Oral Hygiene

Now that your braces are in place, it is very important to maintain a good oral hygiene regimen throughout the length of your treatment. Braces, wires, bands and retainers can all trap food particles and make it difficult to brush or floss away plaque. Careful brushing and flossing, preferably after every meal and snack, is the best way to prevent plaque build-up, tooth decay and gum disease.

Brushing while Wearing Braces

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 dinner
• At bedtime

Flossing while Wearing Braces

Flossing takes more time and patience when you are wearing braces, but it is important to floss your teeth every day. We recommend flossing at night to make sure your teeth are clean before you go to bed.

Use a reusable floss threader to floss under your archwire. Pull a small length of floss from the dispenser through the threader, and slide it up and down along the front of each tooth. Use care around your archwire, and do not floss too forcefully around it or put too much pressure on it.

Rinsing with an Antibacterial Mouthwash

To reduce inflammation to your gums and cheeks, we suggest using a hydrogen peroxide antiseptic mouth rinse. This rinse will help prevent infection and decrease irritation that may develop from your braces. Rinse your mouth with two teaspoons of the hydrogen peroxide rinse for one minute, and then spit it out. You may use it up to four times daily following brushing. Just like using peroxide for a scrape on your skin, this hydrogen peroxide mouth rinse helps the inside of your mouth heal. It can be used for general irritation caused by your braces or for canker sores, cheek bites and other minor injuries to the gums.

Using an Interdental Toothbrush

An interdental (between the teeth) toothbrush is used to clean underneath and around your archwires and braces. Please use the interdental toothbrush gently to avoid damaging your wires.

Topical Fluoride

We recommend using a sodium fluoride gel to help prevent tooth decay while you are wearing braces. This gel kills bacteria and replaces minerals in the tooth enamel that have been removed by harmful acids. Using a fluoride gel does not replace daily brushing and flossing, but it should be applied following your daily schedule at bedtime. Place a small strip of the gel on a toothbrush, and apply it to your teeth for one minute. Then spit it out. Do not eat or drink for 30 minutes afterward. It is important for the active ingredient to stay on your teeth for 30 minutes, so do not wash it away by eating, drinking or rinsing.

Cleaning Your Removable Appliance

Brush your removable appliance every day as a part of your regular brushing and flossing schedule. Because food particles and plaque can accumulate on your appliance just as they do on your teeth, soak the appliance daily. Dissolve a denture-cleaning tablet in a glass of tap water at room temperature, and soak your appliance once a day.

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Foods to Avoid with Braces

While you are wearing braces, please avoid eating hard foods, sticky foods and foods high in sugar. Hard foods can break or damage the wires and brackets, and sticky foods can get caught between the wires and brackets. Minimize the amount of sugary foods you eat; the sugar can cause tooth decay and other related problems.

Examples of Sticky Foods to Avoid:

• Gum (sugar-free or regular)
• Licorice
• Sugar Daddies
• Toffee
• Tootsie Rolls
• Caramels
• Starburst

Examples of Hard Foods to Avoid:

• Ice
• Nuts
• Hard taco shells
• French bread crust/rolls
• Corn on the cob
• Apples and carrots (unless cut into small pieces)
• Bagels
• Chips
• Jolly Ranchers
• Pizza crust
• Uncooked carrots (unless cut)

Minimize Sugary Foods like:

• Cake
• Ice Cream
• Cookies
• Pie
• Candy

Only Once a Day:

• Soda
• Sweetened tea
• Gatorade
• Kool-Aid
• Drinks with sugar

We encourage patients to quit bad habits, such as fingernail biting, pencil and pen chewing and chewing on foreign objects. All of these activities can break or damage your braces.

It's important to regularly check your braces for bent or loose wires and brackets. If you have a loose/broken wire or bracket, please call our office immediately to arrange a repair appointment.

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Orthodontic Emergencies

There are very few true orthodontic emergencies, but we are always available to help you. If you have a broken appliance or are experiencing intense pain, please call us as soon as possible. We will do our best to fit you into the schedule for an appointment. Even if you have a regular appointment scheduled, call immediately to notify us that you need an appliance repaired.

Surprisingly, most orthodontic problems can be remedied at home. While you await your appointment, these guidelines will help you resolve minor problems. Please know that even if you alleviate the pain caused by your broken appliance, you still need a repair appointment.

Lost Separator

Most patients lose a separator during their treatment. Do not worry about losing a separator, but please call our office to see if it needs to be replaced.

Sore Teeth/Discomfort with Orthodontic Treatment

Right after you get your braces, and sometimes after you have an adjustment appointment, your teeth and mouth will feel sore. To alleviate the pain, you may take acetaminophen or other non-aspirin pain relievers while you adjust to your new braces. You can also gargle lukewarm saltwater, which is a mixture of one teaspoon of salt dissolved in eight ounces of water. A warm wash cloth or a heating pad may also reduce the soreness in your jaws.

Wire Irritations

Try moving the wire away from the irritated area with a cotton swab or eraser. If the wire will not move, try covering the end of it with a small piece of cotton or a small amount of wax. If the wire is painful, you can cut it with nail clippers or scissors that have been washed and sterilized in alcohol.

Loose Bracket

First, call our office to see if the bracket needs to be re-fitted. If you have a situation where you must cut the wire or slide a bracket off the wire, you may use fingernail clippers that have been washed and sterilized in alcohol. Please call our office the next business day to schedule a repair appointment.

Loose Wire

Try putting the wire back in place using tweezers that have been washed and sterilized in alcohol. If that does not work, try putting wax over the wire where it is poking you. If you have a situation where you must cut the wire, you may use fingernail clippers that have been washed and sterilized in alcohol. Cut the wire behind the last bracket in which it is secured.

Headgear Doesn't Fit

If your headgear is causing pain, it's usually because it isn't being worn long enough. Please adhere to your orthodontist's instructions, and wear your headgear for the instructed amount of hours each day. If the facebow is bent, please call our office for an appointment. Do not try to adjust it yourself.