Oral Care Throughout Orthodontic Treatment

Protecting Your Healthy Smile while Wearing Braces

Sourced from Colgate and medically reviewed by Colgate Global Scientific Communications

Oral care throughout orthodontic treatment?

Orthodontic treatment is an important investment in your future. Everyone helping with your orthodontic care wants you to have the best results possible. While you are wearing braces, it is essential that you take care of your teeth and gums. This article explains why and how.

More Care Needed During Orthodontics

Take a look in the mirror at your new braces. As you see, the brackets and wires have many small areas that can trap food and plaque. This means your risk of tooth decay and gum issues may be higher while you wear braces.

You should pay close attention to cleaning your teeth every day and watch your diet. Not keeping your teeth and brackets clean can cause permanent damage to your tooth enamel.

Some areas on the enamel surface may start to lose minerals (the early stage of tooth decay), resulting in white spots that are unsightly. You might also get inflamed, bleeding gums (gingivitis). Gingivitis and early tooth decay can be reversed with extra care in your cleaning and diet. If left untreated, they can develop into bigger problems that require treatment and last a lifetime. During your orthodontic treatment, it’s important to have regular check-ups with your family dentist to prevent small problems from becoming serious.

Tooth-Friendly Diet

Dental professionals are increasingly worried about acidic foods and drinks that can damage tooth enamel if eaten often or sipped over long periods.

The Lists below compare some common foods and drinks. While many high-acid foods are healthy for your body, low-acid foods are better for your teeth. Remember—during orthodontic treatment, it’s best to choose low-acid foods when you eat.

Less Tooth-Friendly | Foods & Drinks | High Acid

  • Apples, Cherries, Oranges, Peaches, Pears, Plums, Pineapples, Raspberries
  • Tomatoes, Pickles
  • Soft drinks (regular & diet), sports drinks, fruit drinks
  • Vinaigrette dressings, BBQ sauces, salsas

More Tooth-Friendly | Foods & Drinks | Low Acid

  • Bananas, Mangoes, Melons
  • Carrots, Cucumbers, Lettuce, Beets
  • Milk, Water
  • Meat, Poultry, Seafood, Eggs, Crackers, Soups, Pasta

Most of us know that sugary foods and drinks can lead to tooth decay. Starchy foods like potato chips can also stick to teeth for a long time and cause decay.

Soda is especially hard on teeth because it contains not only acidic flavorings but also 10–12 teaspoons of sugar, which increases your chances of cavities. Studies show that diet sodas are just as damaging as regular sodas at weakening tooth enamel.1

Saliva is your body’s natural defense against tooth decay. You need to give saliva time to wash away acids that form after eating and drinking. A good rule is to limit eating to 3 meals and 2 snacks daily. Feel free to drink plenty of water! Just note that bottled water might not contain fluoride.

Braces-Friendly Diet & Habits

Some foods can loosen, break, or bend wires and bands when you wear braces.

Avoid hard foods like nuts and hard cookies. Cut apples and carrots into small pieces before eating to reduce stress on your braces. Steer clear of sticky foods like caramels, toffees, muesli or fruit bars. No gum! No ice-chewing!

Habits like nail-biting, tongue thrusting, chewing pencils, or nervously picking at your wires can also damage braces. Be mindful of these and try to stop them. Damaged braces mean more visits, inconvenience, and longer treatment. If your braces break, schedule an appointment with your orthodontist right away. Broken braces aren’t fixing your teeth!

Care at home

When cleaning your mouth while you are wearing braces, you need to pay special attention not only to your teeth and gums, but also to the brackets and wires.

Here are 5 simple steps for keeping your teeth, gums and braces in great shape:

  1. 1

    If your orthodontist has fitted you with elastics, remove them before brushing.

  2. 2

    Using a fluoride toothpaste and a soft, compact toothbrush, place your brush at an angle of 45 degrees against the gums. Gently brush along the gum line where the gums and teeth meet, using a small circular motion on each tooth.

  3. 3

    Spend about 10 seconds on each tooth before moving onto the next tooth, brushing in a set pattern so that you don’t miss any teeth.

  4. 4

    Gently brush the braces. Press your toothbrush firmly enough so that the bristles spread into the gaps between the wire and the tooth. Brush in and around all of the brackets and wires. Ensure that you brush under the wires. A battery-powered brush may be helpful.

  5. 5

    Brush both the inside and the outside surfaces of your teeth using a gentle circular motion on each tooth.

Fluoride and oral care products

Fluoride protection against tooth decay is needed throughout life. However, while you are wearing braces, it is much harder to keep your teeth clean. This can result in higher than normal amounts of plaque accumulation, which can cause cavities.

Using fluoride toothpaste after each meal or at least twice a day is one of the most proven ways to help you stay decay free. Fluoride makes teeth more resistant to the acids produced after eating or drinking and replaces minerals that are lost in the early stages of tooth decay.

Because your risk of tooth decay may be higher while you are wearing braces, your orthodontist may prescribe other fluoride products that give you additional protection, such as PreviDent® 5000 Booster Plus (1.1% Sodium Fluoride) Prescription Strength Toothpaste (Rx only)

PreviDent® 5000 Booster Plus (1.1% Sodium Fluoride) Prescription Strength Toothpaste has over 4.5 times the fluoride protection than your everyday over-the-counter toothpaste. It can help repair early root cavities, so they don’t become bigger problems.2

Your orthodontist or hygienist may recommend using special cleaning aids such as interdental brushes or floss threaders – yes, you can and should floss while wearing braces!

Ask your orthodontist or hygienist to show you. They may also suggest rinsing with an antiseptic oral cleanser, like Colgate® Peroxyl®

References:

Von Fraunhofer J, Rogers M. Dissolution of dental enamel in soft drinks. Gen Dent. 2004;52:308-12.
Baysan A, et al. Reversal of primary root caries using dentifrice containing 5,000 ppm and 1,100 ppm fluoride. Caries Res. 2001;35:41-46.