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Now that October is upon us, Drs. Lawrence Hier and Michelle Palmer and our team at Hier & Palmer Orthodontics wanted to send you a friendly reminder to schedule your orthodontic appointment prior to the end of the year to take full advantage of any flex spend, health savings, or insurance benefits that you may have.

The end of the year is always a busy time so make your appointment now so you don’t lose your available benefits! Give us a call today!

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.

Here are four dental and general reasons to stop biting your nails:

1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.

2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.

3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.

4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.

Drs. Lawrence Hier and Michelle Palmer and our team recommend the following to kick your nail biting habit:

• Keep your nails trimmed short; you’ll have less of a nail to bite.
• Coat your nails with a bitter-tasting nail polish.
• Ask us about obtaining a mouthguard, which can help prevent nail biting.
• Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
• Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
• If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Drs. Lawrence Hier and Michelle Palmer and our team for a recommendation.

As the school year gets under way in Boynton Beach, FL, you’ve got a lot going on. New classes. New teachers. New activities. New books and supplies and . . . well, it’s a lot! If orthodontic treatment is one of those new experiences, we have some suggestions to help you enjoy the year with a confident smile.

You may not have realized it, but the skill sets you’ve developed for school are useful beyond the classroom—you can use those same skills to help you achieve your orthodontic goals. If you’re going to school with braces, aligners, or appliances for the first time, this orthodontic study guide will help you maintain a healthy, stress-free smile:

Do Your Homework

Oral hygiene is more important than ever when you’re in orthodontic treatment. Plaque and food particles collect around braces and fixed appliances. If you’ve been brushing at home twice a day for two minutes and flossing once a day, good work! But now it’s time to level up your cleaning routine.

While you’re in treatment, you might need to brush and floss more often, whether several times a day or after each meal or snack. Follow Drs. Lawrence Hier and Michelle Palmer’s recommendations for brushing and flossing to help keep your smile cavity free.

The right tools will make life easier. Special brushes, flosses, and rinses designed for orthodontics can make cleaning your teeth easier and more effective. Electric toothbrushes and water flossers can be a game changer when it comes to removing plaque and food particles from tricky spaces. Talk to your orthodontist to learn the best tools and techniques for home care.

Essential Supplies

Put together a kit for your backpack or locker so you’ll always have the orthodontic supplies you need on hand. These tools will help you manage any expected—and unexpected—challenges while you’re away from home. Depending on your type of treatment, your kit might include:

• Travel toothbrush in a ventilated case (bacteria aren’t fans of fresh air!)
• Travel size toothpaste
• Orthodontic floss and interproximal brushes (for stubborn food particles around brackets and wires)
• Small mirror to make sure your smile and braces are food-free
• Dental wax to prevent irritation from loose wires or brackets
• Extra rubber bands for those who use them
• Your appliance case to prevent damaging or losing your retainer or aligners
• Your orthodontist’s phone number for emergencies

Add any other items you think will be helpful, and you’ll be prepared to handle any orthodontic-related issues throughout the day.

Follow Directions

Your orthodontist’s treatment plan is carefully designed to make your beautiful, healthy smile a reality as soon as possible—and the plan works best when you follow it!

• Wear your aligners, appliances, or elastics for the recommended number of hours each day. That’s the quickest way to a healthier smile.
• If you wear braces, see Drs. Lawrence Hier and Michelle Palmer for regularly scheduled adjustments.
• If you wear aligners, follow your orthodontist’s schedule each time you change trays. Changing to a new set of aligners too soon can cause stressful pressures on your teeth and jaws. Changing trays too late can delay your progress.

Any Questions? Ask!

Asking questions is one of the best ways to learn. Your orthodontic team has years of education and experience to help you answer some of the questions you have about navigating your school day.

Which cafeteria foods are orthodontic-friendly? Can you play a brass or wind instrument in band? If you play school sports, how do you wear a mouthguard with braces?

Your orthodontic team at Hier & Palmer Orthodontics has the answers—or knows how to help you find them. Work with your team to make sure that you’re able to enjoy all the possibilities of the school year, from classroom to lunchroom to extracurriculars, with a healthy confident smile!

You’re in the band and you’re getting braces. Now what? If you are a member of the string or percussion sections, you can go back to rehearsal. You’re good to go. When your talents have seated you in the reed or brass sections, though, a little adjustment might be necessary to keep your instrument and your braces working in harmony.

If you play a wind instrument, you know the term embouchure—the way you position and use your lips, tongue, facial muscles, and teeth to produce the sound you want. Depending on the instrument you play, you might be completely unaffected when you get your braces, or you might need to develop a more comfortable embouchure to accommodate them.

Wires and Woodwinds?

If you play a wind instrument such as the flute or piccolo, you might find that your normal lip positioning or blowing angle is affected by your braces, but usually the adjustment time is fairly short. Reed instruments such as the saxophone, clarinet, oboe, and bassoon are considered some of the easiest to adjust to when you have braces, but even though the single and double reed mouthpieces don’t require as much pressure as brass instruments, there can still be an adjustment period. One thing you should look out for is more condensation in your mouthpiece or instrument—be sure to keep your instrument clean to keep your sound pure.

Brackets and Brass?

Brass instruments require mouthpiece pressure. This leaves your lips pressed between the mouthpiece and your braces. For this reason, many brass players have a more challenging adjustment when wearing braces. Smaller mouthpieces (trumpet, French horn) usually require more pressure than larger ones (tuba, trombone). It’s important to learn how to use technique to avoid cuts, irritation, and other injuries caused by the pressure of your braces against your lips. Learning to play with less pressure on the lips and more air control and breath support will help you to recover your tone and range of notes while protecting your lips and mouth.

How Can We Help?

Let Drs. Lawrence Hier and Michelle Palmer know if you play, or plan to play, a wind instrument. We might be able to offer some suggestions. For regular metal and ceramic braces, some musicians find extra wax is helpful in preventing lip and cheek injuries. There are brace guards available that can be applied over the braces to protect your lips and mouth if wax doesn’t do the trick.

There are also alternatives to regular bracket-and-wire braces, depending on your orthodontic needs, cost factors, and length of treatment. Invisalign® devices fit smoothly over your teeth and can even be removed when it is time to practice or play, as long as you get the necessary hours of wear in per day. In some cases, lingual braces, where the brackets and wires are placed behind the teeth, might be the best choice for you.

Finally, don’t forget to talk to your music instructor. Don’t be dismayed if you find the quality of your playing has been affected. Your teacher might have valuable suggestions for adjusting your embouchure, playing with less pressure on the lips, and developing better air and breath support. You might need to shorten your practice time at first, and there might be another period of adjustment after your braces come off.

Above all, take care of yourself! If something is poking your lip or cheek, call our Boynton Beach, FL office immediately before it causes injury. It might be difficult at first, but finding an embouchure that works for your comfort and technique is worth it. And remember, these temporary fine-tunings will lead to a wonderful coda: skilled musicianship and a beautiful, healthy smile. Bravo!