How Braces Move Teeth
Kids that suck their thumbs often have buck-teeth. Why?
A girl from Gladstone, Oregon asked me why her front teeth stuck out so far. She was a first grader who found it very hard to stop being a thumb sucker.
Teeth are connected to jaw bones by thousands of tiny fibers that surround the roots and permit slight movements of the teeth during chewing and prevent the teeth from being dissolved away by the bone cells called osteoclasts.
Expanding Your Palate
If you are an artist, your palatte may be very messy and colorful. If you are a gourmand, then your palate describes your appreciation of smell and taste. Anatomically, your palate as the roof of your mouth.
Some people have a narrow palate for a variety of reasons:
- thumbsucking
- pacificer use
- low tongue posture
- birth defects like a cleft
- mouth breathing
- unknown reasons
Crossbites
Let’s get some definitions out of the way. Upper teeth that bite inside lower teeth are called:
- crossbite
- cross-bite
- cross bite
An anterior crossbite involves the front teeth and a posterior crossbite involves the back teeth.
Rarely, the upper posterior teeth bite completely outside the lower teeth in a condition called a scissor bite.
A posterior crossbite can involve either one side, called a unilateral crossbite, or both sides, called a bilateral crossbite.
Saving Space
Orthodontists are always worrying about space. When we are lucky, and this is most of the time, there is just the right amount of space for the top teeth and the bottom teeth to come together properly when all the teeth touch and are nice and straight.
The primary baby teeth are important for chewing and biting and speaking and especially for maintaining the space needed for the future permanent adult teeth.
Treating Portland Pulps & Root Canals
“Root canal? Ouch!” That is what most of my Portland patients tell me, but luckily root canal treatments take away toothaches to make you feel better.
Usually dentists prefer to treat infected root canal pulps before they start to hurt because this is the most comfortable way to go. Waiting for a tooth to hurt before starting root canal treatment is usually less comfortable.
Permanent teeth with infected pulps need root canal treatment.
When to Start Kids Braces?
Most of my Portland patients ask me when to start braces for their kids. I have been practicing orthodontics in Portland since 1995 and so I have seen many of my pediatric dental patients grow up from infancy through their teens.
Some orthodontists recommend treating crooked teeth or teeth that do not occlude (bite together properly) in two phases or treatment steps. The first phase usually starts around second or third grade and a second phase around sixth grade.
Super Orthodontic Wires
Moving teeth is a relatively simple matter. Just push on a tooth with gentle force for a long time and the tooth will move. Kids that suck their thumbs will move their teeth forward with their thumbs.
We move teeth with brackets glued to teeth and wires between them. The trick to moving teeth orthodontically is to have the gentle forces continue for a long enough time.
Icy Tooth Accidents in Oregon
With winter coming to Oregon, it is time to think about preventing falls that damage teeth.
Icy hills are lots of fun to slide down but those smiles can quickly turn to frowns and tears with a bad fall.
If your child gets into an accident that damages teeth, follow these steps:
- Check that there are no skull, neck, or back injuries first.
Plaque in Portland
Most people have heard about dental plaque but not everyone knows what it is.
Dental plaque is a thick sticky waterproof cream-colored coating that develops on teeth over time. It is made up of bacteria and their wastes with saliva components.
Sticky mucopolysaccharides are the mortar of dental plaque. They protect the bacteria by gluing the whole colony to tooth enamel and making them resistant to washing off with normal eating and drinking.


