Dr. James McNamara, Dr. Laurie McNamara McClatchey and the team at McNamara Orthodontics want to make sure you understand sports drinks can damage healthy teeth. Actually, “erode” is more like the term, especially around the brackets while wearing braces. These sort of drinks erode your teeth by “demineralization,” or reducing the minerals in the outer tooth enamel and also the dentin (“dentin” is a yellowish, calcified tissue underneath the tooth enamel). It doesn’t affect the enamel underneath the braces covered by the brackets.

Dental erosion is common. It happens when you lose tooth structure since acids dissolve enamel and dentin. When your teeth are exposed to an acidic substance like a sports drink, soda, or candy, dental erosion is not far behind.

Everyone knows about candy and soda. Sports drinks, on the other hand, are not thrown into this group of tooth killers. And energy drinks and some flavored waters can be just as harmful if they contain citrus flavoring.

Are sports drinks the only source of dental erosion? Actually, there are many factors that contribute to dental erosion. As we age, our teeth naturally lose some enamel over time. Dental hygiene is also a big factor; if you keep your teeth clean and healthy, the acids and plaque are kept to a minimum and your teeth will last longer!

Remineralization, as the word suggests, is the process of building minerals needed for strong teeth. A tooth has biofilm coating for protection. But when your teeth are exposed to acids, your biofilm decreases and your teeth lose their surface minerals.

You are messing with your long term dental health when you drink a sports drink like Gatorade. Here is an online link to the ingredients in Gatorade. Water is the number one ingredient with sugar #2 and citric acid #3. This acid invites growth of acidogenic bacteria and leads to erosion of teeth. In addition to that, citric acid forms complexes with calcium and lowers the effectiveness of the biofilm. That is why sports drinks have been reported to cause three times as much damage to enamel compared to soft drinks. Phosphoric acid, which is a component of soft drinks, is not as harmful as citric acid.

Prevention

The simplest way to prevent sports drinks from damaging your teeth is to avoid them and drink water. For most physical activity, water is sufficient to keep you hydrated and fresh. Also, most sports drinks now offer a low-calorie alternative that has little or no sugar. While they might taste different and lack the “sugar boost” of their counterparts, sports drinks without citric acid and sugar are better for your teeth.

If you do drink soda or sports drinks, no sipping. The number of contacts with the teeth makes the problem worse. DO NOT BRUSH your teeth afterwards; it makes the problem much worse. The enamel is weak from the acid. It takes at least a half hour of saliva contact on the teeth to allow some recovery and repair before the enamel can withstand the harshness of the toothbrush. It is counterintuitive, but brushing after drinking acidic drinks causes the problems to worsen.

There is also a definite relationship between dental erosion and the consumption of acidic (sweet) drinks, as well as obesity and diabetes in both children and adults. Remember: it always pays to be mindful of what you take in to your body! Whether a solid food, candy, soda, or sports drink, take the necessary steps to prevent unwanted conditions in any form that can damage your teeth.

There are many sports drinks and flavored waters sold today. We recommend you take the time to read the labels. Check for sugar content and citric acid in the ingredients. If they are one of the top ingredients on the label we suggest you avoid them. It can save your teeth and improve your dental health over a lifetime.

Getting your kids to sit still for an entire meal is difficult, but is important when developing good eating habits that will benefit them throughout life. Dr. Laurie McNamara McClatchey and Dr. James A McNamara would like to offer you a few tips that will encourage good eating habits for your kids that will benefit them as they move on in life.

Our kids are constantly bombarded with advertising for all kinds of media promoting junk foods which warp their perception of good eating habits. Educating our kids at an early age, along with teaching by example, is crucial to their develop at an early age.

Tip #1 – Schedule a time and space for an uninterrupted family meal

We understand this can be tough when everyone is going every which way, but eating together as a family has been proven to benefit the eating habits of kids and parents alike. Serving a healthy meal with correct portions at the dinner table, not only encourages communication which develops family ties and interpersonal skills it prevents overeating.

Taking time to eat a meal also allows our bodies to pay attention to our stomachs’ signals. Our bodies will tell us when we have eaten our fill, but watching TV while eating or engaging in another activity will distract children from recognizing they are no longer hungry, leading to overeating. Paying attention to what we eat and the size of portions is a cornerstone of diet programs. Taking the time to educate our kids while young, as well as watching our own portions, encourages a healthy lifestyle.

Television, video games, or other sources of distraction prohibit a structured eating time. A family meal together allows parents more control over the eating habits of children, reminding eaters to slow down, eat some vegetables with their meat, with their mouths closed… and so on.

