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Orthodontists and dentists use advanced procedures to treat and save teeth. But sometimes, a tooth just can’t be saved and needs to be extracted. Sometimes it’s due to extensive decay, or infection, or serious injury. Or sometimes, to create a healthy bite, an extraction is necessary during orthodontic treatment.

When does an orthodontist recommend an extraction? Conditions which call for extraction include:

• Incoming Wisdom Teeth

Not many people have enough space in their mouths for four wisdom teeth! And when there’s no room to erupt properly, wisdom teeth can become decayed or infected, push your other teeth out of place, and damage the roots of nearby molars. Extracting wisdom teeth protects your teeth and your bite alignment.

Usually, orthodontic treatment takes place before the wisdom teeth begin to erupt. But if yours start to make an appearance during treatment, your orthodontist and dentist will work together to schedule extraction without interfering too much with your orthodontic treatment plan.

• Tooth and Jaw Structure

Dr. Todd Hamilton and Dr. Bryan Whitecotton and the team at Hamilton and Whitecotton Orthodontics carefully plan your treatment based on examinations, X-rays, and/or 3D imaging. The goal is to align your teeth and jaws for an attractive smile and a healthy, functional bite. When overcrowding is severe, or if there is a serious malocclusion (bite problem), or if a particular tooth is unusually large or misshapen, your orthodontist might recommend an extraction.

Sometimes more room can be made for teeth with appliances such as palatal expanders or, in other cases, with the help of oral surgery. Extractions are only recommended when they are absolutely necessary.

• Baby Teeth Which Aren’t Coming Out 

Baby teeth normally fall out in a predictable pattern. Front teeth first, canines and molars last. Baby teeth have small roots, and these roots begin to break down when the adult teeth underneath put pressure on them as they start to erupt. As the root gets smaller and smaller, the baby tooth gets looser and looser—until it falls out. 

Sometimes, though, the roots of primary teeth don’t break down, and the baby teeth stay right where they are. This means that the permanent teeth have to erupt someplace else—usually behind those baby teeth. This creates a double row of teeth, and your permanent teeth can become crooked or overlap as they try to fit in. Extracting stubborn baby teeth allows your adult teeth to come in just where they’re supposed to. Because of their small roots, extracting primary teeth is usually simple and straightforward, and can be done in your dentist’s office. 

• Too Many Teeth

Most of us have 32 adult teeth, including wisdom teeth. It’s rare, but sometimes an extra, or supernumerary, tooth develops. Your jaw is most probably not equipped to accommodate any extras, so, in this case, the extra tooth or teeth are removed to give the rest of the teeth the space they need to avoid overlapping or crowding.

When your orthodontist recommends an extraction, it’s because it’s important for your dental health. Dr. Todd Hamilton and Dr. Bryan Whitecotton will refer you to a dentist or a specialist like a periodontist or oral surgeon, who will: 

• discuss the extraction procedure with you, including sedation options
• numb the area 
• gently loosen and then extract the tooth
• provide options for pain management after the procedure
• give you detailed instructions for aftercare
• work with your orthodontist to keep your treatment on schedule

Extraction is never your first choice, or your orthodontist’s! But when an extraction is necessary for tooth and bite alignment, everyone at Hamilton and Whitecotton Orthodontics in Denver, NC will coordinate a treatment plan to create your best—and healthiest—smile.

Need some gift ideas for family members and friends who seem to have absolutely everything? Who are impossible to shop for? Who tell you not to worry, it’s the thought that counts? Well, we have a few suggestions to show your loved ones that you’ve put a lot of thought into their gifts this holiday season. 

You love to see your friends and family smile, so we’ve come up with some smile-worthy ideas curated to their specific interests. And they’re braces-friendly, too!

Environmental Ally

The world is becoming a more eco-conscious place, and happily this transformation includes products designed for personal care. Put together a spa basket which is good for your friend’s dental health and the planet!

A recyclable gift box containing zero-waste, environmentally friendly bath products and organic cotton face cloths becomes even more mindful with the addition of bamboo or recycled plastic toothbrushes, bamboo interdental picks, and biodegradable floss. 

Don’t forget to include a colorful, insulated water bottle for sustainable hydration—and washing away food particles when there’s no handy place to brush after eating. Healthy planet/healthy smile.

Talented Techie

If your friend or relative is high-tech all the way, maybe it’s time for a dental upgrade. 

Water flossers are a great way to eliminate stubborn plaque around brackets and behind wires. Adjustable water pressure applies just the right amount of cleaning power. The flow can be directed to the gumline, between teeth, around brackets, or anywhere else needed. Some models even offer tapered heads with brushes designed specifically for cleaning braces. 

And for an extra thoughtful touch, include a packet of plaque disclosing tablets. Chewing one of these helpful little tablets will reveal any plaque that’s still on the teeth.

Adventure Seeker

How about a new backpack or carry-all for outdoor or travel adventures? A travel first aid kit is always a welcome addition for the person on the go.

Go the extra step and help a friend be prepared for anything with an emergency dental kit designed for braces. You can find these lightweight kits in stores or online, or you can assemble one yourself with a travel-size orthodontic toothbrush and toothpaste, floss threaders and floss, interproximal brushes, a travel mirror, and, of course, orthodontic wax in a handy kit bag. Include a pack of sugar-free gum—it helps with altitude changes and hydration. Ask Dr. Todd Hamilton and Dr. Bryan Whitecotton or the team at Hamilton and Whitecotton Orthodontics for suggestions!

