NYC Braces Care & Treatment



FIRST DAYS IN BRACES


When you first get your braces, they may rub on your lips and cheeks. Place wax over the rubbing bracket before these spots get raw and painful. A warm salt water rinse several times a day can speed healing. The skin will soon toughen up so that you don’t need wax.
When you first get your new appliances, your mouth may be tender or sore. This soreness should resolve itself after a few days. If the discomfort is severe, you are welcome to take Aspirin, Tylenol®, Advil®, or any pain reliever that you would normally take for headache or discomfort.
In order for the braces to move your teeth, the teeth first have to be loosened our of their current positions.  It is a normal part of the orthodontic process. The teeth will eventually become fixed in their new straight positions by end of your treatment.
At the end of each visit, we will ask you to complete some steps to ensure that your treatment will progress and that you will be comfortable until your next visit.

  • Sweeping your finger and tongue across the braces will ensure that there are not any clipped wire ends could poke your cheek or tongue.
  • Make sure you understand what your instructions until your next appointment; for example, wearing an appliance or elastics as instructed, adjusting an expander or following specific hygiene or diet instructions.
  • Make sure you enough dental wax, rubber bands or other materials you may need between appointments.
  • Please be sure to schedule your next appointment before leaving the office. Waiting 1-2 weeks after an appointment before scheduling your next office visit complicates the scheduling process. Appointments are made at 2-8 weeks in advance. Dr. Stachel will determine the intervals between appointments, depending on your stage of treatment.
  • Make sure that your questions about treatment are answered. We will achieve our beautiful results much faster and more smoothly when all of our efforts are synchronized!

BRACES CARE DURING TREATMENT


The goal of orthodontic care is to create a beautiful smile. This can only be achieved if the braces do not get broken and proper care is taken of your teeth. While we do not want to interfere with your nutrition, we do ask that you avoid certain foods which may break your orthodontic appliances.

Here is a list of foods that we have found to be the most common culprits of broken appliances.

AVOID THESE HARD FOODS:

  • Ice (No crunching, please!)
  • Hard pretzels
  • Hard rolls, hard edges of pizza crust
  • Popcorn kernels
  • Raw vegetables**
  • Corn on the cob**
  • Carrots and apples*
  • Nuts
  • Granola
  • Jaw Breakers
  • Lifesavers/Peppermints
  • Frozen popscicles
  • Anything that comes in a cellophane bag that ends with an “O”(for an  example: Doritos, Fritos, Nachos, Tacos)

**DO NOT BITE INTO raw vegetables, carrots and apples; they may be eaten if they are cut into small pieces. Corn on the cob may be sliced off the cob.

AVOID THESE STICKY & CHEWY FOODS:

  • Caramels and taffy
  • NO GUM
  • Sugar Daddies
  • Gummy Bears & Worms
  • Candy corn
  • Tootsie Rolls
  • Beef Jerky
  • Milk duds & Rolos
  • Now or Laters
  • Any candy with caramel or peanuts (Payday, Snickers)

Obviously this list is not comprehensive, and if you are not sure, ask yourself ”Is it hard, sticky, chewy or crunchy?” If the answer is yes, you shouldn’t eat it.


Carefully follow all instructions you are given regarding your dental care. Specific steps may vary depending on the type of braces you have. Be sure to brush thoroughly after any meal or snack . It is important to keep your teeth and braces as clean as possible to avoid potential problems. Also, rinse with water or mouthwash after brushing. It’s a good idea to carry a travel toothbrush when you will be away from home. Before going to bed at night, be sure to brush thoroughly and floss carefully. It may take a little extra time but this is an important step in maintaining your oral hygiene on your way to a better smile and healthier teeth.

Use a soft rounded-bristle toothbrush that is in good condition. Toothbrushes will wear out faster and will need to be replaced more often when wearing braces, so be sure to keep some spare toothbrushes on hand. When brushing, you should also brush your tongue and rinse thoroughly when done.

Flossing is an important part of good oral hygiene. With braces, it may take a little more time and practice, and a floss threader may be necessary to get the floss under the arch wire. Make sure you clean along and under the gum lines with floss each night before going to bed. After you have properly brushed and flossed, your braces should look clean and shiny, making it easy to see the edges of the braces.

