Highpoint Orthodontics (Chalfont)
215-997-0599

Orthodontics of the Main Line (Bala Cynwyd)
610-667-5789

Harleysville Orthodontics
215-256-6444

     Before and After
     Patient Reviews
     Treatment Timing and Phases
     Who Needs Braces?
     Cost of Braces
     Your First Visit
     Frequently Asked Questions
     Benefits of Early Ortho Treatment
     Foods to Avoid While in Ortho Treatment

Tooth Brushing Tips

BRUSHING AND FLOSSING
Food particles and plaque naturally accumulate on the teeth and on braces. This process could lead to tooth decay and/or gum disease. Proper oral hygiene is vital to prevent these problems from occurring during your orthodontic treatment. The extra effort you give to keep your teeth, braces and gums clean and healthy will result in a much better orthodontic outcome.

1        Brushing

2        Flossing

3        Interdental Toothbrush

4        Mouth Rinse

5        Flouride

6        Cleaning a Removable Appliance

BRUSHING
Dr. Kadan recommends that you use a soft bristled toothbrush with moderate force and a toothpaste that contains fluoride. Place the toothbrush at an angle so that you feel the bristles under your gum line and use small circular motions. Completely clean each surface of every tooth in your mouth, including the areas above, below and between each brace. Each surface of every tooth should be scrubbed with 10 strokes of the toothbrush. This should take 2-3 minutes. Concentrate on the DANGER ZONE: The areas on your teeth located between the braces and your gums. This is also the area that you would likely get staining on your teeth if you did not brush well during the orthodntic treatment.

Dr. Kadan recommends that you brush at least 4 times per day: after breakfast, after lunch (or as soon as you get home from school), after supper and at bedtime. Your toothbrush will wear out faster because of your appliances, so be sure to replace it whenever the bristles start to fray.
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1. Use a soft toothbrush with a small amount of toothpaste. Completely clean each surface of every tooth in your mouth, including the areas above, below and between each brace.

2. Use circular, vibrating motions around the gum line. Scrub each surface of every tooth with 10 strokes of the toothbrush. This should take 2-3 minutes.

3. Brush every tooth slowly. Brush the upper teeth down.

4. Brush the lower teeth up. Also brush your tongue and the roof of your mouth

Remember that a toothbrush might not reach the areas under the archwire properly. Proper oral hygiene also involves flossing and the use of an interdental toothbrush (Proxybrush), and a topical fluoride mouthrinse (ACT)!

Dr. Kadan also recommends electric toothbrush to facilitate oral hygiene. Water picks are alos recommended as an aid to burshing but not as a substitute.
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FLOSSING
Dental floss is a nylon thread that is used to remove food particles and plaque from between the teeth. Flossing is more difficult when you have braces on your teeth. A floss threader may be needed to get the floss under the archwire. Dr. Kadan will provide some of these for you in the beginning (note: floss threaders are reusable). Use a piece of floss about 12 inches long. Use the floss threader to get the floss under the wire. Slide the floss up and down along the tooth surface. When the tooth is clean the floss will "squeak" as you slide it up and down along the tooth surface. Be very careful to not pull with too much force on your archwire.

Daily flossing is essential to your dental health. Often neglected, flossing helps improve the overall health of your teeth and gums. Flossing assists in cleaning many of the "hard to reach" spots in your mouth, spots that regular brushing generally misses. By flossing, you alleviate much of the plaque buildup that often causes gum disease.

Although flossing is more difficult with braces, it is critical to your orthodontic treatment. Always floss at least twice a day: once after lunch, and once before bedtime. Proper flossing reduces the risk of periodontal disease and tooth decay.
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1. Carefully pull waxed floss between wire and braces.

2. Floss carefully around the gum area.


INTERDENTAL TOOTHBRUSH
An interdental toothbrush (Proxabrush) is another aid you may find useful to keep your teeth, braces and gums clean and healthy. It can be used to clean under orthodontic wires and around braces. Use this device slowly so you do not damage your braces.
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FLUORIDE
Dr. Kadan recommends the use of fluoride mouthrinse every evening. For children and teenagers Dr. Kadan recommends ACT. After brushing and flossing, take a mouthful of ACT and swish it around for one minute making sure it reaches the surfaces of all teeth, then spit it out making sure that you do not rinse or drink water. Fluoride must stay on the teeth all night to provide the ultimate protection against decalcification (white scarring).
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CLEANING A REMOVABLE APPLIANCE
All orthodontic appliances tend to accumulate food particles and plaque just like teeth do. Every time you brush your teeth, brush your removable appliance. Once a day you should soak your appliance in a glass of room temperature tap water with a denture-cleaning tablet, such as Polident or Efferdent. This will help prevent plaque buildup and oral infections and will keep your appliance tasting better.
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