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You might be surprised to see one of your second grader’s friends with a dental appliance. Isn’t orthodontic work just for teenagers? And, if not, should your seven-year-old be sporting braces right now? The answer to both of those questions is “Not necessarily.” Two-phase treatment is a process designed to correct issues that arise during different times in your child’s life.

First Phase Treatment

We recommend that every child have an orthodontic evaluation around the age of seven to determine if there is a problem that would benefit from early treatment. First phase orthodontics is not the same as orthodontics for older patients. The focus here is on the developing bone and muscle structures which form your child’s bite and provide space for the permanent teeth when they arrive.

There are some clear-cut orthodontic goals that are much easier to attain when children’s bones are still growing.

• Reducing Crowding

If your child’s mouth is small, the permanent teeth will have little room to fit in when they arrive. We may recommend gently enlarging the upper dental arch with the use of a palatal expander. This device will provide room for the adult teeth, and could potentially shorten second phase treatment time. Sometimes the extractions necessary to create more room for permanent teeth in later years can be avoided, as well as the possibility of an impacted tooth—one which doesn’t erupt because it is blocked by other teeth.

• Dealing with Jaw and Bite Concerns

Bones and muscles do not always develop properly, leading to problems with jaw and facial structure. Your younger child still has growing bones, so this is a great time to gently re-form the jaw into a healthy shape. Problems caused by crossbites, underbites, open bites, and other malocclusions can be reduced with early treatment.  

• Protecting Teeth

If your child has protruding front teeth, these teeth are more likely to be damaged in falls, at play, or while participating in sports. We can gently reposition them.

Second Phase Treatment

Second phase treatment is designed for your older child. After a resting period, when the permanent teeth finish erupting, we should see your child to evaluate any further orthodontic needs. This is the time to finish the process of straightening the teeth and making sure that each tooth fits together properly for a comfortable and healthy bite. This phase usually makes use of braces or aligners, and can take approximately 12-24 months.

Two-phase treatment is not necessary for every child. But there are some unique reasons that early orthodontics might be recommended for your child, even if it’s clear that more orthodontic work will be needed later. Make an appointment with Dr. Nathan Downey at our Bowling Green, OH office, and let’s evaluate your child’s orthodontic needs, whether now or in the future, for a lifetime of beautiful smiles.

At Downey Orthodontics, there are a few things we want to remind you of when you're on vacation, so that a day with friends and family won’t be spent dealing with an orthodontic emergency. Firstly, we are here for you whether you are in town or out of town on vacation. Give us a call and we may be able to address the problem over the phone. Second, if we are unable to help you fix the problem over the phone, we will help you find an orthodontic practice in your vacation area that can help you.

If you experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get them out of pain or discomfort.

If you have braces, whether they are metal, ceramic, or lingual, Dr. Nathan Downey and our team suggest steering clear of the following foods to avoid broken brackets and/or wire distortion while you are on vacation:

• Chewy, sticky, or gummy food
• Apples, pears and other whole fruits (cut fruit into thin wedges before consuming)
• Bagels and hard rolls
• Bubble gum
• Corn on the cob
• Hard candies
• Hard cookies
• Pretzels
• All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you have clear aligners and you lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation!

Once you get your braces off, you want to make sure your smile remains straight! This is where retainers come in.

Once your braces come off, you’ll be fitted for a retainer provided by Dr. Nathan Downey to keep those teeth in place. A retainer is a custom-fit device that sits in the mouth and reinforces the new position of your teeth. Wearing it may be annoying at first, but it’s an essential part of the process of keeping your teeth in place over the long term.

For the first few months after your braces are gone, Dr. Nathan Downey will tell you to wear your custom retainers all the time, except when you’re eating, drinking, or brushing. You have the option of having a clear plastic retainer made if you’re concerned about your appearance.

Eventually, we will recommend that you only have to wear the retainer during each night for a full year. After that, you may take a couple nights off from wearing them each week. In order to preserve the position of your teeth for as long as possible, we don’t recommend that you ever fully stop wearing your retainers.

If you’re concerned about forgetting to wear your retainer, and worried that your teeth may shift, a lingual retainer could be a good option for you. This gets placed on the back of your teeth and is not readily visible.

These retainers are permanent, but they could cause issues for you down the road if you don’t maintain good oral hygiene. Plaque and tartar can build up around these lingual bars, which is why we don’t usually recommend this as a primary choice.

Wearing your retainer is extremely vital after your braces come off. Without your retainer to keep them in place, the teeth you’ve taken so long to fix may begin to shift again. Getting braces is quite an investment, which is why you should keep wearing your retainer long after the braces have come off.

If you have questions or concerns regarding your retainers, contact our Bowling Green, OH office and we can address any problems you may have.

Colorful elastic ligatures (the official name for those tiny bands around your brackets) are often replaced when you come in to have your braces adjusted. Which is great! Now you have the opportunity to go with your team colors, or your school colors, or tones that work with your skin and eyes, or shades that represent your favorite holiday season. Today’s bands come in a wide variety of colors, so you never need to worry about becoming bored with your choices.

But are there certain hues that can be a bit more challenging to work with. Let’s look at some of those trickier tones.

• Lunch Look-Alikes

If you don’t want kind friends constantly informing you that you have something stuck in your teeth, you might want to leave certain colors off your list. Dark greens and browns can sometimes give the appearance of food trapped in your braces. Have a look at the shades available, and see what is least likely to send you running for a mirror and a toothbrush.

• Smile Dimmers

A blazing white band might seem like a good match to your blazing white teeth, but for many people, really light colors can make teeth look more yellow. And often bands in shades of yellow can bring out any yellow in your enamel. If you’re looking for a brighter smile, try some darker, richer tones for a gleaming contrast.

• You’re So Over the Rainbow

If you are someone who loves a monochromatic look, perhaps any colors will be, well, just too colorful. In that case, there are ligatures for you! Silver or grey braces will blend with your metal brackets, and clear or tooth-colored bands will be less obvious with metal or ceramic brackets. Light colored bands can be more prone to staining, so keep that in mind if you’re going for invisibility or a close bracket match.

Now with all that being said, you be you! If you like a color, give it a go. It might be the perfect accessory for your smile and your personality. And, if it doesn’t work . . . no big deal! You can explore another part of the color palette on your very next adjustment to our Bowling Green, OH office.