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If you have been thinking about getting a piercing, or if you already have one or more, there are some health risks our team at our office wants you to know about. It's important to know the risks involved with oral piercing, including infection, chipped teeth, gum damage, nerve damage, loss of taste, or tooth loss that could occur as a result.

Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Many people who have piercings tend to regularly touch them, paving the way for bacteria to enter piercing sites. Also, food particles that collect around piercing sites can lead to infection.

Besides hindering your ability to talk and eat, oral piercing also leads people to develop a habit of biting or playing with their piercings, which can lead to cracked or fractured teeth. While the fracture can be confined to the enamel of the tooth and require a simple filling, you also run the risk of the fracture going deep into the tooth, which may require a root canal, tooth extraction, and additional dental treatment.

If you still decide to get an oral piercing, you should realize that it will take some time to heal (anywhere between four to six weeks) and it may be very uncomfortable. Also please keep in mind that it will be an added responsibility to your life, as it will require regular upkeep. We want you to make sure that you’re committed to the task of taking care of it for the full healing period and beyond.

We encourage you to clean the piercing with antiseptic mouthwash after eating, and brush the jewelry each time you brush your teeth. If you have any questions, please don't hesitate to give us a call!

One of the sure signs that summer has arrived is the unmistakable aroma of barbecue drifting over backyards across the country.

If you’re new to braces, you might be wondering just how many of your favorite outdoor treats can still go on your plate. Good news! You have a lot of braces-friendly options available—with a little extra planning on your part. Two things to remember: tools and textures.

• BBQ Tools

We’re not talking about spatulas and tongs and skewers—the barbecue tools we’re talking about here are your knife and fork. Sure, many classic BBQ dishes are finger foods, but those are the very dishes which can cause problems for your braces.

Eating savory ribs or chicken legs, juicy burgers or hot dogs, or delicious corn on the cob the traditional way means biting into these foods with your front teeth. That biting puts a lot of pressure on your braces and can lead to bent wires and loose or broken brackets.

But there’s a way to get around this without giving up on your tasty favorites! There’s no rule against using your knife and fork at a BBQ, and there’s no need to bite into foods when you can cut them up into small, manageable pieces.

If you remove meat from bones before eating, if you deconstruct your grilled burger or brat by cutting it up into smaller pieces, if you slice the kernels off your corn on the cob, you can chew with your back teeth and avoid any damage to your brackets and wires. Cut grilled foods into manageable bites just like you do with your regular meals, and you won’t be leaving the party early!  

• BBQ Textures

Now let’s talk texture. Crunchy, hard, and sticky foods should never be on the menu when you’re wearing braces. These foods can damage your wires and brackets or get stuck between your braces and your teeth.

This is a time for clever substitutions. Exchange the corn chips for soft potato or pasta salad. Trade crusty and seeded buns for softer, seedless versions. Skip the grilled sticky s’mores and enjoy creamy, soft ice cream instead—but without nuts or other crunchy, sticky additions, please!

Dr. Daniel Ma and our team are happy to offer suggestions for what to eat and how to eat it safely while you’re in braces at our Vancouver, BC orthodontic office. There are unavoidable events that can put a damper on outdoor activities. Pouring rain and insect pests—not much we can do about those. But taking simple precautions with your braces means no bent wires and broken brackets to ruin your BBQ fun. Now, dig in!

When we think of sports and dental damage, we naturally think of hockey and football. But when it comes to the actual number of dental injuries suffered each year, vying for top seed is the game of basketball.

How is this possible? After all, football and hockey are categorized as “collision sports”! But along with the helmets, shin guards, and padding, these teams quite often require mouthguards—and this makes all the difference. Studies have shown that an increase in the number of players wearing mouthguards means a decrease in the number of oral traumas.

And while basketball isn’t considered a collision sport, it is a contact sport. Basketball is a combination of running, jumping, hard surfaces, and solid bodies. And elbows. We can’t forget elbows. So a broken or even a knocked out tooth isn’t, unfortunately, all that unusual when bodies in motion meet hard surfaces—or other players. But there are other dental dangers as well. Besides tooth injuries, oral injuries can involve:

• The ligaments and bone structures holding teeth in place
• Bones in the upper and lower jaw
• Delicate gum, tongue, and mouth tissue.

You need a solid defensive strategy to reduce the severity of oral injuries or to prevent them from happening altogether, especially when you wear braces. The best play in your playbook? Wearing a mouthguard!

