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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.

Dr. Thomas Shipley 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 Peoria, AZ 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. Dr. Thomas Shipley 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 Peoria, AZ 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.

A clean mouth is a happy mouth. And when Dr. Thomas Shipley and our staff see you have a clean mouth, we are happy too. Of course, all of this should make you happy because you’re the one preventing sneaky little food bits from getting trapped under the wires of your braces.

Still, you need to be thorough with your brushing. When you have braces, you’re playing a game of hide-and-go-seek with everything you eat. Here are five tips to keep your mouth (and us) happy.

1. How is brushing with braces like geometry? It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down. Brush the bottom of your teeth with the brush angled up. Pointy brushes, aka interproximal brushes, are good for reaching the tiny spots around braces.
2. Brush after every meal. If those sneaky little food bits hide in your mouth for very long, they’ll turn into plaque. And plaque is a sign of a very unhappy mouth.
3. Brush one tooth at a time for at least ten seconds, and pay close attention to the spots where your braces touch your teeth.
4. Fluoride is your new BFF. Make sure your toothpaste and mouthwash contain this cavity-fighting ingredient.
5. Braces are no excuse not to floss. In fact, saying you can’t floss because you have braces is like saying the dog ate your homework. Dr. Thomas Shipley and our staff, like your geometry teacher, aren’t going to buy it. Be sure to floss after every meal.

At Shipley Orthodontics, we prefer our patients to practice good oral hygiene between office visits. Part of that process includes flossing, which Dr. Thomas Shipley will tell you, is the process of cleaning between the teeth to remove food and debris from the areas that are hard to reach with a toothbrush. When food is allowed to remain between the teeth, it provides a breeding ground for bacteria, which can cause periodontal disease.

Should you floss before or after brushing?

You can floss either before or after brushing, according to your own preference. By flossing first, you can brush away dislodged food debris afterward. On the other hand, brushing first allows you to loosen plaque between the teeth, making it easier to floss more effectively.

Whichever you choose, the most important goal is to floss thoroughly. That means using a fresh strand of dental floss each day, and carefully pulling it back and forth between all of the teeth. Do not skip flossing because your teeth look or feel clean.

When to Floss

Unlike brushing, you need only floss between your teeth once per day. Although you may choose to do it in the morning or afternoon, many prefer to floss at night to prevent food and debris from remaining in the crevices of the teeth overnight. This could prevent the build-up of plaque too, which is a cause of tooth decay.

Help with Flossing

If you have questions about your flossing technique or what type of floss is best for your teeth, contact our office. Our staff will be more than happy to assist you in perfecting your home hygiene regimen. In most cases, you can choose between interdental cleaning picks or flexible floss strands to perform your daily flossing routine. If you have permanent oral appliances or restorations, be sure to follow the flossing instructions provided to you, and contact our Peoria, AZ office with any questions.

What do you imagine when you picture an orthodontic office? Do you see a steady stream of teenagers walking through the doors? Teen magazines in the reception room? Backpacks stowed under every chair? If so, we have an update for you.

In today’s office, you’ll find grade school kids, teens, and adults (and children’s books and games, and even the occasional golf magazine). Today’s orthodontic patients are more diverse than ever before!

Why? Because today, more than ever, more of us can benefit from orthodontic treatment.

Young Children

Even before a child’s adult teeth come in, a visit to Shipley Orthodontics is a good idea. In fact, dentists and orthodontists recommend an orthodontic exam around the age of seven for every child.

Early intervention can make sure that there’s enough space for those incoming permanent teeth and can help correct jaw alignment problems for a healthy bite.

• Palatal expanders can gently enlarge a small upper dental arch to make room for adult teeth.
• Space maintainers will save room for an adult tooth to erupt in just the right spot if a baby tooth is lost too early.
• Treatment for malocclusions like overbites, open bites, and underbites while young bones are still growing helps create a more comfortable, healthy bite and may prevent more complicated treatment in the future.

Older Adults

If you’ve always wanted straighter teeth or a pain-free bite, don’t let an imaginary age limit prevent you from getting orthodontic treatment! As long as your teeth and gums are healthy, orthodontic treatment is a terrific way to keep them healthy.

• If you have painful bite issues which have never been treated,
• If you’ve always wanted straighter teeth,
• If your teeth have become more crowded over time,

there’s no time like the present to start working toward the smile you’ve always wanted.

Bonus: new technology in braces and aligners makes orthodontic treatment more subtle and discreet than ever before.

• Traditional braces—brackets are smaller than ever, and come in a choice of several materials and colors, including ceramic brackets and tooth-colored and clear brackets.
• Lingual braces—the least visible treatment, because brackets and wires are attached behind the teeth.
• Clear aligners—a removable and almost invisible way to straighten teeth.

Tweens & Teens

Teenagers still make up the majority of patients in orthodontic treatment. Orthodontists often recommend starting treatment between the ages of ten to 14, because:

• Most of the adult teeth have come in, so problems with crowding, spacing, or crooked tooth alignment can be diagnosed and corrected.
• The jawbone is still growing, and the bone is not as dense, so it can be easier to realign teeth and jaws for straighter teeth and a symmetrical bite.

Today’s treatment choices offer more options and are more effective than ever before. Depending on a teen’s orthodontic needs, Dr. Thomas Shipley might suggest:

• Traditional braces or aligners
• Elastics (rubber bands) used with braces to bring the upper and lower teeth into alignment.
• Functional appliances—together with braces or aligners, appliances like the Herbst® appliance, the Forsus™ device, the twin-block appliance, and headgear can work inside and/or outside the mouth to help correct problems with tooth and jaw alignment.

It’s no longer just the middle school and high school crowd you might meet in your orthodontist’s waiting room. Children, teenagers, and adults can all benefit from orthodontic treatment at our Peoria, AZ office. If someone in your family is one of those people, give your orthodontist a call to see just what orthodontic treatment can offer. Welcome in!