Braces can offer you the confidence of a brand-new smile, a solution to cosmetic insecurities, or even a medical fix. It’s important to remember that while you’re investing in your orthodontics treatment, you have a significant responsibility to care for your teeth and maintain your treatment progress. To do so properly, you will likely need to make slight alterations to your daily oral hygiene regimen.
While braces are a measure to achieve a healthy, straight smile, they can create complications when it comes to brushing and flossing your teeth. Although your oral hygiene practices will likely require a bit more attention than you may be used to giving to your daily brushing routine, it is important to ensure your teeth are cleaned properly and thoroughly to avoid decay.
At Robison Orthodontics, we strive to empower our patients to take proper care of their teeth so that they remain strong and healthy for as long as possible. Fortunately, caring for braces is not difficult as long as you know the correct cleaning steps. A steady routine and some vigilance when brushing can eradicate the pesky buildup of plaque and ensure your orthodontic progress. With the right knowledge and tools, you can expect to show off a brand-new, pearly-white smile in no time.
How to Brush Your Teeth and Floss With Braces
While braces are extremely useful for moving your teeth into the proper positions, they do provide a physical barrier that can prevent your teeth from getting as clean as they should. The bristles of your toothbrush may get blocked by your braces, consequently missing bits of food and plaque that have become trapped in your teeth.
When we administer oral care for an orthodontic patient, we use tools that most people cannot access in their homes. However, you do not need any expensive tools to properly clean your teeth, even if you have braces. To simplify the process, gather all the utensils you need before brushing your teeth.
This can include:
- A cup of water
- A regular toothbrush
- An in-between toothbrush, known as an interdental brush
- Toothpaste (we recommend using a non-abrasive toothpaste)
- Floss or flossers for braces
- Waterpik (optional)
- Mouthwash (optional)
How to Prepare for Cleaning When You Have Braces
Start by filling your cup with water and rinsing your mouth with it. By swishing a bit of water around before you brush, you can loosen up the debris and food particles sticking to the interior of your mouth. At this point, all elastic bands that you might have should be removed in preparation for flossing.
How to Floss Your Teeth When You Have Braces
After you have rinsed your mouth with water, cut a piece of floss. Flossing should be done once a day, preferably at night after your last meal of the day. For braces, simple floss thread is ideal, as it is easier to maneuver underneath the wire of your braces than a large floss pick – though picks made especially for braces can work.
Getting the floss underneath the wire of your braces can be tricky. Floss threaders are small utensils that can make flimsy thread floss much easier to handle. Begin threading the floss between each of your teeth. Lead the floss all the way up to your gums on both sides of every tooth, using a new, clean section of floss each time. Water flossers/waterpiks are also useful, as they send a stream of water between the braces and the teeth.
3 Tips For Brushing Your Teeth With Braces
To make sure that the entire cleanable surface of your tooth can be accessed by a cleaning utensil, follow these three brushing tips.
- Vary the angle of your toothbrush so that the bristles can attack the tooth and the individual brackets from all sides. Hold your brush at a 45-degree angle to address the gum line. Then, reposition to clean the tops of your brackets and then the bottoms. Be thorough and try to address each tooth.
- Use an interdental toothbrush to address smaller, hard-to-reach spaces underneath the braces. Interdental toothbrushes are smaller and more flexible than normal toothbrushes and typically look like a head of bristles surrounding a central stem. These can be especially useful for reaching places hidden between brackets and under the wire of your braces.
- Complete tasks in this order for optimal effects: floss first, then brush, then rinse!
When used together, these tips can level up your oral hygiene regimen. By the time you have finished your regular oral care routine, your mouth should feel pleasantly refreshed.
Effective Rinsing With Braces
After you have brushed your teeth, give them another rinse – this time with mouthwash. Do not swallow the mouthwash after you have rinsed, and be sure to use an antibacterial mouthwash to combat any lingering bacteria. Additionally, you can look for a mouthwash that contains fluoride to prevent any white spots from forming.
Some mouthwashes advertise themselves as “for braces.” However, many of these are not all that different from mouthwashes that are not braces-specific. An orthodontist may suggest a specific brand of mouthwash, in which case you should heed your orthodontist’s advice instead. Typically, any antibacterial mouthwash will suffice, and it can add an extra layer of protection for your teeth.
Oral Hygiene with Braces FAQs
Cleaning your teeth while you have braces can be a bit tricky, but you can do your best with the answers to these FAQs
One study found that flossing before brushing teeth did a better job of eliminating some of the dental plaque that sticks to teeth. Plaque is a sticky film that builds over teeth and can turn to hardened tartar if left unchallenged. While plaque is usually removable through brushing and other at-home methods, tartar that has hardened onto the tooth must be removed by a dental professional.
The most effective way to fight plaque buildup at home is by regularly brushing and flossing. You must do both to achieve an optimal outcome.
We recommend brushing your teeth after every meal while wearing braces. When you put off brushing your teeth, plaque sticks to your teeth and sinks into the crevices of your mouth. People who are often out of the house, whether that is for school, work, or other obligations, should consider carrying a toothbrush specifically for traveling. Having the tools in front of you can motivate you to perform the task when you aren’t feeling like brushing.
