What to do if Your Teeth Are Shifting After Treatment (tips)

teeth shifting after braces, When wearing Invisalign or braces, your teeth were secured in place. During treatment, Dr makes minor adjustments that cause the teeth to shift a minuscule amount each time. Since your teeth no longer have the pressure once treatment is complete, there is a normal settling process that occurs. In some cases, these tiny shifts can actually improve the bite even more.

Additionally, your body undergoes constant change. Just as the levels of elastin and collagen in our skin decrease over time and lead to wrinkles, the structures that secure our teeth in place also experience aging. The tongue also causes normal wear and tear that can influence changes in tooth placement. That is why expecting zero tooth movement once your braces are removed is unrealistic.

Why It Happens

First things first, take a deep breath. Our teeth, our whole bodies even, are always changing. Orthodontics help to move your teeth in certain directions, but once they are no longer there to keep your teeth in specific positions, the following factors all come into play and can encourage your teeth to move:

  • Aging
  • Genetics
  • Tooth grinding
  • Tooth loss

If you haven’t worn your retainers as recommended, it’s very likely that you’ll experience orthodontic relapse. Relapse refers to the tendency of teeth to move back to where they were before orthodontic treatment. Even if you don’t visibly notice that your teeth have moved, you’ll be able to tell if you experience some discomfort when you put on your retainers again after a long period of time not wearing them.

How to Correct It

teeth shifting after braces

If your teeth shift after your orthodontic treatment, you may be able to fix the shifting before it gets severe with new retainers. Sometimes, orthodontic relapse can be treated with Invisalign.

Call your Dr office as soon as you notice your teeth shifting, whether it’s right after braces or a few months/years down the line, or if your retainers no longer fit. When orthodontic relapse is ignored for too long, you might need to begin a more intensive orthodontic treatment again. You don’t want all of the time and effort you put into straightening your teeth in the first place to go to waste!

When Teeth Shifting After Braces Becomes a Concern

Although it is normal to experience some natural settling of your teeth once your treatment is complete, significant changes or shifting front teeth are cause for concern. If you believe this is happening, you should notify your Dr office immediately.

Typically, if de Dr notice unwanted shifting, a simple retainer tweak can solve the issue. If the shifting has occurred for a while, the solution may become more complicated. For instance, certain patients may need to wear a clear aligner every day for several months. More severe cases may require a second, shorter round of braces. If a patient has ignored the issue for years, treatment may need to be completely restarted.

Wearing Retainers Following Braces

While the natural settling process may still cause you to notice a slight degree of tooth shifting even if you wear your retainer, using a retainer is the best way to keep shifting to a minimum and preserve your bite. Because the majority of settling occurs immediately after treatment is completed, patients are usually recommended to wear their retainer on a full-time basis for the first few post-treatment months. Once we evaluate your teeth and approve their placement, you may be able to wear the retainer only at night. Almost all patients will need to use their retainer for their entire life. Typically, wearing the retainer a few nights each week is enough to prevent teeth from reverting to their original position. Failing to consistently wear your retainer can lead to complications in the future.

The sooner you tackle the issue of shifting teeth once your braces are removed, the sooner it can be controlled. If you are worried that your teeth are shifting beyond the natural settling process, consider contacting our practice immediately. Even if you weren’t entirely committed to wearing your retainer consistently, it is never too late to get back on track.

Tips To Prevent Your Teeth From Shifting After Braces

teeth shifting after braces

If you go through all of the time, effort and expense of getting braces, then the last thing that you want is for your teeth to shift once your braces come off. This is the last thing that Orthodontics wants as well, so they will likely do all in their power to stop this from happening.

Wear Your Retainer Regularly

The easiest way to stop your teeth from shifting after you get your braces off is to wear your retainer regularly. As soon as your braces come off, Dr may have some plastic retainers made for you from molds of your teeth. These help to keep your teeth in place while your regular retainers are created. Your plastic retainers should be worn at all times, except when you are eating or brushing your teeth.

Your regular retainers will either be fixed or removable. If your retainers are fixed in your mouth, then you won’t have to worry about wearing them because they are always there. You will also wear your removable retainer all of the time at first, but it is up to you to remember to keep it in. Over time, your orthodontist may then cut this back to just wearing your retainer at night.

Take Action If You Notice Your Teeth Are Moving

If you notice that your teeth are moving, it is important that you take action right away. Your teeth may be moving for a variety of reasons, even if you are trying to wear your retainer as you should. If your wisdom teeth come in after your braces have been removed, then this can cause all of your teeth to shift closer together. The best way to stop this from happening is to have your wisdom teeth removed as soon as possible.

Another reason why your teeth may be shifting is because your retainer no longer fits properly. This may be because you didn’t wear it enough and your teeth shifted little by little, or because it somehow became bent or damaged. If you have a permanent retainer, it is important to make sure that the wire is still in place and none of the bonds have come off of your teeth because this can also cause your teeth to move out of alignment. In any case, going into your orthodontist and having your retainer fixed, or a new retainer made, is a great way to ensure that your teeth don’t move any further.

Take Care Of Your Teeth

If you don’t take proper care of your teeth, then they are at risk of decay. This decay can eat away at your teeth and cause them to become damaged. If the shape of your tooth changes, due to decay, then the rest of your teeth may shift around it. By going in for regular checkups with your dentist, you help ensure that your teeth remain in good health, thus reducing the risk of your teeth shifting due to damage or decay.

Visiting your Orthodontics  regularly the first 6 months after getting your braces off, and then every year or so after that, can help to ensure your teeth are where they need to be as well. They will also inspect your retainer at this time and make any necessary changes.

Why do teeth move after braces?

There are many reasons why your teeth shift after you’ve worn braces. Every day your teeth are under different pressures. When you speak, your tongue repeatedly presses against your teeth. When you chew, your teeth come under repeated pressure. Even when you smile, or when you sneeze, various muscles in your mouth and in your face move. Over time, this can have an effect on the position of your teeth.

