Reasons of orthodontic bracket removal What should we do if it is torn?

orthodontic articles

Brackets are one of the main components of orthodontic treatment, which are attached directly to the surface of the teeth to guide the teeth to the correct position by applying force by wires and elastics.

Despite the use of strong adhesive materials, sometimes the brackets are separated from the tooth. This event not only disrupts the treatment process, but may also cause damage to the tooth, wire or oral tissue.

In this article, we will examine in a scientific and practical way why the bracket is torn off, what to do if this problem occurs and how to prevent it. Stay with us until the end.

Why does the orthodontic bracket come off?

Orthodontic bracket loosening is usually related to three mechanical, behavioral and structural factors. In mechanical factors, applying too much or incorrect force during treatment or adjusting the wires can cause the bracket to separate from the tooth enamel. In terms of behavioral factors, chewing hard foods such as ice, pot bottom or nuts, as well as the habit of touching the bracket with the tongue or finger, causes it to loosen. In terms of structural factors, humidity during installation, weak enamel or low-quality glue reduces the adhesion of the bracket and increases the possibility of its separation.

What to do if the orthodontic bracket is torn off?

According to orthodontist in Mashhad, bracket pulling out, especially if it is in the initial stages of treatment, is a serious issue and should be investigated as soon as possible. The following basic measures can prevent further damage:

Keep calm. Detachment of the bracket is not an immediate danger, but it should not be ignored.
Do not remove the detached bracket from the mouth unless it becomes loose and causes an ulcer. Otherwise, you can temporarily fix it with orthodontic wax to prevent gum irritation.
Do not touch the wires. Bending or cutting the wire may damage the oral tissue or change the position of the teeth.
See your doctor as soon as possible to reattach the bracket. A delay in this work may delay the treatment process.

Consequences of ignoring the broken bracket

Ignoring or delaying referral for bracket repair can cause disturbances in the movement order of the teeth. When one of the brackets is detached, the distribution of force in the row of teeth changes and this may cause asymmetrical displacement of the teeth or increase the duration of treatment. In addition, the free bracket may damage the orthodontic wire or cause sores in the mouth and gums.

Read more' Click on the given link to Learn about the advantages and disadvantages of orthodontics.

How to prevent the brackets from coming off?

In order to prevent the brackets from coming off, it is necessary to observe some simple but important points. Brackets are sensitive parts that are easily damaged by pressure or impact. Adhering to a proper diet, avoiding eating hard foods, brushing your teeth properly and visiting the orthodontist regularly are the most effective ways to maintain brackets and prevent them from coming off.

Adhering to a proper diet during orthodontics

The most important prevention factor is to follow a special orthodontic diet. Avoid chewing hard foods such as ice, bottom of the pot, popcorn, shavings and candy. Also, eat hard fruits such as apples or carrots in slices so as not to put direct pressure on the bracket.

Caring for brackets when brushing

Use a special orthodontic toothbrush with soft and angled fibers to clean the brackets. Horizontal movements and excessive pressure may weaken the bracket adhesive. It is also recommended to use an interdental toothbrush so that the rest of the food does not remain between the wires.

Read more » Care for Orthodontic Teeth

Regular visits to the doctor for examination of orthodontic teeth

Regular visits allow the orthodontist to detect any loosening, rust, or weak bonding before the brackets are removed. Correct adjustment of wires also reduces excess pressure.

Avoid manipulation of brackets

Many patients unconsciously touch the brackets with their tongue or hands. In addition to damaging the bracket, this increases the risk of bacterial transmission and gingivitis. You should pay attention to this habit and avoid it.

The role of adhesive quality and doctor's skill in bracket adhesion

Orthodontic adhesive is a combination of special resins that must be placed on the tooth in dry and saliva-free conditions. If the tooth does not dry well during installation or the glue comes into contact with saliva, the strength of the connection will decrease. Also, the placement angle of the bracket and the amount of initial pressure on the adhesive directly affect its durability. Therefore, the doctor's skill and accuracy play an essential role in the stability of the brackets.

Final words

The removal of orthodontic bracket is a relatively common but preventable event. The most important reasons include mechanical pressure, incorrect eating habits and weak tooth surface adhesion. In case of occurrence, you should not do anything arbitrarily, but you should go to a specialist as soon as possible to install the bracket in the correct position. Adhering to a proper diet, using standard cleaning tools and regular visits to the doctor are the keys to maintaining brackets and shortening the length of orthodontic treatment.

Frequently Asked Questions About Orthodontic Bracket Dislodgement

Why does the orthodontic bracket come off?

Bracket tearing usually occurs due to chewing on hard materials, excessive pressure during wire adjustment, or moisture during bonding.

What to do if the bracket is torn off?

Do not manipulate the bracket, fix it with orthodontic wax if possible and see a doctor as soon as possible.

Does removing the bracket prolong the treatment process?

Yes, because it causes the teeth to move out of the planned path and increases the treatment time.

How to prevent the bracket from coming off?

This problem can be prevented by avoiding hard foods, maintaining oral hygiene, and visiting the orthodontist regularly.

Does the quality of the glue or the skill of the doctor affect the durability of the bracket?

Yes, the use of standard glue and the precise installation of the bracket by an expert play an important role in its durability and strength.

About the author:

In 1379, I was accepted in the national entrance exam of universities with a distinguished rank (5th rank) in the experimental field and started studying at Mashhad Dental School. During my academic period, I was one of the distinguished students of this faculty and I received many academic awards. And finally, in 2018, by defending my thesis on "The effect of bone growth factor on jaw problems", I managed to obtain a doctorate degree in dentistry and became a member of the country's medical system organization and the World Association of Orthodontic Specialists.