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It’s the littlest month of the year, so what better time to think about the dental health of our littlest family members? February is National Children’s Dental Health Month, and we’re here to suggest some of the best dental habits for healthy childhood smiles.

Babies 

• Even before your baby cuts her first adorable tooth, you can start proactive dental care by gently wiping little gums with a clean, moist gauze pad or soft cloth twice a day. This removes bacteria and food particles and helps prepare your baby for brushing.
• When that first tooth does appear, or by age one if it hasn’t yet erupted, it’s time to schedule a visit to the dentist. At this first visit, your child’s dentist will check jaw and tooth development and can give expert guidance on teething, brushing, how much and which kind of toothpaste to use, and topics like thumb-sucking and pacifier use.
• When baby teeth arrive, use a small soft-bristled toothbrush designed to fit comfortably in tiny mouths.
• Use toothpaste as recommended. Children under the age of three who use paste should use a very small amount, no larger than a grain of rice.
• Prevent “baby bottle tooth decay”—don’t put your baby to bed with a bottle. This allows the sugars in formula or, when your child is 12 months or older, milk, to bathe the teeth throughout the night. And babies and toddlers never need sugary juices or sodas in those bottles!

Toddlers 

• Help your child develop a positive relationship with his dental team. Read books or watch videos to help your child learn what to expect. Practice with him by having him open his mouth while you count his teeth. Plan visits when your child isn’t hungry or tired. Be positive yourself—your child will take his cues from you!
• Schedule regular appointments for exams and cleanings. Your child’s dentist will check tooth and jaw development, look for any signs of decay, and evaluate potential problems such as prolonged thumb sucking or pacifier use. 
• By age three, children have most or all of their baby teeth. Use a soft bristled brush to clean your child’s teeth twice each day. As she grows, demonstrate how to brush properly. Your dentist and hygienist will have some great ideas on technique!
• Daily flossing should begin as soon as your child has two teeth which touch. 
• Around age six, your child may be transitioning to solo brushing and flossing—but your oversight is still needed. Make sure all the surfaces of the teeth, including the tops of new molars, are brushed thoroughly. You might provide a timer or a two-minute song or video to make sure your child spends enough time brushing. Flossing can be tricky for young hands, so you’ll need to help with that task for a few years more.

School-Aged Children

• Orthodontists and dentists recommend a first visit to the orthodontist by age seven, or earlier if you notice your child has trouble chewing or biting, if the teeth don’t seem to fit together properly, or if you have any concerns about bite and alignment. When potential problems are discovered right away, early intervention can prevent more serious orthodontic issues from developing later. The team at Mancini Orthodontics in Hampstead, NC and Jacksonville, NC is happy to answer any questions you might have about early interventions!
• If your child is beginning orthodontic treatment, you can help make the journey easier: 
  • Keep up with appointments and adjustments—missed appointments can delay your child’s progress. 
  • Braces can make brushing and flossing more difficult, so try special brushes and floss designed just for braces. 
  • If needed, remind your child to wear bands or aligners for the recommended number of hours each day. 
  • Be encouraging! Remind your child that these months in braces or aligners will lead to years of healthy, attractive smiles.
• Talk to your dentist about sealants. Permanent molars usually erupt between the ages of six and 12. Sealants are thin coatings which protect the chewing surfaces of these molars from food particles and cavity-causing bacteria which would otherwise collect inside grooves in the enamel.
• Children who play sports and engage in activities with a chance of physical contact should have a well-fitted mouthguard to protect their teeth. Be ready to replace it as often as recommended by Dr. Kevin Mancini or if it’s damaged.
• Increases in hormones during puberty can lead to puberty gingivitis, and swollen, red, and bleeding gums can be the result. Proactive dental hygiene will prevent gum disease from developing. Make sure your child brushes two minutes, twice a day, and flosses once per day. If symptoms persist, it’s time to see the dentist.
• A nutritious diet is essential for healthy teeth and gums. Give your child solid nutritional building blocks with a diet rich in proteins, vitamins, and minerals. If your child wears braces, have a variety of appealing, braces-friendly foods on hand. 