Tip #2 Create meals that will appeal to both the taste buds and the body

For children, this usually means a portion of one of their favorites and one portion of veggies. This reinforces the need for a balanced diet that will remain strong into adulthood and it gives parents a bargaining chip. Try asking your child to eat one bite of veggies for every two bites of their favorite item. This method teaches children to focus on the flavor they prefer while still eating their vegetables.

Tip #3 Offer dips with veggies

Healthy foods such as carrots with ranch dressing, french onion dip or peanut butter and raisins with celery encourage good eating habits. Finger food is more fun than food they have to cut up to eat while encouraging kids to do what parents want all at the same time.

What tips can you offer busy families trying to eat together and share a healthy meal? Please leave your comments below.

Orthodontic Studies report 70 percent of the US population could benefit from having their teeth and jaws realigned with orthodontic treatment. Ancient ancestors had perfect teeth and bites, as evidenced by fossil records. Then, about 10,000 years ago, malocclusions (bad bites) seem to have become more prevalent. Why? Human growth patterns saw teeth and jaws fail to accommodate teeth and jaw development as different ethnic and genetic backgrounds began to live together and populate.

In many cases, a patient’s need for orthodontic treatment arises from inheriting teeth and jaws from one parent that do not fit properly into the teeth and jaw size inherited from the other parent. As a result, crowding or spacing of teeth may occur as well as over or underdeveloped upper and lower jaws that don’t fit together properly in a functional bite.

Over the centuries, these inconsistencies produced the need for orthodontic treatment and are more prevalent today than ever, especially in the United States. The US is the leader of the free world and a melting pot for many different nationalities, mixing genetic backgrounds from many countries throughout the world.

The American Association of Orthodontics recommends that all children be seen by the age of 8 for an orthodontic evaluation. Many adults, whose families couldn’t afford treatment as a child or didn’t want to wear braces, are now considering straightening their teeth to improve their appearance and long term dental health. Orthodontic treatment is quite common now among adults with many new treatment options available that are less visible such as Invisalign, the “braceless” alternative to straight teeth

Feel free to contact our office for a complimentary consultation. Dr. Laurie McNamara McClatchey or Dr. James A McNamara will inform you whether you or your child could benefit from orthodontic treatment, best treatment recommendations available to correct the individual problem, how long treatment will take, and discuss payment options to work within your budget.

At McNamara Orthodontics our goal is to help you create the smile you want and deserve for yourself or your child.

So you don't offend others with unsightly food caught on your braces, or to avoid bad breath, swollen gums, decalcification or discoloring of teeth and cavities, here are are five tooth brushing tips from Dr. James A McNamara
and Dr. Laurie McNamara McClatchey and our team for orthodontic patients to keep in mind while wearing braces:
1. There is more to brush than what you see. Most patients spend their time brushing the parts of their teeth and the braces they can see. However, it’s just as important to clean the inside areas of your teeth as well as the chewing surface of each tooth. Brush all surfaces inside, outside, along the top of the teeth and the gum line for best results. Watch this video on how to brush your teeth correctly with braces.
2. Make sure you spend enough time doing a good job. Did you know the ADA recommends you brush your teeth for approximately three minutes to do a good job… even if you aren’t wearing braces? At one point you may have received a three minute egg timer to time brushing from your dentist. It seems like the time will never end when watching the grains of salt flow to the bottom. Most popular songs today are approximately three minutes long. Listen to an ipod or radio while you are brushing instead of using a timer. If you start brushing at the beginning of a song… and stop when over… you can dance around for three minutes while brushing, without the time dragging.
3. Use dental floss often. Food is often trapped between teeth and flossing with braces is easier with a floss threader, especially when trying to thread the floss under your main wire. Watch this video on how to floss correctly. Dental floss threaders save time and are very easy to use once you get the hang of it. They are available in the toothbrush aisle in any grocery or drug store.
4. Be prepared. In order to brush after every meal you must be prepared. Always keep a toothbrush in your purse, backpack, or laptop case. The TOOB brush was designed with orthodontic patients in mind. It’s easy to use, you can refill it with your own toothpaste, and it travels anywhere.
5. Regular dental cleanings and checkups are still important. It’s your job to take care of the everyday cleaning. However, we recommend you visit your dentist regularly while wearing braces to eliminate any plaque you may have missed while brushing or using dental floss.

As unpleasant as it may be to think about, our mouths aren’t the cleanest places in the world. As food is eaten, the remnants left on teeth form a sticky substance known as plaque, which is full of bacteria. If you brush your teeth and flush regularly, most of this plaque is removed. (A quick word of caution about brushing: be gentle with your gums when you brush, because overly vigorous brushing can actually contribute to gum disease over time!) However, if you aren’t regular with your brushing and flossing, the plaque collects near the gum line and hardens into tartar, the next step on the road to gum disease. If your teeth are crooked or crowded, it may be too difficult to remove the plaque the way you should, and the tartar can develop in hard to reach places despite your best efforts. Regular dental cleanings are very important to remove any tartar that has built up for whatever reason, since brushing and flossing alone can’t take care of it.

