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If you’ve visited Mancini Orthodontics, then there’s a good chance you’re looking to perfect your smile by straightening your teeth with braces. At some point during your treatment, you may need to use elastics, otherwise known as rubber bands, for a certain period. These are used to apply additional pressure that will move your teeth in the right direction.

Placement of the elastics is specific to each patient’s teeth. These small rubber bands stretch over the tiny loops on both the top and bottom brackets. At first, Dr. Kevin Mancini may recommend you wear the elastics both day and night for an extended time.

You may be told to switch only to nighttime wear once the teeth are set in the correct position. By consistently wearing the elastics, you can shorten the overall time your braces will have to be on.

The elastics are made from medical-grade latex. If you have an allergy to latex, make sure to let Dr. Kevin Mancini know, so you can be given an alternate material. We will show you how to take elastics on and off when they’re given to you at your appointment.

You should remove them when you eat so they don’t become overstretched or break. It’s important not to overstretch the bands, and always to replace them if they break. Eventually it will become a familiar habit to carry the bands around with you for times when this might happen.

The Do’s and the Don’ts

• DO … always wash your hands before removing or replacing the rubber bands.
• DO … call us if you run out of elastics.
• DO … get in the habit of carrying around extra rubber bands as replacements.
• DON’T … double up on elastics because this can exert too much pressure on your teeth and could actually harm the roots.
• DON’T … overstretch the rubber bands or they will lose strength and become ineffective.

If you were recently given elastics as well as your braces, feel free to ask any questions during your appointment, or call our Hampstead, NC and Jacksonville, NC office any time. Using elastics correctly is one more step in your journey to a perfect smile!

At Mancini Orthodontics we love learning trivia and interesting facts about Thanksgiving! This year, Dr. Kevin Mancini wanted to share some trivia that might help you feel a bit smarter at the holiday dinner table and help create some great conversation with friends and family.

The Turkey

There is no historical evidence that turkey was eaten at the first Thanksgiving dinner. It was a three-day party shared by the Wamponoag Indians and the pilgrims in 1621. Historians say they likely ate venison and seafood.

According to National Geographic, the dinner at the Plymouth colony was in October and included about 50 English colonists and 90 American Indian men. The first Thanksgiving dinner could have included corn, geese, and pumpkin.

Today, turkey is the meat of choice. According to the National Turkey Association, about 690 million pounds of turkey are consumed during Thanksgiving, or about 46 million turkeys.

The Side Dishes

The green bean casserole became popular about 50 years ago. Created by the Campbell Soup Company, it remains a popular side dish. According to Campbell’s, it was developed when the company was creating an annual holiday cookbook. The company now sells about $20 million worth of cream of mushroom soup each year, which is a major part of the recipe.

While there were likely plenty of cranberries for the pilgrims and Indians to enjoy, sugar was a luxury. What we know today as cranberry sauce was not around in those early Thanksgiving days. About 750 million pounds of cranberries are produced each year in the US, with about 30 percent consumed on Thanksgiving.

The Parade

Since Thanksgiving did not become a national holiday until Lincoln declared it in 1863, the annual parades were not yearly events until much later. The biggest parade that continues to draw crowds is the Macy's Thanksgiving Day Parade. Beginning in 1924 with about 400 employees, they marched from Convent Avenue to 145th Street in New York City. Famous for the huge hot-air balloons today, it was actually live animals borrowed from the Central Park Zoo that were the stars of the show then.

However you choose to spend your Thanksgiving holiday, we wish you a safe, happy and healthy holiday with those you love.

As you near the end of your orthodontic treatment, you’re probably already imagining the day when your brackets and wires finally come off. Or the moment you’ve finished with your last set of aligners. That day might come just a bit sooner if Dr. Kevin Mancini and our team recommend a positioner.

While not as well-known as other orthodontic treatments, a positioner is an appliance that can shorten your time in traditional braces and aligners by weeks or even months. Curious? Read on!

• What Exactly Is a Positioner?

A positioner resembles a clear mouthguard. Its arched shape is designed to fit snugly over your teeth. It’s sometimes called a finishing appliance, because it’s designed to make those last small adjustments to your alignment and bite. If you’re a good candidate for a positioner, it can replace your braces or aligners for your last several weeks or months of treatment.

• How Are Positioners Made?

This appliance is custom fabricated to fit your very specific orthodontic needs. Commonly, a mold is made of your teeth. A model of your teeth is made from this mold. Precision instruments are used to move the model teeth into your ideal alignment.

