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Getting retainers is often the happiest time for an orthodontic patient. After years of braces, your teeth will soon be “free!” But it isn’t entirely carefree. You need to wear your retainers exactly as your orthodontist tells you or your teeth could shift back to the way they were before braces. And since retainers cost several hundred dollars to replace, you want to keep them clean, odor-free, and safe from breakage!

Why Do I Need to Wear Retainers?

After your braces come off, the periodontal ligaments that hold the teeth in place are still loose from the pressure of your braces. Generally it takes anywhere from 3 to 9 months for the periodontal ligaments to tighten up and “remember” the new positions of your straightened teeth. This is why it’s so important that you wear your retainer exactly the way that your orthodontist recommends. You just spent years in braces — this final step is very important for keeping your smile as beautiful as it was the day your braces came off!

Most orthodontists tell their patients to wear their retainers 24/7 for the first few months. Gradually you can switch to wearing the retainers only at night. And after a year or more, you might be able to “get away with” wearing them several nights per week. But if you want your teeth to stay in their new positions, you can’t totally stop wearing your retainer. You will need to wear it at least several nights per week for the rest of your life to keep your teeth in their proper positions. Teeth are dynamic and respond to the pressures of daily living (the position of your tongue, the way you bite and chew, etc). Over time those pressures will move the teeth. Wearing your retainers helps to ensure that the teeth remain “retained” where they were on the day your braces came off.

How to Clean Retainers

One of the biggest challenges to wearing retainers (and even Invisalign-type aligner trays) is keeping the retainers and aligners clean. Bacteria build up on the retainers and aligners the same way that they build up on teeth. If you don’t keep your aligners clean, very quickly you will notice that they smell bad and have an ugly layer of white gunky film. If you don’t clean your retainers or aligners properly, the film will harden and become almost impossible to remove. This is true for all types of retainers (plastic and wire Hawley retainers, clear Essix retainers, aligner trays, snoring and bruxism devices, etc).

How can you keep your retainers clean and odor free? There are several ways.

Always rinse your retainers in warm water after taking them out of your mouth. Before putting your retainer into a retainer case, give it a quick rinse. This will wash away some of the surface bacteria. Do not use an anti-bacterial hand wipe on your retainer. The chemicals in antibacterial hand wipes may be toxic if they are put into your mouth!
The easiest method for cleaning retainers is the good old-fashioned toothbrush. If you have a plastic and wire Hawley retainer, you can brush it with toothpaste on a soft toothbrush. However, this method is not recommended for Invisalign-type clear aligner trays or clear Essix retainers (which look like aligner trays). The toothpaste can scratch the clear plastic and over time, your retainers will not be “invisible” anymore.
Some people recommend soaking retainers in a weak solution of hydrogen peroxide diluted with water, or even an alcohol-based mouthwash. This helps to kill germs, but doesn’t address the white gunky build-up. In addition, these harsh chemicals can damage the surface of the plastic over time, turning it yellow.
Some people use denture cleaning tablets to clean their retainers or aligners. This will seem to work at first, but over time the harsh chemicals in the denture tablets will turn your retainer yellow. This is because the denture tablets are strongly formulated to clean false teeth, not retainers.

This is the reason why the companies that make retainers have come out with special cleaning products. These products are formulated to kill germs and remove the white buildup without harming the plastic in the retainers. Two products work extremely well for this purpose: SonicBrite and Retainer Brite. Both products can be found on the DentaKit website.

SonicBrite makes a retainer cleaning kit which includes cleaning powder and a portable battery-operated sonic bath. It’s easy to use: just place some warm water in the sonic bath, put in a small spoon of SonicBrite powder, and turn on the unit. The vibrations from the unit help to loosen debris from your retainer or aligner tray, and the powder kills more than 99% of the bacteria. After 15 minutes the unit shuts itself off. Simply remove your retainer, rinse in cool water, and you’re good to go! If your retainer has not been properly cleaned in a long time and contains a lot of white build-up, two cycles in the SonicBrite kit usually remove all of the debris.

Another product that most dentists recommend is Retainer Brite. This product comes in tablets (similar to denture cleaning tablets) but is formulated gently, specifically for retainers. Unlike denture cleaning tablets, Reatiner Brite will not turn your retainers or aligners yellow. To use Retainer Brite, just fill a cup with warm water, drop in one Retainer Brite tablet, and in about 10 minutes your retainers are clean and odor-free. There is also a portable battery-operated sonic cleaner that you can optionally buy to use with Retainer Brite, which vibrates and helps to loosen debris from your retainer or aligner tray.

