Day-to-day Living with Braces and Orthodontics
                   
What                   is an adjustment and how is it done?                   
                     In a nutshell,                     the elastic ligatures are changed, and sometimes the arch                     wire is also changed. For a detailed description of the                     procedure, read About Tightening/                     Adjustment.                    
I seem to be                   drooling more, now that I have braces. Why?                   
                     Excess saliva                     (drool) is actually very common. Apparently your mouth                     mistakes the feeling of the brackets on the inside of your                     cheeks for food, and sometimes produces extra saliva to help                     digest it.                    
Suddenly I've                   developed gaps between teeth which never had gaps before.                   Should I be worried?
      It                   is very common for your teeth shift and develop gaps while                   treatment is underway. Your bite will change many times during                   your treatment. Remember than any strange gaps or bite                   problems will be resolved by the time your treatment is                   finished. If you are really concerned, mention it to your                   orthodontist.      
Do I really                   need to brush my teeth after every meal when I'm wearing                   braces? What a pain!                   
                     Yes and no.                     Yes, you should, because depending on what you eat, food                     gets stuck in and around the brackets. Besides looking                     gross, it causes tooth decay and bad breath. It also feels                     yucky. Some people can't stand the feeling of food stuck in                     their brackets. You wouldn't believe how much food can get                     stuck -- often more than you'd imagine!
However,                     if you let the brushing slide every so often, it's not the                     end of the world. Just try to be as diligent as possible on                     a regular basis. At the very least, swish your mouth with                     water and try to pick out any food that is stuck in your                     brackets. It's also a good idea to floss each night, or at                     least a few times per week. Sometimes food gets stuck                     between teeth and you don't realize it until you floss it                     out.
Some                     dentists also recommend a fluoride mouth rinse, such as                     ACT, which is available in most supermarkets and pharmacies,       and comes in many flavors (including bubblegum
 and       mint
). 
My teeth       really hurt! What can I do to ease the pain?       
       In the first       weeks after you get your braces on, your mouth will be sore       and your teeth will hurt. Most people take ibuprofen        (Motrin/Advil) or acetaminophen (Tylenol) to help ease        the pain. Cold drinks or cold foods (such as frozen        yogurt, milkshakes, ice cream, or just plain ice water)        may also help.       
What can I       eat? Should I really avoid the foods       on my orthodontist's "don't eat" list?
      It is best to eat only soft foods       that are easy to chew. Do not take big mouthfuls. Chew       carefully and slowly so that you don't gag or choke. Avoid stringy foods like melted cheese       that forms big strings, and long stringy pasta -- they will       get stuck in your brackets and may cause you to gag. Cut       your food into small pieces. No biting into large sandwiches       -- use a knife and fork until you get the hang of wearing       braces! I ate hamburgers with a knife and fork the entire 3       years I was in braces!
      Read our pages of Soft Food       Suggestions to get some insight on what types of foods       you can manage. This stage will probably only last for a few       weeks, until you get used to your braces and your gums       "toughen up."        Your       orthodontist may have given you a list of foods that should       be avoided. These include gummy sticky foods (like Gummy       Bears), and very hard foods (like nuts or hard chips). But it       can also include things like ice cream and popcorn. Why?       Because many flavors of ice cream can include hard chunks.       The unpopped shell of popcorn can get stuck in your       brackets. Biting into any hard food might cause your       brackets to break or your wires to bend, so you must be       careful.
Will my       brackets pop off?
      Sometimes a       bracket will spontaneously pop off. There are a number of       reasons this can happen. Remember that your brackets are       glued on, so if the glue bond is broken, the bracket will       come off. If this happens to you, call your orthodontist       immediately to get it re-glued. It is normal for a bracket       to pop off occasionally. But if a bunch of brackets keep       popping off by no fault of your own, speak to your       orthodontist about it. Gluing on brackets can be tricky and       it may take a few tries to get it exactly right.
I don't want                   to wear my headgear during the day. Why                   can't I wear my it only at night?                   
                     Nobody likes                     to wear headgear, but it serves a specific purpose in your                     treatment. If you don't wear it as many hours as your                     dentist recommends, your treatment won't progress as fast,                     and you might wind up wearing the headgear additional                     months. It's best to just go along with what your dentist                     recommends and get it over with sooner.  Read A                     Few Words About Headgear for more information.                    
Why                   do I need to wear elastics?                   
                     Elastics help                     fine-tune the alignment of your teeth and your bite. There                     are many different ways that you can wear elastics for                     specific reasons.  You should wear the elastics the                     number of hours that your dentist recommends to help your                     treatment progress properly. (Wearing them "double                     time" or "double strength" to make up for                     time you spent without them is NOT advisable -- that could                     harm your teeth). Most people take elastics out                     before a meal, brush, then replace them after a meal.                   