Besides these factors, things like ageing, grinding your teeth in your sleep, and even genetics can affect the position of your teeth. Unfortunately, teeth always follow the path of least resistance, so if there is nothing holding them in place, your teeth are liable to move.

Not wearing retainer after braces

There is only one thing that can be done to stop teeth from shifting – wearing your retainer. Your orthodontist probably recommended you to wear a retainer every day for many months. After this initial period, your dentists probably told you to continue wearing it for 3 to 5 nights a week for over a year. Some dentists recommend that you should wear your retainer for several nights a week for life.

Unfortunately, for many people, it’s too late for that. There is a whole generation of people who wore metal braces in their teenage years. After the ordeal of train-tracks is over, the last thing the average teenager wants is to wear a retainer. But without wearing a retainer as recommended by your orthodontist, you can end up paying the price for years to come.

Straightening teeth with a retainer

If you still have your old retainers lying around, you might feel tempted to wear them to move your teeth back. But this is not what retainers are designed for. If your teeth have moved significantly, your old retainer will obviously be uncomfortable to wear. But more importantly, if your old retainer does not fit accurately, it may damage your teeth.

In some rare cases, your orthodontist may confirm that you can still use your old retainers. But if your teeth have moved in any significant way, they will likely recommend a new set of braces. So what should you do after an orthodontic relapse?

Get your teeth straight again with Smilelign

The good news is that if you want to get your teeth straight again, it’s easier than ever. Smilelign clear braces are almost invisible, and are perfect for realigning teeth that have moved back after braces.

You can stop your teeth from shifting after braces by wearing your retainer regularly, contacting your Orthodontics at the first sign of movement and making sure that you take care of your teeth.



Soft foods to eat with braces. While there are some fortunate individuals that are unbothered by the process of having their braces tightened, there are also a number of patients that feel discomfort after their tightening is complete. Because your child may experience tooth sensitivity, you’ll want to have an assortment of soft foods to eat after getting their braces tightened. This is a great habit to develop, with braces tightening occurring anywhere between every 4-8 weeks.

Here is a list of some soft foods to eat after getting braces tightened:

  • Oatmeal
  • Applesauce
  • Soup
  • Mashed potatoes
  • Smoothies
  • Yogurt
  • Eggs
  • Jell-O

In contrast to the soft foods that you should choose, keep in mind that there are also many foods to avoid with braces. Many of these common foods have qualities that make it difficult for your child to thoroughly clean their teeth. Eating these foods could cause sugars to settle in hard-to-reach areas, leading to tooth decay. Some foods can even damage braces.

These are just some of the foods that you can’t eat with braces:

  • Nuts
  • Hard Fruits and Vegetables
  • Bagels
  • Hard/Chewy Candy
  • Gum
  • Beef Jerky
  • Pretzels

Although these are not comprehensive lists, they serve as starting points for you to refer to when you are in need of ideas as to what foods are gentle on the teeth.

Reducing the Discomfort of Having Braces Tightened

In addition to searching for soft foods to eat after getting your child’s braces tightened, you may also be searching for ways to get rid of pain. Below are suggestions of how to ease the pain that may come with having braces tightened.

  • Pain Relievers such as ibuprofen and acetaminophen help reduce gum pain.
  • A Soft-bristled Toothbrush gently cleans teeth.
  • Oral Anesthetics work by numbing the area where the product is applied.
  • Icepacks help with reducing inflammation.

15 Soft foods to eat with braces

1. Pizza Soup

When you’re craving pizza, make this soup instead. Blend thoroughly if chewing simply isn’t an option.

2. Smoothie

These are a really wonderful option to get all of the nutrients that you need in once quick blend. You don’t need to chew and they fill you up when you drink them. The best part is that you can mix and match whatever flavors you want by mixing different fruits, juices, milks, greens, protein flavors, and more!

3. Yogurt

Creamy, smooth, and delicious yogurt is a favorite soft food. Buy commercial or make your own—it’s easy!.

4. Mashed Potatoes

Mash boiled potatoes and mix with butter, salt, pepper, and sour cream. Try adding boiled, mashed cauliflower, carrots, or parsnips for added flavor.

5. Applesauce

Dress up canned applesauce with a dash of cinnamon or simmer your own fragrant applesauce on the stove in about 15 minutes.

6. Popsicles

Refreshing ice-cold popsicles quickly numb sore gums. Puree fruit and pour into popsicle molds before placing in the freezer for three or four hours. Alternatively, use fruit juice; and soda makes fun, fizzy popsicles.

7. Scrambled Eggs

The protein in scrambled eggs will satisfy your appetite with each fluffy forkful. that calls for milk, Monterey Jack (or other hard cheese), and cream cheese.

8. Baby Food Peaches

A jar of pureed peaches is fantastic at any age. Or, choose any other flavor of baby food that you like.

9. Bone Broth

When you’re sick of sweet foods, a mug of meaty bone broth hits the spot. Find out what makes bone broth so good for you and how to make it here.

10. Roasted Winter Squash

Hearty winter squashes like acorn, butternut, and banana squash are phenomenal roasted and mashed. Mix with butter, salt, and pepper, and add a little brown sugar or a pinch of nutmeg for a finishing touch.

11. Meal Replacement Shakes

Pick up a few meal replacement shakes by brands such as Ensure, Slim Fast, or Carnation.

12. Canned Chili

Canned chili is soft, and you can dress it up with some cheese, sautéed green pepper and onions, and spices like cumin, chili powder, and garlic.

13. Savory Custard with Cheese

Find the recipe here.

14. Ice Cream

Like popsicles, ice cream numbs sore mouths with each creamy spoonful.

15. Mushy Peas

Feeling British? Use frozen peas to mix up a batch of this British-style favorite.

Having braces tightened is a necessary step in achieving straight, healthy teeth. In order to maintain overall oral health and to avoid discomfort, you should encourage your child to follow these suggestions.

