Tooth Gaps

Space between the two front teeth can develop for a variety of reasons. Swallowing, with the pressure of your tongue pushing against your front teeth, rather than positioning itself at the roof of your mouth, can also cause teeth to separate over time. Gum disease is another trigger for spacing because of the inflammation.

You may also experience tooth gaps if you lose your permanent teeth, if permanent teeth never come in because they are stuck below the gum line (impacted), or because you never developed permanent teeth to replace the baby teeth (hypodontia). Although rare, these conditions can cause issues with the way your tooth and mouth structure develops over time. Both impacted teeth and missing teeth require intensive orthodontic care to resolve.

Gapped teeth can change your smile; therefore, it’s highly recommended to see an orthodontic specialist to resolve tooth gaps, whether it’s to shift and shape teeth into their proper positions or to use orthodontic appliances to reshape your bite as a whole.

4. Worsening Bite Problems

A bite disorder, called malocclusion, and as mentioned earlier, it won’t go away on its own. If you had a subtle issue with jaw alignment as a kid, but are now experiencing major problems, it’s likely the issue has been worsening over the years, and you may not have noticed the change until serious symptoms appeared.

One of the most common ways malocclusions manifest later in life is as a deep bite, sometimes referred to as an overbite. This occurs when your top teeth bite significantly over your bottom teeth when your mouth is closed. Occasionally, a deep bite can be so bad that some of the top teeth protrude outside of the mouth. This kind of bite problem responds well to traditional orthodontic treatments.

In fact, the number of adults receiving orthodontic treatment is at an all-time high, with an estimated 1.61 million adults undergoing treatment in the U.S. in 2018. That’s one in four adults! So, if you notice your smile is starting to look different because you’ve developed an overbite, consider scheduling an appointment with an orthodontist to restore your dazzling smile.

5. Teeth Shifting After Treatment

These are the patients who don’t commit to wearing their retainers. At the very beginning of this post, we mentioned how our teeth continue to move throughout our entire lives. The same is just as true after treatment as it is before. Your teeth naturally move back to their original positions after treatment, but you can prevent this from happening. That’s why we stress how extremely important it is for our patients to keep wearing their retainers. Ideally, patients will wear them for the rest of their lives, and their teeth won’t move at all.

However, if it’s been a while and your teeth haven’t moved too much, you may need to get fitted for a new retainer. In cases where teeth have moved a lot after not wearing retainers, you may need another round of orthodontic treatment.

4 Ways to Keep Your Smile Stable

While some shifting is natural as you age, there are a few ways you can minimize the changes:

1. Keep Wearing Your Retainer: A properly fitted retainer worn overnight locks teeth in place and prevents the slow drift that naturally occurs with age.
2. Protect Against Grinding: If you clench or grind your teeth at night, ask your dentist about a custom night guard. Cushioning the bite reduces enamel wear, gum recession, and shifting caused by excess pressure.
3. Schedule Regular Gum Health Checks: Regular periodontal exams and cleanings catch early recession and inflammation, keeping the bone and ligaments that hold your teeth firm and healthy.
4. Replace Missing Teeth Promptly: Implants, bridges, or partials fill the space left by a lost tooth so neighboring teeth do not tip or rotate into the gap, preserving your bite and smile line.

When to See an Orthodontist

Even if you brush and floss faithfully, certain changes signal it’s time to bring in a specialist. Make an appointment with an AAO orthodontist if you notice any of the following:

• Crowding you can feel or see: When floss starts shredding or you catch food between teeth that used to feel smooth, new crowding is likely underway.
• Gaps that weren’t there before: A space forming between front teeth (called a diastema) or elsewhere can indicate drifting or gum issues that need attention.
• Retainers no longer fit: If your clear tray or wire retainer feels tight or won’t seat fully, it’s likely because your teeth have already shifted.
• Teeth that look noticeably longer or shorter: Rapid gum recession or enamel wear suggests underlying problems such as grinding or periodontal disease.
• Difficulty biting or chewing: Struggling to bite into foods cleanly, or feeling a sudden “off” contact between upper and lower teeth, is a red flag for bite misalignment.

Schedule an Appointment with an AAO Orthodontist

Whether your bite problems are small or large, or whether you are eight or eighty, it’s never a bad idea to see an orthodontist if you start noticing your smile begins to change too much as you age.

The American Association of Orthodontists boasts a network of thousands of orthodontists across the United States and Canada who have the experience, knowledge, and special expertise to restore your smile. Use our Find an Orthodontist tool to locate professional orthodontic services near you, then book an appointment.

Achieve a healthy, beautiful smile at any age with AAO!

The post Does Your Smile Change As You Age? appeared first on American Association of Orthodontists.

Some of these so-called life hacks seem too good to be true, but others appear harmless enough at first glance and convince some people to try them out.

We’ve all seen the collection of viral videos showcasing unconventional methods for enhancing your teeth or jawline. These videos claim that things like mewing or getting fashion braces are the height of popularity right now, with many influencers sporting sparkling grins adorned with glitzy hardware.

But what they don’t tell you is that almost all of these trends can either harm your teeth, jaw, or bite, leading to permanent damage in some cases. To ensure you don’t fall victim to the claims of trending teeth hacks, the doctors at the American Association of Orthodontists (AAO) have put together this comprehensive guide on which viral trends to avoid, and what the consequences are for doing them yourself. Read on to learn how to protect your smile best.

Tricks Not Trends: A List of Harmful Tooth Trends to Avoid

Of all the trending “life hacks” surrounding your teeth and jaw, there are a few that stand out as the most harmful:

• Mewing
• Fashion Braces
• Tooth Gems
• Tooth Piercings
• Filing Your Teeth

Mewing:

• Not supported by scientific evidence to actually reshape your jaw
• May misalign teeth
• Improper tongue pressure may lead to difficulty chewing and speaking

Fashion Braces:

• Apply enough pressure to misalign teeth and bites
• Fake brackets, wires, and adhesive may contain harmful and potentially poisonous chemicals
• They are a potential choking hazard if the brackets fall off
• Loose wires and brackets can cause oral cuts and injury
• Can lead to serious infections of the teeth and gums

Tooth Gems:

• Permanently damage tooth enamel
• Create additional risks for cavities
• May make gum disease more likely
• Can lead to cracked or chipped teeth
• Require expensive professional removal

Tooth Piercings:

• Unavoidable permanent tooth damage
• Risk of infection
• Risk of tooth decay and need for removal
• Cracked and chipped teeth
• Potential nerve damage

Filing Your Teeth:

• Enamel damage and tooth sensitivity
• Misaligned teeth and bite issues
• Possible infection and long-term dental issues
• Irreversible Changes, which could be costly and complex to correct

Trend #1: Mewing

Considered one of the most popular viral trends of the past few years, mewing claims that by simply repositioning where your tongue rests in your mouth, you can gain a chiseled jawline. Thousands of videos featuring influencers “mewing” set to trendy music and a glitzy story of making one small change to your daily routine and seeing outstanding results.

