Importance of Oral Hygiene with Braces

Wearing braces introduces a new level of complexity to your dental care routine. The brackets and wires create additional surfaces where plaque can accumulate, increasing the risk of tooth decay and gum disease if not properly managed. The presence of orthodontic appliances can make it more challenging to reach certain areas of your teeth, requiring extra care and specialised techniques to maintain optimal oral health.

Proper oral hygiene during orthodontic treatment is not just about preventing cavities, it is also important for the effectiveness of your orthodontic treatment. Clean teeth and gums respond better to orthodontic forces, potentially reducing treatment time and improving overall results.  Maintaining good oral health habits while wearing braces sets the foundation for a lifetime of excellent dental care practices.

Understanding the unique challenges posed by braces empowers you to take proactive steps in preserving your oral health. By adopting a comprehensive approach to cleaning your teeth and braces, you can minimise the risk of dental problems and ensure that your smile emerges from orthodontic treatment both straight and healthy.

Right Tools for Braces Care

The complex system of brackets and wires creates extra spaces where food particles and bacteria can gather, possibly causing dental problems if not dealt with correctly. Proper selection of oral hygiene tools is essential for effectively maintaining oral health while wearing braces.

A wide range of specialised products are available to cater to the specific needs of orthodontic patients. This guide to help you choose the right tools for your braces care routine.

Toothbrushes

When it comes to selecting a toothbrush for use with braces, consider the following options:

Manual Toothbrushes
Choose soft bristled brush with a compact head to easily maneuver around brackets and wires. Look for brushes specifically designed for orthodontic use, featuring bristles arranged in a V-shape to clean effectively around braces.

Electric Toothbrushes
Many orthodontists recommend electric toothbrushes for their ability to provide thorough cleaning with minimal effort. Choose models with small, round heads that can navigate around brackets and between teeth with ease.

Interdental Brushes
Also known as interproximal or proxy brushes, these small, cone-shaped brushes are excellent for cleaning between brackets and under wires. They come in various sizes to accommodate different spaces between teeth and orthodontic appliances.

Flossing

Traditional flossing can be challenging with braces, but several tools can make the process easier:

Floss Threaders
These flexible plastic tools help guide regular floss under the arch wire, allowing you to floss between teeth more easily.

Orthodontic Floss
Specially designed floss with a stiff end that can be threaded under the arch wire without a separate threader.

Water Flossers
These devices use a pressurised stream of water to clean between teeth and around braces, offering an effective alternative to traditional flossing.

Cleaning Aids

To complement your brushing and flossing routine, consider incorporating these tools:

Rubber tip Gum Stimulators
These helps massage the gums and remove debris from along the gumline.

Tongue Cleaners
Keeping your tongue clean is essential for overall oral hygiene and fresh breath.

Orthodontic Wax
While not a cleaning tool, orthodontic wax can protect your cheeks and lips from irritation caused by brackets and wires.

Brushing Techniques with Braces

Proper oral care with braces relies on brushing effectively. Given the brackets and wires, it is necessary to adapt your approach to properly clean of both your teeth and orthodontic appliances.

Preparing to Brush
Before you begin brushing, take these preliminary steps:

• Rinse your mouth with water to dislodge loose food particles.
• Inspect your braces in a mirror to identify any areas that may need extra attention.
• Ensure you have all necessary tools at hand, including your toothbrush, toothpaste, and any additional cleaning aids recommended by your orthodontist.

Technique for Brushing
Follow these steps for a thorough cleaning:

• Hold your toothbrush at a 45-degree angle to your gums.
• Use gentle, circular motions to clean the outer surfaces of your teeth and braces.
• Pay special attention to the area between the brackets and the gumline, where plaque tends to accumulate.
• Clean the chewing surfaces of your teeth with a back and forth motion.
• Brush the inner surfaces of your teeth using gentle up and down strokes.
• Don’t forget to brush your tongue to remove bacteria and freshen your breath.

Focusing on Brackets and Wires
To ensure your braces are properly cleaned:

• Brush above and below each bracket, angling the brush to clean all surfaces.
• Use an interdental brush to clean around brackets and under wires.
• Pay extra attention to the back teeth, which can be more challenging to reach.

Brushing Duration and Frequency

Strive to brush for a minimum of two minutes during each brushing session, dividing your mouth into four sections and dedicating 30 seconds to each.

When wearing braces, it is advised to brush after every meal or snack to avoid the accumulation of food particles on your teeth and orthodontic devices.

Common Brushing Mistakes to Avoid

Please be aware of these common mistakes:

• Brushing too hard, which can damage your gums and tooth enamel.
• Neglecting to clean all surfaces of your teeth and braces.
• Using a toothbrush with hard bristles, which can be too abrasive.
• Not replacing your toothbrush often enough (aim for every 3-4 months or sooner if bristles are frayed).

Flossing Strategies for Braces

Flossing with braces can seem daunting at first, but it’s an essential part of maintaining oral hygiene during orthodontic treatment. The spaces between your teeth and around your braces are prime areas for plaque buildup, making regular flossing crucial.

