Orthodontic treatment is one of the effective methods to beautify the smile and correct jaw and teeth abnormalities, but in this way, challenges such as inflammation or gum infection may occur. Many patients experience symptoms such as redness, swelling or bleeding gums during orthodontic treatment, which can cause more serious problems if not treated properly. In this article, we will review the common causes of **gingivitis in orthodontics**, warning signs of infection, home remedies and ways to prevent this problem. If you have just started orthodontic treatment or are planning to do it, reading this article can help you maintain the health of your mouth and teeth. The causes of gingivitis in orthodontics Inflammation and infection of the gums, which usually start with mild symptoms, but if neglected, can become a serious problem and cause you to face orthodontic complications. The gums, which were only slightly swollen at first, may become painful, sensitive and even infected. Knowing the early signs of this condition plays an important role in preventing the progression of the disease and serious damage to the gum tissue. In the following, you will get to know the most important symptoms that you should take seriously. ### Gingivitis due to lack of proper hygiene During orthodontics, the presence of brackets and wires makes it difficult to clean the teeth. If the teeth are not properly cleaned, plaque and food residue accumulate around the brackets, tooth surface and gum line, leading to gingivitis (inflammation of the gums caused by microbial plaque). Therefore, the first step to prevent **gingivitis in orthodontics** is to observe oral hygiene and brush teeth properly and regularly. ### sensitivity to metal braces In rare cases, the body reacts to the metal alloys in the braces. This reaction may appear in the form of inflammation, gum enlargement or hypertrophy due to increased growth of gum cells, itching or redness of the gums. ### gum swelling due to hormonal fluctuations Another reason for gingivitis in orthodontics is hormonal changes during periods such as puberty, pregnancy or menstruation, which can increase the sensitivity of the gums and their inflammation. These fluctuations increase the blood flow in the gum tissue and increase the possibility of inflammation, swelling and bleeding. In people undergoing orthodontic treatment, this sensitivity may be aggravated. This condition can occur even with oral hygiene. ### stimulation of gums by orthodontic brace The constant contact of orthodontic brackets and wires with the soft tissue of the gums and applying constant pressure to this tissue may cause scratching or chronic irritation. This mechanical stimulation can be the cause of gum inflammation and sensitivity. Irritation of the gums by orthodontic braces seems normal, but if it persists, it is necessary to see an orthodontist for a more detailed examination. ### teeth movement The pressure applied to the teeth in the middle of orthodontic braces causes them to gradually move towards their correct position. This gradual movement is adjusted with a slight feeling of pain, pressure and swelling of the gums in the first days after the installation of braces and each session. This condition is temporary and completely normal, but if **gingivitis in orthodontics** continues, you should inform your doctor. Symptoms of gum infection in orthodontics Gum infection is one of the common problems during orthodontic treatment, which, if neglected, can damage the tooth-supporting tissues. In some cases, gingivitis may be confused with a tooth infection, while each has its own symptoms and treatment methods. Early detection of the symptoms of **gum infection in orthodontics** plays an important role in preventing the progression of the disease and maintaining oral health. In this section, we mention the most important signs of gum infection in orthodontic patients so that if any of them are observed, the necessary measures can be taken faster: - Swelling and redness of the gums: Inflamed gums around the teeth usually have a darker color than normal and may become swollen or sensitive. - Bleeding while brushing or flossing: This condition shows the sensitivity of the gums to microbial plaques. - Bad breath (halitosis): Accumulation of plaque and gum infection in orthodontics can lead to bad breath. - Pain and discomfort in the gums: This unpleasant feeling is aggravated in contact with foods of hot and cold temperatures. - Pus discharge from the gums: this complication is a warning sign of a serious infection and needs immediate treatment. - Feeling of loose teeth: severe gum infection weakens the tooth supporting structure and makes the teeth loose. - Gingivitis and receding gums: In advanced stages, the gums may move away from the teeth and become soft, loose or decayed. The best treatments for gingivitis at home Although it is necessary to see a dentist when gingivitis occurs, in the early stages or as an auxiliary measure, some home methods can be used to treat gingivitis in orthodontics. These methods will help reduce inflammation, control bacteria, and relieve your symptoms. We remind you that these treatments are not a substitute for professional treatment, but are recommended as complementary solutions. Useful home techniques to reduce and **treat gingivitis in orthodontics**: - mouth disinfection with salt water solution (2 to 3 times a day) - Daily use of antibacterial mouthwash - Regular brushing with a soft toothbrush at least 2 times a day - Removal of interdental food with the help of dental floss - Consumption of anti-inflammatory foods such as fresh fruits and vegetables, vitamin C and antioxidants - Using cold or warm compresses to reduce swelling and relieve pain - Avoiding cigarettes and other tobacco products - Avoid dry mouth and reduce the possibility of plaque formation by drinking plenty of water If you have recently extracted a tooth and you have inflammation and infection, the home treatment article for an extracted tooth infection can be useful for you. dangers of not timely treating gum inflammation during orthodontics Concerns about the cost of dental orthodontics and its possible complications such as gingivitis are the main concerns of patients during orthodontic treatment. But taking care of oral and dental problems at the right time, in addition to maintaining the patient's health, also prevents the increase in treatment costs. One of the most important risks is the development of inflammation and the occurrence of periodontal diseases in which the supporting tissue of the teeth is damaged. This condition will eventually lead to gum recession, loosening and even tooth loss. In addition, the presence of chronic inflammation in the mouth disrupts the orthodontic treatment process and causes a delay in the movement of teeth or causes new abnormalities. Also, gum infection can spread to other areas of the body and cause problems for the general health of the body. How to prevent gingivitis in orthodontics? Prevention of gingivitis during orthodontics depends above all on strict oral and dental hygiene and attention to lifestyle. The first and most effective action is thorough brushing with an orthodontic toothbrush and daily use of dental floss or auxiliary tools such as waterjet. Using antibacterial mouthwashes also helps to reduce harmful microorganisms in the mouth. Also, regular examinations by an orthodontist and periodical scaling play an important role in controlling the condition of the gums. Eating healthy, avoiding sugary foods and smoking, and drinking enough water are also useful for strengthening the immune system. By following these simple tips, you can avoid many gum problems during orthodontic treatment.