Daniel G. Very, DMD, MDS

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Interproximal Cavities: The Inside Story

December 24th, 2025

Time to brush! So, you make sure you gently brush the plaque off the outside surfaces of your teeth. You want to present a gleaming smile to the world, after all. And you make sure to brush the inside surfaces as well, because who wants to feel a fuzzy patch of plaque every time their tongue hits their teeth? And, naturally, you remember to clean the tops of your molars, because those crevices make them more cavity-prone than any other surface.

Done? Not quite!

You might be surprised to learn that no matter how well you’ve brushed all the visible surfaces of your teeth, you’ve left quite a bit of enamel untouched—the adjoining, or touching, surfaces of the teeth that sit next to each other.

You’ve probably noticed that your bristles can’t . . . quite . . . reach all the enamel between your teeth (especially between your molars!) when you’re brushing. This means that food particles and plaque have an easier time sticking around. And when the bacteria in plaque are left undisturbed, especially with a banquet of food particles available, they produce acids which gradually eat away at the enamel covering our teeth, creating a cavity.

Here’s where we work in some specific dental vocabulary. “Interproximal” means between the adjoining, or touching, surfaces of the teeth. And an interproximal cavity is a cavity that develops on one of those side surfaces of your teeth.

  • Preventing Interproximal Cavities

Fortunately, prevention is about as basic as it can be—brushing and flossing effectively. Dentists recommend brushing for two minutes at least twice a day and flossing once each day. While most of us are good about keeping up with brushing, sometimes that daily flossing is more a goal than a reality.

But it’s flossing which really does the trick when it comes to interproximal cleaning. If you floss correctly, food particles and plaque are removed from between the teeth and around the gum line—places where bristles just can’t reach.

When you wear braces, though, flossing isn’t quite so basic. Getting that floss just where it needs to be in between brackets and wires and in between teeth can be a challenge!

The good news is there are many products designed just to make flossing easier while you’re in orthodontic treatment:

  • Floss threaders are flexible hoops that help you thread floss behind your wires easily.
  • Precut floss strands use a stiff tip at one end for threading floss through wires.
  • Interproximal brushes are tiny, cone-shaped brushes which can fit between your teeth and braces for precise cleaning.
  • Water flossers eliminate floss altogether, using a pulsing stream of water to clean between and around teeth and braces.

During your next visit to our Boardman or Niles office, Dr. Daniel Very can give you tips on how to use any of these tools effectively for cleaner teeth and cleaner braces.

Preventing cavities on the exterior surfaces of your teeth is probably pretty much automatic by now, but don’t forget the potential for stealth decay! If we find signs of erosion on the sides of your teeth, or if your hygienist lets you know that you’ve got a lot of interproximal plaque buildup, work with your dental team to make sure “interproximal cavity” doesn’t become a working part of your dental vocabulary.

Early Orthodontics

December 17th, 2025

The average age of individuals who get braces is between nine and 14, although it is appropriate for younger children to visit Very Orthodontics for a consultation with Dr. Daniel Very. While parents may be concerned about the efficacy of early orthodontics, research suggests that early intervention can prevent greater dental health problems later in life.

What types of conditions require early intervention?

According to the American Association of Orthodontists, 3.7 million children under the age of 17 receive orthodontic treatment each year. Early intervention may be appropriate for younger children with crooked teeth, jaw misalignment, and other common issues. Early orthodontic treatment may be of use for several types of problems:

  • Class I malocclusion. This condition is very common. It features crooked teeth or those that protrude at abnormal angles. In general, early treatment for Class I malocclusion occurs in two phases, each two years long.
  • Class III malocclusion. Known as an underbite, in which the lower jaw is too big or the upper jaw too small, Class III malocclusion requires early intervention. Because treatment involves changing growth patterns, starting as early as age seven is a smart choice for this dental problem.
  • Crossbite. Crossbite occurs when the upper and lower jaws are not properly aligned. An orthodontic device called a palatal expander widens the upper jaw, allowing teeth to align properly. Research suggests that early treatment may be beneficial in crossbite cases, especially when the jaw must shift laterally to correct the problem.
  • Tooth extraction. That mouthful of crooked baby teeth can cause problems when your child’s permanent teeth erupt. For kids with especially full mouths, extracting baby teeth and even permanent premolars can help adult teeth grow in straight.

Considerations when thinking about early intervention

Early intervention isn’t helpful for all conditions. For example, research suggests that there is little benefit to early orthodontics for Class II malocclusion (commonly known as an overbite). Instead, your child should wait until adolescence to begin treatment. Scheduling a visit to our Boardman or Niles office when your child is around age seven is a smart way to create an individualized treatment plan that addresses unique orthodontic needs.

