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Kids can be picky eaters. How many times have you seen your child try to hide the peas under a mound of mashed potatoes?

At Rigali and Walder Orthodontics, Drs. Rigali and Walder and our team understand how hard it can be to get your child to eat the recommended daily allowance of fruits and vegetables. The task of providing fun, nutritious meals becomes even more challenging if he or she wears braces. It's an age-old saying that breakfast is the most important meal of the day. These five braces-friendly recipes are not only nutritious, but they will have little Jimmy flashing his “tin grin” when he sits down at the kitchen table in the morning.

1. Scrambled eggs are soft and easy to eat if you have braces. If you drown them in ketchup (which many kids love to do), eggs become even mushier. Minimal chewing is required, and that’s the key to a braces-friendly recipe.
2. A healthy breakfast provides energy and jump-starts metabolism. A smoothie is not only a good source of fruit, but it’s also gentle on braces. More importantly, smoothies are fun to create. You can toss anything in the blender (bananas, mangoes, strawberries, spinach) and create a drink that’s loaded with vitamins and antioxidants.
3. If you wear braces, eating crunchy cereals or granola for breakfast is out of the question: Bite down the wrong way and you might snap the wires or dislodge the brackets. However, you can get your grains and oats by substituting oatmeal for cereal. This mushy breakfast treat has a host of health benefits.
4. Pancakes are not the healthiest breakfast choice. Still, this Sunday morning favorite is braces-friendly. The idea is to make it healthier by hiding blueberries in the pancake batter just like your child hides peas in the mashed potatoes.
5. Toast with jam is ok, but skip slathering peanut butter on the bread. If you have braces, the general rule of thumb is to steer clear of foods that are hard or chewy. These types of foods can break wires. Of course, most kids will agree that toast isn’t the most exciting breakfast recipe. Make it a Pop-Tart instead!

For more braces-friendly recipes, please give us a call at our convenient Northampton, Amherst, and Easthampton office!

During the early days of the environmental awareness movement, those who demonstrated against pollution, toxic chemicals, and the general public health were known as hippies. The early 1970s were a time of change, and assertions that we needed to pay more attention to the Earth's atmosphere were generally dismissed. But within a couple decades, it had become clear that the previous generation was right; the citizens of the world needed to become more environmentally conscious.

Many people feel that they can't make a difference if they don't do something big. But caring for the environment doesn't have to be an all-or-nothing concept. In fact, the little things you do can add up to make a great impact, especially in our community. Here are a few ways you can help the environment on Earth Day, April 22nd and all year around.

Four Small Ways to be Environmentally Friendly

• Recycle Your Textiles. Nearly 21 million tons of textiles are added to American landfills each year, according to the Environmental Protection Agency. Donating your unwanted clothing to a secondhand store or an organization that repurposes fabric helps cut down on solid waste and conserves natural resources.
• Reduce Usage of Disposables. Plastic bottles and bags, disposable diapers and other things we can use and toss out are convenient, but they're not necessary. Simply choosing to replace one of type of disposable with a reusable product can help you cut down on waste that has a large negative impact on our environment.
• Conserve Water. If everyone in the United States turned off the water while brushing their teeth, more than 1.5 million gallons of water could be conserved. Turn the water on long enough to wet your toothbrush for brushing and rinsing, and then immediately turn the water off again.
• Turn Off the Lights. Flip the light switch to "Off" if you're going to leave a particular room for 15 minutes or more. This will conserve energy on incandescent light bulbs and cut down on cooling costs.

It's not necessary to be an activist or install solar panels all over your home to help the environment. Although you can do these things, the little everyday measures make a big difference in helping to conserve energy and the environment, while reducing your carbon footprint. Our team at Rigali and Walder Orthodontics wants to remind you to celebrate Earth Day and help the environment, knowing that it will benefit your and your children's generation.

Bad breath, or halitosis, is probably not a matter of life or death. But it can make you feel self-conscious and have a negative impact on your life. The majority of people suffering from bad breath are dealing with oral bacterial. However, there are other causes of this embarrassing problem. Learning more can help you fight this solvable problem.

Five Causes of Embarrassingly Bad Breath

1. Dry Mouth. A decrease in saliva flow can be caused by several things. Most often, medication or mouth breathing are the culprits. As saliva helps wash away food particles from your mouth, it prevents bad breath. Dry mouth can be dealt with by stimulating salivation.
2. Gum Disease and Poor Oral Hygiene. Not brushing and flossing well enough or with enough frequency can lead to gum disease, which leads to bad breath. Halitosis can be a sign that plaque is present on your teeth.
3. Food-Related Bad Breath. Food particles that aren't brushed or flossed away attract bacteria that leads to bad breath. It's especially important to brush after eating strong-smelling foods, such as garlic or onions.
4. Smoking and Tobacco. Tobacco is bad for your health, and that includes your oral health. Smoking or chewing tobacco can contribute toward the development of gum disease, as well as oral cancer.
5. Mouth Infections and Other Medical Problems. A mouth infection, sinus infection or even the common cold can cause you to temporarily have bad breath. Even conditions such as diabetes and reflux can cause halitosis. It's always wise to see Drs. Rigali and Walder to help determine the cause.

We are Your Ally

Even if you maintain good oral hygiene, it's important to see Drs. Rigali and Walder at our Northampton, Amherst, and Easthampton office to deal with or avoid problems with bad breath. We can help you uncover the cause of halitosis, while also providing solutions that allow you to enjoy fresh breath without relying on mints and breath fresheners. As is the case with all things related to oral health, we are your number-one ally when it comes to eliminating the problem of bad breath.

It's springtime and it's again time to remind our patients at Rigali and Walder Orthodontics to protect their faces and pearly whites while out on the field playing sports. According to the National Youth Sports Safety Foundation, children, high-school athletes and adults have more than 5,000,000 teeth knocked out in sporting events annually.

If you are planning on participating in spring sports, it’s imperative to have a proper-fitting mouthguard. Mouthguards can prevent chipped or broken teeth, lip and cheek injuries, jaw fractures, mouth lacerations and even concussions.

Having a mouthguard can make the difference between losing your teeth or not, and because many of our patients who play high school sports have jaws that are still growing, last year’s mouthguard may no longer fit as it should. Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics can fit you for a new guard.

To learn more about mouthguards or for general questions about your treatment at our Northampton, Amherst, and Easthampton office, please give us a call!

Most parents know that routine dental care should begin during their child’s toddler years. And many assume they must wait until their child has all of his or her permanent teeth to visit Drs. Rigali and Walder for an initial orthodontic consultation.

The ideal age for an orthodontic evaluation is age seven. At that age, your child will have a mixture of adult and baby teeth for Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics to make a determination about whether any problems are present. Typically the first molars have come in by the time your child turns seven, giving us an opportunity to check for malocclusion, also known as “bad bite.” Also, by the time your child reaches the age of seven, the incisors have begun to come in, and problems such as crowding, deep bites, and open bites can be detected.

When Drs. Rigali and Walder and our team perform an evaluation on your child at an early age, you get one of two positive outcomes. Although treatment usually will not begin until one to five years after the initial evaluation, it’s still helpful in determining whether your child has any problems with the jaw and teeth early when they are still easy to treat. Earlier treatment can also cost less to correct a potential problem than delayed treatment.

Early evaluation, of course, may signal a need for early treatment. For some children, early treatment can prevent physical and emotional trauma. Aside from spurring years of harmful teasing, misaligned teeth are also prone to injury and are detrimental to good oral hygiene.

If your child is approaching age seven, or has already surpassed his or her seventh birthday, it is time to schedule an appointment for an initial examination at Rigali and Walder Orthodontics.

Many people undergo orthodontic treatment during childhood, adolescence, and even into adulthood. Wearing orthodontic appliances like braces is sure to produce a beautiful smile. Though orthodontic treatments at Rigali and Walder Orthodontics are designed to accommodate your lifestyle, chances are you will need to make some dietary modifications to prevent damage to your braces and prolong orthodontic treatment.

The First Few Days with Braces

The first few days wearing braces may be the most restrictive. During this time, the adhesive is still curing, which means you will need to consume only soft foods. This probably will not be a problem, however, as your teeth may be tender or sensitive while adjusting to the appliances.

Orthodontic Dietary Restrictions

You can eat most foods normally the way you did without braces. However, some foods can damage orthodontic appliances or cause them to come loose. Examples of foods you will need to avoid include:

• Chewy foods like taffy, chewing gum, beef jerky, and bagels
• Hard foods like peanuts, ice chips, and hard candy
• Crunchy foods like chips, apples, and carrots

How to Continue to Eat the Foods You Love Most

Keep in mind that you may still be able to enjoy some of the foods you love by making certain modifications to the way you eat them. For example, steaming or roasting carrots makes them softer and easier to consume with braces. Similarly, you can remove corn from the cob, or cut up produce like apples and pears to avoid biting into them. Other tips include grinding nuts into your yogurt or dipping hard cookies into milk to soften them. If you must eat hard candies, simply suck on them instead of biting into them.

If you have any question whether a food is safe to eat during your treatment with Rigali and Walder Orthodontics, we encourage you to err on the side of caution. Of course, you can always contact our Northampton, Amherst, and Easthampton office with any questions you have about your diet and the foods that should be avoided during treatment. By following our dietary instructions and protecting your orthodontic appliances from damage, you will be back to chewing gum in no time.

On March 17, everyone has a little Irish in them. St. Patrick’s Day is a joyous celebration of Irish heritage. The holiday originated as a commemoration of Saint Patrick, who brought Christianity to Ireland. The saint arrived in Ireland in 432 and earned the reputation of a champion of Irish Christianity. March 17th, the day of St. Patrick’s death, has been commemorated by the Irish for over 1,000 years. St. Patrick’s Day is still observed as a religious feast day by several Christian denominations, but it is better known in the public imagination as a rich celebration of Irish culture.

St. Patrick’s Day has been an official public holiday in Ireland since 1903. Each year, the Irish celebrate with a several-day festival that includes theater performances, music, fireworks, and festive parades. The celebration is also a public holiday in Northern Ireland, Montserrat, and Newfoundland and Labrador. In other parts of the world with heavy Irish populations, it is an unofficial celebration of Irish heritage. Parts of Great Britain, Canada, Argentina, South Korea, Switzerland, New Zealand, the United States, and Australia commemorate the holiday each year. Typical celebrations in these countries include drinking green beer, wearing green, eating traditional Irish foods, parades, and shamrock decorations.

Many people, Irish and non-Irish alike, take part in the “wearing of the green” on St. Patrick’s Day. In fact, the color originally associated with Saint Patrick was blue. His use of shamrocks to explain the Holy Trinity to the Irish made the green clover emblematic of the holiday, leading to the traditional green attire worn by thousands on St. Patrick’s Day. Other little-known facts about St. Patrick’s Day include the following:

• Each year, the United States and Ireland face off in a rugby competition called the “St. Patrick’s Day Test.”
• Montreal celebrates the holiday with an annual parade, which has been held each year since 1824. The Montreal city flag even features a shamrock in its corner, as a nod to its Irish heritage.
• The Guinness World Records named St. Patrick’s Day the “Friendliest Day of the Year.”
• Along with Valentine’s Day, St. Patrick’s Day is one of the most widely celebrated saint’s day in the world.

No matter your cultural heritage, St. Patrick’s Day is a great time to let loose and celebrate your inner Irish-ness! Don your greenest attire and exclaim “Erin go Bragh!” (Ireland forever!) to everyone you meet. From Drs. Rigali and Walder - have a great St. Paddy’s day!

If you’ve never been to an orthodontist before, you might be wary of what to expect during your first visit. Your dentist may have recommended an orthodontic appliance if it could improve the state of your oral health. More often, you may suspect that you or your child should have orthodontic work done if the time is right financially.

Understanding the various options your orthodontist can perform will be helpful to know before your appointment.

