Bacteria easily stick to your braces Bacteria constantly builds up along the gum line, between the teeth and on braces. The sticky build-up of bacteria is called plaque. It needs to be removed thoroughly twice daily, otherwise, it can harm your teeth and gums. Two things are very common in patients with braces: gum inflammation and early stage tooth decay. Gum inflammation (gingivitis) Gingivitis is caused by substances from bacteria that irritate the gum. Red and swollen gums is a giveaway, and your gums may bleed when you brush. Gingivitis usually occurs where bacteria can easily gather, such as along the gumline and between teeth. The good news is gingivitis is reversible – if all plaque is thoroughly removed, most cases heal in a couple of weeks. Tooth decay (caries/cavities) Tooth decay is caused by repeated acid attacks on the teeth. Bacteria use sugars in your food for energy, and produce acids that cause damage to the enamel (the outer protective surface of the tooth). Plaque is one of several factors for developing caries. Eating habits and your use of teeth-protecting fluoride are very important. Initial caries, the first stage of tooth decay, is common during treatment with braces. When the braces come off, it appears as white spots on the teeth that are almost impossible to get rid of. Caries, cavities, or tooth decay? It’s all the same problem: Bacteria use sugars to produce acids that attack and dissolve the hard tissues that protect your teeth, creating a cavity.
Download PDF file