There’s just one problem. None of it is true.

To date, there is not one single piece of credible scientific evidence that supports the claim that simply changing your tongue position can lead to a more desirable jawline. In fact, the opposite is very much true. Many people who’ve tried mewing have ended up with crooked teeth, trouble chewing or speaking, and other oral health issues as a result.

The fact is, your mouth has a complex mechanical structure that is designed to fit together in a particular way. Changing the natural position of your tongue, one of the strongest muscles in your body, significantly alters the way everything fits together. But instead of toning your jawline, it may wreck the alignment of your teeth.

Trend #2: Fashion Braces

Fashion braces, also known as fake cosmetic braces, have been trending since as early as 2018. The concept seems simple enough. You get fake braces (including brackets, wires, and adhesive) attached to your teeth that aren’t actually supposed to apply pressure to move anything. Users who jumped on this trend typically opted to get sparkly or colorful brackets, wires, and designs that draw the eye and make them stand out.

To the viewers at home, this trend looked totally harmless. If getting actual braces can’t hurt you, surely getting a fake version of braces that doesn’t actually do anything can’t hurt either, right? Unfortunately, fashion braces are anything but harmless.

First, there’s the quality of the kit to consider. Many fashion braces come in kits that can be mailed to you, allowing you to apply them yourself. However, depending on where you get this kit (which usually influences the cost), the fashion braces can be of extremely low quality, posing significant risks to your teeth and gums. For example, some kits ship with adhesives that are considered toxic or poisonous. In contrast, others ship with adhesives of such low quality that brackets and wires don’t remain attached to your teeth for long, creating serious choking hazards.

Second, even if the braces aren’t supposed to move your teeth, they still do by virtue of being bonded brackets with wires, which could apply enough pressure to change the position of your teeth. Even if fake cosmetic braces aren’t regularly tightened to move teeth into set positions, they still cause teeth to shift. However, without a professional orthodontist to guide that movement, like with typical braces, your teeth move along the paths of least resistance. The result is crooked or gapped teeth.

Finally, there’s the increased risk of infection and cavities to consider. Orthodontists carefully consider the shape of your mouth and jaw when designing your treatment plan. Fashion braces are designed to be one-size-fits-all. This means that you could be gluing brackets and wires to your teeth that don’t really fit well in your mouth. This can cause cuts to the inside of your mouth, which can irritate the gums and increase the risk of infection or gum disease.

Additionally, wearing fashion braces can make it more difficult to clean your teeth. Brackets and wires form new pockets where plaque can collect that aren’t easy to reach with normal tooth brushes. Orthodontists send you home with a kit and instructions on how to clean normal braces to prevent issues. But with fashion braces, you’re on your own. This can lead to an increased risk of cavities and more complex treatment in the future.

Trend #3: Tooth Gems

Tooth gems may seem like a fun and fashionable way to accessorize your smile, but they can come with serious consequences for your oral health. Unlicensed and unqualified individuals apply the gem, using a strong adhesive that requires roughening the tooth’s protective enamel surface. Once enamel is altered, it can’t grow back, leaving your teeth more vulnerable to sensitivity, decay, and long-term damage. Even if the gem is removed later, the enamel won’t return to its original state.

Another problem with tooth gems is that they create small crevices where plaque and bacteria can accumulate. Similar to fashion braces, the edges of the gem and the bonding material make it more difficult to brush and floss effectively, which increases the risk of cavities forming in the area. Over time, these hidden bacteria can lead to decay, gum irritation, or even periodontal disease if not properly managed.

Tooth gems can also cause additional issues. If the gem loosens, there’s also the risk of accidentally swallowing or inhaling it. Because removal typically requires professional dental work, improperly removing the gem can strip even more enamel and worsen the damage.

Ultimately, tooth gems are purely cosmetic and offer no health benefits, while the risks they pose to enamel, gum health, and overall oral hygiene make them a poor choice for maintaining a strong and healthy smile. AAO orthodontists strongly recommend avoiding them altogether and choosing safer, non-permanent ways to express your style.

Trend #4: Tooth Piercings

Tooth piercings are one of the most damaging forms of dental body art because they require drilling directly into the tooth structure. This process removes healthy enamel and dentin, permanently weakening the tooth. Since enamel does not regenerate, the tooth will always be more prone to sensitivity, decay, and fractures once it has been pierced. In some cases, the drilling can even reach the inner pulp of the tooth, which may result in severe pain, nerve damage, or the need for root canal therapy.

Beyond the immediate damage caused by drilling, tooth piercings create an environment that is difficult to keep clean. The jewelry and the hole around it trap food particles and bacteria, making the tooth highly susceptible to cavities and infections. Because it is nearly impossible to brush and floss around a piercing properly, bacteria can quickly spread, leading to abscesses and even systemic infections if left untreated.

Tooth piercings also increase the risk of physical injury. The jewelry can put extra stress on the tooth, causing cracks or fractures while chewing. It may also rub against the gums, lips, or tongue, leading to irritation, cuts, or gum recession over time. Once the gum tissue pulls back, the roots of the teeth become exposed, which can lead to pain, sensitivity, and ultimately, tooth loss.

Even if the jewelry is removed, the damage from the piercing remains. Restorative dental work, such as crowns or fillings, is often necessary to repair a tooth, and in severe cases, extraction may be the only viable option. For these reasons, most orthodontic professionals strongly advise against tooth piercings, as the risks to oral health far outweigh any cosmetic benefit.

Trend #5: Filing Your Own Teeth

Filing your teeth at home has become a concerning trend on social media, but what may appear to be a quick fix for a smoother or more even smile can actually cause serious, permanent damage. When you file your teeth without professional supervision, you’re removing protective enamel, the hard outer layer that shields your teeth from sensitivity, decay, and wear. Once enamel is gone, it does not grow back, leaving the teeth weaker and more vulnerable for life.

Beyond enamel loss, at-home filing can create uneven edges or remove more tooth structure than intended. This can change the way your upper and lower teeth fit together, leading to bite problems, jaw pain, or accelerated wear. In some cases, filing too deeply can expose the dentin or even the pulp of the tooth, resulting in sensitivity, nerve damage, or the need for restorative treatments such as crowns or root canal therapy.

There’s also the risk of infection. Teeth that are filed improperly can develop microscopic cracks and rough surfaces, which can trap bacteria. This makes it easier for cavities to form and harder to maintain clean teeth. Over time, the damage may spread beyond the teeth, contributing to gum problems or even systemic infections if left untreated.

Orthodontic and dental professionals strongly advise against at-home tooth filing. While it may seem like a cosmetic shortcut, the long-term risks far outweigh any temporary aesthetic benefit.

