Our Blog

When we think orthodontics, we commonly think teeth. Naturally! Straight teeth and a beaming smile are everyone’s orthodontic goal. But orthodontics is a field which specializes in more than misaligned teeth. While your beautifully aligned teeth are the visible outcome of your orthodontic work, a properly aligned bite is the foundation for your healthy smile.

A malocclusion occurs when the teeth and jaws aren’t properly aligned—they don’t fit together the way they should when the mouth is closed. A malocclusion, or bad bite, affects many people to some degree, but not always in exactly the same way. Some of the different types of malocclusion include:

• Crossbite

A crossbite occurs when upper teeth fit inside lower teeth. An anterior crossbite refers to the front teeth, with one or more upper front teeth, or incisors, fitting behind lower front teeth. A posterior crossbite affects the back teeth, with upper teeth fitting inside the lower teeth on one or both sides of the jaw.

• Crowding

When the jaw is small and/or the teeth are large, lack of space can result in crowded, twisted, or crooked teeth.

• Open bite

An anterior open bite means that the front teeth don’t close when biting down, leaving an open space between the upper and lower teeth. A posterior open bite occurs when the back teeth don’t make contact when the front teeth close.

• Overbite

Our upper front teeth naturally overlap the lower ones a small bit when the teeth are closed. An overbite occurs when the upper teeth significantly overlap the lower teeth.

• Overjet

When the upper front teeth protrude too far forward over the bottom teeth, it’s called an overjet, or, sometimes, buck teeth. Where an overbite causes a vertical overlap, an overjet takes into account the horizontal relationship of the teeth.

• Spacing

A jaw that is large, teeth that are small, missing teeth—these conditions can lead to gaps between the teeth.

• Underbite

An underbite results when the lower teeth and jaw extend further forward than the upper teeth and jaw, causing the bottom teeth to overlap the top teeth.

If you have a malocclusion, what comes next? This depends.

Some malocclusions are so minor that no treatment is necessary. Some are the result of misaligned teeth. Some occur because the upper and lower jaws are growing at different rates. Some are a combination of teeth and jaw misalignments. Some are caused by genetics, while others are caused by injuries or habits like prolonged thumb sucking or tongue thrusting.

Because malocclusions are so varied, your treatment plan will be designed for your specific needs. Braces, aligners, appliances like the Herbst® appliance or the palatal expander, surgery for severe malocclusions—there is a larger variety of treatment options than ever before to help you achieve a healthy bite.

When teeth and jaws don’t fit together as they should, the consequences can be damaged teeth and enamel, problems with the temporomandibular joint, headaches and facial pain, and difficulty chewing, eating, and speaking.

The good news is that early intervention for children can help correct teeth and jaw problems before they become more serious, leading to easier orthodontic care in the teen years, and helping to avoid the possibility of surgery or extractions. This is why Dr. Gina Pinamonti and our team recommend an orthodontic assessment at our Pittsburg, KS office for children around the age of seven.

If you’re an adult with concerns about your teeth or bite, there’s good news for you, too. Dr. Gina Pinamonti can devise a treatment plan to improve your bite and your smile no matter what your age.

Of course, despite our title, there’s really no such thing as a “common malocclusion” when we’re talking about your dental health. Each person—and each smile—is unique. Dr. Gina Pinamonti will diagnose your malocclusion and create a personalized plan carefully tailored to your exact needs, for an uncommonly attractive, confident, and healthy smile.

How better to spend the fall months than inside by the fireplace with a warm cup of cider and a book in hand? Dr. Gina Pinamonti and our team at Gina B. Pinamonti, DDS Orthodontics encourage you to warm up your mind this fall season with a few great books. Sure it may be easy to put off reading when balancing a hectic schedule, but reading is vital to brain development. Besides, reading is always a blast!

This week, we thought we’d ask what you or your child are reading this fall. Do you have any suggestions for must-read books this year? Out of ideas for great fall reads? Ask us for suggestions, and we would be happy to provide a few. You may also ask a local librarian here in Pittsburg, KS for some ideas.

Happy reading! Be sure to share with us your fall picks or your all-time favorites below or on our Facebook page!

Press Pause

If you are getting braces in the near future, it’s very important to see your regular dentist first. That way, any cavities or other dental problems can be treated before your first orthodontic appointment at our Pittsburg, KS office.

