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Orthognathic surgery is surgery to correct a wide variety of abnormalities of our patients' jaw and teeth. The surgery is often done in conjunction with orthodontic treatment. While the patient’s appearance may be significantly improved as a result, the primary purpose of the surgery is to correct functional problems including but not limited to:

• Unbalanced facial appearance
• Protruding jaw
• Open bite (upper and lower teeth don’t overlap properly
• Excessive wearing down of the teeth
• Difficulty with chewing or biting
• Chronic mouth breathing
• Sleeping problems such as sleep apnea
• TMJ pain (jaw joint pain)
• Restoring facial injuries

Knowing when to start the orthodontic treatment in preparation for orthognathic surgery can also be tricky if our team at Burke Orthodontics is treating a teenager. It is important to know when to get started. If orthodontic treatment is initiated too soon and the teenager is still growing, the patient will either need to hold in braces until his or her growth is complete and they are ready for surgery or the braces will have to be removed and then placed again when growth is complete. Neither of these options is attractive since it requires longer time in treatment, which is something all our patients want to avoid. Our team at Burke Orthodontics strives to get all patients finished with treatment as quickly as possible because it is healthier for the teeth and gums and gives them a beautiful smile to enjoy for a lifetime.

If you are considering orthognathic surgery or you have been told that you need jaw surgery, give us a call to schedule your initial consultation today. John Burke and our team at Burke Orthodontics will explain our treatment plan in a way you will understand and we will keep you informed every step of the way.

Plaque is a sticky subject! It sticks to the enamel of our teeth above and below the gum line, and it collects around braces. Plaque is one of the major causes of tooth decay and gum disease, and our teeth are under daily attack by this filmy menace.

What are the facts about plaque, and how can we fight back? Read on for some effective strategies!

What Is Plaque?

Plaque is a sticky film that builds up on our teeth, largely made up of millions of different types of oral bacteria. Plaque is a colorless biofilm at first, but as it collects, it takes on a white or yellow tint. If you haven’t brushed for a few days, that fuzziness you feel on your teeth is plaque build-up. Unless it’s removed, plaque hardens within a matter of days to become tartar.

• Tip: You can remove plaque with careful brushing and flossing, but it takes a dental professional to remove tartar. Be proactive!

Why Does Plaque Cause Cavities?

Bacteria in plaque use our food as their food, especially sugars and carbs. They can then transform these nutrients into acids, which attack our tooth enamel, weakening it and leaving it vulnerable to further erosion and eventual decay.

• Tip: Cavities aren’t the only damage caused by accumulated plaque. Plaque also collects along and below the gum line. If tartar forms here, it irritates delicate gum tissue, leading to gingivitis and more serious gum disease. Make sure you don’t forget your gums when you brush and floss.

When Does Plaque Build Up?

The short answer? Plaque is always forming, because oral bacteria are a natural part of our biology. (In fact, there are even oral bacterial which are beneficial.) Plaque starts building up within minutes after eating, and during the night as we sleep.

That’s why we recommend brushing for two minutes at least twice a day, and flossing at least once a day. When you wear braces or aligners, brushing more often is a good idea. Food collecting around braces or inside aligners is a feast for plaque! Ask John Burke for suggestions for your best brushing schedule.

• Tip: Just because plaque is unavoidable, that doesn’t mean we need to give the bacteria in plaque any additional encouragement. Every time you have a meal or a snack that’s heavy in carbs and sugars, you are providing more fuel for acid production. Cutting down on foods like sugary desserts and sodas is not only nutrition-healthy, it’s tooth-healthy!

Where Does Plaque Collect?

Plaque builds up all over tooth surfaces, at the gum line, and even below the gum line. It’s especially easy to miss in hard-to-reach places like the irregular surfaces of molars, between the teeth, behind our front teeth, and near the gum line. Plaque also collects around your braces, and requires special care to make sure your teeth don’t suffer cavities or the white spots caused by demineralization.

