Dealing with Cavities While Wearing Braces: What to Do?

Wearing braces seems to be associated with the occurrence of cavities?

Currently, I am wearing upper braces and have discovered a dark spot between two teeth.
When I gently push one of the teeth, I feel slight pain.
What should I do? Will it decay and require extraction once the braces are removed? Is there a way to prevent it from getting worse?

Xiao Lin, 10~19 year old female. Ask Date: 2016/02/14

Dr. Zeng Guanghui reply Dentistry

Wearing braces but experiencing cavities indicates that it is difficult to thoroughly clean the surfaces of the teeth and the spaces between them while wearing braces, leading to cavities and gum inflammation.
It is recommended to maintain meticulous oral hygiene and to use dental floss or interdental brushes to clean between the teeth.
If cavities do occur, it is important to see a dentist for treatment and filling to prevent the cavities from worsening and affecting the dental nerves.

Reply Date: 2016/02/14

More Info

Dealing with cavities while wearing braces can be a challenging situation, but it’s important to address it promptly to prevent further complications. The black spots you see between your teeth, especially if they cause discomfort when you push on them, could indicate the early stages of a cavity or decalcification, which is a common issue for individuals with braces. Here’s what you should know and do:

Understanding Cavities and Braces
When you wear braces, maintaining oral hygiene becomes more complicated. The brackets and wires can trap food particles and plaque, making it easier for cavities to form. If you notice dark spots on your teeth, it’s crucial to act quickly. These spots can be signs of enamel demineralization, which can lead to cavities if not treated.

Steps to Take
1. Consult Your Orthodontist or Dentist: The first step is to schedule an appointment with your orthodontist or dentist as soon as possible. They can evaluate the condition of your teeth and determine whether the spots are indeed cavities or just stains. If it is a cavity, they will recommend the appropriate treatment, which may include fillings.

2. Maintain Excellent Oral Hygiene: While wearing braces, it’s essential to brush your teeth at least twice a day and floss daily. Use a soft-bristled toothbrush and fluoride toothpaste. Consider using an interdental brush or floss threaders to clean around the brackets and wires effectively. Rinsing with an antibacterial mouthwash can also help reduce plaque buildup.

3. Dietary Adjustments: Avoid sugary foods and drinks, as they can contribute to cavity formation. Instead, focus on a balanced diet rich in fruits, vegetables, and dairy products, which can help strengthen your teeth. Drinking plenty of water, especially after meals, can help wash away food particles and reduce acidity in your mouth.

4. Fluoride Treatments: Ask your dentist about fluoride treatments. Fluoride can help remineralize areas of the enamel that are beginning to decay and can strengthen your teeth against cavities. Some orthodontists may also recommend fluoride varnishes or gels that can be applied during your visits.

5. Regular Dental Check-ups: Ensure you keep up with regular dental appointments for cleanings and check-ups. Your dentist can monitor the health of your teeth and braces and provide professional cleanings that can help prevent cavities.

Prevention of Further Damage
To prevent the situation from worsening, it’s crucial to follow the above steps diligently. If a cavity is left untreated, it can progress and may require more invasive treatments, such as root canals or even tooth extraction, especially if it reaches the pulp of the tooth.

Conclusion
In summary, if you notice dark spots between your teeth while wearing braces, it’s essential to act quickly. Schedule an appointment with your dentist or orthodontist, maintain excellent oral hygiene, make dietary adjustments, consider fluoride treatments, and keep up with regular dental check-ups. By taking these steps, you can help prevent cavities from worsening and ensure that your orthodontic treatment proceeds smoothly. Remember, early intervention is key to maintaining your dental health while wearing braces.

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