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Tips for Maintaining Dental Health During Orthodontic Treatment

Adi Way Editorial TeamPublished:

Close-up of a smile with braces
Photo: Freepik

Orthodontic treatment is a lengthy process requiring careful oral hygiene. Bacterial plaque tends to accumulate around the orthodontic appliance during treatment, potentially leading to cavities, gum inflammation, and other problems. Maintaining a thorough, regular cleaning routine throughout orthodontic treatment is therefore very important.

General tips for maintaining dental health during orthodontic treatment:

Careful oral hygiene:

  • Brush your teeth twice a day:

    • Use a soft toothbrush and fluoride toothpaste.

    • Brush every tooth surface, including areas around the orthodontic appliance.

    • Use the correct brushing technique (consult your dentist or hygienist).

    • Recommended brushing time: at least 2 minutes.

  • Floss once a day:

    • Remove bacterial plaque and food debris between the teeth.

    • Use interdental brushes for more effective cleaning between brackets and braces.

    • Various types of floss are available; choose the one suitable for you.

  • Dental visits:

    • Attend routine checkups every 3-6 months.

    • Your dentist will perform a comprehensive examination, remove tartar, and check that treatment is progressing as planned.

    • More frequent visits may be necessary in some cases.

  • A healthy diet:

    • Reduce sticky, sugary, and acidic foods.

    • Eat fresh vegetables and fruit, whole grains, and proteins.

    • Drink water regularly.

      Caring for the orthodontic appliance:

  • Clean the appliance daily:

    • Use a soft toothbrush and mild soap.

    • Clean all appliance parts, including brackets, braces, and archwires.

    • Special cleaning tablets can also be used.

    • Ask your dentist or hygienist how to clean the appliance correctly.

  • Caring for elastics (if applicable):

    • Remove elastics before eating.

    • Clean elastics thoroughly before putting them back.

    • Replace elastics as your dentist instructs.

    • Avoid chewing the elastics.

  • Managing pain and sensitivity:

    • Using nonprescription pain relievers:

      • Ibuprofen or acetaminophen (paracetamol) can ease pain.

      • Use these medicines as directed.

    • Using a special gel:

      • A gel containing a numbing agent can be applied to the gums.

      • The gel can ease pain and sensitivity.

    • Using orthodontic wax:

      • Soft wax can cover brackets and braces to prevent friction and sores.

      • Ask your dentist or hygienist how to use orthodontic wax.

  • Use an electric toothbrush:

    • Electric toothbrushes are more effective at removing bacterial plaque.

    • Choose an electric toothbrush with a small head and soft bristles.

    • Ensure it is suitable for use with an orthodontic appliance.

  • Use mouthwash:

    • Mouthwash containing fluoride or chlorhexidine can strengthen teeth and prevent gum inflammation.

    • Choose a mouthwash suitable for use during orthodontic treatment.

    • Use mouthwash as directed.

  • Avoid hard foods:

    • Hard foods can damage the orthodontic appliance.

    • Cut hard foods before eating.

    • Avoid sticky foods, such as toffee and dried fruit.

  • Avoid acidic drinks:

    • Acidic drinks, such as cola and orange juice, can damage tooth enamel.

    • Drink these beverages through a straw.

    • Rinse your mouth with water after acidic drinks.

  • Use a night guard:

    • If you grind your teeth, using a night guard is important.

    • A night guard protects your teeth and the orthodontic appliance.

  • Maintain medical follow-up:

    • Attend every dental appointment.

    • Your dentist will check progress and make necessary adjustments.

    • Tell your dentist about any problem or change you experience during treatment.

  • Be patient:

    • Orthodontic treatment is a lengthy process.

    • Be patient and follow your dentist's instructions.

    • The results will be worth the wait.

Treating particular problems during orthodontic treatment:

Particular problems requiring treatment may arise during orthodontic care. Here are several examples:

1. Cavities:

  • Causes:

    • Difficulty cleaning around the orthodontic appliance.

    • Reduced saliva production.

    • Consuming sugary and acidic foods and drinks.

  • Treatment:

    • White or gray fillings.

    • Preventive care, such as fluoride toothpaste and mouthwash.

    • Maintaining careful oral hygiene.

  • Recommendations:

    • See your dentist promptly if you notice signs of decay, such as pain, sensitivity, or white spots on your teeth.

    • Brush twice a day and floss once a day.

    • Reduce sugary and acidic foods and drinks.

      2. Gum inflammation:

  • Causes:

    • Bacterial plaque accumulation around the orthodontic appliance.

    • Weak gums.

  • Treatment:

    • Professional cleaning by a dental hygienist.

    • Using toothpaste containing chlorhexidine.

    • Antibiotic mouth rinses.

  • Recommendations:

    • Clean your teeth and gums thoroughly.

    • Use interdental brushes between brackets and braces.

    • See your dentist promptly if you notice gum inflammation signs, such as redness, swelling, bleeding, or pain.

      3. Breakage of the orthodontic appliance:

  • Causes:

    • Strong pressure on the appliance.

    • Eating hard foods.

    • An accident.

  • Treatment:

    • Repair by the dentist.

    • Replacement of damaged parts.

  • Recommendations:

    • Avoid hard foods.

    • Be careful with activities that may damage the appliance.

    • See your dentist promptly if you notice a break in the appliance.

      4. Pain and sensitivity:

  • Causes:

    • Pressure on the teeth and jaw.

    • Changing archwires or elastics.

  • Treatment:

    • Nonprescription pain relievers.

    • Numbing gel for the gums.

    • Orthodontic wax.

  • Recommendations:

    • Take pain relievers as needed.

    • Use numbing gel before eating or after changing archwires or elastics.

    • Use orthodontic wax to cover brackets and braces and prevent friction and sores.

      5. Speech difficulties:

  • Causes:

    • The orthodontic appliance changes tongue and tooth positions.

  • Treatment:

    • Speech exercises.

    • Appliance adjustment by the dentist.

  • Recommendations:

    • Practice speaking in front of a mirror.

    • Read aloud.

    • Talk with patient, supportive people.

    • See your dentist if speech difficulties persist over time.

      6. Cosmetic problems:

Causes:

  • The appearance of the orthodontic appliance.

Treatment:

  • Clear aligners (such as Invisalign).

  • Lingual braces.

Recommendations:

  • Discuss cosmetic treatment options with your dentist.

  • Remember that orthodontic treatment will ultimately produce a beautiful, healthy smile.

    7. Reduced self-confidence:

  • Causes:

    • The appearance of the orthodontic appliance.

    • Feeling socially uncomfortable.

  • Treatment:

    • Social support.

    • Focusing on the benefits of orthodontic treatment.

  • Recommendations:

    • Talk to friends and family about your feelings.

    • Join a support group for people undergoing orthodontic treatment.

    • Remember that orthodontic treatment is temporary and will significantly improve your quality of life.

Conclusion:

Careful oral hygiene, a healthy diet, and regular dental visits are the key to maintaining dental health during orthodontic treatment. Following this article's tips can help ensure successful treatment and allow you to enjoy a healthy, straight smile.

This is general news information and is not a substitute for personal advice from a doctor or dietitian.

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