Soft foods to eat with braces at school

Soft foods to eat with braces at school

From the Cafeteria

Encourage your student to stick with soft foods that don’t require biting into. Some good choices include:

  • Soup, either creamy or with soft vegetables
  • Salads without crunchy vegetables or croutons
  • Soft, shredded chicken or beef
  • Egg or tuna salad
  • Tofu
  • Pasta
  • Meatloaf
  • Macaroni and cheese
  • Soft casseroles
  • Steamed vegetables
  • Mashed potatoes
  • Soft breads or tortillas

Bringing a Lunch?

There are many great options for packing a lunch bag! Just remember to keep foods at the proper temperature, with insulated containers for hot foods and two cold sources, such as two frozen gel packs, for cold foods.

  • Sandwiches with soft filling (no chunky peanut butter!) on soft bread. Thinly sliced, easy to chew cold cuts will work, but cold cuts like salami are too chewy. Cut the crusts off if necessary. Cutting sandwich wedges into smaller portions will also make them easier to eat.
  • Hard boiled eggs
  • Hummus and soft pita wedges
  • String cheese and soft crackers
  • Applesauce
  • Yogurt
  • Soft fruits such as berries or bananas
  • Jell-O or other gelatin dessert cups
  • Pudding cups

When to Say “No, Thank You”

If you have to bite into it, if it’s chewy, or if it’s crunchy, it’s best to choose something else! Here are some common culprits when it comes to broken brackets and wires:

  • Caramel
  • Hard candy
  • Popcorn
  • Whole carrots
  • Whole apples
  • Hard rolls
  • Pizza
  • Corn on the cob

And remember to send your child to school with a brush and floss to clean teeth and braces after lunch. Dental hygiene is very important now, because brackets and wires can both trap food particles and make brushing them away more difficult. This can lead to increased plaque, cavities, and staining around the area of the braces. If it’s impossible to brush, be sure to remind your student to rinse thoroughly with water after eating.

Lunch hour should be a time to relax, get together with friends, and recharge for the rest of the school day. Talk to us about the most (and least) braces-friendly foods and recipes. By learning what foods to avoid and adjusting some old favorites, your school-age child can continue to enjoy healthy, tasty lunches. Most important, visiting Dr. Sal Carcara at our Westwood, NJ office for an emergency repair will not be on anyone’s list of afterschool activities!

Foods to avoid after a braces adjustment

Foods to avoid after a braces adjustment

In order to speed up your healing and relieve the soreness, you’ll want to stay away from hard and crunchy foods. It’s important to give your jaw and your teeth a rest from anything that will bother your mouth even more. Some of these foods can also bend or break your brackets. If that happens, you’ll need to take another trip to the orthodontist and you may even need to wear your braces even longer.

  • Crunchy foods – Chips, popcorn, pretzels, crunchy granola bars, raw veggies like carrots and broccoli, taco shells
  • Sticky foods – Anything with caramel, sticky granola bars, chewing gum, sticky candy like Tootsie Rolls
  • Hard foods – Hard breads, nuts, hard candy
  • Corn and the cob – Or any other foods that you bite into like apples
  • Gummy snacks – Fruit snacks, gummy candy
  • Chewy foods – Chewy breads, pizza crust, bagels, tough meats, beef jerky, slim jims, Starburst candy
  • Ice – No ice chewing (it causes your brackets to loosen). Don’t chew on your pen caps either!

Considerations for eating with braces

Regardless of what types of foods you eat with braces, it is important to keep the crevices between the teeth and around the braces very clean. That means brushing and flossing after meals to prevent the build-up of plaque and decay. Not only can failing to do so damage the teeth and gums, but it can also cause discolouration which can last a lifetime.

If you’re wanting to ensure the best results from your orthodontic treatment it is very important that you follow the advice about safe foods for braces that is set out above and ask your orthodontist if you have any questions about your specific treatment.

Care & Maintenance: “A Must During Treatment”

1. How to Brush with Braces

  • Brush thoroughly after each time you eat a meal or snack. If you cannot brush right away after a meal, be sure to rinse your mouth with water.
  • Use fluoride toothpaste and a soft, rounded-bristle toothbrush.
  • Braces wear out a toothbrushe quickly, so be sure to replace it as soon as it shows signs of wear.
  • Brush around all the parts of your braces and every surface of your teeth.
  • You’re doing a good job if your braces look clean and shiny, and you are able to see the edges of the brackets clearly. Fuzzy-looking or dull metal indicates poor brushing.

2. How to Floss with Braces

  • Floss every night before you go to bed
  • Use a floss threader. This reusable tool allows you to get dental floss underneath the wires easily.

3. Eating with Braces

There are a few dietary adjustments that need to be made in order to protect your new braces, and ensure that your treatment goes smoothly. But don’t worry, there are still many tasty foods that you can still eat!

 Foods you CAN eat with braces:

  • Dairy – soft cheese, pudding, milk-based drinks, yogurts, cottage cheese, eggs
  • Breads – soft tortillas, pancakes, muffins without nuts
  • Grains – pasta, soft cooked rice
  • Meats/poultry tender meats, meatballs, lunch meats
  • Seafood
  • Vegetables – mashed potatoes, steamed veggies, beans
  • Fruits – applesauce, bananas, fruit juice, smoothies, berries
  • Treats – ice cream without nuts, milkshakes, Jell-O, plain chocolates, peanut butter cups, brownies, soft cookies. But remember to always limit your intake on sugar!

Foods to avoid with braces:

  • Chewy foods – bagels, licorice, pizza crust, French breads
  • Crunchy foods – popcorn, chips, ice, hard candies including lollipops, thick pretzels
  • Sticky foods – caramel candies, chewing gum, gummy candies
  • Hard foods – nuts, hard candies
  • Foods that require biting into – corn on the cob, apples, carrots, ribs and chicken wings

Habits to avoid with braces:

  • Chewing on objects such as pens & ice cubes
  • Nail-biting
  • Smoking

Tips for Athletes & Musicians

You can still play sports during your treatment, but remember to protect your teeth with an orthodontic friendly mouth guard, just as you would normally. If you are involved in an accident during athletic activity, check your appliances and your mouth immediately. If the appliances appear damaged or the teeth loosened, schedule an appointment.

