There are two separate waiting rooms in Dr. Rael Bernstein's orthodontia office in Santa Rosa. One features iPods and Xboxes. The other, with its own entrance, has a coffee bar, daily newspapers and CNN on the television.
One is for kids getting braces. The other is for people the age of their parents and grandparents getting their own.
"A lot of people think braces are just for teenagers," said Bernstein, who has installed braces on people "well into their 80s" and says a third of his patients are adults.
"We've had grandparents and grandkids in treatment at the same time, in a race to see who gets their braces off first."
Katherine Foster, a Sebastopol pediatrician, had braces fitted in November. At 64, she jokes about "trying to regain my youth," but her real motivation is to correct crowded teeth and receding gums which she said is "partly my own doing. I'm a tooth-clencher in my sleep."
Ironically, Foster came to braces in seeking a remedy for tinnitus, ringing in the ears. She has since discovered tinnitus is "related to the clenching which causes gum recession, which can be improved with orthodontia."
She hopes that when her braces come off in 15 months, she'll have straight teeth and will only need to wear a mouth guard at night. Her braces will cost her around $6,500, "equal to a nice trip somewhere."
Dentist John Savko said teeth naturally change and move around with aging.
"It's called mesial drift," he said. "Over time our back molars push all our teeth forward and cause more crowding of the anterior (front) teeth. It's not a disease. It's a progressive condition. Some may be more progressive than others.
"It's more critical as you get older to take better care of your teeth" in all ways, he said, including flossing, diligent dental hygiene and preventing and treating periodontal disease.
All teeth naturally wear down with age, said Savko. Other dental concerns that come with aging include discolored teeth, failing and leaking crowns, underbite, overbite and loose bridgework.
"You need to watch out for gum loss and bone loss as you get older," he said. "You want to support the bone around the teeth, which is why we try to focus on preventive dentistry."
Being pro-active at any age, especially for mature adults, he said, will mean less pain in the dentist's office and less chance of developing severe problems that result in losing teeth.
Options have improved for tooth replacement, too, said Savko, with implants being used rather than putting in a bridge, or moving to partial or full dentures.
In fact, he said, most older adults can hope "to keep their teeth for their whole life," unlike previous generations who assumed their future would include false teeth.
Much of the boom in braces in the last 10 years is credited to a tooth alignment device called Invisalign, which does the work of braces but is transparent, removable and more aesthetically pleasing than the traditional metal-mouth style. Think of it as the difference between wearing contact lenses and glasses.
"Invisalign is a clear alternative to a brace with wire," said orthodontist Bernstein, who got braces when he was 40.
"It's basically a tray that fits over the teeth," and can be removed for eating and teeth brushing.
As people are allowed back into their homes in Sonoma, Napa and Mendocino counties, there are several safety issues to remember.
•Do not touch debris. Ash is a hazardous waste. Other hazards could include asbestos, heavy metals, byproducts of plastic combustion and other chemicals. Do not transport ash or debris to landfills or transfer stations. To be eligible for state-funded debris cleanup by CalRecycle, residents cannot move or spread debris. Any action by residents to remove debris may force CalRecycle to declare a site ineligible for the program.
•Wear protective clothing: closed-toed shoes, long pants, eye protection, a face mask and gloves.
•Do not rely on dust masks for protection. Paper masks found at hardware stores are designed to trap large particles like sawdust and will not protect your lungs from the smaller particles found in wildfire smoke. If you want to wear a mask, look for one with a particulate respirator, labeled NIOSH-approved, marked N95 or P100. Look for them on Amazon, Home Depot or other hardware retailers.
•Keep indoor air as clean as possible. Keep windows and doors closed.
•Avoid activities that increase indoor pollution like smoking, burning candles or using fireplaces. Vacuuming stirs up particles inside your house, contributing to indoor pollution.
•Do not turn PG&E service on. Either PG&E has been there and turned the gas on or homeowners must wait for them to do so. Customers without gas service should stay as close to home as possible so service can be restored when a PG&E representative arrives. If no one is at home, the representative will leave a notice with a number that customers can call to schedule a return visit. PG&E can be reached at 800-743-5000.
•If you see downed power lines near your home, treat them as if they are “live” or energized and extremely dangerous. Keep yourself and others away from them. Call 911, then notify PG&E at 800-743-5002.