Once this model of your future finished smile is complete, it is used to create the positioner. When the thermoplastic material is molded to the model, it creates an appliance with an indentation for each individual tooth in its desired final location.

Available in a variety of materials, a positioner is most often designed as a clear single piece, covering both your upper and lower teeth. This makes sure that your teeth are not only aligned properly, but that your upper and lower teeth are working together for a healthy bite. Openings in the positioner provide airways which allow you to breathe easily.

• How Do Positioners Work?

Because your teeth haven’t settled firmly into place yet (this will happen as you wear your retainer), they’re still able to move. That’s why your positioner is shaped to fit your teeth in their future ideal placement, not where they are at present.

Positioners require your active participation. Your teeth move to the ideal spots molded into the positioner through “exercise”—biting down on your appliance for 15-20 seconds before relaxing your bite, usually every 10-15 minutes during your daily wear. The gentle force provided by your jaw muscles helps guide your teeth into position more quickly. Dr. Kevin Mancini will give you instructions on just how to—and how often to—do these exercises.

• How Long Are They Worn?

Positioners are commonly worn at least four hours a day to start with and all night long, or Dr. Kevin Mancini might recommend 24 hour a day wear for the first week. As you progress, you’ll wear them for shorter periods during the day, gradually tapering off until your treatment is complete.

Depending on the amount of correction that’s still needed, positioner use ranges from several weeks to several months. One thing that will ensure that your time in a positioner is as short as it can be is your willingness to follow our instructions. The speed and effectiveness of your final tooth movements is largely up to you!

• Caring for a Positioner

Gentle treatment is best. Clean your positioner before and after wearing it using a toothbrush and mild toothpaste. Never boil it or expose it to heat. We will give you instructions for how to clean it more thoroughly, if needed.

Like retainers, clear aligners, and mouthguards, a positioner needs to be protected when it’s not in your mouth. Your positioner will come with a case, so be sure to use it!

Positioners aren’t recommended for every orthodontic patient. But if you feel this might be an option worth pursuing, talk to us when you visit our Hampstead, NC and Jacksonville, NC office. A positioner could be an effective, time-saving step on your path to a lifetime of healthy smiles.

It’s useful to know some of the common problems that can arise when you get braces. Even if you take great care of your braces and teeth, you might not be able to avoid certain issues or side effects that accompany braces. But don’t worry: These are all common problems that can be taken care of by following some simple advice.

If you just had your braces put on, you may notice some general soreness in your mouth. Your teeth are starting to adjust to having to shift, so they may ache, and your jaw might feel tender at first. This will subside once your mouth becomes used to the new appliance in residence.

You may experience soreness on your tongue or mouth, which may be a sign of a canker sore. Canker sores are common when braces rub against your mouth. You can use ointments to relieve pain and numb the area that’s been irritated. Canker sores are commonly caused by broken wires or loose bands on your braces.

Common Issues

• Loose brackets: Apply a small amount of orthodontic wax to the bracket. You might also apply a little between the braces and the soft tissue of your mouth.
• Loose bands: These must be secured in place by Dr. Kevin Mancini. Try to save the band for repair.
• Protruding or broken wires: Use the eraser end of a pencil to push the wire carefully to a less painful spot. If you are unable to move it, apply orthodontic wax to the tip. If a mouth sore develops, clean your mouth with warm salt water or antiseptic rinse.
• Loose spacers: These will need to be repositioned by Dr. Kevin Mancini and possibly replaced.

Avoiding Issues

You should avoid certain foods that could cause major damage to your braces. No matter what you eat, make the effort to cut your food into small pieces that can be chewed easily. This will prevent chunks of it from getting lodged between brackets.

Avoiding hard and chewy foods is also wise. Some foods can break your hardware: for example, popcorn, nuts, apples, gum, taffy, and hard candies. Avoiding any foods that easily got stuck in your teeth when you didn’t have braces is a good rule to follow.

The appliances in your mouth are bound to attract food particles and make it easier for plaque to build up. By making sure you brush and floss carefully every day, you can prevent stains and cavities from developing over time. Dr. Kevin Mancini and our team recommend brushing and making sure that food isn’t lodged between your braces after every meal.

Having braces can be very exciting, but it can also be challenging at first. Watching for these common issues during your first few weeks can prevent problems down the road. If you experience a lot of pain from your braces, contact our Hampstead, NC and Jacksonville, NC office and we can try to resolve any issues.

Braces can sometimes be a pain, but they’re well worth it once your new smile gets revealed!