Cleaning of bonded braces?
Hello Dr.
Lin,
Earlier this year, I had a bridge placed on my upper right back teeth (two units).
The reason for not opting for two single crowns was that the clinic's dentist mentioned insufficient support.
Last week, the gums around the bridge became swollen and inflamed (it seems to have extended from the interproximal space).
The clinic's dentist performed periodontal cleaning and provided me with floss threaders.
However, after two days at home, I still felt mild pain and swelling inside the bridge, which was uncomfortable.
I started using the floss threaders daily, but I feel like they are not effective (the structure of the bridge and the floss threader seems different; the gap under the bridge is too small for effective cleaning).
Additionally, I often experience bleeding when using them.
I would like to ask if a water flosser would be effective for cleaning the interproximal spaces of a dental bridge? I am concerned that it might push debris further in or get stuck.
Do you have any other recommended cleaning methods? Thank you for your guidance, and I wish you good health and happiness!
Mr. Huang, 30~39 year old female. Ask Date: 2023/07/18
Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to use a water flosser to avoid excessive force or improper pressure from your hands that could injure the gums.
The water pressure of the water flosser can be adjusted to a gentle or stronger setting, and you can also add mouthwash for rinsing to help with disinfection.
If swelling persists and cleaning becomes difficult, it is advisable to consult your original dentist for an adjustment to see if a hygienic bridge can be considered instead.
Reply Date: 2023/07/18
More Info
When it comes to maintaining oral hygiene with connected dental braces, particularly when experiencing gum issues, it's crucial to adopt a comprehensive cleaning strategy. Your concerns about the effectiveness of cleaning around your dental braces and the potential for further gum inflammation are valid. Here’s a detailed approach to managing your situation effectively.
Understanding the Challenges
Connected dental braces can create unique challenges for oral hygiene. The tight spaces between the braces and the gums can trap food particles and plaque, leading to inflammation and discomfort. If you are experiencing swelling and pain, it is essential to address these issues promptly to prevent further complications, such as gum disease or cavities.
Effective Cleaning Tips
1. Use of Interdental Brushes: While you mentioned using a bridge floss, consider incorporating interdental brushes specifically designed for braces. These brushes can effectively clean around brackets and wires, reaching areas that traditional floss may miss. They come in various sizes, so you can choose one that fits comfortably between your teeth.
2. Water Flossers: A water flosser can be an excellent addition to your oral hygiene routine. It uses a stream of pulsating water to remove food particles and plaque between teeth and along the gum line. While there is a concern that it might push debris further into the gums, when used correctly, it can significantly reduce plaque and improve gum health. Aim the water flosser at the gum line and use it at a low setting to minimize discomfort.
3. Soft-Bristled Toothbrush: Use a soft-bristled toothbrush to clean your teeth and braces. Brush gently but thoroughly, ensuring you cover all surfaces of the teeth and the brackets. A toothbrush designed for braces may also be beneficial, as it can effectively clean around the brackets without causing damage.
4. Antimicrobial Mouthwash: Incorporating an antimicrobial mouthwash into your routine can help reduce bacteria in your mouth, which is particularly important if you are experiencing gum inflammation. Look for a mouthwash that is alcohol-free to avoid further irritation.
5. Regular Dental Check-ups: Since you have already seen a dentist for your gum issues, it’s crucial to maintain regular check-ups. Your dentist can provide professional cleanings and monitor your gum health, making adjustments to your cleaning routine as necessary.
6. Dietary Considerations: Pay attention to your diet, as certain foods can exacerbate gum issues. Limit sugary snacks and beverages, as they can contribute to plaque buildup. Instead, focus on a balanced diet rich in fruits, vegetables, and whole grains, which can support overall oral health.
7. Gum Care: If your gums are swollen or painful, consider using a warm saltwater rinse to soothe inflammation. Mix about half a teaspoon of salt in a cup of warm water and rinse your mouth gently. This can help reduce swelling and promote healing.
Conclusion
Maintaining oral hygiene with connected dental braces requires diligence and the right tools. While it may seem challenging, incorporating interdental brushes, water flossers, and a soft-bristled toothbrush into your routine can significantly improve your gum health. Additionally, regular visits to your dentist will ensure that any issues are addressed promptly. If you continue to experience discomfort or swelling, do not hesitate to reach out to your dental care provider for further evaluation and tailored advice. Remember, proactive care is key to maintaining a healthy smile, especially with braces.
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