What are the problems with fixed braces orthodontics?
While it is rare to have issues with bonded brackets - one still needs to look after them and change their approach slightly.
INSTRUCTIONS TO PATIENTS WITH A FIXED APPLIANCE
Taking care of your fixed appliances is very important. You must clean your teeth
thoroughly and be very careful not to break your brace.
1. Use your orthodontic toothbrush to go across at the front of your mouth and
backwards and forwards at the sides ie: ALONG the archwire. Clean the teeth in
each jaw separately.
2. Use the small interdental toothbrush to clean any remaining plaque off your teeth.
Concentrate on the area between your gums, the brackets and underneath the
3. ALWAYS CLEAN AFTER EVERY MEAL AND BEFORE YOU GO TO
4. Use toothpaste which has fluoride in it.
5. Using a fluoride mouth rinse or fluoride gel is advisable. These should be used
last thing at night.
Orthodontic toothbrushes, interspace toothbrushes, travel orthodontic
toothbrushes and fluoride mouthwash are all available for sale on reception.
You must be careful with what and how you eat. You must avoid anything too hard or
sticky i.e. toffees, chewing gum, crusty bread, nutty breakfast cereals and hard biscuits.
You must also stay away from fizzy drinks because the high sugar and acidity can cause
permanent marks on the teeth.
From now on all food, even things you think are soft, MUST be cut up first into small
pieces and chewed gently on your side teeth. Most of this is common sense but
remember to think before you eat something. A breakage can put treatment time back
and mean that your braces will be on longer than necessary.
After your brace has been fitted your teeth will feel tender, this is normal. Mild
painkillers such as Paracetamol or Ibuprofen will help. If brackets or bands rub your lips
and cheeks you may need to use brace relief (wax), which is on sale at the practice. Your
teeth may feel wobbly, DO NOT WORRY, this is quite normal.
If you break your brace please ring the surgery immediately unless your next
appointment is within a day or so.
Always keep any bits that come off and bring them with you to your appointment.
Try not to break your brace. Remember breakages mean longer treatment.
You will still need to attend routine check up appointments with your dentist during your