oral health

Absolutely not! Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In a society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.
Some of the most common reasons our adult patients come to us considering orthodontic treatment include:
• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
• Pain or pressure from crooked teeth or a misaligned jaw
• A bad bite or malocclusion, causing teeth to fit together incorrectly
Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.
As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.
If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

There are a variety of foods you should avoid while you're wearing braces. Some foods can occasionally damage braces, but certain foods can bend the wires or even break the brackets on your braces. If you’re wearing braces, you should avoid starch, sugar and gummy foods, as these foods can be difficult to remove during brushing. Foods that are high in sugar and starch tend to cause plaque, cavities and even tooth decay.
Avoid tough meats, hard breads and raw vegetables such as carrots and celery. Before long, you'll be able to bite a cucumber again. But you'll need to protect your orthodontic appliances when you eat for as long as you're wearing braces.
Foods you should avoid include:
• Chewy foods: bagels, hard rolls, licorice
• Crunchy foods: popcorn, ice, chips
• Sticky foods: caramels, gum
• Hard foods: nuts, candy
• Foods you have to bite into: corn on the cob, apples, carrots
Also, chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.
If you have any questions on which foods you should be avoiding and why, we invite you to give us a call or ask our staff during your next visit.

Keeping your teeth clean is more important than ever when you have braces. Food bits have more spots than usual to hide in your mouth, so you must be diligent in order to avoid bad breath, swollen gums, discolored teeth and cavities. If you remove plaque regularly during treatment, you'll experience better results and shorter treatment time. Keep plaque at bay with these top ten tips:
1. One tooth at a time. When you brush, take time with each individual tooth – at least 10 seconds each – and pay careful attention to the spots where your teeth touch your braces.
2. It’s all about the angles. Brush the tops of your teeth and braces with your brush angled down toward where they meet. Brush the bottoms of your teeth and braces with your brush angled up.
3. The tooth, the whole tooth, nothing but the tooth. While the front surface of your teeth may seem like the most logical to clean, it’s equally important to clean the inner surface of your teeth (tongue side) as well as the chewing surface. And be sure to clean along your gum line – a key spot for plaque buildup.
4. Step 1: eat, step 2: clean. While you’re in treatment, it’s important to brush after every meal. Bits of food can easily get caught between braces and teeth, and these food bits interact with bacteria in your mouth to cause decay. The longer food is in contact with your teeth, the greater opportunity for plaque to form. If you are eating somewhere that you can’t brush, thoroughly rinse your mouth with water.
5. Like a Boy Scout, always be prepared. The easiest way to be sure you can brush after every meal is to get in the habit of taking a toothbrush, toothpaste and floss with you wherever you go. Designate a special container just for your teeth-cleaning tools and keep it in your purse, backpack, or laptop case.
6. Remove the moving parts. If you have elastic bands or headgear, remove these parts before you brush or floss.
7. Fluoride is your friend. Fluoride helps prevent cavities. Be sure to brush with fluoride toothpaste, and rinse with fluoride mouthwash.
8. Pointy brushes reach tiny places. Interproximal brushes (sometimes called proxa brushes or interdental brushes) are cone-shaped and come in very handy for reaching spots around your braces that standard brushes can’t.
9. Find the floss for you. Regular floss works for some patients, but others find it easier to work with a floss threader, which helps you get the floss into tight places. Other patients like an all-in-one product called Superfloss, which comes with a stiff end for easy threading, a spongy section for cleaning wide spaces, and regular floss for narrow spaces.
10. Make time for the pros. It’s your job to take care of the everyday cleaning. But make sure to visit your dentist regularly while in treatment, to get the deep, thorough cleaning that only a professional can provide. If you need help finding the right Dentist for you, feel free to contact our office - we’d love to help!
Hope this helps!

When you have braces, your wires will need to be replaced with new ones regularly. It is the slow, steady pressure placed on your teeth that move them into their desired positions, so these adjustments are a vital aspect of your treatment. We have set out a specific treatment plan to achieve your optimal results, and keeping up with your appointments will allow your treatment to be completed in the predicted amount of time.
Scheduling your adjustments sooner than planned may result in more pain and discomfort, because your teeth haven’t been allowed to settle into their new positions properly. Skipping appointments or scheduling them farther apart will result in a much longer treatment time. Visiting our office regularly will also allow us to answer any questions you may have, check for damaged appliances, and monitor your progress.