Are There Any Safe Cosmetic Tooth Procedures?

Throughout this guide, we’ve highlighted several popular cosmetic tooth trends that can harm your smile. However, this does not mean that there aren’t some cosmetic procedures that can improve your smile and oral health. While these may not be as glitzy as some of the cosmetic trends discussed above, they are perfectly safe and still lead to a dazzling grin.

Healthy cosmetic tooth procedures include:

• Professional teeth whitening
• Veneers/Crowns
• Orthodontic treatments

Professional Teeth Whitening

One of the most popular options, professional whitening treatments are safe and effective. Unlike over-the-counter kits, dental whitening uses controlled methods and customized trays to minimize sensitivity while delivering noticeable results.

Dental Veneers or Crowns

Porcelain or composite veneers are thin shells that cover the front of the teeth to improve color, shape, and alignment. While some enamel is typically removed to place veneers, the procedure is done conservatively and under professional care. Veneers are long-lasting and provide a natural look.

Dental crowns, on the other hand, are caps that fully cover a tooth. They’re often recommended when a tooth is weakened, cracked, or severely discolored. Crowns restore both strength and appearance, making them a durable option for cosmetic and functional improvement.

Orthodontic Treatment

When people think of orthodontic treatment, they generally think of getting teeth straightened. Orthodontists use a variety of treatment methods, from braces to clear aligners, to help straighten your smile. In addition to improving your appearance, they also lead to better overall health. Orthodontic treatment corrects bite and jaw problems and can improve speech and chewing. But best of all, everything is done under the watchful eye of a highly experienced professional who creates a custom treatment plan specifically designed for your unique needs.

Want a Better Looking Grin? Trust an AAO Orthodontist

While trends like mewing, fashion braces, tooth gems, tooth piercings, and filing your teeth may promise quick fixes or style statements, the reality is that they often cause lasting harm to your teeth, gums, and overall oral health. If you’re looking to enhance the appearance and function of your smile safely, the best step you can take is to consult with a licensed orthodontist. All AAO Orthodontists are specially trained to correct misalignments, improve bite function, and create beautiful, healthy smiles using proven treatments that protect, rather than compromise, your oral health.

Use our Orthodontist Locator tool to find your nearest AAO orthodontists and start your path to a beautiful smile today!

The post Why Viral Tooth “Hacks” and Trends Do More Harm Than Help appeared first on American Association of Orthodontists.

We understand the health concerns the public has about being exposed to radiation. That’s why the American Association of Orthodontists (AAO) has created this helpful guide to dental X-rays. Learn more about the different types of X-rays, their uses, why they’re necessary, what you can expect from an X-ray imaging procedure, what sorts of radiation you’ll be exposed to, and what types of precautions our orthodontists take.

Why the Radiation Dose from Dental X-Rays is Safe

• Avoiding radiation is impossible; on average, a person receives a dose of 1.7 millirem (a unit measuring the effective dose of radiation, equivalent to 17 microsieverts) from natural background radiation daily.
• Dental X-rays expose patients to .1-.8 millirem of radiation, a very small amount (equivalent to 1-8 microsieverts)
• In comparison, dental X-rays usually expose patients to less than a daily dose of natural background radiation
• The benefits far outweigh the minimal risks; orthodontists need dental X-rays to see below the gum’s surface and create a plan to provide treatment effectively

Radiation from dental X-rays is so minimal that in 2024, an expert panel with the American Dental Association’s (ADA) Council on Scientific Affairs updated national recommendations to say protective gear like lead aprons and thyroid collars is no longer recommended. The amount of radiation is already so low that these extra layers simply aren’t necessary for your safety.

But Isn’t Radiation Harmful?

When someone mentions the word “radiation,” it can conjure images of atomic weapons, deadly invisible forces that can melt skin or give you cancerous growths, apocalyptic wastelands, and strange, abhorrent mutations.

While it’s true that ionizing radiation in very large doses can alter human cells, degrade DNA, increase the risks of cancer and other chronic diseases, and even lead to death, the amount of radiation patients are exposed to during a routine dental X-ray is negligible.

Additionally, over the years, X-ray technology has undergone significant improvements. These days, digital X-rays are used to reduce radiation exposure even further.

Digital Technology used in Dental X-rays:

• Require less energy due to computer image enhancement
• Use a narrower beam size
• Use monitoring equipment to measure and fine-tune radiation exposure
• Can be programmed to lower radiation dosages to the lowest possible required for a diagnosis

Finally, even though the amount of radiation you receive from your typical dental X-ray is minuscule, many dental professionals still elect to continue the use of lead aprons or thyroid shields as an additional precaution meant to give patients peace of mind.

How “Low” is a Low Dosage of Radiation?

If your orthodontist has asked you to get dental X-rays, it’s natural to be hesitant when either you or your child will be exposed to radiation.

Depending on which type of dental X-ray you receive, your average dental X-ray exposes you to between .1 and .8 Millirem of radiation, an extremely small dosage.

Did you know that you’re exposed to ionizing radiation from both the Earth and cosmic background radiation? Just existing, breathing in air, and eating food exposes the body to radiation. In essence, you or your child can’t completely avoid radiation exposure.  In fact, the United States Nuclear Regulatory Commission estimates that Americans are exposed to 620 milirem (equivalent to 6,200 microsieverts) annually. That means that on average, you’re exposed to about 17 microsieverts a day just from background radiation. A dental X-ray emits less radiation than what you normally receive from living your daily life.

Minimizing Radiation Exposure

While radiation is not completely avoidable, the goal is to minimize unnecessary radiation exposure so that your body doesn’t need to absorb more than is considered healthy in a given time period. The United States Nuclear Regulatory Commission has established that a person who does not work with radioactive materials as part of their job should be exposed to no more than 100 millirem (equivalent to 1,000 microsieverts) of human-made radiation in addition to the average natural background radiation exposure per year.

100 millirem may not seem like a significant amount when you consider that annual background exposure is about six times that. However, 100 millirem is a large amount of radiation. To put everything in perspective, you’d need to get more than 100 dental X-rays in a single year to max out your safe man-made radiation exposure limit. No orthodontist would ever need anywhere close to 100 dental X-rays to create a treatment plan.

Why Are Dental X-Rays Necessary for Orthodontics?

One question that many of our orthodontists often receive is whether a dental X-ray is necessary for orthodontic treatment. The answer is a definite yes.

You cannot receive orthodontic treatment without a dental X-ray, and our orthodontists will not offer treatment without patients first getting dental X-rays.

Dental X-rays are essential for orthodontics because they let the orthodontist see what’s happening beneath the surface of your teeth and gums, which a simple visual exam or even a 3D scan can’t reveal. Specifically, X-rays help orthodontists:

Assess tooth position & development: X-rays show the exact alignment of teeth, root development, and whether any teeth are impacted (stuck under the gums) or coming in at unusual angles.

