At Home Care

Brushing

You will notice that it is much harder to keep your teeth clean with braces. Food becomes caught in the brackets and between your teeth and can only be removed by brushing and flossing. If plaque remains on the teeth for any length of time, it can leave a permanent white scar on the surface. Brushing after meals should become part of your daily schedule. Use a soft toothbrush and brush at a 45-degree angle to the tooth in small circles above and below the brackets. Your toothbrush will wear out faster because of your appliances, so be sure to replace it whenever the bristles start to fray.

A Waterpik can be a useful addition, but it cannot remove the sticky plaque that adheres to the teeth. A Sonicare ultrasonic toothbrush can be used to help remove plaque. Flossing is important with braces and is accomplished using reusable floss threaders.

Eating Habits

Please do not eat hard foods, including nuts, ice, crisp taco shells, whole apples and carrots (cut them into pieces first), hard French bread crust and rolls, spare ribs, corn on the cob (cut the corn off the cob before eating) and popcorn! These foods can cause breakage of the brackets and wires. Also beware of nail-biting and pen- or pencil-chewing habits, since these can damage your braces. Do not eat sticky foods like taffy, caramels, bubble gum or sticky candy of any sort. Use common sense about most foods. Excessive broken appliances due to careless eating habits may result in additional charges for repair.

Braces

Check your braces once a week for anything loose or bent. If a bracket or band comes loose or you break a wire, please call our office so we can arrange an appointment long enough to repair it.

Sore Teeth

After braces are placed in the mouth, it is normal for the teeth to be sore for about 2 to 3 days. Tylenol or Advil/Motrin will help relieve this discomfort. Some irritation to the cheeks and tongue is normal, but if you feel anything sharp is poking you, please call our office.

Elastics

Attached to your braces, elastics (rubber bands) create the right amount of pressure to move teeth and correct your bite. In order for this force to remain constant, elastics must be worn all the times and changed at least twice every day. Any time missed in wearing your elastics will only prolong your treatment, so make sure to wear them as instructed. Remove them only when brushing your teeth or eating meals. Then put them back on immediately. If you forget to wear your elastics one day, don’t double up the next day – just follow your regular instructions.

Removable Appliances

A removable appliance is carefully designed to move or hold your teeth in place. It should be worn according to instructions and brought to each appointment. Wear your appliance at all times, even while you are asleep. It may be removed while swimming or engaging in vigorous sporting activities. In two to three days, your speech will return to normal with the appliance in place. Avoid flipping your appliance with your tongue. This can cause damage to your teeth or breakage of your appliance.

Your new appliance may make your teeth sore for a day or two, especially after an adjustment. If you have a sore spot on your gums, call our office so we can arrange to adjust the appliance. Clean your appliance by brushing it daily with toothpaste. Denture cleaner can also be used for a more thorough cleaning. Never wrap your appliance in a paper napkin or tissue and set it down on the table. You or someone else may throw it away. Don’t put it in your pocket when playing, or you may break or lose it. Whenever it is not in your mouth, it should be in its plastic appliance case.

Keep your appliance away from dogs or cats, as they love to chew on them. Avoid storing it near any source of heat. Do not boil your retainer to sterilize it! If needed, bring it to the office, and we will be happy to disinfect it for you. Do not soak your retainer in mouthwash. An additional charge will be incurred for lost or broken appliances. Please bring your retainers to all appointments.

Things to Remember About Your Expander

  • You are instructed to wear you expander 24 hours a day/ 7 days a week. You must, therefore eat with it in place, wear it all day and sleep with it in your mouth.
  • Don’t fold it in your napkin or leave it on the table at a restaurant. Garbage cans don’t make happy hunting grounds.
  • Don’t put your expander in your pocket. You might sit on it and break it. OUCH!
  • Take your expander out when swimming in a lake or ocean. If it falls out, you may not be able to find it. Wearing it in a swimming pool is OK.
  • Animals and younger children love to play with expanders. Please make sure yours is in your mouth at all times. Your expander should only be out of your mouth when brushing.
  • Speech may be a temporary problem, but after a few days this becomes normal.
  • The first expander is included in your treatment fee. Any repairs to or replacement of your expander will result in an additional charge to your account.
  • Keep things clean! Be sure to brush your teeth without your expander in. Do not boil your expander or put it in hot water or the microwave. Brush your expander with a toothbrush using toothpaste or water.
  • Once a week, your expander should be taken out of your mouth and turned one turn with your special key.

Things to Remember About Your Retainer

  • You are instructed to wear your retainer for a year full time, which means 24 hours a day, 7 days a week. After a year, you will need to wear it only at night.
  • Don’t fold it in your napkin or leave it on the table at a restaurant. Garbage cans don’t make happy hunting grounds.
  • Don’t put your retainer in your pocket. You might sit on it and break it. OUCH!
  • Take your retainer out when swimming in a lake or ocean. If it falls out, you may not be able to find it. Wearing it in a swimming pool is OK.
  • Animals and younger children love to play with it. Please make sure your retainer is in your mouth at all times. Your retainer should only be out of your mouth when brushing.
  • Your lower retainer may be a fixed retainer bonded to your teeth. It is not considered permanent and can be broken or detached from your teeth if you are not careful with it.
  • Bring your retainers to your check-up appointment. If anything happens to your retainers (i.e. it doesn’t fit, it’s broken, or it’s lost) please call us ASAP. If your lower bonded retainer wire comes out, keep it and bring it to your next appointment for rebonding.
  • The first set of retainers is included in your treatment fee. Any repair to or replacement of your retainer, or rebonding of your lower retainer, will result in an additional charge to your account.
  • Keep things clean! Be sure to brush your teeth without your retainers in. Do not boil your retainer or put it in hot water. Brush your retainer with a toothbrush using toothpaste or water.

No. 2-4, Lane 650 Biyun Road Jinqiao, Pudong, Shanghai 201206 Tel: +8621 6105 9400
2268 Hongqiao Road, Unit 2P Changning District, Shanghai 200336 Tel: +8621 6237 6969