Which product is better? It depends on your needs. If your retainer or aligner tray has a lot of white build-up, the SonicBrite powder will do a better job of removing it. This is good option for people who have not properly cleaned their retainers and need to strip away gunky build-up and keep it away. However, if your retainer is already fairly clean, you can use Retainer Brite tablets daily to keep it fresh. They both cost about the same amount of money (around $30 for a supply that lasts several months up to year).  Some people buy both products and use SonicBrite for a deep cleaning and Retainer Brite for everyday use.  Both SonicBrite and Retainer Brite have been endorsed and used by dentists and orthodontists worldwide.

Keeping Your Retainers Safe

“I lost my retainer!” These are dreadful words that you will hopefully never say. It can take 2 to 3 weeks to make a new retainer, and most orthodontists charge anywhere from $100 to $250 or more to make a new set of retainers. This is because most retainers are made by outside labs, so the orthodontist must send the mold of your mouth to the lab to have a new set of custom retainers fabricated. Obviously you want to keep your retainers safe and accounted for at all times. The best way to do this is with a good retainer case. Your orthodontist will probably give you a retainer case when you get your retainers. But if you want more than one case, or if you want a case of a specific color or size, the DentaKit web store carries a wide selection of all types of retainer cases, both hard and soft.

The most common way that retainers are lost is by wrapping them in napkins. You can’t see the retainer inside the napkin, you forget about it, and soon the napkin gets tossed in the garbage. Unless you want to spend hours digging through the trash, it’s better to put your retainer into a proper case – never use a napkin!

Should you get a hard case or a soft case? That depends on where you keep your retainer. If you are not going to keep your retainer in a place where it will potentially get “smashed,” then you can opt for a soft case. But if you tend to put your retainer in your pocket, or a backpack where it may get buried under heavy books, it’s best to get a hard case to protect your retainer from breakage. Some retainer cases include a hole or a loop for attaching it to a keychain clip or a lanyard, which keeps them easily within reach. Boys and men may want to get a retainer case in a dark color, but keep in mind that bright colors are easier to find at the bottom of a backpack, briefcase, or purse.

Be sure to label your retainer case so that it will get returned to you if it gets lost. If your retainer case doesn’t come with an ID sticker, use an address label or write your name and phone number inside the retainer case in permanent marker.

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According to the handbook, Clinical Toxicology of Commercial Products, fluoride is more poisonous than lead and just slightly less poisonous than arsenic. It is a cumulative poison that accumulates in bone over the years. According to the Physicians Desk Reference, “in hypersensitive individuals, fluorides occasionally cause skin eruptions such as atopic dermatitis, eczema, or urticaria. Gastric distress, headache, and weakness have also been reported. These hypersensitive reactions usually disappear promptly after discontinuation of the fluoride.” From 1990 to 1992, the Journal of the American Medical Association published three separate articles linking increased hip fracture rates to fluoride in the water. In the March 22, 1990 issue of the New England Journal of Medicine, Mayo Clinic researchers reported that fluoride treatment of osteoporosis increased hip fracture rate and bone fragility. A study by Procter and Gamble showed that as little as half the amount of fluoride used to fluoridate public water supplies resulted in a sizable and significant increase in genetic damage. Epidemiology research in the mid-1970’s by the late Dr. Dean Burk, head of the cytochemistry division of the National Cancer Institute, indicated that 10000 or more fluoridation-linked cancer deaths occur yearly in the United States. In 1989, the ability of fluoride to transform normal cells into cancer cells was confirmed by Argonne National Laboratories. Results released in 1989 of studies …

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You may not know you have gluten intolerance – but you should be highly suspect if you have elevated liver enzymes.

Gluten intolerance, largely a genetic disorder can cause many health challenges. People who suffer with bloating, constipation and/or diarrhea, fatigue, weight gain, bone or joint pain, dental enamel defects, depression, infertility, anemia, alopecia areata (hair loss), migraines, multiple sclerosis (MS), psoriasis, rheumatoid arthritis, or any of the dozens of other symptoms should suspect their malady to be connected to gluten intolerance.

Elevated liver enzymes may indicate inflammation or damage to cells in the liver. Inflamed or injured liver cells leak higher than normal amounts of certain chemicals, including the enzymes made in the liver, into the bloodstream, which can result in elevated liver enzymes on blood tests. Two common liver enzymes regularly tested in most blood chemistries include AST (aspartate transaminase) and ALT (Alanine transaminase).

