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What's in my mouth? A Rundown of Orthodontic Appliances

July 16th, 2025

Dr. Gina Pinamonti and our team correct the alignment of your teeth and jaws so that you can speak clearly, chew food effectively, and look attractive when you smile. We do this by putting sophisticated gadgets in your mouth. While many of these dental devices look similar, we use a wide variety of orthodontic appliances to straighten your teeth and repair jaw problems.

Orthodontic appliances are devices that move your teeth, change the position of your jaw, or hold your teeth in their finished positions after your braces are removed. These devices may be attached to your teeth or removable.

Braces straighten your teeth. Brackets, bands, and wires characterize traditional braces. Braces are attached to the teeth, so they are not easily removable.

Spacers are small plastic rings fitted between your back teeth before your braces are placed by Dr. Gina Pinamonti. These spacers create space between your teeth to optimize the alignment your braces provide.

Retainers hold teeth in their finished position after your braces come off. A Hawley retainer is the most common type of retainer; it features an acrylic plate that rests against the roof of your mouth and a wire crossing in front of your teeth. Essex retainers are quite popular, as they are durable and nearly invisible.

Bite plates correct a deep bite, where the upper front teeth come down too far over the lower front teeth to cause bite problems.

Holding arches prevent the back teeth from moving forward to crowd the front teeth. A lower lingual holding arch prevents your permanent molars from migrating forward. The Nance holding arch maintains space between teeth after you lose baby teeth and before the permanent teeth come in.

A palatal expander widens your upper jaw by separating the bones of your palate. This appliance helps your top and bottom teeth fit together better. The Quad Helix widens your jaws to create more room for crowded teeth.

Contact our Pittsburg, KS office today to learn more about the ways we can improve the appeal and function of your smile.

Getting a Retainer? Make It Personal!

July 9th, 2025

If Dr. Gina Pinamonti and our team recommend a Hawley retainer to complete your orthodontic treatment, you’re getting a classic. This retainer, invented by Dr. Charles Hawley, has been in use since the early decades of the twentieth century.

But this isn’t your great grandmother’s pink plastic retainer! The look of today’s Hawley retainer has really evolved from its early days as the “Hawley bite plate”—and pink is now a choice instead of an inevitability. In fact, you can choose from any number of colors, patterns, and designs to create a retainer that is uniquely you.

Each Hawley retainer is customized to fit your mouth and teeth perfectly. Wire clasps and a labial bow wire are securely attached to an acrylic base based on a model made from your teeth and mouth.

Your retainer is designed for function—the bow wire makes sure your teeth stay in the perfect position while your bones and ligaments get strong enough to hold them in place. The acrylic base, of course, is also functional—but that doesn’t mean you can’t have fun with it!

Retainer bases can be formed in different ways.  One type of retainer model uses pre-formed acrylic discs for the base, and these are available in many pre-formed colors and patterns. Another type of retainer builds the base by alternating several applications of liquid and powder acrylics, layer after layer. This process allows the retainer technician to create one-of-a-kind designs.

What are some of the ways to make your retainer uniquely yours?

  • Color—whether deep tones, pastels, electrics, neon, or metallic, you can find an appealing shade in the color chart. Or, if you want your retainer to keep a low profile, choose a clear or a color-coordinated pink tone.
  • Glow in the Dark—if you don’t want your retainer to keep a low profile, this might be just the look for you!
  • Glitter—accessorize your sparkling smile with a sparkling retainer.
  • Patterns—stripes, polka dots, geometric shapes—even animal patterns are possible.
  • Color Combinations—why choose one color when you can have a marbled swirl of your favorites? Or a tie-dye look? Or team colors?
  • Acrylic Designs—a colorful design that captures your personality is available with some creative acrylic artistry. Rainbows and flags, hearts and flowers, ladybugs, and spider webs are just some of the options on hand.
  • Picture Perfect—for that special hobby, pet, team, or other personal favorite, decals or pictures can be applied under a layer of clear acrylic.

Hawley retainers are made to last, so choose your design with years of use in mind. Talk to our Pittsburg, KS team about the custom looks which are available to celebrate your unique personality. After all, there’s nothing more personal than your smile!

Celebrate the Fourth with a Smile!

July 2nd, 2025

Surveys show that Independence Day is the biggest cookout day of the year. If you’re celebrating with a feast of hot dogs, fresh grilled corn on the cob, burgers, and other traditional treats, we have some tips to help make your holiday dining fun for you and safe for your braces, so you don’t miss out on any of the fun in Pittsburg, KS! 

  • Skip the “Finger Foods”

Traditional BBQ fare like ribs, burgers, chicken legs, and corn on the cob are usually eaten with fingers, not utensils. This means biting into these delicious favorites with your front teeth, which puts pressure on your braces and can lead to bent wires and broken or loose brackets. 

But being careful with your braces doesn’t mean you have to miss out! Use a knife and fork to cut food into smaller pieces or cut the kernels off the cob, and you can chew with your back teeth, protecting your brackets and wires. 

  • Edit The Menu

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. 

A Fourth of July BBQ is the time for clever substitutions. Exchange crusty rolls and seeded buns for softer, seedless versions. Dig into the potato or pasta salad instead of munching on crunchy chips. Skip hard candies, nuts, and sticky smores and enjoy creamy soft desserts like yogurt parfaits, colorful berries, and soft ice creams.