Film Buff

If your bestie likes nothing better than an evening spent in front of the home screen, consider a subscription or gift card for a streaming service tailored to his or her favorites, whether it’s classic films, sci-fi, action, rom-coms, or epic adventures. 

And don’t forget the binge-watch treats! Fill a basket with braces-friendly goodies like peanut butter cups, junior mints, soft chocolate truffles, and some sparkling water. Maybe add a gift card for healthy smoothies and ice cream. Who needs popcorn and sodas?

No matter who’s on your shopping list, tailoring your gifts to their interests and their well-being is a great way to share happy, healthy holiday smiles with family and friends in Denver, NC.

If it’s your first Thanksgiving dinner with braces, you might be a bit nervous. After all, broken brackets and wires can take the fun right out of feasting! 

Thankfully, we can help make your holiday meals more enjoyable with some menu tips for braces-friendly foods. 

#1 Be Choosy about Snacks

Thanksgiving is often more than one meal—it’s a whole day of nibbling. Just be sure to enjoy snacks which are safe for your brackets and wires while you wait for the turkey to make its appearance. Avoid foods like crunchy raw vegetables, nuts, popcorn, and chips, which can be hard on your braces. Instead, go for the softer selections on the appetizer tray:

• Sliced and cubed fruits
• Soft breads 
• Deviled eggs
• Spreadable or thinly sliced cheeses
• Meatballs
• Thinly sliced, soft deli meats

#2 Tweak Tradition as Needed

Some items on the traditional menu can be enjoyed as is, and some can be safely eaten with just a bit of tweaking. 

• Creamy mashed potatoes and gravy are good to go
• Soft-cooked vegetables are easy on braces and filled with nutrients
• Turkey and ham are safe if you cut the meat from the bone and into bite-size pieces
• Choose jellied cranberry sauce instead of crunchy versions
• Stick to the soft, non-crunchy parts of dressing or stuffing and add some gravy for moisture
• Enjoy rolls and bread without nuts or hard crusts

#3 Don’t Forget Dessert!

Luckily for us, many of our favorite Thanksgiving desserts are easy on braces. Delicious, braces-friendly choices include:

• Pumpkin pie
• Cheesecake
• Apple pie with ice cream 
• Soft cakes
• Puddings
• Soft truffles

Which desserts should wait until you’re finished with your orthodontic treatment? Nutty and chewy desserts and candies like pecan pie and caramels can cause loose or damaged braces, so it’s a “No, thank you” this year to the sticky, crunchy, and chewy items on the dessert buffet.

#4 Good Dental Hygiene Doesn’t Take Holidays Off

Holidays are busy, with shared meals and travelling and get-togethers in Denver, NC. But it’s still essential to make time for proactive dental care, especially now that you wear braces. 

Food which gets stuck in your brackets and wires isn’t just annoying, it’s also bad for your tooth enamel. When food sticks around, the bacteria in plaque use those sugars and carbs to create acids which erode teeth and lead to cavities. And since Thanksgiving day is often filled with nibbling on foods high in sugars and carbs, your teeth might need some extra TLC throughout the day.

• If you’re home, brush and floss as usual after eating. If you’re travelling, bring a kit with a travel-size toothbrush and toothpaste and some floss to keep your braces and teeth clean and your breath fresh throughout the day. 
• If you’ve been eating acidic foods, wait about 30-60 minutes to brush. Acids weaken enamel temporarily, and, until the enamel rehardens, brushing can be abrasive.
• Hydrate with water. Water helps wash away food particles from teeth and braces and helps neutralize enamel-damaging acids in foods like cranberry sauce and sodas.

The team at Hamilton and Whitecotton Orthodontics wants you to have a wonderful holiday with family and friends while you’re on your way to a beautiful, healthy smile. If you have any questions on just which foods should and shouldn’t be on your menu this Thanksgiving, talk to Dr. Todd Hamilton and Dr. Bryan Whitecotton to discover the best ideas for stress-free holiday feasting.

Brace-ism: believe it or not, it’s a concept. The Urban Dictionary defines brace-ism as “acting mean to people who have braces on their teeth.” Phrases like metal mouth, brace face, and train tracks are common jokes uttered by gap-toothed fools who like to make fun of people with braces.

While ignoring these comments and taking the high road is the best thing to do, there’s nothing wrong with having a few clever retorts and quick-witted comebacks up your sleeve.

1. The next time someone calls you train tracks, break into an obnoxious train imitation, with lots of toot-toot and chuga-chuga-chuga. Finish off your crazy locomotive impersonation with some sort of deafening train horn. That’ll keep the bullies at bay.
2. “It’s better to be a brace face than a space case.”
3. Counter with a ridiculously childish joke that makes the schoolyard tormentor feel even smaller than he already is. “Oh. Yeah. Why did the deer need braces? Because he had buck teeth. Hahaha.” Top it off with an exaggerated eye roll.
4. “Yeah, my brother tells that joke. He’s six. You guys should hang out.” That’ll stop the haters dead in their tracks. Or would that be train tracks?
5. Here’s one from the sarcasm grab bag. “Well, I’m just glad there’s a way to fix what’s wrong with my face.”
6. “I can’t wait to discuss this formative moment at our ten-year class reunion, when my teeth are razor-straight and you’re wearing adult braces.”