Help your child enjoy a future of healthy, confident smiles by working in partnership with your child’s dentist and the orthodontic team at Mancini Orthodontics. They are ready every month of the year with advice and expertise to make that healthy dental future a reality!

Bite problems are so common that most of us know someone who’s worn braces. So perhaps you’re already familiar with the terms “overbite” and “underbite”—but if you’ve been diagnosed with an “overjet,” that just might be an orthodontic diagnosis that is new to you. If so, here are a few questions and answers to help promote overjet understanding.

Just what is an “overjet”?

An overjet is a type of malocclusion, which means that there’s a problem with your bite, the way your jaws and teeth fit together when you bite down. In a healthy bite, the front top teeth project slightly beyond, and slightly overlap, the bottom teeth. The key word here is “slightly.”

An overjet is a Class II malocclusion, which means that the upper front teeth project further beyond the lower teeth than they should. Overjets and overbites are both Class II malocclusions, and the words are often used interchangeably, but there’s a notable difference between the two conditions.

An overbite occurs when the top teeth overlap the bottom teeth too far vertically, and you can’t see as much of the lower teeth as you should when you bite down.

An overjet is considered more horizontal in nature, where the top teeth project at an outward angle toward the lips instead of pointing straight down toward the bottom teeth. This condition is sometimes called protruding or buck teeth.

What causes an overjet?

The reason for your overjet might be dental (caused by tooth alignment), or skeletal (caused by bone development), or a combination of both.

Overjets can run in families. They can also be caused by the size and position of your jaws and the shape and position of your teeth, all of which affect your bite alignment. But early oral habits, such as prolonged and vigorous thumb-sucking or pacifier use, can also contribute to overjet development.

How do we treat an overjet?

There are many types of treatment available. Dr. Kevin Mancini will recommend a treatment plan based on the cause and severity of your overjet. Because some treatments are effective while bones are still growing, age plays a part as well.

• Braces and Aligners

If you have a mild overjet, and minor dental issues are the main cause of the malocclusion, braces or clear aligners can effective.

• Functional Appliances

If the overjet is caused by a problem with upper and lower jaw development, devices called functional appliances can be used to help guide the growth of the jawbones while a child’s bones are still forming.

For young patients, there are several appliances which can help correct an overjet. Some, such as the Twin Block and the Forsus Spring appliances, work inside the mouth, while others, like headgear, are worn externally. Your orthodontist will recommend the most effective appliance for your needs.

• Surgical treatment

In some cases, where the malocclusion is skeletal in nature as well as dental, surgical treatment might be necessary to reshape the jawbone itself.

If we recommend surgery, oral and maxillofacial surgeons are experts in surgical procedures designed to create a healthy and symmetrical jaw alignment. Dr. Kevin Mancini will work with your surgeon to design a treatment plan, which will usually include braces or other appliances following surgery.

Why treat your overjet?

A serious, moderate, or even mild overjet can lead to many dental and medical problems, including:

• Concerns about facial and dental appearance
• Front teeth which are more at risk for injury
• Difficulty closing the lips
• Problems speaking or chewing
• Headaches, facial, and temporomandibular (jaw) joint pain

When you work with our Hampstead, NC and Jacksonville, NC team to correct your overjet, you’re not just correcting a problem. You’re also creating something—a healthy, comfortable bite, and an attractive, confident smile. We can talk about general answers to your overjet questions, but when it comes to understanding your very individual smile, Dr. Kevin Mancini will have all the answers you need to make that healthy bite and that confident smile a reality! 

Now that you’re entering the working world, or heading off to college, or pursuing any of the many adventures awaiting you in adult life, you’re ready to take on more adult responsibilities. And one of those responsibilities is making sure you maintain your dental health.  

Luckily, it’s not that hard! Successful adulting often means simply making small proactive choices which add up to big long-term benefits. So, let’s look at a few of the everyday habits of dentally successful adults.

Choose a Healthy Lifestyle

• Eat well.