  • Water’s Always a Good Choice on a Hot Day

Proper hydration is essential for both your overall health and your oral health. Drinking water helps prevent cavities by washing away food particles and bacteria and reducing acidic conditions in the mouth. A swish can help dislodge food from your braces when you can’t get to a toothbrush. And water, unlike some darker beverages, won’t stain the enamel next to your brackets.

  • Keep Up the Good Work

During your busy holiday, whether at home or on the road, be sure to make time to brush and floss as directed after meals and before bed. 

Talk to Dr. Gina Pinamonti about easy ways to protect your braces and teeth for stress-free holiday dining. Everyone at Gina B. Pinamonti, DDS Orthodontics wants to make sure that, whether you’re enjoying a meal with family and friends, marching in the parade, oohing and aahing at the fireworks, or all of the above, your Fourth of July is filled with healthy, happy smiles!

Gum Disease Awareness

June 25th, 2025

February is Gum Disease Awareness month, a timely reminder that preventing gum disease is one of the best ways to protect our oral health. 

Gum disease is easily treated in its earliest stages. Left untreated, the progressive nature of gum disease makes it one of the leading causes of tooth loss in adults. 

And while we often think of gum disease as an older person’s disease, the fact is that teens and young adults can suffer from gum disease, too. Irregular brushing and flossing habits, hormone fluctuations, family history, and even orthodontic treatment can make people of any age more vulnerable to gum disease.

Let’s take a moment in this shortest month of the year to discuss how understanding, treating, and, above all, preventing gum disease can help us enjoy long-lasting healthy smiles.

How Gum Disease Develops

Gingivitis is the first, mild stage of gum disease. 

  • Gingivitis begins with plaque. 
  • Plaque irritates gum tissue, causing inflammation, which is the body’s reaction to injury or infection. 
  • Typical symptoms include gums which are swollen or red. The gums might feel tender or bleed easily when you brush or floss. You could develop persistent bad breath. 

With proper care, gingivitis is reversible. Because gingivitis symptoms can be very mild, they’re sometimes overlooked. That’s why it’s important to keep up with regular checkups to discover and treat the disease in its earliest stages. 

Periodontitis is a serious gum disease which is destructive to the structures which support our teeth: gums, connective tissue, and bone. 

  • Plaque, when it’s not removed, hardens into tartar, which can form on the tooth above and below the gumline. 
  • The gums pull away from plaque and tartar deposits, creating a space between the gum tissue and tooth roots. 
  • As the gums continue to recede, pockets form between the teeth and gums.
  • Infection-causing oral bacteria thrive in these pockets. Gum infections can lead to painful abscesses—but gum disease is not just an infection.
  • The body normally responds to bacterial infection with inflammation. With periodontitis, this inflammation becomes destructive chronic inflammation. 
  • Over time, chronic inflammation and infection break down the gum tissue, bone, and connective tissue holding teeth in place. Teeth become loose or shift out of alignment.

The tooth’s support structure eventually becomes so compromised that extraction is the only option. That’s why prompt treatment is essential.

Treating Gum Disease

Several options are available to treat gum disease, depending on its severity.

Treatment for gingivitis can be as simple as paying more careful attention to your brushing and flossing and, if necessary, seeing your dentist for a professional cleaning. In some cases, your dentist might recommend an antimicrobial mouthwash or rinse.

Periodontitis requires specialized treatment from your dentist or periodontist, and this treatment will be based on how advanced the condition is:

  • Topical, oral, or time-release medications treat infection.
  • Non-surgical deep cleaning procedures called scaling and root planing remove plaque and tartar above and below the gumline, allowing gum tissue to reattach to the tooth. 
  • Flap surgery treats more advanced gum infection by reducing pocket depth and re-securing the gums snugly around the teeth.
  • If needed, bone grafts, gum grafts, and other regenerative procedures are available which help repair and restore damaged tissue.

Preventing Gum Disease

What many people aren’t aware of is just how preventable gum disease is! Because wearing braces can make brushing and flossing more challenging, it’s especially important during these months to stay on top of your dental hygiene and be on the lookout for signs of gingivitis.

  • Brush twice a day for two minutes each time, after every meal, or more often if your orthodontist recommends it. 
    • Use proper brushing technique, angling your brush toward the gums to gently clean around and below the gum line. Be sure to brush around your brackets and under your wires. Use a soft-bristled brush to protect both gum tissue and tooth enamel.
  • Floss once each day, after every meal, or as directed by Dr. Gina Pinamonti. 
  • There are specialized brushes and flossers available to make cleaning around brackets and wires much easier. Electric toothbrushes and water flossers can also be helpful in removing hard-to-reach plaque. Ask Dr. Gina Pinamonti to recommend the flossing tools and techniques which will work best for you.
  • See your dentist regularly. Gum disease can be invisible in its beginning stages. Discovered early, treatment is simple and effective. 
  • Having your teeth cleaned every six months, or as recommended, will remove tartar buildup which brushing alone can’t handle. 

Your dental hygienist is experienced in cleaning teeth when patients wear braces. And you can get tips for better brushing and flossing techniques from the team at Gina B. Pinamonti, DDS Orthodontics in Pittsburg, KS, too!

Even when it seems like there aren’t enough days in the month or hours in the day, it takes just a few minutes daily to care for your gums and teeth. And when you’re aware of just how much those few minutes mean to a healthy smile, it’s time well spent!

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