Braces Care & Instructions

What you eat that can fuel dental problems. Every time you eat foods containing sugars or starches, the bacteria in your mouth rapidly grow and produce acid which dissolve the tooth enamel to cause decay. These acids can attack for 20 minutes or more each time you eat! So think about these points before you eat.

It’s important to avoid certain kinds of foods that can damage your braces. Don’t eat hard and crispy food like chikki, chakli hard nuts or chocolates and sticky foods, such as chewing gum, caramel, popcorn, eclair. They can bend wire or break braces.

Don’t cut foods from front teeth like carrots, apples or toast sandwich, burger or Pizza crust etc you can cut them into small pieces & chew from back teeth.

Remember, Breakage Delays Treatment.

Food stuffs to avoid during braces treatment

  • Ice
  • Popcorn
  • Hard Candy
  • Chewing Gum
  • Nuts
  • Crispy Chips
  • Caramels
  • Dry fruits (you can have soaked ones)
  • Corn (Should be cut off the cob)
  • Never bite pizza, burger, apple, corn etc . from front teeth. (you can cut them with knife and chew from back teeth)

Bad habits to avoid.

  • Nail biting
  • Fiddling at your wires
  • Playing with removable retainers with tongue
  • Unnatural tongue thrusting
  • Chewing on pencils

Without braces also, you should brush your teeth two to three times a day, especially before sleeping and stay away from sugary foods in order to avoid tooth decay.

But those with braces need to practice not good but exceptional oral hygiene. Because braces can collect food and plaque, you need to be extra careful about keeping your teeth clean.

Not looking after your teeth may permanently damage your teeth, during braces procedure.

“Braces don’t cause cavities, but not brushing can.”

When: 4-5 times per day preferably after each meal.

With: A soft-bristle Orthodontic toothbrush and interdental wide space brush.

How: Use a brush with a small amount of toothpaste. Use circular motions around the gum lines and the surfaces of your teeth, 2-3 circular strokes on each tooth. Then brush the chewing surfaces of your teeth and brush your tongue and the roof of your mouth as well. Rinse thoroughly.

One can use interdental wide space brush for cleaning tooth surfaces behind wire not easily accessible with routine brushing.

Concentrate on the danger zone that is space between the brackets and the gums.

Additional aids to keep your teeth clean and healthy

    Water jet spray (Oral-care water jet)
    A fluoride mouth rinse for extra protection
    Always use fluoridated tooth paste
    Go for professional fluoride application before and during treatment. (especially in high risk patients)

Ther better your efforts, the better your results.

Playing sports while wearing braces.

You can continue to participate in any sport you choose. When playing sports where there is a possibility of getting hit in the mouth, a specially designed mouth guard will need to be worn. The mouth guard, made of durable silicon, is designed to fit over your braces and will protect the soft tissues inside your mouth. Sports like boxing and wrestling should be avoided. Fighting should also be avoided.

Elastic Instructions.

  • In certain situations you will be instructed to wear elastics daily to correct teeth alignment.
  • In order for force to remain constant, elastics must be worn all the time and changed as prescribed by the orthodontist. Any time missed in wearing your elastics will only make your treatment time longer.
  • You are responsible for placing the elastics on your braces and make sure to wear them as instructed. Remove them only when brushing your teeth and during meals. Then put your elastics back on immediately.
  • Always carry a few elastics with you, so if one breaks you can replace it right away. If your supply is low, call us and we will provide you an additional supply of elastics.
  • Elastics become worn out. When they loose their elasticity, they do not provide the proper pressure on your teeth and jaws. It is very important to change them as directed, even when they are not broken.
  • If your elastics break frequently, a wire or band loosens, or a hook breaks off call us at +91 22 2567 8000-01 immediately. Do not wait until your next appointment. These problems need to be corrected as soon as possible.

Retainer is must after every braces treatment. Once teeth are moved to desired correct position it takes many months for bone to adapt tooth in new position. Many patients don’t consider retainers very important part of treatment which may later leads to repeat braces treatment at additional treatment fees. There are mainly different types of retainers available. Our braces specialist will suggest you ideal type of retainers for your particular problem. See below video to know why retainers are important part of treatment.

They are placed after the fixed appliances have been removed, your teeth need to stabilize while the bone builds up around them. There are 2 types of removable retainers available today.

1. Wired / Hawley retainers:

These retainers are made out of wires, clasps and plastic and are constructed for the purpose of holding teeth passively after active teeth alignment with Braces. They create slight discomfort in speech for first few days initially and thin wire is visible from front teeth but are sturdier than Essix retainers.

2: Essix retainers:

The other type of retainers which are currently very popular are the invisible clear plastic retainer. As the name suggest they are not visible from a distance. These retainers are delicate and removable, hence their use and care is entirely dependent upon the patient. Strict attention to instructions is absolutely necessary.

Instructions for removable retainers:

  • Your retainers should be worn ALL the time except when eating and brushing.
  • When your retainers are not in your mouth, they should be kept in the box and in a safe place, do not put them on top of a table where they can get knocked off or in a pocket where they may be easily cracked.
  • Keep them away from pets as they will very quickly chew them if given the opportunity.
  • When you are eating away from the home, be sure NEVER, NEVER to wrap them in paper towel, napkin or tissue. This is the most common way of losing them. ALWAYS put them in the plastic box.

How long do I need to wear retainers?

  • After the braces are removed, most patients must wear their retainers all the time, 24 hours a day. If your teeth seem stable after approx. 6 months, we will advise you to reduce the wearing time to evening and night to alternate night to twice in week to once in week.
  • Never ever start reducing retainer wear or stop using them without permission from our orthodontist.
Adjusting to retainers

  • At first, your retainers will feel bulky. Speech may be a problem and sometimes they will cause a slight lisp. Practice reading loudly few hours a day to get used to the retainer. In a few days speech usually returns to normal, so don’t worry about it.
  • The day after you receive your retainers your teeth may be a bit sore. This won’t last long. Should sore spots develop, call us and we will adjust them.
Keeping retainers clean

  • Retainers need to be cleaned 2-3 times a day and always after eating.
  • Once or twice a month soak them in retainer cleaner (available at a chemist).
  • Brush both sides of the retainer, use toothpaste too if you wish.
  • Dropping your retainer breaks it.
  • Flicking it up and down on your teeth (playing with it) breaks the wires.
  • Don’t keep them in your pocket and sit on them.

These retainers are delicate and require on-going maintenance. We advise not to bite anything from front teeth till these retainers are there, (if it has chipped off, or come away from any tooth, please call us immediately.) We recommend these retainers be in place permanently (especially when teeth are spaced to begin with and have high tendency to relapse), but for minimum period of two years. Please note that should you decide to remove these fixed retainers after two years, you should at least wear your removable retainers otherwise there is always a chance that some shifting of teeth may occur.

In high relapse cases we prefer to give both removable and fixed retainers for double safety, our braces specialist will suggest you ideal type of retainers for your particular problem.