AST (aspartate aminotransferase), which was previously called SGOT, can also be elevated in heart and muscle diseases and is not liver specific. The normal range of AST is 0 to 45 U/L

ALT (alanine aminotransferase), which previously was called SGPT, is more specific for liver damage. The normal range of ALT is 0 to 45 U/L

Besides these two enzymes, the liver produces other enzymes, which are special protein based molecules that help necessary chemical reactions to take place. Liver enzymes trigger activity in the body’s cells, speeding up and facilitating naturally occurring biochemical reactions, and maintaining various metabolic processes within the liver.

I regularly see patients who have high liver enzymes of “unknown etiology”, which simply means the cause has not been discovered. One common sign of gluten intolerance is elevation in liver enzymes. Elevated liver related enzymes can lead to additional damage to other parts of the body outside the liver if the cause of the elevated enzymes is not discovered.

I challenged a patient of mine who has had elevated liver enzymes as long as she can remember to get properly tested for gluten intolerance. You probably guessed right – she was gluten intolerant. This patient agreed she should eat gluten free the rest of her life. In one month on a proprietary specialized dietary healing plan, her liver enzymes came down into the normal range, the first time since her liver enzymes have been tested many, many years ago!

Unfortunately most doctors still use tests that are outdated and inaccurate for gluten sensitivity testing. At Johnson Chiropractic Neurology and Nutrition we use the most advanced, state-of-the-art testing gluten intolerance. The tests we use include testing for genes that predispose one to celiac sprue and gluten intolerance (I found I have one of each), as well as a special test that measures ones sensitivity to several components (epitopes) of wheat. Until very recently (January, 2011) testing for Gluten Sensitivity has only been against one component of wheat; alpha gliadin. Through extensive research Cyrex Labs, pinpointed the twelve components of wheat that most often provoke an immune response. You will want to learn more about this specialized testing, especially if you have unexplained elevated liver enzymes.

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Do you have some scrap dental work stored away in a box? Maybe some gold crowns that you had replaced years ago, or grandma’s old bridge that was taken out when she had her dentures made? Well you may not realize it but the price of gold and other precious metals has risen substantially. Now days, “Thar’s money in them there crowns.”

Dentist feel the obligation to return your old dental work to you because they know that it is very likely that it has at least some precious metal content. Clearly everybody knows that dentists use gold to make crowns and bridges. But did you know that these same pieces might also contain significant amounts of platinum or palladium? That’s because dentists don’t use pure metals, they use metal alloys. The physical properties of alloys are often better suited for dental applications than, for instance, even pure gold.

Take the example of a yellow gold dental crown. The best gold crowns will have been created from “high noble” dental alloy. By definition this metal contains over 60% precious metal (either gold, platinum and/or palladium), of which over 40% is gold. This means that the gold content of a high noble alloy will be at least 10 karats and can run as high as 20 karats or so.

Besides just yellow restorations, don’t overlook the silver-colored stuff too. Dental crowns and bridges are sometimes made out of “white gold.” The color of an alloy is simply a reflection of its composition. White gold alloys simply have a higher percentage of platinum and palladium.

So where can you sell your scrap dental work? Due to the fact that the price of gold has risen so much, you’ll find a number of outlets. Locally, in your own town, it should be easy to find a pawnshop that provides this service. You may also find that some jewelers and dental labs do too. The downside of dealing with these types of businesses is that they are usually just middlemen. They turn around and sell your scrap to a precious metals refiner.

So why not just deal directly with the refiner? That can be a good idea. Any quick web search will identify a number of refiners that cater to people selling scrap dental work (and old jewelry too). In most cases, if you just give them a call they’ll send you post-paid packing materials free of charge. Pretty much, you just send in the scrap (you don’t even have to remove any bits of teeth or cement) and wait for a check. Some companies even provide a guarantee that if you are unsatisfied with the settlement, just return their check and they will return your items. How easy is that?

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You will have always been discontented with your grin, but did not know what to do. Maybe you feel that your smile is hurting the rest of your appearance.  They can give yellowed or discolored teeth a dramatic white appearance in only a few processes.
Porcelain is one of the most expensive types of veneers, but they offer the highest quality and the longest life. Resin a sort of veneer that can be purchased for a cheaper price . The resin veneers offer top quality and last one or two years. The type you select will be up to you and is going to be discussed with your dentist.
The first time you will probably get some fast x-rays and an outline of your general dental health. This is a fast visit that will cause you small discomfort. This is when you’ll debate the plan that your dentist will follow when applying your veneers, as well as the shape and color you’re looking for.
This can be followed by a molding that’ll be taken to either an in house lab or an off site lab where they will make your veneers. This process will take either a few hours or one or two days.
He is going to want to ensure that they are the right color and shape for you before you leave. After all of this you’ll be able to go out and enjoy your beautiful new smile.
Your grin is the very first thing that folk notice, and having one that shines is priceless.

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