If tartar is not dealt with, over a period of time the gums may actually pull away from the teeth. This movement creates a space called a periodontal pocket, which is seriously bad news. The extra room is a ready-made home for more plaque and tartar, which then becomes even more difficult to get rid of. At this point, if left untreated, your gums will become red and swollen, the telltale early signs of gum disease, also known as gingivitis. As gingivitis progresses, you can eventually suffer bone loss in your jaw. This, in turn, makes your teeth wobbly because they don’t have the support that they need to stay solidly in place. Eventually, they can even fall out, a fate no one wants.

McNamara Orthodontics plays a special role in the prevention of gingivitis. Remember how crooked or crowded teeth can make the plaque and tartar difficult to get rid of? Orthodontics, which is a special branch of dentistry, can fix this problem. By straightening the teeth out and ensuring that they are spaced properly, brushing and flossing become more effective at removing plaque. This can be achieved through braces, retainers, and other corrective appliances according to each person’s individual need. If you have hard time fitting floss in between your teeth, you are probably a good candidate for orthodontics. Fortunately, healthy teeth can be moved at any age, so there is no reason not to seek orthodontic treatment just because you’re an adult. In fact, about 1 in 4 orthodontic patients today are adults.

Dr. James A McNamara, Dr. Laurie McNamara McClatchey and the Team at McNamara Orthodontics are pleased to provide you with this helpful information and to offer you the finest state-of-the-art orthodontic care for you and your family. For more information, please visit our website or contact our office

Each February, the American Dental Association (ADA) sponsors National Children's Dental Health Month to raise awareness about the importance of good oral health. Dr. James A McNamara
and Dr. Laurie McNamara McClatchey support the ADA in their efforts.

Attached are some fun activities you can use to engage kids of all ages regarding dental health. Download Here

February is also National Pet Dental Health Month.

Did you know that human toothpaste can irritate your animal’s stomach? Watch this video on proper oral hygiene for your pet's teeth.

Why does this happen? If you want to find out, go to the nearest mirror. Grab your upper lip between your thumb and forefinger on both sides and pull it up (warning: you may feel a little silly doing this). If you look above your front teeth, exactly in the middle of your gums, you will see a small flap of tissue that connects your gums to the inside of your lip. Believe it or not, this little flap actually has a name—it has called a freneulum (or frenum for short), and it can be the reason you have a gap in your front teeth.

If your frenum is the right size and properly positioned on your gum line above your two front teeth, it serves the simple purpose of attaching your gums to your lip, and all is well. Your frenum is supposed to move upward when your baby teeth come in to make room. However, if the frenum is too large, attached in the wrong spot, or fails to move down like it should, it can cause problems. An incorrectly placed frenum can exert a pull or tension that prevents your front teeth from coming together the way they should. What makes this even more of an issue is the fact that braces can’t fix it! With the frenum in the way, your front teeth will never get to meet one another.

Fortunately, there is a way to solve the problem. There is a procedure known as a frenectomy, which is just a fancy word for reducing the size of your frenum. This limits the tension that keeps your teeth apart, and opens the door for braces to be placed to bring them back together in the right position. It is a very simple procedure performed by your orthodontist or dentist in the office.

Your dentist just numbs your gums, removes a tiny bit of the frenum, and you are on your way. Now that lasers are often used for this surgery, it makes the whole thing even easier. There will be a few days of soreness afterwards while your tissue heals, but it is a small price to pay for bringing your front teeth together. After all, they make such a good pair, it’s a shame for them to be so far apart!

Sometimes however, front teeth are kept apart because of a jaw discrepancy where the lower jaw is bigger than the upper jaw causing the front teeth to spread apart. This is a problem of a completely different nature. If you or someone in your family has a space between their two front teeth that want to eliminate, McNamara Orthodontics will be able to evaluate the problem and determine the best course of treatment to close the space. It may be much easier than you think.

Feel free to contact our office for a free new patient consultation and find out how we can create a beautiful new smile without an unsightly space between your teeth.

In severe situations, permanent tooth removals may be required to create the necessary space for others. However, no one enjoys having their teeth extracted and we try to avoid this option whenever possible. Fortunately, there is another way. By using a child’s natural growth spurts, a savvy orthodontist can avoid the need for tooth extractions if he evaluates a patient at an early age.