  • Always take headgear with you each visit.
  • Headgear should be worn all night (approximately 8 hours) plus an additional 6 hours after school.
  • Headgear must be worn every day. Do not wear headgear while playing sports, since serious eye damage could result.
  • The purpose of the headgear is to move back upper teeth (so they do not protrude too much).
  • Some discomfort may be felt, especially in the morning. However, if the headgear is worn every day the discomfort should be minimal.
  • Lack of cooperation with headgear will cause treatment to take longer. Also a less final ideal result will be obtained.
  • If there are any problems with your headgear, please contact the office immediately.
  • WEAR UPPER/LOWER RETAINERS FOR FULL 2 DAYS (48 HRS)
  • AFTER 2 DAYS ONLY WEAR WHILE AT HOME AND DURING SLEEP UNTIL OTHERWISE INSTRUCTED
  • DO NOT WEAR RETAINERS WHILE EATING OR DRINKING.
  • CLEAN RETAINERS WITH COOL WATER, NEVER HOT.
  • ONLY USE SOAP TO CLEAN THE RETAINERS, NEVER USE TOOTHPASTE.
  • KEEP RETAINERS AWAY FROM RADIATORS, PETS OR FROM ANY SOURCE OF HEAT.
  • CALL THE OFFICE AT ONCE IF YOU LOSE RETAINERS.
  • IT IS VERY IMPORTANT THAT YOU FOLLOW THESE INSTRUCTIONS CAREFULLY. NOT FOLLOWING THESE INSTRUCTIONS CAN RESULT IN MOVEMENT OF THE TEETH AS WELL AS DAMAGE TO YOUR APPLIANCE. IF RETAINERS ARE LOST OR DAMAGED, THERE WILL BE A FEE TO OBTAIN ANOTHER ONE.



(INSTRUCCIONES PARA RETENEDORES)

  • USAR LOS RETENEDORES DE ARRIBA Y DE ABAJO POR DOS DIAS SEGUIDOS (48 HORAS)
  • DESPUES DE DOS DIAS USAR LOS EN LA CASA Y MIENTRAS DUERME HASTA RECIBIR INSTRUCCIONES CONTRARIAS
  • NO USE LOS RETENEDORES PARA COMER NI BEBER
  • LIMPIE LOS RETENEDORES CON AGUA FRIA, NUNCA CALIENTE
  • LIMPIE LOS RETENEDORES CON JABON, NUNCA CON PASTA DE DIENTES
  • MANTENGA LOS RETENEDORES ALEJADOS DE LA CALEFACCION, MASCOTAS O CUALQUIER FUENTE DE CALOR
  • PORFAVOR LLAMAR A LA OFICINA IMEDIATAMENTE PIERDA LOS RETENEDORES
  • ES MUY IMPORTANTE QUE SIGA ESTAS INSTRUCCIONES. EL NO SEGUIRLAS RESULTARA QUE LOS RETENEDORES SE DANEN Y QUE SUS DIENTES SE MUEVAN. SI LOS RETENEDORES SE PIERDEN O SE DANAN SERA RESPONSABLE DE PAGAR POR UNOS RETENEDORES NUEVOS.
We may ask you to wear rubber bands (also known as elastics) on your braces. It is an essential part of your treatment and success depends entirely on patient cooperation! It is up to you!

WHY ARE THEY USED?

Rubber bands, also known as elastics,  are used to apply extra force in order to help adjust the teeth. Elastics may be stretched from the upper front teeth to the lower back teeth. The points of attachment for the elastics depend entirely on how the teeth need to be manipulated.

WHEN ARE THEY WORN?

If you are required to wear elastics, they should be worn at all times including during sleep. They may be removed to brush and floss your teeth.  The most important part of wearing elastics is to be consistent; they will not be effective if not worn all the time.

WHEN ARE THEY CHANGED?

To maintain the rubber bands’ elasticity, you should change your rubber bands at least once a day. Be sure that you have several bags of elastics, and that you put them in convenient locations so that you have extras on hand should they break.

ARE THERE DIFFERENT SIZES?

Rubber bands come in many different sizes; each designed for a specific purpose. You should only wear the size that Dr. Stachel provides.

WHAT CAN BE EXPECTED?

You can expect some soreness when you first start to wear rubber bands. If you continue to wear the elastics, the soreness will ease fairly quickly. Additionally, you may feel like your teeth are loose, but that is normal and it too will dissipate.

WHY ARE THEY IMPORTANT?