Your initial appointment usually lasts at least an hour. It’s common that diagnostic work will need to be done. This might include getting X-rays so Drs. Rigali and Walder can better understand the overall structure of your mouth. A quick mold of the mouth may also be taken if braces are a possibility.

Your first appointment is intended to find out how we can efficiently give you a great smile! Here’s a list of common questions you might ask during your first visit:

• Is now the right time for treatment, or should it wait?
• What is the estimated length of time for the treatment?
• How much should I expect to pay? What are the payment options?
• What can I do to prevent or minimize pain?
• Is it likely that I will wear extra appliances in addition to braces to correct my overbite, underbite, or other problems?
• Are there specific foods I will need to avoid?
• Will braces prevent me from playing my favorite sport or musical instrument?
• How can I keep my teeth clean with braces?
• How often will I be expected to come in for checkups and other appointments?

Don’t be afraid to ask these and other questions before you or your child commits to getting braces. Drs. Rigali and Walder and our team are happy to answer any of them before or after your visit.

Once you’ve had your initial consultation, our team will be here throughout the entire process if any problems arise. We look forward to seeing you at your first appointment in our Northampton, Amherst, and Easthampton office!

Some foods are just terrible for your teeth — think cookies and candy bars — but there are certain foods that are beneficial to your oral health. Below, Drs. Rigali and Walder and our team have covered five of the top foods to keep your teeth and gums healthy!

1. Crispy, low-acid fruits and vegetables: Fruits like apples and vegetables such as carrots and celery act like “natural toothbrushes,” helping to clear plaque from your teeth and freshen your breath.

2. Kiwis: These little green superstars are packed with vitamin C which is essential for gum health. The collagen in your gums is strengthened when you consume foods that are high in vitamin C, like kiwis, thus helping to prevent periodontal problems.

3. Raw onions: Onions have long been studied for their antimicrobial, antibacterial, and antioxidant properties. Proliferation of bacteria is what leads to tooth decay and cavities. By including raw onions in your diet, you'll be doing your part to wipe out those little microbes before they can multiply!

4. Shiitake Mushrooms: A specific compound in shiitake mushrooms, lentinan, has been shown to have antibacterial properties that target the microbes that cause cavities while leaving other beneficial bacteria alone. It may also help prevent gingivitis, or inflammation of the gums.

5. Green Tea: Often lauded for its high antioxidant content and many health benefits, it turns out green tea also benefits your oral health! A Japanese study found men who drank green tea on a regular basis had a lower occurrence of periodontal disease compared to men who drank green tea infrequently. It's believed this is due to the catechins in green tea, a type of flavonoid that may help protect you from free radical damage, but more research needs to be done. Either way, drink up for your overall health, as well as your teeth!

If you have any questions about your oral health, or are looking for even more oral health tips, contact our Northampton, Amherst, and Easthampton office!

As you are undergoing orthodontic treatment, our team at Rigali and Walder Orthodontics would like to point you to a helpful website. Our friends at the American Association of Orthodontists (AAO) have lots of important information about everything relating to braces, including myths and facts of orthodontics, tips for a better orthodontic experience, and cool webisodes about orthodontics.

Check out AAO today and feel free to contact us at our Northampton, Amherst, and Easthampton office if you have any questions.

Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics hope this information helps you!

Valentine’s Day is the holiday to celebrate all the treasured relationships in your life. It’s a time to honor love in all shapes and forms with cards, social gatherings, and sometimes even binge eating of sweets.

It's hard to look the other way when grocery stores and pharmacies are invaded with goodies connected to the Valentine’s Day theme, and especially if you’re on the receiving end of some of these sweets. We get it. In fact, we’re all for it!

However, we also support a cavity-free smile. So in the interest of your dental and general health, and because we think it’s genuinely tasty, Drs. Rigali and Walder recommends an alternative to the Valentine treats you may be accustomed to: dark chocolate. 

Yes, Healthy Chocolate Exists

Studies have shown that dark chocolate is high in flavonoids, an ingredient found in the cocoa beans used to make chocolate. Flavonoids can help protect the body against toxins, reduce blood pressure, and improve blood flow to the heart and brain.

By opting for dark chocolate rather than milk chocolate, you get to reap these benefits! Pretty sweet, right? Just make sure to stick to high-quality dark chocolates that have undergone minimal processing.

Dark Chocolate, AKA Protector of Teeth

Not only does dark chocolate provide some nice benefits for your overall health, it also helps protect your teeth against cavities! According to the Texas A&M Health Science Center, dark chocolate contains high amounts of tannins, another ingredient present in cocoa beans.

Tannins can actually help prevent cavities by interfering with the bacteria that causes them. Think of them as scarecrows for bacteria. They don’t always prevail, but isn’t it nice to have them there?

Smooth Never Sticky

Unlike many popular candies, dark chocolate is less likely to stick in the crevices of your teeth. Chewy, gooey sweets are more likely to hang around in your mouth for longer periods of time, which means they raise the odds of your harboring cavity-creating bacteria.

While some dark chocolates have additives like caramel or marshmallow, it’s best to opt for the plain varieties, which are just as delicious. If you’re feeling festive, though, a dark chocolate with caramel is still better than a milk chocolate with caramel, so that’s the way to go!

While dark chocolate has some pretty sweet benefits, the most important thing to remember (whether you go the dark chocolate route or not), is that moderation is key. That being said, we hope you have fun satisfying your sweet tooth and shopping for treats for your friends and loved ones. Happy Valentine’s Day from all of us at Rigali and Walder Orthodontics!

Water picks, sometimes called “oral irrigators,” make an excellent addition to your regular home care regimen of brushing and flossing. Especially helpful to those who suffer from periodontal disease and those patients of ours undergoing orthodontic treatment with full-bracketed braces, water picks use powerful tiny bursts of water to dislodge food scraps, bacteria, and other debris nestled in the crevices of your mouth. Children undergoing orthodontic treatment may find using a water pick is beneficial if their toothbrush bristles tend to get caught on their wires or brackets.

When you use a water pick, you’re not only dislodging any particles or debris and bacteria you might have missed when brushing, you are also gently massaging the gums, which helps promote blood flow in the gums and keeps them healthy. While water picks are an excellent addition to your daily fight against gingivitis and other periodontal diseases, they are incapable of fully removing plaque, which is why Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics want to remind you to keep brushing and flossing every day.

If you have sensitive teeth or gums and find it uncomfortable to floss daily, water picks are a good alternative to reduce discomfort while effectively cleaning between teeth. Diabetics sometimes prefer water picks to flossing because they don't cause bleeding of the gums, which can be a problem with floss. If you have a permanent bridge, crowns, or other dental restoration, you may find that a water pick helps you keep the area around the restorations clean.

So how do you choose the right water pick?

Water picks are available for home or portable use. The home versions tend to be larger and use standard electrical outlets, while portable models use batteries. Aside from the size difference, they work in the same manner, both using pulsating water streams. A more crucial difference between water picks is the ability to adjust the pressure. Most home models will let you choose from several pressure settings, depending on how sensitive your teeth and gums are. Most portable models have only one pressure setting. If you want to use mouthwash or a dental rinse in your water pick, check the label first; some models suggest using water only.

Please give us a call at our Northampton, Amherst, and Easthampton office if you have any questions about water picks, or ask Drs. Rigali and Walder during your next visit!

At Rigali and Walder Orthodontics, we aren’t just concerned with straightening your teeth and giving you the beautiful smile you’ve always wanted. We are also committed improving the oral health and the well-being of all our patients. Drs. Rigali and Walder and our team strive to serve our patients by educating them about their treatments, as well as making them feel as comfortable as possible during their initial consultations up until the day they complete their treatments.

Making our patients more comfortable with taking care of their braces in between visits increases the likelihood that they will complete their treatments successfully. We want you to know that if you should ever have any questions about your orthodontic treatment, whether it’s during your adjustment appointment or after hours, we are always here for you and your family.

Please do not hesitate to give us a call at our Northampton, Amherst, and Easthampton office or ask us any questions you may have on our Facebook page! We can’t wait to hear from you!

Braces can straighten your teeth to give you a more attractive smile for life. The process can take 18 months to two years or more, and this amount of time can seem unending when you first get your braces. Counting down your brace time can help the time pass more quickly and build the excitement for when you finally get your braces removed.

Make a Wall Calendar

Crossing out each day on a calendar is a standard way of counting down time. You can make this more personal by designing your own calendar to help you count down. Use an online customization service to upload photos or designs for each month. Each month’s picture can also display the number of months remaining until you expect your braces to come off.

Schedule Rewards

When you receive regular rewards for continuing to wear your braces, they can seem less burdensome. Plan to buy yourself a reward every month that you wear your braces for the duration of the treatment. The time will pass much faster when you feel you are earning rewards for your patience.

Lengthen a Paper Chain

Use strips of paper to make the links of your chain, and add a new link each week to lengthen the chain. Before sealing each new strip of paper into a circle, write on it a reason why you are getting your teeth straightened, or an event in the future when you will appreciate your straight teeth as you smile.

Use a Wall Hanging

Purchase a large pad of blank white paper. Write a “0” on the bottom sheet and a “1” on the next, and continue until you reach the number of days remaining in your treatment. Rip off the top sheet each day to see how many days are left and remind yourself of the progress you are making.

Find a Buddy

If any of your friends get braces around the same time as you, share the experience. Make a pact to celebrate each trip to Rigali and Walder Orthodontics when one of you receives news about your progress.

Now that you have braces, it is more important than ever to maintain good oral hygiene during your treatment, as Drs. Rigali and Walder will tell you. While we trust you will continue brushing and flossing on a regular basis throughout your treatment at Rigali and Walder Orthodontics, you also have to mindful of what you eat. While all those sweet, sour, and sticky candies may taste great, these treats can actually damage your teeth and braces!

Sour candies  can be acidic to your teeth, and actually wear down the enamel that protects them, resulting in tooth decay and cavities. If you do indulge in eating these candies at some point during your treatment, be sure to wash your mouth out with water, drink milk or eat a few slices of cheese. These foods will help neutralize the acid in your mouth.

Besides cavities and tooth decay, many people do not realize that good oral health and hygiene are important to your overall health, too; researchers have discovered the connection between periodontal disease and other major health concerns, such as heart disease. Therefore, it is important to maintain a good oral hygiene routine just as you did before your braces. This includes visiting your dentist here in Northampton, Amherst, and Easthampton every six months, brushing and flossing daily, and using an antibacterial mouthwash, as well as visiting Drs. Rigali and Walder for your regular adjustment appointments.

For more questions about foods you should avoid while wearing braces, or if you have any general questions about your treatment, we encourage you to give us a call, ask us at your next adjustment appointment or ask us on Facebook!

It's the big day and your braces are finally coming off! Does that mean you are completely done? Not so fast! After you complete your treatment here at Rigali and Walder Orthodontics, Drs. Rigali and Walder and our team will recommend you wear a retainer, which must be worn routinely after treatment in order to hold your teeth in their proper, new position while your gums, ligaments and bones adapt. Most patients are required to wear their retainer every night at first, with many also being directed to wear them during the day. It's important to know there are different kinds of retainers, and today we thought we would explain the differences between them.

Hawley Retainers

The Hawley retainer is one of the most common types of retainers. It is a removable retainer made of a combination of a metal wire that typically surrounds the six anterior teeth and is designed to keep your teeth in place. This retainer is made from impressions of your teeth so that it fits snugly and comfortably in the roof of your mouth, while the wire and acrylic framing keeps your teeth in an ideal position. The acrylic can also be personalized with a large number of colors or patterns.

Essix (Clear) Retainers

The Essix retainer is a transparent removable retainer that fits over the entire arch of your teeth. This clear or transparent retainer fits over the entire arch of teeth and is produced from a mold. Similar to Invisalign’s clear aligner trays, Essix retainers have no metal or wires. They can also be used to produce minor tooth movements and can be helpful in prevention of tooth wear due to tooth grinding at night.

