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Healthy teeth make you happy to share your smile with the world. But there’s more to your smile than its beauty! There’s a lot of hard work going on, too. 

Teeth Are Designed for Efficient Eating

Because humans are omnivores, we can eat both meat and plants. That’s why our teeth have different shapes—they’re meant to help us process different types of food. 

• Incisors, our front teeth, have sharpish edges to help cut through meats and other firm foods when we bite.
• Canines, the pointed teeth, help tear food into bite-size portions.
• Premolars are flat topped teeth with two cusps, raised points which help us grind food.
• Molars are the flat-topped teeth in the rear of the mouth. They have four cusps to grind and crush food into a paste-like consistency. 

So: Incisors and canines bite and tear food into smaller pieces, which molars and premolars then crush and grind into a paste. Bite, tear, crush, grind—why all this food aggression? Because that’s the key to healthy digestion. 

Successful digestion begins with chewing. Chewing:

• Starts the process of breaking food down into digestible particles.
• Increases saliva production. Saliva binds food particles so that we can swallow easily.
• Expands the surface area of food particles, which allows the digestive system to extract nutrients more efficiently. 

When biting causes you pain, it can be hard to chew food. Swallowing becomes difficult when food particles are too large, and digestion becomes uncomfortable.

Bite pain can occur when there’s a deep cavity or an injured tooth, but it can also be caused when the teeth and jaws don’t fit together the way that they should. This misalignment is called a malocclusion, or bad bite. And while a malocclusion often makes eating more difficult, it can have further damaging effects as well.

Teeth Are Designed to Be Good Partners

While eating is probably the first thing that comes to mind when we think about dental duties, our teeth also work in coordination with other parts of our bodies. A malocclusion can interfere with these normally smooth interactions, affecting:

• Tooth and Jaw Health

Biting, chewing, and clenching put hundreds of pounds of pressure on our teeth and jaws. A misaligned bite misapplies this pressure, which can lead to damaged and unevenly worn teeth, tooth grinding, headaches, jaw pain, and other problems. 

• Speech

Our teeth work with our tongues and lips to form many of the phonetic sounds which make up speech. Try saying the word “teeth,” and see how your tongue and teeth work together! Misaligned teeth and jaws can affect speech development in children and pronunciation in children and adults.

• Face Shape

Our teeth and jaws help give shape to our faces. Alignment problems can affect facial symmetry and self-confidence.

You Can Help Your Teeth Work Their Best

Daily brushing and flossing, eating a healthy diet, and regular visits to your dentist for exams and cleanings help your teeth perform their many daily duties. But if bite problems are causing troubles with eating, tooth or jaw pain, difficulty speaking, or self-consciousness, it’s time to team up with your orthodontist. 

And just like your everyday dental care, orthodontic treatment works best with your active participation. 

• Make sure your teeth are their cleanest with careful brushing and flossing. You may need to brush and floss more often while you’re in treatment.
• If you wear braces, eat a braces-friendly diet. 
• Wear aligners, bands, or appliances for the hours recommended each day.
• Keep up with your orthodontic visits to keep your treatment on schedule.

Talk to your orthodontist to learn more about how to help your teeth work their best for you—and be ready to share that beautiful, hard-working smile!

We mark special times throughout the year to encourage better oral health, like Dental Hygiene Month, and Children’s Dental Health Month, and National Align Your Teeth Day. This July 21st is National Junk Food Day, and we couldn’t let it pass without some healthy ideas to help you make the best of this not-so-dentally-healthy day.

What makes junk food unhealthy? Most of the foods in this category have high levels of sugars, starches, salts, or fats, which aren’t good for your body in large quantities. When it comes to your dental health in particular, some junk foods are worse than others because they are actively destructive to your tooth enamel.

Foods like candy, cookies, doughnuts, chips, energy drinks, sports drinks, and sodas can have large amounts of sugar, starch, and acid. And a diet filled with sugars, starches, and acids puts your tooth enamel under constant attack. 

The bacteria in plaque make acids from the sugars and starches (which break down into sugars) in our diets. These acids then erode the mineral crystals which give our enamel its strength, leaving weak spots which can deepen and become cavities. A steady diet of sweet and starchy foods for you creates a steady diet of sugar for cavity-causing bacteria. 

