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Overbite or Overjet?

April 24th, 2024

The words “overbite” and “overjet” certainly sound similar. Both conditions concern your front teeth. Both conditions fall under the same category of bite problems—Class II malocclusions, if you want to be technical. So it’s not surprising that they’re often used interchangeably. But while there are similarities, overbite and overjet are also distinctly different.

  • Overbite/Overjet Geometry

In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.” With a Class II malocclusion, the upper front teeth project further beyond the lower teeth than they should.

Of course, teeth and bites are as individual as we are, so there are variations in just how and just how much the overlap occurs. In diagnosing an overbite vs. an overjet, the difference comes down to a matter of vertical vs. horizontal.

An overbite, or deep bite, occurs when the top teeth vertically overlap the bottom teeth more than they should for a healthy bite. Generally, when a person’s top teeth cover more than a quarter of the bottom teeth when biting down, or more than two to three millimeters, that person is said to have an overbite.

An overjet, commonly known as protruding or buck teeth, is the result of a horizontal overlap that is broader than normal. This causes the top teeth to project outward toward the lips more than they do in a typical bite. An overjet is usually diagnosed when the horizontal distance between the top and bottom teeth exceeds two to three millimeters.

  • Overbite/Overjet Causes

The causes for both an overbite and an overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both. These bite problems can run in families. They are also affected by the size and position of the jaws and the shape and position of the teeth.

Early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to the development of a Class II malocclusion, particularly an overjet. Consistent pressure from thump or pacifier pushes the teeth outward as they erupt, which encourages them to protrude. These oral habits can affect the shape of the palate and jaw, too.

  • Overbite/Overjet Treatments

There are many types of treatment available to correct teeth and bite misalignments. Dr. Williams will tailor your treatment to your specific malocclusion for the best orthodontic outcome.

If you have a mild malocclusion, and minor dental issues are the main cause of that malocclusion, either braces or clear aligners can be effective for an overjet or an overbite. Elastics (rubber bands) are often used as part of this treatment.

If the malocclusion is due to bite problems caused by uneven upper and lower jaw development, devices called functional appliances can be used with braces to help guide the growth of the jawbones while young patients’ bones are still forming. These include appliances that work inside the mouth to help the upper and lower jaws grow proportionally, and external appliances such as headgear.

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself. Orthodontic treatment is usually needed as well both before and after surgery.

  • Overbite/Overjet Consequences

Over time, a deep overbite can cause damaged gum tissue, worn enamel, and fractured teeth. When teeth protrude because of an overjet, they can lead to self-consciousness and are more at risk for injury. Both malocclusions share dental and medical consequences, including concerns about facial and jaw appearance, problems speaking or chewing, headaches, and face and jaw pain.

Class II malocclusions aren’t all the same, and orthodontic patients aren’t all the same either. You may have a minor malocclusion or a significant one. You may have an overbite, or an overjet, or a combination of different bite and alignment concerns. Your malocclusion may not bother you at all, or it may cause pain, discomfort, or self-consciousness.

That’s why every overbite or overjet should be evaluated by an orthodontist. When you visit our Decatur, GA orthodontic office, Dr. Williams will be able to diagnose the exact nature of your malocclusion, the reason for it, and your best individualized treatment plan. An overbite and an overjet are different malocclusions, but you and your orthodontist want the same outcome for each: a healthy, attractive, and confident smile!

Teens and Gum Disease

April 17th, 2024

You have a lot going on. School. Sports. Activities. Family. Friends. Teens lead busy lives and have busy schedules, so you need to budget your time and energy. One thing you don’t want to spend any of your time and energy on? Dealing with gum disease.

Gum disease most often begins as a reaction to plaque and tartar. The bacteria in plaque produce acids which irritate gum tissue, causing inflammation, swelling, and bleeding. This is gingivitis, the early stage of gum disease.

Left untreated, early gum disease can become periodontitis. Periodontitis is a serious gum infection which can cause receding gums, loose teeth, and even tooth and bone loss.

We usually think about gum disease as something that only older adults worry about. But the unfortunate fact is that children and teens are also at risk for gum disease—and the teen years bring special risks. Why?