Bonded Retainers

Bonded lingual retainers are cemented directly to the inside surface of your lower canines. Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics encourage our patients with bonded lingual retainers to be careful with their bite as the bonding material may break due to incorrect biting and cause your teeth to shift. As with removable retainers, it is important to keep your bonded retainers clean. When brushing, make sure to carefully clean the inside of your lower teeth, as well as the wire itself.

The retention phase of treatment begins when the patient’s braces are removed. Retainers are worn full time, typically for the first nine months, except while eating. Retainers should also be removed before brushing your teeth.

If you have any questions about the retainers we offer or to learn more about post-orthodontic treatment, please feel free to contact us at our convenient Northampton, Amherst, and Easthampton office and we will be happy to answer any of your questions!

A bright, beautiful smile is often achieved with braces. The time you spend wearing braces is an investment in the good health and appearance of your smile. However, Drs. Rigali and Walder and our staff know that having braces on your teeth can pose challenges. Many of these challenges are commonly faced by all who wear braces, such as flossing, getting food stuck in your braces, and bad breath.

Today, let’s address bad breath and what to do about it. There’s no reason you have to shy away from conversation for fear that you’ve got bad breath.

Fresh Breath Tips for Braces Wearers

• Eat a Healthy Diet. Unhealthy foods that are laden with sugar can contribute to bad breath. Stick with healthy produce, protein, grains, and dairy found on the list of foods your orthodontist says are safe to eat with braces.
• Drink Non-Sugary Beverages. Likewise, steer clear of sugary sodas and juices for the same reason. They contribute to bad breath.
• Stay Hydrated. A mouth that’s continually dry can lead to bad breath by inhibiting your production of saliva. Regular production of saliva removes bacteria and excess food from your mouth, both of which cause bad breath.
• Brush Often. Brush your teeth and tongue first thing in the morning, after each meal and snack, and before you go to bed, to remove food particles and bacteria that cause bad breath.
• Don’t Forget to Floss. Flossing with braces might seem tricky, but it is a necessity. Ask Drs. Rigali and Walder to show you the best way to floss effectively with braces.
• Mouthwash Use. Use the mouthwash recommended by Drs. Rigali and Walder. For the best results, swish the mouthwash around in your mouth for 30 seconds.
• Get Regular Cleanings. Regular dental exams and cleanings are more important when you have braces. Cavities can delay your treatment progress, so be sure to visit your dentist every six months.

Practice Good Hygiene Daily

Good oral hygiene practices are important every day, whether you wear braces or not. But they become even more important during the months you wear braces. In addition to your regular orthodontic checkups, see your general dentist for cleanings and exams.

Together, you and our Northampton, Amherst, and Easthampton team will keep your mouth healthy and fresh during and after your orthodontic treatment.

People have been ushering in the New Year for centuries but it became an official holiday in 1582 when Pope George XIII declared January 1st to be the day on which everyone would celebrate the New Year. At midnight people would yell, holler, and blow horns to scare away the evil spirits of the previous year so the New Year would be joyous and filled with opportunity. Nearly 500 years later, we still greet the New Year by whooping and hollering, but in a celebratory manner instead. Whether you intend to ring in the New Year quietly at home in the Northampton, Amherst, and Easthampton area or have plans to join the countdown at a gala extravaganza, these tips can help you ring out the old and usher in the new with a smile.

Tips for a Happy New Year's Eve Celebration from Rigali and Walder Orthodontics

• Be Safe. There's no way to predict the behavior of others on New Year's Eve, but you can be responsible for your own behavior to keep yourself safe. If adult beverages will be part of your celebration, plan on spending the night wherever you are or line up a designated driver to bring you home after the party is over.
• Enjoy Family and Friends. Spending time with the important people in your life is what makes the holidays enjoyable. Coordinate your schedules and choose New Year's Eve activities that everyone in the group will enjoy. You don't have to go to a party to ring in the New Year; some people like to go bowling, see a movie, or have a great meal at home.
• Accessorize with a Smile. Whether you dress up or have a quiet dinner with family and friends, one of the best accessories you can add to your attire is a beautiful smile.

New Year's Eve is a time to gather with friends and family, reflect on the year that's coming to an end, and look forward to the new one with anticipation. Enjoy this transitional holiday in a way that's safe, healthy, and fun. After all, counting down until the clock strikes 12 marks the beginning of a full year of opportunity ahead of you. From Drs. Rigali and Walder, have a great new year!.

It’s possible to develop tooth decay even when you take great care of your teeth. Brushing and flossing may not be enough to keep your teeth healthy, depending on your diet. Cavities, discoloration, and decay are still possible when certain foods feature in your daily intake. Keep an eye out for foods that will damage your enamel and cause the very issues you’ve been trying to avoid.

What causes enamel damage?

Tooth enamel is the hard outer layer of your teeth that is made of various minerals. Tooth decay results when the acids in your food react with the minerals in your enamel. Strongly pigmented foods may also cause unsightly discoloration on the surface of your teeth. Avoid wreaking havoc on your beautiful smile by identifying the foods that can harm your enamel.

Acid

Acidic food is your teeth’s worst nightmare! This is the greatest cause of enamel damage, even if you brush and floss regularly. To avoid damaging your teeth, make sure you can determine whether a food is acidic or not.

The pH levels are a way to determine acidity on a one-to-seven scale. This defines the relative acidity or alkalinity of a food or substance. Foods with high pH levels are not as likely to harm your enamel.

It’s wise to avoid or minimize foods that are high in acids. Highly acidic food can include fruits such as lemons, grapefruit, strawberries, grapes, and apples. Moderately acid foods may surprise you; they include tomatoes, maple syrup, pickles, and honey.

Not surprisingly, eggs and dairy products such as milk and cheese contain the least amount of acid. Red wine and coffee can also discolor your enamel if they’re drunk in excessive amounts.

What can I do to prevent enamel damage?

There are plenty of ways to avoid discoloration and decay of your enamel. The best thing to do is limit the amount of high-acid foods, including sugary juices and soda, in your diet.

Another way is to brush and floss regularly, an hour after each meal. If you can’t make time to brush, an easy solution is to swish your mouth with water or mouthwash to rinse away any leftover acidic particles.

Damaged tooth enamel may be common, but is avoidable when you know which foods to stay away from and the steps to take after you do eat highly acidic foods. Take our advice and you’ll be sure to slow down any future discoloration and decay that happens in your mouth.

For more advice on protecting your enamel, give our Northampton, Amherst, and Easthampton a call to learn more!

Brace-ism: believe it or not, it’s a concept. The Urban Dictionary defines brace-ism as “acting mean to people who have braces on their teeth.” Phrases like metal mouth, brace face, and train tracks are common jokes uttered by gap-toothed fools who like to make fun of people with braces.

While ignoring these comments and taking the high road is the best thing to do, there’s nothing wrong with having a few clever retorts and quick-witted comebacks up your sleeve.

1. The next time someone calls you train tracks, break into an obnoxious train imitation, with lots of toot-toot and chuga-chuga-chuga. Finish off your crazy locomotive impersonation with some sort of deafening train horn. That’ll keep the bullies at bay.
2. “It’s better to be a brace face than a space case.”
3. Counter with a ridiculously childish joke that makes the schoolyard tormentor feel even smaller than he already is. “Oh. Yeah. Why did the deer need braces? Because he had buck teeth. Hahaha.” Top it off with an exaggerated eye roll.
4. “Yeah, my brother tells that joke. He’s six. You guys should hang out.” That’ll stop the haters dead in their tracks. Or would that be train tracks?
5. Here’s one from the sarcasm grab bag. “Well, I’m just glad there’s a way to fix what’s wrong with my face.”
6. “I can’t wait to discuss this formative moment at our ten-year class reunion, when my teeth are razor-straight and you’re wearing adult braces.”

If you have been thinking about undergoing orthodontic treatment to straighten teeth or correct jaw alignment, the first step is scheduling an orthodontic consultation at Rigali and Walder Orthodontics. During the consultation we will actively listen to your concerns and address all of your questions, as well as discuss a treatment options that would best suit you or your child's situation.

Here are the top five questions that most patients want answered during their initial orthodontic consultation:

• Can I benefit from orthodontic treatment, and if so, how long will it take?
• How frequently will my appointments be scheduled?
• Can I expect any pain when getting braces? (Ask Drs. Rigali and Walder about the ways we address pain management).
• Will I need to have teeth extracted, headgear, expansion appliance, etc.?
• How much will it cost and what payment options do you offer?

Visit our website for more answers to your questions prior to your initial consultation. Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics are happy to answer all your questions and concerns, and excited to explain all aspects of your treatment plan, as well as the expected outcome. We believe your orthodontic experience should be comfortable, hassle-free, and most importantly, leave you with the smile you've always wanted.

Dental floss is similar to a lot of products that depend mainly on the consumer’s preference. Fact is, floss comes in a wide variety of flavors, coatings, and other variations, but all types of floss essentially do the same thing. After all, that is what is most important: that the dental floss you buy is functional—cleaning the areas in between your teeth. If you want to know what the best dental floss is, the answer is the kind that enables you to successfully and regularly clean those areas. So to help you find the right type of floss for you, here are some options.

Flavored Dental Floss

Many people that floss prefer a flavored dental floss because it freshens their breath even more than unscented floss. The latter can also take on the smells associated with bacteria in your mouth. And we all know how bad that can be. So, if flavored dental floss is what you prefer, and it allows you to floss your teeth regularly, then it is automatically best for your mouth.

Flossers

There are also products on the market called flossers, which usually consist of a plastic instrument with strung floss and a pick on the opposite end. This option can be both effective at cleaning the areas in between your teeth and scraping off plaque. These flossers also come flavored in mint and various other varieties.

Gentle Dental Floss

Some people find that typical dental floss is too harsh on their gums. For that reason some companies make floss with soft coatings that are less abrasive on the gums. For the most part these types of floss are just as effective as regular floss, and for those people that require a more sensitive approach to flossing, especially when just starting out, this is the best option.

Of the aforementioned options, it is difficult to name an absolute best type of floss. However, Drs. Rigali and Walder and our team say that the type of floss that works best for you, giving you the greatest chance of succeeding at regular flossing, is the best. For more information on floss, contact our Northampton, Amherst, and Easthampton office.

At Rigali and Walder Orthodontics, we love to celebrate the holidays with vigor! Drs. Rigali and Walder would love to share some unique ways of celebrating Thanksgiving from beyond the Northampton, Amherst, and Easthampton area to the national level!

When Americans sit down to dinner on the last Thursday of November, the day that Abraham Lincoln designated as the day on which Thanksgiving would be celebrated, they do so thinking that the first Thanksgiving feast was held at Plymouth in 1621. According to National Geographic, the Spanish explorer Francisco Vásquez Coronado and his men celebrated a feast of Thanksgiving in Texas in 1541, giving Texas the distinction of being the first place where Thanksgiving was celebrated.

Different Types of Celebrations

Native Americans had rituals around which they celebrated in hopes of ensuring a bountiful harvest. The Cherokees had a Green Corn Dance that they did for this very purpose. The Pilgrims (not to be confused with the Puritans,) rejected any type of public religious display. They held a three-day long non-religious Thanksgiving feast. Although they said grace, the focus of their celebration was on feasting, drinking alcohol (they did have beer,) and playing games.

The Pilgrims at the Plymouth Plantation celebrated a different day of Thanksgiving in 1623. Plagued by a crop-destroying drought, the settlers prayed for relief. They even fasted. A few days later, they got the rain they so desperately needed. Soon thereafter, they received another blessing when Captain Miles Standish came with staples they couldn't otherwise get. He also told them that a Dutch supply ship was en route. In gratitude for the abundance of good fortune, the Plymouth settlers celebrated a day of prayer and Thanksgiving on June 30, 1623.

