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Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

• Let Dr. Todd Hamilton know about your desire to get braces
• Get an exam to make sure you're in good periodontal health and a good candidate for braces
• If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Denver, NC office.

It's almost game day and you're wondering what to put on the menu for your guests. Most snacks are typically highly processed and unhealthy. Why not mix it up this year and opt for some snacks that promote good oral health? Here are some of Dr. Todd Hamilton favorites!

• Apples, carrots, celery, and cucumbers: These foods and other crispy, fibrous, fruits and vegetables are an excellent choice for the big game. Not only are they rich in vitamins and minerals which your body and mouth need, they are also known as detergent foods because of the cleaning effect they have on the teeth and gums. Try apples wedges spread with peanut butter and sprinkled with cinnamon.
• Beans: Beans are filling because they are packed with fiber and that keeps you from opting for sugary or fatty snacks. Along with fruits and vegetables, beans should be one of the stars of your game-day snack lineup. How about some hearty chickpea hummus with cucumber chips?
• Nuts like almonds, walnuts, pistachios, and cashews: Nuts abound in the minerals that help keep your teeth and gums strong like calcium, magnesium, and potassium. Put out a bowl of raw or roasted nuts for your guests as a crunchy, satisfying alternative to chips or crackers. Recent research even shows that the polyunsaturated fatty acids in nuts may help prevent gum disease. But remember not to eat the whole bowl! Nuts are very high in calories and a little goes a long way. Enjoy and handful or two along with your other healthy snacks.
• Dark chocolate: This one may be hard to believe at first, but research shows chocolate can be great for your teeth and help prevent decay! Now don't run off and start stocking your pantry with a bunch of that super sweet stuff, because these benefits come mainly from the tannins, polyphenols, and flavonoids present in the cacao bean. Dark chocolate is the least processed variety of chocolate and the closest to the cacao bean, so make sure you purchase a variety that is listed as 70% cocoa or more for these benefits. Like with nuts, chocolate is easy to overdo — aim to eat two or three squares.

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Dr. Todd Hamilton and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Denver, NC office!

Our green office offers many benefits to patients. And just because we’ve gone green doesn't mean that we won't be able to provide the same services as a traditional office. In fact, our goal is to provide the same (or better) services as a regular office, but services that act in harmony with the body and world around us. Less waste, fewer chemicals and heavy metals, and reduced energy consumption; these are traits that define a truly green office.

Some of the benefits you'll experience as a patient at our green Denver, NC office include:

• Better air quality – There's a focus on using renewable and natural building materials, paint that is free of volatile organic compounds (VOCs), biodegradable cleaning supplies, and formaldehyde free materials for cabinetry. This leads to cleaner air in the office for patients and their families.
• Less radiation – Digital X-rays replace old film based X-rays and expose patients to 90 percent less radiation. Digital X-rays are also convenient for patients since their images can be viewed right on the computer screen instead of on a physical printout.
• No need for paper – Many offices have gone "paperless." You'll get any pertinent paperwork via email, reducing paper waste and saving you time. Patient records are also stored digitally, doing away with the wall of patient folders and making for easier and quicker record retrieval.
• Fewer chemicals – Green offices take advantage of chemical-free sterilization by steam and clean their tools using energy-efficient washers and dryers. Biodegradable cleaning solutions instead of toxic chemical cleaners are used around the office, too.
• Reduced heavy metal exposure – Biocompatible, non-allergenic, non-metal materials like porcelain and ceramic are preferred in a green office over the heavy metals (nickel, titanium) used in traditional offices. This is particularly important in the case of appliances that are used over long periods of time, like dental implants or veneers.

Dr. Todd Hamilton and our team hope you realize the positive effect a green office can have on your health, as well as that of the environment. Our office is dedicated to bringing you the cleanest, safest, and greenest technologies the industry has to offer, and we're happy to share how our processes differ from other offices!