Journal Of Clinical Orthodontics 2011
Journal Of Clinical Orthodontics 2011' title='Journal Of Clinical Orthodontics 2011' />White Spots on Teeth Viechnicki Orthodontics Bethlehem, PAWhite spots are marks on teeth that appear brighter and more opaque than the rest of the tooth. Braces patients who get white spots on their teeth during orthodontic treatment need to know what to do to prevent more white spots from forming. Braces patients also need to know how white spots can be treated. In this article, you will learn the causes, preventive measures and treatments that we recommend at Viechnicki Orthodontics. If white spots are already present skip ahead and see how to treat white spots. Preventing white spots while wearing braces is important. White spots have a chalky white appearance. White spots form when acids dissolve teeth. In this picture, poor brushing resulted in white spots forming around braces. What are White SpotsInternational Scientific Journal Country Ranking. Display only Open Access Journals Display only SciELO Journals In Progress. White spots represent the first stage of a cavity. Specifically, white spots are areas of hypomineralization on teethareas on the enamel surface that has lost its hard minerals. A white spot forms when acid begins to dissolve the mineralized surface of a tooth. As acid attacks a tooth, thousands of small holes are created in the tooths enamel. These small holes give the tooth a chalky white appearance that is characteristic of a white spot. In the rest of this article, you are going to learn about how to prevent and treat white spots, but first here is why reading about the cause of white spots is important White spots are 1. Hadler Olsen et al., 2. Hamdanan et al., 2. What Causes White Spots Poor brushing causes white spots. Removing plaque from teeth is important because the bacteria in plaque produce acid that dissolves teeth. The risk of getting white spots is greater during braces, but white spots can occur without orthodontic treatment. Plaque sticks to braces and teeth. The trickiest areas are at the corners of the smile the lateral incisors and canines. Plaque is dangerous because it causes white spots. Chapman et al., 2. Poor brushing and flossing leaves plaque on teeth that can cause white spots and gum disease. Orthodontists can predict the chances of getting white spots because we know that plaque causes white spots around braces and are aware of the risk factors. Risk factors for getting white spots include poor oral hygiene before braces, starting braces before middle school and being male as boys get more white spots than girls. How to Prevent White Spots. The best way to prevent white spots is with perfect brushing and flossing. Choosing tooth healthy foods and beverages can also help prevent white spots. Make sure to use a fluoride toothpaste to prevent decalcification. Here are 5 healthy habits that protect teeth from white spots drink water instead of soda, eat meals instead of snacks, brush after eating, floss nightly, visit the dentist every 6 months. Now in its 100th year, the American Journal of Orthodontics and Dentofacial Orthopedics is a leading orthodontic resource. AJODO readers have access to original peer. Prevent white spots with perfect brushing and flossing. Braces patients often need extra help. We recommend that kids take extra steps to make sure that they stay protected. Some enhanced oral hygiene techniques special techniques for brushing and flossingprescription strength fluoridea new cavity fighting product CCP ACPThe next section is going to give you all the information that you need to protect teeth from getting white spots during orthodontic treatment. Special Techniques for Brushing and Flossing. A power toothbrush helps prevent white spots because it removes plaque effectively. If youve read this far, you know how important brushing and flossing are for braces patients. By the end of this section, you will know how braces patients can benefit from Sonicare toothbrush. Pre threaded flossers. Plaque disclosing Tablets. Positive motivation. Sonicare Toothbrush. The first way that we improve oral hygiene for braces patients is to recommend the Sonicare toothbrush. The Sonicare toothbrush has been shown to improve the plaque index and gingival index in orthodontic patients in 3 separate studies Costa, Marcantonio, Cirelli, 2. This means that patients using the Sonicare toothbrush build up less plaque and get less gingivitis. In fact, our braces patients get a free Sonicare toothbrush because we believe so strongly in its effectiveness Braces compatible pre threaded flossers are available from Plackers. Pre Threaded Flossers. The second way that we improve oral hygiene for our braces patients is to recommend interdental aids. These help kids get floss between their teeth. There are so many options out there floss threaders, Super. Floss, and pre threaded floss picks. We recommend the Plackers Orthopick to our braces patients. Flossing with a pre threaded flosser is possible with braces. Just get the Plackers Orthopicks and use the skinny end that slides between the tooth and the wire. When our orthodontic patients get braces we go over everything they can do to enhance their oral hygiene. If you ever have any questions, just ask Plaque Disclosing Tablets. The third way that we encourage excellent oral hygiene in all of our braces patients is through plaque disclosing tablets. Plaque disclosing tablets are proven to improve brushing by over 2. The reason that they work is they give visual feedback to kids it shows how well they are brushing. We know that removing plaque is the 1 most important part of oral hygiene. Sometimes kids have trouble completely removing plaque even if they brush the full 2 minutes. That is why plaque disclosing tablets are essential Kids need to see the spots that they miss when brushing. Otherwise, kids will never learn to remove plaque from those teeth. When plaque sticks on teeth, then white spots can start to form. Plaque disclosing tablets work by staining the plaque that sticks to teeth and around braces. Once the plaque is stained red, then kids can look in the mirror to see the spots that they missed. The best time to use plaque disclosing tablets is at night after brushing. We recommend parents watch their kids use plaque disclosing tablets weekly. Positive Motivation. The Viechnickels program Viechnicki Nickels is available for all of our braces patients. This token based motivational program has proven itself to be successful with kids of all ages. When our braces patients come in with excellent oral hygiene, they earn points. And when they accumulate enough points, they can redeem their points for great prizesThe whole point is to get patients motivated to maintain healthy habits that they can use for the rest of their lives. Prescription Strength Fluoride. After improving brushing and flossing, the next most effective way to prevent white spots is with prescription strength fluoride. Fluoride has been proven to reduce cavities in kids. The effectiveness of fluoride has been studied over 1. Sybase Sql Anywhere 12 Free Download. Marinho et al., 2. Fluoride fights cavities by incorporating itself into the surface of the tooth. When fluoride replaces the hydroxyl group in hydroxyapatite the mineral content of teeth, tooth enamel becomes more resistant to dissolution by acid. Fluoride toothpaste. Fluoride mouthrinse. Fluoride gels. Fluoride varnish. Fluoride Toothpaste. When fluoride toothpaste is applied daily, kids get fewer cavities. Kids who use over the counter fluoride toothpaste daily have 2. When stronger doses of fluoride are used, teeth are even more protected Wong et al., 2. Previ. Dent 5. 00. Booster is a prescription strength fluoride toothpaste that helps prevent white spots. Prescription strength toothpaste Previ. Dent 5. 00. 0 Booster can have up to 5. Journal Rankings on Neurology clinical.