The Story of Squanto

No discussion of Thanksgiving is complete without a discussion of Squanto, or Tisquantum, as he was known among his people, the Patuxet Indians. It is believed that he was born sometime around 1580. As he returned to his village after a long journey, he and several other Native Americans were kidnapped by Jamestown colonist, Thomas Hunt. Hunt put them on a ship heading to Spain where they were to be sold into slavery.

As fate would have it, some local friars rescued him and many of the other kidnapped natives. Squanto was educated by the friars. Eventually, after asking for freedom so he could return to North America, he ended up in London where he spent time working as a ship builder. By 1619, he was finally able to get passage on a ship headed to New England with other Pilgrims.

Upon arriving at Plymouth Rock, he learned that his entire tribe was wiped out by diseases that accompanied earlier settlers from Europe. In gratitude for passage on their ship, he helped them set up a settlement on the very land where his people once lived. They called the settlement Plymouth. Since they knew nothing about how to survive, let alone how to find food, Squanto taught them everything, from how to plant corn and other crops, how to fertilize them, how and where to get fish and eels and much more.

After a devastating winter during which many settlers died, thanks to Squanto's teaching, they had an abundant harvest. After that harvest, they honored him with a feast. It is this feast of 1621 which was celebrated between the Pilgrims and Wampanoag Indians that is widely considered the first Thanksgiving celebration.

About the Meal of the Plymouth Settlers

Surviving journals of Edward Winslow that are housed at Plymouth Plantation indicate that the first Thanksgiving feast was nothing like what Americans eat today. The meal consisted of venison, various types of wild fowl (including wild turkey,) and Indian corn. There were no cranberries, stuffing, pumpkin pie, potatoes, or any of the other “traditional” foods that appear on modern menus.

Today, Thanksgiving is celebrated on the fourth Thursday of November, the day that Abraham Lincoln designated as the holiday. It is still a day of feasting, and for some, a day of prayer and thanksgiving. For others, it is a celebration of gathering, especially for families. Still others may celebrate in entirely different ways, including watching college football bowl games, or by playing family games.

If you ever wonder why you're so tired after the Thanksgiving meal, it's because turkey contains an amino acid, tryptophan, and it sets off chemicals whose chain reaction combine to make people sleepy.

Braces can be painful, but if you are a teen who loves being social, the worst part about them can be their look. They show up in your photos, and you will not be able to take braces-free photos for several months, or even years. The time will pass, though, and your teeth will be the better for it. In the meantime, consider the other people who have survived braces.

Plenty of People Get Braces

There are many reasons for getting braces:

• Correct an overbite or underbite
• Straighten teeth
• Fix poorly-spaced teeth

With so many possible ways to get braces, it’s no surprise that they are so common.

Find Out Who Had Braces

The long lists of celebrities who had braces as teenagers or even adults can give you the comfort of knowing you are in good company. Even better, these lists provide visible proof that there is life on the other side of braces. Actors and actresses on the Cosby Show, Scrubs, and Ugly Betty, as well as tennis star Martina Hingis and Miss America 1975, Shirley Cothran, had braces. Ask your parents. If they didn’t have braces, there is a good chance that some of their siblings did.

Benefits of Braces

Wearing braces can make your life a lot better in the future. Your teeth will be more attractive, and your smile will shine through in photos of you. Straight teeth are not just about looks, though. They can prevent a variety of health problems, such as caries, gum disease, speech impairments, and trouble chewing. Be patient, and the benefits of braces will come.

Sticky, hard, and gooey: these candies fill your dopamine receptors with spasms of sugar-filled joy, but if you’re undergoing orthodontic treatment at Rigali and Walder Orthodontics to straighten your teeth, then these sweets are not so sweet. While you may have a Willy-Wonka-sized sweet tooth, there are some candies you’re going to have to avoid while wearing braces.

Here are five bracket- and wire-destroying culprits that Drs. Rigali and Walder and our team recommend leaving on the candy aisle and not put in your mouth, no matter how tempting they may be.

1. Gum is sticky and stringy. It can get tangled like fishing net in your braces. You don’t want to be that boy or girl trying to pull knots of Wrigley’s out of your braces without being seen.
2. All chewy, gooey candies need to be avoided. When you’re wearing braces, don’t even think about putting a caramel candy in your mouth. Caramel will not only stick to your braces, making it look as if you haven’t brushed your teeth in a week, but the gooey texture can pull apart the wires, and trigger an emergency visit to Rigali and Walder Orthodontics.
3. Hard candy may seem like a safe choice, but it’s not. What’s the problem? Nobody ever just sucks on hard candy; sooner or later, we bite down on it. Biting a hard candy may cause part of your braces to snap. Furthermore, once the candy is broken into a bunch of little pieces, it’s not uncommon for one of those sugary shards to get wedged between your braces and teeth … and that’s a cavity waiting to happen.
4. The taffy you enjoy getting at a seaside boardwalk is going to have to go on the back burner. Like caramel, taffy can pull apart and damage your braces. You don’t want to have your expensive orthodontic gear replaced.
5. Please, just one lollipop? Nope. A lollipop is nothing more than hard candy on a stick. If you can’t have hard candy during orthodontic treatment, then you shouldn't have hard candy on a stick either.

Have any more questions about what you can and can’t eat when you have braces? Please give us a call at our convenient Northampton, Amherst, and Easthampton office to learn more, or ask Drs. Rigali and Walder during your next adjustment visit!

Thanks for asking! It really depends on the dental age of the patient rather than their chronological age. Usually a good time to have your child evaluated by an orthodontist is after the front permanent teeth have erupted into the mouth or if there appears to be extreme crowding of the teeth.

The American Association of Orthodontists recommends that children between the ages of seven and nine should be evaluated by an orthodontist. There are times when an early developmental treatment is indicated to correct situations before they become major problems. In these circumstances the patient will most likely benefit from a second phase of orthodontics when all of their permanent teeth have erupted.

Most full orthodontic treatment begins between ages nine and 14, and lasts from one to three years, with two years being the average. It’s important, however, that children be screened at an early age for Drs. Rigali and Walder and our staff to assess if your child can benefit from orthodontic treatment and when treatment should begin.

We hope this helps, and invite you to give us a call if you have any questions about your child’s treatment at Rigali and Walder Orthodontics.

All Hallows' Eve, more commonly known as Halloween, is a yearly event celebrated on October 31, and one that is anticipated by the young and young at heart all over the world. Some scholars claim that Halloween originated from Celtic festivals that honored the dead or that celebrated the harvest, while others doubt that there's any connection at all to Samhain (a Gaelic harvest festival.) Regardless of its origin, our team at the orthodontic office of Drs. Rigali and Walder hopes that Halloween is fun and enjoyed by all of our awesome patients!

Trick or treat?

In North America, Halloween is predominantly celebrated by children who dress up in costumes, which range from scary to cute, who then go around the neighborhood knocking on doors asking "trick or treat", and they are given candy in return. Trick-or-treating is a time honored tradition, and though many parents groan at the pounds and pounds of candy collected by youngsters and fear for the health of their teeth, there are a few things you can do to help their teeth stay in great shape until the candy is gone:

• Limit the amount of candy they can consume each day
• Have them brush their teeth after eating candy
• Avoid hard, chewy candies as they can stick in hard to brush places
• Keep candy out of sight to reduce temptation
• Don't buy candy too far in advance to limit pre-Halloween consumption
• Help or encourage your children to floss

Halloween Fun

Halloween isn't just about gorging on candy; there are other events associated with this festive day including carving jack-o'-lanterns, painting pumpkins, decorating sugar cookies, bobbing for apples, going to haunted houses, or just curling up on the couch with a bowl full of popcorn and watching some classic, scary movies.

Halloween Around the World

Some countries, like Australia, frown upon Halloween, claiming it is an American event and not based in Australian culture, while others like Italy have embraced the fun and celebrate much as Canadians and Americans do. Mexicans have been celebrating this fun day since around 1960, and it marks the beginning of the Day of the Dead festival. Some countries in Europe have come late to the party, but since the 1990s, countries like Sweden, Norway, and Germany have started celebrating Halloween as well, and finding children in costumes or having ghosts hanging in windows has become commonplace.

Halloween is about fun; stepping outside our normal lives and donning a costume or gathering with friends to knock on doors and ask for candy is as much a part of our culture as hot dogs and barbecue on Labor Day. Have a safe and happy Halloween from the team at Rigali and Walder Orthodontics!

Patients have so many choices for straightening their teeth nowadays — clear aligners, ceramic braces, lingual braces, self-ligating braces — but who is best suited to guide them through orthodontic treatment? Well, an orthodontist like Drs. Rigali and Walder in Northampton, Amherst, and Easthampton of course!

This may seem obvious, but there’s misinformation circulating with regard to the roles dentists and orthodontists play in treating patients’ oral health.

Dentists are trained to clean teeth, fill cavities, perform certain dental surgeries, and examine overall oral health. Many dentists now offer braces to their patients, but according to the American Association of Orthodontists, it’s better to consult an orthodontist if you need to straighten teeth or fix a bite.

Why an orthodontist? Because they are...

• Specialists in straightening teeth and aligning jaws, even advanced cases
• Required to study an additional two to three years after dental school
• Trained to choose the correct treatment option because they have worked with all the available options
• Trained to recognize the potential pitfalls with certain treatments and cases, which means there’s less chance of problems after treatment has started or been completed
• Familiar with emerging treatments and technologies so they can make the best choice for a patient’s case

Some dentists claim to have taken enough continuing education or additional training to offer braces to their patients. But this can't compare to the advanced training an orthodontist receives during his or her education.

Ideally, dentists and orthodontists work hand in hand to make sure oral health and the alignment of teeth and jaws are the best they can be. Think of a dentist as the one who is there for a lifetime, to make sure teeth and gums are healthy.

In contrast, an orthodontist is the highly skilled teammate who helps the dentist by straightening teeth and aligning the jaws over the course of a few years. Instead of one replacing the other, they work together for the health and benefit of their patients.

So you’re about to get braces. Congratulations! You are taking a very smart step to improve the health of your teeth as well as get that killer smile in shape. But, as with anything that is good for you, there are a few things you will have to avoid while you “do your time.”

Some foods don’t do so great with braces. The foods listed below should be avoided while you are wearing your braces because they can pop the brackets and bend the wires. In other words, these foods can really ruin your day, and send you back to Rigali and Walder Orthodontics to get your braces repaired.

So before you hit the chair, hit the grocery and candy store – one last time – for:

• Beef jerky
• Raw carrots
• Taffy
• Pizza crust
• Bagels and other crusty bread
• Popcorn
• Hard candy
• Nuts and seeds

Drs. Rigali and Walder and our staff will give you more information about eating with braces. Some foods, such as apples, are okay as long as you cut them in pieces first. Others, like pudding and pasta, are fine just as they are. But then there is “the list”: the foods that are a big no-no and should be avoided. It won’t be forever, so hang in there.

Your braces time will pass before you know it and you can resume more normal eating. But before the braces go on, enjoy these tasty treats. Go ahead and indulge!

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 Rigali and Walder 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 Drs. Rigali and Walder 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 Northampton, Amherst, and Easthampton location!

Temporomandibular joint disorders (TMD) describe a set of conditions that involve trouble with your jaw and face muscles. They result from a problem in the temporomandibular joint (TMJ), which is a hinge that connects the temporal bones, in your skull in front of each ear, to your jaw. The joint enables you to talk, yawn, and chew by letting your mouth move.

TMD can be very painful and interfere with functions such as eating and speaking. This what to watch for and how to try to prevent TMD.

Risk Factors for TMD

You are at higher risk for TMD if you are a women than if you are male. The disorder is most common among adults between the ages of 20 and 40 years. Other risk factors for TMJ disorders include the following.

• Arthritis in the area, making movement more difficult
• Excessive tooth grinding, because it increases stress on the joint
• General stress, which can lead you to clench your teeth and strain facial muscles

Symptoms of TMD

Symptoms of TMD can last for just a short while, or for several years. Seeing Drs. Rigali and Walder is important if your symptoms make it impossible for you to eat regularly or if you have unbearable pain or discomfort. The following symptoms can occur on both or one side of your face.