How                   can I cope with canker sores when I have braces?                   
                     There are many                     ways to cope with canker sores. If the sore is near a                     bracket, you  can put some dental wax or dental                     silicone on the bracket to create a barrier, then apply some                     canker sore medication to the sore area. For more detailed                     information, read Ouch! I Have a                     Canker Sore!                    
Do                   ceramic (non-metal) braces stain?                   
                     The brackets                     themselves usually do not stain. It's the elastic ligatures                     that hold the arch wire to the bracket that stains. These                     are changed at each adjustment, when you get fresh clean                     ones. So, if your ligatures or power chains stain, you'll                     only have to live with it for a short time.                   
What                   foods stain the ligatures of your braces the worst?                   
What colors                   of ligatures or power chains resist stains the best?                   
                     Clear or white                     ligatures show yellow stains the worst. The best colors,                     according to ArchWired readers (and my own personal                     experience) are: smoke, pearlescent, glow-in-the-dark, and                     any dark vibrant colors. I have also worn light blue, which                     turn a pleasant teal color when stained by curry (i.e., blue                     ligatures plus yellow curry make greenish blue ligatures).                   
Can I       change my elastic ligatures ("o rings") myself at home?
                     Unless your       orthodontist has given you the go-ahead to do this, it is       NOT recommended! Yes, there are places on the web where you       can buy elastic ligatures and power chains, but even THEY do       not recommend that you change them yourself at home. The       reason is: putting extra pressure on your teeth at       inappropriate intervals can interfere with your treatment.       Read Changing Your       Own Ligatures for more information on why it is a bad       idea to change your own ligatures. 
Can                   I smoke cigarettes, cigars, or pipes with braces on my teeth?                   
                     Yes, you can                     smoke or chew tobacco, but both of these habits will stain                     your ligatures and may possibly stain ceramic brackets.                   
Is                   it OK to have braces if you are pregnant, or plan to become                   pregnant?                   
                     Yes, many                     pregnant women have had orthodontic treatment. Your teeth                     may be a bit looser than average because of the hormonal                     changes and the effect on your periodontal ligaments. But as long as you maintain good periodontal                     health, it shouldn't be a problem to wear braces if you're                     pregnant. For a reader's perspective on the subject, read Braces                     and Pregnancy.                    
Can                   you wear braces if you snorkel or scuba dive?                   
                     Yes, you can.                     It's probably best to have the braces on for a few months                     before snorkeling or scuba diving, so you can get used to                     the extra hardware in your mouth. For a reader's perspective                     on the subject, read Braces                     and Snorkeling/Scuba.                    
Can                   you wear braces if you play a wind instrument?                   
                     Yes, you can.                     Several companies make       mouth guards       and lip protectors specifically for this                     purpose. Ask your orthodontist for one that he/she                     recommends. Some orthodontists can make a custom lip guard       for you. 
How                   can I keep my braces clean after eating at a restaurant or                   traveling?                   
                     Most people                     who have braces carry a little dental kit to help them in                     such situations. A dental kit should contain a dental pick,                     some floss and floss threaders, a toothbrush, and some                     toothpaste. A travel cup is also a good idea. All these                     items are compactly offered in a product called      DentaKit       Braces Survival Kit. 
A                   wire at the end of my braces is poking my cheek. What should I                   do?                   
                     This is always                     an annoying and tricky situation. If possible, gob a bunch                     of dental wax at the end of the wire to stop it from poking                     you. You can also try a bit of cotton. Call your dentist or                     orthodontist and ask to come in ASAP so they can clip the                     wire. Please don't suffer needlessly with a poking       wire. After a day or two it can really painfully tear up the       inside of your cheek, so don't wait to get it clipped! Some orthodontists let you come in "as                     needed" for a clipping without an appointment.
By                     the way, the wire pokes you because your teeth have moved,                     displacing the end of the arch wire. Although this is                     annoying, it's a good sign that your treatment is                     progressing!                   
What about       braces and sports?
      Depending on       the sport, it is probably a good idea to wear some sort of       lip protector or mouth guard so the braces don't cut up the       insides of your mouth (and also to protect your teeth and       braces). Light contact sports will be made safer with a       simple       lip protector. Many heavy contact sports require a       larger mouth guard. If you are not sure what is appropriate       for you, ask your orthodontist. Sometimes, orthodontists       make custom-fitted mouth guards and lip protectors. 
How often       should I get my teeth cleaned when I have braces?
      Most dentists       recommend that people get their teeth cleaned twice per       year. For people with braces, this is especially important.       Even if you brush and floss very well, a professional       cleaning will ensure that you don't develop decay. When you       have braces, you should consider getting one or two extra       cleanings per year. They do not take off your arch wires or       brackets to do a cleaning. They usually work around your       braces, or use a device called a Cavitron, which is like a       high-powered Waterpik.