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New Braces? Time to Level Up Your Brushing Game

April 24th, 2025

You’re an old pro at brushing and flossing by now—after all, you’ve devoted years to looking after your dental health, carefully brushing for two minutes twice each day and flossing daily.

But now, you’ve entered unfamiliar territory—orthodontic treatment. It’s time to level up your brushing game to protect your teeth and gums while you create a more attractive, healthier smile.

Why make changes in your dental routine? Because of plaque. Brackets and wires can make brushing more difficult, allowing plaque to build up around your braces. And plaque which sticks around leads to:

  • Demineralization—The bacteria in plaque produce acids, which strip away minerals from tooth enamel. This creates a weak spot in the enamel and can leave a noticeable white stain on your tooth when your braces come off—especially around the places your brackets used to be, because that’s often where plaque accumulates.
  • Cavities—Over time, as bacteria continue to attack enamel, a weak spot in the tooth’s surface becomes larger and deeper until it forms a cavity.
  • Gingivitis—It only takes a few days for plaque to build up enough to irritate gum tissue and cause tender, inflamed, puffy, or bleeding gums.

Some new skills and new tools will help you keep teeth and gums healthy while you’re wearing braces.

Adapt Your Brushing Strategy

Wearing braces means adapting your brushing and flossing habits. You might need to spend a bit more time cleaning your teeth, but the results will be worth it!

  • Brush More Often

Brushing after you eat is generally recommended to remove any food particles and plaque sticking around your brackets and wires. This might mean brushing in the morning, after meals and snacks, and before you go to bed. If you’re unable to brush after eating, be sure to rinse and swish with water to help remove food particles.

  • Brush and Floss More Carefully

Brush each tooth surface, outside, inside, and the tops of molars. Angle your brush to clean around brackets and under wires. And while flossing might be more challenging, it’s still essential. Dr. Michelle Slezewski and Dr. Paul Engibous can show you how to floss when wires get in your way.

Upgrade Your Tools

The right tools make any task easier:

  • Toothbrushes— Your teeth and gums might be more sensitive now that you have braces. This is a good time to remember that you never need to scrub your teeth, gums, or braces, and that a soft-bristled brush is the only kind of brush to buy.

There are brushes designed especially for braces which have angled bristles to clean around brackets or smaller heads to fit more comfortably in your mouth. Some people find electric toothbrushes are more effective.

  • Interproximal brushes and dental picks—Small cone-shaped brushes and soft picks can clean between your teeth and around your brackets and wires when a brush head is too bulky.
  • Floss threaders and braces-friendly floss—Floss threaders are flexible hoops which allow you to maneuver floss under the arch wire and between your teeth. Or try pre-cut floss, which comes with one stiff end to thread easily through your braces and between your teeth.
  • Water flossers—A water flosser is a gentle and effective way to help wash away food particles.
  • Over the counter or prescription rinses—Dr. Michelle Slezewski and Dr. Paul Engibous can recommend special rinses which can help prevent cavities.
  • Cleaning kit—Put together a kit with toothbrush, travel-size toothpaste, floss or picks, and a small mirror for cleanup on the go.

Because there are so many options, experiment with different tools until you find the best, most efficient way to keep your teeth and braces their cleanest.

Learn from the Experts

Finally, optimize your brushing strategies with help from the experts. The dental team at Pediatric Dental Associates in Anchorage, AK can teach you new brushing and flossing techniques and suggest the best tools to get the best results. And keep up with your regular dental appointments and cleanings! Regular exams will catch any signs of demineralization before they can lead to stains or cavities, and your hygienist can work around your braces to remove plaque you might have missed.

Take some time each day to level up your brushing game, and, when those braces come off, you’ll celebrate with a winning smile!

Having Your Teeth Cleaned Is a Bright Idea!

April 17th, 2025

Having your teeth cleaned is part of most dental checkups. It’s a great feeling to know your teeth look clean and bright, but there’s more to feel great about! Cleanings help your teeth stay healthy. Let’s talk about why a cleaning at our Anchorage, AK pediatric dental office is a bright idea.

