Orthodontic treatment with braces is a significant step towards achieving a straighter and more aesthetically pleasing smile. However, before the braces are placed, there are several important preparatory steps that orthodontists undertake. One of the crucial aspects is the cleaning of the teeth. Understanding whether and why orthodontists clean teeth before braces is essential for patients to appreciate the comprehensive approach to orthodontic care and its importance in ensuring the success of the treatment.
The Importance of Cleaning Teeth Before Braces
Removal of Plaque and Tartar
Plaque is a sticky film of bacteria that constantly forms on the teeth. If left untreated, it can harden into tartar, which is more difficult to remove. Before braces are placed, it is vital to eliminate as much plaque and tartar as possible. This is because once the braces are on, it becomes more challenging to clean the teeth thoroughly, especially around the brackets and wires.Orthodontists use specialized dental instruments, such as scalers and ultrasonic cleaners, to carefully remove the built-up plaque and tartar. This process not only helps improve the overall health of the teeth and gums but also provides a clean surface for the braces to be attached, ensuring a better bond.If plaque and tartar are not removed, they can cause gum inflammation and gingivitis during the course of the orthodontic treatment. This can lead to discomfort, bleeding gums, and even potential damage to the supporting structures of the teeth.
Prevention of Decay and Cavities
Braces create additional nooks and crannies where food particles can get trapped. If there is already existing decay or cavities on the teeth before braces are placed, the problem can worsen during the treatment period. By cleaning the teeth and identifying any areas of decay early on, the orthodontist can address these issues.In some cases, small cavities may be filled before the braces are attached to prevent further progression. This proactive approach helps maintain the integrity of the teeth throughout the months or years of wearing braces.Additionally, a clean tooth surface is less likely to develop new cavities during the orthodontic treatment, reducing the risk of complications and the need for additional dental procedures.
Assessment of Oral Health
Cleaning the teeth allows the orthodontist to conduct a thorough examination of the teeth and gums. They can identify any existing dental problems, such as gum recession, enamel defects, or abnormal tooth wear. This assessment is crucial as it helps the orthodontist plan the most appropriate treatment approach.For example, if a patient has significant gum recession, the orthodontist may need to take extra precautions during the braces treatment to minimize further damage to the gums. By having a clear understanding of the patient’s oral health status, the orthodontist can also provide personalized advice on oral hygiene during the treatment period.
The Cleaning Process
Professional Dental Cleaning
The first step in cleaning the teeth before braces is a professional dental cleaning. This typically involves a combination of scaling and polishing. Scaling removes the plaque and tartar from the tooth surfaces, both above and below the gum line. The orthodontist will use hand-held scalers or ultrasonic scaling devices to carefully scrape away the hardened deposits.After scaling, the teeth are polished to smooth the enamel surface. This not only gives the teeth a clean and shiny appearance but also helps remove any remaining plaque and makes it more difficult for new plaque to adhere. Polishing is usually done using a soft rubber cup and a polishing paste.The entire process is relatively painless, although some patients may experience mild sensitivity, especially if they have existing gum inflammation or exposed root surfaces.
Fluoride Treatment
Following the cleaning and polishing, many orthodontists will apply a fluoride treatment. Fluoride helps strengthen the enamel, making the teeth more resistant to decay. It is particularly important before braces are placed as the teeth will be more susceptible to cavities during the treatment.The fluoride can be applied in the form of a gel, varnish, or foam. The patient may need to avoid eating or drinking for a short period after the treatment to allow the fluoride to fully penetrate the enamel.This preventive measure can significantly reduce the risk of developing cavities during the months of wearing braces and is an essential part of the pre-braces dental care.
Oral Hygiene Instructions
In addition to the physical cleaning of the teeth, the orthodontist will provide detailed oral hygiene instructions to the patient. This includes teaching them the proper technique for brushing with braces, which involves using a soft-bristled toothbrush and brushing at a 45-degree angle to the gum line to ensure all surfaces are cleaned.The patient will also be instructed on how to floss effectively with braces, using special floss threaders or water flossers to reach the areas between the teeth and around the brackets. Understanding and following these oral hygiene instructions is crucial for maintaining good oral health throughout the orthodontic treatment.
Patient Cooperation and Long-Term Benefits
Maintaining Oral Hygiene at Home
While the orthodontist takes the initial step of cleaning the teeth before braces, the responsibility then shifts to the patient to maintain good oral hygiene at home. This requires consistent brushing and flossing, as well as following any additional instructions provided by the orthodontist.
Patients should brush their teeth after every meal and snack to remove any food particles that may have become trapped in the braces. They should also be vigilant about keeping their braces clean by using a fluoride mouthwash regularly and avoiding sticky or sugary foods that can contribute to plaque buildup.By maintaining good oral hygiene, patients can reduce the risk of gum disease, tooth decay, and staining of the teeth during the braces treatment. This not only ensures the success of the orthodontic treatment but also promotes long-term oral health.
Positive Impact on Treatment Outcome
Clean teeth before braces and proper oral hygiene during the treatment have a direct impact on the outcome of the orthodontic treatment. When the teeth and gums are healthy, the braces can work more effectively to move the teeth into the desired position.There is a lower risk of complications such as loose brackets or wires due to gum inflammation or decay. This means fewer emergency visits to the orthodontist and a smoother treatment process overall.Moreover, at the end of the treatment, when the braces are removed, the teeth are more likely to be healthy and free of significant dental problems, allowing the patient to enjoy their newly straightened smile without the added burden of extensive dental repairs.
Conclusion
Orthodontists do indeed clean teeth before braces, and this step is of utmost importance. It sets the stage for a successful orthodontic treatment by ensuring the teeth and gums are in the best possible condition. From removing plaque and tartar to preventing decay and providing fluoride treatment, the pre-braces cleaning process is comprehensive and essential. However, it is equally important for patients to understand their role in maintaining oral hygiene during the treatment period. By working together, the orthodontist and the patient can achieve the desired results of a straighter smile and optimal oral health.
