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When a child is born, he or she will have 20 primary teeth and 32 permanent teeth. But sometimes kids are born with additional teeth, and our team at Bisconti Orthodontics calls this oral condition "hyperdontia." Primary teeth are the first set of teeth that erupt in your child's mouth, typically by the time they are 36 months old, and are shed by the time your child reaches the age of 12. Permanent teeth then take the place of the primary teeth and are usually fully-erupted by the time your son or daughter reaches 21 years of age. Anyone who develops more than 20 primary teeth or more than 32 permanent teeth has hyperdontia, and the additional teeth are referred to as supernumerary teeth.

While the cause of hyperdontia is not entirely clear, it is believed that there may be a genetic factor. Oral professionals have found that patients with extra teeth often have syndromes like cleidocranial dysplasia, Ehler-Danlos syndrome, Gardner syndrome, or cleft lip and palate. The prevalence of hyperdontia affects between one and four percent of the population in the United States, and the majority of cases are limited to a single tooth.

So, what is the best way to deal with hyperdontia? It really depends on the case. The treatment plan your doctor suggests varies according to the potential problem posed by the supernumerary teeth, as well as their type. Orthodontic treatment may certainly may help, but extraction can also be a good option. We recommend that children receive an oral evaluation or checkup no later than the age of seven. In addition to hygiene evaluation, this helps ensure your child does not experience hyperdontia problems.

If you suspect you or your child may be suffering from hyperdontia, please give us a call to schedule an appointment at our convenient Youngstown, OH office to be evaluated.

You’ve worked hard for your attractive, healthy smile, and now you’re making sure it stays attractive and healthy by wearing your retainer. Since wearing a retainer is usually a matter of years, not months, it’s natural to wonder just how long you can count on that retainer to help you maintain your smile.

That answer depends on the type of retainer you get at our Youngstown, OH office. A Hawley retainer, a clear retainer, and a fixed wire retainer have different lifespans. Because they each have their own advantages, Dr. Anthony Bisconti will recommend the retainer that’s right for protecting your individual smile.

So let’s look at the average lifespan for different retainers, and, equally important, some of the common mishaps that can shorten that working life.

The Hawley Retainer

This is the retainer most people picture when they think “retainer.” Made of wire securely attached to an acrylic base, the Hawley retainer keeps the teeth in place, and can even be adjusted, if needed, to improve alignment. They generally last anywhere from three to ten years.

How can you make sure your Hawley retainer keeps working for you as long as possible?

• Keep it in its case. While some damages to these retainers can be repaired, why take a chance? And it’s much harder to lose a retainer if it’s in its case as opposed to, say, a cafeteria napkin.
• Keep it away from your pet. Dogs, especially, are tempted by the taste and smell of saliva, but there are safer, less expensive chew toys out there.
• Keep wearing it. Without your retainer, your teeth can shift. Over time, not only will your retainer fail to fit anymore, but you might need to return for further orthodontic treatment. If you notice your retainer is starting to feel uncomfortable, give your orthodontist a call.

The Clear Retainer

Clear retainers look like clear aligners, and, like clear aligners, are almost invisible. Made of vacuum-formed plastic, they’re designed for a close, comfortable fit, often around the entire arch of your teeth. Also like clear aligners, these retainers aren’t made to last forever. If they become loose, warped, or cracked, they should be replaced. With care, they can last from six months to several years. How to protect them?

• Protect your retainer from damage. Keep it in its case when you’re not wearing it. You’ll avoid losing it, and you’ll avoid damaging it.
• Protect it from teeth. And we don’t just mean pets, although they find clear retainers yummy, too. If you grind your teeth, your retainer can suffer. Clear retainers are not the same thing as night guards, so talk to your orthodontist for recommendations.
• Protect it from heat. Hot surfaces like ovens or heaters, hot dashboards, washers and dryers, even very hot drinks can be a problem. (You should only be drinking water while you wear your clear retainer, so that particular issue shouldn’t arise!)

The Fixed Retainer

A fixed retainer is a small piece of wire that is custom-fit and bonded to the back of specific teeth to prevent any movement from occurring. Because it’s bonded to the inside of the teeth, a fixed retainer is completely invisible when you speak or smile. It can last five years, ten years, and in some cases, even longer. Even though you won’t be exposing this retainer to external dangers like hungry pups or the wash-and-rinse cycle, there are still some situations to watch for:

• Watch your diet. The same sticky, crunchy, or hard foods that can damage brackets and wires can also loosen a fixed retainer.
• Watch your dental hygiene. While cleaning around a bonded retainer can be a bit challenging, not cleaning around it can result in plaque and tartar buildup—and your retainer might have to be removed to clean your teeth.
• Watch for changes. If your teeth start to shift, it could mean your retainer has detached from one or more teeth. Ask your dentist to check the retainer’s bond whenever you have a checkup.