Orthodontic treatment for adults is becoming more and more common. In fact, the number of adults getting braces has actually climbed 24 percent since 1996! More adults than ever are realizing that orthodontic treatment is not just for kids, and can help improve the aesthetics and health of a smile of any age! In society where appearance matters and can help make the difference between getting a job or a promotion, adults are choosing wisely to invest in orthodontic treatment.
Some of the most common reasons our adult patients come to us considering orthodontic treatment include:

• Teeth that are crowded or spaced apart, sometimes as a result of tooth decay or gum disease
• Pain or pressure from crooked teeth or a misaligned jaw
• A bad bite or malocclusion, causing teeth to fit together incorrectly

Most of all though, adult patients come to our office seeking a healthier mouth and a more confident smile! Orthodontic treatment at our office can be successful at any age, and adults especially can appreciate the benefits of a beautiful smile.
As an adult patient, we recognize that you have different needs than our younger patients, and we will work with you to ensure you receive the most appropriate treatment and that your needs are met with understanding and respect from us.
If you’ve been thinking about getting that perfect smile, we would love to have you visit for a consultation. We understand you have a busy schedule, and will work with you to find a time that is convenient for you. Please visit our website or give our office a call to schedule your appointment today!

Our team wants to know: Will you be wearing your green this Saturday?  Whether Irish or not, millions of people around the world celebrate St. Patrick’s Day with toasts, parades and “the wearing of the green.” Here are some fun facts about St. Patty’s Day we know you will enjoy:
• St. Patrick’s Day is observed on March 17th because that is the feast day of St. Patrick, the patron saint of Ireland. It is also a worldwide celebration of Irish culture and history.
• The name “lephrechaun” has several origins. It could be from the Irish Gaelic word “leipreachan,” which means “a kind of aqueous sprite.” Or, it could be from “leath bhrogan,” which simply means “shoemaker.”
• Some American towns have Irish names. They include: Shamrock Lakes, Indiana; Shamrock, Oklahoma; Shamrock, Texas; Dublin, California and Dublin, Ohio and Mount Gay-Shamrock, West Virginia
• Despite what you may have heard, St. Patrick never banished snakes from Ireland. In fact, no snakes exist or ever existed in Ireland. Ireland is surrounded by icy ocean waters, much too cold to allow snakes to migrate from Britain or anywhere else.
• St. Patrick’s Day was first celebrated in America in Boston, Massachusetts, in 1737. Approximately 34 million Americans claim Irish ancestry. That’s almost nine times the population of Ireland, which has 4.1 million people.
If you have something special planned for St. Patrick’s Day, let us know by posting a comment on our Facebook page.

When you visit Durham Orthodontics for your orthodontic consultation, you’ll probably have a lot of questions. We want you to be prepared for your appointment and feel in charge of your orthodontic treatment decisions, so keep these questions in mind to ask when you come in for your appointment:

• How long will I have to wear braces?
• Will getting braces hurt?
• Will I have to wear additional appliances to correct jaw problems while I have braces?
• What can I eat when I have braces?
• Are there certain things, like playing sports or playing an instrument, which I won’t be able to do?
• How can I make sure my teeth stay clean and healthy while I have braces?
• How often will I need to come in for appointments?
• How much will my orthodontic treatment cost?

Durham Orthodontics and team are here to answer all your questions and concerns, and we’re happy to explain all aspects of your treatment plan and expected outcome. Your orthodontic experience should be comfortable, hassle-free, and most importantly, leave you smiling!

Great question!
If you are brushing and flossing daily during your orthodontic treatment with, we think that’s great! But, don’t forget that it’s also important for you to visit your general dentist every 3-to-6 months in addition to brushing your teeth and flossing (and visiting our office, of course). Regular dental checkups are important for maintaining good oral health, especially during orthodontic treatment.
Tooth decay, which is caused by sugars left in your mouth, can turn into an acid, which in turn can break down your teeth. Children are at high risk for tooth decay because adolescents tend to be lax in their oral hygiene habits. Proper brushing and flossing routines, combined with regular dental visits, help keep tooth decay away.
If you have any questions, please be sure to ask our team during your next adjustment appointment, or ask us on Facebook!

Valentine’s Day was yesterday, and there is a lot of candy making the rounds this week. It’s once again time to remind all our patients to be extra careful when choosing those candies and treats!
All those sweet, sour and sticky candies may taste great, but these treats are known to damage teeth, as well as braces if you’re wearing them! Did you know sour candies can be acidic to your teeth, and actually wear down the enamel that protects them? This can cause tooth decay and cavities! Sour and fruity candy, such as Starburst and Skittles, are the worst for your teeth since these candies have a low pH value, which is known to ruin enamel.
We recommend softer treats, such as soft chocolate or peanut butter cups, or melt-in-your-mouth foods. Those who indulge should make sure they brush and floss between teeth, as well as at the gum line.
All of us at Durham Orthodontics hope you had a great Valentine’s Day!

