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A lot of patients ask us why Dr. Daniel Ma and our team at our office work tirelessly to give our patients straight teeth. Of course it’s nice to have a smile full of evenly-aligned teeth, but did you know that straightening your teeth can keep them healthier as well? Straight teeth lead to better oral hygiene, increasing your chances of keeping your own natural teeth for a lifetime!

Straight teeth are also less prone to decay, because they collect less plaque, that sticky colorless substance that forms on our teeth. When you visit our office for your initial consultation, Dr. Daniel Ma will examine all aspects of your teeth, face, smile, and jaw.

If you’re wondering whether your teeth might cause problems because they are out of alignment, please give us a call to set up an initial orthodontic consultation at our convenient Vancouver, BC office. Dr. Daniel Ma can help you decide whether or not you will benefit from orthodontic treatment.

Questions? Give us a call, ask us below or on our Facebook page!

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. Daniel Ma and the team at our office 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. Daniel Ma 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 our office in Vancouver, BC will coordinate a treatment plan to create your best—and healthiest—smile.

Long days in the sun’s rays offer you lots of options for outdoor activities. Beach time? Vacation? Open-air concerts? Baseball, biking, board sports? No matter what plans you have for these sunny days in Vancouver, BC, we have some tips to keep your smile beaming.

Use Sunscreen

Sunscreen is good for all ages and skin tones, and it’s also designed to protect your smile. Lip tissue is thin and delicate, and can easily be damaged by the ultraviolet rays which cause skin cancer and premature aging. 

If your regular sunscreen isn’t suitable for your lips, there are many protective lip balms designed especially for your smile.

• Make sure you get the proper level of protection. Dermatologists recommend lip balms with a minimum SPF (Sun Protection Factor) of 30.
• Reapply at least every two hours, and sooner if your lips get wet or if you’re eating or drinking.

Protect Your Smile with a Mouthguard

Mouthguards help protect your teeth from damage caused by impact, whether from hard surfaces or hard elbows! Any time there’s a chance of a fall or a collision, a mouthguard is a good idea. Use your guard for:

• Biking, in-line skating, skateboarding, or any activity where an unexpected fall is possible 
• Contact or low-contact sports like baseball, basketball, and soccer, where bodies collide with equipment or other bodies

If you play organized sports, you might already own a mouthguard. If not, talk to Dr. Daniel Ma about over-the-counter options or a custom-fitted model. And if you wear braces, no need to stay indoors! There are mouthguards designed to protect your teeth, cheeks, lips, and braces. Ask the team at our office for recommendations.

Hydrate

On hot days, our brains help regulate our body temperature. How? By sending the signal to start sweating! Some heat is transferred from our bodies to evaporate perspiration, which helps cool the skin. But that cooling perspiration comes at a cost—the water we lose through sweat can lead to dehydration. 

Water is essential for our health, and especially when it’s scorching outside. Drinking water throughout the day is healthier than drinking lots of water at one time, and your doctor can let you know the right amount of water for your body, since we’re not all built the same. A bottle of water doesn’t contain artificial ingredients, caffeine, or sugars, so it’s a great, healthy outdoor companion. 

More? Water is also great for your smile!

• Water washes food particles and bacteria away from teeth and gums for fresher breath and a healthier mouth.
• Most communities add fluoride to their water, and fluoride strengthens tooth enamel to help you fight cavities. If your local water supply isn’t fluoridated, talk to your dentist about other treatments which can provide fluoride’s cavity protection.
• Hydrating helps prevent dry mouth. Normal saliva production doesn’t just keep the mouth moist for eating and speaking—it also protects our teeth and gums as it washes away food particles and helps counteract excess acidity in the mouth.

Summer’s a Great Time for Dental Care

It’s easy to get distracted with summer activities and vacations—after all, they’re designed to be distracting! But don’t let your well-deserved fun in the sun distract you from your regular dental care. 

• If you haven’t started orthodontic treatment, summer is a terrific time to begin. You’ll have several weeks to get used to your braces or aligners before school starts in the fall.
• If you’re going on vacation, let Dr. Daniel Ma know. It’s necessary to keep adjustments to your braces or aligners on schedule so you can enjoy your beautiful smile as soon as you possibly can. Don’t delay your progress by missing appointments.
• Wear your appliances or bands as directed. If you don’t put in the hours with your aligners or your bands, you’ll be spending more time in treatment than you need to.
• Regular dental exams catch small problems before they become larger ones, and cleanings make sure your smile is bright all summer long. If you’re overdue for a visit to your dentist, make room in your schedule for a checkup.

Summer can be a time to relax, renew, and recharge. While you’re enjoying those extra hours of sun, take care of your oral health for a beaming smile which will look great on you any time of year!

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. Daniel Ma 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 Vancouver, BC office.