bethesda
location

Our Blog

What causes crooked teeth?

October 28th, 2020

Crooked teeth, more correctly called malocclusions, have reached epidemic proportions in the late 20th and early 21st centuries. According to the American Association of Orthodontists, approximately 80 percent of American teenagers are currently undergoing orthodontic treatment. Although advances in orthodontic devices and increased availability of such devices explain part of this increase, it still means there are a lot of crooked teeth in the world.

The theories about what is causing so many crooked teeth range from the ridiculous to the scientific. For years, oral health professionals believed that crooked teeth were an evolutionary result of the change in Western diets from raw, wild foods to soft, processed foods. That theory has since been debunked.

The truth is that crooked teeth can be caused by a number of things. Crooked teeth can be an inherited trait. Parents with crooked teeth and malformed jaws are more likely to have children with malocclusions. Ill-fitting or poorly-executed dental restorations, such as fillings and crowns, can also cause teeth to become crooked. Baby teeth that fall out early, gingivitis, and even a jaw that is too small to accommodate all of a person’s adult teeth are additional causes of crooked teeth. In addition, thumb sucking and the use of a pacifier for too long can contribute to crooked teeth.

What to do about crooked teeth

Fortunately, modern orthodontics offers a number of solutions for crooked teeth. Traditional metal braces are the most popular, though our Washington D.C. office provides a number of clear, aesthetic options as well. If you’re tired of hiding your smile because of crooked teeth, contact our team at Spring Valley Orthodontics and set up an appointment. We’ll have you showing off your straight pearly whites in no time!

Halloween Doesn't Have To Be Scary

October 15th, 2020

By Dr. Negaar Sagafi

As my patients know, I have opinions about Halloween. More specifically, I have opinions about Halloween candy, which is hard on braces and brackets. Orthodontia and Jolly Ranchers simply do not mix. In fact, the results often are terrifying.

This year, Halloween is scarier than usual. Coronavirus threatens to steal more happy moments from our children and while I’d prefer that kiddos stay away from hard candy, I want them to celebrate. I want them to have fun.

How can they do that?

First, let’s remember that some of the most active participants in our Halloween traditions are our elderly neighbors. Who doesn’t get excited to see a sweet little Hermione or Harry Potter at their door? As we have for the last eight months, we must think first of the health and safety of our most vulnerable friends and family. Every piece of advice below is an effort to keep them – and you – safe.

But if you are someone who falls into the “vulnerable” category, there are still ways to celebrate – without even opening your door. Try:

  • Putting a spin on the “garden walk.” Establish a list of neighbors that will commit to putting out the spookiest decorations. Create a map, post it on your local listserv, and encourage families to drive the route during an established time on October 31.
  • Channeling your inner Willie Wonka. Willie Wonka didn’t just make candy … he made candy an experience. Get creative about delivery. Leaving out a bowl rarely works (teenagers always take it all, right?), so create a scavenger hunt. Leave clues to where you’ve hidden morsels around your yard. Or do what this dad featured in The Washington Post did: create a candy chute.
  • Boo’ing your neighbors. This tradition is perfect for our current times. Boo’ing involves placing a basket of goodies on a neighbor’s porch and disappearing. The candy comes with a note instructing your neighbor to “boo” someone else. If your home has been boo’d, put a sign out so as many children as possible receive sweet treats.

The Centers for Disease Control, along with Washington, D.C. and Montgomery County, Md. public officials, also have released guidance on how to celebrate Halloween this year. As a healthcare provider, I agree with it, but I also recognize that families have approached this pandemic differently. While officials do not recommend traditional trick-or-treating, some parents will allow this tradition, so the question is: what are some smart tactics that will keep children safe.

First, remember that costume masks will not protect your child from getting the virus, or spreading it. Adequate face coverings are not optional. The CDC’s advice on choosing masks is here.

Second, do not allow children to pop a piece of candy into their mouths while trick or treating, even if they have used hand sanitizer. Your child should not touch their face until their hands have been thoroughly washed. We still do not know everything there is to know about COVID-19 transmits, but we do know it is a respiratory disease. Keeping masks on and keeping interactions short are two of the best steps a person can take to protect themselves.

