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By and large, the human body is a marvel of symmetry. But, of course, no one is perfect. You might have noticed one ear is a bit higher than the other. That you wear a shoe a half-size bigger on your left foot. That one shirtsleeve always looks longer.

Or that your smile looks off-center. This dental asymmetry could be caused by a condition known as “midline misalignment,” and, unlike that left foot, you can do something about it!

The dividing line between our center teeth, upper and lower, is called the midline. If we draw an imaginary line down the middle of a face, from the forehead to the nose to the midpoint of the chin, that line should go right between the front teeth. When it doesn’t, because the teeth have shifted past the midpoint, it’s often due to a condition called midline misalignment.

This kind of misalignment, also known as a deviated midline, can have several causes:

• Baby teeth that are lost too early

Baby teeth do more than promote healthy eating and speech development. They also reserve space for permanent teeth. If a primary tooth is lost too early, permanent teeth might “drift” to fill the empty space, causing the midline to move as well.

• Thumb sucking that goes on too long

As a child gets older, and certainly when by the time permanent teeth start to arrive, aggressive thumb sucking can lead to numerous orthodontic problems, including a deviated midline, as the teeth shift in response to that continuous pressure.

• Missing adult teeth

When you lose a tooth through decay or trauma, or when an adult tooth simply never develops, the remaining teeth can shift over to fill the open spot.

• Spacing issues

Crowded teeth, teeth with significant gaps between them, very large teeth, very small teeth—all of these issues can affect spacing and midline alignment.

• Crossbite

A crossbite is a kind of malocclusion, or bite problem. When you have a crossbite, the teeth don’t fit together properly, with upper teeth fitting inside lower teeth, instead of aligning on the outside where they belong. A deviated midline can indicate a posterior crossbite, where the top back teeth slant inwards or fit inside the bottom back teeth.

A tiny bit of midline shift one way or the other might be nothing to worry about, but if one front tooth is literally the center of attention, or if your teeth are noticeably out of alignment, it’s a good idea to talk to our Boardman or Niles orthodontic team.

Because there are several potential causes for midline misalignment, Dr. Daniel Very will carefully analyze your individual situation to determine where the problem lies: with the teeth, the bite, or, rarely, the jaw itself.

Dr. Daniel Very will also offer you your best dental treatment options. A shift of a few millimeters might be treated with clear aligners or traditional braces. A crossbite could require braces or aligners coupled with elastics (rubber bands) to bring your bite into alignment. A palatal expander can help correct a serious crossbite.

Why visit Very Orthodontics because of a little asymmetry? Because a deviated midline is more than a cosmetic concern. If you have a malocclusion to begin with, or if your misalignment leads to changes in chewing habits, which cause new bite problems, you might be facing jaw pain, chipped and cracked teeth, headaches, and all the other unpleasant consequences of malocclusion.

By and large, perfect symmetry in life is unattainable. But if you want a smile that is well-balanced and healthy, talk to us about all the treatments available to make sure your smile—and not a single tooth—is the center of attention.

Traditional braces and oral piercings—does the inevitable meeting of metals pose any risks? Let’s look at some of the potential problems with oral piercings, and you and Dr. Daniel Very can decide if you should take a break from jewelry while you’re in treatment.

• Tooth Damage

Enamel is the strongest substance in our bodies, but when up against constant contact with metal? It’s not a fair fight.

Tongue piercings, especially, cause problems for your teeth. Whenever you speak or eat—even while you’re sleeping!—your tongue is making contact with your teeth. This continual tapping of metal on enamel can chip and crack teeth and damage fillings. A serious fracture could mean a root canal.

You’re getting braces to create a more attractive, healthy smile, so keeping your teeth intact is a priority.

• Gum Problems

Your gums are affected by orthodontic treatment. As the teeth move, the gums, ligaments, and bone around them adapt and even reshape over time. You might notice when you first get your braces, or when you go in for an adjustment, that you have a few days of swollen, sensitive gums afterward. You might also find that you are at greater risk of gingivitis, because it can be harder to keep plaque away from your gumline until you perfect your brushing and flossing skills.

Oral piercings bring their own gingival dangers. Jewelry in the tongue or lip can rub against gum tissue, especially around your lower front teeth. As the gum tissue continues to be irritated and inflamed, it pulls away from the teeth. This process is called gum recession.

Receding gums expose the tops of your roots to cavity-causing bacteria. They make you more sensitive to hot or cold foods. Pockets between gums and teeth can harbor infections that threaten the tooth itself.

Caring for your gums during braces is important for your dental health. Since people with oral piercings have a much higher rate of gum recession that those without, why add one more risk factor to your oral health?

• Metal vs Metal

Lip and tongue piercings can make contact with traditional brackets and wires, especially if you have a habit of playing with them. And let’s not forget lingual braces! Lingual braces are almost invisible because their brackets and wires are custom fitted to the back of your teeth. Whenever you speak or eat, you’ll be taking the chance that a tongue piercing will damage these custom-made appliances.

