Brushing & Flossing with Braces

Sleep Apnea

Obstructive Sleep Apnea

Your sleep impacts every aspect of your health and daily life. Sleeping well helps you look, feel and perform your best. But a sleep problem can be harmful to your health and well-being. One of the most common sleep problems is obstructive sleep apnea. Learn more about the warning signs and how you can get help.

About Obstructive Sleep Apnea

Nearly 30 million adults in the U.S. have obstructive sleep apnea (OSA), which can cause them to stop breathing hundreds of times a night for anywhere from a few seconds to more than a minute.

Sleep apnea is a chronic condition that occurs when your muscles relax during sleep, allowing soft tissue to collapse and block the airway. As a result, repeated breathing pauses occur, which often reduce your oxygen levels. These breathing pauses are followed by brief awakenings that disturb your sleep.

Common signs of sleep apnea include snoring and gasping or choking sounds during sleep. Like snoring, sleep apnea is more common in men, but it can occur in women too, especially during and after menopause. Having excess body weight, a narrow airway or misaligned jaw all increase the risk of sleep apnea.

Is Treating OSA Important?
Treating obstructive sleep apnea is incredibly important to your health. When left untreated, sleep apnea often causes excessive daytime sleepiness or fatigue, as well as morning headaches and memory loss. Sleep apnea also is a threat to your safety as it increases your risk of drowsy driving and workplace accidents. Untreated sleep apnea raises your risk for serious health problems. These include:

  • High blood pressure
  • Stroke
  • Heart disease
  • Diabetes
  • Chronic acid reflux
  • Erectile dysfunction

Severe, untreated sleep apnea even increases your risk of death.

How is OSA Diagnosed?
Kleinheinz Dentistry is proud to offer a Free Sleep Study. Call our office for more information. 704-542-6003.

How is OSA Treated?

Dr. Kleinheinz can discuss treatment options with you. We will provide a FREE SLEEP STUDY at your convenience.

  • Oral appliance therapy uses a mouth guard-like device - worn only during sleep - to maintain an open, unobstructed airway.

Research shows that oral appliance therapy is an effective treatment option for snoring and obstructive sleep apnea. An oral appliance is worn in the mouth only while you sleep and fits like a sports mouth guard or an orthodontic retainer. Oral appliances support your jaw in a forward position to help maintain an open upper airway.

Many patients consider a sleep apnea appliance to be more comfortable to wear than a CPAP mask. Oral appliances also are quiet, portable and easy to care for.

If you decide that oral appliance therapy is the best treatment option for you, then Dr. Kleinheinz will recommend a prescription for you to receive a custom-made sleep apnea appliance. More than 100 oral appliances have received FDA clearance. We prescribe and make the FDA approved appliances. Oral appliance therapy is covered by many medical insurance plans. We will do a complete benefits check upon your scheduled appointment.

Brushing with braces.

You know how important it is to brush and floss properly when you're wearing braces — but what's the best way to do that? Let's start with the basic brushing tools: Either a soft-bristle brush or a bi-level brush (one that has shorter bristles in the middle and longer bristles at the edges) can be effective. Used carefully, an electric toothbrush can work just as well. But be sure the electric brush is set to a moderate power level, and don't let its vibrations cause the back of the brush to hit the braces!

You should brush with a fluoride toothpaste at least two times per day (preferably after meals), for at least two minutes each time. Remember to brush all of the tooth surfaces: the outside, the inside, and the chewing surfaces as well. Be especially careful to clean the areas between wires and teeth, and between brackets and gums — that's where food particles can easily become trapped.

Here's a suggested brushing technique: Beginning at the outside surfaces, place the tips of the bristles flat against your teeth, and use small circular motions to gently polish them clean. For areas between braces and gums, tilt the brush toward the gum line (down for the bottom teeth, up for the top) while keeping up the circular motions. Next, move on to the chewing surfaces of upper and lower teeth, using a firm back-and-forth motion. Finally, finish up by carefully brushing the inside surfaces of the teeth the same way you did the outside surfaces.

Special Brushing Tools

Interdental toothbrush.

If you're having trouble cleaning the areas near brackets and wires, there are some special tools that may help. One is the interdental toothbrush, or proxabrush. It has a small tuft of bristles that stick up all around, like a pipe cleaner. Use it gently and carefully to clean the tiny spaces under wires and around bands and brackets.

Another special cleaning tool is the oral irrigator or “water pick.” This device shoots a small stream of pressurized water at your teeth, which can help dislodge bits of food that become trapped in nooks and crannies. While it's easy to use, an oral irrigator isn't a substitute for a toothbrush or dental floss — but when used along with proper brushing and flossing techniques, it can be very effective.

Floss Fundamentals

Floss threader.

To keep your teeth and gums clean and healthy, you need to floss at least once per day. But how do you get floss under the archwire of your braces? It's not so hard with the help of a floss threader. Using this device is somewhat like threading a needle: You pull one end of floss through the threader, and then push the threader — carrying with it the free end of the floss — under the archwire. Now grasp the floss on each end and slide it up and down the sides of both teeth, and all the way under the gums until you hear a squeaky sound. Finally, pull it out and use a new section of floss for the next area.

Full Disclosure

Ever wonder how effective your tooth-cleaning techniques really are? There's an accurate way to tell, using special vegetable dyes called “disclosing solutions” or “disclosing tablets.” As they dissolve in the mouth, these dyes highlight plaque and food debris that brushing has missed. You can then easily remove the dyed spots — and you'll know for sure if your oral hygiene methods need a little “brushing up.”

Keeping your teeth and gums healthy now is an investment in your future. It enables you to get the best results from your orthodontic treatment, and starts you toward a brighter smile that can last for a lifetime.

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