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Oral Health and Braces

You are already fully aware that oral hygiene is seriously important, however a regular and meticulous oral hygiene routine becomes doubly important when wearing braces. Without a high standard of hygiene during your orthodontic treatment, damage to the teeth and gums can occur within a few hours as a result of a build up of plaque and/or food substances. Here is some advice on how best to avoid this:

Brush your teeth regularly

Whilst you are wearing braces, it is necessary to brush your teeth at least four times a day after every meal using a fluoride-based toothpaste. To do this make sure that you take a toothbrush with you to school, work or when out socialising. If you do not develop this routine, the enamel will be permanently stained and damaged in places exposed to attack by food and plaque acids, this is called decalcification.

Decalcification
  Brush teeth with a toothbrush
  Clean around the brace

Even if you have a removable brace it is necessary to brush your teeth after meals to prevent the build up of destructive plaque.

First, brush for 3 to 5 minutes using a large headed toothbrush to remove all the food and plaque on the teeth – use short, fast and firm, forwards and backwards motions; make sure you brush above and below your brace to clean your gum-lines.

Secondly, use an interspace toothbrush to access all the areas missed by the large headed toothbrush – firmly brush so that the bristles spread out in between the wires, brackets and gum margins. After brushing and before you go to bed use a fluoride mouthwash to help strengthen the teeth.

If you are using an electric toothbrush, use a recommended brand or model such as Oral-B Professional Care 8900 with the orthodontic attachments or a Phillips Sonicare toothbrush.
Disclosing tablets

Use disclosing tablets

To help you identify the parts of your mouth where food or plaque gathers, use a disclosing tablet three times a week. This is done by placing the disclosing tablet in your mouth, chewing thoroughly and spreading the saliva to all tooth and gum surfaces using your tongue, until the red stain is

spread evenly. At this point you should spit out the saliva and rinse your mouth out with water. The areas of plaque will be stained red and will show where you are missing and not brushing properly. Then brush your teeth until all the stains removed.
Eat the right foods

Eat the right foods

Wearing braces should not excessively change your diet, however there are three types of food that may cause significant trouble to braces and should therefore be avoided.

Hard foods, such as nuts, ice and caramel, may do damage by bending wires, loosening cement under the bands or breaking the little brackets and tubes which are attached.

Sticky foods, such as toffee or worse still bubble gum, can damage fixed orthodontic appliances by bending wires and pulling cement loose. Foods with a high sugar content, like sweets, chocolate and fizzy drinks, will definitely damage the enamel therefore are not allowed during treatment. After meals it is best you brush your teeth immediately.


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  • Braces for children - Orthodontic treatment at a suitably young age can be matched to a child’s dental development, to deal with problems that otherwise may result in complex treatment or corrective surgery.
  • Adult orthodontic treatment - Regardless of age, orthodontic treatment will provide straight teeth and a brilliant smile. Aesthetic & invisible braces – there are many different braces designed to be more aesthetically pleasing than the stereotypical braces
  • Teeth whitening & bleaching – Tooth whitening is a method of lightening the colour of teeth with the need to remove any surface tooth material.
  • Implants to replace missing teeth – Dental implants are titanium screws that can be inserted into the jaw bone under local anaesthetic, after which a crown is secured onto the implant.
  • Botox® - Botox® is used to temporarily relax muscles mainly in the upper forehead and around the eyes in order to reduce the appearance of smoker’s lines around the mouth, relax the platysma bands on the neck and improve the appearance of the chest area, preventing premature wrinkles and smoothing out existing wrinkles.
  • Dermal Fillers – Dermal fillers provide gentle volumising and contouring, creating a naturally attractive effect to smooth out and fill lines and wrinkles.
  • Sculptra™ - Sculptra™ is a long-lasting, clinically-proven treatment that can smooth deep lines and wrinkles and restore facial volume lost to the agei ng process.
  • Skin peels – A skin peel is an agent which, when applied to treat acne vulgaris, melasma, sun damage, depressed scars, uneven skin tones and hyper-pigmentation, removes the outer surface revealing fresher layers which ultimately give you a more youthful, healthier appearance
  • Medical microdermabrasion – A powerful exfoliation, effectively and safely removing dead skin cells from the outer layer of the skin. A vacuum is also used to encourage collagen production.
  • Visia skin analysis – Complexion analysis which creates a 3D image of your face, from which it is possible to closely examine and detect specific skin characteristics, as well as produce a customized report with recommendations for treatment regimes to ensure optimum skin health.
  • Hair Removal - Unwanted hair is something that everybody faces, whether you are a man or woman, young or old. Although it is a perfectly natural part of life, it has been indoctrinated into us that it is unattractive. The methods we use for hair removal are: Waxing, Electrolysis Intense Pulse Light and Laser technology.
  • Mesotherapy – The art of using skin prick delivery techniques to supply vitamins, nutrition and homeopathic medicine for facial/ body rejuvenation, relief for under-eye circles and abags, reduction of fat and muscle building.
  • Skin tightening – Skin tightening techniques, such as Endermologie, Accent® radio-frequency and mesotherapy are safe and comfortable solutions for used to sculpting, contouring, tightening and rejuvenating the skin and body. Applications for these treatments include cellulite treatment, skin tightening, complete body contouring and post liposuction smoothing.
  • Laser & IPL therapies - Intense Pulsed Light (IPL) is broadband light energy that enables large areas to be treated with a single discharge. Intense Pulsed Light, in combination with laser, is ideal for the treatment of quick treatment of large areas. It can be used for permanent hair reduction, skin rejuvenation, acne treatment, tattoo removal, thread vein removal.
  • Colonic hydrotherapy - Colonic Hydrotherapy is an effective treatment, which releases accumulated congestion in the bowel, loosening and flushing out toxins and waste. It works by using a combination of warm, purified water introduced into the bowel and gentle abdominal massage. It is, in short, a detoxification of the colon.
  • Laser lipo – Laser lipo is a minimally invasive type of ultrasound lipoplasty technology that is fast replacing Liposuction. With its level of versatility, laser lipo can significantly reduce stubborn areas of fat and precisely sculpt areas of the body with less bruising and downtime than with other lipo treatments.
Dr Peter Ilori High Wycombe Beaconsfield Ealing Denham Buckinghamshire Bucks Berkshire Berks Middlesex London South East