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Cassinelli, Shanker & Associates Orthodontics logo
  • Our Practice
    • What Sets Us Apart
    • Meet Our Doctors
    • Meet the Team
    • Technology
    • Board Certifications
    • Patient Testimonials
    • Office Tour
  • Treatment
    • Braces
      • Types of Braces
      • Braces For Kids
      • Braces For Teens
      • Braces For Adults
      • Braces FAQ
      • Payment Calculator
    • Clear Aligners
      • What Are Clear Aligners?
      • Clear Aligners For Kids
      • Clear Aligners For Teens
      • Clear Aligners For Adults
      • Clear Aligners FAQ
    • Orthodontics
      • Types Of Appliances
      • Appliance Instructions
      • Early Orthodontic Treatment
      • Common Orthodontic Issues
      • Life With Braces
      • Brushing & Flossing
      • Retainers
      • Emergency Care
      • Kidz Club
      • Orthodontics FAQ
    • Other Treatments
      • TMJ / TMD
      • Growth Modifications
      • Surgical Orthodontics
      • Interproximal Reduction
  • Patient Resources
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Spot Check

Home » Spot Check
Smiling girl with braces and purple glasses
  • Cassinelli, Shanker & Associates Orthodontics
  • April 21, 2021

After all your hard work, and months of orthodontic treatment, the big day is finally here—your braces are coming off! What you want to see: beautiful, straight teeth perfectly aligned to create a comfortable, healthy bite. What you don’t want to see: a collection of whitish spots dotting the enamel around your gum line or outlining the spot where your brackets used to be.

What are these spots? Can they be removed? And, most important, how do you avoid them?

Decalcification

Those white spots are caused by decalcification, or the removal of the minerals, especially calcium and phosphorus, that strengthen our enamel. How does this removal take place? When bacteria and plaque remain on the teeth, they produce acids that eat away at these minerals. The result is a weakened, discolored white spot in the enamel. Unfortunately, because many orthodontic patients don’t brush thoroughly around their braces, decalcification is an all-too-common problem.

Treating Decalcification

You might need cosmetic dentistry to eliminate or reduce white spots on the enamel. In some cases, they will fade over time, or teeth whitening can help. In more stubborn cases, tooth bonding or veneers can cover the affected enamel.

Preventing Decalcification

But, obviously, prevention is always better than treatment. Here are some of the ways to keep your enamel healthy and looking its best:

  • Brush thoroughly after every meal.

Getting rid of the bacteria and plaque on your enamel and around your gum line will greatly reduce your chances of decalcification—and cavities. Brush after every meal, and talk to us about the best products and techniques for cleaning your teeth and appliances. And be sure to spend the extra time you’ll need for brushing around your braces.

  • Floss

Even though it can be more difficult to floss with brackets and wires, it’s essential for removing plaque. We have suggestions for special flosses designed for braces wearers, and how best to use them. A water flosser can be helpful for reducing plaque if other flossing methods aren’t working.

  • Use fluoride toothpaste

Fluoride actually helps remineralize our teeth, replacing the important minerals that have been lost to acid attacks. We might also suggest remineralizing toothpastes or a fluoride rinse.

  • Watch your diet

Acidic foods increase the acidity levels in your mouth, sugars give bacteria the fuel they need to produce acids, and sticky foods allow bacteria to remain on teeth and braces longer. We’ll give you suggestions on the best foods to keep your teeth healthy (and your braces intact) while you’re undergoing treatment.

  • Have your teeth cleaned regularly

Your dental professional will be able to remove plaque and tartar that home brushing has missed.

  • Work with us!

If we let you know that you need to spend more time on your cleaning routine, or that you need to be more thorough when you brush and floss, take our suggestions to heart. We are happy to show you the most effective way to clean around your braces. Drs. Cassinelli and Shanker can recommend the best dental products for your specific needs. We can suggest rinses and toothpastes that will help. We’ll let you know how much time you should spend brushing and how often.

If you have any questions at all about keeping your teeth and braces their cleanest, we are here to help. Always feel free to talk to our West Chester or Cincinnati, OH team about concerns you might have about decalcification, discoloration, or any other potential problems. We are want to make sure that when your braces come off, you have every reason to smile!

Patient testimonials

Watch the Success Stories

We’re not just putting on braces or clear aligners. We’re adding value to people’s lives. Check out some of these life-changing stories below.

What Brought You
To Our Office?

What Was It Like Coming
For Your First Visit?

How Has Your New Smile
Changed You?

What Would You Tell
Others About Our Office?

Smiling teen girl with braces
patient REviews

Our 5-Star Patient Experience

We recognize that all our patients are unique and deserve to receive orthodontic care that reflects their individual needs. We are committed to working with you and your family to create a comfortable, stress-free, and rewarding orthodontic experience every time you visit.

Kelly R.
The staff are incredibly friendly and helpful! The orthodontists take their time with each patient & make sure all questions are answered! We’ve had the best experience!!
R H.
I’m on my third kid getting braces here. I’ve spent 6-7 years coming here and I’ve never experienced anything but great customer service. I will always recommend. Plus my kids teeth look fabulous
LibraLife 4.
This office is the absolute best. For the past year we have been treated so well. From the beginning process to now has been seemless Tayla was so personable and made my child feel so comfortable. If you need braces, this is the place you want your child to go.
ANN B.
Excellent practice. Appointment last are prompt and easy. We are always seen right on time
Emily L.
10/10 would recommend this place for anyone wanting a more confident smile. Very pleased with how everything turned out and all employees I came in contact with were so pleasant and nice to be around. Great place!
maracca B.
My first time visiting this place everyone was polite and I felt very welcomed. I’m excited to see the outcome of my clear aligners! Beautiful office and staff! I even referred my daughter and cousin.
Tiffany P.
We have been more than happy with ALL associates (doctors and staff) at the office! They are very efficient, quick and caring! Highly recommend their office for any orthodontic needs!
Cemiyah M.
It was a very quick process , everyone there was very friendly and helpful. I felt comfortable and safe. I definitely recommend!
Rana D.
Great place. Very professional staff and I appreciate all the doctor’s help. I highly recommend this place for anyone looking for orthodontics.
Nicole B.
My daughter had her braces here and I had aligners also! We both have a beautiful smile 😀
Jacie E.
Our daughter has has excellent care from all the doctors, assistants, and office staff. We are so appreciative! Thanks so much!
Jacie E.
Our daughter has had a great experience with all of the doctors, assistants, and office staff. We are so appreciative of the excellent care!
Nady Grace C.
Everyone in the office has been professional and Bev at the front desk is exceptional. I sat with my son during treatment thinking about how she is above and beyond wonderful. I am grateful for her attention to detail, consideration of my circumstances, communication across the team of personnel to make sure I had what I wanted and all of it infused with kindness.
Shanti H.
Just started the orthodontic procedure. The experience is excellent and the cost is reasonable
Sarah H.
This orthodontic team has been absolutely wonderful! Highly recommend for your orthodontic needs!
Four people smiling together on the rocks beside a creek
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Ready To Get Started?

Contact either our West Chester or our Cincinnati orthodontic office to schedule your complimentary new patient exam and learn about the wide variety of treatment options we offer. We look forward to meeting you and your family and helping you get the great smile you’ve always wanted.

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West Chester Township

7242 Tylers Corners Dr. West Chester Township, OH 45069

Blue Ash

4881 Cooper Rd. Blue Ash, OH 45242

West Chester Township

Blue Ash

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