  • Brushing and Flossing at Home Isn’t Always Enough

Even when you brush and floss every day, sometimes you don’t get rid of all the plaque sticking to your teeth. Plaque, after all, starts forming within hours after you brush, and this can be a problem.

  • The Problem with Plaque

Plaque is a sticky film that’s mostly made up of bacteria. These tiny germs use food we eat to make acids, and these acids can make our tooth enamel weaker. Over time, a weak spot in tooth enamel gets bigger and deeper until it becomes—a cavity.

And that’s not all. Plaque near our gums irritates them, and our gum tissue reacts to this irritation. Our gums might turn darker pink, or bleed, or get puffy. We could have bad breath that brushing won’t get rid of. These are signs of gum disease. Clearly, we don’t want plaque sticking around!

  • The Trouble with Tartar

Especially because, after only a day or two of letting plaque build up, it starts to turn into tartar. Tartar is hardened plaque, and it can’t be brushed away at home. Tartar can only be removed by an expert at Pediatric Dental Associates.

It can build up anywhere we might not be brushing as often and as well as we should—especially behind our teeth and between them. Tartar can build up above and below the gum line, where it causes even more gum irritation.

You want your teeth to have the best protection against cavities and gum disease, and that means making sure that plaque and tartar aren’t making themselves at home on your teeth. And that means a visit to your pediatric dentist’s office for an expert cleaning.

What goes on during a cleaning?

  • First, a Look at Your Teeth and Gums

Once you’re settled in the comfortable dental chair, Dr. Michelle Slezewski and Dr. Paul Engibous will examine your teeth and gums to see if they need any attention before starting the cleaning.

  • Scaling

Your hygienist usually begins by carefully scraping away any plaque and tartar with tools called scalers. Scalers can be hand tools or use ultrasonic vibration. Your hygienist will also clean the area around your gums, gently getting rid of any plaque and tartar on your tooth enamel above and below the gum line.

If you’ve been missing any spots in your daily brushing, your hygienist will point out these out so you can brush better.

  • Polishing

Sometimes your teeth might be polished to take away stains on the tooth surfaces. This can be done with a special toothpaste applied with a spinning brush or rounded cup. Or your hygienist might use an air polisher, which uses powder, water, and air to clean teeth. Often, scaling on its own will remove any small stains.

  • Flossing

Sometimes even adults have a hard time flossing the right way! But it’s a skill you should learn because it’s really important for healthy teeth and gums. Brushes can’t get in the tight spaces between our teeth—but plaque can. Flossing fits in between those tiny spaces to gently scrape away plaque as you move the floss up and down.

Your hygienist will floss between your teeth to remove any plaque, and can show you the right way to floss your teeth and the best kind of floss to use.

  • Rinsing

After cleaning your teeth, your hygienist will make sure you rinse well for a shining smile. And that’s it!

Your teeth will look and feel cleaner once any harmful plaque and tartar are gone. You’ll find out if you’ve been missing any areas when you brush. You’ll learn the right way to brush and floss for healthy teeth and gums. And you’ll be helping to prevent cavities and gum disease! No wonder a cleaning at your dentist’s office is always a bright idea.

Straight Talk about Your Smile

April 10th, 2025

Are you thinking about getting braces or aligners? Are you already in orthodontic treatment? If so, you already know that braces and aligners help straighten teeth and create a confident, beautiful smile. And those visible benefits are amazing! But orthodontic treatment has an even more important purpose than creating a beautiful smile—and that’s protecting and improving your oral health. 

What else can orthodontic treatment from Dr. Michelle Slezewski and Dr. Paul Engibous do for you?

Protect Your Tooth and Gum Health

  • Lower Your Risk of Cavities

When teeth are crooked or overlap each other, it’s easier for cavity-causing plaque to get trapped between them, and harder to remove it. Straighter teeth let you remove plaque more easily and effectively.

  • Keep Your Gums Healthy

When plaque and tartar build up around the gums, gum tissue becomes irritated and red, which is how gum disease begins. When teeth are straight and evenly spaced, brushing and flossing are easier and more effective, helping your gums stay their healthiest.

