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Teeth erupt crookedly for a number of reasons that range from genetics to mouth deformities and serious oral diseases. When extra teeth or abnormally large teeth create a malocclusion (crookedness or misplacement of teeth), the culprit is usually genetic in nature. Other inherited traits involve jaws that are too small to accommodate a full set of teeth and misaligned jaws that did not form properly in the womb.

Can crooked teeth be prevented?

In most cases, underbites, overbites, and crooked teeth are genetically derived and can’t be avoided. Orthodontic treatment with braces will be necessary to correct the condition once the child is old enough to wear them. However, certain early childhood behaviors may also contribute to the development of crooked teeth that can be avoided. These include:

• Thumb sucking and tongue thrusting
• Losing baby teeth to decay before permanent teeth have naturally pushed them out of their sockets
• Allowing pacifier use to continue after front teeth have erupted

Permanent teeth underneath baby teeth are directly affected by the health of baby teeth. If baby teeth are prematurely lost due to decay or trauma, permanent teeth will shift when they start moving upward. Baby teeth are like anchors for permanent teeth that help guide them as they erupt through the gums.

In addition, excellent care of baby teeth is vital to having healthy permanent teeth free of discoloration or decay. Harmful oral bacteria can spread into the gums and reach permanent teeth still buried in the gums. Once attached to a tooth’s enamel, bacteria will begin eroding the tooth even before it has a chance to take its first bite!

When to Start Orthodontic Treatment for Crooked Teeth

Dr. Tony Skanchy and our staff suggest that parents bring your child to Alta View Orthodontics around age seven to rule out potential issues with permanent teeth eruption. If problems are discovered, it is not unusual to begin orthodontic treatment at that age. In fact, specific conditions such as crowding and gaps between teeth are easier to correct at an early age.

Early treatment also benefits from the growth process of the jaw, which helps move teeth to normal positions.

All over the Internet you'll find videos and articles showing how you can close the gap between teeth or space them out. There is a plethora of DIY orthodontic techniques out there — you can even mail order your own impressions to get clear aligners, without even seeing a dentist or orthodontist. Following the instructions laid out in these videos and articles (by people who have zero training in orthodontics) is about the worst decision you can make for your overall oral health.

Performing DIY or at-home orthodontia can lead to or cause:

• Loss of teeth
• Infection
• Cavities or infections that are missed or undiagnosed
• Gum damage

Dr. Christina Carter, president of the Northeastern Society of Orthodontists, says that DIY orthodontics can have terrible consequences. She spoke to TODAY about closing gaps between teeth using rubber bands or elastics:

"The teeth are connected to the gums and the blood supply and there is a risk of infection, of tearing the gums which might not heal properly, and a risk of damaging the attachment between the tooth and gums so the tooth no longer gets the support it needs." She also noted, "A simple rubber band can actually slide up the tooth and cut all the attachments to it and you can actually lose a tooth."

One of the worst parts about DIY orthodontics is that you never consult with a trained orthodontist, so you're really operating on a dangerous lack of information. It's best not to risk damage to your teeth or infection. Let Dr. Tony Skanchy know what you want to accomplish with your teeth and we will help you find the safest and most cost-effective way to achieve it.

Dr. Tony Skanchy want you to be informed and practical about your oral health. Should you have any questions about orthodontic treatment options, please do not hesitate to give us a call at our convenient Sandy, UT office.

A famous mouthwash company chose the marketing slogan, “Better than flossing.” As a consumer, would you believe a high-end commercial that essentially tells you to stop flossing? Just use this brand of mouthwash and the risk of gingivitis, cavities, etc., is gone. What a wonderful idea! Now for the reality: This is simply not true.

The company that made these claims received some negative feedback for making this false claim. Does this mean that all mouthwashes are ineffective? Absolutely not. It takes a little bit of research to know which mouthwashes are most effective and best suited for you. Here are some key points to remember when choosing a mouthwash.

First, think about why you want to use a mouthwash. If you are at high risk for cavities, you would benefit from a fluoride mouthwash. Check the labels to see which ones contain fluoride.

If you have active gingivitis, a mouthwash with some antibacterial properties would be preferable. Read the labels carefully. You do not want a mouthwash containing alcohol. If you have active periodontal disease, an antibacterial mouthwash is appropriate, though you may want to discuss which kind would be best for your individual needs.

Prescription mouthwashes are also an option. You should pay close attention to the directions, such as how much and how long to use them. There is one brand in particular whose effectiveness can steadily diminish if you use it continually. There can also be side effects you should discuss with our office and/or your pharmacist.

Some great mouthwashes for kids change the color of plaque on their teeth to help them see how they are doing with their brushing. This is a great learning tool for the child and the parent! Why not pick up a bottle for yourself next time you’re at the store and evaluate your own performance?

Beware of claims that a mouthwash can loosen plaque. This is not accurate. Beware of any mouthwash that has alcohol. This is worth mentioning twice. Take care of your taste buds. If you are using a strong mouthwash, it can reduce your sense of taste.

These tips should help you choose the right mouthwash for your needs. Please contact Dr. Tony Skanchy at our Sandy, UT office with any specific questions!

When most patients ask Dr. Tony Skanchy this question, they're thinking strictly about sugar content — cut out the bacteria-feeding sugar that's present in regular soda by opting for a diet soda and it will be better for your teeth. That seems logical, right? Well, there's a bit more to it than that. Let's take a closer look at how any kind of soda can affect your dental health.

Diet Soda – Why it can also lead to tooth decay

The main culprit in these drinks that leads to decay is the acid content. Diet sodas and other sugar-free drinks are usually highly acidic, which weakens the enamel on your teeth and makes them more susceptible to cavities and dental erosion. The level of phosphoric acid, citric acid, and/or tartaric acid is usually high in sugar-free drinks so it's best to avoid them.

Some patients also enjoy drinking orange juice or other citrus juices. These drinks are high in citric acid and have the same effect on the enamel of your teeth.

So what about regular soda?

We know the acidity of diet sodas and sugar-free drinks contributes to tooth decay, so what about regular soda? Like we alluded to earlier, regular soda is high in sugar — a 12 ounce can contains roughly ten teaspoons of sugar — and sugar feeds the decay-causing bacteria in the mouth. This also includes sports drinks and energy drinks, which are highly acidic and loaded with sugar too. So these drinks are a double-whammy of sugar and acidity your teeth and body simply don't need.

The problems caused by both diet and regular soda is exacerbated when you sip on them throughout the day. If you drink it all in one sitting, you won't be washing sugar and/or acids over your teeth all day long and your saliva will have a chance to neutralize the pH in your mouth.

The best beverages to drink and how to drink them

Drinking beverages that are lower in acid is a good step to take to keep your enamel strong. According to a study conducted by Matthew M. Rodgers and J. Anthony von Fraunhofer at the University of Michigan, your best bets are plain water, black tea or coffee, and if you opt for a soda, root beer. These drinks dissolved the least amount of enamel when measured 14 days after consumption of the beverage.

If you still choose to drink soda, diet soda, sugar-free drinks, or juices here are some other tips to lessen tooth decay:

• Drink your soda or acidic beverages through a straw to minimize contact with teeth
• Rinse with water immediately after consumption of the beverage
• Avoid brushing your teeth between 30 minutes to an hour after drinking the beverage as this has been shown to spread the acids before your saliva can bring your mouth back to a neutral pH
• Avoid drinks that have acids listed on the ingredients label

Still have questions about soda, sugar, and acid? Give our Sandy, UT office a call and we’d be happy to help!