Can You Get Braces with Periodontal Disease?
Periodontal disease, also known as gum disease, is a serious infection that affects the tissues supporting your teeth. It's a common question whether someone with periodontal disease can still get braces. The short answer is: it depends. While it's not an automatic disqualifier, it requires careful consideration and often, a comprehensive treatment plan. This article explores the complexities of orthodontic treatment for individuals with periodontal disease.
What is Periodontal Disease?
Periodontal disease is an infection of the gums and supporting bone structures that hold teeth in place. It progresses through stages, starting with gingivitis (gum inflammation) and potentially leading to periodontitis (bone loss and damage). Untreated periodontitis can result in tooth loss. Key symptoms include bleeding gums, red or swollen gums, persistent bad breath, and loose teeth.
How Does Periodontal Disease Impact Braces?
Braces, while improving teeth alignment, can potentially exacerbate existing periodontal issues. The brackets and wires can make it more difficult to clean teeth effectively, increasing plaque buildup and inflammation. This increased plaque accumulation can further damage gum tissue and bone already compromised by periodontal disease. In addition, the movement of teeth during orthodontic treatment can sometimes put stress on already weakened periodontal support, potentially leading to further tooth loss.
Can I Get Braces if I Have Periodontal Disease?
While not impossible, getting braces with periodontal disease requires a thorough evaluation and a multidisciplinary approach. Your orthodontist will need to work closely with your periodontist to create a coordinated treatment plan. Generally, the following steps are involved:
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Periodontal Treatment First: Active periodontal disease must be brought under control before orthodontic treatment begins. This usually involves professional cleanings, scaling and root planing (to remove plaque and tartar below the gumline), and possibly antibiotic therapy to reduce the infection. In some severe cases, surgical intervention might be necessary.
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Improved Oral Hygiene: Maintaining meticulous oral hygiene is paramount. Your periodontist and orthodontist will provide detailed instructions on brushing, flossing, and using antiseptic mouthwashes. Regular professional cleanings are crucial during and after orthodontic treatment.
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Orthodontic Treatment Plan: Once periodontal health improves, the orthodontist can develop an appropriate orthodontic treatment plan. The plan may need adjustments based on the severity of the bone loss and the overall health of the supporting tissues. Certain types of braces or techniques might be preferred to minimize potential complications.
What are the Risks of Getting Braces with Periodontal Disease?
The main risks include:
- Increased Periodontal Disease Progression: Poor oral hygiene during orthodontic treatment can accelerate the progression of periodontal disease.
- Tooth Loss: Weakened periodontal support, exacerbated by orthodontic forces, can lead to tooth loss.
- Treatment Failure: Orthodontic treatment may not be successful if periodontal disease isn't effectively managed.
What if I Already Have Braces and Develop Periodontal Disease?
If you develop periodontal disease while wearing braces, it's crucial to see your dentist and periodontist immediately. They'll work together to manage the infection and adjust your orthodontic treatment plan as necessary. This might involve changes to your oral hygiene routine, additional periodontal cleanings, or even temporary removal of the braces in severe cases.
How Can I Prevent Periodontal Disease While Wearing Braces?
Excellent oral hygiene is essential:
- Brush thoroughly: Use a soft-bristled toothbrush and fluoride toothpaste, paying close attention to the areas around the brackets and wires.
- Floss carefully: Use floss threaders or interdental brushes to clean between your teeth and under the wires.
- Use antimicrobial mouthwash: This can help reduce plaque and bacteria.
- Regular professional cleanings: Visit your dentist and periodontist for regular checkups and professional cleanings.
In conclusion, while having periodontal disease doesn't automatically rule out getting braces, it requires careful planning and close collaboration between your orthodontist and periodontist. Prioritizing periodontal health and maintaining excellent oral hygiene are vital for successful orthodontic treatment and preserving your teeth. Always consult with dental professionals to determine the best course of action for your individual circumstances.