• Aching or very tired facial muscles
• Jaws that are fixed open or shut without you being able to unlock them
• Grating or popping sounds when you chew or close or open your mouth
• Pain in the entire area, including the mouth, jaw, neck, or shoulders, that comes on when you chew or yawn

Preventing TMD

You can try to prevent TMD by focusing on reducing risk factors. If you grind your teeth at night, ask Drs. Rigali and Walder about wearing a mouthguard. If you are overly stressed, look into ways to better manage your stress and relax your muscles. Another strategy for trying to prevent the development of TMD is to avoid chewing gum, since that puts stress on your jaw.

If you have questions about TMD, don’t hesitate to contact our Northampton, Amherst, and Easthampton office.

Drs. Rigali and Walder and our team hear this question a lot. Some of the common reasons for crooked teeth include:

• Thumb sucking
• Tongue thrusting or improper use of the tongue during speaking and swallowing
• Premature loss of baby teeth, which causes teeth to drift and shift
• Poor breathing airway caused by enlarged adenoids or tonsils

There are also hereditary factors we get from our parents, like:

• Extra teeth
• Large teeth
• Missing teeth
• Wide spaces between teeth
• Small jaws

Drs. Rigali and Walder and our team know that having crooked teeth isn’t just a cosmetic issue; it can lead to serious health problems as well. Crooked teeth can:

• Interfere with proper chewing
• Make keeping teeth clean more of a challenge, increasing the risk of tooth decay, cavities, and gingivitis
• Strain the teeth, jaws, and muscles, increasing the risk of breaking a tooth

There are several treatment options we offer at Rigali and Walder Orthodontics that can help correct crooked teeth. Please give us a call at our convenient Northampton, Amherst, and Easthampton office to learn more or to schedule an initial consultation.

Temporomandibular dysfunction (TMD) refers to a diverse range of disorders that relate to muscular function in the jaw and face — the temporomandibular joint (TMJ). That could mean difficulty opening your mouth, pain in the jaw or face, or any sort of problem with the jaw joint.

TMD can be difficult to diagnose because of the varied causes. Whatever the case, an accurate diagnosis from Drs. Rigali and Walder helps make treatment as successful as possible.

Most often, jaw problems will resolve themselves within several weeks or months. Surgeries like arthrocentesis, arthroscopy, and open-joint surgery should be a last resort. More conservative and reversible treatments should come first and are in fact the most critical step in the treatment of TMD.

Less invasive treatments like acupuncture and splints can be helpful, but that will depend on your particular case. It’s worth your while to speak with Drs. Rigali and Walder at our Northampton, Amherst, and Easthampton office to learn about solutions that could work for you.

A combination of treatments will most often produce the greatest relief for TMJ patients. It’s a good idea to avoid activities that overuse the jaws, such as chewing gum or clenching your jaws.

You can be proactive in finding relief for TMD by trying the following remedies at home:

• Eat soft food: When you eat soft and/or blended food, your jaw gets an opportunity to rest. Avoid chewy and crunchy food, and food that requires you to open your mouth wide, like apples or corn on the cob.
• Apply moist heat: A hot water bottle wrapped in a moist towel can help reduce symptoms.
• Apply ice: Applying an ice pack wrapped in a cloth or towel for no longer than 15 minutes may also reduce pain and promote healing.
• Do jaw exercises: A physical therapist can help identify the exercises that will work for you. Jaw exercises have been shown to be an effective treatment method that can be performed at home.
• Relaxation: Actively try to relax the muscles of the face and lips, and let your teeth come apart. Many find meditation, yoga, and slow, deep breathing to be helpful for reducing stress and tension.
• Avoid wide yawns: Keep your fist under your jaw when you feel a yawn coming on, to keep your jaw from opening too widely.

School can present a few issues when it comes to caring for your braces and mouth, since you won't have the luxury of the time and tools you have at your disposal while you're at home. But if you head to school prepared, you shouldn't have any trouble keeping your braces and mouth in great shape. Below is a list of helpful tips to care for your braces throughout the entire school year.

• Bring a kit that includes all of your oral health care items. This is a seriously smart thing to do and probably the most important of all the tips. Pack things like a toothbrush, floss, wax, retainer case (if needed), a mirror, a small cup for rinsing, a small bottle of water (if you don't already have some water with you), and some OTC pain medicine or a natural pain remedy. Keep the kit in your locker or backpack. Having all these items on hand will save you a lot of trouble and discomfort, and also ensure you don't have anything unsightly stuck in your braces or teeth!
• Take advantage of breaks and lunchtime. After eating lunch is a great time to pop into the restroom and give your braces and teeth a once over to make sure you don't have any food debris caught in them and to tend to any sore spots. If you've just had your braces adjusted, you may have soreness on your gums or cheeks. This is where the wax you packed will come in handy.
• Eat the right food for your braces. Avoid all the foods that wreak havoc on your braces like gum, candy, popcorn, hard chips, apples which aren't cut into wedges, nuts, beef jerky, ice, etc. You know the foods we're talking about; you've heard it enough already. Steering clear of these foods will help you prevent any possible mishaps with your braces, like breaking a bracket or wire, which is the last thing you want happening at school.

If you follow these tips and also keep up on your oral health routine at home, you'll be maximizing the effectiveness of your braces and making them as comfortable as possible. Do you have questions about caring for your braces during the school day? Ask Drs. Rigali and Walder or anyone in our Northampton, Amherst, and Easthampton office and we'll gladly help you out!

Labor Day is upon us, and that means the non-official end to summer. Before the kids head back to school and temperatures start to cool down, this is your last chance to barbeque in the beautiful Northampton, Amherst, and Easthampton community, head to the lake, and wear your favorite pair of white pants.

About Labor Day

Each year, Labor Day is celebrated on the first Monday of September. It is the one day of year Americans celebrate their achievements in work, which the US Department of Labor says has contributed to prosperity and well-being of America as a whole. Americans have been celebrating Labor Day since the 1880s, and today it is an official federal holiday.

Interesting Facts About Labor Day

• Every year, more than 30 million Americans travel over Labor Day weekend.
• Canada was the first to celebrate Labor Day, and the US soon followed.
• President Cleveland made Labor Day and official US holiday in 1894.
• Labor Day marks the beginning of the NFL and NCAA sports seasons for fans.
• Labor Day marks the end of hot dog season, when Americans consume seven billion hot dogs.

Thanks for being a valued patient of our orthodontic office. Our staff would like to wish you a safe and happy Labor Day weekend. Enjoy your time off!

Although adolescence is a common time to get braces, there’s no reason for adults of any age to have to deal with crooked teeth, overbite, underbite, or other dental issues. In fact, the American Association of Orthodontists notes that demand for orthodontic treatment in adults continues to grow, with adults representing 20% of new patients.

You’re never too old for braces or other orthodontic appliances, but it’s important to consider the following:

1. Braces don’t have to be as noticeable as the metal brackets of the past. Many adults opt for ceramic or plastic braces, which are bone-colored or clear, respectively. Another option is a lingual appliance, which attaches to the back side of your teeth. These so-called “invisible” braces are much less noticeable than traditional options.
2. By adulthood, bone growth has stopped. This means that certain structural changes can only be achieved by surgery. Although this typically affects people with significant crowding, bite, or jaw problems, Drs. Rigali and Walder can provide an individualized treatment plan that addresses your unique issues.
3. Treatment may take a bit longer. The length of orthodontic treatment tends to be slightly longer for adults than adolescents. Exact estimates vary by individual, but the average length of time for adult braces wearers is two years, according to the Harvard Medical School.
4. Outcomes are just as good for adults! Many adults worry that it’s too late to treat their orthodontic problems. However, treatment satisfaction tends to be very high, which is a testament to how effective braces can be in middle-aged and older adults.

There's something special about customizing the elastics on your braces to fit your unique personality. Once you embrace your braces (no pun intended) you'll realize how many color options and combinations there are to choose from. Although you'll have a fantastic smile afterward, you won't have this level of customizability once your braces come off, that's for sure!

Adding flair to your braces isn't what all patients are looking to do (like those opting for clear aligners or ceramic braces), but it's part of the fun of traditional metal braces! Many of our patients ask Drs. Rigali and Walder to have their elastics match the colors of their favorite sports teams or their school, but how about changing your elastics to match holiday colors?

Here are some options to consider:

• Valentine’s Day – Red and pink
• Easter – Pink, blue, and violet
• Halloween – Orange and black
• Christmas – Red, green, and white
• Saint Patrick’s Day – Green and white

There are a few colors that some people choose to avoid. But if you’re trying to make your teeth stand out in a crowd, the following suggestions need not apply!

• Brown or Green – can be mistaken for food being stuck in your teeth
• Black – might look like a rotten tooth if someone isn't looking hard enough
• White – Some patients think it will make their teeth look whiter, but in fact it can make your teeth appear yellower than they actually are. White elastics can also stain easily.
• Yellow – accentuates the yellowness of your enamel

Since changing the color of your elastics has no effect on the actual orthodontic treatment process, the idea is to have fun and add a personal touch. So, next time you get your elastics changed at our Northampton, Amherst, and Easthampton office, why not wear your braces boldly and opt for something festive?

While everyone understands that a dentist takes care of teeth, not everyone is aware of what an orthodontist does. This confusion sometimes leads to misunderstandings about what Rigali and Walder Orthodontics does for our patients and how exactly Drs. Rigali and Walder can help them. Let’s take a closer look at a couple of the myths and misconceptions about orthodontists.

Perhaps the biggest misconception about the orthodontist is that they’re just like your family dentist. The truth is, they’re actually very different. While it’s true that both orthodontists and dentists care about helping you enjoy a lifetime of good dental and oral health, orthodontists go about achieving this goal in different ways. For instance, if you need to have a cavity filled, you probably won’t make an appointment to see an orthodontist. Dentists are the health professionals to see if you’re concerned about a cavity or need a filling. A dentist can also treat gum disease, tooth decay, toothaches, and other common oral health problems.

People see an orthodontist for very particular services. Most of the patients we see on a daily basis are here because they have braces, or they need to be fitted with braces or another form of tooth-straightening device. In other words, they consult an orthodontist when they are concerned about the alignment of their teeth. As a child grows up, his or her teeth may come in crooked. This can happen for a number of reasons, so it’s important for an orthodontist to take a look at a child’s teeth at about seven years of age. At that age, it’s possible to detect any problems that have not become too advanced to treat easily. Your family dentist may also refer your child to an orthodontist once the adult teeth have fully grown in.

Another common misconception about orthodontists is that they only treat children. It’s true that when you visit an orthodontic clinic you’re apt to see a lot of young kids, but you’ll also see teenagers, college students, and adults. Because crooked teeth can be caused by a number of different factors, it’s entirely possible for someone to require orthodontic treatment at any age.

If you want to know more about the practice of orthodontics or what your orthodontist can do for you, then simply ask Drs. Rigali and Walder. It’s best to get answers to your specific questions directly from the person who will be treating you. While you’re sure to find Internet resources helpful, there really is no substitute for the personal attention you’ll get during your appointment at our Northampton, Amherst, and Easthampton office.

Now that many of the schools in Northampton, Amherst, and Easthampton are back in session, Drs. Rigali and Walder would like to remind all of our patients about the importance of scheduling appointments in advance. With school, clubs, sports, and family duties to consider, we know that it can be challenging to find time to visit Rigali and Walder Orthodontics this fall. In order to accommodate all of our patients’ busy schedules, it is important that you plan ahead for your appointments so that we are able to provide you with a convenient appointment time.

As always, please remember to give us advanced notice if you’re unable to make your regularly scheduled appointment with Drs. Rigali and Walder and our team. Feel free to give us a call if you have any questions, or if you would like to schedule your fall appointment.

We’ll see you soon and hope summer is winding down nicely for you and your family!