Prevent Tooth Decay With Braces

December 10th, 2025

When you start wearing braces, it can become a challenge to clean certain areas of your mouth. If these areas are neglected for long periods of time, though, decay and stains can form on your teeth.

Your mouth will require extra attention while you have your braces on. This can include using a special toothbrush to reach those spots, flossing every day, getting fluoride treatments, avoiding certain foods, and making sure to visit your dentist. Let’s take a closer look at what you can do to prevent decay during treatment.

When you get your braces on, Dr. Daniel Very will give you an interdental toothbrush that can be used to get to those hard-to-reach spots in your mouth. The brush has bristles that can easily remove food residue stuck between the wires in your mouth. We may also suggest using a WaterPik, which pulses a pressurized stream of water to remove excess food particles.

Brushing and flossing every day should always be a part of your oral health regimen, but this becomes especially crucial when you have braces. If food gets stuck between braces and sits on your teeth, decay and staining will start to occur. Dr. Daniel Very and our team recommend flossing at least once a day, and brushing and using mouthwash after every meal as long as you have braces.

If you don’t have the time, make sure at least to swish your mouth really well with water after you eat. It’s especially important to follow these steps after consuming sugary foods or beverages. It’s best to avoid sweets altogether when you have braces.

Making sure to visit your dentist at least twice a year for a routine cleaning can also help to prevent any decay from damaging your teeth while your teeth are encased in braces. Your dentist will remove any plaque or tartar that’s built up since your last cleaning.

Prevention is key when it comes to keeping your mouth healthy during orthodontic care with braces. Follow these tips and you’ll keep your teeth beautiful and healthy for the day your new smile is finally revealed!

Holiday Gift Ideas for Healthy Holiday Smiles

December 3rd, 2025

Need some gift ideas for family members and friends who seem to have absolutely everything? Who are impossible to shop for? Who tell you not to worry, it’s the thought that counts? Well, we have a few suggestions to show your loved ones that you’ve put a lot of thought into their gifts this holiday season. 

You love to see your friends and family smile, so we’ve come up with some smile-worthy ideas curated to their specific interests. And they’re braces-friendly, too!

Environmental Ally

The world is becoming a more eco-conscious place, and happily this transformation includes products designed for personal care. Put together a spa basket which is good for your friend’s dental health and the planet!

A recyclable gift box containing zero-waste, environmentally friendly bath products and organic cotton face cloths becomes even more mindful with the addition of bamboo or recycled plastic toothbrushes, bamboo interdental picks, and biodegradable floss. 

Don’t forget to include a colorful, insulated water bottle for sustainable hydration—and washing away food particles when there’s no handy place to brush after eating. Healthy planet/healthy smile.

Talented Techie

If your friend or relative is high-tech all the way, maybe it’s time for a dental upgrade. 

Water flossers are a great way to eliminate stubborn plaque around brackets and behind wires. Adjustable water pressure applies just the right amount of cleaning power. The flow can be directed to the gumline, between teeth, around brackets, or anywhere else needed. Some models even offer tapered heads with brushes designed specifically for cleaning braces. 

And for an extra thoughtful touch, include a packet of plaque disclosing tablets. Chewing one of these helpful little tablets will reveal any plaque that’s still on the teeth.

Adventure Seeker

How about a new backpack or carry-all for outdoor or travel adventures? A travel first aid kit is always a welcome addition for the person on the go.

Go the extra step and help a friend be prepared for anything with an emergency dental kit designed for braces. You can find these lightweight kits in stores or online, or you can assemble one yourself with a travel-size orthodontic toothbrush and toothpaste, floss threaders and floss, interproximal brushes, a travel mirror, and, of course, orthodontic wax in a handy kit bag. Include a pack of sugar-free gum—it helps with altitude changes and hydration. Ask Dr. Daniel Very or the team at Very Orthodontics for suggestions!

Film Buff

If your bestie likes nothing better than an evening spent in front of the home screen, consider a subscription or gift card for a streaming service tailored to his or her favorites, whether it’s classic films, sci-fi, action, rom-coms, or epic adventures. 

And don’t forget the binge-watch treats! Fill a basket with braces-friendly goodies like peanut butter cups, junior mints, soft chocolate truffles, and some sparkling water. Maybe add a gift card for healthy smoothies and ice cream. Who needs popcorn and sodas?

No matter who’s on your shopping list, tailoring your gifts to their interests and their well-being is a great way to share happy, healthy holiday smiles with family and friends in Boardman or Niles.