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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 Dr. Joel Martinez, Dr. Christopher Martinez, and Dr. Vanessa Martinez 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 McAllen 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!

Perhaps you’ve heard from parents or older relatives what braces used to be like years ago—obvious, uncomfortable, hard to clean, and with inevitable tooth extractions to start off the whole lengthy process.

Today, brackets are much smaller and wires are more pliable. You can even choose ceramic brackets or clear aligners for an almost invisible effect. New tools make cleaning your braces easier than ever. And new braces technology means that treatment is often shorter. But what about extractions? Are they still inevitable?

For orthodontists like Dr. Joel Martinez, Dr. Christopher Martinez, and Dr. Vanessa Martinez, the objective is saving teeth. And modern practices and technology have made this goal more attainable than ever before. There are several ways that modern treatment procedures can help avoid extractions.

• Early Intervention

We recommend that children visit our McAllen office for an orthodontic evaluation by age seven. Because a child’s jaw is still forming at this age, early intervention can lead to orthodontic treatment that expands the jaw in order to make room for permanent teeth, or starts correcting bite problems before they become more serious.

• High-Tech Planning

Today’s technology allows us to map out the progression of your treatment before we begin. Scanners, X-rays, and computer programs help us to design a treatment plan which will accurately predict how best to move your teeth and correct your bite, taking into account the size and development of your teeth and jaw.

• Surgical Options

By the time you reach your late teen years, the jaw bones have stopped growing and it’s no longer possible to expand them without surgery. Oral surgery can treat serious jaw problems that impact your teeth and bite, usually as part of a combined treatment plan designed by your orthodontist and your oral surgeon.

Because we always work to keep teeth intact—using these methods and others—you can be sure that, if we recommend extraction, it is absolutely necessary. What could make an extraction necessary?

• Severe overcrowding. Sometimes, there’s just not enough room in the jaw for all of your teeth.
• A tooth or teeth that prevent us from correcting a problem with your bite.
• Wisdom teeth. Usually, orthodontic work takes place before a patient’s wisdom teeth start to erupt. If yours do make an appearance before or during treatment, we can adapt our treatment plan accordingly.
• An extra tooth. It’s rare, but an extra, or supernumerary, tooth sometimes develops, and your jaw is not designed to accommodate extras!

It’s important that you talk to Dr. Joel Martinez, Dr. Christopher Martinez, and Dr. Vanessa Martinez about every step of your treatment, including extractions. We want you to understand the treatment plan which will give you your best outcome. If we recommend extraction, it is because this decision is the best way to achieve a healthy bite and alignment, creating your beautiful smile—and protecting it—for a lifetime.

Press Pause

If you are getting braces in the near future, it’s very important to see your regular dentist first. That way, any cavities or other dental problems can be treated before your first orthodontic appointment at our McAllen office.

Play it Safe

Once you have your braces, you’ll hearing a lot about how you need to be especially careful with your dental hygiene. Why? Because wires and brackets are obstacles to getting your teeth and gum area their cleanest. Plaque and food particles tend to stick to braces, and all too often can be missed while brushing. Plaque builds up around your gum line and brackets, and, in a very short time, can lead to sensitivity, demineralization, and cavities.

What can you do to prevent tooth decay?

• Increase Your Brushing Time

Instead of brushing twice a day, start brushing for two minutes after every meal. Put together a travel bag with a small toothbrush, toothpaste, floss, and interproximal brushes to clean your teeth when you’re on the go. If you absolutely can’t brush, rinse carefully with water, and then brush as soon as you can.

• Flossing—More Important than Ever

Use the flossing tools designed just for braces to make sure you’ve removed food particles and plaque from around your braces and gums. A water flosser can be helpful if manual flossing isn’t effective.

• Keep Up with Your Regular Dental Care

Schedule regular checkups and professional cleanings at your dentist’s office. They will be able to remove plaque you might miss at home.  

• Follow Our Advice

We’ll give you instructions on how to brush and floss, what products to use, and diet suggestions (such as keeping sugary and sticky foods off the menu and away from your braces). If we notice plaque building up around your gums and brackets, we’ll let you know that you need to step up your hygiene habits. We can also suggest rinses and toothpastes that help fight plaque.

But if, despite all your efforts, you do get a cavity? There are options!

• Ignoring Your Cavity?

Not an option. You shouldn’t wait until you are out of braces to get a cavity treated. This just gives decay a chance to spread further.

• Working With Your Braces

Repairing a cavity means removing the decay in the tooth, cleaning the area, and then filling the tooth. If your cavity isn’t located near your bands, brackets, or wires, your dentist might be able to work around your braces, and you can get your cavity treated during a regular dental appointment.

• Removing Parts of Your Braces for Treatment

Sometimes a cavity is located in a spot that your dentist can’t reach because of your braces. In that case, we’re able to coordinate with your dentist and remove a wire or bracket temporarily so you can have your tooth filled. Make an appointment to replace your bracket and re-attach your wire, and you’ll be back on schedule as soon as possible.

Fast Forward

Keep your eyes on your goal--you’re in braces because you want a beautiful smile. Keeping on top of your dental health is an essential part of creating that smile. Talk to Dr. Joel Martinez, Dr. Christopher Martinez, and Dr. Vanessa Martinez about tips for getting your teeth their cleanest. If you do develop a cavity, we’ll help you figure out the best way to treat it without causing too much delay in your orthodontic treatment. Taking care of your teeth now is the best way to create a future of beautiful smiles!

Although adolescence is a common time to get braces, there’s no reason for adults of any age to have to deal with crooked teeth, overbite, underbite, or other dental issues. In fact, the American Association of Orthodontists notes that demand for orthodontic treatment in adults continues to grow, with adults representing 20% of new patients.

You’re never too old for braces or other orthodontic appliances, but it’s important to consider the following:

1. Braces don’t have to be as noticeable as the metal brackets of the past. Many adults opt for ceramic or plastic braces, which are bone-colored or clear, respectively. Another option is a lingual appliance, which attaches to the back side of your teeth. These so-called “invisible” braces are much less noticeable than traditional options.
2. By adulthood, bone growth has stopped. This means that certain structural changes can only be achieved by surgery. Although this typically affects people with significant crowding, bite, or jaw problems, Dr. Joel Martinez, Dr. Christopher Martinez, and Dr. Vanessa Martinez can provide an individualized treatment plan that addresses your unique issues.
3. Treatment may take a bit longer. The length of orthodontic treatment tends to be slightly longer for adults than adolescents. Exact estimates vary by individual, but the average length of time for adult braces wearers is two years, according to the Harvard Medical School.
4. Outcomes are just as good for adults! Many adults worry that it’s too late to treat their orthodontic problems. However, treatment satisfaction tends to be very high, which is a testament to how effective braces can be in middle-aged and older adults.