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How long? Well, a beautiful smile is both science and art—proper teeth and jaw alignment united with aesthetically pleasing results. Orthodontists achieve both these outcomes with a careful analysis of any dental and facial problems, a treatment plan designed specifically for each patient’s needs, and adjustments through each phase of treatment to carefully bring about that beautiful smile.

And that’s a long way of saying, there’s no one, standard answer as to how long a patient will wear braces because there is no one, standard patient. Often, treatment takes from 18 to 24 months, but it can be months shorter or months longer depending on a variety of different circumstances.

• Different Needs

Your orthodontic needs and goals will generally determine your treatment time. Some patients need only a bit of alignment, which can lead to a fairly short orthodontic experience. Some have malocclusions such as crossbites and open bites that require more complex and lengthy treatment.

And, while we used to think of orthodontics as a teenage rite of passage, that’s certainly no longer the case. Some children will need two-phase orthodontic treatment, where early procedures before the adult teeth even come in ease the way for any necessary second stage treatment when the permanent teeth arrive years later. And some adults will want orthodontic work later in life, where denser bone tissue might lead to (somewhat) longer treatment.

• Different Appliances

Today’s orthodontics offers you many choices in appliances. Lingual braces are an almost invisible option, with brackets and wires on the inside of the teeth. Aligners use clear, custom molded trays to move the teeth into a better position with each new tray. Even traditional braces are smaller and sleeker today, with metal or less visible ceramic brackets. Depending on the orthodontic goals you want to achieve, there might be a small difference in the amount of time each appliance will take to get you to those goals. Talk to us about all your options and what they mean for treatment time.

• Different Levels of Participation in the Process

This is one area you can make a real difference! If you follow our instructions for using your appliances most effectively, you’ll make progress as quickly as possible. If you have aligner trays, be sure to wear them for as long as directed each day. If you have rubber bands attached to brackets on your upper and lower teeth, wear them for as many hours as required, because these little bands are actually the tools that are moving your teeth into alignment. If you don’t wear your braces or aligners as directed, not much is going to happen, and certainly not on schedule.

Give our Santa Cruz, Aptos, or Watsonville, CA office a call, and we can discuss your goals for creating your very best smile. Once we’ve decided on a treatment plan, Dr. Don Connolly and Dr. Stanley Sokolow can give you a fairly good estimate as to how long your particular treatment will take. And, when you get to share that beautiful, healthy smile, the time you’ve spent achieving it will be well worth it!

If you’ve just gotten braces at our Santa Cruz, Aptos, or Watsonville, CA office, you’ve probably also learned a whole new vocabulary. Malocclusion, brackets, archwires, ligatures, elastics—you’ve got the definitions down. But now you’re scheduled for an “adjustment.” What exactly does that mean?

Why Do I Need an Adjustment?

After all, you’ve just gotten braces! But the fact is, moving your teeth to their ideal location is a process that involves many steps. The brackets and wires you have today are only a starting point. Wires, and rubber bands if you need them, put gentle pressure on the teeth, gradually moving them into a better position. Every time we see you, we check the progress you’ve made and adjust your braces to move the teeth into even better alignment. It’s a careful process to make sure your teeth and jaws fit together perfectly for straight teeth and a healthy bite.

What Will Happen at an Adjustment?

Because your braces are made specifically for you, there is no one answer for everyone or even every appointment. Usually, your ligatures (the colorful bands around your brackets) will be removed, and often the orthodontic wire that is attached to your brackets will be removed as well. We’ll check to make sure you are brushing and flossing properly around your wires and brackets, and check on the condition of your braces.

Your wire might be adjusted, or bent, or tightened, or replaced all together. In the beginning, the wire will probably be more flexible. Later in your treatment, you might get a thicker, firmer wire to move your teeth more effectively, or we might bend a wire to move specific teeth.

If you need rubber bands to make sure your bite is in alignment, we’ll show you how to attach and take care of those. We’ll also look for other adjustments that might need to be made to your brackets. If you have any concerns about brackets, wires, or any other part of your braces, let Dr. Don Connolly and Dr. Stanley Sokolow know! And once we’re done adjusting your braces, this is your chance to change the color of your ligatures for a new look.

Will It Hurt?

You might suffer some discomfort in the hours after an adjustment, so treat yourself gently! Stick to soft foods for a few days, and treat yourself to something cold and soothing like ice cream, yogurt, or a smoothie. Brush gently if your teeth are sensitive. Usually, over-the-counter pain relievers will take care of any soreness. You can even take a pain reliever 30 minutes to an hour before the adjustment if you are expecting some discomfort. We have more great ideas on how to reduce any tenderness you might feel—let us know if we can suggest some.

Within a day or two, you should be back to normal. If you ever suffer serious discomfort, or if the soreness lasts more than a few days, give us a call.

