Prevent Tooth Decay With Braces

May 27th, 2026

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. Elizabeth Hite, DMD, MS 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. Elizabeth Hite, DMD, MS 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!

Midline Misalignment

May 20th, 2026

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 Edwardsville orthodontic team.

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

Dr. Elizabeth Hite, DMD, MS 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 Bauer Hite Orthodontic Specialists 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.

Teens and Gum Disease

May 13th, 2026

You have a lot going on. School. Sports. Activities. Family. Friends. Teens lead busy lives and have busy schedules, so you need to budget your time and energy. One thing you don’t want to spend any of your time and energy on? Dealing with gum disease.

Gum disease most often begins as a reaction to plaque and tartar. The bacteria in plaque produce acids which irritate gum tissue, causing inflammation, swelling, and bleeding. This is gingivitis, the early stage of gum disease.

Left untreated, early gum disease can become periodontitis. Periodontitis is a serious gum infection which can cause receding gums, loose teeth, and even tooth and bone loss.

We usually think about gum disease as something that only older adults worry about. But the unfortunate fact is that children and teens are also at risk for gum disease—and the teen years bring special risks. Why?

  • Braces

The teen years are the most common years for orthodontic treatment. Wearing traditional or lingual braces can make removing plaque from around brackets and wires, between the teeth, and near the gum line more challenging, and gum disease can be the result. When you’ve been working so hard to create a healthy attractive smile, you don’t want to delay your orthodontic progress to treat gum disease.

  • Less-than-Nutritious Snacking

When you have after school commitments like sports practices, play rehearsals, or work, you probably carry a snack to give you the energy you need until dinner. Popular snacks like energy drinks, chips, or candy bars are common go-to choices, but they contain acids, simple carbs, and sugars which are bad for both gums and tooth enamel.

  • Hormones

Increased hormone levels during puberty can make the gums more sensitive and more easily irritated.

  • Your Busy Life

Maybe you’re not getting enough sleep. Or eating as well as you could. Or you’re feeling anxious. Lack of sleep, poor nutrition, and stress can affect your body’s immune system and your ability to fight off infection. And if you’re also not brushing and flossing regularly, your gum health can really suffer.

How do you know if you have gum disease? Good question! Sometimes the early stages of gum disease aren’t obvious. Perhaps you’ve noticed changes in your gums, such as:

  • Redness
  • Swelling
  • Soreness
  • Bleeding
  • Bad breath even after brushing

Any of these changes can be symptoms of gum disease and are a good reason to give our Edwardsville office a call, since time is important when treating gum disease.

Caught early, gingivitis is usually very treatable—in fact, you can often reverse early gingivitis by paying more attention to your daily dental hygiene. If gingivitis is more advanced, or if periodontitis develops, you need professional dental care to prevent serious damage to your gums, teeth, and bone.

Preventing gum disease from ever developing is always best, though, so let’s look at what you can do to keep gum disease from becoming a problem.

  • Keep Up with Healthy Dental Habits

Even though you’re leading a busy life, take time for your dental care. Brushing twice a day for at least two minutes per session and flossing once a day take just a bit of your time and are the best way to keep your gums healthy. If you wear braces or have a tendency toward cavities and gum disease, Dr. Elizabeth Hite, DMD, MS might recommend brushing or flossing more often.

  • Use the Right Tools

Using the right tools makes a big difference. You should always choose a toothbrush with soft bristles to protect your delicate gum tissue—especially if it’s extra sensitive. Too-harsh brushing can damage even your super-hard tooth enamel, so you can imagine what it can do to your gums! Change out your brush every three to four months when it starts to get frayed and worn.

If you wear braces, ask Dr. Elizabeth Hite, DMD, MS to recommend the best kind of floss to clean between your teeth and around your brackets and wires. The right tools will make flossing a lot easier, and will help you keep your gums healthy and your orthodontic treatment on track.

  • No Matter How Busy You Are, Treat Yourself Well

Watch your diet. Drinking water to hydrate is a healthy (and inexpensive) alternative to sugary and acidic drinks. When you know you have after-school commitments, pack yourself a healthy snack. After snacking, it’s a good idea to rinse with water when you can’t brush to remove any food particles sticking around your teeth and gums.

And even though your schedule is demanding, caring for your mind and body should be a priority. If you have difficulties with sleep or stress, or questions about a nutritious diet, talk to your doctor for some valuable tips to make your daily life healthier and more enjoyable.

