Dr. Robert Haeger
Orthodontist


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Can I eat anything with braces ?

dr. haeger kent orthodontist for children and adults You'll need to protect your orthodontic appliances when you eat by avoiding hard foods, chewy foods, crunchy foods, popcorn and gum. These things can damage braces leading to longer time in orthodontic treatment.

Will my braces hurt ?

Initially the braces feel like they "stick out". This is normal. As you become accustomed to your braces and tooth alignment improves, this sensation will disappear. Although the brackets are rounded and fairly smooth, you may find it helpful to use a small piece of wax around the bracket that is creating irritation until the cheek tissues have "toughened". If your supply of wax runs out, you may stop by the office to pick up more or wax can also be purchased at your local drug store.

You will probably notice some discomfort beginning 4-6 hours after your braces are placed. Some teeth, usually in the front area, may be tender and sensitive to pressure making it difficult to chew or put your teeth together. This soreness dissipates within the week. Exactly when the discomfort ceases is impossible to predict and differs for each patient. You may wish to take Advil or Tylenol or whatever you would normally take for a headache. For maximum effectiveness, it may be best to take such medications before the discomfort begins.

Why are my teeth feeling loose?

This is to be expected throughout treatment. Don't worry! It's normal. Teeth must loosen first so they can be moved. The teeth will again become rigidly fixed in their new, corrected positions.

How is brushing affected by my new braces?

Dr. Haeger kent orthodontist braces checkup example It's more important than ever to brush and floss regularly when you have braces, so the teeth and gums are healthy after orthodontic treatment. Patients who do not keep their teeth clean may require more frequent visits to the dentist for a professional cleaning. Adults who have a history of gum disease should also see a periodontist during orthodontic treatment.

Do I need to continue seeing my general dentist while wearing braces?

We require that the patient's teeth are clean and all cavities filled before starting orthodontic treatment. We recommend that the patient continue seeing their family dentist at least every 6 months (sometimes every 3 or 4 months) for cleanings and cavity checks during the entire orthodontic treatment.

How can I care for my retainer?

How long are retainers worn?

The final observation and retention period of treatment normally spans approximately 24 months. During this period, appointments are scheduled with decreasing frequency. Usually retainers are worn all day and night for 6 months. As retention continues, the retainers are generaly worn every night for an additional year and then progressively less as instructed. Each person's requirements are different and a longer period or a different schedule may be recommended. In most cases, part-time wear is recommended indefinitely to maintain the desired changes that have been achieved. Just remember, orthodontic retention is a lifetime commitment to periodic wearing of your retainers.

What special instructions are required for a removable expander?

Wear your expander all the time. That means all day, during meals away from home, and while sleeping. Remove your expander only to brush your teeth and while eating at home. Brush your expander at least twice a day with a toothbrush and toothpaste.

What special instructions are required for a fixed expander?

Turn your expansion screw as instructed. Insert the key into the hole and turn toward the arrow. Hint: always push the upper expander key as far back as possible, which will make the next turn easier. If you are unable to keep your scheduled appointment, stop turning the expander.

How will braces affect playing sports?

If you play sports, it's important that you consult us for special precautions. A protective mouth guard is advised for playing contact sports. Please ask us for a mouth piece. In case of any accident involving the face, check your mouth for any loose appliances immediately. If teeth are loose or the appliances are damaged, phone at once for an appointment. In the meantime, treat your discomfort as you would treat any general soreness.

What do I do when a wire is poking out?

Don't be alarmed if a wire becomes loose. This happens occasionally. If a wire protrudes and is irritating, use a blunt instrument (the back of a spoon or the eraser end of a pencil) and carefully, gently push the irritating wire away back toward the teeth. Simply get it out of the way. If irritation to your mouth continues, place wax or wet cotton on the wire to reduce the annoyance. Call our office as soon as possible for an appointment to check and repair the appliances. If any piece comes off, save it and bring it to your appointment.

What do I do when a bracket or band becomes loose?

In the unlikely event that a bracket or band comes loose from a tooth, it is important to call our office immediately. Do not wait until your next appointment to see if we can fix it then. There is a considerable amount of time necessary to repair breakage and we need to schedule accordingly. At your last appointment, Dr. Haeger recorded what he was planning to do at your next appointment. He knows how long it takes to perform each procedure and our office schedules accordingly to stay on time. That is why we will often reschedule to repair loose braces. Please notify us in advance if you have a loose brace, even if the breakage occurs earlier in the day of your appointment.

