Nutrition and Your Teeth

The American Association of Orthodontists recommends that all children see an orthodontist by at least age seven or sooner if something is obviously wrong before age seven. Fortunately, most young patients don’t need anything more than observation while the permanent teeth are growing into place.

Many young patients have problems, which will not, or should not wait. Most orthodontic problems are inherited and cannot be prevented; however something can usually be done before these problems become more difficult and more expensive to manage.

It is recommended you consult with an orthodontist prior to having your dentist remove any baby teeth or permanent teeth. To ensure the best overall dental and facial development, all patients should have an orthodontic consultation sometime between the ages of four and seven.
Dr. Montoya offers early examinations and observation consultations. Contact us to schedule a complimentary consultation.

Classifications of Teeth
The classification of bites is divided into three main categories: Class I, II, and III. This classification refers to the position of the first molars, and how they fit together.


Class I
Class I is a normal relationship between the upper teeth, lower teeth and jaws or balanced bite.

braces

Class I normal

braces

Class I crowding

braces

Class I Spacing

braces

Class II
Class II is where the lower first molar is posterior (or more towards the back of the mouth) than the upper first molar. In this abnormal relationship, the upper front teeth and jaw project further forward than the lower teeth and jaw. There is a convex appearance in profile with a receding chin and lower lip. Class II problems can be due to insufficient growth of the lower jaw, an over growth of the upper jaw or a combination of the two. In many cases, Class II problems are genetically inherited and can be aggravated by environmental factors such as finger sucking. Class II problems are treated via growth redirection to bring the upper teeth, lower teeth and jaws into correct position.


Class II division 1

braces

Class II division 2

braces


Class III
Class III is where the lower first molar is anterior (or more towards the front of the mouth) than the upper first molar. In this abnormal relationship, the lower teeth and jaw project further forward than the upper teeth and jaws. There is a concave appearance in profile with a prominent chin. Class III problems are usually due to an overgrowth in the lower jaw, undergrowth of the upper jaw or a combination of the two. Like Class II problems, they can be genetically inherited. Class III problems are sometimes treated via surgical correction of one or both jaws.


Class III functional or dental

braces

Class III skeletal

braces


Orthodontic Problems


Overjet
Upper front teeth protrude

braces

Deep bite
Upper front teeth cover lower front teeth too much

braces

Underbite
Lower front teeth protrude

braces

Open bite
Back teeth are together with space between the front teeth

braces

Crowding
Upper and/or lower teeth are crowded

braces

Excess Spacing
There is excess space between teeth

braces

Mid-Line Misalignment
Mid-lines of upper and lower arches do not line up

braces

Crossbite
Upper back teeth fit inside lower teeth

braces


Phases of Treatment
Phase1: Treatment usually takes 12 to 18 months and is done between the ages of 7-9. A variety of appliances may be used to correct specific problems.

Maintenance Phase: During the time between the first and second phase the patient will be seen every few months per year. This is to monitor the eruption of the permanent teeth and loss of primary teeth.

Phase2 (if required): During the first phase of treatment Dr. Montoya has no control over 16 unerupted permanent teeth. If they grow in and problems still exist, further treatment, known as Phase 2, will be required. A separate fee will be quoted at that time. Treatment usually takes 12-24 months.

Full Treatment: If you decide to wait, treatment will be started when all permanent teeth have erupted. Full treatment usually takes 18-30 months. The length of treatment depends on the severity of malocclusion and orthodontic problems.

Proper Braces Care and Brushing Techniques
Brushing and flossing your teeth can be challenging when wearing braces but it is extremely important that you do both consistently and thoroughly. 


braces

braces

braces

braces

braces

 

Foods to Avoid During Treatment: Eating proper foods and minimizing sugar intake are essential during orthodontic treatment. Your braces can be damaged by eating hard, sticky, and chewy foods.

  • Hard foods : Nuts, Candy, Hard Pretzels
  • Crunchy food: Popcorn, Ice, Chips, etc.
  • Sticky foods: Gum, Chewy Candy (Skittles, Taffy, Gummy Bears, Caramel, etc.)
  • Chewy food: Bagels, Hard Rolls, etc.
  • Foods you have to bite into : Corn on the Cob, Apples, Carrots (cut these foods up into smaller pieces and chew on back teeth)
  • Chewing on Hard Objects (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will add time to your treatment.

 



It has long been known that good nutrition and a well-balanced diet is one of the best defenses for your oral health. Providing your body with the right amounts of vitamins and minerals helps your teeth and gums-as well as your immune system-stay strong and ward off infection, decay and disease.

Harmful acids and bacteria in your mouth are left behind from eating foods high in sugar and carbohydrates. These include carbonated beverages, some kinds of fruit juices, and many kinds of starch foods like pasta, bread and cereal.

Children's Nutrition and Teeth


Good eating habits that begin in early childhood can go a long way to ensuring a lifetime of good oral health.

Children should eat foods rich in calcium and other kinds of minerals, as well as a healthy balance of the essential food groups like vegetables, fruits, dairy products, poultry and meat. Fluoride supplements may be helpful if you live in a community without fluoridated water, but consult with our office first. (Be aware that sugars are even found in some kinds of condiments, as well as fruits and even milk.)

Allowing your children to eat excessive amounts of junk food (starches and sugars)-including potato chips, cookies, crackers, soda, even artificial fruit rollups and granola bars-only places them at risk for serious oral health problems, including obesity, osteoporosis and diabetes. The carbonation found in soda, for example, can actually erode tooth enamel. Encourage your child to use a straw when drinking soda; this will help keep at least some of the carbonated beverage away from the teeth.

Adult Nutrition and Teeth

There's no discounting the importance of continuing a healthy balanced diet throughout your adult life.


Orthodontist - Keller
1730 Rufe Snow Drive
Keller, TX 76248
817-427-2237

Patient Education