October 18th, 2016

A great smile can go a long way. Scientific research suggests that people who smile are perceived as more attractive and confident than those who don’t flash their pearly whites. When it comes time to invest in orthodontics to improve your beautiful smile, choosing the best option can be daunting. Comparing Invisalign to traditional braces is a great way to determine what orthodontics make most sense for your unique smile.
How is Invisalign different?
Unlike traditional braces, in which brackets are affixed onto each tooth and connected by wires Invisalign corrects orthodontic problems using a set of clear trays. These trays are specially formed to fit your teeth, allowing you to wear them 24/7.
Aesthetics
One of the primary advantages of Invisalign is that the clear trays are nearly invisible. Particularly for adults self-conscious about appearing professional with traditional braces, Invisalign can correct orthodontic issues without capturing the notice of others. Their nearly invisible appearance is one of the topmost reasons that orthodontic patients choose Invisalign.
Complexity of the Orthodontic Problem
Invisalign works well for people who have relatively minor problems, such as crooked teeth or small gaps between teeth. For more complex problems, particularly issues with bite or vertical problems (i.e., one tooth being significantly higher than another), traditional braces may be better at pulling teeth into alignment.
Eating and Drinking
Invisalign trays are removable, meaning that you cannot eat or drink while wearing them. Unlike traditional braces, however, you are not limited in the foods you may eat. Chewy, sticky, or hard foods may be eaten, provided that you brush your teeth before reinserting the Invisalign trays.
In the end, only you can weigh the pros and cons of Invisalign versus traditional braces. Consult with Dr. Sal Carcara to understand how these orthodontic interventions may work for your unique situation.
October 11th, 2016

Also known as onchophagia, the habit of nail biting is one of the so-called “nervous habits” that can be triggered by stress, excitement, or boredom. Approximately half of all kids between the ages of ten and 18 have been nail biters at one time or another. Experts say that about 30 percent of children and 15 percent of adults are nail biters, however most people stop chewing their nails by the time they turn 30.
Here are four dental and general reasons to stop biting your nails:
1. It’s unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What’s more, swallowing dirty nails can lead to stomach problems.
2. It wears down your teeth: Gnawing your nails can put added stress on your pearly whites, which can lead to crooked teeth.
3. It can delay your orthodontic treatment: For those of our patients wearing braces, nail biting puts additional pressure on teeth and weakens roots.
4. It can cost you, literally: It has been estimated that up to $4,000 in extra dental bills can build up over a lifetime.
Dr. Sal Carcara and our team recommend the following to kick your nail biting habit:
- Keep your nails trimmed short; you’ll have less of a nail to bite.
- Coat your nails with a bitter-tasting nail polish.
- Ask us about obtaining a mouthguard, which can help prevent nail biting.
- Put a rubber band around your wrist and snap it whenever you get the urge to gnaw on your nails.
- Think about when and why you chew your nails. Whether you are nervous or just bored, understanding the triggers can help you find a solution and stop the habit.
- If you can’t stop, behavioral therapy may be an effective option to stop nail biting. Ask Dr. Sal Carcara and our team for a recommendation.
October 4th, 2016