If you play an instrument, you may find it a little challenging to become adjusted to playing with your braces. It is normal to have some difficulty with proper lip position and sores can develop, too. Liberal use of wax and warm salt-water rinses will help your lips and cheeks toughen. Don’t shy away, practice makes perfect!

Gelmicin Crema – Para qué sirve?, Dosis, Usos y Efectos Secundarios

¿Gelmicin crema para que sirve?

Gelmicin crema funciona fundamentalmente para contrarrestar aquellas afecciones en la piel como cortadas leves, quemaduras, algunas como consecuencia de una fricción, y quemaduras ocasionadas por el sol.

Además, esta confiablemente indicado para el tratamiento y prevención de la pañalitis o aquellas erupciones que ocurren por el roce con la orina y el pañal en los bebés.


Cada 100 g de crema contienen:
Dipropionato de betametasona
equivalente a …………….. 50.0 mg
de betametasona
Clotrimazol ………………….. 1.0 g
Excipiente cbp ……………… 100.0 g


Dosis: Aplicar una pequeña cantidad de crema sobre el área afectada con un ligero masaje, dos veces al día, en la mañana y en la noche, durante dos semanas paraTinea corporisTinea cruris y candidiasis, y durante cuatro semanas para Tinea pedis.

Si el paciente con Tinea corporis o Tinea cruris no demuestra mejoría clínica después de una semana de tratamiento, el diagnóstico debe ser reevaluado.

En Tinea pedis, el tratamiento debe ser usado durante dos semanas antes de tomar esta decisión.

Vía de administración: Cutánea.

Otra presentación de gelmicin (spray)

El gelmicin también tiene una presentación en spray.

gelmicin spray, 0.05% es para uso tópico.

Cada gramo de gelmicin (dipropionato de betametasona) spray contiene: 0.643 mg de gelmicin (dipropionato de betametasona) USP (equivalente a 0.5 mg de betametasona) en una emulsión de aceite en agua ligeramente espesa, blanca a blanquecina.

Dosis y administración del gelmicin spray

Agitar bien antes de usar.

Aplique el spray de gelmicin (dipropionato de betametasona) en las áreas afectadas de la piel dos veces al día y frote suavemente.

Use gelmicin (dipropionato de betametasona) en aerosol durante un máximo de 4 semanas de tratamiento. No se recomienda el tratamiento más allá de 4 semanas.

Interrumpa el rociado de gelmicina (dipropionato de betametasona) cuando se logre el control.
No use si hay atrofia en el sitio de tratamiento.

No cubra, cubra o cubra el área tratada de la piel a menos que lo indique un médico.

Evite el uso en la cara, el cuero cabelludo, la axila, la ingle u otras áreas intertriginosas.

El spray de gelmicin (dipropionato de betametasona) es solo para uso tópico. No es para uso oral, oftálmico o intravagi-nal.

Aplicar a las áreas afectadas de la piel dos veces al día. Frote suavemente.

Use gelmicin (betamethasone dipropionato) spray durante hasta 4 semanas y no más allá.

Interrumpe el tratamiento cuando se logra el control.

  • No use si hay atrofia en el sitio de tratamiento.
  • No use con vendajes oclusivos a menos que lo indique un médico.
  • Evite el uso en la cara, el cuero cabelludo, la axila, la ingle u otras áreas intertriginosas.
  • No es para uso oral, oftálmico o intravag-inal.


Debe su gran poder cicatrizante y antiinflamatorio a la combinación del Clotrimazol y la Betametasona, que ayudan en a aliviar casos extremos de quemaduras causadas por el sol, que provocan principalmente irritación y ardor en la piel afectada.

Trata también quemaduras generales en la piel, sean leves o moderadas, ya cuando es una quemadura más grave, si es recomendable consultar primero con un médico especialista confiable.


Gracias a sus componentes corticoides, así como a sus propiedades antibacteriales y fungicidas, es altamente recomendado para atacar aquellos problemas de acné que sean leves o graves, siguiendo un tratamiento que será determinado por el médico tratante del caso.

Por la presencia de los corticoides no se debe extender el tratamiento por un largo periodo de tiempo, ya que es un producto de penetración fuerte y aunque es ideal para las afecciones de la piel, como el caso de las bacterias que causan el acné, su uso prolongado puede acarrear otros problemas más severos.

Se recomienda en este caso que su uso se vaya alternando con una buena alimentación y la limpieza facial cuidadosa.

Pañalitis o dermatitis

Es un antimicótico eficaz para curar y calmar casos delicados en bebes con dermatitis o pañalitis, ocasionada en la mayoría de los casos por la orina acumulada y la continua fricción del pañal en zonas delicadas de su piel, que es lo que trae como consecuencia estas dolencias, que deben tratarse a tiempo para evitar problemas más graves.

Irritación y dermatitis en zonas intimas

Estos problemas que se presentan en las zonas cercanas a las zonas intimas o en los mismos, son resultado de la aparición de hongos que causan la irritación y dermatitis en esta área, ahí es donde juega un papel esencial el uso de este tópico por sus grandes beneficios, actuando también como antibiótico externo.

Hongos en los pies

Este tópico actúa como fungicida por los corticoides presentes en su principio activo, evitando los olores desagradables y el daño evidenciado en la capa de las uñas, que son los primeros síntomas de que hay una posible proliferación de hongos en los pies.

¿Para qué sirve?