Evaluate jaw growth & structure: X-rays provide insight into the bones of the jaws and face, helping diagnose skeletal issues like overbites, underbites, or asymmetries that braces or other orthodontic treatments need to address.

Check for missing or extra teeth: They identify congenitally missing teeth or extra (supernumerary) teeth, which can affect the growth and development of the permanent teeth. Orthodontists may also use X-rays to assess the positions of wisdom teeth and predict how they will eventually impact treatment.

Monitor tooth and root health: X-rays can detect root resorption, cysts, or other problems that might affect long-term tooth health, movement, or stability during treatment.

Plan safe, effective treatment: Accurate diagnosis from X-rays helps orthodontists develop a treatment plan that minimizes complications and maximizes long-term results. This is the ultimate purpose of dental X-rays, and why our orthodontists insist on them.

Dental X-rays provide orthodontists with the full picture needed to move teeth safely, correct bite problems, and ensure your smile remains healthy and stable for years to come.

Trusting Your Oral Health to the Orthodontic Experts at AAO

It’s understandable to be concerned about exposing yourself or your family to radiation sources. After all, cartoons, movies, news reports, and popular media in general have hammered it into our minds that not much good can come from being exposed to radiation.

However, we live in a radioactive world. Everything we do, from breathing to drinking water, involves some level of radiation exposure. This isn’t a new phenomenon, either. Natural radioactive decay in the Earth’s elements or in food emits ionizing radiation, which we can’t avoid. And while it’s true that the harms of significant radiation exposure are well documented, the reality is that small doses of radiation are considered fine.

It is impossible to avoid radiation completely; the goal is to limit your exposure to only that which is necessary. In the case of evaluating orthodontic treatment, it’s completely necessary to obtain dental X-rays, allowing your orthodontist to view below the gumline and create an effective treatment plan that promotes a beautiful smile, healthy jaw, and better tooth positions.

Ultimately, with the latest advances in dental X-ray technology, we can limit patient exposure to such tiny amounts that it often doesn’t even equal the amount you receive from daily natural background radiation. Our orthodontists and their teams are trained to minimize your exposure to radiation while maximizing your improved health through personalized orthodontic treatment plans.

Ready to start your treatment? Find an AAO orthodontist today!

The post Is Radiation from Dental X-Rays Harmful? appeared first on American Association of Orthodontists.

If you have braces or other orthodontic appliances and play sports, mouthguards aren’t just a suggestion; they’re a requirement. Not only can your mouth get seriously injured if you take a hit with brackets and archwires on your teeth, but damaging or losing a tooth can seriously set back your treatment and have a lifelong impact. We also highly recommend mouthguards if you know you grind your teeth at night, as teeth grinding can cause all sorts of issues with your teeth and jaw’s health.

But there are so many different types of mouthguards to choose from, and they can range in cost from $20 to several hundred dollars. With many companies offering either over-the-counter or custom mouthguards, many patients are unsure where to find the best option for their specific situation. So the orthodontists at the American Association of Orthodontists (AAO) are here to help. This helpful guide breaks down the cost of a mouthguard designed to adequately protect your teeth, the different types of mouthguards available, and what factors contribute to determining the cost of a mouthguard.

Mouthguard Costs at a Glance

Mouthguards can cost:

• Anywhere between $20 and $1,000

Factors impacting mouthguard costs:

• Level of customization
• Cost of materials used
• Type of mouthguard needed

Types of mouthguards:

• Over-the-counter $ (no customization, least protection)
• Boil-and-bite $$ (some customization, better protection)
• Fully custom-made $$$ (fully custom, best protection)

The Average Cost of a Decent Mouthguard

If you simply search “mouthguards for sale” or “mouthguards for braces,” you’ll likely get dozens of results trying to sell over-the-counter or boil-and-bite mouthguards for around $25-$30. The old adage that you get what you pay for holds true here. Many of these mouthguards are mass-produced and may not be made of the most sturdy materials. While some of them might be okay for light-contact sports normally, having braces makes the situation even more complicated.

Bottom line: If you want a high-quality mouthguard that significantly lessens the chances of injuring your mouth while playing sports with braces, you can expect to spend at least a few hundred dollars.

Why Are Mouthguards So Expensive?

Several factors contribute to the cost of mouthguards. Generally, higher-quality mouthguards will cost more than run-of-the-mill over-the-counter mouthguards. However, the three most common factors impacting the price of your mouthguard are:

• The level of customization
• The type/quality of materials used to make it
• The type of/purpose for using a mouthguard

Custom Mouthguards Will Cost More

As with any product, getting a custom-made mouthguard is quite a bit pricier than grabbing a ready-made one. This has to do with how custom mouthguards are made.

It starts with a dental or orthodontic professional taking an impression of your mouth. This impression is used to create a mold from which your mouthguard is made. The mouthguard is purposefully tailored to fit snugly within your mouth while providing optimal protection. This entire process involves very skilled labor from professionals specially trained to craft mouthguards with the features you need. The skill required to create a custom mouthguard, especially one designed to protect braces as well as teeth, is a large part of the reason they’re much more expensive.

The complexity of the mouthguard also plays a role. If you need a full mouthguard to protect both your upper and lower teeth, it’s going to cost more than a partial mouthguard designed only to protect part of your mouth.

What Your Mouthguard is Made of Determines Cost

A good mouthguard should fit snugly in your mouth to prevent jostling or dislodging. It should be thicker if you need it for contact sports, and more rigid if you’re using it for grinding your teeth at night. However, it should still be flexible enough that it can absorb blows without breaking or tearing apart.

More durable and longer-lasting materials will cost more than materials that aren’t meant to be used long-term. Many high-end sports mouthguards are made of ethylene vinyl acetate (EVA), which is perfect for absorbing the shock of blows and is highly durable. Cheaper sports mouthguards may utilize polyvinyl chloride (PVC), a much less durable but more cost-effective material.

The type of mouthguard you get will also influence the material it’s made of. There are three types of mouthguards:

• Over-the-counter
• Boil-and-bite
• Custom

Over-the-counter mouthguards offer little customization and are often made of cheaper materials to cut down on the cost of mass production. This is why you can get mouthguards for as low as $20 online.

Boil-and-bite mouthguards are named after the method people use to customize them to their bite. First, the material is boiled, then the patient bites down on it to set it in the shape of their mouth. This provides less customization than a fully custom mouthguard, but more customization than an over-the-counter option.

Custom mouthguards will be specifically designed to fit your exact mouth and purpose. Many custom sports mouthguards are made using an EVA copolymer that is both durable and comfortable. Of course, being made of better materials makes them the most expensive.

