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October 31—Halloween. Fourth Thursday in November—Thanksgiving. And, in between these two favorite autumn holidays, we have November 1—National Brush Day!

Okay, okay. Maybe National Brush Day isn’t quite as well-known as Halloween or Thanksgiving, but we take any opportunity to celebrate your dental health. So, let’s celebrate brushing!

After all, brushing is vital for healthy teeth and gums.

• Brushing is your first line of defense against plaque. Plaque forms all day long. Plaque sticks to your teeth. Plaque is filled with bacteria which produce cavity-causing acids. Brushing regularly means plaque won’t stay on your teeth long enough to cause serious tooth decay.
• Brushing effectively is especially important while you wear braces. Plaque collects around brackets and can cause enamel discoloration if it’s allowed to build up.
• Brushing is also important for your gum health. Angling your brush to carefully clean plaque and bacteria away from your gum line helps prevent gum disease.

To make the most of the time you spend brushing, let’s take a moment to review some basics on National Brush Day.

Are You Brushing Correctly?

• Big, broad brushstrokes aren’t the answer. Instead, use short up-and-down or circular strokes over each tooth—outside, inside, and on the flat surfaces of your molars.
• Because plaque forms all day, you need to keep on top of it. Brushing at least twice a day for two minutes each time is a good general rule, but doesn’t always hold true during orthodontic treatment.
  • If you wear braces, Drs. Adrienne Barnes, David N. Maclin & Naana Mensah will probably recommend brushing after each meal or snack to make sure plaque and food particles don’t stick to your teeth and your braces.
  • Take advantage of the special orthodontic brushes that are available if your old brush isn’t cleaning your braces (and your teeth!) as well as you’d like. A brush with a smaller head or different shaped bristles might make all the difference.
  • If you have aligners, you take them out to eat. It’s always a good idea to brush before you replace them. Otherwise, food particles which would normally be brushed away or washed away by saliva are trapped next to your teeth.
• Brushes are meant to clean, not to scrub. You don’t need a heavy hand for cleaner teeth.
• Which also means, there’s almost never a good time to brush with a hard-bristled brush. Hard bristles, along with hard brushing, can actually damage your enamel. Stick to a soft-bristled brush for dental TLC.

Are You Taking Care of Your Brush?

• To clean away bacteria and viruses you might have picked up during the day, wash your hands before brushing and flossing.
• Shake your brush dry when you’re finished and then let it air-dry upright with the handle pointing down. Only use a case for travel, and make sure it has air holes for ventilation. (Bacteria thrive in a wet environment.)
• If your toothbrush lives in the bathroom, close the toilet seat before flushing to avoid airborne particles.
• No matter how close you are to your family members or roommates, don’t share your toothbrush. Sharing doesn’t mean caring in this case—it means sharing germs. Your brush should keep a healthy distance from other brushes as well.
• And no matter how fond you are of your brush, be prepared to replace it often! Most brushes last three to four months at best, because bristles start to fray and can’t clean effectively after several months of use.

It’s no coincidence that National Brush Day comes right after Halloween, the most sugar-filled holiday of them all. So, how can we mark the occasion?

Take a moment to review your brushing habits. Check out the brushes designed for orthodontic treatment. Treat yourself to a new toothbrush. Brushing your teeth properly is one of the easiest things you can do to protect your oral health. That’s something to celebrate!

Orthodontists do everything they can to save teeth, but sometimes, a tooth is so damaged by accident, injury, infection, or decay that extraction is the only option. Or perhaps your child’s wisdom teeth are starting to come in—and starting to cause problems. Or, when this is the healthiest alternative, an extraction might be necessary for orthodontic reasons.

While there are several possible reasons an extraction might be necessary, one thing is true for any extraction: you want to make sure that your child is as comfortable as possible and heals as quickly as possible after the procedure.

Aftercare and recovery time isn’t exactly the same for every extraction. Whether your child’s tooth is a baby tooth or a permanent one, whether it’s a single tooth or several, whether it’s erupted or impacted, whether a local anesthetic or sedation is recommended—these factors and more can make a difference in recovery time.

Drs. Adrienne Barnes, David N. Maclin & Naana Mensah will provide you with clear, specific instructions for helping your child to a speedy recovery after an extraction. We’d also like to offer you some general aftercare ideas to make sure your child is as comfortable as possible while recovering.

• Bleeding

Some bleeding is normal after an extraction. Follow your dentist or oral surgeon’s instructions carefully to minimize bleeding at the extraction site. Your child will probably need to keep a gauze pack in place for as long as directed to reduce bleeding and to help a clot form. If bleeding is heavier than expected or goes on longer than expected, call our Chicago, IL office.

