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From the time you were small, you’ve been warned about the dangers of plaque. Why? Because:

• It’s an unpleasant film that sticks to your teeth
• It causes cavities
• It causes gum disease
• It can cause extra problems when you wear braces

And really, do we need to know much more than this to motivate us to brush? But if you’re in a curious mood, you might be wondering just how this soft, fuzzy film accomplishes all that damage. Let’s take a closer look at the sticky problem of plaque.

How does plaque form?

We live with hundreds of species of oral bacteria, most of which are harmless, and some of which are actually beneficial. But when our oral ecosystem gets out of balance, problems can occur. For example, without regular and thorough brushing and flossing, we start to build up plaque.

Plaque starts forming within hours of your last brushing. And even though plaque fits the very definition of “seems to appear overnight,” this biofilm is actually a complex microbial community with several different stages of development.

• It starts with saliva.

Saliva is vital to our oral health, because it keeps us hydrated, washes away food particles, neutralizes acids in the mouth, and provides minerals which keep our enamel strong. Saliva also contains proteins, which help form a healthy, protective film on the tooth surface. This film is called a pellicle.

• Bacteria attach to the pellicle.

There are species of oral bacteria that are able to attach themselves to the pellicle film within hours of its formation. As they become more firmly attached, they begin to grow and divide to form colonies, and are known as the early colonizers of the plaque biofilm.

• A complex biofilm forms.

If you’ve skipped brushing for a few days (please don’t!), you’ll notice a fuzzy, sometimes discolored film on your enamel—that’s a thriving plaque community, and it only takes a matter of days to go from invisible to unpleasant.

If you’re not removing plaque regularly, it can harden further and become tartar. And once you have tartar buildup, you’ll need the care of a dental professional to remove it.

• What happens if we ignore plaque and tartar?

We get cavities and gum disease.

How does plaque cause cavities?

• The bacteria in plaque, like all organisms, need nutrients.

Our normal oral environment and the food in our everyday diets provide the nutrients plaque needs. And, as we mentioned above, certain types of oral bacteria convert these nutrients into acids. Foods such as carbohydrates, starches, and sugars are most easily converted into acids, which is why we recommend that you enjoy them in moderation.

• The biofilm promotes acid production.

Within the plaque film, anaerobic bacteria (bacteria which don’t use oxygen) convert sugars and starches into acids. As the plaque film becomes denser, it blocks acid-neutralizing saliva and oxygen from reaching these bacteria close to the tooth’s surface, creating an ideal environment for the bacteria to produce their acid waste products.

• Acids attack enamel.

The sticky nature of plaque keeps these acids in contact with tooth enamel, where, over time, acids dissolve minerals in enamel, weakening the mineral structure of the tooth.

How does plaque cause gum disease?

• Bacteria cause inflammation and gingivitis.

The bacteria in plaque irritate the delicate tissue of the gums, which causes an inflammation response which can leave your gums swollen, red, bleeding, or tender. This early form of gum disease is gingivitis. Fortunately, good dental care and careful brushing and flossing can usually prevent and even eliminate gingivitis.

• Plaque and tartar can lead to periodontitis.

When plaque and tartar build up around and below the gumline, the gums pull away from the teeth, leaving pockets where bacteria collect, leading to infection as well as inflammation. Infections and constant inflammation not only harm gum tissue, they can destroy the bone supporting the teeth. This serious gum condition is periodontitis, and should be treated immediately to avoid further infection and even tooth loss.

How does plaque affect orthodontic patients?

• Plaque collects around your braces.

Braces provide plenty of spots for plaque to hide from your brush. If you aren’t extremely diligent with your brushing and flossing, plaque collects near brackets, wires, and bands—all those spots that a brush and floss find difficult to reach.

• Plaque promotes demineralization

The demineralization process we mentioned above can cause white spots on teeth (decalcification), where minerals have dissolved. Sometimes these spots can be treated, and sometimes they are permanent. They can become quite sensitive, and may lead to cavities.

Careful brushing and flossing around your braces will help eliminate the plaque that can cause demineralization near brackets. Ask Dr. Gill about the tools and the brushing and flossing techniques which will give you the best results.

How do we fight plaque?

From the time you were small, you’ve learned how to fight plaque:

• Brush at least twice a day for two minutes, and be sure to brush all of your tooth surfaces and around the gumline.
• Floss to remove plaque from between the teeth and near the gumline.
• See your dentist as recommended for a thorough professional cleaning.

Be proactive. If you have any questions, talk to us at our Fargo, Wahpeton, ND office about the best way to keep plaque at bay. We can show you the most effective ways to brush and floss, recommend anti-plaque toothpastes and rinses, even suggest plaque-revealing tablets if you’re missing some trouble spots.

We’ve only brushed up on some plaque basics, because there is a lot more to discover about this complex biofilm. Happily, even with all there is to learn about plaque’s growth and development, it’s reassuring to know that getting rid of it is quite simple—with just a soft-bristled brush, some dental floss, and a few minutes of your time each day, you’re on the way to a healthy, happy, plaque-free smile.

