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Many patients underestimate the importance of wearing their retainers after their braces come off, but it is one of the most critical post care practices to keep your teeth in alignment. Why spend all that time, energy, and money to straighten your teeth when you don't plan to keep them straightened after treatment?

What is a retainer?

As the name implies, a retainer keeps teeth from moving back to the positions in which they started before treatment was administered; they "retain" your smile and bite. There are many different types of retainers—some are removable and some are permanent. Some retainers are made of plastic and metal (known as Hawley retainers) and others are all plastic or all metal. Some retainers can even be bonded to the back of your teeth!

How long do I need to wear it?

If you've been given a removable retainer by Dr. Robert Kubo and Dr. James Kubo, you may be wondering how long you need to wear it. It takes time for the tissues and bones around your teeth to reorganize and set into place after braces treatment.

The amount of time you’ll need to wear your retainer depends on your unique situation, but typically, retainers should be worn at least as long as the time you spent in braces. You might need to wear them full-time for a while, and then transition to wearing them only at night. Dr. Robert Kubo and Dr. James Kubo will have a treatment plan especially for you, and if you stick to it, you'll always have a straight smile.

Nothing is forever (at least without retainers!)

Research has shown that there is no “permanent” position for your teeth to remain in. In fact, some studies say upward of 70% of patients will see a change to their bite and tooth alignment as they get older. This applies to people who have had orthodontic treatment and those who have not. Of course, some people's teeth never seem to shift—you can consider them the lucky ones, as most people's teeth do.

And this is precisely where retainers come in. The only way to ensure your teeth stay in alignment long-term is by wearing your retainers. If you have any questions about retainers or your treatment plan, please ask any member of our Fresno, CA staff.

It's a habit many people have and not only can it be annoying to the people around you, it can be detrimental to your dental health. Chewing ice is so common that it even has its own name, pagophagia. We're not talking about a slushy or shaved ice (although those artificially sugary treats should be avoided too!) but more like the hunks of ice rattling around in the bottom of your glass.

Ice chewing can be a sign of emotional problems like stress or obsessive-compulsive disorder, but it can also be a marker for iron deficiency anemia and other physical problems. Then again, some people just like to have something to chew on. For whatever reason you find yourself chewing on it, it's a habit you need to break.

Chewing on ice can cause:

• Chipped and cracked teeth
• Damaged enamel
• Sore jaw muscles
• Damage to dental work such as crowns, fillings, or other appliances

If chewing on ice is becoming a problem in your life, don’t hesitate to speak with Dr. Robert Kubo and Dr. James Kubo about it. But if you find yourself still wanting to chew on something, here are a few alternatives to ice:

• Baby carrots
• Celery sticks
• Sugar-free (xylitol) gum

We know you need to chill sometimes, but chomping down your entire glass of ice is not the way to do it. If you have any other questions on the topic, feel free to talk with a member of our Fresno, CA team. It may be beneficial in solving the issue and helping to remediate any damage to your teeth.

It's almost game day and you're wondering what to put on the menu for your guests. Most snacks are typically highly processed and unhealthy. Why not mix it up this year and opt for some snacks that promote good oral health? Here are some of Dr. Robert Kubo and Dr. James Kubo favorites!

• Apples, carrots, celery, and cucumbers: These foods and other crispy, fibrous, fruits and vegetables are an excellent choice for the big game. Not only are they rich in vitamins and minerals which your body and mouth need, they are also known as detergent foods because of the cleaning effect they have on the teeth and gums. Try apples wedges spread with peanut butter and sprinkled with cinnamon.
• Beans: Beans are filling because they are packed with fiber and that keeps you from opting for sugary or fatty snacks. Along with fruits and vegetables, beans should be one of the stars of your game-day snack lineup. How about some hearty chickpea hummus with cucumber chips?
• Nuts like almonds, walnuts, pistachios, and cashews: Nuts abound in the minerals that help keep your teeth and gums strong like calcium, magnesium, and potassium. Put out a bowl of raw or roasted nuts for your guests as a crunchy, satisfying alternative to chips or crackers. Recent research even shows that the polyunsaturated fatty acids in nuts may help prevent gum disease. But remember not to eat the whole bowl! Nuts are very high in calories and a little goes a long way. Enjoy and handful or two along with your other healthy snacks.
• Dark chocolate: This one may be hard to believe at first, but research shows chocolate can be great for your teeth and help prevent decay! Now don't run off and start stocking your pantry with a bunch of that super sweet stuff, because these benefits come mainly from the tannins, polyphenols, and flavonoids present in the cacao bean. Dark chocolate is the least processed variety of chocolate and the closest to the cacao bean, so make sure you purchase a variety that is listed as 70% cocoa or more for these benefits. Like with nuts, chocolate is easy to overdo — aim to eat two or three squares.

Our green office offers many benefits to patients. And just because we’ve gone green doesn't mean that we won't be able to provide the same services as a traditional office. In fact, our goal is to provide the same (or better) services as a regular office, but services that act in harmony with the body and world around us. Less waste, fewer chemicals and heavy metals, and reduced energy consumption; these are traits that define a truly green office.

Some of the benefits you'll experience as a patient at our green Fresno, CA office include:

• Better air quality – There's a focus on using renewable and natural building materials, paint that is free of volatile organic compounds (VOCs), biodegradable cleaning supplies, and formaldehyde free materials for cabinetry. This leads to cleaner air in the office for patients and their families.
• Less radiation – Digital X-rays replace old film based X-rays and expose patients to 90 percent less radiation. Digital X-rays are also convenient for patients since their images can be viewed right on the computer screen instead of on a physical printout.
• No need for paper – Many offices have gone "paperless." You'll get any pertinent paperwork via email, reducing paper waste and saving you time. Patient records are also stored digitally, doing away with the wall of patient folders and making for easier and quicker record retrieval.
• Fewer chemicals – Green offices take advantage of chemical-free sterilization by steam and clean their tools using energy-efficient washers and dryers. Biodegradable cleaning solutions instead of toxic chemical cleaners are used around the office, too.
• Reduced heavy metal exposure – Biocompatible, non-allergenic, non-metal materials like porcelain and ceramic are preferred in a green office over the heavy metals (nickel, titanium) used in traditional offices. This is particularly important in the case of appliances that are used over long periods of time, like dental implants or veneers.

Dr. Robert Kubo and Dr. James Kubo and our team hope you realize the positive effect a green office can have on your health, as well as that of the environment. Our office is dedicated to bringing you the cleanest, safest, and greenest technologies the industry has to offer, and we're happy to share how our processes differ from other offices!