The goal of orthodontic treatment at Rigali and Walder Orthodontics, which may include the use of braces, retainers, and aligners, is to straighten your teeth. Treatment often starts in the pre-teen or teenage years, but adults may also need orthodontic treatment. The treatment can feel like a chore that lasts for several months or a couple of years, but it can fix important problems. These include:

• Crowded teeth spaced too close together
• Gaps between your teeth
• Crooked teeth
• Overbite or underbite
• Upper and lower teeth that do not meet

Straight Teeth are More Attractive

You are more likely to be proud of your smile when your teeth are straight and evenly spaced. Pride in your appearance can give you more confidence and encourage you to try new things. This can be particularly important for adolescents. In addition, people often judge others based on first impressions. A smile that shows straight teeth is more attractive.

Better Oral Health is Easier

Brushing and flossing your teeth are two basic components of an oral health routine to protect your teeth from conditions such as tooth decay, gingivitis, and plaque build-up. As Drs. Rigali and Walder and our staff know, caring for your mouth is easier when your teeth are straight. The American Dental Association says the following conditions are less likely to occur if you have the proper orthodontic treatment.

• Dental caries
• Gum disease or gingivitis
• Tooth loss
• Impaired speech
• Worn tooth enamel

Orthodontic Treatment Improves Nutrition

Poorly aligned teeth can reduce your ability to chew properly or make certain foods more difficult to eat. Many of these more challenging foods are healthy, and avoiding them can cause you to limit your diet to softer, often less-nutritious foods, such as ice cream and canned soup. Straighter teeth and a better ability to chew let you eat crunchy foods, such as apples and carrots; stringy foods, such as asparagus and chicken; and chewy foods, such as raisins.

At Rigali and Walder Orthodontics, Drs. Rigali and Walder and our staff know that eating with braces can be tricky. You want to avoid damaging the bands, brackets, and wires, since any damage can delay the progress of your treatment. After adjustments, your mouth may also feel sore, which will make eating more of a chore than a pleasure.

The good news is you do not have to avoid all of your favorite foods; there are ways you can still enjoy them. Try some of these ideas and recipes for great snacks that are friendly to your braces.

Fruits and Vegetables

You still need to eat fruits and vegetable for the healthy nutrients. The trick is to cut harder items into small pieces that you can chew easily with your back teeth. Canned fruits are also a great choice, but select fruits packed in water to avoid the heavy, sugary syrups. It’s a good idea to avoid excess sugar with braces, since sugar build-up around your braces can lead to plaque formation.

Single-serving packages are available to make your snack portable and convenient. Enjoy vegetables with a small amount of a healthy dip. Hummus or yogurt can be used for flavor without adding unnecessary fat or calories.

Banana and Honey Smoothie

Smoothies are a healthy treat, and you can create these drinks with your favorite ingredients. You can use a variety of yogurt types for your smoothie: regular, low or non-fat, and Greek are all great choices.  Here’s one of our favorite smoothie recipes:

• 6 ounces of your choice of yogurt
• 1 or 2 teaspoons of honey
• 1 ripe banana
• 6 ounces milk

Chop the banana into smaller pieces and put all your ingredients into a blender. Blend on low until everything is mixed and then blend on high for about 20 seconds to make your smoothie fluffy.

The great thing about this recipe is that you can substitute just about any small or cut-up fruit for the banana. Try blackberries, raspberries, or peaches for variety. Try to avoid fruits with small seeds; strawberries can leave bits stuck in your braces. You can even make a smoothie with peanut butter and jelly!

Please ask our team if you have any concerns regarding the foods you can safely eat while wearing braces.

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 Drs. Rigali and Walder 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 Northampton, Amherst, and Easthampton team. It may be beneficial in solving the issue and helping to remediate any damage to your teeth.

The dog days of summer are upon us, and what better time for Drs. Rigali and Walder and our team to ask our patients about their summer!

Whether you visited our nation’s capital, went on a camping trip, or just stayed in Northampton, Amherst, and Easthampton and relaxed, we want to know how you’re all spending your summer! Please feel free to share your summer plans and experiences with us below or on our Facebook page as summer rolls on!

Every year, Americans all over the world celebrate the birth of the country and its independence on the Fourth of July. There are countless ways that people celebrate and they range from community parades and large scale gatherings to concerts, fireworks displays, and smaller scale celebrations among family and friends. For some people, July 4th is synonymous with baseball, while for others it is all about the beach of barbecues. However you celebrate, you can be sure that red, white, and blue is visible everywhere throughout the area.

The Beginnings of Fourth of July Celebrations

Although it wasn't officially designated as a federal holiday until 1941, the actual tradition of celebrating Independence Day goes back to the time of the American Revolution (1775 – 1783). At the time of the American Revolution, representatives from the 13 colonies penned the resolution that ultimately declared their independence from Great Britain. The continental congress voted to adopt the Declaration of Independence on July 2nd of 1776. Two days later, Thomas Jefferson's famous document that is now known as the Declaration of Independence, was adopted by delegates representing the 13 colonies.

First States to Recognize the Fourth of July

In 1781, Massachusetts became the first state (or commonwealth) whose legislature resolved to designate July 4th as the date on which to celebrate the country's independence. Two years later, Boston became the first city to make an official designation to honor the country's birth with a holiday on July 4th. In that same year, North Carolina's governor, Alexander Martin, became the first governor to issue an official state order stipulating that July 4th was the day on which North Carolinians would celebrate the country's independence.

Fun Facts About the Fourth of July

• The reason the stars on the original flag were arranged in a circle is because it was believed that would indicate that all of the colonies were equal.
• Americans eat over 150 million hot dogs on July 4th.
• Imports of fireworks each year totals over $211 million.
• The first “official” Fourth of July party took place at the White House in 1801.
• Benjamin Franklin didn't want the national bird to be the bald eagle. He believed that the turkey was better suited to the coveted distinction. John Adams and Thomas Jefferson disagreed with him, and he was outvoted, so the bald eagle became the official bird of the United States.

For many, the tradition is something entirely different. Along the coastal areas of the United States, people may haul out huge pots to have lobster or other types of seafood boils. Others may spend the day in the bleachers at a baseball game, or at a park, cooking a great traditional meal over an open fire. No matter how or where you celebrate, one thing is certain: all Americans celebrate July 4th as the birth and independence of our country.

Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics wish you a safe and happy Fourth of July!

In recent years, many links have been established between orthodontic treatments and whole body health. According to the National Institute of Dental and Craniofacial Research, researchers have observed that people with gum disease are more likely to develop heart disease or experience difficulty controlling blood sugar than people without gum disease. While researchers continue to find associations between oral health and the overall health of the body, as of yet it hasn’t been determined whether gum disease is the sole cause of these health conditions. What can be determined, however, is that good oral health isn't just about maintaining a healthy smile; it has an impact on the health of your entire body.

The associations between gum disease and whole body health

The links between the health of your mouth and the health of your body are too many to ignore. Is it a coincidence that gum disease and other health problems occur together? Researchers don’t think so, despite the lack of definitive proof.

Here are four possible connections between the health of your mouth and the health of your body.

• Excessive oral inflammation has been linked to a greater incidence of clogged arteries.
• The American Society of Microbiology has revealed that certain types of oral bacteria can infect the arterial cells and weaken the wall of the heart.
• Loose teeth are often believed to be a warning sign for osteoporosis, a disease that causes the bones to become less dense.
• Some studies suggest women with gum disease are more likely than those without gum disease to deliver preterm, low-weight babies.

Orthodontics and gum disease

So what does undergoing orthodontic treatment at Rigali and Walder Orthodontics have to do with gum disease? Braces do so much more than give you a nice-looking smile. Quite simply, straight teeth are easier to keep clean than crooked teeth. Your toothbrush is able to remove more plaque-causing bacteria, and your floss is more effective at ridding tiny particles between your teeth.

Despite the lack of hard facts in these findings, the message is clear: If you improve your oral health, you will also have a greater chance of maintaining the health of your entire body. And that’s a chance Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics believe is worth taking. For more information about this topic, please give us a call at our convenient Northampton, Amherst, and Easthampton office or ask Drs. Rigali and Walder during your next visit!

When you get your braces, Drs. Rigali and Walder and our staff will also give you a list of foods you should not eat and things you should not do. Pay particular attention to these items to keep your teeth and braces safe.

Charms belong on bracelets. While you can decorate your braces with colored bands, hanging a charm off them is a bad idea. If you bite down on the charm, you could damage your braces or your teeth. You could also swallow your jewelry.

Never use your teeth as a bottle opener. This is just as important when you are wearing braces. While braces straighten your teeth, your teeth are moving in the process. That makes them weaker, and the metal in the braces does not make them invincible. Invest in a bottle opener; you can buy one for a few dollars, which is much less expensive than having to replace your braces.

Contrary to what you might think, your braces are not designed to work as a radio. There are tales of people who have picked up radio signals from dental fillings or braces. While this is remotely possible, attaching an antenna to your mouth is just not a good idea. You will get better quality music from a radio.

On the other hand, you can still kiss someone while wearing braces. In fact, even if both of you wear braces, the chances of your getting locked together are almost negligible. However, to avoid cutting your partner’s lips, kiss with caution.

If you have any questions about taking care of your braces, please ask Drs. Rigali and Walder and our staff. We want you to get the best results from your treatment without needless delays.

As we start our summer, our team at Rigali and Walder Orthodontics wants to remind our patients who have completed treatment that it is very important to wear your retainer as prescribed even while away for vacations and summer camps.

If you are away from home and only wearing your retainer at night, here is a helpful tip: after removing and brushing your retainer in the morning, place it back in the case and then put it with your PJ’s or on your pillow. That way you have a reminder to put your retainer back in at night.

Remember, retainers should be worn every night, not just some nights.

We wish you safe travels and adventures this summer!

You've made an investment on spending money on getting braces, so why not keep your teeth in good health while undergoing orthodontic treatment?  Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics will tell you it is just as important to develop a regular hygiene routine while you're wearing braces as you did before proceeding with treatment.

Flossing is essential to the health of your teeth and gums when you're wearing braces. Because braces may hold food, sugars and liquids upon eating, it is very important to keep on top of your brushing and flossing, as well as visiting our office for regular adjustments.

While we know it's tough enough to get kids to floss daily without braces, that battle becomes even tougher when braces are involved. Remember that by not flossing, you will become more prone to cavities and gum disease during your treatment.

When flossing, remember to gently massage your gums in between the teeth. You will find that flossing with braces takes extra time, as you will have to weave the floss through each bracket. When flossing, there should be no signs of blood. If you see blood, you are not flossing enough or properly.

Using an electric toothbrush is also a good idea to massage your gums before or after flossing as electric toothbrushes can help remove any harmful bacteria that are lingering in your mouth. And don't forget to add a mouthwash to your routine to break up any bacteria that has formed. A good mouthwash will help keep your teeth and gums in good shape during your treatment.

If you have any questions about flossing or your orthodontic treatment at Rigali and Walder Orthodontics please don't hesitate to give us a call or during your next adjustment appointment!

Memorial Day didn't become an official holiday until 1971, but Americans started gathering annually in the spring to remember those who lost their lives in war during the 1860s, right after the Civil War. Celebrated on the last Monday in May, people still decorate the grave sites of war veterans and hold memorial services, but Memorial Day has also evolved into a day that signifies the beginning of summer.

During the summer months, many people take road trips to visit family members. Some head off to the airport to enjoy a long-awaited vacation far away, while others look forward to spending time with friends and family at home. However you spend Memorial Day and the subsequent summer months, there are a few things you can take care of to ensure your summertime is enjoyable.