A lot of our patients, (especially you parents!) come to Gill Orthodontics convinced that traditional braces are the only answer to straight teeth. We are proud to offer Damon Smile in our Fargo, Wahpeton, ND office, which can give you better results in less time than traditional orthodontic treatment! Damon Smile braces also allow your teeth to move more comfortably and easily than traditional braces. With  Damon Smile, achieving that perfect smile will be faster and easier than you ever thought possible.

Some questions we will go over at your initial consultation include:

Are you right for Damon Smile?

Our team at Gill Orthodontics will evaluate your eligibility for treatment with Damon Smile, and the procedure can be performed for kids and adults alike!

What makes Damon braces better?

Probably the biggest advantage of Damon braces over traditional brackets is the amount of time and effort involved. We can often cut months off of the total treatment time for patients using Damon Smile, and less visits to our office are necessary to make adjustments.

In addition, the Damon Smile brackets are cleaner and do not use the elastic traditional brackets do. They are also less prone to plaque buildup. In addition, Damon braces are smaller and have fewer parts than traditional brackets, making them less noticeable and more comfortable. With Damon Smile, you will not experience any tightening, unlike with traditional braces. Dr. Gill can position your teeth and avoid frequent adjustments, which also reduces the need for complicated tooth extractions or surgery.

If you have been thinking about obtaining a dazzling smile, please give us a call at Gill Orthodontics for an initial consultation to see if Damon Smile is right for you!

Braces have come a long way over the years. In the past, tooth removal was common, palatial expanders were the norm, and headgear and rubber bands were necessary evils to get the desired results. Damon Smile self-ligating braces have made those things distant memories.

Despite the competition from other clear braces and aligners, Damon has a proven track record, and the results of a side-by-side comparison between conventional braces and Damon braces were published in the journal Clinical Impressions.

The Study

The comparative study tracked orthodontic care of 132 patients, six of whom were treated with Damon Smile, and 66 of whom got traditional braces. The study also looked at treatment times (meaning the total length of time the patients wore braces,) the number of appointments they had, the quality of the results, and patient comfort.

The Results

Length of Time Wearing Braces: The researchers found that the patients who wore Damon Smile braces wore them for an average of 7.2 months less than the traditional brace-wearing patients.

Number of Appointments: Damon patients had an average of 47.8 percent fewer appointments.

Time Needed for Leveling and Aligning: Damon patients only needed 3.2 months for leveling and aligning, while traditional brace participants needed six months. That means the Damon participants required 46.7 percent less time.

Comfort Level: Damon wearers experienced 60 percent less discomfort than traditional brace wearers.

Results: Damon results were consistently excellent, with a score of 3.6 on a 4-point scale.

Other Benefits

• Damon Smile braces use a proprietary technology called self-ligation. That means there is no need for the elastic or metal ties that are part of traditional brace therapy. The absence of any kind of ties means that patients don't have to have their braces tightened.
• Damon high-tech lightweight memory wires work faster, so patients don't have to wear braces as long as they would with traditional braces. Memory wire technology also reduces the need for frequent adjustments at our Fargo, Wahpeton, ND office.
• A slide mechanism holds wires in place, but allows for freer tooth movement.

Perhaps the greatest benefit of Damon Smile braces is that, without the ties, patients are far more willing to comply with a more time-consuming oral hygiene regime. More thorough brushing, easier flossing, and less general tension in the mouth mean that better oral hygiene lessens plaque build-up, while helping patients keep their mouths healthier and cavity-free during the time they wear braces.

Greater self-confidence and improved self-esteem have the potential to change lives. And a healthy mouth and an attractive smile can do that! Ask Dr. Gill if Damon Smile is right for you!

Damon® Smile is a state-of-the-art braces treatment that enables you to get a healthy, straight smile more quickly and comfortably than traditional braces. Studies show Damon Smile requires up to six months less time to complete successful treatment.

However, a question many patients have is...

Why should I get braces?

Apart from the boost in self-esteem that straight teeth can give a person, some people wonder whether braces like Damon Smile are necessary. As Dr. Gill will tell you, braces offer many health benefits as well as aesthetic ones.

When you have evenly spaced teeth and correct bite:

• It’s easier to brush and floss
• There is less tension on the supporting bones and muscles of the mouth and jaw, which reduces stress and headaches
• Chewing is more efficient (which can help your digestion)
• There is less likelihood of tooth decay caused by inadequate oral hygiene since teeth are easier to clean — so this helps to prevent gum disease.

You can see the benefits of getting braces, but why Damon Smile instead of traditional braces or clear aligners? Damon Smile offers patients a highly customizable and discreet way of straightening their teeth. And it's suitable for almost all patients, unlike clear aligners, which can be used only in certain situations.

Since Damon Smile isn’t removable, the braces work 24 hours a day, seven days a week, to correct your smile and bite. That means faster results with less chance of relapse!

Damon Smile doesn’t use elastics like traditional brackets, which means you experience less bacterial buildup and faster, more comfortable movement of your teeth. Did we mention Damon Smile also comes in a clear version? Damon® Clear™ lets patients move teeth discreetly as well as effectively. There is also a nickel-free option for patients who are sensitive to nickel.

These are just some of the many benefits of braces with Damon Smile. The next time you visit our Fargo, Wahpeton, ND office, ask Dr. Gill if you’re a good candidate for Damon Smile so you can experience the benefits yourself!