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Fixed orthodontic appliance: how to do the hygiene of the teeth?

Fixed orthodontic appliance: how to do the hygiene of the teeth?

Who uses fixed orthodontic appliances knows how to clean teeth is difficult. "With the brackets, elastics and wire, many materials are attached to the teeth that prevent the brush from coming in and also allow food to be retained," summarizes Orthodontist Flavia Cury (SP-CD-112370). Brushing your teeth correctly brings a lot of problems, especially when using orthodontic appliance, due to the formation of dental biofilm, also popularly called "mv type =" sil "text =" plaque bacterial plaque.

"Biofilm leaves the teeth and gums very susceptible to the appearance of caries lesions and periodontal disease, which are the major cause of dental loss, as well as causing bad breath, "describes the orthodontist Fabíola Lanfredi (SP-CD-84547). In addition, Sandra Naccarato (SP-CD-70023), a specialist in orthodontics at Clínica Sinthesi, explains that there may be stains on the teeth after removal of the appliance: "This process generates a demineralization in the teeth, causing or a white stain around the brackets. "

So there is a sure way to sanitize your teeth when using the appliance! Want to know how?

Brushing who uses the appliance

When brushing your teeth, the movement indicated is the same as for those who do not use a fixed orthodontic appliance. "The brush should be positioned at a 45-degree angle to the face of the tooth and movement should be done towards the gum to the teeth, thus helping remove plaque and keep the gum healthy," explains Fabíola. > The toothbrush needs to be special for this hygiene, usually with the smaller head or the shorter V-shaped bristles in the center, to reach the brackets and the surface of the teeth.

"There are also special brushes to reach to the more difficult regions, such as the bitufo and the interdental, and they usually have a conical or cylindrical shape and the choice depends on the patient's adaptation ", differentiates Flávia.


makes it a difficult task, due to the presence of the wire interconnecting the brackets of the orthodontic appliance. But it must not be past, since its use is fundamental to avoid gingivitis, a very common problem in those who use a fixed appliance.

For this, there is an instrument called a gutter. "It is a kind of needle that attaches to the dental floss and facilitates its passage through the teeth, so it is possible to reach the middle of the teeth", Sandra describes.

Mouthwashes help?

Mouthwashes can be an alternative to help in the sanitation of those who use fixed orthodontic appliances. "For those who have difficulty in brushing, the use of fluoride rinses can minimize the appearance of white spots and cavities," says Sandra.

However, it is important to remember that they do not replace brushing and flossing. "The most important is the mechanical removal of plaque to avoid future dental problems," says Fabíola.

Follow-up with the dentist

In addition, regular follow-up with the dentist is important, as well as observing the evolution of correction of the teeth with the fixed orthodontic appliance, you can also evaluate how the patient's dental cleanliness is.

"Some dentists usually make a bicarbonate jet between sessions to tighten the device to ensure a better cleaning of the teeth" , considers Flávia.


Who uses fixed orthodontic appliance should always brush after eating. But remember that there are foods that stick more easily to the teeth and brackets of the appliance. "Sugary and sticky foods are good examples," says Flavia Cury.

Fibrous or small foods, such as mango, corn and broccoli, may also end up adhering to fixed appliance structures, but they are not totally contraindicated because they are healthy items on the menu. But, of course, it's critical to sanitize and remove these leftover food after meals.

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