Choosing the right guard is key. There are three common options, and you can choose the model which works best for you:

• Stock guards, which are ready-made guards in pre-formed shapes and sizes. You can buy them over the counter in drug stores and sporting goods stores. Because these guards aren’t shaped to fit your teeth and mouth specifically, they can be less protective (and harder to speak around).
• “Boil-and-bite” guards can also be purchased, and can provide a closer fit. After warming the guard in hot water as directed, you place it in your mouth and bite down firmly to mold it to your teeth.
• Dr. Daniel Ma can make you a mouthguard that is designed and crafted specifically for your use. Because this guard is custom-fitted, it provides better protection for your teeth and mouth. Patients often find custom guards much more comfortable and more durable as well.

Mouthguards are most effective when you wear them on the court and care for them off the court. This means avoiding a few flagrant fouls.

• Dirty play

All those moist nooks and crannies inside your mouthguard are a perfect environment for bacteria, mold, and plaque buildup. You should clean your mouthguard carefully every time you wear it, and let it air dry before popping it back in the case. Ask Dr. Daniel Ma for advice on getting your guard and its case their cleanest.

• Failure to sub out in a timely fashion

Mouthguards don’t work if they’re damaged. If you notice any warping, breakage, or jagged or sharp edges, contact our Vancouver, BC office for a replacement. If a guard doesn’t fit you properly, it doesn’t protect you, and sharp edges can irritate or injure delicate mouth tissue.

• Unnecessary roughness

Your mouthguard protects you, so don’t forget to protect it! Keep your guard in its case when you’re not wearing it to save it from dirt, damage, and disappearance.

If you know your basketball, you know your guard game can make all the difference. Even though a mouthguard might not be mandatory on your team, that doesn’t mean it’s not essential. Remember that basketball is a contact sport, and protect your teeth, your mouth, and your braces with a mouthguard whenever you play.

Whether you’ve chosen traditional braces or invisible aligners, congratulations! You’ve taken the first step on your way to a beautiful, healthy smile. Of course, like every other journey, a good start helps you get where you’re going as quickly and easily as possible. And the best way to start your orthodontic journey at our office is with a visit to your dentist for a checkup and a cleaning.

Dr. Daniel Ma and our team will want you to make sure your teeth and gums are healthy before you begin. A complete dental exam will let you know if you have any dental conditions that need to be addressed before you get braces or aligners. Why be proactive? Because if you need dental work during your orthodontic treatment, it can cause delays in your treatment plan.

• Cavities

Cavities grow over time and can eventually reach the inside of the tooth, causing infection and damaging the pulp. For this reason alone, it’s best to find and treat cavities before you get braces or aligners.

If you’re wearing braces when a cavity’s discovered, the situation gets a bit more complicated. Your dentist might be able to work around your braces if the cavity is easy to reach. But if a cavity’s near your brackets, Dr. Daniel Ma might have to remove a wire or bracket before treatment can start. This means scheduling different appointments to a) remove a section of your braces, b) repair your cavity, and c) replace your bracket and/or wire. See what we mean? Definitely more complicated.

• Gum Disease

While serious gum disease is most common in adults, children and teens can suffer from early-stage gum disease. Your gum health affects your orthodontic treatment—and can be affected by it, too—so your gums need to be healthy before you begin wearing braces or aligners.

Early gum disease can frequently be reversed with careful brushing and flossing habits. Because advanced gum disease weakens the bone under the teeth, patients with this kind of gum disease will need dental or periodontal treatment before any orthodontic work.

• A Clean Start

Once you’ve made sure your teeth and gums are healthy, there’s one more proactive step you can take for a better orthodontic experience. Whenever you’re at the dentist for an exam, it’s always a good idea to get a professional cleaning. It’s especially important when you’re getting—or wearing—braces.

Even with the most dedicated everyday brushing and flossing, plaque and tartar can build up, especially between and behind the teeth. A professional cleaning by an expert is just what you need to remove any plaque or tartar that you’ve missed before you start wearing braces or aligners.

And keep up with professional cleanings while you’re in treatment. It can be difficult to clean around brackets and underneath wires. Your dental team knows how to gently and thoroughly clean plaque from these hard-to-reach spots. In fact, Dr. Daniel Ma and your dentist might recommend that you have your teeth cleaned more often while you’re wearing braces.

• Your Best Bonding Experience

If you’re getting metal brackets, ceramic brackets, or lingual braces, your brackets will be applied to your tooth enamel with a special bonding glue. Applying brackets to teeth that are their cleanest will start you off with the best possible bond.

If you need dental work while you wear braces, we can certainly accommodate that. But why make life more difficult? See your dentist for a cleaning and an exam and get any necessary dental treatment before you get your braces at our Vancouver, BC orthodontic office. The easiest journey to a lifetime of beautiful, healthy smiles begins with a good start!