It isn’t necessary to floss after every meal, but you should floss at night after you have had your last meal. Flossing is just as integral to your oral hygiene as brushing your teeth is, though it is often overlooked. Developing a steady routine for flossing and brushing your teeth is crucial to ensuring that your treatment outcome is the best it can be.
Brushing your teeth when you have braces is a more involved activity than it is when you do not have braces. It requires more attention to detail and a meticulous nature. You may think that you only have to pay such close attention when your braces are on and that when they are eventually removed, you can return to a less involved oral hygiene regimen.
Technically, that is true; you can allow yourself whatever level of care you want. However, an alternative is that you can continue to be meticulous and thorough with your oral hygiene after your braces are removed. Carry this level of care into the following stages of your life for prolonged oral health.
Remember: it is up to you to decide what level of oral care you will achieve for yourself. Oral hygiene is a lifelong endeavor, and your dedication to it dictates your success. When you invest the time into appropriately caring for your teeth, you give yourself the gift of a clean and healthy smile.
While skipping a few post-meal brushings may not sabotage your overall dental progress, extensive negligence in your routine is highly discouraged. Braces provide a great environment for bacteria to spread within your mouth. The consequences of continuous lack of proper oral hygiene can result in non-reversible damage to your teeth.
Plaque can be cleaned from the surface of teeth at home. It may require nothing more than ample brushing, flossing, and mouthwash to keep your plaque levels down. When plaque is left to harden and become tartar, intervention from a dental professional becomes necessary.
Tartar is not something the average person can remove on their own. A dental hygienist must scrape it with a metal hook-like device to remove it. If the tartar has advanced to the point of gum disease, they may have to perform more rigorous cleaning.
Excessive tartar and plaque can cause Periodontitis when it is not addressed. This gum infection damages the soft tissue that lines your teeth. It can go so far as to destroy the bone supporting your teeth, trigger tooth loss, or the loosening of teeth. By maintaining an excellent oral hygiene routine, you can safeguard against the possibility of periodontitis and tartar before they begin.
For all the things you should do to take care of your teeth and braces, there are many things you should avoid. Certain foods, activities, and hazards should be avoided, specifically because your braces can exacerbate the effects of them.
Generally, dental professionals warn against candy and other high-sugar treats, but hard candies are especially dangerous for braces. The excessive sugar from candies can stick to the metal of your braces and become almost impossible to clean. Here, the sugar slowly erodes at the metal and the teeth beneath it, inflicting damage to the integrity of both.
Due to their density, hard candies are particularly dangerous. Orthodontists often advise against eating anything that is especially hard. Biting into substances like this can damage the metal of your braces, snap the wires, or dislodge the brackets.
Some activities must be done with a little extra care. For athletes in high-impact fields that have braces, it is recommended that you wear a protective mouthguard. Not only can a hard impact damage your braces, but your damaged braces could also cause you harm by cutting the inside of your mouth with metal. Your teeth and braces can be protected against these kinds of impacts with a mouthguard, which many are made specifically to fit over braces with a soft material.
It’s important to develop a regular cleaning routine. Repetition and consistency are key to addressing plaque buildup before it turns to tartar.
Be sure to talk to your orthodontist about your routine. Your orthodontist will offer you suggestions, ask questions, or affirm that you are taking the proper steps. An orthodontist is able to provide you with one-on-one attention and individualized advice. Together, you can create a regimen that works with your needs and treatment timeline.
Orthodontists in Gilbert, AZ, Can Help You Protect Your Teeth
To learn more about how you can protect your teeth and maintain proper oral hygiene while you have braces, be sure to consult with an orthodontist at Robison Orthodontics. Our goal is to provide top-notch dental care and straightforward guidance so you can make the most of your orthodontic treatment. Contact our office today to schedule your consultation.
Sources:
- Healthline. (n.d.). Plaque: Causes, prevention, and treatments. Retrieved from https://www.healthline.com/health/dental-and-oral-health/plaque
- National Institute of Dental and Craniofacial Research. (n.d.). Gum disease. Retrieved from https://www.nidcr.nih.gov/health-info/gum-disease#:~:text=Periodontal%20(gum)%20disease%20is%20an,or%20need%20to%20be%20removed.
- Nazir, M. A. (2017). Prevalence of periodontal disease, its association with systemic diseases and prevention. International Journal of Health Sciences, 11(2), 72–80. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC6434526/
- Mayo Clinic. (2023). Periodontitis: Symptoms and causes. Retrieved from https://www.mayoclinic.org/diseases-conditions/periodontitis/symptoms-causes/syc-20354473
Dr. Tyler Robison is an alum of Mesa’s Mountain View High School. He graduated from Brigham Young University before being accepted to the “Top Ten-nationally ranked” University of Louisville in Kentucky, where he earned his Doctorate in Dental Medicine and a Master’s Degree in Oral Biology. He graduated with honors in the top ten percent of his class. Dr. Robison continued at the University of the Pacific in San Francisco, where he received a second master’s degree in dental science and his orthodontic certification.