GELMICIN Crema está indicada para el tratamiento tópico de las siguientes infecciones dérmicas:

A manera de información, el término “tópico” significa que la aplicación del medicamento o tratamiento es en la superficie externa del cuerpo (por ejemplo, en la piel o a las membranas mucosas).

El gelmicin es un medicamento para aplicar exclusivamente en la piel para tratar afecciones tales como:

  • Dermatitis crónica de las extremidades
  • Eritrasma, balanopostitis
  • Herpes zoster
  • Dermatitis eccematoide
  • Dermatitis de contacto
  • Dermatitis folicular
  • Queratosis
  • Paroniquia
  • Prurito an-al
  • Intertrigo
  • Impétigo
  • Neurodermatitis
  • Estomatitis angular
  • Dermatitis por fotosensibilidad
  • Dermatofitosis inguinal liquenificada
  • Tiña por infecciones tales como: tiña pedis, tiña cruris y tiña corporis
  • Tinea corporis
  • Tinea cruris
  • Tinea pedis
  • Trichophyton rubrum
  • Trichophyton mentagrophytes
  • Epidermophyton floccosum
  • Microsporum canis
  • Candidiasis debida a Candida albicans


Caja con tubo de aluminio con 40 g.


GELMICIN Crema está contraindicado en pacientes con hipersensibilidad conocida a alguno de los componentes de la fórmula, a otros corticosteroides o a imidazoles.


Las reacciones adversas provocadas por clotrimazol y dipropionato de betametasona usados concomitantemente son poco frecuentes e incluyen: parestesias, erupción maculopapular, edema e infección secundaria.

Las reacciones adversas reportadas con el uso de clotrimazol incluyen eritema, ardor, ampulación, descamación, edema, prurito, urticaria e irritación general de la piel.

Se han reportado las siguientes reacciones adversas con el uso de corticosteroides tópicos:

  • ardor
  • prurito
  • irritación
  • resequedad
  • foliculitis
  • hipertricosis
  • erupciones acneiformes
  • dermatitis perioral
  • dermatitis alérgica de contacto
  • maceración de la piel
  • infección secundaria
  • atrofia de la piel
  • estrías y miliaria

La administración de corticosteroides tópicos en niños ha provocado supresión del eje hipotálamo-pituitario-adrenal (HPA), síndrome de Cushing e hipertensión intracraneal.

Las manifestaciones de supresión adrenal en niños incluyen retraso en el crecimiento lineal, falta de ganancia de peso, niveles plasmáticos de cortisol bajo, ausencia de respuesta a estimulación de ACTH.
Las manifestaciones de hipertensión intracraneal incluyen cefalea y papiledema bilateral.


No se ha establecido la seguridad de uso de corticosteroides tópicos durante el embarazo, por lo que sólo deberán usarse en estoscasos si el beneficio potencial justifica el riesgo potencial para el feto.

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Dexametasona Para qué Sirve? Dosis, Usos, Efectos (2019)

Los fármacos de este tipo no deben ser usados extensamente en grandes cantidades ni por periodos prolongados en pacientes embarazadas.

Debido a que no se ha determinado si la administración tópica de corticosteroides puede resultar en una suficiente absorción sistémica para producir cantidades detectables en la leche materna, debe tomarse una decisión sobre descontinuar la lactancia o el fármaco, tomando en cuenta la importancia del medicamento para la madre.

Uso pediátrico: Es posible que los pacientes pediátricos presenten una mayor susceptibilidad a la supresión del eje hipotálamopituitario-adrenal (HPA) inducido por corticosteroides tópicos y a los efectos de corticosteroides exógenos.

Esto se debe a que en los niños la proporción entre el área superficial cutánea y el peso corporal es más elevada, y consecuentemente la absorción es mayor.

En niños que recibieron corticosteroides tópicos se han comunicado episodios de supresión del eje HPA, síndrome de Cushing, retardo del crecimiento lineal, falta de ganancia de peso e hipertensión intracraneal.

Las manifestaciones de supresión adrenal en niños incluyen niveles bajos de cortisol en plasma y ausencia de respuesta a la estimulación de ACTH.

Las manifestaciones de hipertensión intracraneal incluyen cefalea y papiledema bilateral.


Este producto no debe ser utilizado con curaciones oclusivas. En caso de desarrollarse irritación o sensibilización se debe descontinuar el tratamiento e instituirse medidas adecuadas.

En presencia de infecciones bacterianas debe usarse, de forma concomitante, un agente antibacteriano adecuado. Si no hay respuesta a GELMICIN Crema, deben repetirse los estudios microbiológicos para confirmar el diagnóstico y eliminar la sospecha de otros patógenos antes de instituir otro tipo de tratamiento antimicótico.

Con el uso de corticosteroides tópicos puede ocurrir cualquiera de los efectos adversos reportados con el uso de corticosteroides sistémicos, incluyendo supresión adrenal, manifestaciones del síndrome de Cushing, hiperglucemia y glucosuria.

La absorción sistémica de corticosteroides tópicos puede ser importante cuando se usan agentes corticosteroides más potentes, con su uso prolongado o si se tratan áreas extensas del cuerpo.

Por lo tanto, los pacientes que reciben grandes dosis de corticosteroides
tópicos potentes, aplicados a una área corporal extensa, deben ser evaluados periódicamente para detectar evidencias de supresión del eje hipotálamo-pituitario-adrenal (HPA).

Si ocurriese la supresión del eje HPA, debe suprimirse gradualmente el fármaco, reducir la frecuencia de aplicación o sustituirlo por un agente corticosteroide menos potente.

La recuperación de la función del eje HPA normalmente es rápida y completa después de descontinuar el tratamiento. En algunos casos, pueden manifestarse signos y síntomas de abstinencia a corticosteroides lo que requerirá de corticoterapia sistémica complementaria.


El clotrimazol es un agente antifúngico de amplio espectro que se utiliza en el tratamiento de infecciones dérmicas provocadas por varias especies de dermatófitos patógenos, levaduras y Malassezia furfur.