Each February for the past 62 years, the American Dental Association (ADA) has sponsored National Children's Dental Health Month to raise awareness about the importance of oral health. Developing good habits at an early age and scheduling regular dental visits helps children get a good start on a lifetime of healthy teeth and gums.
For kids wearing braces, brushing and flossing can become more difficult, requiring extra time and vigilance to remove food particles that accumulate on and between the teeth and in braces.  New options for braces such as Invisalign Teen, which is removable, make it easier for kids to maintain good oral health during orthodontic treatment.
If the health of your teeth is ignored during treatment with braces, the results can be significantly compromised. Dr. John Nikolovski is available and happy to explain why effective brushing and flossing is one of the most critical actions needed from patients during orthodontic treatment. Have you visited us lately? Give us a call and schedule an appointment!

Dr. John Nikolovski and our team know having an attractive smile puts a spring in your step—or two—as well as increases your self-confidence, no matter if you’re 14 or in your late forties. Smiling not only makes people happy and puts them in a good mood, doing it often can even help you live longer, according to previous studies!
If you’ve been hiding your smile because you have crooked teeth or gaps between your teeth, it’s time to consider orthodontic treatment at Durham Orthodontics. You’ll be pleasantly surprised to learn how quickly and efficiently today’s most advanced correction techniques can straighten your smile!
Don’t hide your smile any longer—give us a call today to schedule yours or your child’s orthodontic consultation.

While mouthwash is not an alternative to regular brushing and flossing, it can help keep your teeth and gums clean and healthy. There are several different types of mouthwashes available, and all of them will help do different things for your smile. The most common types of mouthwashes are:
• Fluoride – fluoride is the most used type of mouthwash available, and is used to strengthen the enamel of the teeth while preventing cavities and tooth decay.
• Antiseptic – an antiseptic mouthwash is used to kill bacteria and germs in the mouth. Most commonly used before and after a dental surgery, antiseptic mouthwashes can also help to fight gum disease, and halitosis (chronic bad breath). Antiseptic mouthwashes can affect your sense of taste and may stain the teeth, so it is recommended that you consult your dentist before using this type of mouthwash.
• Combination – a combination mouthwash is designed to help prevent tooth decay, freshen the breath, and maintain the health of your smile.
• Prescription – for patients with gum disease, or any signs of gum disease, you may need a prescription mouthwash. Prescription mouthwashes, like Peridex of PerioGard, are used to treat gingivitis, and other forms of decay.
There are also many different brands of mouthwash. Some common brands include:
• Scope
• Listerine
• Act
• Crest
• Tom’s of Maine (all-natural)
• Plax (anti-plaque rinse)
• Breath Rx
• Orajel
• Targon (special mouthwash made for smokers)
• Rembrandt (whitening mouthwash)
If you are curious about which kind of mouthwash would work best for you, be sure to ask us at your next appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!
–Durham Orthodontics

With winter sports under way for a lot of our patients, Dr. John Nikolovski thought it would be a good time to remind our young athletes wearing braces to take care of both their mouth and appliances while participating in contact sports (and non-contact sports) this winter.
More than half of the seven million sports and recreation-related injuries that occur each year are sustained by youth between ages 5 and 24. Sixty-seven percent of parents say their child does not wear a mouth guard, yet, 70 percent say their biggest fear when their child plays is that they will get hurt. Despite the risks, many kids are still not wearing mouth guards and facial protection during games and practices.
Many people think a mouth guard is effective just to protect your teeth. But research has shown mouth guards can also reduce lower jaw impact that causes concussions and other dental injuries. Our staff at Durham Orthodontics encourage you to head over to the American Association of Orthodontists’ website for a quick primer on the importance of mouth guards and facial protection.
We hope this helps you remember to always wear a mouth guard and other forms of protective gear when participating in fall sports! We encourage you to give us a call if you have any questions or ask us on Facebook!

Are you brushing and flossing daily during your orthodontic treatment? If yes, that’s great! But, don’t forget that it’s also important for you to visit your general dentist every 3-to-6 months in addition to brushing your teeth and flossing (and visiting our office, of course). Regular dental checkups are important for maintaining good oral health, especially during orthodontic treatment.
Your general dentist can check for problems that might not be seen or felt, detect cavities and early signs of decay, treat oral health problems early and show you how to properly brush and floss your teeth.
During an oral exam your dentist can check the health of your mouth, teeth, gums, cheeks and tongue. Checkups will also include a thorough teeth cleaning and polishing. If you have not been to the dentist in the last six months, let us know during your next visit and we will provide a few great references in the our area!