What You Need the Mouthguard for Influences Its Price

Just as there are different types of mouthguards, there are also different uses for them. A dental mouthguard to prevent the harmful effects of teeth grinding while sleeping. Mouthguards that are designed to help alleviate sleep apnea are highly specialized and require very specific designs, making them more expensive. Finally, mouthguards for sports require durable, thick materials to absorb the blows from contact sports like Football, Water Polo, and Ice Hockey. The higher quality of the materials needed to make sports mouthguards often leads to higher price tags.

Why You Absolutely Need a Mouthguard

It’s important to wear mouthguards to:

• Protect your teeth and jaw during sports
• Prevent serious mouth injuries from wires or brackets
• Improve tooth health
• Keep dental and orthodontic costs from replacing or repairing teeth low
• Avoid damage to orthodontic appliances
• Make sure nothing interferes with your orthodontic treatment

Even if you don’t have braces, you should always use a mouthguard when playing sports. Rough hits can knock out teeth, disfigure jaws, and permanently mar your smile. Additionally, injuries to your mouth can cause health issues that may lead to further problems, such as difficulty chewing, swallowing, talking, and more.

However, with braces, it becomes necessary to use a mouthguard when participating in sports. Brackets and wires present sharp edges that can cause serious damage to the inside of your mouth if you take a hit without protection. You could still lose teeth or injure your jaw, which would set back your orthodontic treatment. But with a sturdy, well-made mouthguard, you should have nothing to worry about.

If you grind your teeth while you sleep, it’s also necessary to wear a mouthguard. Teeth grinding can damage wires and brackets, interfering with treatment. Sleeping mouthguards prevent you from grinding your teeth by forming a protective barrier.

Get Fitted for Mouthguards by an AAO Orthodontist

If you want a mouthguard to protect your teeth during orthodontic treatment, trust in the orthodontic specialists of the AAO. Whether you need something to protect you while playing sports or are looking for a way to stop grinding your teeth at night, we can help you find what you need. Browse our Find an Orthodontist locator today to discover an AAO orthodontist near you who can fit you for a mouthguard.

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Advancements in Orthodontics

Technology has drastically changed and enhanced many aspects of daily life, reducing the time it takes to complete various tasks. Orthodontics is no exception, with advances in technology allowing 6 to 10-week intervals between orthodontic appointments to help fit treatment into even the busiest of schedules. If you’re worried about finding time for orthodontic treatment, continue reading to learn how new, state-of-the-art practices are transforming the accessibility of orthodontics.

Aligners vs. Braces

The materials used in today’s orthodontic treatments have allowed orthodontists to create more customized solutions that require less hands-on adjustment. One such solution is aligners, nearly invisible plastic shells that are custom-formed to fit your mouth and apply pressure sequentially to gently move your teeth. Unlike braces, which require the orthodontist to periodically adjust the wires, your orthodontist will provide multiple aligners at a time, with each worn for one to two weeks before moving to the next one. This can significantly cut the frequency of your orthodontic visits, helping you achieve a beautiful smile without compromising your schedule.

New and Improved Braces Equipment

While we typically think of metal brackets when we think of braces, it’s actually the wires that are responsible for moving the teeth into their correct positions. While the brackets serve as “handles” to hold them, the wires apply constant pressure to slowly guide your teeth into the desired positions.

Back in the day, wires became inactive after only a few weeks, requiring patients to visit the orthodontist more frequently to change or adjust the wires so treatment could progress. However, orthodontics has come a long way since then, with new and improved wires that are engineered to last longer and apply pressure for a greater period of time. This translates to fewer, less frequent trips to the orthodontist with the same reliable results.

In addition to the already long-lasting wires used today, your orthodontist may use custom braces or bent wires to further reduce the number of office visits. Keep in mind that your orthodontist is planning for your treatment to happen as efficiently and effectively as possible, and is dedicated to working with you to find the best treatment plan for your smile and schedule.

Comprehensive Dental Imaging and X-Rays

Your orthodontist will use advanced diagnostic tools to ensure your treatment plan is effective and precisely tailored to your unique needs. X-rays and dental imaging technology are employed to gain a detailed view of your teeth, jaws, sinuses, and soft tissues, allowing your orthodontist to design a customized treatment plan that addresses all aspects of your smile, from functionality to aesthetics, while minimizing potential complications.

This state-of-the-art imaging also enables your orthodontist to create a treatment plan that is both effective and time-efficient, ensuring you receive the best treatment possible while minimizing the number of required office visits.

Why Are In-Person Orthodontic Visits Required?

While there have been significant advancements in orthodontics, in-person visits are still needed. Even the most carefully planned treatments need to be monitored to ensure that treatment stays on course, and visiting an orthodontist is the best way to guarantee you get the smile you’ve dreamed of once your treatment is complete.

Periodic in-person visits let your orthodontist keep an eye on your tooth movement and personally evaluate the health of your teeth and gums. This is also the perfect time for them to ensure that your appliance is still properly attached to your teeth. In between visits, should you have a problem —if a wire is out of place, a bracket comes loose, or if you misplace an aligner — contact your orthodontist to make them aware of the problem and ask about the necessary next steps. Treatment can come to a standstill if your braces or aligners are unable to do their jobs, and going to your scheduled in-person orthodontic visits can ensure that no problems have arisen that may hinder your treatment.

Create an Orthodontic Treatment Plan That Fits Your Schedule with an AAO Orthodontist

An AAO orthodontist’s goal is to help you complete treatment on time and gain the healthy, beautiful smile you’ve always wanted. It’s a worthwhile team effort — and whether it’s for your child or for yourself, it’s one that will take less time away from your busy life than you might have guessed!

The good news is, when you trust an AAO orthodontist, you’re putting your oral health in great hands. The American Association of Orthodontists (AAO) is open exclusively to orthodontists who have graduated from dental school and completed an additional two- to three-year residency program, ensuring only highly qualified professionals are admitted for membership.

Whether you’re working a full-time job or juggling a busy school and social schedule, when you choose an AAO orthodontist, you can rest assured that your treatment will be tailored to your unique needs. To start your orthodontics journey and create a treatment plan that fits your timeline, find an AAO orthodontist near you using our Find an Orthodontist tool today.

The post How Often Are Orthodontist Appointments? Find Treatment That Fits Your Busy Schedule appeared first on American Association of Orthodontists.

When retainers aren’t cleaned regularly, they can become a breeding ground for bacteria, plaque, and other debris. This leads to unpleasant odors, potential staining, and an increased risk of gum irritation or infection. A dirty retainer can also shorten the lifespan of the appliance, potentially causing it to warp or degrade its materials.

In this comprehensive guide, the American Association of Orthodontists (AAO) will walk you through everything you need to know about retainer care, from daily cleaning routines to troubleshooting common issues. By following these strategies, you’ll ensure that your smile stays beautiful and healthy for years to come, all while protecting the investment of time and money you’ve made in your orthodontic treatment.