  • Braces

The teen years are the most common years for orthodontic treatment. Wearing traditional or lingual braces can make removing plaque from around brackets and wires, between the teeth, and near the gum line more challenging, and gum disease can be the result. When you’ve been working so hard to create a healthy attractive smile, you don’t want to delay your orthodontic progress to treat gum disease.

  • Less-than-Nutritious Snacking

When you have after school commitments like sports practices, play rehearsals, or work, you probably carry a snack to give you the energy you need until dinner. Popular snacks like energy drinks, chips, or candy bars are common go-to choices, but they contain acids, simple carbs, and sugars which are bad for both gums and tooth enamel.

  • Hormones

Increased hormone levels during puberty can make the gums more sensitive and more easily irritated.

  • Your Busy Life

Maybe you’re not getting enough sleep. Or eating as well as you could. Or you’re feeling anxious. Lack of sleep, poor nutrition, and stress can affect your body’s immune system and your ability to fight off infection. And if you’re also not brushing and flossing regularly, your gum health can really suffer.

How do you know if you have gum disease? Good question! Sometimes the early stages of gum disease aren’t obvious. Perhaps you’ve noticed changes in your gums, such as:

  • Redness
  • Swelling
  • Soreness
  • Bleeding
  • Bad breath even after brushing

Any of these changes can be symptoms of gum disease and are a good reason to give our Decatur, GA office a call, since time is important when treating gum disease.

Caught early, gingivitis is usually very treatable—in fact, you can often reverse early gingivitis by paying more attention to your daily dental hygiene. If gingivitis is more advanced, or if periodontitis develops, you need professional dental care to prevent serious damage to your gums, teeth, and bone.

Preventing gum disease from ever developing is always best, though, so let’s look at what you can do to keep gum disease from becoming a problem.

  • Keep Up with Healthy Dental Habits

Even though you’re leading a busy life, take time for your dental care. Brushing twice a day for at least two minutes per session and flossing once a day take just a bit of your time and are the best way to keep your gums healthy. If you wear braces or have a tendency toward cavities and gum disease, Dr. Williams might recommend brushing or flossing more often.

  • Use the Right Tools

Using the right tools makes a big difference. You should always choose a toothbrush with soft bristles to protect your delicate gum tissue—especially if it’s extra sensitive. Too-harsh brushing can damage even your super-hard tooth enamel, so you can imagine what it can do to your gums! Change out your brush every three to four months when it starts to get frayed and worn.

If you wear braces, ask Dr. Williams to recommend the best kind of floss to clean between your teeth and around your brackets and wires. The right tools will make flossing a lot easier, and will help you keep your gums healthy and your orthodontic treatment on track.

  • No Matter How Busy You Are, Treat Yourself Well

Watch your diet. Drinking water to hydrate is a healthy (and inexpensive) alternative to sugary and acidic drinks. When you know you have after-school commitments, pack yourself a healthy snack. After snacking, it’s a good idea to rinse with water when you can’t brush to remove any food particles sticking around your teeth and gums.

And even though your schedule is demanding, caring for your mind and body should be a priority. If you have difficulties with sleep or stress, or questions about a nutritious diet, talk to your doctor for some valuable tips to make your daily life healthier and more enjoyable.

With so much going on in your active life, gum problems are problems you really don’t need. Make room in your schedule now for careful daily brushing and flossing, a healthy lifestyle, and regular visits to CBW Orthodontics, and you’ll be living that active life with a beautiful, healthy smile!

Keep that candy at bay during your treatment!

April 10th, 2024

Now that you have braces, it is more important than ever to maintain good oral hygiene during your treatment, as Dr. Williams will tell you. While we trust you will continue brushing and flossing on a regular basis throughout your treatment at CBW Orthodontics, you also have to mindful of what you eat. While all those sweet, sour, and sticky candies may taste great, these treats can actually damage your teeth and braces!

Sour candies  can be acidic to your teeth, and actually wear down the enamel that protects them, resulting in tooth decay and cavities. If you do indulge in eating these candies at some point during your treatment, be sure to wash your mouth out with water, drink milk or eat a few slices of cheese. These foods will help neutralize the acid in your mouth.

