Can You Get Braces with Periodontal Disease?
Periodontal disease, also known as gum disease, is a serious infection affecting the gums and bone supporting your teeth. Many people wonder if they can still get braces if they have this condition. The short answer is: it depends. Getting braces with periodontal disease isn't impossible, but it requires careful consideration and a collaborative approach between your orthodontist and periodontist.
What is Periodontal Disease?
Periodontal disease is caused by a buildup of plaque and tartar on the teeth, leading to inflammation of the gums (gingivitis). If left untreated, gingivitis can progress to periodontitis, where the supporting bone and tissues are destroyed, potentially leading to tooth loss. Symptoms can include red, swollen, or bleeding gums, bad breath, and loose teeth.
Can Braces Exacerbate Periodontal Disease?
Braces themselves don't cause periodontal disease, but they can make existing conditions worse. The brackets and wires can make it more challenging to clean your teeth effectively, leading to increased plaque buildup and potentially worsening gum inflammation. This is why meticulous oral hygiene is crucial during orthodontic treatment.
How Do Orthodontists Handle Periodontal Disease?
Orthodontists will carefully assess your periodontal health before starting treatment. If you have active periodontal disease, they may recommend addressing it first. This usually involves:
- Professional Cleaning: A deep cleaning (scaling and root planing) by a periodontist to remove plaque and tartar from below the gum line.
- Antibiotics: In some cases, antibiotics may be necessary to control infection.
- Periodontal Maintenance: Regular visits to the periodontist for monitoring and cleaning are essential during and after orthodontic treatment.
Once your periodontal health is under control, your orthodontist may proceed with braces. However, they may choose a different type of appliance or adjust the treatment plan to minimize the risk of further complications.
What are the Risks of Getting Braces with Periodontal Disease?
The main risks are:
- Worsening of Periodontal Disease: Poor oral hygiene during orthodontic treatment can exacerbate existing gum disease.
- Increased Tooth Sensitivity: Braces can already increase sensitivity, and this is amplified with periodontal disease.
- Delayed Treatment: Addressing the periodontal disease first may delay the start of orthodontic treatment.
- Tooth Loss: In severe cases of periodontal disease, tooth loss might be unavoidable, even with orthodontic treatment.
What if I have mild periodontal disease?
Mild cases of periodontal disease may not preclude you from getting braces. Your orthodontist will likely work closely with your periodontist to monitor your condition and ensure proper oral hygiene. A strong emphasis will be placed on diligent brushing, flossing, and regular professional cleanings.
Is it possible to get periodontal disease while wearing braces?
While braces don't directly cause periodontal disease, they can create an environment conducive to its development or worsening if proper oral hygiene is neglected. Therefore, maintaining meticulous oral hygiene during orthodontic treatment is absolutely paramount.
What type of cleaning is required when I have braces?
With braces, you’ll need to be especially thorough with your cleaning routine. This includes brushing carefully around each bracket and wire, using interdental brushes or floss threaders to clean between the teeth and under the wires, and using an antimicrobial mouthwash as directed by your dentist or orthodontist. Regular professional cleanings are crucial.
In conclusion, getting braces with periodontal disease is possible, but it's crucial to address the gum disease first to minimize the risks. Open communication and collaboration between your orthodontist and periodontist are essential for successful treatment. Always prioritize excellent oral hygiene to protect your teeth and gums. If you have concerns, consult with both specialists to create a personalized treatment plan.