• Tip: One of the ways plaque avoids detection is its invisibility. Fortunately, if you’re having trouble brushing away all your plaque, there are plaque-disclosing toothpastes and chewable tablets available in the dental aisle which reveal the plaque hiding between, behind, or around your teeth by tinting it with a can’t-miss color. Just brush the color away, and you’ve brushed the plaque away as well.

How Do We Clean Away Plaque?

Use the Right Tools

Floss at least once a day. There are different materials, sizes, and coatings for floss, so you can find one that’s comfortable for you. Floss reaches those spots in between teeth and around the gum line that brushes miss.

Choose a soft toothbrush (soft bristles are better for your enamel) and change it every three to four months, or as soon as the bristles show wear. Make sure the head is the right size—too big, and it’s not only uncomfortable, but you won’t be able to reach all the surfaces you need to.

• Tips: There are special dental flosses created just for your braces. You can also use interproximal brushes water flosser to clean around wires and brackets. If you have trouble removing plaque around your teeth and braces with a manual toothbrush, consider an electric model. Several studies have shown a reduction in plaque with the use of an electric brush.

Use the Right Toothpaste

There are many toothpastes specifically formulated to fight plaque and tartar. And fluoride toothpastes not only fight cavities, they can strengthen your enamel.

• Tip: Studies have shown that toothpastes with baking soda, in particular, are effective in reducing plaque. Ask John Burke for a recommendation the next time you’re at our Frankfort, IL office.

Use the Right Technique

What not to do?  A forceful, horizontal sawing motion is awkward, hard on your enamel, and misses plaque and debris between the teeth. Technique is important—not for style points, but for cleaner teeth!

Hold your toothbrush at a 45-degree angle, especially at the gum line, to gently remove plaque from teeth and gums. Use short strokes or a circular motion to clean as much of the surface and between the teeth as possible. Brush the inside of your front teeth with careful vertical strokes—remember, that’s one place where plaque is easy to overlook. The same holds true for the tops of your molars, so thoroughly clean those uneven surfaces.

If you wear braces, be sure to clean thoroughly around brackets and wires, where plaque can accumulate quickly.

• Tip: If you wear clear aligners, don’t forget to give them a gentle brushing as well! Plaque can stick to aligners, causing discoloration and odors, so follow our cleaning instructions carefully.

Who Can Help You Fight Plaque?

Even when you do your best at home, plaque can still be a sticky problem. That’s why we advise regular professional cleanings, which not only remove any plaque that’s hiding away, but also eliminate any built-up tartar around your braces. And, of course, there you can learn all about how to keep your teeth their cleanest.

True, you’re fighting plaque every day, but you have all the tools you need to make sure your teeth and gums stay healthy. You’re winning the battle with plaque every time you eat a nutritious meal, and every time you brush and floss. With that kind of strategy, plaque doesn’t stand a chance. And your bright smile and healthy teeth and gums? That’s a victory worth celebrating!

For months and months, you’ve been dedicated to following your orthodontic treatment plan. Wearing your bands or putting in the hours with your aligners. Eating orthodontic-friendly foods. Seeing your orthodontist on a regular basis.

But that’s all in the past. Today, your braces are coming off! You’ve finished with your last set of clear aligners! Now it’s time to enjoy your accomplishment and celebrate this moment.

And after you’ve celebrated the moment, what’s next? Why, it’s time to look to the future! Because one thing we can predict for the years ahead is that you’ll want to keep your smile looking as wonderful as it does today. Let’s look at some of the simple steps you can take to retain that new smile.

Keep Up With Your Brushing and Flossing

Wearing braces or aligners meant learning a whole new way to take care of your teeth and gums. You used special tools to clean around your brackets and wires. You learned how to keep your aligners clean and stain-free. You brushed and flossed after every meal and snack break.

So returning to regular hygiene habits should be a cinch—two minutes of thorough brushing at least twice a day, with careful flossing at least once each day. And you’ll probably notice something else which makes your life easier—properly aligned teeth are easier to brush and floss effectively.

But just because it’s easier, doesn’t mean it’s not as important. Keeping your teeth clean and cavity-free and your gums healthy will keep your smile looking its best, so be sure to brush and floss just as consistently as you did when you were in treatment.