Here are effective strategies to make flossing with braces easier and more efficient:

Traditional Flossing Technique
While more time consuming, traditional flossing can still be effective with braces:

• Use waxed floss, as it’s less likely to snag on braces.
• Cut a piece of floss about 18 inches long.
• Thread the floss carefully under the main wire of your braces.
• Gently work the floss between your teeth, being careful not to snap it against your gums.
• Use a rubbing motion to clean both sides of each tooth.
• Carefully remove the floss and repeat for each tooth.

Floss Threaders
Floss threaders can simplify the process of getting floss under your braces wire:

• Thread a piece of floss through the loop of the floss threader.
• Insert the stiff end of the threader under the archwire.
• Pull the threader through, guiding the floss under the wire.
• Once the floss is in place, proceed with normal flossing techniques.
• Repeat this process for each tooth.

Water Flossing
Water flossers offer a convenient alternative to traditional flossing:

• Fill the reservoir with lukewarm water.
• Choose the appropriate tip for braces (often included with orthodontic models).
• Lean over the sink and place the tip in your mouth before turning it on.
• Start with the back teeth, aiming the stream at the gumline and between teeth.
• Pause briefly between teeth to ensure thorough cleaning.
• Work your way around your entire mouth, paying extra attention to areas around brackets.

Interdental Brushes
These small brushes can be highly effective for cleaning between braces:

• Choose the appropriate size brush for your teeth spacing.
• Gently insert the brush between your teeth, next to the gums.
• Use a back and forth motion to clean between teeth and around brackets.
• Rinse the brush frequently during use.
• Replace interdental brushes regularly as bristles wear down.

Flossing Frequency and Timing
Aim to floss at least once daily, preferably before bedtime. However, flossing after meals can be beneficial in removing food particles trapped in braces. If you can’t floss after every meal, at least rinse your mouth thoroughly with water.

Overcoming Flossing Challenges

• Be patient and allow extra time for flossing, especially when you’re first learning.
• Use a mirror to help guide your flossing, particularly for back teeth.
• If you experience persistent difficulty or discomfort, consult your orthodontist for personalised advice.

Remember, while flossing with braces requires extra effort, it’s a crucial step in preventing decay and ensuring your smile is healthy when your braces come off.  With practice, these techniques will become less cumbersome and will contribute to excellent oral health throughout your orthodontic journey.

Using Mouthwash Effectively

While brushing and flossing form the foundation of oral care with braces, incorporating mouthwash products can enhance your hygiene routine. These additional steps can help combat bacteria, freshen breath, and reach areas that might be challenging to clean with traditional methods.

Here’s how to effectively integrate these products into your braces care regimen:

Choosing the Right Mouthwash
When selecting a mouthwash for use with braces, consider the following:

• Fluoride Content
  Look for mouthwashes containing fluoride to help strengthen tooth enamel and prevent decay.
• Alcohol Free Formulas
  These are generally less harsh and won’t dry out your mouth.
• Antibacterial Properties
  Some mouthwashes contain ingredients like chlorhexidine, which can help reduce plaque and gingivitis.

How to use Mouthwash Properly
To maximise the benefits of mouthwash:

• Use mouthwash after brushing and flossing to rinse away any remaining debris.
• Swish the mouthwash vigorously in your mouth for at least 30 seconds, ensuring it reaches all areas around your braces and between your teeth.
• Avoid eating or drinking for at least 30 minutes after using mouthwash to allow the active ingredients to work effectively.

When using mouthwash, be sure to follow the instructions on the label and consult with your orthodontist or dentist for recommendations on the best product for your needs.

Maintaining Regular Orthodontic and Dental Check Ups

During your orthodontic treatment, regular dental visits are essential for monitoring your oral health and ensuring your braces are working effectively.

Here’s what you can expect during these visits:

• Oral Examination
  Your dentist or orthodontist will thoroughly examine your mouth, teeth, and gums to check for any issues or concerns.
• Plaque and Tartar Removal
  Professional cleaning will be performed to remove any plaque or tartar buildup that your regular brushing and flossing may have missed.
• Adjustments or Repairs
  If necessary, your orthodontist will make adjustments to your braces or repair any loose or broken components.
• X-Rays
  Periodic X-rays may be taken to monitor the progress of your orthodontic treatment and ensure your teeth are moving as expected.
• Oral Hygiene Instructions
  Your dental team will provide guidance and reinforcement on proper oral hygiene techniques, ensuring you’re effectively cleaning your teeth and braces.
• Treatment Progress Evaluation
  Your orthodontist will assess the progress of your treatment and make any necessary adjustments to your treatment plan.

Regular orthodontic and dental visits are crucial for maintaining good oral health.  It ensures your orthodontic treatment progresses smoothly. Be sure to follow your orthodontist’s or dentist’s recommendations and attend all scheduled appointments.

Conclusion: Dedication, Patience, Consistency and Technique

Maintaining good oral hygiene with braces requires dedication, patience, and the right techniques. By following the tips and advice outlined in this guide, you can effectively clean your teeth and braces, prevent dental issues, and achieve a beautiful, healthy smile.

Remember, consistency is key. Establish a regular oral hygiene routine and stick to it, using the recommended tools and techniques. Don’t hesitate to consult with your orthodontist or dentist if you have any concerns or questions along the way.

With proper care and attention, your braces journey will be a success, and you’ll be rewarded with a stunning, long lasting confident smile that you can be proud of.