Caring for Teeth with Braces

Congratulations on starting the journey to a healthy and fabulous smile! The end result will be well worth your effort. Keeping your teeth, gums and appliances clean is critical to a successful treatment outcome. Brackets, bands, archwires and retainers can all trap food particles and make it difficult to brush or floss away plaque. Careful brushing and flossing, preferable after every meal and snack, is the best way to prevent plaque build-up and to prevent cavities and gum disease. Particular attention needs to be paid to cleaning under the braces at the gum line to avoid swollen gums. We don’t want your straight teeth to have cavities when your treatment is completed! You also need to continue getting your teeth cleaned by your general dentist every 3-6 months.

As treatment progresses, accomplishing goals on time is critical. There are five things you can do to help you get out of braces as fast as possible.

  1. Keep your scheduled appointments.
  2. Follow food guidelines to avoid breakage.
  3. Keep your teeth and braces CLEAN!
  4. Comply with Dr. Britton’s requests to wear elastics and appliances.
  5. See your general dentist regularly for routine cleanings and exams.

IT IS CRITICAL THAT YOU BRUSH YOUR TEETH AND BRACES EVERY TIME AFTER EATING. IF YOU CANNOT BRUSH, AT LEAST RINSE YOUR MOUTH WITH CLEAR WATER, ESPECIALLY AFTER SWEET AND ACIDIC FOODS OR DRINKS.

We pay special attention to dental hygiene throughout your treatment. Uniquely, during each appointment for the first year in braces, we will remove your wires allowing you to brush your teeth and floss your teeth. Our patients LOVE this!

Brushing

Brushing with braces.

You know how important it is to brush and floss properly when you're wearing braces — but what's the best way to do that? Let's start with the basic brushing tools: Either a soft-bristle brush or a bi-level brush (one that has shorter bristles in the middle and longer bristles at the edges) can be effective. Used carefully, an electric toothbrush can work just as well. But be sure the electric brush is set to a moderate power level, and don't let its vibrations cause the back of the brush to hit brackets or braces!

You should brush with a fluoride toothpaste at least two times per day (preferably after meals), for at least two minutes each time. Remember to brush all of the tooth surfaces: the outside, the inside, and the chewing surfaces as well. Be especially careful to clean the areas between wires and teeth, and between brackets and gums — that's where food particles can easily become trapped.

Here's a suggested brushing technique: Beginning at the outside surfaces, place the tips of the bristles flat against your teeth, and use small circular motions to gently polish them clean. For areas between braces and gums, tilt the brush toward the gum line (down for the bottom teeth, up for the top) while keeping up the circular motions. Next, move on to the chewing surfaces of upper and lower teeth, using a firm back-and-forth motion. Finally, finish up by carefully brushing the inside surfaces of the teeth the same way you did the outside surfaces.

Special Brushing Tools

Interdental toothbrush.

If you're having trouble cleaning the areas near brackets and wires, there are some special tools that may help. One is the interdental toothbrush, or proxabrush. It has a small tuft of bristles that stick up all around, like a pipe cleaner. Use it gently and carefully to clean the tiny spaces under wires and around bands and brackets.

Another special cleaning tool is the oral irrigator or “water pick.” This device shoots a small stream of pressurized water at your teeth, which can help dislodge bits of food that become trapped in nooks and crannies. While it's easy to use, an oral irrigator isn't a substitute for a toothbrush or dental floss — but when used along with proper brushing and flossing techniques, it can be very effective.

Floss Fundamentals

Floss threader.

To keep your teeth and gums clean and healthy, you need to floss at least once per day. But how do you get floss under the archwire of your braces? It's not so hard with the help of a floss threader. Using this device is somewhat like threading a needle: You pull one end of floss through the threader, and then push the threader — carrying with it the free end of the floss — under the archwire. Now grasp the floss on each end and slide it up and down the sides of both teeth, and all the way under the gums until you hear a squeaky sound. Finally, pull it out and use a new section of floss for the next area.

Full Disclosure

Ever wonder how effective your tooth-cleaning techniques really are? There's an accurate way to tell, using special vegetable dyes called “disclosing solutions” or “disclosing tablets.” As they dissolve in the mouth, these dyes highlight plaque and food debris that brushing has missed. You can then easily remove the dyed spots — and you'll know for sure if your oral hygiene methods need a little “brushing up.”

Keeping your teeth and gums healthy now is an investment in your future. It enables you to get the best results from your orthodontic treatment, and starts you toward a brighter smile that can last for a lifetime.

THE POWER OF SMILES