Just like the rest of our bodies, our teeth and gums need a healthy diet to thrive. Sugar-fueled study sessions and energy drink-filled work hours should be the rare exception, not the norm. A diet rich in vitamins and minerals keeps gums healthy and enamel strong.

• Don’t use tobacco products. 

Cigarettes, cigars, pipe smoking, chewing tobacco—any form of tobacco products, especially combined with alcohol use, can greatly increase your chances of developing mouth and throat cancers.

• Talk to your doctor about the HPV vaccine.

HPV (human papillomavirus) can also cause mouth and throat cancers. The American Academy of Pediatrics recommends the HPV vaccine for kids ages 9 through 12. If you haven’t been vaccinated yet, talk to Dr. Kevin Mancini about the potential benefits of the HPV vaccine. 

Practice Good Oral Hygiene

• Brush at least twice a day, for two minutes each time. 

Plaque begins to build up within hours after your last brushing. Removing plaque morning and evening also removes the cavity-causing bacteria which live in plaque. These bacteria erode enamel and lead to cavities.

• Floss at least once a day. 

Flossing helps remove plaque from your gumline. When plaque accumulates over time, it becomes tartar, a substance so hard that you’ll need a dental professional to remove it. The bacteria in plaque and tartar irritate your gums, and this irritation is the beginning of gum disease. Early stage gum disease (gingivitis) can often be reversed with better brushing and flossing habits—but, even better, help stop gum disease before it starts with daily flossing.

• See your dentist regularly. 

If you’ve had the same dentist since childhood, you’ve probably developed a great partnership, typically visiting your dentist twice each year for an exam and a professional cleaning. 

Make sure you make space in your busy adult life to keep your smile its healthy, sparkling best by continuing to schedule regular cleanings and exams. This is the best way to clean away any plaque or tartar you may have missed, and, most important, to catch any small problems before they become bigger ones. 

Keep Up with Your Orthodontic Care

If you’ve spent several of your teen years in braces or aligners creating a beautiful, healthy smile, you don’t want to see all your hard work go to waste. Retainers are designed to make sure your teeth stay just where they belong for a lifetime. 

When retainers aren’t worn as directed, especially when braces or aligners first come off, the teeth can shift back to their old positions. Sometimes going back to your regular retainer schedule can fix any minor movement, but sometimes patients need to go back for repeat orthodontic treatment.

How to avoid orthodontic do-overs?

• If you have a retainer, wear it as scheduled to maintain your alignment and healthy bite. 
• Put your retainer in a case when you’re not wearing it. A bent or broken retainer won’t keep your teeth aligned properly and can damage delicate oral tissues!
• If your retainer is damaged, see the dental team at Mancini Orthodontics in Hampstead, NC and Jacksonville, NC ASAP for repair or replacement.

Not so difficult, right? In fact, you’ve probably adopted most of these healthy habits already. Take charge of your dental health now, make good habits a part of your daily routine, and you’ll be prepared to enjoy a lifetime of healthy, attractive, adult smiles!

As we all know, or should by now, the key to maintaining great oral health is keeping up with a daily plan of flossing, brushing, and using mouthwash. These three practices in combination will help you avoid tooth decay and keep bacterial infections at bay.

At Mancini Orthodontics, we’ve noticed that it’s usually not the toothbrush or floss that people have trouble picking, but the mouthwash.

Depending on the ingredients, different mouthwashes will have different effects on your oral health. Here are some ideas to take under consideration when you’re trying to decide which type of mouthwash will best fit your needs.

• If gum health is your concern, antiseptic mouthwashes are designed to reduce bacteria near the gum line.
• If you drink a lot of bottled water, you may want to consider a fluoride rinse to make sure your teeth develop the level of strength they need.
• Generally, any mouthwash will combat bad breath, but some are especially designed to do so.
• Opt for products that are ADA approved, to ensure you aren’t exposing your teeth to harmful chemicals.
• If you experience an uncomfortable, burning sensation when you use a wash, stop it and try another!

Still have questions about mouthwash? Feel free to ask Dr. Kevin Mancini during your next visit to our Hampstead, NC and Jacksonville, NC office! We’re always happy to answer your questions. Happy rinsing!