In order for your treatment to be successful, it is imperative that you wear your rubber bands consistently. Your cooperation is a vital part of the use of elastics, and without your help, progression of your treatment will be slowed or halted. Even though they are not comfortable, please follow the instructions and wear your rubber bands!

DO NOT STRETCH OUT YOUR TREATMENT, WEAR YOUR ELASTICS!!!


WHAT ARE SEPARATORS?

They are small doughnut-shaped rubber pieces or springs that are placed in between the teeth.

WHY DO WE USE THEM?
They are used to enlarge the space between your teeth so the “bands” of the braces can be accurately applied to the teeth.

WHAT TO EXPECT?

As with any movement of the teeth, you may experience some tenderness, but the soreness should dissipate after a few days.

SO WHAT DO I DO?

If you are experiencing any soreness, try using a hot salt water rinse to soothe the area, or you can try taking two Advil®, Aspirin or Tylenol®.

IF YOU LOSE A SEPARATOR, CALL US BEFORE YOUR NEXT APPOINTMENT SO THAT WE CAN REPLACE YOUR LOST SEPARATOR. OTHERWISE, THERE MAY NOT BE ADEQUATE ROOM TO APPLY THE BANDS AND IT MAY DELAY YOUR ORTHODONTIC TREATMENT.

Keep these materials on hand to help with the most common orthodontic maintenance and minor emergencies:

Interdental® or Proxabrushes® fit between teeth and help patients to clean around wires without damaging them.

Non-medicated orthodontic relief wax can be placed over brackets or wires that may be irritating gum tissues.

Antibacterial Mouthwash can be used to reduce inflammation and prevent infection. For minor sores in the mouth, Peroxyl®, an antiseptic rinse containing hydrogen peroxide may be used up to 4 times per day after brushing. Refer to the product label for specific instructions.

Dental floss, an interproximal brush or a toothpick can be used for removing food that gets caught between teeth or wires.

Sterile tweezers can be used to replace orthodontic rubber bands that have come off.

A Q-tip® or pencil eraser can be used to push a wire against a tooth if it has come loose and is irritating the cheeks or gums. If it is not possible to reposition the wire so it is more comfortable, place wax over the end of the wire and call our office so that we can set a time to have the wire adjusted and put back into place.

Non-prescription pain relievers, such as acetaminophen or ibuprofen, can help with the temporary discomfort that sometimes occurs for the first day or two after an orthodontic adjustment.

Topical Anesthetic Treatments, such as Orabase® or Ora-Gel®, can be applied with with a Q-tip® to any abrasions or sores in the mouth should they occur.

RETENTION


The retention period of your orthodontic care begins once your braces have been removed.  For your orthodontic treatment to be successful, it is important that you understand that this part of your treatment is just as important as the period when your braces were actively moving your teeth. Now that the teeth have been moved into the desired position, a period of time is necessary to stabilize the teeth and allow the soft tissues and bone to adjust to the new tooth alignment.


The final observation and retention period of treatment normally spans approximately 12 months. During this period, appointments will be less frequent. Usually, retainers are worn every day and night for the first 6 months and then worn every night for an additional year. Each person’s requirements are different and a longer period or a different schedule may be recommended. Indefinite part time wear is necessary to maintain the desired changes that have been achieved. Just remember, orthodontic retention is a lifetime commitment to part time wear of your retainers.  
When you stop wearing your retainer on a regular basis, there may be some minor changes in tooth position, but our goal during the retention phase is to limit these changes while still maintaining a positive functional and aesthetic result.
Keep the retainers either in your mouth or in your retainer case. This will avoid loss or breakage that will lead to an extra expense. Brushing the retainer with cool water and liquid hand soap and soaking them in denture cleaner periodically will keep it fresh. NEVER place your retainer in HOT water, as it may become distorted and require replacement. If a brush is not available after eating, rinse off your retainer and place it back in your mouth or in its case. Beware of putting your retainer in your pocket where it may be broken. Also avoid leaving it out where pets can find it or where it can be lost.  
Call the office immediately for an appointment to replace or repair the retainer. Although there is a fee for retainer repairs and replacements, it is a relatively inexpensive way to protect the investment you have made in your orthodontic care.

A Word about Final Records:

Once the active phase of your treatment is completed, we will be recommending that a set of x-rays and photographs of your teeth be taken. These images will help evaluate your treatment, plan the retention period and also help determine the position of any wisdom teeth and their impact on your orthodontic care.

Congratulations! You are brace free!!!! Make sure to show off your beautiful Jennifer smile!