Why Do You Need to Clean Your Retainer?

Retainers do more than just keep your teeth in their corrected positions—they also become a constant part of your oral environment. Because they touch saliva, plaque, and any leftover food particles in your mouth, it’s important to clean them thoroughly and consistently. Failing to do so can affect both your oral health and the lifespan of the retainer itself.

What Are The Common Retainer Care Mistakes and How Can I Avoid Them?

Even the most diligent retainer wearers can make unintentional errors that compromise the cleanliness, longevity, and effectiveness of their appliance. By learning to recognize and avoid these pitfalls, you’ll maintain a healthy retainer and enjoy a more comfortable overall experience.

• Using Hot or Boiling Water: Always use lukewarm water for rinsing, brushing, or soaking your retainer. High temperatures can warp or distort plastic retainers, potentially altering their fit. If the water feels too hot on your skin, it’s too hot for your retainer.
• Using Toothpaste with Abrasives or Whitening Agents: Many traditional toothpastes contain baking soda or other abrasive particles designed to scrub tooth enamel. While these may be beneficial for natural teeth, they can leave tiny scratches on your retainer’s surface, leading to discoloration or bacterial buildup. Instead, opt for retainer-friendly cleaning products like mild dish soap or specialized retainer cleansers.
• Skipping Daily Rinses: While it may seem like a small concession, not rinsing your retainer daily allows saliva, plaque, and food particles to dry on the retainer, making it harder to remove and creating a hospitable environment for bacterial growth. Make a habit of rinsing your retainer under lukewarm water as soon as you remove it. Even a quick 10-second rinse goes a long way toward preventing buildup.
• Using Bleach or Other Harsh Chemicals: Substances like bleach, alcohol-based mouthwash, and strong detergents can degrade retainer materials or leave harmful residues. These chemicals can also irritate your mouth and gums. Stick to gentle cleansers formulated specifically for oral appliances. If you’re unsure about a particular product, consult your AAO orthodontist before using it on your retainer.
• Neglecting Permanent Retainer Care: The wire in a fixed retainer can easily trap plaque and debris. Over time, this may contribute to tooth decay, gum inflammation, and unpleasant odors. Using floss threaders, interdental brushes, or a water flosser to clean around the fixed wire and under the gum line can help reduce this risk.

When Should I Call My Orthodontist About Retainer Issues?

Even with a solid cleaning regimen, you may encounter occasional issues with your retainer, some of which require professional attention. Staying aware of changes in your retainer’s appearance, smell, or fit can prevent small problems from turning into bigger, more expensive ones. Here are some common issues that call for an orthodontist’s help.

Persistent Odors or Discoloration

Sometimes, despite regular cleaning, a retainer can develop an ongoing unpleasant smell or noticeable stains. This can result from resistant bacteria, the retainer’s material aging, or overlooked buildup.

Before reaching out to your orthodontist, try a stronger or more frequent deep-cleaning method, such as a retainer-cleaning tablet or a baking soda paste. If odors or discoloration persist after trying multiple cleaning methods, schedule an appointment with your orthodontist. Your retainer may have microscopic cracks or other damage that allows bacteria to linger.

Cracks, Warping, or Loose Wires

Retainers, especially clear plastic ones, can become warped from exposure to heat or physical force. Hawley retainers or bonded wires can bend or break under excessive stress. Cracks and loose wiring can both compromise the retainer’s effectiveness.

If you notice cracks or loose wires, stop wearing your retainer immediately. Continuing to wear a warped or broken retainer can shift your teeth improperly or irritate your mouth. If you have a backup retainer, wear it in the meantime to prevent relapse. For any visible damage—especially if the fit feels off—contact your orthodontist. They can evaluate whether the retainer can be repaired or if a replacement is necessary.

Irritation or Gum Sensitivity

Rough edges, bacterial buildup, or ill-fitting wires can cause your cheeks, gums, or tongue to feel sore. In other cases, the gum tissue may become inflamed due to poor hygiene around a fixed retainer.

Irritation could be a sign that it’s time to review your cleaning routine. Improper or infrequent cleaning can lead to irritation from bacteria and plaque, so make sure you’re covering all areas of the retainer thoroughly in your daily cleaning. If a sharp wire or edge is digging into your gum or cheek, wax can provide temporary relief, but if you feel persistent discomfort, reach out to your orthodontist for an appointment.

Retainer Fit Changes

A retainer that once fit snugly may start feeling tight or loose, which can occur if the retainer warps, if you’ve worn it inconsistently, or if your teeth are shifting slightly. If there’s space between the retainer and your teeth, or if it feels overly tight in certain spots, the fit has likely changed.

Sometimes wearing the retainer more consistently can help. Minor adjustments might fix slight misalignments if caught early. If the retainer doesn’t return to a comfortable fit within a day or two, or if you’re experiencing pain, it’s time for a professional evaluation. You may need a new impression for a replacement or an adjustment to your current appliance.

Visit an AAO Orthodontist for All Your Retainer Needs

Your retainer is an essential investment in preserving the results of your orthodontic treatment. By following a consistent daily cleaning routine, scheduling regular deep cleans, and addressing any concerns promptly, you can safeguard your oral health and extend the life of your appliance. Proper care not only prevents odors and buildup but also ensures the retainer continues to support your smile as intended.

Remember: If you have questions about the best cleaning methods, notice any changes in how your retainer fits, or require adjustments or repairs, don’t hesitate to reach out to a qualified orthodontic professional. An AAO (American Association of Orthodontists) member orthodontist has the expertise to provide personalized guidance, assess potential issues, and ensure that you get the most out of your retainer.

Need help with your retainers? Find an AAO orthodontist near you and schedule an appointment to get professional support and guidance.

The post How to Clean Retainers: AAO’s Guide to Retainer Care appeared first on American Association of Orthodontists.

No, having braces does not mean you will have a lisp for the entire duration of your treatment. However, refusing to undergo treatment may result in speech impediments as your malocclusion worsens. In this guide, the expert orthodontists of AAO discuss how braces do and don’t impact speech, and tips you can use to train your mouth to get used to your new braces and how they fit in your mouth.

So I’m About to Get Braces. Will They Change My Speech?

The short answer is, maybe. Braces can temporarily change the way you speak. This is because you’re introducing an unfamiliar appliance into the limited space of your mouth. At first, your mouth and tongue aren’t going to know how to work normally with all the new brackets and wires. You may find yourself with a very slight lisp. If patients report difficulty, it’s usually with s and th sounds shortly after having braces attached. Some patients also report some difficulty with pronouncing d and t sounds, but this is less common.

However, this isn’t a given for every patient. A 2016 study reported that only 56% of patients who receive braces will experience some form of speech alteration. Even then, the severity of changes to speech was different among individuals. Some patients reported noticing only very slight differences that vanished almost immediately, while some had very pronounced lisps that lasted longer. Typically, the degree of speech alteration is linked to the severity of the malocclusion (problems with your bite and teeth not fitting together properly). 