See Your Dentist Regularly

Even though you won’t be making regular visits to our Frankfort, IL office anymore, that doesn’t mean your dental calendar is clear! Cavities aren’t a good look for your new smile. Neither are tartar stains or red and swollen gums.

Checkups once or twice a year mean that you have a healthy smile as well as a beautifully aligned one. And a professional cleaning from your dentist’s office will make sure it’s a gum-healthy, bright, and stain-free smile as well.

Wear Your Retainer

Your teeth may have moved to their perfect positions, but they haven’t moved there permanently yet.

During orthodontic treatment, gentle pressure from your appliance causes steady, careful tooth movement. As teeth move in the jaw, old bone cells around the roots break down where they’re no longer needed, and new bone cells build up around the roots in their new position. It’s a gradual process which makes sure your teeth are held firmly in the jawbone.

Bu this isn’t the end of the process. When you stop wearing braces or aligners, teeth and ligaments may begin shifting back to their original location. The new bone tissue that holds your teeth in their ideal spots isn’t strong enough yet to stop this shifting, especially with the normal forces of biting, chewing, clenching, and all the other activities that put pressure on teeth.

Your retainer holds your teeth in just the right position while jawbone tissue has time to reshape, rebuild, and stabilize. This can take months or more to accomplish, especially when you’ve had a more serious misalignment or bite correction.

Which also means . . .

Wear Your Retainer as Long as Necessary

John Burke will recommend the best retainer for you. Three popular options include:

• Hawley Retainers—the traditional removable retainer. This appliance uses wires embedded in a molded acrylic plate to keep your teeth properly aligned and to hold your retainer in place.
• Clear Plastic Retainers—a removable custom retainer made of vacuum-formed plastic. This piece looks and fits over the teeth like a clear aligner.
• Fixed Retainers—a small single wire bonded to the back of specific teeth to hold them in place and prevent any movement.

For the first few months, you might need to wear your removeable retainer both night and day, and then switch to nighttime wear. John Burke might recommend long-term nightly retainer use, or perhaps taper to a few nights a week. A fixed retainer can last for many years. We can’t tell you how long you’ll need to wear your retainer because that answer depends on your specific orthodontic needs.

If you do stop wearing your retainer and find that your teeth are shifting, see John Burke as soon as possible. Fixing a slight shift can be fairly uncomplicated, but waiting until your teeth and bite are more seriously out of alignment could require another session in braces or aligners.

The hard work you’ve put in to create your smile is past, and today you’re enjoying all the benefits of aligned teeth and a comfortable bite. Taking simple steps to maintain these benefits will help guarantee a future filled with healthy, confident smiles.

All over the Internet you'll find videos and articles showing how you can close the gap between teeth or space them out. There is a plethora of DIY orthodontic techniques out there — you can even mail order your own impressions to get clear aligners, without even seeing a dentist or orthodontist. Following the instructions laid out in these videos and articles (by people who have zero training in orthodontics) is about the worst decision you can make for your overall oral health.

Performing DIY or at-home orthodontia can lead to or cause:

• Loss of teeth
• Infection
• Cavities or infections that are missed or undiagnosed
• Gum damage

Dr. Christina Carter, president of the Northeastern Society of Orthodontists, says that DIY orthodontics can have terrible consequences. She spoke to TODAY about closing gaps between teeth using rubber bands or elastics:

"The teeth are connected to the gums and the blood supply and there is a risk of infection, of tearing the gums which might not heal properly, and a risk of damaging the attachment between the tooth and gums so the tooth no longer gets the support it needs." She also noted, "A simple rubber band can actually slide up the tooth and cut all the attachments to it and you can actually lose a tooth."

One of the worst parts about DIY orthodontics is that you never consult with a trained orthodontist, so you're really operating on a dangerous lack of information. It's best not to risk damage to your teeth or infection. Let John Burke know what you want to accomplish with your teeth and we will help you find the safest and most cost-effective way to achieve it.

John Burke want you to be informed and practical about your oral health. Should you have any questions about orthodontic treatment options, please do not hesitate to give us a call at our convenient Frankfort, IL office.