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When we think orthodontics, we commonly think teeth. Naturally! Straight teeth and a beaming smile are everyone’s orthodontic goal. But orthodontics is a field which specializes in more than misaligned teeth. While your beautifully aligned teeth are the visible outcome of your orthodontic work, a properly aligned bite is the foundation for your healthy smile.

A malocclusion occurs when the teeth and jaws aren’t properly aligned—they don’t fit together the way they should when the mouth is closed. A malocclusion, or bad bite, affects many people to some degree, but not always in exactly the same way. Some of the different types of malocclusion include:

• Crossbite

A crossbite occurs when upper teeth fit inside lower teeth. An anterior crossbite refers to the front teeth, with one or more upper front teeth, or incisors, fitting behind lower front teeth. A posterior crossbite affects the back teeth, with upper teeth fitting inside the lower teeth on one or both sides of the jaw.

• Crowding

When the jaw is small and/or the teeth are large, lack of space can result in crowded, twisted, or crooked teeth.

• Open bite

An anterior open bite means that the front teeth don’t close when biting down, leaving an open space between the upper and lower teeth. A posterior open bite occurs when the back teeth don’t make contact when the front teeth close.

• Overbite

Our upper front teeth naturally overlap the lower ones a small bit when the teeth are closed. An overbite occurs when the upper teeth significantly overlap the lower teeth.

• Overjet

When the upper front teeth protrude too far forward over the bottom teeth, it’s called an overjet, or, sometimes, buck teeth. Where an overbite causes a vertical overlap, an overjet takes into account the horizontal relationship of the teeth.

• Spacing

A jaw that is large, teeth that are small, missing teeth—these conditions can lead to gaps between the teeth.

• Underbite

An underbite results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

If you have a malocclusion, what comes next? This depends.

Some malocclusions are so minor that no treatment is necessary. Some are the result of misaligned teeth. Some occur because the upper and lower jaws are growing at different rates. Some are a combination of teeth and jaw misalignments. Some are caused by genetics, while others are caused by injuries or habits like prolonged thumb sucking or tongue thrusting.

Because malocclusions are so varied, your treatment plan will be designed for your specific needs. Braces, aligners, appliances like the Herbst® appliance or the palatal expander, surgery for severe malocclusions—there is a larger variety of treatment options than ever before to help you achieve a healthy bite.

When teeth and jaws don’t fit together as they should, the consequences can be damaged teeth and enamel, problems with the temporomandibular joint, headaches and facial pain, and difficulty chewing, eating, and speaking.

The good news is that early intervention for children can help correct teeth and jaw problems before they become more serious, leading to easier orthodontic care in the teen years, and helping to avoid the possibility of surgery or extractions. This is why Dr. Tony Skanchy and our team recommend an orthodontic assessment at our Sandy, UT office for children around the age of seven.

If you’re an adult with concerns about your teeth or bite, there’s good news for you, too. Dr. Tony Skanchy can devise a treatment plan to improve your bite and your smile no matter what your age.

Of course, despite our title, there’s really no such thing as a “common malocclusion” when we’re talking about your dental health. Each person—and each smile—is unique. Dr. Tony Skanchy will diagnose your malocclusion and create a personalized plan carefully tailored to your exact needs, for an uncommonly attractive, confident, and healthy smile.

The weather out there might be frightful for most of us, but not for you! You’ve been waiting all year for a fresh coat of powder and all the outdoor sporting activities winter brings. But before you grab those ski poles, strap into that snowboard, lace up those skates, or dust off that sled, be sure to remember one more essential piece of gear—your mouthguard!

Mouthguards aren’t just for contact sports. While all that lovely new snow looks like powder, it doesn’t feel like it when you land hard. If there’s a chance of a fall or an impact in any sport, there’s a chance you can suffer dental injuries.

Falls or collisions can result in chipped, broken, or dislodged teeth. Your mouthguard will help protect your smile from these accidents, and also works to protect you from biting your tongue and mouth in case of impact. It can even reduce the chance of jaw injuries.

Luckily, finding a mouthguard that works for you is even easier than finding the perfect board or the best wax for your skis. You have several options to choose from:

• Ready-made appliances. These are available in drugstores and sporting goods stores, but come in pre-formed sizes, so they might not provide the best fit.
• The “boil-and-bite” model. This mouthguard form is placed in hot water. You then bite down while it is pliable to shape it to your mouth and teeth.
• Custom mouthguards. These guards can be fabricated just for you. They are molded to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, a custom mouthguard can be your best option for preventing an injury to your mouth and your braces. Talk to Dr. Tony Skanchy if you are interested in a guard fitted specifically for you.

When you visit our Sandy, UT office, let’s discuss all the best ways to keep your teeth and mouth protected before you set out for winter sports. And then when you’re ready to go? Let it snow!

Even with the best of care, accidents can happen, and your retainer, unfortunately, is not immune. Of course, you need to visit our Sandy, UT office ASAP if your retainer is damaged, but, in the meantime, there are some strategies you can use to help your teeth—and your retainer—stay as healthy as possible while you wait.

For Removable Retainers

• When you notice any damage to your removable retainer—remove it.

