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There are many reasons why people love autumn in Youngstown, OH. Crisp air. Jeweled leaf tones. Reuniting with school friends. Fall sports. Halloween and Thanksgiving.

But there’s one thing about autumn which never appears on anyone’s favorites list: it’s the start of cold and flu season. If you’ve fallen ill, we have some ideas for taking care of yourself—and your dental health—as you recover.

• Stay Hydrated

Proper hydration is vital for healthy skin, temperature, digestion, and other bodily functions. Sweating, fever, diarrhea, and vomiting—common symptoms of colds or flu—cause dehydration.

Dehydration also creates problems for your oral health. Hydration ensures healthy levels of saliva. Saliva helps prevent cavities by washing away bacteria and food particles and neutralizing oral acidity. Saliva bathes the teeth in minerals which keep tooth enamel strong. Hydration also supports healthy bone and connective tissue, which encourages faster orthodontic healing as your teeth move into their ideal positions.

Even if you don’t feel like eating when you’re ill, be sure to drink the liquids you need to stay hydrated. For your dental health, try to avoid overdoing sugary beverages and acidic drinks.

• Eat Healthy Foods

It’s always a good idea to eat nutritious foods, but it’s especially important when you’re not feeling well. Fatty and greasy foods are hard to digest. Processed, sugary, and fast foods filled with empty calories don’t provide the protein and nutrients which can encourage a speedier recovery. And studies suggest that sugar-filled foods can suppress your immune system, the network of cells and organs working together to prevent and fight infection.

A diet rich in proteins, vitamins, and minerals will help you recover when you feel up to regular meals again. Foods which contain nutrients like calcium, phosphorus, and vitamin D are necessary for healthy teeth. Vitamins A and C are essential for gum health and bone density, which is especially important while you’re in orthodontic treatment.

• Minimize Exposure to Germs—For Yourself and Others!

To help prevent catching colds and flu, be mindful that viruses and bacteria can live for hours and even days on non-porous surfaces like phones, keyboards, and doorknobs. Washing your hands with soap and water before touching your mouth, nose, or eyes, before brushing and flossing, and before you cook and eat will help you eliminate most of the germs which cause colds and flu.

If you do catch something, be mindful of your interactions with others. You can help stop the spread of germs by limiting contact with other people, masking, and covering your mouth and nose when you sneeze or cough.

Protect yourself and those around you by being careful with dental hygiene. Never share your toothbrush with others. Don’t let toothbrushes touch in a common container. Always let your toothbrush air-dry since germs prefer moist environments.

And, while it’s unlikely that you’ll re-catch a cold from your toothbrush, brushes are only at their best for three to four months. If yours is past its prime, post-illness is a perfect time to replace your old brush with a clean new one.

• Be Choosy with OTC Medicine

Many cough syrups and cough drops are filled with sugar. Consider sugar-free syrups, or, if you use cough or cold medications which include sugar, rinse or brush afterward.

Look for sugar-free cough drops, which won’t bathe your enamel in sugar as they dissolve. And never crunch down on cough drops. A chipped tooth, cracked enamel, a broken bracket, or a warped wire certainly won’t make you feel better!

• Keep Up with Your Brushing and Flossing

Even when you feel weak and tired, it’s important to brush and floss as usual—with one exception.

Vomiting brings up harsh stomach acids which weaken the mineral bonds keeping tooth enamel strong. Brushing right away can spread these acids around your mouth and your enamel. If you vomit, rinse your mouth with water and wait 30 minutes before brushing to allow your enamel to come back to full strength.

• Stay Home When You’re Sick

You’ll get better faster when you take care of yourself, which includes getting the rest you need to recover. And beyond doing something for your own health, you won’t be risking the health of the people around you.

If you have an appointment scheduled with Dr. Anthony Bisconti, reschedule as necessary. Your orthodontic team at Bisconti Orthodontics will be happy to accommodate you to prevent the spread of colds and flu and to make your appointment a more comfortable one.

Don’t let cold and flu season ruin one of the most beautiful times of the year! Follow your doctor’s advice, take good care of yourself when you’re ill, and visit Dr. Anthony Bisconti again once you’re feeling better to keep your treatment on track.