Remember, each adjustment brings you closer to your goal—straight teeth and a healthy bite. And that’s the definition of a beautiful smile!

You know the school day’s over when you hear these seven little words: “I’m home! Is there anything to eat?”

And before your child got braces, you had the answer: simple, tasty snacks that provided not only an energy boost, but nutritional elements to help build strong teeth and strong bodies. But now whole carrot sticks and unsliced apples are out. Nuts and crunchy peanut butter? Not in your pantry. Hard cheeses and crunchy whole grain crackers? Also off the shopping list.

Because any foods that are crunchy, chewy, or hard to bite into can damage brackets and wires, it’s time to freshen up your go-to snack list. Luckily, Dr. Don Connolly and Dr. Stanley Sokolow can recommend many healthy and braces-friendly choices when children need something to tide them over until dinner.

• Fruits and Vegetables for Vitamins and Minerals

Soft fruits like berries, melon, and bananas provide essential vitamins and minerals while going easy on your child’s braces. Make it a blended smoothie for a cool treat—you can even add a healthy handful of spinach or kale without interfering with that fruity taste. If your child still loves apples and carrots best, keep them on hand—but remember that thin slices are the only way to go.

• Dairy Delivers Calcium

Cottage cheese, string cheese, and other soft cheeses provide essential calcium and vitamin D. Yogurt in all its many flavors is another great option.

• Meats Provides Protein

Lean meats such as thinly sliced ham, chicken, or turkey provide flavor and protein, and don’t require the chewing that bologna, roast beef, and salami do. And nothing packs a protein punch like eggs—hard boiled, deviled, or diced up in egg salad.

• Grains, Legumes, and Vegetables for Complex Carbohydrates

Complex carbohydrates—the “good” carbs—are important sources of energy for our bodies. Snacks such as hummus with soft whole grain pita wedges or blended black bean dip and soft crackers are a delicious, energizing option.

You are constantly looking for ways to make your children’s lives better. Mix and match any of these foods for a snack that’s not only good for their braces, but good for their teeth and bodies! Let us know your child’s favorite snack the next time you visit our Santa Cruz, Aptos, or Watsonville, CA office!

If your pre-teen or teenager is home for the summer, it’s easy to provide braces-friendly lunch options. The school lunchroom, though, presents another challenge altogether. What menu selections are most compatible with braces? And what can you put in that lunch box or brown bag to provide a tempting, healthy lunch during school hours? Let’s look at some options!

From the Cafeteria

Encourage your student to stick with soft foods that don’t require biting into. Some good choices include:

• Soup, either creamy or with soft vegetables
• Salads without crunchy vegetables or croutons
• Soft, shredded chicken or beef
• Egg or tuna salad
• Tofu
• Pasta
• Meatloaf
• Macaroni and cheese
• Soft casseroles
• Steamed vegetables
• Mashed potatoes
• Soft breads or tortillas

Bringing a Lunch?

There are many great options for packing a lunch bag! Just remember to keep foods at the proper temperature, with insulated containers for hot foods and two cold sources, such as two frozen gel packs, for cold foods.

• Sandwiches with soft filling (no chunky peanut butter!) on soft bread. Thinly sliced, easy to chew cold cuts will work, but cold cuts like salami are too chewy. Cut the crusts off if necessary. Cutting sandwich wedges into smaller portions will also make them easier to eat.
• Hard boiled eggs
• Hummus and soft pita wedges
• String cheese and soft crackers
• Applesauce
• Yogurt
• Soft fruits such as berries or bananas
• Jell-O or other gelatin dessert cups
• Pudding cups

When to Say “No, Thank You”

If you have to bite into it, if it’s chewy, or if it’s crunchy, it’s best to choose something else! Here are some common culprits when it comes to broken brackets and wires:

• Caramel
• Hard candy
• Popcorn
• Whole carrots
• Whole apples
• Hard rolls
• Pizza
• Corn on the cob

And remember to send your child to school with a brush and floss to clean teeth and braces after lunch. Dental hygiene is very important now, because brackets and wires can both trap food particles and make brushing them away more difficult. This can lead to increased plaque, cavities, and staining around the area of the braces. If it’s impossible to brush, be sure to remind your student to rinse thoroughly with water after eating.

Lunch hour should be a time to relax, get together with friends, and recharge for the rest of the school day. Talk to us about the most (and least) braces-friendly foods and recipes. By learning what foods to avoid and adjusting some old favorites, your school-age child can continue to enjoy healthy, tasty lunches. Most important, visiting Dr. Don Connolly and Dr. Stanley Sokolow at our Santa Cruz, Aptos, or Watsonville, CA office for an emergency repair will not be on anyone’s list of afterschool activities!