So, how long will that retainer last? Depending on the kind of retainer you have, if you don’t keep it in its case, or if you don’t watch your diet, or if you expose it to heat, the answer is—not nearly long enough. Dr. Anthony Bisconti will give you the very best tips to keep your retainer clean, safe, and working for as long as possible. Now, it’s up to you!

Did you know that there’s a World Orthodontic Health Day in May? Or that National Orthodontic Health Month takes place in October? You may not have circled these days on the calendar—in fact, this might be the first time you’ve heard about them! But celebrating these special days is just one way that orthodontists share the health benefits of orthodontic treatment with us.

That’s because orthodontic treatment is about more than creating a beautiful smile. With the help of Dr. Anthony Bisconti, you might also be creating:

• Healthier Teeth and Gums

When your teeth are aligned, it’s easier to prevent tooth decay and gum disease. Crowded, crooked, or overlapping teeth make it harder to brush and floss as effectively. Plaque that builds up in those hard-to-reach places on the tooth enamel helps create cavities. And over time, built-up plaque turns into tartar, a leading cause of receding gums and gum disease. Straight, properly spaced teeth make efficient brushing and flossing a breeze!

• A Comfortable, Functional Bite

A malocclusion, or bad bite, occurs when the teeth and jaws don’t align properly. In a healthy bite, teeth aren’t crowded, twisted, or spaced too widely apart. The top teeth should slightly overlap the lower teeth. And the ridges of your upper molars should fit smoothly with the grooves of the lower molars.

If your bite is off, you’ve probably noticed chewing pain, headaches, or jaw pain. Over time, malocclusions can lead to worn enamel, cracked teeth, and tooth grinding, and have been linked to mouth breathing, which dries out the mouth and isn’t good for your dental health. Braces or aligners, with other appliances if needed, can not only correct a malocclusion, but prevent the very uncomfortable side effects of a bad bite.

• Improved Facial Symmetry

Malocclusions affect facial symmetry. Underbites occur when the lower jaw is too large, while small lower jaws can cause serious overbites. Bite problems can mean overjets (also called “buck teeth”), or open bites (where the front teeth don’t touch when the mouth is closed). Crossbites result in one or more upper teeth fitting inside the lower teeth. These conditions can affect both facial balance and profile.

With the use of braces and appliances like palatal expanders, Herbst® appliances, or headgear, Dr. Anthony Bisconti can guide jawbone development while a child’s bones are still growing. For older patients, we can design a treatment plan to align teeth, correct malocclusion, and improve facial symmetry.

• Psychological Benefits

We can’t forget the invisible benefit of orthodontic treatment: a happy, comfortable smile is a great confidence-booster! If you’re reluctant to share your smile with the world, a visit to Dr. Anthony Bisconti can let you know just what to expect from treatment, and just how it can improve your life.

Because it’s so important to both our dental health and our overall well-being, we’re happy to celebrate orthodontic health on special days throughout the year. And let’s also celebrate the fact that there’s no calendar deadline when it comes to scheduling a healthier smile! Whether it’s early treatment for younger children to guide jaw growth, or the common orthodontic treatment window during the teen years, or adult treatment to create the smile you’ve always wanted, help is available at our Youngstown, OH office whenever you’re ready to set the date!

The weather out there might be frightful for most of us, but not for you! You’ve been waiting all year for a fresh coat of powder and all the outdoor sporting activities winter brings. But before you grab those ski poles, strap into that snowboard, lace up those skates, or dust off that sled, be sure to remember one more essential piece of gear—your mouthguard!

Mouthguards aren’t just for contact sports. While all that lovely new snow looks like powder, it doesn’t feel like it when you land hard. If there’s a chance of a fall or an impact in any sport, there’s a chance you can suffer dental injuries.

Falls or collisions can result in chipped, broken, or dislodged teeth. Your mouthguard will help protect your smile from these accidents, and also works to protect you from biting your tongue and mouth in case of impact. It can even reduce the chance of jaw injuries.

Luckily, finding a mouthguard that works for you is even easier than finding the perfect board or the best wax for your skis. You have several options to choose from:

• Ready-made appliances. These are available in drugstores and sporting goods stores, but come in pre-formed sizes, so they might not provide the best fit.
• The “boil-and-bite” model. This mouthguard form is placed in hot water. You then bite down while it is pliable to shape it to your mouth and teeth.
• Custom mouthguards. These guards can be fabricated just for you. They are molded to fit your individual mouth and teeth, so provide a better fit and better protection. They are also usually more durable and more comfortable. If you wear braces, a custom mouthguard can be your best option for preventing an injury to your mouth and your braces. Talk to Dr. Anthony Bisconti if you are interested in a guard fitted specifically for you.

When you visit our Youngstown, OH office, let’s discuss all the best ways to keep your teeth and mouth protected before you set out for winter sports. And then when you’re ready to go? Let it snow!