BRACES

Common Braces Problems to Watch For

This blog has been reviewed and approved by Dr Robert Lee, a dental professional of 35 years

Importance of Good Oral Hygiene for People with Braces

Proper oral care isn't just about making your teeth look pretty. It's the key to avoiding common dental problems like gingivitis, tartar, and demineralization. Because thorough oral hygiene is more difficult with braces, braces wearers are more prone to these issues than non-braces wearers. These dental problems are unpleasant enough on their own, but if left untreated they can also turn into more serious oral health issues. Plus, they can prolong your time in braces. In severe cases of gum disease or other oral health problems, the orthodontist may even have to remove your braces, wait for your gums and mouth to heal, and then reapply them.

What Problems Can Braces Cause?

Demineralization

Demineralization sounds pretty serious, and it is. It occurs when food left on teeth comes in contact with bacteria, creating acid. This acid robs teeth of calcium and phosphate, causing decalcification or "white scars". White scars look like chalky little white squares that outline the area where braces once were. These white spots can also be very sensitive. It's important to note that braces themselves do not cause staining - anyone who doesn't care for their teeth well can have white scars. However, people with braces are more prone to decalcification because braces act as an excellent trap for food. Unfortunately, these demineralization stains are usually permanent and can lead to cavities. You can avoid demineralization by brushing after every meal, flossing once a day, and cutting back on soda.

Gingivitis

Gingivitis occurs when the tissues around the teeth become inflamed and it's the initial form of gum disease. Sufferers may experience bleeding, tenderness, redness, or swelling. Gingivitis is reversible, but don't ignore it! It can also increase the time that kids have to spend in braces.
Anyone can develop gingivitis, but the challenge of cleaning around the gum line with braces means that braces wearers should be especially vigilant. To help prevent it, be sure to brush after every meal and floss at least once a day.

Sensitivity

Sensitivity can occur when the underlying layer of your teeth becomes exposed as a result of receding gum tissue. The roots of your teeth, which are not covered by protective hard enamel, contain thousands of tiny tubules leading to the tooth's nerve center (the pulp). When exposed, these tubules allow stimuli - such as hot or cold food - to stimulate the nerve in your tooth, causing the pain you feel. With sensitivity, you may feel pain when consuming hot, cold, or sweet drinks or food, or even when breathing cold air. It is normal for teeth to be temporarily sensitive after an adjustment, but let your orthodontist know if you have chronically sensitive teeth.
Anyone can suffer from sensitivity, but braces wearers can be especially susceptible to it. This is because braces are more difficult to clean around, and poor oral care can lead to an irritated or receding gum line. To help prevent sensitivity, brush thoroughly after every meal and floss at least once a day.

Plaque

Plaque is a colorless, sticky film of bacteria that constantly forms in the mouth. It is produced from the combination of saliva and food particles. Plaque combines with sugars to form an acid that is dangerous to teeth and gums, and it causes tooth decay, gum disease, tartar, and other dental problems. Everyone suffers from plaque, but as with other dental problems, the challenges of cleaning around braces mean that braces wearers must be especially careful about fighting it. Plaque begins forming only 4 to 12 hours after brushing, which is why it's so important to brush at least twice a day and floss daily.

Tartar

Tartar, sometimes called calculus, is formed when plaque is left on the tooth surface and hardens. It's a crusty deposit that can trap stains on teeth and cause discoloration. Tartar can start to develop after only 24 hours, and can make it more difficult to remove newly-formed plaque. It can form along the gum line, just under the gums, and around braces and other orthodontic appliances. Regular brushing and flossing is essential for preventing tartar. Once tartar has formed, only a dentist or hygienist can remove it.

Bad Breath

Bad breath, also known as halitosis, is usually caused by poor oral hygiene, medical problems, or habits such as smoking or eating certain foods. However, bad breath that develops only after getting braces is almost certainly caused by poor oral hygiene. Bacteria feeds on food particles left in your mouth, and this bacteria creates odor. This means that any tiny bits of food that are stuck in brackets or between teeth will contribute to bad breath.
Because braces contain so many small spaces to trap food, the habits that worked great for cleaning your teeth before braces may no longer be enough. It's important to brush immediately after every meal or snack, or to at least vigorously rinse your teeth with water or mouthwash if you absolutely can't brush. Bad breath-causing odors and bacteria can also cling to removable orthodontics (like a retainer or clear aligners) so be sure to remove them before eating, even if you're only eating a small
amount.

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