• Swelling

Swelling is a normal response to extractions. Your dentist might suggest cold compresses to help reduce swelling immediately after the extraction. If you don’t have an ice pack, ask whether a bag of frozen peas or corn can substitute.

With any cold compress, it’s important to protect your child’s skin from injury. Follow your dentist’s suggestions for application and be sure not to exceed the time limits recommended. And don’t apply a compress directly to your child’s face—wrap a towel or cloth around the bag or pack to protect the skin.

• Careful Cleaning

The area around the extraction shouldn’t be disturbed or touched. The blood clot that forms after an extraction protects the area from irritation and infection caused by food particles and bacteria. If a clot is dislodged accidentally, it can lead to a condition called dry socket, which can be very painful.

This means no brushing near the extraction site, and no heavy rinsing or spitting for as long as directed. If your child is younger, you might need to help with brushing over the days following to make sure those sturdy bristles don’t get close to the extraction site before it’s healed.

• Soothing Foods

Have a supply of your child’s favorite comfort foods handy while healing, such as cream soups, mashed potatoes, scrambled eggs, gelatin, yogurt, and smoothies. Hot and cold foods can be irritating, so stick to cool or lukewarm foods for the first few days. Encourage your child to drink lots of liquids, but nothing carbonated. And do wait until any numbness wears off before giving your child chewable foods to avoid biting tongue or cheeks.

Remove spicy favorites from the menu, which can be irritating, as well as chewy, crunchy, or jagged foods like crackers, since tiny, sharp bits of food can make their way inside the site. Remind your child to chew on the side of the mouth opposite from the extraction site. And, since suction is an all-too-easy way to dislodge the clot over the extraction site, no straws!

• Schedule Recovery Time

Make sure your child rests and takes it easy after the procedure. Exercise, lifting, even bending over can dislodge a protective clot, so re-schedule any physically demanding sports and activities until your child is given the dental all clear.

• Medication

If your child has been given a prescription for pain medication or antibiotics, follow the instructions as directed. Drs. Adrienne Barnes, David N. Maclin & Naana Mensah might recommend age-appropriate over the counter pain relievers to have on hand. For severe or continuing pain, call your orthodontist or oral surgeon right away.

• Coordinate Dental Schedules

Orthodontic extractions, if needed, will be scheduled into your child’s orthodontic treatment plan. Treatment can begin or resume when the extraction site has healed.

If an emergency extraction is necessary, call our Chicago, IL office so we can be aware of the situation and can coordinate with your child’s dentist or oral surgeon to keep treatment on track as much as possible.

An extraction can be worrying for both patient and parent, so talk to your orthodontist for the best ways to make this experience a positive one for your child before, during, and after treatment.

It’s that time of year again—Halloween! Carving pumpkins. Creating costumes. And, of course, collecting candy.

But some of the candies in that collection aren’t much of a treat for your teeth. When you’re deciding on the perfect pieces to choose from the candy cauldron, here are some tricks to identify the ones that can be more frightful than delightful for your tooth enamel and braces:   

• Is It Chewy or Sticky?

Any sticky or chewy candy—caramels, taffy, licorice, gummy anythings—is candy that also sticks to your teeth. And it really sticks in between your teeth, where it’s harder to brush away.

The problem? Bacteria in plaque love sugar, and sticky candies provide them with hours of sugary feasting. Bacteria use this sugar to make acids, and acids cause weak spots in tooth enamel. These weak spots will get bigger over time as the bacteria keep on attacking your enamel, and that’s how you can end up with a cavity. Less sugar which spends less time on your teeth = fewer cavities!

And there’s another good reason to pass up chewy treats if you wear braces. Candy can get stuck under your brackets and wires, or be sticky enough to pull a bracket right off a tooth.

• Is It Sour?

Sour candies get that intense, lip-puckering taste because they’re so acidic. What’s wrong with acids? Just like the acids made by bacteria, acids in food attack our tooth enamel, too.

Sour candies are hard on your teeth all by themselves. When you eat a candy that’s both sour (acidic) and gummy (sticky), all coated in sugar, that’s triple trouble!

• Is It Hard or Crunchy?

Some kids like hard candies like lollipops and fruity drops because they last a long time. But that’s the problem. All that time a hard candy rolls around in your mouth is time spent bathing your teeth with sugar.

