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Many patients underestimate the importance of wearing their retainers after their braces come off, but it is one of the most critical post care practices to keep your teeth in alignment. Why spend all that time, energy, and money to straighten your teeth when you don't plan to keep them straightened after treatment?

What is a retainer?

As the name implies, a retainer keeps teeth from moving back to the positions in which they started before treatment was administered; they "retain" your smile and bite. There are many different types of retainers—some are removable and some are permanent. Some retainers are made of plastic and metal (known as Hawley retainers) and others are all plastic or all metal. Some retainers can even be bonded to the back of your teeth!

How long do I need to wear it?

If you've been given a removable retainer by Dr. Don Connolly and Dr. Stanley Sokolow, you may be wondering how long you need to wear it. It takes time for the tissues and bones around your teeth to reorganize and set into place after braces treatment.

The amount of time you’ll need to wear your retainer depends on your unique situation, but typically, retainers should be worn at least as long as the time you spent in braces. You might need to wear them full-time for a while, and then transition to wearing them only at night. Dr. Don Connolly and Dr. Stanley Sokolow will have a treatment plan especially for you, and if you stick to it, you'll always have a straight smile.

Nothing is forever (at least without retainers!)

Research has shown that there is no “permanent” position for your teeth to remain in. In fact, some studies say upward of 70% of patients will see a change to their bite and tooth alignment as they get older. This applies to people who have had orthodontic treatment and those who have not. Of course, some people's teeth never seem to shift—you can consider them the lucky ones, as most people's teeth do.

And this is precisely where retainers come in. The only way to ensure your teeth stay in alignment long-term is by wearing your retainers. If you have any questions about retainers or your treatment plan, please ask any member of our Santa Cruz, Aptos, or Watsonville, CA staff.

Our green office offers many benefits to patients. And just because we’ve gone green doesn't mean that we won't be able to provide the same services as a traditional office. In fact, our goal is to provide the same (or better) services as a regular office, but services that act in harmony with the body and world around us. Less waste, fewer chemicals and heavy metals, and reduced energy consumption; these are traits that define a truly green office.

Some of the benefits you'll experience as a patient at our green Santa Cruz, Aptos, or Watsonville, CA office include:

• Better air quality – There's a focus on using renewable and natural building materials, paint that is free of volatile organic compounds (VOCs), biodegradable cleaning supplies, and formaldehyde free materials for cabinetry. This leads to cleaner air in the office for patients and their families.
• Less radiation – Digital X-rays replace old film based X-rays and expose patients to 90 percent less radiation. Digital X-rays are also convenient for patients since their images can be viewed right on the computer screen instead of on a physical printout.
• No need for paper – Many offices have gone "paperless." You'll get any pertinent paperwork via email, reducing paper waste and saving you time. Patient records are also stored digitally, doing away with the wall of patient folders and making for easier and quicker record retrieval.
• Fewer chemicals – Green offices take advantage of chemical-free sterilization by steam and clean their tools using energy-efficient washers and dryers. Biodegradable cleaning solutions instead of toxic chemical cleaners are used around the office, too.
• Reduced heavy metal exposure – Biocompatible, non-allergenic, non-metal materials like porcelain and ceramic are preferred in a green office over the heavy metals (nickel, titanium) used in traditional offices. This is particularly important in the case of appliances that are used over long periods of time, like dental implants or veneers.

Dr. Don Connolly and Dr. Stanley Sokolow and our team hope you realize the positive effect a green office can have on your health, as well as that of the environment. Our office is dedicated to bringing you the cleanest, safest, and greenest technologies the industry has to offer, and we're happy to share how our processes differ from other offices!

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

• Let Dr. Don Connolly and Dr. Stanley Sokolow know about your desire to get braces
• Get an exam to make sure you're in good periodontal health and a good candidate for braces
• If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Santa Cruz, Aptos, or Watsonville, CA office.

It's a habit many people have and not only can it be annoying to the people around you, it can be detrimental to your dental health. Chewing ice is so common that it even has its own name, pagophagia. We're not talking about a slushy or shaved ice (although those artificially sugary treats should be avoided too!) but more like the hunks of ice rattling around in the bottom of your glass.

Ice chewing can be a sign of emotional problems like stress or obsessive-compulsive disorder, but it can also be a marker for iron deficiency anemia and other physical problems. Then again, some people just like to have something to chew on. For whatever reason you find yourself chewing on it, it's a habit you need to break.

Chewing on ice can cause:

• Chipped and cracked teeth
• Damaged enamel
• Sore jaw muscles
• Damage to dental work such as crowns, fillings, or other appliances

If chewing on ice is becoming a problem in your life, don’t hesitate to speak with Dr. Don Connolly and Dr. Stanley Sokolow about it. But if you find yourself still wanting to chew on something, here are a few alternatives to ice:

• Baby carrots
• Celery sticks
• Sugar-free (xylitol) gum

We know you need to chill sometimes, but chomping down your entire glass of ice is not the way to do it. If you have any other questions on the topic, feel free to talk with a member of our Santa Cruz, Aptos, or Watsonville, CA team. It may be beneficial in solving the issue and helping to remediate any damage to your teeth.