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Brushing and Flossing with Braces

Adjusting to proper oral hygiene with a smile full of brackets, including cleaning around bands and wires, is incredibly important. Effectively cleaning orthodontic appliances ensures that plaque is not allowed to build up around the braces. Typically, if a proper oral hygiene routine is not strictly adhered to, gum inflammation and tooth decay can occur.

The key to brushing and flossing effectively with orthodontic braces is learning the best technique. Though everyone has different preferences, here are some excellent tips on how to get started:

Brushing

Regular, proper brushing is especially important when braces have been applied to the teeth. If possible, brush teeth after every snack to eliminate plaque buildup. If this isn’t practical, aim to brush four times daily, including:    

  • After breakfast

  • After lunch

  • After dinner

  • Right before bedtime

 

It is important to choose an appropriate toothbrush and to inspect the bristles routinely for signs of wear. The orthodontic braces will wear and fray the bristles, so replacement brushes will be needed more often than usual.

A soft bristled toothbrush is best because it will not damage the archwire or brackets. Apply a small strip of toothpaste, preferably a brand with fluoride, to the brush. Keep in mind that every tooth has several sides that need to be thoroughly cleaned: the outside, the sides facing each other and the chewing side.

When brushing front-facing sides of the teeth, create a 45 degree angle between the brush and the gum line. Brush in gentle circular motions from the top of the tooth to the bottom and then from bottom to top. Try not to exert too much force on either the wire or the brackets. When brushing the inside angles of teeth, work methodically creating the same 45 degree angle with the brush. The back surfaces of the teeth should pose no additional problems and should be brushed in the regular way.

Next, use a specially-designed proxabrush (Christmas tree brush) to brush between two brackets at a time. Insert the proxabrush and use downward and upward motion. Continue until all the spaces between the braces are plaque-free. As a last step, use mouthwash to flush out remaining bacteria.

Flossing

Flossing is also of paramount importance. Plaque and food particles can quickly provide fuel for the formation of bacteria colonies that cause gum disease and tooth loss. Though flossing between braces can be more time-consuming, it should still be completed several times per day.

Floss threaders can be used or the floss can be wrapped around fingers in the standard method. First, thread a piece of floss underneath the archwire of the braces. Slide the floss in an up-and-down motion against the large surface of the tooth. Exercise great care around the bracket and archwire, as they can easily be damaged by excess pressure.

Next, guide the floss to the interdental area (between the teeth) and use gentle sawing motions to move down from the gum line toward the bottom of the tooth. Repeat this motion several times. Then, using the same sawing motion, work the floss from the bottom of the tooth toward the gum line several times.

In some cases, flossing around orthodontic braces can cause mild bleeding, which should go away. If this bleeding persists for several days, be sure to inform your oral health professional.

If you have any questions or concerns about brushing and flossing with braces, please contact your dental office.

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Testimonials

I just had to write to say how appreciative I am of Dr. Tsui. If you are looking for a dentist, look no further. She is kind, caring and does an amazing job. She makes sure there is no pain and does each job to perfection. I recently had a dental emergency and she was there in no time. On top of all of that, her office is like a spa with water falls and fountains. They have the glasses for you to watch a movie, which are a great distraction. The staff is stellar!!! The nicest staff of people I have ever meet, so professional and personable at the same time. I recommend Dr. Tsui to all my friends, I can't say enough wonderful things about her and her amazing staff.

Ashley F. (Patient gave permission for publication).

I've been a patient of Dr. Tsui's since Smile Creations first opened their doors in 2003. My parents and younger sister see Dr. Tsui as well, and all of us are pleased with the services we've received. My parents have received major work (crowns) and all of us have had cleanings, exams, and fillings done. Dr. Tsui's office is equipped with the latest technologies--digital x-rays, an intraoral camera, and video glasses so you can watch movies as you receive dental work. My parents have recently had more crowns done and in just one visit, Dr. Tsui completed the crown prep work on my parents and they waited in the office while the actual permanent crown was being made right in the office! I've never heard of other dental practices with this technology! My parents didn't need a temporary crown and they didn't need a second visit where crowns are typically sent to labs which can take 2 weeks on average. A call from Dr. Tsui's office is made the next day to check on the healing process and to answer any questions. My parents are quick to point out what a stellar job Dr. Tsui does when it comes to giving anesthetic injections. A numbing topical is applied first, and after a few minutes, Dr. Tsui will carefully and skillfully proceed with the injection into the cheek and gums. She talks you through the whole way so you know what's going on. I have a low pain tolerance and hate needles so she definitely eases my fears through her gentleness and I walk away thinking that the injection hurt less than expected! Dr. Tsui works with a range of patients from the elderly to adolescents. The bi-lingual (English and Chinese) speaking staff including Dr. Tsui herself, allows her to relate and work with multiple generations of people. I have only positive kudos and express my sincere thanks for the gentle and professional dental work that my family and I have received from Dr. Tsui and her staff. I would highly recommend Dr. Tsui for any and all dental care needs.

Andrea W.(Patient gave permission for publication).

Dear Dr. Tsui,

I want to thank you again for all of the great dental care you have provided to me over the years. As you know, I was referred to you years ago by my friend and former co-worker. She raved about how great you and your staff are. I started going to you for dental care about 6 or 7 years ago. 2 of those years, I was forced to change my dental insurance coverage and had to find a different dentist. I went to 2 or 3 different offices trying to find a good patient/doctor relationship....and, frankly, never did. When I went back to an insurer that included you in the network, I was so happy that I could continue my dental care with you.

As you know, I have had the need for 2 crowns recently. Although I can't say I enjoyed the experience, I can say that you and your staff made it as pleasant as possible and I have great confidence in the work that you do. You and your staff have consisently practiced thoroughness, attention to detail and excellent communication (before, during and after procedures). It is very obvious that you truly care about your patients' dental health and their comfort when having their teeth worked on. That makes such a big difference in patient care and I greatly appreciate it! I am happy with the work that you have done for my crowns and I will continue to go to you for any future work that may be needed.

Smile Creations is a wonderful dental care practice! Now, I am the one raving about you and your staff and I have encouraged numerous people to go to you for dental work. Thank you! Thank you! Thank you!

Cathy D.(Patient gave permission for publication).

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