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The term malocclusion refers to misalignment of teeth. You may have been born with malocclusion, so your teeth simply grew in crooked, or the misalignment and crowding of your teeth occurred over a period of time. Either way, not only can malocclusion pose cosmetic issues, but it can have a negative effect on your speaking and eating abilities as well.

Types of Malocclusion

Malocclusion encompasses multiple types and classifications of misalignment issues, including twisting or rotation of the teeth and molars that do not meet when you bite down. In some cases, the top front teeth are pushed outward in an upper protrusion.

In other cases, a misplaced midline results when the front top teeth don’t meet with the front bottom teeth. Transposition occurs when teeth protrude through the gums in a position where another tooth is supposed to be.

Practically any type of crowding or spacing issues, rotation or twisting of the teeth, or bite problem – including overbite, underbite, open bite, or crossbite – is included under the umbrella of malocclusion.

Malocclusion Classifications

There are three classifications of bite or misalignment problem.

• Class 1 malocclusion: While the bite may be normal, the upper teeth overlap the lower teeth slightly. This is the most common type.

• Class 2 malocclusion: Known as overbite or retrognathism, class 2 involves a severe overlap of the upper teeth and jaw over the bottom teeth and jaw.

• Class 3 malocclusion: Known as underbite or prognathism, class 3 occurs when the lower teeth and jaw overlap the upper teeth and jaw. Thus, the lower jaw juts forward.

Causes of Malocclusion

The most common cause of malocclusion is genetics. However, there may be other causes, including the development of abnormally-shaped teeth, lost teeth, or impacted teeth; thumb sucking or overuse of a pacifier as a small child; having fillings or crowns that do not fit correctly; a serious injury that causes misalignment of the jaw; or developing a tumor of the mouth or jaw.

Treating Malocclusion

Orthodontic care at Donald P. Connolly, DDS with Dr. Don Connolly and Dr. Stanley Sokolow is the main treatment available for malocclusion, which includes getting braces, Invisalign, or other corrective treatments. Treatment is ideal not just to have your smile improved, but because it makes the teeth easier to clean and maintain, lowers the risk of gum disease and tooth decay, and can even take pressure off the jaw and teeth.

Think about orthodontic treatment if you (or your child) display any signs of malocclusion. Early treatment of malocclusion during childhood can lessen expensive treatment later on.

Braces are an investment in your smile. When your teeth reach a desired straightness, you’ll have a beautiful smile, but it’s important to keep it that way! You can accomplish this with a retainer provided by Donald P. Connolly, DDS.

A retainer is a small, custom-fit device that reinforces the new position of your teeth after your braces are removed. But for many patients, especially the youngest ones, wearing a retainer may seem like an annoyance. So exactly how long after your braces come off should you wear your retainer?

Graduation of Wear Time

When we remove your braces, Dr. Don Connolly and Dr. Stanley Sokolow will evaluate the condition of the bone structure surrounding your teeth and determine how well it is adjusting to the new position of your teeth. For the first few months, we may require you to wear your retainer both day and night, except during meal times and for brushing and flossing.

As the bone and gum tissues adjust to your new smile, we may determine that you need to wear your retainer only at night. After about one year of wearing the retainer every night, you may be able to take a couple of nights off each week.

However, we do not recommend ever stopping permanently. To best secure the position of the teeth, especially through future extractions and oral health changes, wearing your retainer a few nights a week will be necessary for many years.

Considerations

If you are concerned about your appearance when you wear a retainer, there are many that can be worn discreetly. You could choose a clear plastic one that is less obvious during the months immediately following removal of your braces. When you change to night wear only, clear wire retainers are available for minimal visibility as well.

Another option is a lingual retainer. It is placed on the back sides of your teeth so no one will ever know it is there! Lingual retainers are also permanent, so there’s no risk of losing them.

Remember, wearing your retainer is an investment in your smile. If you fail to wear it consistently, the tissues that support your teeth will be unsupported, and you may begin to experience noticeable shifting. You’ve worked hard to get that beautiful smile — your retainer will let you keep it! Remember to call our Santa Cruz, Aptos, or Watsonville, CA office if you have any questions about your retainer!

Wearing braces during your treatment at Donald P. Connolly, DDS presents some unique challenges in the types of food you can safely eat. The wrong items can be difficult to remove from between your teeth and the appliance. Other foods may even break or loosen your braces.

Dinner recipe ideas

Lasagna is a great dinner choice because it provides you with several food groups in one easy dish.

• 1 ½ pounds ground hamburger
• 1 garlic clove
• 1 tsp. basil
• 1 pound diced tomatoes — canned is fine
• 12 oz. tomato paste
• 1 package of dry spaghetti sauce mix for seasoning
• 10 oz. box dry lasagna
• 3 cups ricotta or cottage cheese or 1 ½ cups each mixed
• ½-cup Parmesan cheese
• 2 eggs
• 1 pound sliced or shredded Mozzarella cheese

Brown and drain your hamburger meat. Dice the garlic and simmer the hamburger, garlic, basil, diced tomatoes, tomato paste and powdered sauce mix for ½ hour.

Cook the lasagna noodles as directed on the package and drain.

Beat the eggs and combine them with your ricotta or cottage cheese.

Layer ½ of the noodles in a 13 x 9 pan. Spread ½ of your cottage cheese mix on top of the noodles, then layer ½ of the mozzarella on top. Finish this layer with ½ of your hamburger mix. Repeat the layering with the other half of your ingredients. Bake at 350 F for 30 minutes.

Meats

You can enjoy ribs and chicken wings as long as you cut the meat from the bone before you eat. The same rule applies to turkey legs; do not gnaw on bones, because this can damage your braces.

Vegetables and fruits

You still need to include fruits and vegetables in your daily meals. Skip corn on the bob, whole apples, and raw carrots. Broccoli is soft but particles can become stuck in your braces, so be sure to brush and floss after your meal.

Desserts

Avoid caramel, taffy, and hard candies for dessert. Pudding and ice cream are fine, but low-sugar versions are best.

Remember that your mouth will be sore after adjustments with Dr. Don Connolly and Dr. Stanley Sokolow. Stick to softer foods until the sensitivity is reduced. Please do not hesitate to ask our team for recipe and meal ideas. We will be happy to take the time to explain which foods items are the best choices and why.

If you have any questions about these recipes, or if you have any questions about eating with braces, please give us a call at our Santa Cruz, Aptos, or Watsonville, CA office!

This is one of the most common questions that is asked at Donald P. Connolly, DDS and, unfortunately, it does not have a simple answer. Just as every patient we see is unique, so is their treatment plan. Some patients have very simple problems which require less appliances and time, while other cases are much more complicated and may require multiple appliances and phases.

The treatment fee usually reflects the amount of orthodontic work required to complete the treatment plan. The only way to find out how much braces will cost is to schedule a consultation with Dr. Don Connolly and Dr. Stanley Sokolow. During your consultation, we will perform a complete oral examination, listen to your concerns, and explain how we will address your needs.

Our findings will include the cost of orthodontics and how long the treatment will take to complete. Give us a call today at our convenient location in Santa Cruz, Aptos, or Watsonville, CA for a consultation and discover how quickly we can make you smile!