La acción principal del clotrimazol es contra organismos de división y crecimiento. Además, parece ser que el clotrimazol actúa sobre la membrana celular del hongo, provocando la salida del contenido celular.

Después de la administración tópica sobre la piel, el clotrimazol prácticamente no se absorbe. Aun seis horas después de la aplicación de la crema o solución de clotrimazol radiactiva al 1% a piel intacta o inflamada, la concentración de clotrimazol varía desde 100 mg/ml en el estrato córneo, hasta 0.5 a 1 mg/ml en el estrato reticular y 0.1 mg/ml en dermis.

No se encuentra una cantidad medible de radiactividad (< 0.001 mg/ml) en el suero 48 horas después de la aplicación de 0.5 ml de solución o 0.8 g de crema bajo una curación oclusiva.

En el hombre, casi 25% del clotrimazol administrado por vía oral se excreta en orina, mientras que el resto se excreta en heces durante los seis días posteriores a la ingestión.

El dipropionato de betametasona es un corticosteroide efectivo en el tratamiento de dermatosis que responden a la corticoterapia debido a su acción antiinflamatoria, antiprurítica y vasoconstrictora. Como es característico para los corticosteroides, el dipropionato de betametasona se absorbe a través de la piel, se une reversiblemente a proteínas plasmáticas, se metaboliza en sitios hepáticos y extrahepáticos dando sustancias prácticamente inactivas y se excreta casi completamente a las 72 horas por vía renal.


Síntomas: El uso excesivo o prolongado de corticosteroides tópicos puede suprimir la función pituitaria-adrenal, provocando una insuficiencia adrenal secundaria y producir manifestaciones de hipercorticismo, incluyendo enfermedad de Cushing.

Tratamiento: Está indicado el tratamiento sintomático. Los síntomas hipercorticoideos agudos son normalmente reversibles. Debe tratarse el desbalance electrolítico, si es necesario. En caso de toxicidad crónica, se recomienda el retiro paulatino del corticosteroide.


Consérvese en lugar fresco.


No se deje al alcance de los niños. Su venta requiere receta médica. Literatura exclusiva para médicos.



Reg. Núm. 523M97, SSA

Betametasona y clotrimazol.

Dosis – Si olvida una dosis

Para obtener el mejor beneficio posible, es importante recibir cada dosis programada de este medicamento como se indica. Sí se le olvidó tomar su dosis, comuníquese de inmediato con su médico o farmacéutico para establecer un nuevo horario de dosificación. No duplique la dosis para ponerse al día.


Si alguien tiene una sobredosis y tiene síntomas graves como desmayo o dificultad para respirar, llame al 911. De lo contrario, llame a un centro de control de envenenamiento de inmediato. Los residentes de los Estados Unidos pueden llamar a su centro local de control de envenenamientos al 1-800-222-1222. Los residentes de Canadá pueden llamar a un centro provincial de control de envenenamientos. Los síntomas de sobredosis pueden incluir: convulsiones.


No comparta este medicamento con otros. exámenes de laboratorio y/o médicos (como conteo sanguíneo completo, pruebas de función renal) deben hacerse mientras esté usando este medicamento. Cumpla con todas las citas médicas y de laboratorio.


Consulte las instrucciones del producto y a su farmacéutico para los detalles de almacenamiento. Mantenga todos los medicamentos fuera del alcance de los niños y las mascotas, no tire los medicamentos por el inodoro ni los vierta en un desagüe a menos que se lo indiquen. Deseche adecuadamente este producto cuando esté caducado o ya no sea necesario. Consulte a su farmacéutico o a su empresa local de eliminación de residuos.

Descargo de responsabilidad:

La información sobre medicamentos aquí contenida está sujeta a cambios y no pretende cubrir todos los posibles usos, instrucciones, precauciones, advertencias, interacciones entre medicamentos, reacciones alérgicas o efectos adversos. La ausencia de advertencias u otra información para un medicamento determinado no indica que el medicamento o combinación de medicamentos sea seguro, efectivo o apropiado para todos los pacientes o para todos los usos específicos.




The Benefits of Clear Bracket Braces

Clear Bracket Braces Perform Just Like Traditional Braces

Clear bracket braces work just like traditional metal braces. Like traditional braces, they consist of a bracket and wire design. That means they work on the relatively simple premise of a set of wires urging your teeth into their optimal spots. If you have an overbite, gaps in your teeth, misaligned back teeth, or countless other issues, clear bracket braces can help.

In contrast, solutions like Invisalign don’t work in the same way. Instead, they use aligners to straighten your teeth. That works in a lot of situations, but it doesn’t provide as broad of a solution as braces consisting of brackets and wires.

Clear Bracket Braces Use Gentle Bonding Adhesives

To attach the brackets to your teeth, your orthodontist has to use epoxy. Generally, the adhesive used with clear bracket braces is much more gentle than the adhesive used with metal bracket braces. That helps to protect your enamel, reducing the risk of cavities forming behind the brackets. It also makes getting the brackets removed at the end of your orthodontic treatment into a gentler process.


Clear Bracket Braces Are More Subtle That Other Orthodontic Solutions

One of the main reasons that many people turn to clear bracket braces is because they are more subtle. They are made of see-through plastic which blends in with your teeth. This tends to be a lot less noticeable than wire braces. This is ideal for adults who want braces but don’t want to look like they have braces. It is also helpful for teens or children who don’t want to stick out. If you need rubber bands to enhance your braces, you can opt for clear bands that match your clear brackets.


Clear Bracket Braces Feel More Comfortable to Many Patients

Many people find that clear bracket braces feel more comfortable in their mouths. They don’t have to worry about their mouths getting scratched by metal. They also don’t have to carry dental wax, which many people apply to wire braces to make them more comfortable. However, you can use wax as desired with clear brackets.

This solution is also permanently affixed to your mouth. You don’t have to take it in and out like Invisalign or certain retainers. That stability can be more comfortable for many patients. It can also give you peace of mind because you never have to worry about losing your braces.