Thinking of shortening your sugar exposure by chewing hard candies? Also a bad idea! Crunching into a piece of hard candy can chip or crack a tooth and even damage fillings.

Crunchy treats can be hard on braces, too. Peanut brittle, nutty candy bars, candy apples, popcorn balls, or any hard or crunchy candy can damage your brackets and wires when you bite down.

Luckily, there are healthier trick-or-treating choices if you know what to look for. 

• Soft Candies and Chocolates

A chocolate bar, a peanut butter cup, mint patties, and other soft candies won’t stick around on your teeth the same way chewy or hard candies do. No sour acids, either. And because dark chocolate has less sugar than lighter chocolates, it’s an even healthier choice.

Bonus: They’re easy to bite and chew when you wear braces!

• Sugar-Free Gum

This treat is not only sugarless, but chewing it helps us make more saliva. Saliva washes away sugary food particles and helps neutralize the acids in the mouth. If you wear braces, check with Drs. Adrienne Barnes, David N. Maclin & Naana Mensah to see if sugar-free gum is safe for your brackets and wires.

No need to skip the trick-or-treating this year. Occasional sugary or acidic treats can be balanced out with daily brushing and flossing, a healthy diet, and regular visits to your dentist for exams and cleanings. When you do enjoy a treat that’s sugary or acidic, there are tricks to help you keep your smile healthy and cavity-free.

• Eat a treat or two with your meals instead of snacking through the day. You won’t be exposing your teeth to sugar for hours at a time, which means bacteria and acids won’t be haunting your enamel all day long.
• Drink water. If you eat your candy with an acidic soda, you’re getting sugar + sugar + acids. That’s a scary recipe when it comes to healthy teeth! Water helps wash away sugar and acids—and, if you have fluoridated water in your community, you’ll be getting a bit of fluoride to strengthen your enamel, too.
• Halloween is no time to ghost your toothbrush and floss. Be extra careful to brush and clean between your teeth after eating sweets. Wearing braces? Don’t forget to clean around your brackets and wires. Using aligners? Be sure to brush well after you eat something sugary before you replace them.

If you’re wearing braces this Halloween season, it’s important to avoid all the sticky, hard, and crunchy treats to keep your braces and your treatment schedule intact.

Any questions? Talk to Drs. Adrienne Barnes, David N. Maclin & Naana Mensah at our Chicago, IL office to learn the best ways to keep your smile looking boo-tiful all year long!

Halloween is a favorite holiday among children due to the festive games, imaginative costumes, and candy. Modern celebrations stem from a combination of traditions from Pagan and Christian traditions throughout the centuries. The original holiday was called Samhain and derived from the ancient Druids of Ireland. In their belief system, November 1st marked the beginning of winter, and Pagans began their Samhain celebrations at sunset on October 31st.

Modern Celebrations of Halloween

Children and adults love dressing up for Halloween, and this tradition comes from the ancient belief in spirits. From sunset on October 31st until sunrise on November 1st, the souls of the dead entered the physical world. Some spirits were benevolent and wanted only to cross over to the afterlife while others harbored malicious intents of revenge and trickery. Pagans wore masks and disguised themselves so that the malevolent souls would mistake them as fellow spirits.

Families left food and ale outside of their doors to appease the spirits. With the rise of Christianity in Europe, the church encouraged its members to offer food and money to beggars. In exchange, the beggars would agree to pray for the family's deceased loved ones. Eventually these traditions led to the development of today's customs where children dressed up and received candy from their neighbors while circling the community.

Teeth-Friendly Treats

With all of the excitement and free candy on Halloween, it is easy to get carried away on a sugar high. Parents warn their children not to eat too many pieces in one night to avoid tummy aches and cavities. Our team at Kenwood Dental Group especially wants to remind children with braces to be extra cautious about the treats they eat because some varieties can get stuck in between the brackets and damage the devices. Sticky candy, such as caramels, fruit chews, and gum should be avoided when wearing braces. Children can trade with their friends and siblings to get only safe candies. The following list offers some alternative treats that children with braces can safely enjoy.

• Solid chocolate, including milk, white, or dark
• Nougat-filled candy bars, such as Three Musketeers
• Candy-coated chocolates like M&Ms
• Powdery candy, such as Sweet Tarts or Pixie Stix
• Mint-flavored candy
• Malted milk balls
• Cookies
• Peanut butter crackers or cookies

When in doubt, children should ask their parents or Drs. Adrienne Barnes, David N. Maclin & Naana Mensah if a specific candy is safe. Halloween is a fun holiday for children, and having braces does not have to take away any of the excitement from tasty treats.