Third, travel the neighborhood only as a family. For many children, Halloween will be their first big event in eight months. It will be hard, if not impossible, to contain their considerable excitement, but it will be easier if a group is small. And, of course, it is easier to stay at least six feet away if you’re travelling as a small unit. Remember: the six foot rule applies especially when individuals are talking, eating, and drinking … which we do a lot of on Halloween.

Other steps to take include:

  • Carrying a bell or noisemaker instead of ringing the doorbell.
  • Sanitizing the candy. I recommend creating your own “candy wipes” using gauze and Cavicide, a safe disinfectant we use in our office that is available on Amazon.
  • Keeping interactions as brief as possible. If a friend opens the door, stay six feet away, say thank you, and politely move on.

These steps should mitigate risk, but, they will not eliminate it. To keep Halloween as safe as possible, stay home. While bobbing for apples is a bad idea, there are plenty of ways to celebrate the holiday, including:

  • Going on a ghost hunt by downloading an online game like Phasmophobia and playing it virtually with friends or family;
  • Holding a family Halloween movie night;
  • Decorating your home (inside and out) with Halloween-themed arts and crafts;
  • Finding an outdoor restaurant with a Halloween-themed meal, or cooking one at home;
  • Using an online meeting platform to host a costume contest or pumpkin carving contest; or
  • Dressing up your pups for a Halloween parade around the neighborhood.

One of my favorite ideas? The Switch Witch … with a pandemic twist. Leave candy on the kitchen counter for the good witch Switch. She will swoop in during the night on her mighty broom, grab the sugar, and leave a new toy in its place! (Normally Switch claims the candy trick or treaters amass on October 31, but with this spin anyone can play during COVID.)

Another smart idea is reverse trick or treating, which combines the fun of a Fourth of July parade with Halloween’s creativity. With this option, children dress up, but stay on their own lawns and porches. Adults who parade through the neighborhood on foot or decorated bikes and vehicles while throwing candy. Staying safe this Halloween is all about proper mask-wearing, mitigating contact, and maintaining a safe social distance. Reverse trick-or-treating, when properly supervised by mom and dad, achieves all that.

Just remember to brush those teeth!

Periodontics and Braces Treatment

October 14th, 2020

Most people think braces are all about their teeth. While it is true orthodontics is meant to move your teeth into proper position, there's more to it than that. To safely move your teeth with braces, you're going to need healthy and stable gums (or periodontium—the tissues that support your teeth).

For this reason it's critical to have your periodontal health evaluated prior to getting braces. This applies particularly to adults, since a 2013 study by the Center For Disease Control found that an estimated 47.2% of adults 30 years of age and older had periodontitis (gum disease). If you do have periodontitis, moving your teeth with braces will only make things worse.

Conversely, there is also risk for periodontal disease if you don't get orthodontic treatment. Malocclusion, as well as crooked and spaced teeth, can all contribute to periodontal disease. In these situations your teeth and gums are more difficult to clean and become breeding grounds for disease causing bacteria. Bad oral hygiene combined with these traits can greatly contribute to the development of periodontitis.

So, periodontics and braces have a tricky relationship. On one hand, you shouldn't get braces if you show signs of developing or have periodontitis, while on the other hand, braces can help prevent the possibility of developing periodontitis by correcting the bite and straightening the teeth.

If you are 30 years of age or older and are considering getting braces, it would be wise to first:

  • Call our office and let us know about your desire to get braces
  • Get an exam to make sure you're in good periodontal health and a good candidate for braces
  • If you are a good candidate, keep an eye on your teeth and gums and get regular dental checkups throughout your entire course of treatment.

If you are in any doubt about the status of your teeth and gums, it's always best to get them checked before embarking with braces treatment. For more information or to have your periodontal health assessed for braces treatment, please contact our Washington D.C. office.

Welcome to Our Blog

May 19th, 2020

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about orthodontics and the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctor and staff - we hope this will be a valuable resource for our patients, their families, and friends!

back to top