Checklist for an Enjoyable Summer

• Have the AC Checked. During the hottest days of summer, many families find themselves sweating it out due to a broken air conditioning system. Be proactive so you can avoid waiting for hours or days because the HVAC repair person is booked solid. Have your air conditioning system checked before or around Memorial Day each year.
• Ensure Security While You're Away. When you leave for vacation, the last thing you should have to worry about is the security of your home. Install a home security system, if possible, and put a timer on your lights so they go on and off at normal hours. You can also alert your local police department that you'll be gone, and ask them to drive by your house once in a while to make sure everything is okay.
• Visit Drs. Rigali and Walder Before Vacation. Many people put off exams until after summer vacation. Avoid the crowds and make sure your physical and oral health are in top shape prior to vacation time so there are no unpleasant surprises.

Our team at Rigali and Walder Orthodontics wants you to look forward to Memorial Day and the days of summer by preparing to spend the time safely and comfortably. As you plan ahead, take care of your health and secure your home, you can place your focus on creating memories with family members and friends while enjoying your favorite Memorial Day traditions.

Crooked teeth, more correctly called malocclusions, have reached epidemic proportions in the late 20th and early 21st centuries. According to the American Association of Orthodontists, approximately 80 percent of American teenagers are currently undergoing orthodontic treatment. Although advances in orthodontic devices and increased availability of such devices explain part of this increase, it still means there are a lot of crooked teeth in the world.

The theories about what is causing so many crooked teeth range from the ridiculous to the scientific. For years, oral health professionals believed that crooked teeth were an evolutionary result of the change in Western diets from raw, wild foods to soft, processed foods. That theory has since been debunked.

The truth is that crooked teeth can be caused by a number of things. Crooked teeth can be an inherited trait. Parents with crooked teeth and malformed jaws are more likely to have children with malocclusions. Ill-fitting or poorly-executed dental restorations, such as fillings and crowns, can also cause teeth to become crooked. Baby teeth that fall out early, gingivitis, and even a jaw that is too small to accommodate all of a person’s adult teeth are additional causes of crooked teeth. In addition, thumb sucking and the use of a pacifier for too long can contribute to crooked teeth.

What to do about crooked teeth

Fortunately, modern orthodontics offers a number of solutions for crooked teeth. Traditional metal braces are the most popular, though our Northampton, Amherst, and Easthampton office provides a number of clear, aesthetic options as well. If you’re tired of hiding your smile because of crooked teeth, contact Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics and set up an appointment. We’ll have you showing off your straight pearly whites in no time!

"Motherhood: All love begins and ends there." - Robert Browning

We would like to take this moment to thank all the great moms out there for being so great during their child’s visits to Rigali and Walder Orthodontics. Whether it’s driving their kids to regularly scheduled appointments or for “being there” while their child is treatment, the moms who come to our office are all stellar individuals, so Drs. Rigali and Walder and our entire staff would like you to know that we appreciate you all!

Happy Mother’s Day and enjoy your special day!

The merry month of May also happens to be National Fitness and Sports Month, so take advantage of the warmer days to get outside and exercise! Bringing a friend, family member, or coworker with you when you go for a brisk walk during a lunch break can provide an opportunity to socialize as well as health benefits. If you need a little more motivation, here are some good reasons to stay active and fit.

Exercise provides:

• Improved stamina and energy as well as toned muscles and bone strength and density
• Improved circulation and breathing for a healthier heart and lungs
• Reduced risk for Type 2 diabetes and certain forms of cancer
• For older adults, regular exercise may help improve balance and reduce the risk of falls as well as improved cognitive abilities

Children and Teens

Children and teenagers spend long hours at their desks in school, on the computer, watching television, and involved in other sedentary activities that result in obesity and poor health later in life. Getting them engaged in school or community sports teams can help them form good life-long exercise habits. One important note: If they are participating in contact sports, Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics recommend your kids wear an approved mouthguard to protect those valuable teeth from injury! Ask us for a proper fitting of your safety appliance during your next visit!

A gym membership is nice but not necessary to stay fit; try these easy ways to work some exercise into your daily routine.

At Home

• Take a friend along for company on a walk through your neighborhood.
• Pursue gardening or other yard work, including mowing or raking.
• Take your kids on a bike ride or have them push a baby stroller around the block.

Couch potatoes take note: simply moving from the sofa to the floor for some sit-ups, leg-lifts, or push-ups while you’re watching television can help you get in better shape in no time.

At Work

• Take the stairs instead of the elevator.
• Take exercise breaks for walks around the building or parking lot.
• Walk or ride a bike to work.

So what are you waiting for? Get moving!

For more information on exercise techniques, or to schedule an appointment with Drs. Rigali and Walder, please give us a call at our convenient Northampton, Amherst, and Easthampton office!

We hear this question a lot at Rigali and Walder Orthodontics, and we don’t mind when patients who are eager to complete their orthodontic treatment ask us. After all, we know there is no better feeling than getting your braces off!

During your initial consultation with Drs. Rigali and Walder, we will map out a specific treatment for you and will try our hardest to give you a timeline of when we expect you to wrap up treatment.

Having said that, we know every patient is different. People have different biological responses to orthodontic treatment and some people’s teeth may move faster than others.

Luckily, there are things you can do to ensure your treatment wraps up in a timely manner. By following these suggestions, you can avoid any setbacks during your treatment.

• Make sure to keep your adjustment appointments. Postponing or cancelling will delay treatment!
• Be sure to show up on time to your appointments. This will give Drs. Rigali and Walder and our team time to do everything we planned during your adjustment visit.
• When prescribed, make sure you are diligent about wearing rubber bands or other appliances.
• Avoid damage to your braces and teeth by wearing a mouth guard during sports activities.
• Make sure to brush and floss regularly! Gum disease or other dental work can delay orthodontic treatment.

If you remember to follow these guidelines, you’ll be on your way to having the dazzling, healthy smile you’ve always wanted. As for us, our team at Rigali and Walder Orthodontics will do our part to move your orthodontic treatment along efficiently. If you have any questions about your treatment time, please give us a call at our Northampton, Amherst, and Easthampton office or ask us during your next visit!

The idea for Earth Day was the brainchild of Gaylord Nelson, a senator from Wisconsin. He envisioned an Earth Day that would be a kind of environmental teach-in. The first Earth Day celebration took place on April 22, 1970, and a surprising 20 million people participated on that day. Ultimately, it became the largest organized celebration in US history.

Earth Day Over the Years

Over the years, the recognition of the day, and the number of people celebrating it all over the world, turned Earth Day into an international celebration. Because it is celebrated throughout the world, it is not only the largest international environmental observation, but it is also more widely celebrated than any other environmental event in the world. Today, Earth Day is celebrated in 175 countries where over 500 million people participate in celebrations.

The Earth Day Movement

The Earth Day movement is credited with developing the idea that people should “think green”. It encouraged congress to enact laws, including one that resulted in the creation of the Environmental Protection Agency. It also inspired the passage of the Endangered Species Act.

The Five R's and Their Importance

• Reduce – Reduce by avoiding unnecessary purchases. Reduce your use of materials that wind up in landfills. Reduce the use of chemicals around your house. Reduce your use of disposable bags, plates, cups, eating utensils, and batteries.
• Reuse – Instead of using plastic bags for your groceries or purchases, bring your own reusable bags. When you go to buy coffee at Starbucks, take a travel mug so you don't have to get your coffee in a disposable paper cup. Instead of storing food in disposable refrigerator containers, buy containers that can be washed and reused. Don't use regular batteries. Whenever possible, opt for rechargeable batteries that you can reuse.
• Recycle – Most cities offer a recycling program to collect used bottles, cans, and newspapers. Recycling includes collecting recyclable materials that would otherwise be considered waste, sorting and processing recyclables into raw materials such as fibers and manufacturing raw materials into new products.
• Re-buy – Make an effort to purchase things that are made through recycling. When purchasing furniture, look for items that are made from reclaimed wood. When buying paper for kids school work, computer printer paper, holiday cards, or anything else, make a point of purchasing recycled paper products. Instead of buying clothing at full retail price, shop for second hand clothing. You will save a lot of money by doing so!
• Rethink – Rethink the way you do things so that you do them in an eco-conscious way at all times. Instead of driving to work alone, consider taking the bus or going in a carpool. Walk or ride your bike when you're only going a short distance. Plan your shopping trips and errand runs so that you can do everything on one day, and do it in a way where you can save time and gas.

Other ways to "think green" include growing your own food, composting yard waste and food scraps, or by participating in local recycling programs. Join a group like Freecycle so you can share your unneeded and unwanted possessions with people who can use them. Likewise, you'll be able to get things you need or want for free.

Earth Day teaches people that the planet belongs to everyone, so everyone is equally responsible for protecting it. Although Earth Day is an environmental celebration, our team at Rigali and Walder Orthodontics wants to remind you that you don't have to wait until then to make changes that will allow you and your family to live a greener life.

Happy Earth Day from the team at Rigali and Walder Orthodontics.

Many smokers believe that chewing tobacco is a safer alternative to smoking cigarettes. This simply isn't the case! In fact, smokeless tobacco can cause serious health concerns.

Smokeless tobacco comes in many forms and goes by many names: dip, snuff, snus, or simply chewing tobacco. Use of these products usually involves sucking or chewing on shredded or loose tobacco leaves, sometimes flavored, for a prolonged period. There are even products that emulate a dissolvable candy-like consistency which are made of compressed tobacco powder.

What are risks and smokeless tobacco?

Whichever form a tobacco product takes, the dangers of using or consuming them is very real. According to a 2007 study by the World Health Organization's International Agency for Research on Cancer, there are upwards of 28 cancer-causing chemicals in smokeless tobacco that are known to cause cancer. And these products are habit-forming just like any other tobacco product that contains nicotine. Using them will increase your risk for many serious diseases including but not limited to: cancer (especially oral and esophageal), gum and heart disease, cavities, and pre-cancerous mouth lesions.

At the end of the day, long-term use of smokeless tobacco can cause serious health issues. These products really take a toll on both your oral and overall health. They put a strain on your immune system and make it less capable of warding off infection and disease.

Drs. Rigali and Walder and our team strongly advise you to stop using smokeless tobacco—or any kind of tobacco product—and not to pick up the habit if you aren't. There is no safe level of tobacco use, smokeless or otherwise.

Need to quit smoking or using smokeless tobacco products?

You can and should always talk to your doctor, healthcare practitioner, or Drs. Rigali and Walder for help quitting. But there are many other resources available today for those who'd like to quit. The National Cancer Institute offers information, support (local and online), and tools to help smokers and smokeless tobacco users quit. They offer live online chat with cessation counselors Monday through Friday and even have a smartphone application available to help people who are serious about quitting.

You can take a look at their website at smokefree.gov or call them toll-free at 1–877–44U–QUIT (1-877-448-7848). There is also help available from your state's quit line at 1-800-QUIT-NOW (1-800-784-8669).

Make the best choice for your health and well-being; avoid the bad habit of tobacco products. If you have any questions about how tobacco related products affect your oral health and hygiene, please don't hesitate to ask one of our Northampton, Amherst, and Easthampton staff members.

The Importance of Facial Protection

Americans from all walks of life should mark April as National Facial Protection Month on their calendars. The American Association of Pediatric Dentistry, Academy for Sports Dentistry, American Academy of Pediatric Dentistry, and American Association of Oral and Maxillofacial Surgeons have combined forces to sponsor this annual campaign, which aims to educate and remind us of the importance of protecting our face and teeth against impacts and injuries.

Wearing a helmet can save your life and prevent devastating physical damage in a variety of situations, from playing football to riding a bicycle. According to the American Association of Oral and Maxillofacial Surgeons, helmets reduce the risk of various head injuries by as much as 85 percent. Whether helmet laws apply in your area or not, Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics want you to make sure you and your loved ones wear helmets with the appropriate safety ratings for specific activities. (A sticker on or inside the helmet will usually indicate this rating.) Helmets can also help save your teeth if they come with an attached faceguard, an essential addition for football players and others involved in contact sports.

