Oral Hygiene with Braces

Keep your teeth healthy and you smile bright during orthodontic treatment

Good Hygiene = Beautiful Results

Keeping your teeth clean during orthodontic treatment isn't just about fresh breath—it's essential for achieving the best possible results. Braces create more places for food and plaque to hide, so your oral hygiene routine needs to be more thorough than before.

Prevents Cavities

Avoid white spots and decay around brackets

Prevents Cavities

Avoid white spots and decay around brackets

Prevents Cavities

Avoid white spots and decay around brackets

How Much Time Does It Take?

With braces, you should plan to spend a bit more time on oral hygiene than you did before. Here’s what we recommend:

Brushing

2-3 minutes
After every meal and before bed (4+ times daily)
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Flossing

5-10 minutes
At least once daily (or 1-2 min with water flosser)
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Rinsing

30 seconds
With fluoride mouthwash once or twice daily
Total daily time investment: 15-20 minutes to protect your smile and ensure beautiful results!

Step-by-Step Hygiene Techniques

Click on each section below for detailed instructions

Brushing with Braces

The foundation of good oral hygiene during orthodontic treatment

Step-by-Step Instructions:

1

Rinse your mouth with water to loosen any food particles around your braces

2

Apply a pea-sized amount of fluoride toothpaste to your toothbrush

3

Hold your toothbrush at a 45-degree angle to your gums

4

Brush the outer surfaces of your teeth, angling down to brush the top of brackets and up to brush the bottom

5

Brush the chewing surfaces and inside surfaces of all teeth

6

Brush each tooth individually, spending about 10 seconds per tooth

7

Don't forget to brush your tongue and the roof of your mouth

8

Rinse thoroughly and check in the mirror to make sure everything is clean

Pro Tips:

Brush after every meal and snack—aim for at least 4 times per day

Use a soft-bristled toothbrush to avoid damaging brackets

Replace your toothbrush every 2-3 months or when bristles fray

An electric toothbrush can be more effective at cleaning around brackets

Set a timer for 2 minutes to ensure thorough brushing

Flossing with Braces

Essential for removing plaque between teeth where brushes can't reach

Step-by-Step Instructions:

1

Cut a piece of floss about 18 inches long

2

Thread the floss under the main wire before going between your teeth (use a floss threader to make this easier)

3

Gently slide the floss between two teeth, being careful not to snap it against your gums

4

Curve the floss into a C-shape around each tooth and slide it up and downm

5

Make sure to go slightly below the gum line

6

Remove the floss and repeat for all teeth, using a clean section of floss each time

7

This process should take 5-10 minutes when done properly

Pro Tips:

Floss at least once per day, preferably before bed

Consider using a floss threader or orthodontic floss with a stiff end

Water flossers (like Waterpik) are excellent alternatives and much faster

If your gums bleed at first, don't stop—this usually improves with regular flossing

Pre-threaded floss picks designed for braces can save time

Using a Water Flosser

A game-changer for orthodontic patients—fast and highly effective

Step-by-Step Instructions:

1

Fill the reservoir with lukewarm water

2

Choose the orthodontic tip if your water flosser came with multiple tips

3

Lean over the sink and place the tip in your mouth before turning it on

4

Start at the back teeth and work your way around both arches

5

Aim the water stream at a 90-degree angle to your gums and brackets

6

Pause briefly between each tooth, focusing on the gum line and around brackets

7

Use medium pressure—not too strong, not too weak

8

Continue for 1-2 minutes until you've covered all teeth

Pro Tips:

Water flossers are clinically proven to remove more plaque than string floss

They're especially helpful for getting under wires and around brackets

Use once or twice daily for best results

You can add mouthwash to the water for extra freshness

Popular brands: Waterpik, Philips Sonicare AirFloss, Panasonic

Interdental Brushes (Proxy Brushes)

Perfect for cleaning around brackets and under wires

Step-by-Step Instructions:

1

Choose a brush size that fits comfortably between your teeth and brackets

2

Gently insert the brush between teeth or around brackets

3

Move the brush back and forth several times

4

Use a fresh, clean section of the brush for each space

5

Focus on areas where food tends to get stuck

6

Rinse the brush and allow it to dry between uses

7

Replace brushes when bristles become worn or bent

Pro Tips:

These are great for on-the-go cleaning after meals

Keep a few in your backpack, purse, or car

They come in different sizes—ask us which is best for you

Perfect for removing food stuck under wires

Much easier to use than traditional floss for quick touch-ups

Recommended Products for Braces

These products make orthodontic hygiene easier and more effective

Essential Tools

1

Soft-Bristled Toothbrush

Replace every 2-3 months. Electric brushes like Oral-B or Sonicare are excellent choices.

2

Fluoride Toothpaste

Strengthens enamel and helps prevent cavities. Any ADA-approved brand works well.

3

Floss Threaders or Orthodontic Floss

Makes it easier to get floss under the wire. Look for brands like Oral-B Super Floss or Platypus Orthodontic Flossers.

4

Interdental Brushes (Proxy Brushes)

Small cone-shaped brushes perfect for cleaning around brackets. Ask us for free samples!

5

Fluoride Mouthwash

Use once daily to strengthen enamel. ACT or other alcohol-free brands recommended.