Children usually have a couple of predictable growth spurts. The first generally occurs around 8 or 9 years of age, right before puberty. Another one will typically follow during puberty itself, which falls between 11 or 12 years. During these growth spurts, the face and jaw will grow. The strategy is to harness this natural growth and combine it with braces and/or appliance to create more room for teeth if needed.

Since timing is everything, it is important to have your child evaluated by an orthodontist at a young age. It is generally difficult to know for sure if your child will need orthodontics until his or her permanent teeth begin to erupt. However, important forecasting clues can be understood by a trained orthodontist.

The American Association of Orthodontics recommends that your child be examined by an orthodontist at age 7 to determine if early orthodontic treatment is needed. Treatment is much easier if evaluated and started before problems worsen and vital growth spurts are lost.

It is not necessary to be referred by your general dentist for a complimentary orthodontic evaluation at McNamara Orthodontics. Be proactive and contact our office to schedule an appointment. If your child does not require early interceptive treatment, Dr. James A McNamara and Dr. Laurie McNamara McClatchey will continue to monitor your child’s dental and growth development in our complimentary supervisory program to determine the right time to begin treatment, based on your child’s needs.

However, the benefits of straight teeth do not end with just your appearance.
• Crooked teeth can interfere with proper chewing, a problem which is with you at every meal if not confronted.
• Good oral hygiene (such as regular brushing and flossing) can be much more difficult and ineffective with crooked teeth. When your teeth are not straight and evenly spaced, there is a much higher likelihood that there will be hard-to-reach spaces that do not receive the proper treatment from your daily cleaning routine. As a result, unwanted plaque and tartar can build up unnoticed. Over time, this can lead to such serious consequences as tooth decay, gum disease, or even tooth loss. Since no one enjoys spending time in the dentist’s chair having root canals, fillings, and oral surgery, it is important to stay on top of your oral hygiene.

The good news is that at McNamara Orthodontics we specialize in creating beautiful smiles and fixing crooked teeth. Orthodontics (which comes from the Greek words orthos “straight or proper” and odons “tooth”) is a special field of dentistry that concerns itself with the study and treatment of irregular bites.

An abnormal bite can be the result of uneven teeth, a jaw that is out of proportion or misaligned, or both. Crooked teeth can be brought into alignment using traditional metal braces; although they are not used as much today as they have been in the past. More popular currently are the alternatives available which are less noticeable, so that orthodontic patients do not have to sacrifice their looks in the short term to have a beautiful smile forever. These less conspicuous treatment options include clear ceramic braces and Invisalign™. Invisalign is a type of removable and virtually invisible aligner that fits over the teeth instead of wire being held in place by brackets.

There are a variety of orthodontic options out there today, many of which are less intrusive and visually obvious than they used to be in days past. Whether you are a parent of an adolescent with crooked teeth that need to be straightened or if you yourself are seeking improvement in your smile, we encourage visiting our office today. The benefits are many; you will be glad you did!

The Night Before Christmas (with my braces)

Twas the night before Christmas, Santa flying all places
Delivering presents to children with braces.

There’s lights on the tree and a wreath on the door
I’m merry as can be when my teeth are not sore!

The cookies so crunchy, the roast beef so chewy,
But I must eat food that is softer and gooey…

My family munched on their chocolates and dips
Well, those only would have gone straight to my hips.

While Santa shouts orders to Blitzen and Vixen,
I’m cleaning my braces — my teeth they’re a-fixin!

This year I’ve been good, gone the extra mile
So Santa, this year I want a new healthy smile!

Goodbye crooked teeth, and spaces too tight;
Merry Christmas to all, and to all a good bite!

Ortho, Ortho, Ortho
(to the tune of Dreidel, Dreidel, Dreidel)

I had a maloclussion
It bugged me every day
The ortho said he'd fix it
And to him I did say,

Oh ortho, ortho, ortho
When do these braces go away?
When will my teeth be straightened?
What can I eat? Oy vey!

And so I wore my braces
Brushed after every meal
I also wore elastics,
for I was no schlameel.

Oh ortho, ortho, ortho
When is my next appointment?
My gums are feeling kinda sore
May I have some ointment?

I couldn't chew the brisket
Or bite the chocolate gelt
At least there were the latkes
In my mouth they did melt!

Oh ortho, ortho, ortho
I simply cannot wait
Til the day these braces leave,
And all my teeth are straight!

So now it's two years later
And I’m grinning in style
As I light my menorah, I think:
I sure love my straighter smile!

Oh ortho, ortho, ortho
When do these braces go away?
When will my teeth be straightened?
What can I eat? Oy vey!

Have a fun and safe holiday season! Remember, one of the best gifts you can give yourself is to take good care of your teeth! Special thanks to Lynn from archwired.com for the original ideas (we’ve tweaked them just a little).