Just like the acids produced by bacteria can erode tooth enamel, acids in food can also strip away the minerals which keep your enamel strong. Sodas, sports drinks, energy drinks, and many fruit juices are often both sugary and highly acidic, making them very damaging to tooth enamel.

So, let’s spend a few moments today to discuss how you can enjoy a bit of junk food every now and then and still take good care of your teeth.

• Limit Sugars, Starches, and Acids

We don’t just mean limiting the number of treats you eat in a day. It’s also a good idea to limit treats to certain times as well. Eat desserts with meals, when saliva production is higher, to help wash away sugary and starchy food particles. Acidic drinks, when sipped throughout the day, are like bathing your teeth in acids. Better to drink a soda or sports drink in one sitting and drink or rinse with water after! 

• Brush and Floss after Eating Sticky Sugary and Starchy Foods

Sticky foods filled with sugars and starches are double jeopardy for your tooth enamel. Not only are they the foods of choice for plaque bacteria, they also tend to stick to your enamel, between your teeth, and around your brackets and wires, giving cavity-causing bacteria more time to work. Brushing and flossing as needed will get rid of any sugary or starchy leftovers as well as removing built up plaque.

• --- But Don’t Brush Too Soon After Acidic Foods and Drinks

When you eat or drink something acidic, your enamel is more vulnerable to damage immediately afterward because acids remove minerals from tooth enamel. If you brush right away, even soft bristles can be abrasive. Wait about 60 minutes to brush, which gives your tooth surface time to get strong again with the enamel-building minerals found in saliva. 

• Make Water Part of Your Healthy Diet

Easy, available, inexpensive—what’s not to like about water? Oh, and it’s also healthy for your teeth! Rinsing with water after a treat helps remove lingering food particles and acids from your enamel and your braces. And drinking water when you’re thirsty helps you produce saliva. Saliva not only rinses our teeth, it helps neutralize acids and helps replace calcium and phosphate minerals which may have been stripped away by acids.

• Some Foods Are Always Off-Limits

Junk Food Day or not, while you’re in braces there are some foods you should always say no to. Sticky, hard, crunchy treats like caramels, hard candies, and chips are not only bad for your enamel, they’re an accident waiting to happen for your brackets and wires! Stick to the foods your orthodontist recommends, and you’ll be out of braces and back to your old diet as soon as possible.

This July 21st, we’re not really celebrating junk food—we’re celebrating all the things you do to protect your oral health. So, whether you’re indulging today or not, keep your teeth their healthiest by making junk food a rare treat, following your orthodontist’s recommendations for brushing and flossing, eating a braces-friendly diet, and seeing your dentist regularly for checkups and cleanings. Let’s make National Junk Food Day just another day in a year filled with healthy smiles!

February is Gum Disease Awareness month, a timely reminder that preventing gum disease is one of the best ways to protect our oral health. 

Gum disease is easily treated in its earliest stages. Left untreated, the progressive nature of gum disease makes it one of the leading causes of tooth loss in adults. 

And while we often think of gum disease as an older person’s disease, the fact is that teens and young adults can suffer from gum disease, too. Irregular brushing and flossing habits, hormone fluctuations, family history, and even orthodontic treatment can make people of any age more vulnerable to gum disease.

Let’s take a moment in this shortest month of the year to discuss how understanding, treating, and, above all, preventing gum disease can help us enjoy long-lasting healthy smiles.

How Gum Disease Develops

Gingivitis is the first, mild stage of gum disease. 

• Gingivitis begins with plaque. 
• Plaque irritates gum tissue, causing inflammation, which is the body’s reaction to injury or infection. 
• Typical symptoms include gums which are swollen or red. The gums might feel tender or bleed easily when you brush or floss. You could develop persistent bad breath. 

With proper care, gingivitis is reversible. Because gingivitis symptoms can be very mild, they’re sometimes overlooked. That’s why it’s important to keep up with regular checkups to discover and treat the disease in its earliest stages. 

Periodontitis is a serious gum disease which is destructive to the structures which support our teeth: gums, connective tissue, and bone. 

• Plaque, when it’s not removed, hardens into tartar, which can form on the tooth above and below the gumline. 
• The gums pull away from plaque and tartar deposits, creating a space between the gum tissue and tooth roots. 
• As the gums continue to recede, pockets form between the teeth and gums.
• Infection-causing oral bacteria thrive in these pockets. Gum infections can lead to painful abscesses—but gum disease is not just an infection.
• The body normally responds to bacterial infection with inflammation. With periodontitis, this inflammation becomes destructive chronic inflammation. 
• Over time, chronic inflammation and infection break down the gum tissue, bone, and connective tissue holding teeth in place. Teeth become loose or shift out of alignment.