Game-Changers

Water Flosser (Waterpik)

The #1 tool recommended by orthodontists. Cleans in seconds and is clinically proven effective. Worth the investment!

Electric Toothbrush

More effective at removing plaque than manual brushing. Look for orthodontic brush heads.

Disclosing Tablets

Temporarily stain plaque so you can see where you missed. Great learning tool, especially for kids and teens.

Travel Hygiene Kit

Keep a toothbrush, toothpaste, floss, and proxy brushes in your backpack or purse for after-school/work meals.
Pro Tip: Most of these products are available at drugstores, or we can recommend specific brands at your next appointment!

Caring for Invisalign Aligners

Clear aligners require special care to stay clean and invisible

Daily Aligner Care

  • Rinse aligners with lukewarm water every time you remove them
  • Brush aligners gently with a soft toothbrush and clear, unscented soap
  • Never use hot water – it can warp the plastic
  • Don’t use toothpaste on aligners (it can scratch them)
  • Soak aligners in Invisalign cleaning crystals or denture cleaner once daily
  • Always brush and floss your teeth before putting aligners back in

❌ Don’t Do This

  • Don’t eat or drink anything except water with aligners in
  • Don’t use colored or scented soaps that can stain or smell
  • Don’t leave aligners sitting out – bacteria can grow
  • Don’t wrap aligners in a napkin (they get thrown away!)
  • Don’t use mouthwash on aligners—it can discolor them
  • Don’t skip brushing your teeth before reinserting aligners

Why This Matters:

Dirty aligners can harbor bacteria, cause bad breath, and become cloudy or yellowed—defeating the purpose of "invisible" braces! Clean aligners = healthy teeth and a treatment that stays discreet.

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The Cost of Poor Hygiene During Treatment

We don't mean to scare you, but it's important to understand what's at stake

White Spot Lesions

Permanent white marks on your teeth where brackets were. These are areas of demineralization (early decay) and they don't go away when braces come off.

Prevention: Brush after every meal, use fluoride

White Spot Lesions

Permanent white marks on your teeth where brackets were. These are areas of demineralization (early decay) and they don't go away when braces come off.

Prevention: Brush after every meal, use fluoride

White Spot Lesions

Permanent white marks on your teeth where brackets were. These are areas of demineralization (early decay) and they don't go away when braces come off.

Prevention: Brush after every meal, use fluoride

White Spot Lesions

Permanent white marks on your teeth where brackets were. These are areas of demineralization (early decay) and they don't go away when braces come off.

Prevention: Brush after every meal, use fluoride

The good news? All of these problems are 100% preventable with proper care! We’re here to help you succeed.

Tips for Kids & Teens

Making oral hygiene easier and more consistent for young patients
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Set Reminders

Use phone alarms or timers after meals to remember to brush. Make it a non-negotiable part of your routine.

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School Kit

Keep a toothbrush, toothpaste, and floss in your locker or backpack. Brush after lunch in the school bathroom.
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Brush to Music

Play a favorite 2-minute song while brushing to make sure you brush long enough (and make it more fun!).
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Mirror Check

After brushing, smile big in the mirror. If you see any food stuck, brush again. Make it a game!
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Reward System

Parents: Create a chart or reward system for consistent daily hygiene. Celebrate clean check-ups!
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Buddy System

Team up with a friend who also has braces. Check in with each other and share tips that work!

Common Hygiene Mistakes to Avoid

Learn from these frequent errors we see

Rushing Through Brushing

A quick 30-second brush won’t cut it with braces. You need 2-3 minutes to properly clean all surfaces.

Fix: Use a timer or electric brush with a built-in timer

Skipping Flossing

“It’s too hard” is the #1 excuse we hear. But cavities between teeth are just as bad as cavities on teeth.

Fix: Get a water flosser – it’s life-changing!

Brushing Too Hard

Aggressive brushing can damage gums and won’t clean better. Be thorough, not forceful.
Fix: Use a soft-bristled brush and gentle circular motions

Forgetting to Brush After Snacks

“It was just a small snack” adds up. Every time you eat, food gets stuck in braces.
Fix: At minimum, rinse vigorously with water after snacking

Using the Wrong Products

Whitening toothpaste, abrasive products, or hard-bristled brushes can damage braces or irritate gums.
Fix: Stick to soft brushes and regular fluoride toothpaste

Not Replacing Toothbrush Often

Braces wear out bristles faster. A frayed toothbrush doesn’t clean effectively.
Fix: Replace every 2-3 months or when bristles look worn

We're Here to Support You

Good oral hygiene during orthodontic treatment might seem overwhelming at first, but it quickly becomes routine. We’ll teach you everything you need to know and provide supplies to help you succeed.

Free Hygiene Kits

We provide brushes, wax, and proxy brushes at your appointments

Personalized Instruction

We'll demonstrate proper techniques at every visit

Progress Checks

We monitor your hygiene and give feedback to help you improve

Daily Hygiene Checklist

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Brush after breakfast (2-3 min)
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Brush after lunch (2-3 min)
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Brush after dinner (2-3 min)
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Brush before bed (2-3 min)
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Floss once daily (5-10 min)
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Use fluoride mouthwash
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Check in mirror after brushing
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Rinse after any snacks
💡 Print this checklist and put it on your bathroom mirror as a daily reminder!