My Blog

Posts for: August, 2017

By Michael D. Holesh, DDS
August 18, 2017
Category: Dental Procedures
EdenSherandtheLostRetainer

Fans of the primetime TV show The Middle were delighted to see that high school senior Sue, played by Eden Sher, finally got her braces off at the start of Season 6. But since this popular sitcom wouldn’t be complete without some slapstick comedy, this happy event is not without its trials and tribulations: The episode ends with Sue’s whole family diving into a dumpster in search of the teen’s lost retainer. Sue finds it in the garbage and immediately pops it in her mouth. But wait — it doesn’t fit, it’s not even hers!

If you think this scenario is far-fetched, guess again. OK, maybe the part about Sue not washing the retainer upon reclaiming it was just a gag (literally and figuratively), but lost retainers are all too common. Unfortunately, they’re also expensive to replace — so they need to be handled with care. What’s the best way to do that? Retainers should be brushed daily with a soft toothbrush and liquid soap (dish soap works well), and then placed immediately back in your mouth or into the case that came with the retainer. When you are eating a meal at a restaurant, do not wrap your retainer in a napkin and leave it on the table — this is a great way to lose it! Instead, take the case with you, and keep the retainer in it while you’re eating. When you get home, brush your teeth and then put the retainer back in your mouth.

If you do lose your retainer though, let us know right away. Retention is the last step of your orthodontic treatment, and it’s extremely important. You’ve worked hard to get a beautiful smile, and no one wants to see that effort wasted. Yet if you neglect to wear your retainer as instructed, your teeth are likely to shift out of position. Why does this happen?

As you’ve seen firsthand, teeth aren’t rigidly fixed in the jaw — they can be moved in response to light and continuous force. That’s what orthodontic appliances do: apply the right amount of force in a carefully controlled manner. But there are other forces at work on your teeth that can move them in less predictable ways. For example, normal biting and chewing can, over time, cause your teeth to shift position. To get teeth to stay where they’ve been moved orthodontically, new bone needs to form around them and anchor them where they are. That will happen over time, but only if they are held in place with a retainer. That’s why it is so important to wear yours as directed — and notify us immediately if it gets lost.

And if ever you do have to dig your retainer out of a dumpster… be sure to wash it before putting in in your mouth!

If you would like more information on retainers, please contact us or schedule an appointment for a consultation. You can learn more in the Dear Doctor magazine articles “The Importance of Orthodontic Retainers” and “Why Orthodontic Retainers?


By Michael D. Holesh, DDS
August 03, 2017
Category: Oral Health
Tags: oral appliance  
TakeCareofYourDentalAppliancetoExtenditsLongevity

What do dentures, retainers and nightguards have in common? Along with orthodontic aligners and athletic mouthguards, they’re all types of removable dental appliances. They also share another commonality: each one depends on the wearer caring for it to ensure its longevity.

The most important thing you can do for your appliance is to clean it regularly. Don’t use toothpaste, though, even with dentures: while your natural tooth enamel can handle the abrasive particles in toothpaste, your appliance’s materials may not. Toothpaste can create tiny scratches that can harbor disease-causing bacteria. Instead, use liquid dish detergent or hand soap with warm water.

Although boiling water may disinfect your appliance, it’s not advisable to use. Even hot water can distort plastic components and warp the appliance’s fit in your mouth. Likewise, don’t use bleach, which can fade the plastic color used to resemble gum tissue and break down the material’s composition. When you clean your appliance, use a brush — but not the one you use for your natural teeth. Use a soft toothbrush, a nail brush or a specialized brush for appliances like dentures.

You should also protect your appliance from damage. Some appliances like dentures have parts that can break if they’re dropped on a hard surface — like the porcelain in your sink. To prevent this, place a towel in the sink to cushion the appliance if it accidentally slips from your hand during cleaning. And when the appliance isn’t in your mouth, don’t keep it on a low table or night stand where small children or pets can easily get their hands (or paws) on it.

And one more thing: don’t wear your denture appliance around the clock — take it out, for instance, while you sleep. Leaving dentures in interferes with the acid-neutralizing and antibacterial function of your mouth’s saliva, which could increase your risk of disease (and bad breath).

Appliances can be an expensive investment in your dental health. By following these guidelines you’ll help protect that investment for years to come.

If you would like more information on caring for your dental appliance, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “10 Tips for Cleaning Your Oral Appliance.”