2421 Ford St, Golden, CO 80401

How teeth move with braces

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Careful manipulation of force that is used to guide the teeth into a new and improved position is what allows orthodontics to move teeth.  Together, the cells of the ligament, cementum and bone continually form and reform in response to the normal forces of the bite. Compression causes resorption (melting away or dissolving) of bone and cementum. Tension causes the cells to respond by depositing bone and cementum. Teeth have ligaments made from fibers. These fibers join to the root surfaces that are inserted into the cementum and on the other side of the ligament, the fibers insert into the bone. The total ligament is like a hammock that allows teeth to move in their sockets and to respond to stresses of biting forces. 

Wires provide a force as it interacts with each specific bracket. Each of your teeth has a different size and shape, and so do the brackets. Each bracket is custom made for the particular tooth on which it's supposed to fit. Brackets have small slots where we insert the wire and small elastic ties fit around the bracket to hold the wire in place.Pressure at the bracket produces pressure and tension at the root of the tooth, causing remodeling of bone and tooth movement. Elastics are worn at some point during orthodontic treatment, connecting from upper jaw to the lower jaw and creating force as well. Brackets, wires, and elastics work together to move teeth over time to achieve an optimal bite and beautiful smile.


Shark teeth?


We often get calls to our office with worried parents about their child's permanent teeth coming in behind their baby teeth. Shark teeth (compared to a sharks two rows of teeth) are most common with lower incisors. This happens much more then you think and is nothing to be worried about. 

As children grow in their permanent teeth, they dissolve the roots of the baby teeth. Once the root is close to being dissolved, the baby tooth becomes loose. These loose teeth eventually fall out and the adult tooth grows in its place. 

With shark teeth, the root of the baby tooth doesn't dissolve quickly enough or the permanent tooth forms behind the baby tooth. Most of the time the baby teeth will eventually become loose and fall out on their own. With this space now open, chances are great for the teeth to self correct and move forward. 

Sometimes these baby teeth do not become loose and need to be extracted. An x ray may be needed to determine if any treatment is necessary. If your child's regular check up is close, just wait and bring it up to the dentist at this visit. If your child's dental check up is a ways away and you have given the baby teeth time to become loose and they haven't, call us for a quick check.  

Have your child give this area extra attention while brushing. Two rows of teeth leave even more places for plaque to accumulate and gingivitis can easily start. Having regular check ups with your child's pediatric dentist is always important for prevention and over all oral health.


Using Nitrous Oxide for pediatric dentistry




The American Academy of Pediatric Dentistry recognizes nitrous oxide/oxygen inhalation as safe and effective. Commonly known as "laughing gas", a combination of nitrogen and oxygen is administered to the patient with a fitted mask that goes over the child's nose.

This technique can:

  • Reduce or eliminate anxiety
  • Raise the pain threshold, making the child more comfortable during procedures
  • Increase tolerance for longer appointments
  • Reduce untoward movement and reaction to dental treatment
  • Reduce gagging

Nitrous oxide is a colorless and virtually odorless gas with a faint, sweet smell. Our dental assistant will have your child choose a bubble gum, cherry, banana or strawberry scent to help make the experience even more pleasant. 

Your child may feel:

  • Relaxed
  • Warm
  • Silly
  • Happy
  • Tingly in hands and feet
  • Heaviness or lightness
  • Sleepiness

Nitrous has a quick onset and is completely adjustable , so that the right dose is given for every child. Once the dental procedure is completed, it is reversed by having the child breath in oxygen for a couple of minutes. Motor skills and attention can be affected for as long as 15 minutes after you stop breathing nitrous oxide. After this, your child is fine to return to school.

As with any medical procedure, inform our office of medical conditions or allergies. Children with stuffy noses cannot receive nitrous oxide. Gas enters your lungs through nasal passages, so sinuses must be clear. Nitrous oxide is not recommended for children with certain lung conditions.