ND Orthodontics

ND Orthodontics



Now that you have braces on, it is more important than ever to take care in keeping your teeth extra clean. We recommend that you see your family or pediatric dentist at once every 3- 6 months for a thorough cleaning and checkup.

Plaque can hide around the braces and if it is not effectively removed, the bacteria in the plaque can erode or decalcify tooth enamel. The decalcifications show up as white spots on teeth. These white stains are often permanent.

To make sure you have a beautiful healthy smile follow these easy steps:

Brush carefully after every meal paying extra attention to the areas around the bands, brackets and under the wires.

Floss and proxy brush daily.

Use a Fluoride rinse daily.

Decrease your intake of foods and drinks high in sugar and/or acid.


Our goal is to provide you with a beautiful new smile. This can only be accomplished if the braces stay attached to your teeth. We do not want to interfere with your nutritional intake, but we do ask that you watch the types of foods you eat. Some types of foods are capable of breaking your bands or brackets, bending your wires (which can cause teeth to move in the wrong direction), or breaking the cement under your bands and brackets. All of these things extend treatment time.

Foods that commonly cause loose bands, brackets, and broken appliances include (but are not limited to):

Hard Foods

  1. Ice
  2. Hard edges of pizza
  3. Crisp French fries (soft are okay)
  4. Nuts
  5. Potato chips, Fritos, Doritos, etc.
  6. Popcorn
  7. Lifesavers
  8. Peppermint Sticks
  9. Carrots & Apples (but may be eaten if cut into small pieces)
  10. Corn-on-the-cob (may be eaten if sliced off the cob)
  11. Ribs (may be eaten if meat is sliced off the bone)
  12. Chicken or other meats (ok if cut into small pieces and not torn from the bone with the front teeth)


  1. Caramels
  2. Taffy
  3. Gum
  4. Starburst
  5. Marathon Bars
  6. Milky Way Bars
  7. Slow Poke Suckers
  8. Sugar Daddy or Sugar Babies
  9. Jelly Beans
  10. Licorice
  11. Peanut Brittle
  12. Jolly Ranchers
  13. Now or Laters

Frequent intake of sweet and/or acidic foods and drinks can increase your chances of getting white spots and cavities. Try to keep your intake of the following to special occasions only:


  1. Cake
  2. Pie
  3. Candy
  4. Ice Cream
  5. Shakes, Sundaes
  6. Cookies
  7. Chocolate
  8. Sweet Drinks (coke, root beer, etc.)


Now that you have your braces on, proper care and maintenance are important for successful treatment. If an issue should arise, here are some guidelines of what is considered an emergency and what can wait for the next available appointment.


An injury to the mouth and jaws
In the case of accidents involving the teeth, please call your family dentist or orthodontist immediately. Depending on severity, please call 911.

A cemented appliance that becomes dislodged In case of an orthodontic emergency, please call our office during normal business hours and our emergency phone during off hours.


Loose Bracket or Loose Band
If the bracket or band is still attached to the wire, leave it in place. If uncomfortable, cover with wax. If it comes out completely, bring it with you to the next appointment. Do not connect headgear or elastics to a loose band. Please call our office before your appointment so that we can prepare ahead and minimize your wait.

Loose Tie Wire or Elastic Tie
Notify the assistant at your next appointment.

Headgear or Appliance Does Not Fit
Notify the assistant at your next appointment.

Soreness from BracesRinse the mouth with warm salt water. If necessary, take a pain reliever that you would use for a headache or similar discomfort.

Wire out of Tube
Try to place wire back into tube with tweezers. Place wax if uncomfortable.

Poking Wire Tie
Bend wire tie back with a spoon or pencil eraser. If unsuccessful, cover with wax.

Poking Arch Wire
Cover with wax or wet cotton.
For any of the above, please call to notify our office so that we can answer your questions and address your needs.

Prompt repairs will help ensure that treatment stays on schedule. Extensive repairs may require an appointment during morning hours.

ND Orthodontics

Suite 102 • 16708 Bothell-Everett Hwy. Mill Creek, WA 98012