What does the month of October mean to you? For people in the northern hemisphere, October is when the weather starts to get a little chilly: heavy jackets might come out of storage and the summer clothing gets packed away. You might start making plans for the upcoming holidays or looking at the beautiful and changing autumn scenery. October means something a little different to our team at Carcara Orthodontics because this is National Orthodontic Health Month. During October, orthodontic clinics all over the country work together to promote their services and inform the community about the important work we do.
National Orthodontic Health Month is an awareness campaign created cooperatively by orthodontists and other dental health professionals. During this month, we make a special effort to promote dental health and orthodontic health in particular. This is a great time to get your questions answered by dental professionals in your community and to learn more about exactly what an orthodontist can do for you and your family. Events held in connection with National Orthodontic Health Month are also an opportunity for us orthodontists to come out and meet community members. If you have never been to an orthodontist before, you might not know what to expect. Meeting one of us in person before your checkup is a great way to find out what kind of person you’ll be seeing during your appointment.
Meeting Dr. Sal Carcara in a relaxed “meet and greet” atmosphere can be especially helpful for any young orthodontic patients in your family. Kids of all ages–and their parents!–can feel anxiety about going to the dentist. Getting to know the person you have an appointment with can make the experience a lot less stressful for everyone. We don't want anyone to avoid seeing a dental professional for regular checkups just because they don't know who we are. Just meeting and talking with the orthodontist you'll be seeing may be enough to make you feel more comfortable about your upcoming appointment.
Dental health is something that affects everyone; healthy teeth and gums contribute to a healthy smile and a lifetime of comfort and well-being. Orthodontists are just one of the various dental practitioners you could visit at some point in your life, so taking a little time to learn who we are and what we do is certain to be a helpful experience. We look forward to seeing you and your family this October at our Westwood, NJ location!
September 27th, 2016

Between the huge number of toothpaste brands on the market today, the different flavors, and claims from most to do different things, it isn’t surprising that people feel so confused when it comes to something that should be as simple as buying a tube of toothpaste. This guide will help you identify the common ingredients in toothpaste, and help you understand the important factors to consider before buying toothpaste again.
Toothpaste comes in gel, paste, and powdered forms. When it comes to the type of toothpaste, the choice is more a matter of preference.
Basic Ingredients
- Abrasive Agents – Abrasive agents are the scratchy substances added to toothpastes to help in the removal of food particles, bacteria, and minor stains. Calcium carbonate is one of many abrasive materials, and arguably the most common.
- Flavor – When toothpastes are flavored, they almost always have artificial sweeteners to enhance the flavor of the toothpaste and increase the likelihood that you’ll use it. Flavors run the gamut from traditional mint to cinnamon that may appeal to adults, and bubble gum or lemon lime – flavors to target children.
- Humectants – Humectants are moisturizing agents that keep paste and gel toothpastes from drying out. Glycerol is commonly used as a humectant.
- Thickeners – Thickeners are used to give toothpaste its distinctive consistency, and to make it maintain a uniform consistency and come out of the tube easily.
- Detergents – Sodium lauryl sulfate is the most common detergent used in products that foam up, like toothpaste does in your mouth.
What to Look For in Toothpaste
Fluoride is naturally occurring mineral. It is the most important ingredient to look for in a toothpaste. Although there are people who argue against using fluoride toothpaste, dental professionals like Dr. Sal Carcara emphasize that the fact that the incidence of tooth decay has decreased so significantly in the past 50 years is because of fluoridated toothpaste.
The suggestion that fluoridated water gives you enough fluoride to protect your teeth is wrong. Fluoride toothpaste is the best cavity protection there is. In addition to strengthening tooth enamel and protecting teeth from acid erosion (from acidic foods and drinks,) it remineralizes the surfaces of teeth that are suffering from early acid damage and may prevent developing tooth decay from worsening.
Tartar Control
Tartar is the result of hardened plaque buildup on the teeth. Good oral hygiene and in between twice yearly cleanings from a dental hygienist are the best defense against plaque buildup. Plaque turns to tartar when people neglect their oral hygiene. Over time, tartar can build up on teeth and under the gums, increasing the risk of gum disease.
Your best bet is to use a toothpaste that has a combination of anti-plaque agents. Products containing more than one plaque reducer may be more effective than products that only one. Common ingredients to look for are zinc citrate or pyrophosphates. Triclosan is an antibiotic that is believed to kill bacteria in the mouth, and it can be found in some anti-plaque toothpaste.
Look for toothpaste that bears the seal of the American Dental Association. That seal is an endorsement of the ADA – and it means that many dentists agree that that particular toothpaste does what toothpaste is designed to do. We can also recommend toothpaste to meet your specific oral health concerns at your next visit to our Westwood, NJ office.