If the scariest part of Halloween in Youngstown, OH is trying to figure out which treats are braces-friendly and which treats are braces-frightful, we have a fiendishly simple suggestion to help keep your brackets and wires safe from harm: ghost any treats which are chewy, crunchy, hard, or sticky!

It’s no mystery how certain candies and treats can cause trouble for your braces. The pulling effect of chewy candies like caramels can pull a bracket right off your tooth. Biting into a hard candy can break a wire. Crunchy treats can get stuck under wires and damage braces. Sticky foods pull on your wires and brackets.

Broken braces are no fun. Loose or detached brackets can be uncomfortable. Bent or broken wires can cause sores and cuts inside your mouth. Damaged braces mean extra trips to Bisconti Orthodontics for repairs, and can even delay your treatment if the damage is significant or you can’t see Dr. Anthony Bisconti right away. 

And chewy, crunchy, hard, and sticky treats have a haunting effect on your dental health as well. These foods stick to brackets and wires and can be difficult to brush or floss away. Cavity-causing bacteria feast on the sugars and food particles left behind, putting you at greater risk for cavities.

So, what specific treats should *vanish* from your candy collection this Halloween? Here are some of the most damaging to braces: 

• Chewy caramels, taffy, fruit chews, gum, and licorice
• Crunchy candied apples, caramel popcorn, peanut brittle, nuts, and popcorn balls 
• Hard and hard-shelled candies, lollipops (especially with gum centers), and jawbreakers
• Sticky gummies, jellybeans, and candy corn

But it’s not all frightful news! There are many spook-tacularly good treats which you can enjoy without putting your braces in jeopardy:

• Peanut butter cups
• Soft chocolate bars (with no nuts or caramel hiding inside!)
• Soft cupcakes
• Pudding cups
• Mint patties
• Ice cream
• Sugar-free gum (if it’s okay with your orthodontist)

And here are a few good tricks for keeping your teeth and gums healthy, whether or not you wear braces:

• Brush and floss after treats. 
• Enjoy sweets in moderation. 
• Skip the sour candies. Acidic foods can damage tooth enamel.
• Eat treats with a meal. Eating increases saliva production, which helps neutralize acids and wash away food particles.

Don’t let a damaged bracket or wire spoil your Halloween fun. Talk to Dr. Anthony Bisconti to learn which candies are a treat for both you and your braces and you’ll stay on the fast track to a boo-tiful, healthy smile!

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. Anthony Bisconti. 
• 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. Anthony Bisconti 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 Bisconti Orthodontics in Youngstown, OH, 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!

All over the Internet you'll find videos and articles showing how you can close the gap between teeth or space them out. There is a plethora of DIY orthodontic techniques out there — you can even mail order your own impressions to get clear aligners, without even seeing a dentist or orthodontist. Following the instructions laid out in these videos and articles (by people who have zero training in orthodontics) is about the worst decision you can make for your overall oral health.

Performing DIY or at-home orthodontia can lead to or cause:

• Loss of teeth
• Infection
• Cavities or infections that are missed or undiagnosed
• Gum damage

Dr. Christina Carter, president of the Northeastern Society of Orthodontists, says that DIY orthodontics can have terrible consequences. She spoke to TODAY about closing gaps between teeth using rubber bands or elastics:

"The teeth are connected to the gums and the blood supply and there is a risk of infection, of tearing the gums which might not heal properly, and a risk of damaging the attachment between the tooth and gums so the tooth no longer gets the support it needs." She also noted, "A simple rubber band can actually slide up the tooth and cut all the attachments to it and you can actually lose a tooth."

One of the worst parts about DIY orthodontics is that you never consult with a trained orthodontist, so you're really operating on a dangerous lack of information. It's best not to risk damage to your teeth or infection. Let Dr. Anthony Bisconti know what you want to accomplish with your teeth and we will help you find the safest and most cost-effective way to achieve it.

Dr. Anthony Bisconti want you to be informed and practical about your oral health. Should you have any questions about orthodontic treatment options, please do not hesitate to give us a call at our convenient Youngstown, OH office.