Managing Cavities Discovered During Orthodontic Treatment

Cavities discovered during orthodontic treatment?

1.
During orthodontic treatment, the dentist noticed cavities between my teeth due to the spacing created by the braces, and mentioned that it was somewhat serious.
However, they just aligned the teeth without addressing the cavities at that time, so now they are not visible.
Can this situation be treated at another dental clinic?
2.
The last molar on the lower jaw has only a very shallow groove at the back, and I can't get dental floss through it.
Will this area behind the last molar still be prone to cavities? How can I clean and prevent cavities in this area? (I have already had my wisdom teeth removed.) Thank you.

T, 30~39 year old female. Ask Date: 2021/10/02

Dr. Zeng Guanghui reply Dentistry

1.
If there are cavities in the gaps between teeth during or after orthodontic treatment, it is important to see a dentist for treatment to prevent the decay from progressing and affecting the dental pulp.
2.
If there is a shallow groove behind the last molar, it is recommended to use a finer dental floss for cleaning to avoid plaque accumulation that can lead to cavities.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/10/02

More Info

Managing cavities discovered during orthodontic treatment can be a complex issue, especially when it involves the timing of treatment and the condition of the teeth. Here’s a comprehensive overview based on your questions.

1. Cavities Discovered During Orthodontic Treatment: If cavities were discovered during your orthodontic treatment but were not treated at that time, it is advisable to seek treatment as soon as possible. Cavities, if left untreated, can progress and lead to more severe dental issues, including pain, infection, or even tooth loss. You can definitely visit another dental office for a second opinion or treatment. A dentist will likely perform an examination, possibly including X-rays, to assess the extent of the cavities and recommend appropriate treatment, which may include fillings or other restorative procedures. It’s essential to address these issues promptly to prevent further complications.

2. Cleaning and Preventing Cavities on the Last Molar: Regarding your last molar, if there is a shallow groove that is difficult to clean with dental floss, it can still be susceptible to cavities. Bacteria can accumulate in hard-to-reach areas, leading to decay. Here are some strategies to help prevent cavities in that area:
- Use a Soft-Bristled Toothbrush: Brush your teeth at least twice a day with fluoride toothpaste. Pay special attention to the last molar and the areas around it. A soft-bristled toothbrush can help clean the grooves effectively without damaging the gums.

- Interdental Brushes or Flossers: If traditional dental floss is not effective, consider using interdental brushes or flossers designed for hard-to-reach areas. These tools can help remove plaque and food particles more effectively than regular floss.

- Regular Dental Check-ups: Schedule regular dental check-ups every six months or as recommended by your dentist. During these visits, your dentist can monitor the condition of your teeth and provide professional cleanings that can help prevent cavities.

- Fluoride Treatments: Ask your dentist about fluoride treatments. Fluoride can help strengthen tooth enamel and make it more resistant to decay. This is particularly beneficial for areas that are difficult to clean.

- Dietary Considerations: Limit sugary snacks and beverages, as sugar can contribute to cavity formation. Instead, focus on a balanced diet rich in fruits, vegetables, and whole grains. Drinking plenty of water, especially fluoridated water, can also help wash away food particles and bacteria.

In summary, it is crucial to address any cavities discovered during orthodontic treatment as soon as possible. Seeking treatment from another dental professional is a viable option. Additionally, maintaining good oral hygiene practices and regular dental visits will help prevent cavities, especially in hard-to-reach areas like the last molar. If you have any concerns about your oral health, don’t hesitate to consult with a dentist who can provide personalized advice and treatment options.

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