Play it Safe

Once you have your braces, you’ll hearing a lot about how you need to be especially careful with your dental hygiene. Why? Because wires and brackets are obstacles to getting your teeth and gum area their cleanest. Plaque and food particles tend to stick to braces, and all too often can be missed while brushing. Plaque builds up around your gum line and brackets, and, in a very short time, can lead to sensitivity, demineralization, and cavities.

What can you do to prevent tooth decay?

• Increase Your Brushing Time

Instead of brushing twice a day, start brushing for two minutes after every meal. Put together a travel bag with a small toothbrush, toothpaste, floss, and interproximal brushes to clean your teeth when you’re on the go. If you absolutely can’t brush, rinse carefully with water, and then brush as soon as you can.

• Flossing—More Important than Ever

Use the flossing tools designed just for braces to make sure you’ve removed food particles and plaque from around your braces and gums. A water flosser can be helpful if manual flossing isn’t effective.

• Keep Up with Your Regular Dental Care

Schedule regular checkups and professional cleanings at your dentist’s office. They will be able to remove plaque you might miss at home.  

• Follow Our Advice

We’ll give you instructions on how to brush and floss, what products to use, and diet suggestions (such as keeping sugary and sticky foods off the menu and away from your braces). If we notice plaque building up around your gums and brackets, we’ll let you know that you need to step up your hygiene habits. We can also suggest rinses and toothpastes that help fight plaque.

But if, despite all your efforts, you do get a cavity? There are options!

• Ignoring Your Cavity?

Not an option. You shouldn’t wait until you are out of braces to get a cavity treated. This just gives decay a chance to spread further.

• Working With Your Braces

Repairing a cavity means removing the decay in the tooth, cleaning the area, and then filling the tooth. If your cavity isn’t located near your bands, brackets, or wires, your dentist might be able to work around your braces, and you can get your cavity treated during a regular dental appointment.

• Removing Parts of Your Braces for Treatment

Sometimes a cavity is located in a spot that your dentist can’t reach because of your braces. In that case, we’re able to coordinate with your dentist and remove a wire or bracket temporarily so you can have your tooth filled. Make an appointment to replace your bracket and re-attach your wire, and you’ll be back on schedule as soon as possible.

Fast Forward

Keep your eyes on your goal--you’re in braces because you want a beautiful smile. Keeping on top of your dental health is an essential part of creating that smile. Talk to Dr. Gina Pinamonti about tips for getting your teeth their cleanest. If you do develop a cavity, we’ll help you figure out the best way to treat it without causing too much delay in your orthodontic treatment. Taking care of your teeth now is the best way to create a future of beautiful smiles!

Orthodontic braces are used to straighten the teeth, which not only creates a more pleasing appearance, but also helps prevent tooth decay and other oral health problems. Braces are only effective when they are properly cared for, however. Certain foods, for example, are better suited for individuals who have braces, as opposed to hard and sticky foods that can cause damage. So, what types of foods should you or your kids eat to protect dental appliances?

The best foods to eat with braces are those that are not high in sugar and do not require excessive chewing. For breakfast, try eggs, yogurt, bacon, wheat toast, or oatmeal. Lunch may steer toward a banana rather than an apple, a salad without nuts, and a glass of water. If you are looking for some after-school snacks for your kids, consider baked tortilla chips with salsa and guacamole, or try string cheese with fruit.

A healthy dinner can include most types of vegetables, so long as they are cooked to an appropriate softness. Pair that with a lean protein, such as fish or chicken, and follow up with dessert. Just be sure to brush afterward!

Post-Tightening Foods

As braces begin to adjust the alignment of the teeth, our team at Gina B. Pinamonti, DDS Orthodontics will periodically tighten them to continue the alignment process. After tightening occurs, the teeth may be sore and sensitive to certain foods. During this time, it is best to eat soft foods. Examples include:

• Pudding
• Mashed potatoes
• Soup
• Ice cream
• Cottage cheese
• Peas
• Pancakes
• Pasta

Foods to Avoid

Anyone who wears braces – whether fixed or removable – should avoid excessive snacking and should aim to eat a healthy and balanced diet. It is also important to avoid foods that could cause damage to the braces, such as:

• Hard candies
• Gum
• Nuts
• Popcorn
• Certain raw vegetables (for example, carrots)

Considerations

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth, but it can also cause discoloration.

Have more questions about orthodontic treatment? The Gina B. Pinamonti, DDS Orthodontics staff is always ready to answer all of your questions and help you get the most out of the treatment plan prescribed for you by Dr. Gina Pinamonti!