Cleaning Lingual Retainers: Tips for Healthy Gums and Teeth - Dentistry

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Cleaning of Lingual Fixed Retainers


The lower teeth have a fixed lingual retainer due to orthodontic treatment, and during the dental cleaning, the doctor mentioned that there is more tartar in that area.
I am currently trying to use super floss for cleaning (previously, I only brushed my teeth), but I am concerned that the action of inserting and pulling out the super floss might harm my gums.
There are a few tight spaces between my teeth where the floss feels a bit hard to insert, and it tends to cause bleeding when I pull it out.
Should I continue using it, or is it sufficient to have the dentist clean my teeth every six months?

lala, 20~29 year old female. Ask Date: 2021/11/20

Dr. Lin Jiayong reply Dentistry


Hello: If you are concerned about issues with your dental gaps, you might consider using an electric toothbrush and a water flosser.
Additionally, if you experience any discomfort, it is advisable to return for a follow-up appointment.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/11/20

More Info


Cleaning lingual retainers can be a bit challenging, especially when it comes to maintaining healthy gums and teeth. It's great that you're taking the initiative to care for your oral health, particularly after orthodontic treatment. Lingual retainers, which are fixed to the back of the teeth, can trap plaque and food particles, leading to an increased risk of gum disease and cavities if not cleaned properly. Here are some tips and insights on how to effectively clean your lingual retainers and maintain your oral health.


1. Understanding the Importance of Cleaning
Lingual retainers can accumulate plaque and tartar more easily than other areas of your mouth because they are less accessible for regular brushing. If your dentist has noted an increase in tartar buildup, it’s crucial to enhance your cleaning routine. Neglecting this can lead to gum inflammation (gingivitis) and other periodontal issues.


2. Using Dental Floss and Super Floss
Super floss is an excellent choice for cleaning around lingual retainers, as it is designed to help clean around appliances and in tight spaces. However, if you find that using super floss is causing bleeding or discomfort, it may be a sign that you are applying too much pressure or that your technique needs adjustment. Here are some tips for using super floss effectively:
- Gentle Technique: When inserting the super floss, do so gently. If you encounter resistance, do not force it. Instead, try a different angle or use a waxed dental floss that may slide more easily between your teeth.

- C-Shape Technique: When you wrap the floss around the tooth, form a "C" shape and gently slide it up and down along the side of the tooth and beneath the gum line. This helps to remove plaque without damaging the gums.

- Frequency: Aim to floss at least once a day, preferably before bedtime, to remove any food particles and plaque that may have accumulated throughout the day.


3. Brushing Techniques
In addition to flossing, brushing is essential. Use a soft-bristled toothbrush and fluoride toothpaste. Here are some brushing tips:
- Angle Your Brush: Hold your toothbrush at a 45-degree angle to the gum line. This allows the bristles to reach under the retainer and clean the teeth effectively.

- Gentle Circular Motions: Use gentle circular motions to clean the surfaces of your teeth, including the areas around the retainer.

- Don’t Forget the Back: Pay special attention to the back surfaces of your teeth where the retainer is attached, as this area is often overlooked.


4. Consider Using an Antimicrobial Mouthwash
Using an antimicrobial mouthwash can help reduce plaque buildup and keep your gums healthy. Look for a mouthwash that is alcohol-free to avoid drying out your mouth, which can lead to other oral health issues.


5. Regular Dental Visits
While maintaining a good home care routine is crucial, regular dental check-ups are equally important. Your dentist can provide professional cleanings to remove tartar that you may not be able to eliminate at home. They can also assess the health of your gums and teeth and provide personalized advice based on your specific situation.


6. When to Seek Help
If you continue to experience bleeding or discomfort while using super floss, it may be beneficial to consult with your dentist or orthodontist. They can evaluate your technique and ensure that your gums are healthy. In some cases, they may recommend alternative cleaning methods or tools that are more suitable for your needs.

In summary, while it’s essential to maintain your cleaning routine, it’s equally important to listen to your body. If you experience pain or bleeding, don’t hesitate to reach out to your dental professional for guidance. With the right techniques and tools, you can effectively clean your lingual retainers and maintain healthy gums and teeth.

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