Either way, your mouth will begin to adapt to the more crowded condition, and your speech will return to normal eventually. Your tongue and lips, both essential for helping to form the sounds you make when you speak, will alter the way they move to accommodate your braces, and your speech will return to normal. So, to truly answer the question posed above, no. Braces will not negatively impact your speech in the long term.

Why Do Braces Temporarily Change How I Speak?

To understand this, it’s important to know how braces function. Braces are designed to exert pressure on your teeth and jaw to gradually move everything into the positions they’re supposed to be in to form a healthy bite. During the course of your treatment, your orthodontist will slowly alter the amount of pressure being applied to continue moving your teeth and jaws in the right direction. This is done by tightening archwires, adding elastics, and in some cases, utilizing additional appliances.

Eventually, your malocclusion will be corrected as your mouth is shaped to properly accommodate your teeth in a bite that fits together as it should. Your upper jaw (maxilla) and lower jaw (mandible) are also adjusted and reshaped as part of this process. Both jaws, your teeth, tongue, and lips are all used in shaping the sounds you use when you speak. Because the shape of your teeth and jaws are changed during treatment, it can cause temporary difficulties with speech as your body adapts to the new positioning of your mouth.

This does mean it’s also possible to experience a resurgence of slight difficulties with speech after a major adjustment to your braces during treatment. However, these are usually far less pronounced than after first getting braces, and tend to fade much faster.

Do All Braces Change How We Talk?

Just as patients may experience varying levels of temporary speech changes (or none at all) after getting braces, the type of braces used can also influence speech in different ways.

Classic metal and ceramic braces are both built similarly and function in the same way to adjust teeth. They both take up space in the mouth in the same way, too, meaning they also cause the same awkward positioning of the tongue and lips shortly after they’re put on. These types of braces are the most likely to cause slight changes in how you talk after getting them.

Lingual braces are a type of braces that are installed behind the teeth so you can’t see them from the front. Unfortunately, this leaves even less space in your mouth for your tongue, so there’s more potential for experiencing speech issues, especially with certain sounds like s and t. However, like metal and ceramic braces, patients usually adapt to the new appliances quickly and lose their lisp.

Clear aligners are specially designed “trays” that you place over your teeth to move them in the right direction. These are usually much thinner than other types of braces and can be removed. However, some patients report temporary speech problems with clear aligners, as they also change the shape of your mouth.

How to Overcome Speech Issues with Braces Faster

If you do experience changes in how you talk after getting braces, don’t panic. The changes usually don’t last more than a couple of weeks. After that, most people find they’ve adapted to the new shape of their mouth and can speak normally again. However, if you want to speed up that timeline, it is possible with additional training.

As the alterations to your speech are the result of your mouth’s muscle memory clashing with its new shape, you just need to develop new muscle memory to adapt. There are several effective strategies to achieve this.

Speak Slowly and Overenunciate

One thing we tend not to realize is just how much we rely on our learned habits when we speak. We may only lazily enunciate syllables or cut off full enunciation of those syllables altogether without realizing it because we’re still able to form the sounds we need in order to communicate fluently. However, our learned habits can interfere with the sounds we produce with lips, tongues, and jaws altered by the introduction of braces.

To overcome this, think actively about altering the shape of your mouth to form the correct sounds. Speak slowly so that you hear the different syllables, and try to over-enunciate each one. This forces you to be more conscious of the positioning of the parts of your mouth during different diphthongs and consonant sounds. Continuing to practice these positions will eventually form new habits when you speak, allowing you to adapt to braces sooner.

Read Aloud to Yourself or Practice Speaking

Practice makes perfect, as they say. Learning to talk with braces is no exception. Reading to yourself out loud, or practicing speaking in front of a mirror, are both great ways to practice talking with your new braces. The more you speak, the more your mouth will get used to the new way it feels. Eventually, you’ll adapt to the new sensations caused by getting braces, and your speech will improve.

Record Yourself Speaking

When speaking, most people don’t realize we have two voices: Our “head voice” and our true voice. When we speak, we “hear” our own voices mostly as vibrations as they’re conducted through the bone. This is our head voice, and it sounds different to us than what most people hear when they listen to us speak. As sound is conducted through bone, it resonates and sounds much deeper to us. However, other people hear our voice as vibrations through the air. To them, our voice sounds higher-pitched than it sounds to us. This is why people often say they hate the sound of their voice when it’s played back through a recording.

This same phenomenon can also lead us to gloss over certain speech difficulties without even realizing it. Recording yourself when you speak and then playing it back to yourself can help you identify words, sounds, and syllables you may be struggling with. Then, you can practice enunciating those sounds to develop new habits of saying them and adapting to your braces.

How Braces Prevent Speech Impediments

While it’s true braces may temporarily make it harder for you to talk, the major takeaway is that they actually make it easier to talk normally in the long run. As we’ve discussed, your speech is directly impacted by the shape of your mouth. Depending on the severity of your malocclusion, your crooked teeth can end up causing major speech impediments if left untreated.

Some common speech issues caused by misaligned teeth include /s/, /z/, /t/, /d/, /l/, /r/, and /oe/. Additionally, most lisps and whistling while speaking is caused by air passing through the mouth incorrectly. This is usually caused by gapped teeth and open bites. Slurred speech is generally caused by teeth crowding, as there isn’t enough room left in the mouth for the tongue and lips to align properly to form the correct sounds while speaking. Finally, underbites and crossbites can create trouble producing hard consonants like the /t/ and /d/ sounds.

The type and severity of the speech impediment depend on the type and extent of the malocclusion. The good news is that orthodontic treatment corrects malocclusions, reshaping the mouth and allowing patients to articulate sounds correctly when speaking. So while braces may make you talk funny for a few weeks when you get them put on, the benefits of being able to talk normally for the rest of your life far outweigh the slight temporary inconvenience. 

Trust Your Mouth to the Experts of AAO

If you notice you’re talking a little differently after getting braces, the most important thing to do is to remain calm. No, you won’t sound like that forever. It truly is temporary. While it can take a few weeks, eventually your mouth will get used to your new braces and you’ll be chatting up a storm with hardly a thought about what you sounded like when you first got them put on. Not to mention that beautiful smile at the end of treatment will last a lifetime.

Now that you know you don’t need to be afraid of talking differently with braces, if you’re still looking for an orthodontic expert to put them on, look no further than AAO. We’ve created a network of tens of thousands of highly skilled, experienced orthodontists that spans the United States and Canada. We only allow the best of the best to join us, requiring our orthodontists to complete a minimum of a two-year residency in an accredited orthodontic program to be eligible for membership. So when you choose an AAO orthodontist, you can rest assured you will only get the highest quality care.

