Like any type of medical treatment, orthodontic treatment carries a risk of complications as well as benefits. The best way of minimising any possible risk is to maintain a high standard of oral hygiene and always follow your orthodontist’s instructions.
Enamel decay
Each tooth is covered with a hard outer surface called enamel. A common complication in people who are having a course of orthodontics is that the enamel in one or more of their teeth begins to decay. This can happen for a number of reasons.
Orthodontic appliances can sometimes stimulate the production of saliva, which combines with small particles of food and bacteria to form a sticky film known as plaque. The plaque causes the enamel to decay. In addition, many people with appliances find it difficult to keep their teeth clean.
In more severe cases of enamel decay, the outer layer of a tooth breaks down and the inside of the tooth can become infected, resulting in toothache. If the decay is extensive, it may need to be repaired with a filling or crown. See the Health A-Z topic about Tooth decay - treatment for more information.
Reducing the risk
To reduce your risk of enamel decay, your orthodontist may recommend that you use toothpaste with high levels of fluoride or a mouthwash that contains fluoride. Fluoride is a mineral that helps to strengthen enamel.
Avoid eating foods and drinking drinks that are high in sugary or starchy carbohydrates because they will stimulate the growth of bacteria in your mouth. Examples of sugary or starchy carbohydrates include:
- fizzy drinks
- coffee and tea with sugar added
- chocolate
- sweets
- cakes
- crisps
- biscuits
- white bread
Healthier alternatives include:
- cheese
- brown bread
- pasta
- rice
- potatoes
- leafy green vegetables
- eggs
See the Health A-Z topic about Tooth decay - prevention for more information and advice.
