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How Do I Take Care of My Dental Braces?

When your mouth is loaded with extras like bands, brackets, and wires, from your orthodontic braces, brushing your teeth gets tougher and extra important. Plus, dental braces interfere with the chewing process that normally bathes and exercises gums, and helps clean teeth. General dental care like caring for your teeth and keeping them cavity-free, is a top priority during orthodontics treatment.

While proper-fitting bands or brackets usually protect the covered portion of your teeth, the brackets and wires on the outside of teeth make it harder for proper dental care.

Trapped food particles and plaque are a breeding ground for cavity-causing bacteria in your dental braces. Gum disease also can develop, causing swelling and making cleaning even more challenging and painful. Improper dental care can also stain tooth enamel.

How Often Do I Need to Brush With Dental Braces?

It's best to brush within five minutes after eating anything, even if you're just snacking, and especially after a meal. Brushing away cavity-causing bacteria helps keep your teeth cavity-free. Carry a travel toothbrush in a backpack, purse or briefcase to always have on hand for brushing away from home.

How Do I Brush With Dental Braces On My Teeth?

• Brush between wires and gums to loosen any food particles that may have lodged in your dental braces. There are special toothbrushes for this, check with your orthodontist or dental care provider for recommendations.
• Start on the outside of your upper teeth, positioning the bristles at a 45 degree angle, toward the gum. Brush two to three teeth at a time using a circular motion, about ten strokes.
• Next, brush the inner surfaces in the same manner.
• Brush the chewing surfaces.
• Repeat the same process for the lower teeth as for the upper ones.
• Rinse your mouth as well as your toothbrush. Check your teeth in a mirror to make sure you've brushed all tooth surfaces.
• Floss daily between dental braces using a floss threader.
• Toothpicks, stimudents and other interdental devices work well under brackets.

You may also want to use a water oral hygiene device that helps to remove food particles from your dental braces that the toothbrush may not reach. It should be used in addition to brushing and flossing, not as a substitute for brushing.

While wearing dental braces for teeth, be sure to schedule regular dental care exams every three to six months for cleanings to keep your teeth and gums healthy. Ask your dentist and orthodontist how often they wish to see you.

By Brian J. Gray, DDS, MAGD, FICO

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Adult Orthodontics

When most orthodontists meet an adult patient intent on correcting crooked teeth, they usually take it slow. Amid all the brouhaha about adult braces there are oral health concerns exclusive to adults that will affect how to plan the treatment.

A touch of gum disease

Because crowded teeth and misaligned jaws are often difficult to keep clean, some adult patients have a degree of gum disease. These patients should be referred to a dental hygienist or a periodontist for cleaning and gum therapy before teeth straightening starts. Then, during orthodontic treatment, your orthodontist will need to be especially alert to new outbreaks. He or she may want to apply less pressure orthodontically early in treatment, so gum tissue attachments have a chance to strengthen. For more information on gum therapy or dental cleanings, please visit our gum disease and hygiene sections for more articles.

What about missing teeth?

Orthodontic appliances need to be attached to something to provide the "push" and "pull" that move teeth. If key anchor teeth are missing, restorative dentistry may be suggested before the appliance can be placed.

Bite problems

More and more patients with temporomandibular or jaw joint problems (TMJ) are beginning to be seen by many dentists. TMJ disorders are very painful, and may result in uneven wearing of teeth or a jaw way out of position. The priority before teeth straightening is to address the jaw problem, and try to correct the bite before any more stress is added to the situation. So in the end you'll finish your orthodontic program with healthier gums, rejuvenated bone, a better bite, and a great smile to boot.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.