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Spot Check

July 21st, 2021

After all your hard work, and months of orthodontic treatment, the big day is finally here—your braces are coming off! What you want to see: beautiful, straight teeth perfectly aligned to create a comfortable, healthy bite. What you don’t want to see: a collection of whitish spots dotting the enamel around your gum line or outlining the spot where your brackets used to be.

What are these spots? Can they be removed? And, most important, how do you avoid them?

Decalcification

Those white spots are caused by decalcification, or the removal of the minerals, especially calcium and phosphorus, that strengthen our enamel. How does this removal take place? When bacteria and plaque remain on the teeth, they produce acids that eat away at these minerals. The result is a weakened, discolored white spot in the enamel. Unfortunately, because many orthodontic patients don’t brush thoroughly around their braces, decalcification is an all-too-common problem.

Treating Decalcification

You might need cosmetic dentistry to eliminate or reduce white spots on the enamel. In some cases, they will fade over time, or teeth whitening can help. In more stubborn cases, tooth bonding or veneers can cover the affected enamel.

Preventing Decalcification

But, obviously, prevention is always better than treatment. Here are some of the ways to keep your enamel healthy and looking its best:

  • Brush thoroughly after every meal.

Getting rid of the bacteria and plaque on your enamel and around your gum line will greatly reduce your chances of decalcification—and cavities. Brush after every meal, and talk to us about the best products and techniques for cleaning your teeth and appliances. And be sure to spend the extra time you’ll need for brushing around your braces.

  • Floss

Even though it can be more difficult to floss with brackets and wires, it’s essential for removing plaque. We have suggestions for special flosses designed for braces wearers, and how best to use them. A water flosser can be helpful for reducing plaque if other flossing methods aren’t working.

  • Use fluoride toothpaste

Fluoride actually helps remineralize our teeth, replacing the important minerals that have been lost to acid attacks. We might also suggest remineralizing toothpastes or a fluoride rinse.

  • Watch your diet

Acidic foods increase the acidity levels in your mouth, sugars give bacteria the fuel they need to produce acids, and sticky foods allow bacteria to remain on teeth and braces longer. We’ll give you suggestions on the best foods to keep your teeth healthy (and your braces intact) while you’re undergoing treatment.

  • Have your teeth cleaned regularly

Your dental professional will be able to remove plaque and tartar that home brushing has missed.

  • Work with us!

If we let you know that you need to spend more time on your cleaning routine, or that you need to be more thorough when you brush and floss, take our suggestions to heart. We are happy to show you the most effective way to clean around your braces. Dr. Lapsi can recommend the best dental products for your specific needs. We can suggest rinses and toothpastes that will help. We’ll let you know how much time you should spend brushing and how often.

If you have any questions at all about keeping your teeth and braces their cleanest, we are here to help. Always feel free to talk to our Carlsbad, Mission Viejo, or Laguna Hills team about concerns you might have about decalcification, discoloration, or any other potential problems. We are want to make sure that when your braces come off, you have every reason to smile!

My child has autism. What should we expect at your office?

July 14th, 2021

At Excel Dental and Orthodontics, we know that as many as one in 88 children today have some form of autism, a complex brain disorder that affects a child's ability to communicate or form relationships, and makes a child appear distant, aloof, or detached from other people or surroundings. Autism varies widely in symptoms and severity, and some people have coexisting conditions such as intellectual disability or even epilepsy.

That is why Dr. Lapsi and our team are specially trained to provide dental care to the entire special needs community, including autistic children. We know that a visit to the dentist with an autistic child can be difficult. In addition to the common fears associated with strangers, there are also unfamiliar sounds, sensations, bright lights, and tastes with which your child may not be comfortable. We work with parents to make sure visiting the dentist is not so traumatic for our autistic patients.

Dr. Lapsi and our team also know that patients with autism may be more interested in equipment and instruments than in us. We show our patients every piece of equipment we are going to use in a way that they can understand. We also allow a patient to sit in a parent's lap in the open bay if he or she is not feeling at ease. We want your child to enjoy getting to know us and to be comfortable while under our care.

