Preventing Gum Disease and Protecting your Teeth!

It is estimated that around 80 percent of American adults are currently diagnosed with some form of gum disease. Also known as, periodontal disease or periodontitis, gum disease starts with gum inflammation and can end with major damage to the bone and tissue holding the teeth in place, resulting in tooth loss and irreversible damage to the gums. Many doctors and researchers have also found gum disease to be the cause of several other health problems, including heart disease, diabetes, and complications for women during pregnancy. Gum disease is a serious dental health condition, and by understanding how gum disease is caused, what symptoms to look for, and how you can prevent it, you will be able to keep your smile healthy for many years to come.

What causes gum disease?

Your mouth is full of bacteria, and when the bacteria are left in your mouth, it can cause a sticky, colorless film over your tooth surface called plaque. Brushing your teeth regularly and flossing can help to remove much of the plaque build-up on your teeth; however, if you do not brush and floss regularly, the plaque on your teeth can harden and turn into tartar. Tartar cannot be removed by a toothbrush, only your dentist has the special tools needed to remove tartar from your tooth’s surface.

Eventually, if left untreated, the tartar and plaque on your teeth will cause gingivitis. Gingivitis is the early stage of gum disease and is usually curable if caught early enough. Signs of gingivitis include:

• Red, swollen gums
• Gums that bleed when you brush and floss
• Gums that pull away from your teeth
• Pockets between your teeth and gums where food gets caught
• Persistent bad breath

If you have gingivitis, and it is left untreated, you may end up with gum disease. Gum disease causes the gums to pull completely away from the teeth and form infected pockets. The bacteria in your mouth and on your teeth will start to break down the tissue and bone that supports your teeth and holds them in place. Gum disease that is left untreated will lead to the extraction or loss of teeth. Most people do not show signs of gingivitis and gum disease until they are in their 30s, 40s, or older. Certain risk factors can increase your chance of getting gum disease, including:

• Smoking
• Diabetes
• Stress
• Certain prescription medications
• Illness
• Genetics

How can I prevent gum disease?

You can help your chances of never getting gingivitis or gum disease simply by taking care of your teeth and gums on a regular basis. Here are some of the ways you can help keep your smile healthy:

• Brush your teeth at least twice a day using fluoride toothpaste approved by the ADA.
• Floss at least once every day to remove food stuck between your teeth and along the gum line.
• Visit your dentist for routine, general checkups and teeth cleaning every six months.
• Eat a well balanced diet, including fruits and vegetables.
• Stay away from using tobacco products of any kind.

Gingivitis and gum disease are both preventable and treatable. If you would like a list of recommended dental health care products, or have any questions about gingivitis, gum disease, and how to keep your teeth and gums healthy, please ask us! Our practice is happy to answer any questions you may have, and provide you with accurate information to help you maintain the health of your smile in between office visits. If you think you may have any form of gingivitis or gum disease, please contact our practice at 1-800-4BRACES to schedule an appointment as soon as possible.

--Birth Stewart Orthodontics

Imagining Your Life With Invisalign

Are you wondering what Invisalign treatment is really like, and what effect it will have on your day-to-day activities? Will it slur your speech? Will people know you're in treatment? You're not alone in your concerns! Following are a list of questions and answers for anyone pondering Invisalign treatment.

How exactly does Invisalign work?

Using 3-D computer imaging technology, Invisalign creates a series of custom-made, clear aligners exclusively for your teeth, based on the treatment plan that we specify for you. Each aligner moves teeth incrementally and is worn for about two weeks, then replaced by the next in the series until the final position is achieved.

Will I experience pain during treatment?

Most people experience temporary discomfort for a few days after a new aligner is placed. This feeling of pressure is normal and is a sign that Invisalign is working by sequentially moving your teeth to their final destination.

Can other people see that I'm in treatment?

One of the benefits of Invisalign is that the aligners are clear. You can straighten your teeth without anyone knowing.

Can I smoke during treatment?

We discourage smoking while wearing the aligners as they may become discolored.

Are there any foods I cannot eat while in treatment?

You can eat normally during the entire course of treatment. One of the advantages of Invisalign is that the aligners are removable. Simply take the aligners out before each meal, brush when you're finished eating, then reinsert the aligners afterward.

What about chewing gum?

We recommend removing your aligners for all meals and snacks, as gum and other chewy substances can stick to the aligners.

How often must I wear my aligners?

Aligners should be worn all day, except when eating, brushing, and flossing.

Will my speech be affected by the aligners?

As with any orthodontic treatment, aligners may temporarily affect your speech. If this does happen, your tongue will adjust within a day or two and your speech should return to normal.

How can I clean my aligners?

The best way to clean your aligners is by brushing and rinsing them in lukewarm water.

How often must I visit your office during treatment?

For most patients, visits every 4-6 weeks are frequent enough for us to determine that your treatment is progressing properly. Dr. Birth will provide you with a specific schedule that supports your individual treatment plan.

Back To School Braces with Birth Stewart Orthodontics

The fall season is just about to begin here in Arlington and Fort Worth. School has begun, and now is the perfect time to start your orthodontic treatment! Many other students are wearing braces too; Treatment at a young age can be less complicated and you will often see better results than as an adult!

If you already have braces, it is important to remember the types of foods you can and cannot eat. Avoid the high sugar candies, snacks and beverages at the school cafeteria; these foods can damage your teeth and orthodontic appliances. Fruits and vegetables that you have to bite into should be cut up first, and any types of sticky food, such as chewing gum, should be avoided. You can find more information about what not to eat on our website, and if you have any questions you can always give us a call.

We here at Birth Stewart Orthodontics do our best to serve the community, with quality orthodontic work. We work with all ages, and Dr. Birth has created amazing smiles for entire families! Give us a call at 1-800-4BRACES, now is the perfect time to get started on the path to an amazing smile!

Answering all your burning questions about mouthwash

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 Dr. Birth at your next appointment. If you have a favorite mouthwash, let us know by posting a comment for others to read!

Oral Piercing: Is It Worth It? Birth Stewart Orthodontics

Piercing, like tattooing, is one of today’s popular forms of “body art” and self-expression. If you’re thinking about getting a piercing – or if you already have one or more – there are some health risks you should know about.
Your mouth contains millions of bacteria, and infection is a common complication of oral piercing. Just touching your mouth jewelry (tongue barbells and lip and cheek labrettes) can lead to infection. Many people who have piercings tend to regularly touch them – which is a perfect opportunity for bacteria from hands to enter piercing sites. Also, food particles that collect around piercing sites can lead to infection.

Pain and swelling are other possible side effects of piercing. Your tongue – the most popular piercing site in the mouth – could swell large enough to close off your airway! Piercing also can cause uncontrollable bleeding or nerve damage. Damage to the tongue’s blood vessels can cause serious blood loss.

The hoop, ring, stud, and barbell-shaped jewelry can hinder your ability to talk and eat. Some people also develop a habit of biting or playing with their piercings – which can lead to cracked, scratched teeth; gum damage and recession; and sensitive teeth. There may also be a need for restorations, such as crowns or fillings, and additional dental treatment due to piercings.

Consider the potential pitfalls of piercing carefully before getting one. Keep in mind that it will be an added responsibility to your life, and will need regular upkeep. Make sure that you’re committed to the task of taking care of it for the full healing period and beyond.

If you have an oral piercing, pay special attention to it. Clean the piercing with antiseptic mouthwash after eating, and brush the jewelry when you brush your teeth. Of course, let us know if you have any questions.

--Birth Stewart Orthodontics