Dr. Daniel Very can tell you if your piercings are in any danger of interfering with your braces, but even if you’re planning on aligners, there are additional reasons to consider retiring your oral jewelry. Dental associations and medical associations discourage oral piercings because they can damage teeth and gums. And there’s more. Oral piercings can lead to swelling, bleeding, allergic reactions, infection, and nerve damage.

The reason you’re considering braces is because you want a healthy, attractive smile. Don’t let a tiny piece of jewelry make your life and your treatment more difficult! Do some research and talk to our Boardman or Niles team about your oral piercings, and come up with a solution that’s best for your health and best for your smile.

Traditionally, January is a great time to choose some bad habits you’d like to lose, and some good habits you’d like to develop. If one of your goals this year is to help make your orthodontic treatment as efficient and successful as possible, we have the perfect resolutions for your New Year.

• Brush after every meal

If you’ve grown up brushing for two minutes twice each day and flossing regularly, you have been doing everything right! But now that you have braces or aligners, you should plan on brushing after every meal and each snack.

Food particles can stick to wires and brackets, which is nothing to smile about. Worse, plaque can be easy to miss around your braces, which can lead to enamel erosion and possible cavities. Brushing after eating is the best way to eliminate food particles and plaque from braces and enamel, but if you can’t brush, be sure to rinse well with water.

Patients with aligners benefit from brushing, too, to keep food particles and sugary or acidic beverages from remaining trapped around the teeth after the aligners are replaced. If you absolutely can’t brush, remember to rinse carefully with water after eating and drinking and before replacing your aligners.

• Watch your diet

Changes to our diets are probably one of the most common resolutions, so it’s no surprise we have recommendations for your dental diet. Dr. Daniel Very and our team are happy to provide you with a comprehensive list of the foods that can harm your wires and brackets, or which are especially difficult to keep from sticking to your appliance and enamel. No tempting caramels or buttery ears of corn are worth damage to your braces! Follow the guidelines for braces-friendly foods, and you’ll help keep your treatment problem-free and on track.

• Do your part

Wearing braces or aligners can require some interactive work on your part. If you are supposed to wear your aligners for 22 hours a day, be sure to follow those instructions to keep your treatment plan on schedule. If you have bands that you need to wear with your traditional braces to help correct your bite, wear them as directed. And never try to make up for lost time by doubling your bands—this can actually be harmful to your teeth.

If we can help demonstrate or explain anything you need to do at home, don’t be afraid to ask!

• Keep your retainer case handy

When you finish orthodontic treatment, you will probably have a retainer to help your teeth maintain their new, healthy alignment. Keep your retainer healthy by making sure to use your case whenever you’re not wearing it. Bent, broken, or lost retainers should be repaired or replaced as soon as possible to avoid changes in that smile you’ve worked so hard for.

• Keep your appointments

The more you stay on schedule, the faster you will achieve your ideal smile. And if you have a problem between appointments, call our Boardman or Niles office! Broken braces and aligners aren’t effective and can delay your progress, so let us know if you think you might need to see us earlier than scheduled. Finally, don’t forget your regular exams and cleanings at your dentist’s office.

Traditionally, the beginning of the year is a great time to choose some bad habits you’d like to lose, and some good habits you’d like to develop. But you needn’t wait for that New Year’s Eve countdown clock.  Adopting these orthodontic resolutions at any time of year will keep you on track for a lifetime of beautiful, healthy smiles.

It’s no secret that New Year’s Eve is one of the most widely celebrated holidays in the world. Dr. Daniel Very and our team love it too. It’s a fresh start, another year of surviving the crazy world we live in, a time to refocus on the things we want for ourselves, a celebration with those we love … the list goes on.

Dozens of countries welcome the New Year with over-the-top parties and celebrations. Because it’s a public holiday, many offices, businesses, and schools close for the day. As you think about your plans for this holiday, here are some fun facts about New Year’s that might surprise you!

Can you guess what the most common New Year’s resolutions are? You may already have one or two of these on your own personal list. The top five New Year’s resolutions are: to quit smoking, get a new job, lose weight, increase personal savings, and return to school. Just remember that coming up with a concrete plan to reach your goals is the surest way to achieve your resolutions!

About one million people brave the cold to watch the New Year’s Eve ball drop in New York City’s Times Square in person. Yes, that’s one million! This event is one of the most iconic celebrations in the world. People travel from all over just to experience it, but you can watch from the warmth and comfort of your living room.

If you’re not a fan of cabbage, collard greens, black-eyed peas, or ham hocks, you might want to revise your tastes. All these foods are all regarded as lucky fare on New Year’s Day. Unless you’re allergic, of course!

For many people in Mexico and Latin America, eating 12 grapes at midnight is a tradition that brings good luck in the 12 coming months. Most people even make a wish per grape!

Whether you’re celebrating in Boardman or Niles or traveling elsewhere to observe the holiday, New Year’s Eve is a time to enjoy the company of your friends and family. Don’t forget to send warm wishes to your loved ones, and snag a midnight kiss with that special someone if you can!