Orthodontic treatment with braces is an excellent way to correct misaligned teeth, improve bite function, and enhance your smile. However, the presence of braces introduces unique challenges to oral hygieneespecially in maintaining healthy gums. One concern that often arises during orthodontic care is the increased risk of periodontal disease. At McLevin Dental Clinic, we emphasize proactive gum care for all orthodontic patients to prevent inflammation, tissue damage, and long-term complications.
What Is Periodontal Disease?
Periodontal disease, commonly known as gum disease, is a chronic inflammatory condition that affects the tissues supporting the teeth. It typically begins with gingivitis, marked by red, swollen, and bleeding gums. If untreated, it can progress to periodontitis, which involves gum recession, bone loss, and eventually tooth mobility or loss.
Maintaining healthy gums is essential throughout orthodontic treatment because braces can trap food and plaque, making it harder to keep your mouth clean.
Why Braces Increase the Risk of Gum Disease
Orthodontic appliances create additional surfaces where plaque and food particles can accumulate. These challenges make patients with braces more vulnerable to gum inflammation and infection:
1. Plaque Accumulation Around Brackets and Wires
The brackets, wires, and bands make it more difficult to brush and floss effectively. Plaque that lingers around the gum line can lead to gingivitis.
2. Restricted Gum Cleaning
Flossing becomes more time-consuming and technique-sensitive. Without proper technique or tools like floss threaders or interdental brushes, patients may neglect interdental cleaning, where gum disease often begins.
3. Delayed Detection
Swollen gums during orthodontic treatment are often dismissed as normal, delaying diagnosis of early-stage periodontal disease.
4. Gum Overgrowth (Hyperplasia)
In some patients, braces can cause the gums to swell or overgrow, creating deeper pockets that harbor bacteria and promote further infection.
Early Signs of Periodontal Problems During Braces
If you’re undergoing orthodontic treatment, be aware of the following gum-related warning signs:
Red, puffy, or swollen gums
Bleeding while brushing or flossing
Persistent bad breath
Gums pulling away from the teeth
Loose or shifting teeth
Discomfort or tenderness in the gums
Prompt intervention is essential. At McLevin Dental Clinic, we monitor orthodontic patients for these signs at every checkup.
Strategies to Prevent Gum Disease While Wearing Braces
Preventing periodontal disease during orthodontic treatment requires a consistent and thorough oral hygiene routine. Heres what we recommend:
1. Brush Thoroughly and Frequently
Brush after every meal using a soft-bristled or electric toothbrush. Angle the brush to reach the gum line and clean around the brackets and wires.
2. Use an Orthodontic Flosser or Water Flosser
Traditional flossing is more difficult with braces, but tools like floss threaders, orthodontic flossers, and water flossers help clean between teeth and below the gumline.
3. Rinse with Antibacterial Mouthwash
A fluoride-based, alcohol-free antimicrobial mouthwash can reduce bacterial load and inflammation, especially if brushing and flossing are temporarily insufficient.
4. Regular Dental Cleanings
In addition to orthodontic checkups, professional cleanings at McLevin Dental Clinic every 34 months are recommended to remove tartar and monitor gum health.
5. Watch Your Diet
Sticky, sugary, or starchy foods increase plaque production and are harder to clean from braces. Choose a balanced diet with plenty of water, fresh produce, and whole grains to support gum health.
6. Use Interdental Brushes
These small, cone-shaped brushes help clean between brackets and under wires where traditional brushing may not reach.
Special Considerations for Adults with Braces
Adults are more likely than teens to develop periodontal issues, especially if they begin orthodontic treatment with pre-existing gum inflammation. At McLevin Dental Clinic, we offer integrated care that includes both orthodontic and periodontal assessments to ensure long-term oral health outcomes.
Our dentists may recommend:
Pre-treatment scaling and root planing for adults with gingivitis
More frequent periodontal checkups during treatment
Post-braces gum contouring or therapy for tissue restoration
What Happens If Gum Disease Develops During Orthodontic Treatment?
If caught early, mild gum inflammation can be reversed with improved hygiene and professional cleanings. However, if periodontal disease advances, your orthodontic treatment may need to be paused or adjusted to stabilize your gum health.
Treatment may involve:
Deep cleanings or periodontal therapy
Gum grafts for recession
Laser treatment to remove infected tissue
Antibacterial rinses or prescription medications
At McLevin Dental Clinic, we coordinate treatment across disciplines to ensure both orthodontic goals and periodontal health are addressed simultaneously.
Final Thoughts
Braces offer incredible benefits for your smile, but they come with increased responsibility. Gum disease during orthodontic treatment is preventable with diligence, proper tools, and regular dental care. By prioritizing gum health alongside tooth alignment, you set the foundation for a healthy, confident smile that lasts long after the braces come off.
At McLevin Dental Clinic, our team works closely with orthodontic patients to provide education, early intervention, and integrated dental support. Were committed to helping you achieve straight teeth and strong, healthy gums.
FAQ: Braces and Periodontal Disease
Q: Can you get gum disease while wearing braces?
A: Yes. Braces can trap plaque, increasing the risk of gum inflammation and infection if proper hygiene isnt maintained.
Q: What are the first signs of gum disease during orthodontic treatment?
A: Swollen, red, or bleeding gums are early indicators. Persistent bad breath and tenderness are also signs.
Q: How can I floss effectively with braces?
A: Use floss threaders, orthodontic flossers, or water flossers to reach between teeth and along the gum line.
Q: Should I see my regular dentist during orthodontic treatment?
A: Absolutely. Routine dental cleanings and exams remain essential, even while under the care of an orthodontist.
Q: What happens if I develop periodontitis while wearing braces?
A: Your dental team will evaluate the severity. In some cases, treatment may be paused to address gum health before continuing.
If youre undergoing orthodontic treatment and want to ensure your gums stay healthy, contact McLevin Dental Clinic today for expert periodontal support.