A pleasant, comfortable visit at our Carlsbad, Mission Viejo, or Laguna Hills office builds trust and helps put your child at ease for future appointments. Before a visit, we ask parents or guardians to bring their child's favorite toy, comfort item, music, or other coping device their child requires. We have a caring and compassionate team and know how to help autistic children acclimate themselves to a dental environment. We may not get everything done at the first visit, but we are able to schedule several appointments so that your child can get used to our office, the dentist, instruments, and our staff.

Children, especially those afflicted with autism, are not born with a fear of the dentist, but they can fear the unknown. Our team at Excel Dental and Orthodontics genuinely cares for our patients beyond their teeth, and are more than happy to discuss any concerns you may have, as well as answer questions about your child's ongoing dental treatment. Please give us a call to learn more or schedule an appointment with Dr. Lapsi.

Summer Dental Health? Get into the Swim of It!

July 7th, 2021

On a sizzling hot day, there’s not much that makes us happier than heading to the water for a quick swim, some gentle laps, or even a rousing game of water polo. And this being a sizzling hot dental blog, we are happy to offer some tips on how to make your summer swim good for your dental health as well as your mental health!

  • Mouthguards

You might use your mouthguard all the time—for biking, or basketball, or skiing. But in the pool? Absolutely! Anyone who has played water polo knows what a physical workout it is. Elbows! Hard tosses! Collisions! And it’s not just pool sports. Water-skiing on the lake, surfing in the ocean—anywhere humans and solid objects are involved, tooth and jaw injuries are possible. Don’t spend valuable summer hours tending to a cracked or broken tooth as a result of sports accidents.

And, unlikely though it seems, even hanging by the pool can be hazardous to your smile. Hard concrete edges wait to greet surfacing divers. Slippery cement and tiles surrounding the pool are the downfall of many a swimmer running to jump back into the water. Be aware of possible dental dangers, and use a mouthguard as a great proactive way to avoid them.

  • Swimming Pools & Chlorine

Ah, the smell of chlorine! We all want to know that swimming pools are as clean as they can be, and one method of keeping them that way is with the addition of antimicrobials to the water. But too much exposure to chemicals can cause enamel erosion, or even a condition called “swimmer’s calculus.” Swimmer’s calculus is recognized by a hard, brownish, tartar deposit that appears on the front teeth of swimmers who spent a lot of hours in the pool. It’s a cosmetic problem, but one that’s difficult to get rid of without a professional cleaning. If you’re a competitive swimmer, or simply someone who spends many hours a week in treated water, give us a call if you notice hard-to-remove discoloration or tooth sensitivity.

  • Retainers

Different people have different opinions on whether or not your retainer should be exposed to the chlorine in pool water. (Or the salt in saltwater or the bacteria in lake water.) Ask us for ours! But you’re best off leaving it in your bag or locker, anyway, because retainers can be easily lost in the water. They might be able to survive a swimming pool, but a lake or ocean rescue is very unlikely. Just remember to put your retainer in a case, in a safe spot, and replace it when you’re out of the water for the day.

Enjoy your time on the water, and don’t forget to schedule an exam with Dr. Lapsi and a professional cleaning if you haven’t been in the office for a while. If you do have a dental problem or an accident, give our Carlsbad, Mission Viejo, or Laguna Hills office a call immediately. We want to make sure you dive in to summer fun with a healthy, beautiful smile!

A Helpful Site on Orthodontics

July 1st, 2021

As you are undergoing orthodontic treatment, our team at Excel Dental and Orthodontics would like to point you to a helpful website. Our friends at the American Association of Orthodontists (AAO) have lots of important information about everything relating to braces, including myths and facts of orthodontics, tips for a better orthodontic experience, and cool webisodes about orthodontics.

Check out AAO today and feel free to contact us at our Carlsbad, Mission Viejo, or Laguna Hills office if you have any questions.

Dr. Lapsi and our team at Excel Dental and Orthodontics hope this information helps you!

california dental association american academy of impland dentistry american board of oral implantology american dental association orange county dental society