First I want to be clear that braces do not cause cavities. However, they do gather a lot of food debris which dramatically increases the risk of getting cavities. Actually, poor care of braces can lead to cavities, root canals, gum disease, gum surgery, and loss of teeth! Taking good care of the braces will completely eliminate this higher risk situation.
First, obviously, is just plain good tooth brushing. It is going to take more time. There are lots of nooks and crannies that will take some diligence to get clean. You are going to use up a lot of toothbrushes so feel comfortable asking for more. We have a few ideas and tools that can help this immensely. It just takes diligence.
Second you will hear about flossing, again, as if we don't talk about that enough already! Flossing is a time consuming challenge with braces. Obviously we would love to see the teeth flossed completely every day. A more realistic thought is to floss 1/2 of the teeth each day. Do it properly and the teeth end up being well flossed every other day. A short routine every day will get better results than a long routine occasionally.
Third, and I think critically important, is using a fluoride mouth rinse daily or a high potency fluoride toothpaste available by prescription from your orthodontist. Research over the last 20 years has shown that topical exposure of fluoride to the teeth is what is important. We don't have to swallow fluoride to get the benefit. We just need to expose the saliva to fluoride a few times a day to gain adequate protection. The best regimen I can prescribe to accomplish this is:
- Brush your teeth immediately after breakfast with a fluoride toothpaste. Floss your teeth immediately after dinner, and then brush your teeth with a fluoride toothpaste. Spit it all out and do not rinse your teeth after.
- Use a fluoride mouth rinse just before going to bed. Please no snack, drink or rinse after the fluoride. Saliva flow slows down during sleep and we can get an 8-hour benefit from this simple rinse.
- The fluoride rinses available in the stores include: ACT, Tom's, Colgage, Listerine Smart Rinse, and Orajel.
Our objective here is multiple. We want to prevent cavities for sure. We also want to avoid the unsightly white and brown scars that can blemish the front teeth if they are not well cared for during braces. And, we want the gums healthy so they don't overgrow the braces.