Create a Better, More Comfortable Bite

When the teeth and jaws don’t fit together the way they should when you close your mouth, it’s called a malocclusion, or bad bite. There are different types of bite problems, from barely noticeable to more serious, and they affect us in different ways. When your orthodontist corrects your bite, you’ll get benefits which don’t show up in the mirror!

  • Stronger Teeth and Healthier Gums

Teeth and jaws which don’t fit together properly put extra pressure on your teeth and gums, which can cause worn enamel, cracked teeth, and shrinking gums. A well-aligned bite helps protect your teeth and gums.

  • A Pain-Free Bite

Left untreated, malocclusions can cause problems like temporomandibular joint disorder (TMD), headaches, face and neck pain, earaches, limited jaw movement, and painful chewing. Correcting your bite will help relieve the discomfort and pain caused by a malocclusion. 

Other Possible Benefits

For people with more serious malocclusions, orthodontic treatment might improve daily life in unexpected ways:

  • Improved Speech

It takes a lot of coordination to produce different sounds. The lips, the tongue, the alveolar ridge (the part of the jawbone which holds our teeth), the hard and soft palates, parts of the throat, and, yes, the teeth all play a part in creating speech. Some kinds of malocclusions contribute to speech disorders such as lisps, which orthodontic treatment can help correct.

  • Improved Digestion

Digestion starts in the mouth, not the stomach! As we chew, we break down our food into small particles which are easier for the stomach to digest. If you can’t chew properly because your teeth are misaligned or a bad bite makes it too painful to chew food as thoroughly as you should, you won’t be getting the full nutritional benefits of your healthy diet. Orthodontic treatment helps you bite down painlessly and break down foods easily for better digestion.

  • Improved Sleep

Bite problems can sometimes lead to sleepless nights. More serious malocclusions may cause mouth breathing, which, in turn, can affect the quality of your sleep. If you’re having trouble sleeping, your doctor can help you discover the source of your problems. If you can’t sleep because of tooth or jaw misalignment, orthodontic treatment might be the solution!

Talk to Dr. Michelle Slezewski and Dr. Paul Engibous to learn about all the options available to align your teeth and jaws for a healthy, attractive smile. Braces or aligners might be all you need to correct a mild malocclusion. Appliances and headgear can guide the growth and position of the jaw if needed. In some cases, surgery, together with braces, can be used to treat a more serious malocclusion.

If you want a more confident smile, stronger teeth and gums, and a comfortable, healthy bite, talk to the dental team at Pediatric Dental Associates in Anchorage, AK to discover how orthodontic treatment can help you achieve all of your smile goals!

Using Sippy Cups Successfully

March 27th, 2025

Congratulations! Your child is beginning to leave her bottle behind and has started to use her first sippy cup. And the best training cup is one that makes the transition from bottle to cup an efficient, timely, and healthy one.

The Right Training Cup

While a “no spill” cup seems like the perfect choice for toddler and parent alike, those cups are designed much like baby bottles. The same valve in the no-spill top that keeps the liquid from spilling requires your child to suck rather than sip to get a drink. If your child’s cup has a top with a spout, she will learn to sip from it. Two handles and a weighted base make spills less likely.

When to Use a Training Cup

Children can be introduced to a sippy cup before they are one year old, and we suggest phasing out the bottle between the ages of 12 and 24 months. Use a sippy cup as the source for all liquids at that age, and only when your child is thirsty and at mealtime to avoid overdrinking. The transition from sippy cup to regular cup should be a swift one.

Healthy Sipping Habits

The best first option in a sippy cup between meals is water. Milk or juice should be offered at mealtimes, when saliva production increases and helps neutralize the effects of these drinks on young teeth. And don’t let your child go to sleep with anything other than water—falling asleep with a cup filled with milk, juice, or other sugary drinks means these liquids stay in the mouth overnight. Finally, while a sippy cup is convenient and portable, don’t let your young child walk and sip at the same time to avoid injuries.

When your child comes to our Anchorage, AK office for her first visit, please bring any questions you might have about training cups. We would be glad to share ways to make the move from bottle to cup both successful and safe!