Don’t wear a damaged retainer, especially overnight. You don’t want to damage it further, and you do want to avoid the possibility of choking if a retainer breaks while you’re sleeping. Dr. Tony Skanchy and our orthodontic team are experts when it comes to deciding if your retainer is wearable, so always consult an expert before putting a suspect retainer back in your mouth.

• Damaged Hawley retainer?

If you have a Hawley retainer—the traditional wire retainer—here’s some good news: a Hawley retainer can often be repaired if it’s not damaged too badly. Don’t try to fix your retainer yourself, and bring it into our office as soon as possible to see if it’s fixable.

• Damaged clear retainer?

If you have a clear retainer, let’s start with the bad news: A clear retainer is not a repairable retainer. Cracks, breaks, warping—these injuries mean that a new retainer is in your future.

The good news is that materials for plastic retainers are available that are more durable than ever. This might be a good option for you to check out, especially if you suffer from bruxism, or tooth grinding, which can be very hard on clear retainers.

• When you’ve just finished treatment with clear aligners . . .

It’s worth asking if your last tray can sub for your retainer until you have it repaired or replaced.

• Ask us about over-the-counter mouthguards.

While you wait for a retainer repair/replacement, your teeth are at risk of shifting out of alignment. A customizable OTC mouthguard might reduce the chance of shifting, although it’s definitely not a long-term solution! We can let you know if this temporary fix is worth it.

For Fixed Retainers

If the wire retainer bonded to your teeth becomes loose, or if you notice your teeth shifting, you might need a repair or a replacement. This is a job for us. In the meantime,

• When you have a broken wire . . .

If a broken wire is causing discomfort, check to see if you should flatten it or cover the wire tip with dental wax to protect soft tissues. Warm water rinses can ease irritation.

• When your wire is broken or loose . . .

Stay away from chewy, sticky, and crunchy foods. You should be doing this anyway with a fixed retainer to keep it from becoming detached—and if it’s already loose, no need to make it more so!

• Ask us about over-the-counter mouthguards.

Check to see if an OTC, customizable mouthguard is a good idea to keep your teeth from shifting if you can’t visit Alta View Orthodontics right away.

We started off by saying that accidents can happen even with the best of care. So you can imagine what can happen without the best of care. Keep your retainer in its case, keep it away from heat, don’t eat foods that can harm your retainer—all the precautions that make accidents unlikely to happen.

But if something awful befalls your retainer, call our Sandy, UT office right away. Why aren’t we suggesting ways to fix your broken retainer with the supplies you have in your home toolbox? Because the best life hack of all for someone with a damaged retainer is to leave the fixing to a dental professional.

Congratulations! You’ve done the hard work necessary to create your beautiful smile! You’ve carefully completed all the steps needed to reach the end of your orthodontic journey. Well, nearly all the steps. We can’t forget that last step which will ensure that all your hard work is rewarded.

When you first began orthodontic treatment, Dr. Tony Skanchy decided on the best plan for straightening your teeth and perfecting your bite, whether you wore traditional braces, lingual braces, aligners, or other orthodontic appliances. And now that you’re finishing treatment, there’s one more option to consider—your retainer.

Why do I need a retainer?

While you’ve spent time in treatment, more has changed than just the position of your teeth. The periodontal ligament, the connective tissue that connects the teeth to the jawbone, is stretched as the teeth shift. The bone in your jaw changes, too, reforming and rebuilding around the roots of your teeth as they move to their ideal locations.

These changes happen because your braces or aligners apply gentle, constant pressure to move your teeth. When you’ve finished wearing these appliances, the pressure stops. Ligaments will try to return to their original shape, which can shift teeth back toward their old positions. And the rebuilding bone isn’t dense enough yet to stop teeth from shifting due to the normal, everyday pressures of eating, chewing, and smiling.

A retainer prevents your teeth from moving back, or “relapsing,” by giving your bones and ligaments time to stabilize and rebuild. The process takes months, so keeping your teeth in place as bones rebuild and grow denser is crucial. This is especially important for patients with more serious misalignments. Dr. Tony Skanchy will let you know which kind of retainer will be best for you and just how long you’ll need to wear your retainer.

Are there different kinds of retainers?

There are! Retainers can be removable or fixed, visible or nearly invisible, metal, plastic, or metal and plastic. Three of the most popular retainer options include:

• Hawley Retainers—the traditional removable retainer, which uses a molded acrylic plate with wires attached to keep your teeth properly aligned and to hold your retainer in place.
• Clear Plastic Retainers—a removable retainer made of custom vacuum-formed plastic, which fits over the teeth like a clear aligner.
• Fixed Retainers—a small single wire bonded to the back of specific teeth, which holds them in place and prevents any movement.

Dr. Tony Skanchy will let you know whether a removable or fixed retainer is best for making sure your teeth don’t start to relapse, and fill you in on the benefits and care of each type of retainer.

How long do I need to wear a retainer?

There’s no standard answer to this question. Just like your retainer is custom-built to fit your individual teeth, the amount of time you’ll spend in that retainer depends on your individual needs. Retainers might be worn fulltime for months or years, be worn only at night after several months of daily wear, or be worn long-term to make sure your orthodontic work lasts.

Because you’ve done the hard work already, and your beautiful, healthy smile is the result. Talk to a member of our Sandy, UT team about which retainer option will be best for making sure that this smile lasts a lifetime.