Besides cavities and tooth decay, many people do not realize that good oral health and hygiene are important to your overall health, too; researchers have discovered the connection between periodontal disease and other major health concerns, such as heart disease. Therefore, it is important to maintain a good oral hygiene routine just as you did before your braces. This includes visiting your dentist here in Decatur, GA every six months, brushing and flossing daily, and using an antibacterial mouthwash, as well as visiting Dr. Williams for your regular adjustment appointments.

For more questions about foods you should avoid while wearing braces, or if you have any general questions about your treatment, we encourage you to give us a call, ask us at your next adjustment appointment or ask us on Facebook!

Snowball Effect

April 3rd, 2024

Winter and its snowball fights are behind us, true, but there might be another kind of snowball heading your way. When you neglect the small steps involved in your everyday orthodontic routines, little problems can start to snowball into bigger ones, affecting your dental health and delaying your orthodontic progress.

Here are three areas where letting the small steps in your routine slide can have consequences:

Dental Hygiene

It can be harder to get your teeth their cleanest while you’re wearing braces. After all, there are wires to get behind and brackets to brush around, and you still need to get that floss in between your teeth. But neglecting your dental hygiene can have big consequences:

  • Demineralization

The bacteria in plaque create acids that strip the minerals from tooth enamel. This process is called demineralization. Wherever plaque is allowed to build up, you’ll start to see white spots in the enamel. This discoloration is a sign that minerals are missing, and is often found around brackets, where it’s harder to brush. White spots can be treated cosmetically, but better to avoid them as much as possible, because eventually they can become . . .

  • Cavities

As demineralization continues, the enamel becomes weaker and weaker, until a hole forms in the tooth—a cavity. Besides damaging your tooth, a cavity can put you behind your orthodontic schedule if you need parts of your braces removed for treatment.

  • Gum Disease

When plaque builds up around the gums, gum tissue becomes inflamed and irritated—this is gingivitis, or early-stage gum disease. Symptoms often include puffy gums, redness, bleeding, and bad breath. Mild gum disease becomes more serious over time, so treat gingivitis early—or, even better, prevent gum disease with careful brushing and flossing.

Looking After Your Appliances

  • Follow Care Instructions

Orthodontic appliances need love, too! Any instructions you get for their care are for a good reason. Brackets can become loose when you bite down on chewy foods. Wires can break when you eat hard candy. Aligners can warp if you leave them on a hot dashboard. If you follow instructions carefully, you won’t need to postpone your progress while you wait for repairs.

  • Use Your Protective Case

If you wear aligners, or a removable appliance, or a retainer, don’t forget to protect these items when you’re not wearing them. This means placing them in their cases, not wrapped in a napkin on your lunch tray, or in the bottom of your gym bag, or anywhere your dog can reach them!

  • Be Proactive If Accidents Happen

Unfortunately, accidents do happen, and loose brackets, broken wires, lost ligatures, and cracked or warped aligners can interrupt orthodontic progress and cause you pain and discomfort. Give our Decatur, GA orthodontic office a call to see if minor damage to an appliance can be handled at home, or whether you should be seen before your next regular appointment for repairs.

Following Your Orthodontic Plan

There’s more to following your orthodontic schedule than arriving on time for appointments. Depending on your treatment, you might be responsible for keeping track of the time you spend wearing:

  • Elastics

Elastic bands can be used to help align your upper and lower jaws. If you don’t wear your bands as directed, you won’t make progress as quickly as you could. And remember to replace your elastics as often as recommended, because after hours of s-t-r-e-t-c-h-i-n-g they lose their effectiveness.

  • Aligners

Most aligners are worn for around 22 hours each day. If you don’t follow your orthodontist’s instructions and wear your aligners for the recommend hours each day, your teeth won’t be in the proper alignment when your next set of trays is ready to begin work.

  • Retainers

If you have a retainer and don’t wear it, your teeth will start to shift position. Skip wearing your retainer long enough, and you might need a return to your braces or aligners to repair any new misalignment.

Don’t ignore what seem like little dental and orthodontic responsibilities. Keep up with daily cleaning and brushing, take care of your appliances, and follow your orthodontic plan, and you’ll finish your treatment with a beautiful and healthy smile—right on schedule.

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