Brushing with Braces: Technique Over Time

A 2023 study in the International Journal of Dental Hygiene found that a specific brushing method was more effective for brace wearers. This involved brushing at a 45-degree angle to both the brackets and gumline using small, circular motions. This technique led to less plaque buildup compared to standard brushing. The key is adjusting your technique, not just brushing longer.

Retainers and Ongoing Hygiene

Even after braces are removed, oral hygiene remains critical. A 2023 Cochrane review emphasized that good hygiene during the retention phase (when wearing retainers) is vital to maintain orthodontic results. Keep your retainer clean and continue your regular brushing and flossing routine.

Braces vs. Aligners: Different Hygiene Approaches

Choosing between traditional braces and clear aligners can depend on hygiene. A 2024 study in the Journal of Pharmacy & Bioallied Sciences showed better hygiene outcomes for clear aligner patients because aligners are removable, allowing for unobstructed brushing and flossing. However, aligners still require brushing teeth and trays after every meal.

Lingual braces (placed on the back of teeth) present unique challenges. A 2013 review indicated that while they protect the front of teeth, cleaning the tongue-side surfaces is more difficult and may require specialized tools.

Why Oral Hygiene is Crucial with Braces

Other research supports the need for extra care with braces:

• A 2023 review in Cureus highlights how bracket design promotes bacterial growth if not cleaned.
• A 2001 article in Revue Médicale de Bruxelles stresses the importance of oral hygiene for orthodontic success, regardless of age.
• A 2024 case report in Case Reports in Dentistry, while focusing on braces as a splint for a knocked-out tooth, reinforces that cleanliness is paramount in all brace applications.

Key Oral Hygiene Tips for Braces Patients

• Special Brushing Technique: Brush at a 45-degree angle to gumline and brackets, using short circular motions.
• Floss Regularly: Use floss threaders or water flossers to clean between teeth and under wires.
• Consider an Electric Toothbrush: Many models are designed for braces and offer more efficient plaque removal.
• Rinse Frequently: Use antibacterial mouthwashes to reduce inflammation and target missed bacteria.‍
• Be Consistent: Brush after every meal and attend dental cleanings every six months, or as recommended.

Conclusion

Braces elevate the importance of oral hygiene. While wires and brackets create more hiding spots for plaque and bacteria, research confirms that with the right tools, technique, and consistency, you can maintain a clean mouth and achieve a healthy smile. Prioritize your hygiene habits throughout and after treatment—your future smile will benefit.