Use our AAO Orthodontist Locator tool to find an orthodontist near you, then book a consultation for orthodontic treatment today.

The post Do Braces Change How You Talk? appeared first on American Association of Orthodontists.

While wearing braces or aligners, your teeth are constantly being adjusted and moved. This is because the bone around your teeth is extremely malleable. However, once treatment is complete, teeth tend to “drift” back to where they were before. This is where retainers come in. These handy little orthodontic appliances are designed to help you keep your smile perfect after you complete your orthodontic treatment.

In this guide, the American Association of Orthodontists (AAO) explores retainers, what they are, how they work, and the different types your orthodontist might recommend. Read on to learn more about these often overlooked yet crucial orthodontic appliances and the role they play in preserving the hard work of you and your orthodontist.

Types of Retainers at a Glance

What Retainers Do:

• Keep your teeth straight after orthodontic treatment
• Prevent your teeth from moving back to their original positions

Types of Retainers:

• Fixed (bonded inside the mouth, usually bottom teeth only)
• Removable (can be taken out, fitted to your mouth)

Types of Removable Retainers:

• Hawley (acrylic plastic base with wires and clasps that go around teeth; more visible)
• Clear (similar look to clear aligners/night mouthguards; lighter, more difficult to see)

The Purpose of Dental Retainers

A retainer is a device that is fitted to your teeth after your active orthodontic treatment is complete. They’re used to preserve the positions of your teeth after treatment. Orthodontic treatment is possible because the bones around teeth are malleable enough that their position can be changed with relative ease using braces or clear aligners. However, once your treatment is complete, the same properties of teeth that made treatment possible also work against you. Teeth, left to their own devices, will begin to move back toward their starting positions if nothing is done to prevent it.

As the name suggests, retainers are placed in your mouth to “retain” the current position of your teeth immediately after treatment. Initially, you’ll have impressions or scans of your teeth taken to create the retainers. All retainers are custom-fitted to the individual patient’s mouth. This is important because the retainer needs to be tight enough to hold your teeth in place, so not too tight that it’s uncomfortable.

Types of Retainers

When many people think of retainers, they often envision wires attached to pieces of colored plastic that are removed between meals and stored in special cases. While this is a common type of retainer used, it’s only one type of retainer. There are two categories of retainers and three distinct types. Each has the same goal, but functions slightly differently and has different requirements for patients.

The two main categories of dental retainers are:

• Fixed
• Removable

The three types of retainers are:

Fixed Retainers

Fixed retainers (otherwise known as bonded retainers or permanent retainers) are a type of retainer that is not removable, as the name suggests. Instead, these retainers consist of thin metal wires that are affixed to the inside of the teeth. Your orthodontist will measure your teeth after treatment is complete and install this retainer for you. These retainers are more commonly used to secure the bottom teeth after treatment and are not visible to people because the wire runs along the back side of them. They also do not require significant molding to your mouth because they only require a metal wire and bonding glue.

With removable retainers, neglecting to care for them, losing them, or choosing not to wear them can cause all of the work of your orthodontic treatment to be undone. However, fixed retainers eliminate a lot of that uncertainty. Orthodontists may prescribe them if they know a patient has a difficult time following routines for removable retainers or if the case requires treatment for a significant malocclusion that could cause major oral health issues if it were to recur.

Although they are nicknamed “permanent” retainers, fixed retainers are still able to break or become dislodged. It is recommended to avoid the same foods that are not “braces-friendly.” If you notice that your fixed retainer is damaged, notify your orthodontist immediately, as the teeth can begin to shift.

Even so, permanent retainers may require a combination of fixed and removable retainers, as it’s common practice to use a removable retainer to keep the top teeth from moving.

Removable Retainers

As their name suggests, removable retainers are retainers that you can take out and put back into your mouth at will. These are the more common types of retainer most people are at least somewhat aware of. These retainers require dental impressions and significant custom molding to create an appliance that works for your unique mouth.

There are two common types of removable retainers:

• Hawley retainers
• Clear retainers

Hawley Retainers

Hawley retainers are the classic plastic and metal retainers that many people are familiar with. Acrylic forms a strong, durable base, while wires and clasps are used as the mechanisms to keep your teeth from moving. These retainers are specially fitted to your mouth and may require adjustments over time.

Clear Retainers

Clear retainers consist of a pair of clear plastic trays fitted to the structure of your upper and lower teeth. They resemble clear aligners but are designed to prevent tooth grinding. They are generally more lightweight, more comfortable, and are much harder to see than Hawley retainers. Ask your orthodontist if clear retainers may be right for you.

Frequently Asked Questions About Retainers

How long do I have to wear my retainer?

Ideally, forever. Your teeth will always tend to shift back to their original positions after treatment. However, if you wear your retainer consistently, it allows time for bone remodeling around the teeth, stabilizing their new positions and reducing the risk of unwanted movement.

In most cases, you will need to wear your retainer full-time for a few months after treatment, then switch to wearing it only at night. To guarantee your teeth won’t shift, it’s recommended that you continue to wear your retainer at night while you sleep indefinitely.

What happens if I don’t wear my retainer?

If you don’t wear your retainer as prescribed, there is a much higher likelihood your teeth will shift back to their positions before treatment, causing your mouth to relapse into malocclusion. In some cases, this may call for additional orthodontic treatment.

Even in minor cases, shifting teeth can cause your retainer to no longer fit properly, either becoming too tight or too loose in certain areas. When this happens, you’ll need to get another retainer fitted.

Do retainers hurt?

Retainers can be uncomfortable when you first start using them. They are designed to fit snugly into your mouth and may feel a bit tight. They’ll also likely be uncomfortable right after your orthodontist adjusts, but soon your mouth will adapt to it, and you’ll hardly feel it at all.

How do I clean my retainer?

Retainers should ideally be cleaned every time they come out of your mouth. Whenever you take them out, make sure to use a dedicated toothbrush and a small amount of mild soap to give them a good scrub. Try to brush everywhere on the retainer to prevent the buildup of plaque or bacteria.

Once a week, let them soak in a special retainer cleaning solution for about 15-20 minutes. Never boil your retainer as it can warp the plastic.

Get Your Retainer from the Experts at AAO

At AAO, we only let experienced orthodontists who have undertaken a fully accredited fellowship program join our ranks. That’s because we’re dedicated to providing the best orthodontic services to the people of the US and Canada. At any of our thousands of AAO orthodontist locations, you can expect a professional, compassionate care team ready to put their years of experience to work helping you keep your beautiful smile pristine, both during and after treatment.

We know that each treatment plan needs to be as unique as the bite it helps to perfect. We’ll discuss retainer options with you and determine if a permanent or removable retainer is best for your needs. Use our Locator tool to find an AAO orthodontist near you.

Schedule your consultation today to learn more about retainers and what works for you. 

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