Dental brackets are devices used in dentistry to correct crowded teeth, poorly positioned teeth or a misaligned bite, which is known in the dental field as malocclusion.
They are generally used during adolescence, however, nowadays they are increasingly used in adults who seek to improve their aesthetics and dental health, since thanks to technological advances nowadays there is adequate equipment to carry out completely safe treatments in adults.
As with any medical and dental treatment, wearing orthodontics can have, apart from its positive changes, also negative consequences during and after its use. For this reason, it is important for the specialist to constantly monitor the patient during the adjustment appointments and to let the patient know early on when a problem is detected.
The following are some of the negative consequences that can be caused by careless braces:
Demineralization
- Demineralization sounds pretty serious, and it is. This problem occurs when food debris left on the teeth comes in contact with bacteria, which creates acid. This acid extracts calcium and phosphate from the teeth, which causes decalcification and the appearance of “white spots”. After braces are removed, they are distinguishable by small whitish squares surrounding the area where the braces once were. These white spots can also be very sensitive or prone to decay. It is important to note that the appliance itself does not stain: anyone who does not take good care of their teeth can develop white spots. However, wearing an appliance creates a greater propensity for decalcification because the appliance acts as an excellent trap for food debris. With proper hygiene this problem is completely avoided.

Gingivitis
- Gingivitis occurs when the tissues surrounding the teeth become inflamed and is the initial stage of periodontal disease. Those who develop it may experience bleeding, pain, redness or swelling. Gingivitis is reversible, but you must treat it. It can also prolong the time children need to wear braces.

Gingival enlargement
Gingival hyperplasia or gingival enlargement in patients with orthodontic treatment usually occurs or is caused by prolonged exposure to dental plaque, which produces an enlargement of the gums as a result of inflammatory changes induced by bacteria in the dental plaque.
The solution to the problem is gingivectomy, which is a surgical procedure in which the injured portion of the gingival tissue is removed to eliminate or reduce the periodontal pocket.

Plaque
- Plaque is a colorless, viscous bacterial layer that constantly forms in the mouth. It is produced as a result of the combination of saliva and food particles, if combined with sugars it forms an acid that is harmful to teeth and gums, causing cavities, periodontal disease, tartar formation and other dental problems. Anyone can develop plaque, but as with other dental problems, the difficulty of cleaning around the appliance makes it especially necessary to combat plaque. Plaque begins to form only 4-12 hours after brushing, so it is extremely important to brush at least twice a day and floss daily.
Tartar
- Tartar, sometimes called calculus, is hardened plaque that forms on the surface of the tooth. It is a crusty deposit that can retain stains on the teeth and cause discoloration. Tartar can begin to develop after only 24 hours and can make it difficult to remove newly formed plaque. It can form along the gum line, just below the gums and around brackets and other orthodontic appliances. The best solution is periodic deep cleanings to remove any tartar deposits.

In Makeover we are committed to our orthodontic patients to take care of their oral health during the treatment process, it is of utmost importance to let them know when a problem is detected and schedule an appointment to solve it as soon as possible, we always start orthodontic treatments recommending patients to carry out the brushing technique that is taught in consultation to sanitize the mouth and appliances, as well as acquire devices to optimize and facilitate hygiene at home. If you have any questions about your oral health during orthodontic treatment, our specialist will be happy to help you.