The tooth’s support structure eventually becomes so compromised that extraction is the only option. That’s why prompt treatment is essential.

Treating Gum Disease

Several options are available to treat gum disease, depending on its severity.

Treatment for gingivitis can be as simple as paying more careful attention to your brushing and flossing and, if necessary, seeing your dentist for a professional cleaning. In some cases, your dentist might recommend an antimicrobial mouthwash or rinse.

Periodontitis requires specialized treatment from your dentist or periodontist, and this treatment will be based on how advanced the condition is:

• Topical, oral, or time-release medications treat infection.
• Non-surgical deep cleaning procedures called scaling and root planing remove plaque and tartar above and below the gumline, allowing gum tissue to reattach to the tooth. 
• Flap surgery treats more advanced gum infection by reducing pocket depth and re-securing the gums snugly around the teeth.
• If needed, bone grafts, gum grafts, and other regenerative procedures are available which help repair and restore damaged tissue.

Preventing Gum Disease

What many people aren’t aware of is just how preventable gum disease is! Because wearing braces can make brushing and flossing more challenging, it’s especially important during these months to stay on top of your dental hygiene and be on the lookout for signs of gingivitis.

• Brush twice a day for two minutes each time, after every meal, or more often if your orthodontist recommends it. 
  • Use proper brushing technique, angling your brush toward the gums to gently clean around and below the gum line. Be sure to brush around your brackets and under your wires. Use a soft-bristled brush to protect both gum tissue and tooth enamel.
• Floss once each day, after every meal, or as directed by Dr. Bradley Hoppens and Dr. Mary Beth Meier. 
• There are specialized brushes and flossers available to make cleaning around brackets and wires much easier. Electric toothbrushes and water flossers can also be helpful in removing hard-to-reach plaque. Ask Dr. Bradley Hoppens and Dr. Mary Beth Meier to recommend the flossing tools and techniques which will work best for you.
• See your dentist regularly. Gum disease can be invisible in its beginning stages. Discovered early, treatment is simple and effective. 
• Having your teeth cleaned every six months, or as recommended, will remove tartar buildup which brushing alone can’t handle. 

Your dental hygienist is experienced in cleaning teeth when patients wear braces. And you can get tips for better brushing and flossing techniques from the team at Hoppens & Meier Orthodontics in McCook, North Platte, or Ogallala, too!

Even when it seems like there aren’t enough days in the month or hours in the day, it takes just a few minutes daily to care for your gums and teeth. And when you’re aware of just how much those few minutes mean to a healthy smile, it’s time well spent!

Many developing orthodontic problems can be intercepted and corrected if diagnosed and treated at an early age. Dr. Bradley Hoppens and Dr. Mary Beth Meier and our team at Hoppens & Meier Orthodontics recommend children have their first orthodontic evaluation no later than age seven, or younger if the front four permanent teeth have replaced the baby teeth. Early treatment, also known as interceptive treatment or Phase I treatment, provides both timely detection of problems and greater opportunity for more effective treatment. Early intervention guides growth and development, preventing serious problems later.

If your child is showing these signs, it may be time to think about early orthodontic treatment:

• Early or late loss of baby teeth (your child should typically start losing teeth around age five or six, and will have all their permanent teeth in around age 12 to 13)
• Difficulty chewing and/or biting
• Mouth breathing
• Sucking his or her thumb
• Speech impediment
• Protruding teeth (the top teeth and the bottom teeth extend away from each other)
• Crowded front teeth
• Teeth that don't come together in a normal manner or even at all

Early intervention will greatly reduce the severity of your child’s case, and therefore reduce the length of treatment time and cost for a second phase of treatment when all of his or her permanent teeth have erupted. An evaluation at our McCook, North Platte, or Ogallala office will determine if your child’s dental and skeletal growth is proceeding properly or if interceptive treatment is needed. Many times, a more severe problem can be corrected using sophisticated removable appliances instead of traditional orthodontic treatment.

To schedule a consultation for your child to visit with Dr. Bradley Hoppens and Dr. Mary Beth Meier, please give us a call! We will provide your child with an initial exam, and discuss with you the best steps to take toward caring for your child's smile.