Preventing Dental Injuries

A mouthguard can protect you against a variety of dental injuries, such as cracked, broken, or knocked-out teeth. The American Dental Association states that mouthguards play an essential role in preventing up to 200,000 dental injuries each year, and many states mandate their use for sports activities such as football and hockey. The Academy for Sports Dentistry warns, however, that these mouthguards must be custom-fitted as precisely as possible to prove effective. Have a professional-quality mouthguard molded and fitted by our team at Rigali and Walder Orthodontics for better protection than a generic store-bought or “boil-and-bite” variety can offer. These cheaper versions tend to wear out quickly, interfere with proper breathing, and provide uneven degrees of cushion against impacts. Always have a fresh mouthguard fitted for each new sports season.

Choose the right combination of helmet, faceguard, and mouthguard to protect your teeth and face this April, and tell your friends to do the same! To learn more about mouthguards, or to schedule an appointment with Drs. Rigali and Walder, please give us a call at our convenient Northampton, Amherst, and Easthampton office!

At Rigali and Walder Orthodontics, there are a few things we want to remind you of when you're on vacation, so that a day with friends and family won’t be spent dealing with an orthodontic emergency. Firstly, we are here for you whether you are in town or out of town on vacation. Give us a call and we may be able to address the problem over the phone. Second, if we are unable to help you fix the problem over the phone, we will help you find an orthodontic practice in your vacation area that can help you.

If you experience problems reaching our office, we suggest going online and searching for orthodontic practices in your area. Most orthodontists will lend a helping hand to another orthodontic patient and get them out of pain or discomfort.

If you have braces, whether they are metal, ceramic, or lingual, Drs. Rigali and Walder and our team suggest steering clear of the following foods to avoid broken brackets and/or wire distortion while you are on vacation:

• Chewy, sticky, or gummy food
• Apples, pears and other whole fruits (cut fruit into thin wedges before consuming)
• Bagels and hard rolls
• Bubble gum
• Corn on the cob
• Hard candies
• Hard cookies
• Pretzels
• All varieties of nuts, including peanuts, almonds, and cashews

Finally, if you have clear aligners and you lose your tray, don’t worry! Simply put in either the previous tray or the next tray and contact us as soon as you get home!

Follow these tips and you can have a worry-free vacation!

So, you just got your braces on, and you're wondering why you should continue visiting your general dentist since you’re seeing Drs. Rigali and Walder every other month. Patients always ask us if they should continue to see their dentist while in orthodontic treatment. In short, the answer is yes.

Today, we thought we would share a few reasons why it’s crucial to keep up with your regular visits with your dentist in addition to coming in for your regular adjustments at Rigali and Walder Orthodontics.

One of the best reasons to visit your dentist while you undergo orthodontic treatment is to remove plaque and tartar. Having braces provides additional nooks and crannies in which food particles and bacteria can hide. Eventually, plaque and tartar can form around your brackets, bands or other appliances which can lead to cavities. Having your teeth professionally cleaned can help ensure most, if not all, plaque and tartar is removed. Even if you are undergoing clear aligner treatment, dental checkups and cleanings are equally as important.

The next reason to visit a dentist is to help protect your teeth from decalcification, or the loss of calcium in your teeth. A potentially serious condition in which white spots on your tooth surfaces, decalcification is irreversible and if left untreated, can lead to cavities. Decalcification is preventable; patients who cut down on sugary sweets and acidic foods, practice good oral hygiene, and visit their dentist regularly can help prevent decalcification.

The final reason we recommend visiting your dentist while you have braces is this: cavities can prolong your treatment. If you are interested in completing your orthodontic treatment on time and without any delays, visiting your dentist every six months or as recommended can go a long way toward making that a realistic goal. Your dentist can provide fluoride treatments or other treatments that strengthen your teeth and protect them from cavities.

Making sure to visit your dentist will help ensure your teeth look their best once your braces come off. If you do not have a general dentist and would like a recommendation on finding one in the Northampton, Amherst, and Easthampton area, please give us a call or let us know at your next adjustment appointment!

Millions of people, around Northampton, Amherst, and Easthampton and beyond, wear green on St. Patrick’s Day so they can show their spirit for the holiday and avoid getting pinched. While it may be easy for you to throw on a green shirt, sport a St. Patrick’s Day button, or wear a pair of emerald-hued shoes, if you’re an avid St. Patty’s Day enthusiast you may want to try something different this year. Drs. Rigali and Walder thought of a few ideas that will help you take your holiday spirit to the next level:

Visit Chicago’s Green River

If you happen to be near the Windy City during St. Patrick’s Day or you’re thinking of planning a trip, don’t miss out on going downtown to watch the large-scale celebration that kicks off when the city dyes the river bright green. According to the Chicago Sun-Times, Chicago has been celebrating the holiday with this tradition for more than 50 years, with tens of thousands of people gathering annually to witness the mysterious dying process and the stunning result.

Don Green Face Paint

Just like an avid sports fan on game day, you can use green face paints to showcase your enthusiasm for this holiday. Avoid breakouts or allergic reactions by only using paints that are specifically meant to be applied to the skin. A little bit of face paint can cover a large area, so feel free to get creative and decorate the whole family on St. Patrick’s Day.

Eat Green All Day

Not a fan of green eggs and ham? With the increasing popularity of green smoothies, there’s no better time to get in on this health craze. To create a green smoothie without the aid of food coloring, you can simply blend a generous amount of a leafy green vegetable, such as spinach or kale, with the ingredients that you would typically use to make a smoothie, like fruit, ice, milk, or juice. Keep the trend going throughout the day by using those same vegetables to create a green soup, egg salad, or a batch of bright green pastries. As an added bonus, you’ll get a healthy dose of vitamins without changing the taste of most of these foods.

If your old holiday routine has gotten stale, leave your green T-shirt in the drawer and try one or all of these tips. Don’t be surprised if you have so much fun that you decide to start a new, annual St. Patrick’s Day tradition! Have a happy St. Paddy’s day from Rigali and Walder Orthodontics!

Wearing orthodontic braces may be the best choice for correcting your teeth and improving your smile, and that's why you've come to see Drs. Rigali and Walder at Rigali and Walder Orthodontics. Braces, which consist of brackets and wires, work by gently applying pressure to the teeth, and that pressure causes them to move into the correct position. In some cases elastics, or rubber bands, are used to apply additional pressure needed to move your teeth.

The Purpose of Elastics

Customized for each patient, the rubber bands typically stretch over tiny loops on the top and bottom brackets. If worn consistently, and every day, these tiny elastics will apply the steady pressure needed to guide your teeth into the correct position.

These elastics are crafted from medical-grade latex, which is safe to be in contact with your mouth. It's common to remove the elastics during meals if opening your mouth wide enough to eat is difficult. Our staff will demonstrate how to affix the elastics so it will soon become second nature to replace them.

The Do’s and the Don'ts

DO - Get in the habit of carrying around extra rubber bands and replace them as soon as one breaks. By consistently wearing the elastics, you may shorten the overall time needed to wear braces.

DON'T - Double up on elastics as this will cause too much pressure on the tooth or teeth and can actually harm the root of the tooth.

DO - Always wash your hands before removing or replacing the rubber bands.

DON'T - Overstretch the rubber band or it will lose its strength and it will be ineffective.

DO - Call us if you run out of rubber bands.

DO - Have fun with your braces and elastics. There are many different colors available that can let you show off your soon-to-be perfect smile.

Rubber bands are a key part of your orthodontic treatment, and learning how to remove and replace them is an important part to maintaining your braces. Before we set you on your journey to a perfect smile, we'll make sure you understand all there is to know about how to take care of your braces. Of course, if you have any questions about your orthodontic treatment, or orthodontics in general, be sure to contact our Northampton, Amherst, and Easthampton office, and our staff will be happy to assist you!

Orthodontists and dentists both help patients improve their oral health, but in different ways. Dentistry is a broad medical specialty that deals with the teeth, gum, nerves, and jaw, while orthodontics is a specialty within dentistry that focuses on correcting bites, occlusion, and the straightness of teeth. One important difference is that all orthodontists like Drs. Rigali and Walder are dentists, but not all dentists are licensed orthodontists.

How are they similar?

The main similarity between a dentist and orthodontist is that they both focus on oral care. An orthodontist can work in a dental office and provide the same care as a dentist. So in this respect, they are quite similar. They are both considered doctors, and deal with the teeth and gums.

How are they different?

There are more differences than similarities. An orthodontist requires additional schooling as a dental specialty; the situation is similar to a doctor who obtains additional schooling to become a surgeon. Another difference is that orthodontists specialize in helping patients with the alignment of their teeth, improving their bite, or fitting them for corrective braces and devices. If a patient has an overbite, a dentist will refer him or her to an orthodontist.

Dentists typically encourage good oral hygiene and provide services related to:

• Tooth decay
• Root canals
• Gum disease
• Crowns
• Bridges
• Veneers
• Teeth whitening

Orthodontists are dentists that specialize in the alignment of teeth, and provide services related to:

• Misaligned teeth
• Crowded teeth
• Overbite
• Underbite

What an orthodontist can help with

Orthodontists help with crooked teeth, but they assist patients with other issues as well. These include overbites and underbites, crossbites, spaces between teeth, overcrowding of teeth, and the treatment of temporomandibular disorders (TMD). Additional problems with the jaw also need to be treated by an orthodontist.

While a dentist may be trained to provide orthodontic care in addition to extractions, TMJ treatments, and fillings, trusting your smile to an orthodontist can better balance the different procedures you require.

To learn more about the difference between dentists and orthodontists, or to schedule an initial consultation with Drs. Rigali and Walder, please give our team at Rigali and Walder Orthodontics a call at our convenient Northampton, Amherst, and Easthampton office.

Getting braces comes with a lot of rules. No sticky candies, watch out for popcorn, and steer clear of chips. These rules leave many braces-wearers wondering what they can still eat without hurting their teeth or their expensive orthodontic appliances. Fortunately, constructing a braces-friendly lunch is straightforward once you know which foods to avoid.

Foods to Avoid When Wearing Braces

There are a few food categories to avoid when you have braces. Sticky foods also stick to the metal in your braces, and can potentially break wires or individual braces. For example: bubblegum, candy bars, caramel, licorice, fruit roll-ups, and Starbursts should be avoided. Many of these foods also contain high levels of sugar, which can cause plaque build-up if not brushed away properly.

Also, be wary of hard foods that can harm your orthodontic appliances. Avoid eating hard taco shells, chips, Rice Crispy treats, hard candy, beef jerky, and popcorn. Some healthy foods, such as carrots, apples, corn on the cob, and nuts, are hard on braces. To eat these foods safely, cut them into smaller pieces before eating.

Remember that certain habits may be harmful to your braces. For example, crunching on ice cubes may be a reflexive response when you’re enjoying a cold beverage, but this can significantly harm your braces and extend treatment time. To stay on the safe side, Drs. Rigali and Walder and our team at Rigali and Walder Orthodontics recommend you drink beverages without ice or add crushed ice whenever possible.

Lunch Recipe

Even with braces, it’s easy to enjoy a healthy, nutritious lunch. For example, make a panini on whole wheat bread with slices of turkey deli meat, a piece of Swiss cheese, and tomato slices. Spread 1 tbsp. of mustard or mayonnaise on the bread before toasting the sandwich in a panini grill. Serve the panini with ½ c. low-fat cottage cheese and a sliced pear or apple for a balanced meal. Then grab a pudding cup or some JELLO for dessert. Wash it all down with water containing a lemon wedge or all-natural fruit juice. Make sure to brush your teeth or rinse with mouthwash after lunch to wash away sugars and food residue that can get trapped in braces and cause decay.

If you have any questions about what you can and can’t eat with braces during your treatment at Rigali and Walder Orthodontics, be sure to ask our team during your next appointment at our Northampton, Amherst, and Easthampton office!

Thank you for taking the time to visit our blog. Please check back often for weekly updates on fun and exciting events happening at our office, important and interesting information about our orthodontics, the dental industry, and the latest news about our practice.

Feel free to leave a comment or question for our doctors and staff - we hope this will be a valuable resource for our patients, their families, and friends!