Ready to learn more about clear bracket braces? Want braces for you or your child? Then, contact BB Braces Braces today. We have multiple locations throughout the Atlanta area, and we are an orthodontic partner with the Atlanta Braves. If they trust us with their smiles, you should trust us with yours.

Who Should Get Clear Braces?

Clear braces are great for kids or teens who want a more subtle option. However, in most cases, they can be a bit more expensive than wire braces. You may want to consult with your orthodontist to figure out what’s best for your oral health and your budget.

Additionally, clear braces move teeth faster than Invisalign. If you want the aesthetic appeal of subtle orthodontic treatment but you need faster treatment, clear braces may be ideal for you. In fact, many adults opt for clear braces just for this reason.


What Is the Treatment Process With Clear Braces?

If you decide to get clear ceramic braces, you start with a consultation. That’s where the orthodontist talks with you about your objectives and creates a plan for your teeth.

At a following appointment, the brackets get attached to your teeth. Then, the archwires are placed between the brackets and the rubber bands are put on to enhance the final effect. After this point, there are regular follow-up appointments. These appointments happen every six to eight weeks. During these appointments, the orthodontist tightens your archwires and puts on new rubber bands. The orthodontist also answers your questions and talk with you about any concerns you may have.


How Do You Take Care of Clear Ceramic Braces?

Ceramic Braces

Ceramic clear braces are designed to resist stains, but it’s still important for patients to care for them properly. Ideally, you should brush and floss after every meal and rinse frequently throughout the day. That helps to prevent food from getting under your wires and leading to cavities or decay. You may need to use special flossers to make flossing with braces easier.

If our orthodontists determine that this clear orthodontic solution is best for you or a family member, we will provide you with specific care instructions for your braces. That might include specific foods to avoid during treatment and more.


What Issues Can Happen With Clear Braces?

Unfortunately, in some cases, issues may arise with your clear braces. If you feel scratches on the side of your mouth, you may want to dab some wax on your brackets. Your orthodontist will give you wax when you get the braces.

If a wire comes loose, you should contact your orthodontist. They will let you know if you can clip the wire and deal with it at your next appointment, or if you need to come in for an emergency appointment. Similarly, in the rare case that a bracket comes loose, you should also contact your orthodontist.

Clear bracket braces vs metal

Clear bracket braces vs metal

One challenge when committing to any orthodontia is how to stay confident in your appearance while wearing them. If your child is about to celebrate a major milestone, you might wonder what the difference is in appearance – as well as functionality – for ceramic braces vs metal braces. You may even wonder whether it’s possible to change materials mid-way through the treatment.

Get the facts on each type of braces, so you can decide, with the help of a dental professional, which look and functionality is best for your child.

Metal Braces

Metal braces typically consist of brackets placed on either the front or back of the teeth and wires that are tightened to help move the teeth and bite into correct and straighter alignment, per the American Dental Association. Metal braces are made of stainless steel brackets and wires that are a type of metal alloy, says the American Association of Orthodontics (AAO). They are adjusted with the help of ligatures or the rubber bands that attach the wires to the brackets. Traditional braces are comprised of brackets, wires and ligatures as the main parts, while self-ligating braces have clips instead of ligatures that hold the wires to the brackets.

If your teen feels self-conscious and you want them to be confident and smile wide in photos, let them know that a metallic smile is normal. Many of their peers sport similar shiny grins.

Ceramic Braces

Ceramic braces, on the other hand, have tooth-colored or clear brackets and ligatures but still have metal wires, notes the AAO. You also have the option between traditional and self-ligating braces. Just like metal braces, traditional ceramic braces and self-ligating ceramic braces respectively have ligatures or clips that attach the wires to brackets.

Ceramic Braces vs Metal Braces and Your Appearance

Metal and ceramic braces function the same. Each type applies pressure to the teeth causing the teeth to move over a period of months or years, says the Cleveland Clinic. On average, this can take about one to three years.

However, if you’re concerned about your appearance during that time or your child is looking forward to an event, the key difference is that metal braces have metal brackets whereas ceramic braces have brackets that blend in with the color of your teeth. But you should consider that both are attached with metal alloy wire, so the wire will always be visible when smiling.

Pros and Cons of Both

Talk to your dentist and take time to study images with both metal and ceramic braces to compare what you or your child would prefer aesthetically. You might opt for ceramic braces because, on the whole, they’re less noticeable. It might seem straightforward to choose ceramic braces for this reason. But according to the Cleveland Clinic, ceramic braces can become stained or discolored over time. Treatment may also last longer because of the way the ceramic brackets can create friction against the wires.

Metal braces tend to be less costly and treatment time isn’t affected by the way the appliances work together. Though, for either option, treatment time is dictated by the same factors: the severity of the misalignment, the distance your teeth need to move, the health of your mouth and adherence to your treatment plan, notes the Cleveland Clinic.

It also may be possible to switch from one type to the other mid-treatment, though it involves more money and time in changing out and re-applying the new brackets.

Keep Your Smile Bright

Keeping your teeth and mouth healthy are key to reducing the risk of staining, both on your teeth and if you (or your teen) chooses ceramic braces. For important photo occasions, white teeth keep your smile looking great with braces.

This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

Después de las Huellas Biometricas que sigue?

Despues de las Huellas Biometricas que sigue?.  Despues que se toman fotos y huellas el FBI e Interpool checan el record de la persona para saber que esta limpio o si tiene convicciones, delitos pendientes, caso en Corte, etc. Eso toma tiempo ya que su caso no es el unico que esta en proceso, hay miles de casos procesandose y todo avanza de acuerdo al volumen de trabajo que tienen las autoridades. 