Remember, when braces are broken, treatment completion is often delayed. Help us give you the smile you want — on time. Please bring the loose brace in to your appointment.

What constitutes emergency care?

As a general rule, an emergency appointment may be made when there is severe pain, a loose band, a broken wire or something sticking out that you can't take care of. It's important to know the names of the parts of your appliances. When you phone the office, it will help to be able to identify what part is broken or out of place. See our glossary of terms.

Helpful hints about wearing rubber bands

Dr. Haeger has prescribed rubber bands to be worn as part of your orthodontic treatment. Rubber bands are a very important part of your treatment if you would like to have Dr. Robert Haeger kent Orthodontist smile example braces removed on schedule. Rubber bands move teeth in ways Dr. Haeger is not able to do with different wires. Without proper rubber band wear, it is unlikely we will obtain the results that everyone wants.

At your appointment, Dr. Haeger demonstrated and gave you a sheet showing how to hook up the rubber bands. If you have any uncertainty, please call our office immediately. Do not wait until your next appointment to find out that the rubber bands may have been moving the teeth in the wrong direction.

Rubber bands will likely make your teeth sore. If necessary, gradually build up time over the first week until you're wearing them 24 hours per day, seven days per week. If you take them out before eating be sure to replace them right away after your meals. Rubber bands need to be changed approximately three times each day. This is because they lose their stretch as they are left in your mouth during the day. It's a good idea to change your rubber bands after each meal.

Continuous wearing is a must. Remember to always have an extra pack with you at school, work, or anywhere else away from home. If you run out of rubber bands, call our office right away. We will be glad to mail them off today. Waiting until your next appointment can significantly delay treatment.

You have been given a specific type of rubber band to use. Do not use any other type of rubber band unless otherwise instructed. Also, do not "double up" the rubber bands unless instructed. This will not accelerate your treatment.

Many times when our patients have worn their rubber bands as requested, their treatment time has been significantly reduced. Help us achieve our number one goal, which is to give you the best possible smile.

Helpful hints about headgear

As part of your orthodontic treatment, Dr. Haeger has prescribed headgear be worn. Dr. Haeger usually recommends headgear when the top jaw is too far in front of the lower jaw. Headgear is used for two purposes. First, headgear can slow down the growth of the top jaw so that the lower jaw can "catch up" in growth. Second, headgear can move the top teeth back so they will fit better with the lower teeth.

When hooking up your headgear slide one side into a molar tube, then slightly pinch the headgear bow before placing the other side. While holding the face bow with one hand, hook up your strap to the hole indicated by Dr. Haeger. When removing your headgear face bow, remember not to pull both sides out at once. This will usually bend the face bow and make it difficult to place in the molar tube the next day. Also, do not rock the face bow up and down when removing it. This can loosen bands.

Headgear should be worn 12-14 hours per day! This is often difficult to achieve but necessary for the headgear to work properly. At first "build up" time wearing the headgear by using shorter intervals. You may also loosen the strap on both sides for a limited time. When you first begin wearing headgear, your molar teeth may become sore. This is normal. As you get used to your headgear, you'll notice your teeth will not be nearly as sore as they were at first.

Dr. Haeger recommends that headgear not be worn to school (unless specifically instructed). Headgear can be worn in the late afternoon and always when sleeping. It can be removed for meals. Most importantly, headgear should be worn every day! Inconsistent headgear wear is like not wearing headgear at all. Never attempt adjusting headgear by yourself. If you have trouble fitting your headgear, please call our office for an appointment.

Always bring your headgear to your orthodontic appointment for adjustment!

Glossary of orthodontic terms

Official no-no list

Avoid all hard, sticky or chewy food (in other words, the things that you like the most).

All of these foods will break brackets and loosen bands. Sometimes you may not discover something is broken until hours later.

Just say no! And walk away.

Dr. Robert Haeger – Your Invisalign Orthodontist – Orthodontics for Children, Adults, Invisalign® & more!
24909 104th Ave. S.E. Ste 203 Kent, Washington 98030 | Ph: (253) 850-7043 |
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