With so much going on in your active life, gum problems are problems you really don’t need. Make room in your schedule now for careful daily brushing and flossing, a healthy lifestyle, and regular visits to Bauer Hite Orthodontic Specialists, and you’ll be living that active life with a beautiful, healthy smile!

When’s the Best Time for an Orthodontic Assessment?

May 6th, 2026

Orthodontic treatment traditionally begins somewhere between the ages of 10 and 14—but there’s no need to stand on tradition where your family’s dental health is concerned! An orthodontic evaluation will let you know each family member’s best options for healthier, more confident smiles even before the tween years and even after reaching adulthood.

First Visit—By Age 7

Dentists recommend that you schedule a first orthodontic evaluation for your child by age seven (or earlier if any bite problems or jaw asymmetry are apparent). By this age, most children have a mix of both adult and baby teeth, and orthodontists can determine whether the position and development of the teeth and jaws are on track.

During this visit, Dr. Elizabeth Hite, DMD, MS will also carefully assess how your child’s teeth and jaws fit together when biting down. Healthy occlusion, or bite, means that the teeth and jaws are aligned and work together comfortably. A malocclusion, or bad bite, means that there is a problem with this alignment.

Dr. Elizabeth Hite, DMD, MS might discover:

  • No issues for concern.
  • A possibility for future orthodontic problems. In this case, follow-up appointments might be scheduled to determine whether and when treatment should occur.
  • Orthodontic problems which are already evident, with a recommendation for early intervention.

Early Orthodontic Intervention—Ages 6-9

Some children can benefit from “interceptive orthodontics,” first stage orthodontic treatment begun around the ages of six to nine.

Early intervention can help prevent crowded teeth, protect protruding teeth, and correct jaw alignment problems.

  • If a child has a small upper dental arch, palatal expanders can gently enlarge the arch to make room for the adult teeth to arrive without crowding.
  • When a baby tooth is lost too soon, space maintainers save room for the adult tooth beneath it to erupt in just the right spot.
  • Protruding front teeth have a higher risk of injury from falls or collisions, and treatment will help protect them.
  • Treatment for malocclusions like overbites, underbites, and open bites helps create a more comfortable, symmetrical, and healthy bite while young bones are growing, and may prevent the necessity for more complicated treatment in the teen years.

Tween and Teen Years—Ages 10-14

It’s common to treat malocclusions during the tween/teen years. During this stage of development, it’s easier for teeth to move to their ideal positions, because most of the adult teeth have arrived and the jawbones haven’t completed their growth.

Today’s orthodontics offers teens a number of treatment options:

  • Braces are smaller and more comfortable, and brackets come in a variety of colors and materials to blend in or stand out.
  • Clear aligners are almost invisible, and can treat many types of mild to moderate malocclusions.
  • Functional appliances like the Herbst® appliance, the Forsus™ device, the twin-block appliance, and headgear work with braces or aligners to help correct more complex malocclusions.

And there’s more—modern orthodontic options are more effective, taking less time to create a beautiful, healthy smile.

Older Patients of Any Age

As you’ve grown older, you may have noticed that your once-straight teeth are becoming a bit crowded. You may be suffering dental pain and injured teeth because of a long-term bite problem. You may have always wanted a more attractive, comfortable smile, but weren’t able to access treatment when you were younger.

Good news! As long as your teeth and gums are healthy, orthodontic treatment can be a great way to keep them healthy. And today’s orthodontics offer a much wider and less noticeable variety of treatment options than the larger metal braces you might remember from decades ago. Depending on your needs, the team at Bauer Hite Orthodontic Specialists could recommend:

  • Traditional braces—brackets are smaller than ever and come in a choice of several materials and colors, including ceramic, tooth-colored, and clear brackets.
  • Clear aligners—an almost invisible way to straighten teeth, and removeable when necessary (as long as they’re worn 20-22 hours each day).
  • Lingual braces—the least visible treatment, because brackets and wires are attached behind the teeth.

Crowded teeth and malocclusions often lead to lifelong problems, including worn or cracked enamel, headaches, jaw problems, increased risk of tooth decay and periodontal disease, and decreased self-confidence. Whether you’re graduating high school or getting ready for your golden reunion, it’s not too late for an orthodontic assessment.

If you’re concerned about your own or your child’s orthodontic health, problems with alignment and bite are best treated as early as possible to prevent dental damage, improve self-confidence, and avoid more complicated treatment in the future. So, when’s the best time to schedule an orthodontic assessment in Edwardsville? There’s no better time than today!

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