Cuánto demora el permiso de trabajo en usa

Cuando uno mira al sitio web del Centro de Servicio de USCIS, podrás ver algo interesante. El sitio web indica que las solicitudes de un permiso de trabajo (Planilla I-765 – Solicitud de un Documento de Autorización de Empleo o “EAD”) es de tres semanas para aplicaciones bajo asilo político y tres meses para todas las otras aplicaciones. Estos tiempos se pueden decir que son una meta de USCIS y no una realidad.

La realidad es que el EAD no se procesa en tres semanas y muchas veces tampoco el tres meses. Si tienes suertes, la solicitud se tardará tres meses bajo el asilo político y tres meses a cuatro meses para las otras aplicaciones. Si no tienes suerte, puede ser mucho más que eso. De hecho, parece que últimamente los procesamientos para el EAD se han vuelto mucho más lento.

Como resultado, algunos de mis clientes han perdido sus licencias de conducir (que están puestas para expirar junto con el EAD) y también sus puestos de trabajo. El problema ha llamado la atención de la Asociación Americana de Abogados de Inmigración AILA (de la cual soy miembro) y ellos están investigando este problema.

¿Entonces por qué está sucediendo esto? Como de costumbre, no tengo ni idea. USCIS no explica tales cosas. ¿Qué se puede hacer al respecto? Unas cuantas cosas:

• Si usted está presentando para renovar su EAD, debe presentar la solicitud lo antes posible. Las instrucciones indican que se puede presentar la solicitud 120 días antes del vencimiento de su vieja tarjeta. Eso sería probablemente una buena idea. Sin embargo, debe tener cuidado de no presentar ninguna solicitud antes de los 120 días de anticipación.

Las solicitudes del EAD presentadas demasiado pronto podrían ser rechazada y esto puede resultar en más demora porque hay que esperar a la notificación de rechazo y luego volver a presentar la solicitud.

• Si ya se presento la solicitud para el EAD basado en un asilo y la aplicación ha estado pendiente más de 75 días, usted puede ponerse en contacto con el servicio al cliente de USCIS y pedir que empiecen un “Approaching Regulatory Timeframes” solicitud de servicio. Supuestamente USCIS encaminará la solicitud de servicio a la oficina correspondiente para su revisión.

Debe tener en cuenta que si recibe una solicitud de evidencia adicional (RFE) y luego responde, el “reloj” comienza de nuevo para efectos de calcular el período de 75 días.

• Si usted está solicitando su primer EAD basado en un pendiente caso de asilo, puede presentar la solicitud para el EAD 150 días después de que su solicitud de asilo fue presentada inicialmente (la fecha de presentación esta en su recibo). Sin embargo, si ha causado un retraso en su caso (con la continuación de una entrevista, por ejemplo), el retraso afectará cuando se puede presentar la solicitud de EAD. Las instrucciones para la I-765 explican cómo un retraso causado por el solicitante afecta la elegibilidad para un EAD. Tenga en cuenta que el período de espera de 150 días está escrito en la ley y no se puede acelerar.

• Si su caso está en la Corte de Inmigración, y usted causa un retraso (mediante, por ejemplo, no aceptar la primera fecha de la audiencia ofrecido a usted), el Reloj de asilo podría parar, y esto podría impedirle recibir un EAD. Si su caso está en la corte, usted haría bien en consultar a un abogado de inmigración sobre su caso y sobre su EAD.

• Si usted entro al país por la frontera y fuiste detenido y luego soltado con “libertad condicional” (Un Parole), usted podría ser elegible para un EAD porque fue puesto en libertad condicional por interés público. Éste puede ser complicado, y otra vez, debe consultar con un abogado de inmigración antes de presentar en esta categoría.

• Si tiene el asilo, pero su EAD expiró, no temas: Usted sigue siendo elegible para trabajar. Puedes presentarle a su empleador con su I-94 (que recibió cuando se le otorgó el asilo) y una identificación con foto emitida por el estado (como una licencia de conducir).

• Si usted es un refugiado (en otras palabras, recibió el estatus de refugiado y luego llegó a los Estados Unidos), se puede trabajar durante 90 días con el formulario I-94. Después de eso, usted debe presentar un EAD o una identificación emitida por el estado.

• Si todo lo demás falla, puede intentar ponerse en contacto con el Ombudsman de USCIS (Un oficial encargado de investigar las quejas del pueblo) sobre la demora del EAD. El Ombudsman ayuda a los clientes de USCIS y trata de resolver problemas. Normalmente, quieren ver que usted ha hecho algunos esfuerzos para resolver el problema a través de los canales regulares antes de intervenir, pero si nada más está trabajando, ellos pueden intentar de ayudar.

Cómo solicitar un permiso de trabajo

¿Cómo obtener un permiso de trabajo y cuánto cuesta ?

De acuerdo con el Servicio de Ciudadanía e Inmigración de Estados Unidos (USCIS, por sus siglas en inglés), para pedir una autorización de empleo y un EAD, se debe presentar el Formulario I-765, que cuesta $380 dólares, más $85 dólares, que es la cuota que se paga por la revisión biométrica de las huellas digitales.

Tendrá que solicitar un EAD si:

Está autorizado a trabajar en Estados Unidos basado en un estatus de inmigrante como asilado, refugiado, o No Inmigrante U) y necesita evidencia de su autorización de empleo.

Se le requiere solicitar un permiso de trabajo. Por ejemplo:

Si tiene en trámite un Formulario I-485, Solicitud de Registro de Residencia Permanente o Ajuste de Estatus.

Tiene en trámite un Formulario I-589, Solicitud de Asilo y de Suspensión de Remoción.

Tiene un estatus de No Inmigrante que le permite estar en Estados Unidos pero no le permite trabajar en Estados Unidos sin antes de pedir una autorización de empleo de USCIS (como por ejemplo, un estudiante con visa F-1 o M-1).

Después de tramitarlo el postulando recibirá una tarjeta plástica que es generalmente válida por un año y es renovable. ver ejemplo de carta de sufrimiento extremo para inmigracion

tabla de ingresos para affidavit