Can You Use a Power Toothbrush with Fixed Braces? - Dentistry

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Is it suitable to use a machine for dental cleaning with fixed braces?


Hello Doctor, I have been wearing my braces for about 23 years (full mouth).
I'm not entirely sure about the exact material, but it looks like porcelain on the outside and has a metal inner layer.
Is this type of material suitable for machine cleaning? One doctor told me that my dentures must be cleaned manually, otherwise the ceramic (the surface part) could easily crack due to the high frequency of the machine.
He also took pride in his manual cleaning skills.
However, this doctor is quite rude, and the clinic's equipment is very basic.
I have to convince myself for a while before each regular maintenance appointment.
Although I want to switch clinics, I feel constrained by the doctor's statement that "machine cleaning is not allowed." I'm worried that if I change doctors, it might lead to damage to my braces, and I would regret it.
So I would like to ask the doctor, can fixed braces like mine be cleaned with a machine? Thank you.

Ms. Lin, 40~49 year old female. Ask Date: 2021/12/06

Dr. Lin Jiayong reply Dentistry


Hello: 1.
It is recommended to continue dental cleanings at the original treatment facility, as it involves out-of-pocket expenses.
This way, if any repairs are needed in the future, you will have a point of contact for assistance.
2.
You may gently inform the physician about your discomfort, as good doctor-patient communication is advised.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/12/06

More Info


Using a power toothbrush with fixed braces can be a topic of concern for many patients, especially those who have had braces for an extended period. In your case, having had braces for about 23 years, it is essential to consider both the materials of your braces and the potential effects of using a power toothbrush.

First, let's address the materials of your braces. You mentioned that the outer layer appears to be ceramic while the inner layer is metal. Ceramic braces are known for their aesthetic appeal, as they blend in with the natural color of teeth. However, they can be more brittle than metal braces, which means they may be more susceptible to damage from excessive force or improper cleaning techniques.
When it comes to using a power toothbrush, the primary concern is the intensity and technique of brushing. Power toothbrushes can be very effective in removing plaque and promoting oral hygiene, but they can also exert more force than manual brushing if not used correctly. If the power toothbrush has a high-speed setting or if you apply too much pressure while brushing, it could potentially damage the ceramic brackets or cause the adhesive that holds the braces in place to weaken over time.

Your dentist's advice regarding avoiding machine cleaning may stem from a desire to prevent any potential damage to your braces. While it is true that some dental professionals may prefer manual cleaning for patients with ceramic braces, it is not universally applicable. Many orthodontists and dental hygienists are trained to use power toothbrushes effectively, and they can provide guidance on how to use them safely.

Here are some recommendations for using a power toothbrush with fixed braces:
1. Choose the Right Brush: Opt for a power toothbrush designed for orthodontic patients. These brushes often have softer bristles and specific modes for gentle cleaning around braces.

2. Use Gentle Pressure: When using a power toothbrush, avoid pressing too hard against your braces. Let the brush do the work, and use a light touch to prevent damaging the ceramic.

3. Follow a Proper Technique: Angle the toothbrush at 45 degrees to the gum line and use gentle, circular motions. This technique helps to clean around the brackets and wires without causing damage.

4. Consult Your Orthodontist: Before making any changes to your oral hygiene routine, it’s always best to consult with your orthodontist. They can provide personalized advice based on the specific materials and condition of your braces.

5. Regular Check-ups: Ensure you have regular dental check-ups to monitor the condition of your braces and overall oral health. Your dentist can assess any wear or damage and recommend adjustments to your cleaning routine if necessary.

6. Consider Manual Cleaning: If you are concerned about the potential risks of using a power toothbrush, you may opt for manual brushing, especially if you feel more comfortable with that method. Manual brushing can be just as effective if done correctly.

In conclusion, while using a power toothbrush with fixed braces is generally acceptable, it is crucial to use it correctly and with caution, especially considering the materials of your braces. If you have any doubts or concerns, discussing them with your orthodontist can help you make an informed decision that prioritizes your dental health and the integrity of your braces.

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