All About Braces

The best way to ensure a clean and healthy smile is brushing and flossing. Food particles can accumulate on teeth and in braces, and over time, turn into plaque. The bacteria that results from this accumulation can lead to gum disease, tooth decay, and even loss of teeth. To avoid these problems while you are in orthodontic treatment, take special care of your braces, teeth, and gums to ensure you will have the best possible result.

Brushing

Use a toothbrush with soft bristles and a small strip of fluoride toothpaste. When you brush your teeth, move the brush in small, circular motions to reach food particles that may be under your gum line. Hold the toothbrush at an angle and brush slowly and carefully, covering all areas between teeth, between braces, and the surface of each tooth. It will take you several minutes to thoroughly brush your teeth. Brush up on the lower teeth, down on the upper teeth and the outside, inside and chewing surface of your front and back teeth. Brush your tongue and the roof of your mouth before you rinse.

Especially during orthodontic treatment, brush your teeth four times daily to avoid the accumulation of food particles in your teeth and braces:

  • In the morning after breakfast
  • After lunch or right after school
  • After supper
  • At bedtime

You will need to replace your toothbrush more often due to your appliances. As soon as the bristles start to wear down or fray, replace your toothbrush with a new one. It may be difficult for your toothbrush to reach some areas under your archwire. Do not swallow any toothpaste; rinse your mouth thoroughly with water after you finish brushing. It is important to floss and use an antibacterial mouthwash and fluoride treatment throughout your orthodontic treatment and beyond for optimal oral hygiene.

Flossing

For areas between the teeth that a toothbrush can’t reach, use dental floss to remove food particles and plaque. Flossing takes more time and patience when you are wearing braces, but it is important to floss your teeth every day.

Use the reusable floss threader provided by our office to floss under your archwire daily. Pull a small length of floss from the dispenser through the threader and slide it up and down along the front of each tooth. You will be able to feel when the tooth is clean and hear the squeak of the floss against your clean teeth. Use care around your archwire and do not floss too forcefully around it or put too much pressure on it. After you floss between your archwire and braces, floss between your other teeth and gums.

If you are flossing without the floss threader, pull a small length of floss from the dispenser. Wrap the ends of the floss tightly around your middle fingers. Guide the floss between all teeth to the gum line, pulling out food particles or plaque. Unwrap clean floss from around your fingers as you go, so that you have used the floss from beginning to end when you finish. Floss behind all of your back teeth.

There are also several different types of water flossers that are available online or at your favorite local retailer.  These flossers easily reach around your braces and in between teeth and may be just what you need to ensure that your new smile will look it’s best.

Floss at night to make sure your teeth are clean before you go to bed. When you first begin flossing around your braces, your gums may bleed a little. Generally the bleeding will go away after the first few times as you develop this great new habit.

 

Eating with Braces

What can you eat? Let’s talk about what you shouldn’t eat! For the first day or so, stick to soft foods. Avoid tough meats, hard breads, and raw vegetables. Before long, you’ll be able to bite a cucumber again. But you’ll need to protect your orthodontic appliances when you eat for as long as you’re wearing braces.

Foods to Avoid

  • Chewy foods: bagels, hard rolls, licorice
  • Crunchy foods: popcorn, ice
  • Sticky foods: caramels, gum
  • Hard foods: nuts, candy
  • Foods you have to bite into: corn on the cob, apples, carrots

Chewing on hard things (for example, pens, pencils or fingernails) can damage the braces. Damaged braces will cause treatment to take longer.

General Soreness

When you get your braces on, you may feel general soreness in your mouth and teeth may be tender to biting pressures for 3 – 5 days. Take Tylenol or whatever you normally take for headache or discomfort. The lips, cheeks and tongue may also become irritated for one to two weeks as they toughen and become accustomed to the braces. We will supply wax to put on the braces in irritated areas to lessen discomfort.

Loosening of Teeth

This is to be expected throughout treatment. Don’t worry! It’s normal. Teeth must loosen first so they can move. The teeth will firm up in their new — corrected — positions after treatment is completed.

Loose Wire or Band

Don’t be alarmed if a wire or band comes loose. This happens occasionally. If a wire sticks out and is irritating, use a blunt instrument (eraser end of a pencil) and carefully, gently push the irritating wire back under the archwire. Simply get it out of the way. If irritation to the lips or mouth continues, place wax or wet cotton on the wire to reduce the annoyance. Call our office as soon as possible for an appointment to check and repair the problem.

Rubber Band Wear

To successfully complete orthodontic treatment, the patient must work together with the orthodontist. The teeth and jaws can only move toward their corrected positions if the patient consistently wears the rubber bands or other appliances as prescribed. Lack of cooperation following instructions and damaged appliances lengthen the treatment time… so please … follow instructions.

Athletics

If you play sports, it’s important you let us know.  A protective mouthguard is provided for playing contact sports.